Chapter 151 of the main text volume points out the maze

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Then Dr. Huang talked about the compatibility of the formula.

He then explained: "Because the patient is already in a coma, nasogastric feeding is used, 15 ml once an hour, day and night. However, after using this formula, the body temperature not only did not drop but increased slightly, and the other symptoms did not improve, and the tongue pulse remained the same as before. I thought carefully that my prescription was not wrong, and I felt that it must be that the medication was too light for the critical illness, so on the basis of the original prescription, the gypsum was increased from 30 grams to 40 grams, and the mother was increased from 15 grams to 20 grams. ”

Speaking of this, Dr. Huang stopped, looked at Xiao Ying and said, "Please ask Mr. Xiao, what do you think of my recipe?" ”

"Of course not, if it did, you wouldn't have been in such a hurry just now."

Ke Yunda smiled coldly and said: "You are the result of observing words and feelings, I thought you really didn't think this method would work." It seems that Mr. Xiao has learned well from the consultation. ”

When Xiao Ying introduced the situation to Dr. Huang, he had already searched for this case, and he had quickly read the medical records, knowing that the patient was finally cured, and he had also found the final cure, so Cheng Zhu was in his chest, picked up the folding fan on the table, opened it with a bang, and fanned it gently, and said to Ke Yunda slowly: "Then please judge Dr. Huang's prescription, so that I can also have a long insight." How's it going? ”

All eyes were on him.

Ke Yunda thought for a moment, picked up the teacup on the table, took another sip, and said: "For the treatment of Japanese encephalitis, it can be divided into pungent and cool, clearing heat and detoxifying, clearing the heart and opening the mind, calming the liver and quenching wind, and removing dampness and turbidity. and the eight methods of purifying phlegm, purging down, and nourishing yin......"

"Professor Ke, the patient is still waiting. ――I was interested in listening to Professor Ke's lectures, but I was afraid that the patients would not be able to afford to wait. Xiao Ying said lightly.

Ke Yunda snorted and said: "There are scattered petechiae on the patient's chest, which is clearly evidence of the two burns of qi and camp, and the reason why it has no effect before is because of the severity of the illness and the light medicine. It should have an effect after the adjustment......"

As soon as he said this, he suddenly remembered that if it really worked, then Dr. Huang would not be so anxious to ask you how to adjust the prescription, so he coughed twice and said: "If there is no effect, the dosage must not be enough, and the dosage of Zhimu and gypsum should be further increased." ”

Xiao Ying sneered.

Ke Yunda was immediately furious, he was the vice president of the Chinese Medicine Hospital and a dignified professor. was actually treated by a young man with a sarcastic and sneering treatment, I really couldn't bear it, raised my voice and said, "What are you laughing at? Am I wrong? ”

"According to your methods, the sick will die! You've healed all the sick, aren't you going to let me laugh a little? ”

"What nonsense are you talking about, how do you know this recipe doesn't work?"

Xiao Ying snapped the folding fan in his hand, nodded Ke Yunda, and said, "The patient is Japanese encephalitis type B." The onset of the disease is acute and changes rapidly. It is easy to have lesions, and you will die in an instant, and you can adjust your medication step by step to take your time? ”

This is the truth, and many old Chinese medicine doctors nod frequently.

Dong Cabinet said to Xiao Ying: "Since the patient is in critical condition, let's say straightforwardly if Mr. Xiao has any opinion!" ”

"Sharpening the knife is not a mistake for the woodcutter, I have to check the condition first. And then make a decision. Xiao Ying didn't say the final prescription directly, because the patient was finally cured, so he was not in a hurry, he had to let things develop naturally. He asked Dr. Huang, "After you use this prescription, the patient's condition has not improved?" On the contrary, the corners of the mouth are salivating, and the pulse is slipping? ”

Doctor Huang was taken aback, nodded again and again, and said, "That's right, Dr. Xiao judged very accurately, that's right. ”

"So do you think about what the problem is now?"

Dr. Huang smiled wryly and said, "I just don't have an idea, so I came to ask you for advice, and I also asked Mr. Xiao for advice." ”

"Well said." Xiao Ying put the folding fan away, pointed to the buzzing air conditioner in the corner of the wall, and then turned on the folding fan and shook it gently, "It's very hot this summer, right!" ”

"Yes!" Doctor Huang nodded, he didn't know what Xiao Ying was doing when he suddenly said the weather at this time, but he knew that Xiao Ying would not mention the weather for no reason, and after a little contemplation, he suddenly realized that he was surprised and said, "What does Mr. Xiao mean is that the patient is blinded by summer dampness and phlegm?" ”

Xiao Ying smiled and nodded, admiring in his heart, worthy of being an old Chinese medicine doctor in the Provincial Hospital of Traditional Chinese Medicine, as long as he gave a little hint, he would immediately find the right idea.

Dr. Huang slapped his thigh heavily and said, "Yes, why didn't I expect it, the patient's tongue is greasy, the pulse is slippery, and the corners of the mouth are drooling. It should clear the heat and dispel turbidity, cleanse phlegm and open the body! I'm so confused. Thank you Mr. Siu for your advice! ”

After that, Dr. Huang gave up again and again. Xiao Ying hurriedly returned the salute.

The ideas that Xiao Ying said and the prescriptions behind them were all thought of by this Dr. Huang later, people are the real masters, and he is just pretending to be forced by borrowing other people's skills.

Hearing what the two said, the other old Chinese medicine doctors nodded frequently, feeling that this dialectic was correct.

