Chapter 9 Reuse of red peony to retreat from acute yellow

Chang Book Review glanced at Wang Zhi again, this Lian Hongming was a little surprised, to say that the first time was unconscious, this second time is strange, so Lian Hongming smiled lightly, looked at Wang Zhi and said, "Who is this guy?" ”

"Ah, this is Wang Zhi, who is my old friend, and also a doctor of traditional Chinese medicine, just now you just finished diagnosing me before you got old, and you are preparing to prescribe a prescription." Seeing Lian Hongming asking Wang Zhi, Chang Shu commented that he knew that his inadvertent action just now had attracted Lian Hongming's attention, and hurriedly explained.

"Mr. Chang, aren't you messing around, this treatment is not a child's play, what credibility can such a young Chinese medicine doctor have." This Lian Hongming hadn't spoken yet, Fei Ming didn't do it, and hurriedly complained to Chang Shuping, if it weren't for Chang Shuping saying that Wang Zhi was his year-old friend, this Fei Ming would probably be driven away.

"Tip, you can't say that, there is no order to learn, the master is the first, how can you judge people by their appearance." Lian Hongming was not angry, and said very calmly: "I don't know what the young man thinks? ”

"My diagnosis is the same as yours, and I think it's an acute yellow disease." Wang Zhi chuckled.

"Oh! , have you ever prepared a prescription? Lian Hongming was also a little surprised, he could see that Wang Zhi was not lying, and judging from the performance of Chang Shuping just now, Wang Zhi's diagnosis should be the same as his, and even some actions won the trust of Chang Shuping, otherwise Chang Shuping would not have been reading Wang Zhi in obscurity.

"There is one party, if Lian Lao doesn't mind, please correct." Wang Zhi said with a smile.

"Then you might as well write it out and read it." Lian Hongming smiled: "Tip, get paper and pen for the young man." ”

Although Fei Ming was very unhappy in his heart, he was not disobedient to what Lian Lao said, so he had to bring Wang Zhi a pen and paper.

Wang Zhi was not polite, took the pen and paper, wrote down one side directly, and handed it to Lian Hongming.

Lian Hongming took the prescription, saw Wang Zhi's words with a burst of approval, with a smile on his face, bowed his head slightly, and continued to read.

The recipe used by Wang Zhi is a combination of three flavors of decoction, namely Xiao Chai Hu Tang, Mushroom Chen Hao Tang and Tulip Tang Tang.

These three decoctions are prescribed in a decent manner, and the diseases of the current Chang Book Review should be treated as blood activation, blood stasis, dampness, heat clearing and detoxification.

Xiao Chai Hu Tang is to clear heat and detoxify, for the heat poison in the body, the fungus Chen Hao soup is to clear heat and dampness, for the dampness and heat in the body, Tulip soup can invigorate blood and relieve pain, soothe the liver and bladder and promote gallbladder, it can also be regarded as a symptom, and Lian Hongming's own thoughts coincide, but this Wang Zhifangzi's last medicine made Lian Hongming a little surprised, not that this medicine was prescribed wrong, but that the dose was too large.

Wang Zhi's last medicine is red peony, red peony has the effect of clearing heat and cooling blood, dispersing stasis and relieving pain, it is not impossible to use, but Wang Zhi's dose is a full 900 grams, more than one and a half catties.

"Young man, is your last medicine a little too much?" After reading the prescription, Lian Hongming asked Wang Zhi softly.

"It's not big, I think it's a little more conservative." Wang Zhi said softly.

Just when Lian Hongming and Wang Zhi were talking, Fei Ming on the side also gently poked his head to look at the prescription prescribed by Wang Zhi, and his eyes instantly opened wide, 900 grams, where is this bigger, it is simply too big.

Although Fei Ming is not a doctor of traditional Chinese medicine, he also knows what this red peony is, does this kid have medical knowledge, such a large dose of red peony, is he not afraid of the patient's bleeding in multiple organs or diffuse blood vessel coagulation.

In Fei Ming's memory, 15 grams and 30 grams of this traditional Chinese medicine is already a lot, and most of the prescriptions and all the medicines add up to no more than 900 grams.

Nowadays, the disease of Chang Book Review is severe hepatitis in Western medicine, and the normal value of aminotransferase is 0~40.At this time, Chang Book Review has reached 2100, which is more than 50 times.

Aminotransferases are a catalyst for breaking down food and are produced by the liver and stored in the liver, gallbladder and small intestine.

Nowadays, the aminotransferases and bilirubin in the blood are seriously exceeded, indicating that the liver cells are seriously damaged, and the aminotransferases and bile directly enter the blood. Because bilirubin is yellow, excessive bilirubin in the blood will cause symptoms such as yellowing of urine, which is what Wang Zhi called acute yellowing.

If this situation continues to be delayed, there will be hepatic encephalopathy or liver necrosis, for this situation, the current Western medical method is to use a large dose of hormones for shock therapy, but this therapy is likely to cause necrosis of the femoral head or harm other organs, now Chang Book Review has a special identity, Fei Ming did not dare to rashly carry out treatment, so he invited Lian Hongming of the Chinese Medicine Association to come over.

Red peony is a liver disease medicine in traditional Chinese medicine, and some doctors have long said that red peony "can be discharged with bitterness, bring acid into the liver, and purify liver fire". The reason why Wang Zhi uses such a large dose of red peony is related to the current condition of Chang Book Review, Chang Book Review This disease is an acute yellow, sudden onset, life in an instant, in the words of Western medicine, glutamate aminotransferase has exceeded 50 times the normal value, indicating that the speed of hepatocyte necrosis is very fast, if the drug is used according to the conventional dose, this will definitely not receive immediate results, that is to say, the speed of treatment is not as fast as the speed of the lesion, even if the drug is useless.

"Let Mr. Chang make his own decision, I personally don't approve of using this medicine in such a large dose."

Hearing Wang Zhi's words, Lian Hongming was not angry, nor did he refute, but handed the prescription to Chang Shu and commented: "I basically agree with the prescription, but the dosage of the last medicine is a little too big, you decide for yourself." ”

"So how many doses do you mean?" Chang Shushu didn't understand Chinese medicine, so he naturally didn't know how much this dose was, but asked Lian Hongming.

"If I use it, it's up to 200 grams." Lian Hongming thought for a while and said: "Otherwise, make a compromise, just use 400 grams, and if there is any accident, you can control it in time." ”

Lian Hongming's previous words were said to Chang Shuping, but the latter words were discussed with Wang Zhi, and regardless of the dosage of Wang Zhi's last medicine, Wang Zhi was able to diagnose Chang Shuping's illness alone, and prescribed such a prescription, Lian Hongming had already put Wang Zhi in an equal position with himself.

"400 grams is a bit less, the effect is not obvious, if I use 900 grams, I am sure that one dose will be effective." Wang Zhi said lightly.

"Brother Wang, can it really be effective with one dose?" Hearing Wang Zhi's words, Chang Shushu asked excitedly, this disease is tortured enough for him, if it weren't for his own hard body, he would definitely not even have the strength to speak now.

"Ninety percent sure." Wang Zhi said affirmatively.

"Okay, then use 900 grams." Chang Book Review gritted his teeth and made a decision.

"Lao Chang, you don't have to think about it anymore, or discuss it with your sister-in-law." Zhuge Ran suggested that when Wang Zhi and the three of them entered the ward, Yue Lan, Chang Shuping's wife, happened to go out to buy lunch for Chang Shuping.

"No need, I believe Brother Wang." Chang Shuping said, Chang Shuping made a lot of determination when he said this, not so much that he believed in Wang Zhi, but that he was tortured by illness.

"Since Mr. Chang has decided, then you can take the medicine according to the prescription." Lian Hongming took the prescription from Chang Shuping's hand, and wrote his name next to Wang Zhi's name, he knew that without his signature, Fei Ming would not have caught the medicine.

Wang Zhi stood on the side, and when he saw that Lian Hongming had also signed, his heart was also terrified, and he said to Lian Hongming: "Thank you Lian Lao for your love." ”

Lian Hongming waved his hand and said with a smile: "Since your young man has confidence, my old man will sacrifice his life to accompany the gentleman, and this time it will also open his eyes." ”

Because out of curiosity about Wang Zhi's prescription, especially the last medicine that was controversial just now, the people in the ward did not leave, and they were all waiting to see the results.

After about thirty minutes, the boiled medicine was brought over, Wang Zhi took the medicine, smelled it, tested the temperature, and said: "The medicine is very bitter, Mr. Chang, you can bear with it, it's best to drink it in one go." ”

"Brother Wang, don't worry, I can still bear this bit of suffering." Chang Shushu was reluctantly helped by Wang Zhi to sit up, took the medicine, and drank it directly with his head tilted back and closed his breath.

Seeing that Chang Shuping had finished drinking the medicine, Wang Zhi looked at the time, it was more than twelve o'clock at noon, smiled and said to everyone: "Let Teacher Chang rest for a while, let's go out for a meal, it's time to eat." ”

At this time, Chang Shushu Reviews drank the medicine, and everyone's hearts were in their throats, who was still in the mood to eat, hearing Wang Zhi's words, all the doctors didn't hear it at all, and they were all waiting to see the effect.

Seeing that everyone didn't move, Lian Hongming spoke up: "Let's all go out, Mr. Chang needs to rest and absorb the power of the medicine after taking the medicine, and the traditional Chinese medicine is not a miracle medicine, the effect is not so obvious, and when I come back from eating, I will tip and do a laboratory test to see the results." ”

Lian Lao is highly respected, and when he speaks, it is inconvenient for the doctors to continue to stay here, so they all leave a little reluctantly.

Seeing that everyone was gone, Lian Hongming invited Wang Zhi with a smile: "The young man doesn't know if he is interested in eating with my old man." ”

"The invitation of the old man is overwhelming, how could I refuse." Wang Zhi smiled, and Lin Xueyan and Zhuge Ran accompanied Lian Hongming out of the ward together.

The place where Lian Lao invited Wang Zhi to eat was the canteen of the Provincial People's Hospital, and Fei Ming specially arranged a small single room, plus Fei Ming and five people sat at a table.

Eating in the hospital, there was no alcohol, Fei Ming brought some drinks and tea to a few people, and everyone chatted while eating.

Lian Lao was very curious about Wang Zhi's medical skills, he had such medical skills at such a young age, and he didn't know whose disciple it was, so he asked Wang Zhi at the beginning.

Lian Hongming saw that Wang Zhi didn't want to say more, and he didn't ask, he knew that there were some old antiques in the Chinese medicine industry but there were some quirks, and some didn't like their disciples to leak their mentorship at will, so he chatted with Wang Zhi about some other topics.

Both of them are skilled in medicine and knowledgeable, this chat was out of control, and they forgot the time for a while, about fifty minutes later, but a doctor ran in in a panic, and as soon as he entered the door, he panted and said: "Dean Fei, Mr. Chang, Mr. Chang he"

Seeing that the doctor couldn't say a word for a long time, Fei Ming suddenly became anxious, and thought that something had happened to Chang Shuping, so he hurriedly asked, "What's wrong with Mr. Chang." ”

The doctor was scolded by Fei Ming, but he was a lot more angry, and said with a happy face: "Mr. Chang seems to have begun to recover, and his complexion has improved a lot." ”

(To be continued)