Dr. Huang got up and said to Dong Cabinet, "Dean, I'll go and prescribe a prescription to change the medicine for the patient's diagnosis and treatment, and then come back later." ”

Dong Cabinet nodded, and Dr. Huang threw a grateful glance at Xiao Ying, and walked out quickly.

Dong Cabinet was a little happy, glanced at the old Chinese medicine doctors present, and said, "How is it?" As I told you earlier, Dr. Siew is indeed not simple! ”

Many old Chinese medicine doctors nodded sincerely, but Ke Yunda, who was sitting next to him, began to look for trouble again, he took a sip of tea, and then said: "I also have a difficult disease, I want to ask you for advice, of course, mainly from Mr. Xiao." ”

Xiao Ying listened to him ask for advice, but his tone was very indifferent, with a little sarcasm. didn't speak, picked up the sunglasses on the table and put them on his face, gently shook the folding fan and looked out the window very leisurely.

Ke Yunda snorted heavily in his nostrils and said: "I have a patient, the information has been placed on your table, it is a woman, 65 years old, this patient has a history of more than 30 years of paroxysmal abdominal pain, has had two surgeries, both of which are sigmoid volvulus, this hospitalization was two years after the last operation, when it was paroxysmal abdominal pain and bloating, accompanied by vomiting for seven days, no gas and defecation, persistent pain two days ago, with paroxysmal exacerbation, the pain has not been relieved, vomiting soon after eating, and the lower abdomen feels distended, Intestinal pattern and peristaltic waves can be seen, the abdomen is soft without tenderness and rebound tenderness, which disappears after light pressing, the bowel sounds are hyperactive, the sound of air passing through water can be heard, and two large fluid levels can be seen on abdominal fluoroscopy, suggesting acute obstruction. ”

Speaking of this, Ke Yunda stared at Xiao Ying and said slowly: "May I ask Mr. Xiao, how to treat it?" ”

Xiao Ying shook the folding fan and said slowly: "You haven't said your treatment plan yet, but you came to ask me." Hehe, Professor Ke, I am a visiting doctor at our TCM Hospital, and I am here to consult with you today, not to take your professor's graduate school entrance examination. ”

A few old Chinese medicine doctors couldn't help but laugh. Indeed, Professor Ke did not discuss the condition as clearly as possible after discussing it with each other as much as possible in the usual consultations, it was completely a kind of teacher's examination of the students, and even with a provocative tone, it is no wonder that people answered him like this.

Ke Yunda snorted and said, "I'm going to ask you what kind of prescription you should use, so that I can check with the prescription I use and compare with each other." ”

"So, Professor Ke used TCM decoction to treat this kind of mechanical intestinal obstruction, right?"

"Of course, TCM has great advantages in treating intestinal obstruction, there is no need for surgery, the patient suffers less pain, and the price is cheap."

"Traditional Chinese medicine has its indications and contraindications for the treatment of intestinal obstruction, from the situation you just introduced, the patient's condition is no longer solved by decoction, and must be operated on immediately, have you ever thought that you should operate on the patient immediately?"

"There's no need, I have treated many patients with intestinal obstruction with Chinese medicine and acupuncture, and they are basically all cured."

Xiao Ying had already searched out this case before, and now he looked at it again, and found that it was too late, sighed, pointed the folding fan in his hand at Ke Yunda and said: "The frequency of the patient's paroxysmal abdominal pain, abdominal intestinal shape and peristaltic waves have proved that mechanical intestinal obstruction is very strict, and it is not something that can be relieved by decoction, and surgery is necessary." If you had operated on the patient as soon as he was admitted to the hospital, you would have been able to save his intestines, but you have been delayed for so long that the patient's sigmoid colon has died and can only be removed. - Because of your stubbornness, the patient has lost a piece of his intestines, which will have a great impact on his life. ”

Ke Yunda smiled and said: "Okay, don't be alarmist, I asked you, I didn't really ask you for advice, I deliberately took this case to test you, I wanted to see if you could come up with a clever prescription, but I didn't expect you to be alarmist here, and you want to get by, it's really ......."

As soon as he said this, he saw a doctor hurriedly come in and whispered in Ke Yunda's ear: "Dean Ke, your intestinal obstruction patient has symptoms of shock!" ”

The doctor's voice was muffled, but almost everyone heard it because the room was quiet. couldn't help but be taken aback, staring at Ke Yunda.

Dong Cabinet raised his eyebrows and said, "Professor Ke, you rush first, and immediately transfer to surgery for surgery, and you can't delay any longer." ”

Ke Yunda hurriedly agreed and stood up, although he was a little unconvinced by Dong Cabinet, but the dean's decision, of course he didn't dare to contradict it, and left the venue quickly.

Suddenly, this situation appeared, and the old Chinese medicine doctors present all whispered.

At this time, a female Chinese medicine doctor lifted her glasses and said, "It's time to discuss my medical case, right?" ”

Dong Cabinet nodded with a smile and said, "Okay, you can say it!" ”

The female doctor picked up the information on the table and said: "I have put the relevant information of the patient on the table, this is a middle-aged woman, more than half a hundred years old, and the vulva has been repeatedly itching for half a year, especially for more than ten days before hospitalization, the itching is unbearable, and she has to scratch and bleed, and she can only be slightly better with hot water." But after a while, it continued to itch so unbearably that it was difficult to sleep at night. Waist soreness, gynecological examination can see the big and small yin. The lips are slightly dry and shrunken, yin. The folds of the tract wall are reduced and slightly congested, the discharge is red and white, the cervix is smooth, the uterine body is atrophied, the tongue is red, yellow and slightly greasy, and the pulse is less slippery. ”