Chapter 239: Acute appendicitis
Acute gastroenteritis?
You Yang looked at the old man and found that the old man was holding his stomach with his hands in the upper abdomen, but the symptoms were somewhat similar to those of acute gastroenteritis.
But can sudden gastroenteritis really cause the elderly to have so much pain?
Acute gastroenteritis is characterized by nausea, vomiting, abdominal pain and diarrhea, especially diarrhea, but the elderly now only have abdominal pain, and the pain is not quite the same as acute gastroenteritis.
Is it really acute gastroenteritis?
You Yang was a little suspicious of Dr. Zhang's examination, so he took the opportunity to check the old man's body when Dr. Zhang went to prescribe medicine.
Lifting the clothes on the old man's abdomen, You Yang put his hand on it, and he could clearly feel the tension of the old man's abdominal muscles.
This is not acute gastroenteritis!
You Yang's Xuanwu Divine Physiognomy Technique was not read in vain, he remembered very well that if it was acute gastroenteritis, the abdominal muscles would not be tense!
A quack is a quack, and I don't know how to see a doctor at all, so I was prepared when I first came!
You Yang despised Doctor Zhang fiercely in his heart, and then put all his attention on the old man, now it is important to save people.
If not acute gastroenteritis, what would it be?
Could it be acute appendicitis?
You Yang's eyes were full of suspicion.
The symptoms of acute appendicitis are somewhat similar to those of acute enteritis, but the pain is much greater than that of acute enteritis.
Moreover, acute appendicitis can cause tension in the abdominal muscles, and the pain at the beginning of the disease is in the upper abdomen, and it will only metastasize to the right lower abdomen after a few hours!
Thinking that Sophie's grandfather may have acute appendicitis, You Yang became even more anxious in his heart, if this is really the case, then it can't be delayed for a moment, hurry up and save people, if it is delayed, the old man may be in danger of life!
Stretched out the index finger of his left hand, pointed at the painful part of the old man, and tapped the index finger with his right hand, You Yang found that the pain on the old man's face was even heavier when he did this, and his heart was immediately diagnosed.
This is acute appendicitis!
Almost killed that quack!
A profiteer, a quack, what a fucking perfect match!
You Yang gritted his teeth and thought about it, then put his hand on the old man's forehead and felt the temperature.
Fever, low-grade fever, this temperature should be less than thirty-eight degrees.
Fine, okay, not gangrene and perforated appendicitis and periappendiceal abscess. Now at most, it is an incomplete suppuration, and there is no need to remove the appendix.
Comparing the medical knowledge in his mind, You Yang breathed a sigh of relief, it was not yet a critical juncture, and he remembered that the Xuanwu Physiognomy book said that such a disease does not need to take medicine, it can be done with acupuncture.
At this time, Doctor Zhang walked out with the prescription, commanded You Yang and said, "Young man, you have nothing to do, go and catch this medicine." ”
"You instructed me? I am so convinced that you dare to diagnose and treat people with such medical skills! Your pavilion owner is not afraid of death, and he dares to say that you have a wonderful hand to rejuvenate. ”
You Yang said with a thorn in his words, and looked at Doctor Zhang coldly and said.
Hearing this, Doctor Zhang was shocked and didn't dare to speak, but just avoided You Yang's eyes and coughed dryly, and walked towards the medicine cabinet.
"Don't grab the medicine first, this old man is not acute gastroenteritis but acute appendicitis!"
You Yang hurriedly spoke up to stop Doctor Zhang.
"Acute appendicitis?"
Doctor Zhang was stunned for a moment, and then laughed mockingly: "The guy who doesn't understand anything is still making a lot of nonsense here, do you know where the appendix grows?" The appendix grows on the lower right side of the abdomen, if the appendicitis hurts that place, don't talk nonsense if you don't understand! ”
"I really don't know how you got your doctor's license in the first place!"
You Yang sneered coldly, if it weren't for the fact that this guy was an ordinary person, he would have slapped him earlier.
Hearing this, Doctor Zhang, who had already opened the first medicine cabinet, immediately turned his head and asked angrily, "What do you mean?" ”
"What qualifies a person who can't even tell the difference between acute appendicitis and acute enteritis to be a doctor? Did you know that acute appendicitis starts with pain in the upper abdomen or around the belly button, and then shifts to the lower right after a few hours? Did you know that acute enteritis abdominal muscles are not tense, while acute appendicitis abdominal muscles are tense, and that acute appendicitis abdominal is uncomfortable, not painful? ”
You Yang's continuous questioning directly asked Doctor Zhang, and he really didn't know what You Yang said.
Where would he be exposed to so many things as an amateur Chinese medicine practitioner, he would also have some knowledge of health preservation and a little acupuncture, even acute enteritis was still what he saw by chance looking at medical skills, otherwise he would not be able to judge.
The pavilion owner on the side was also stunned by You Yang's words.
Although he is the owner of a TCM sanatorium, he is not a doctor.
The owner of this museum did some small business in the early years, saved some money, the most popular industry at that time was the beauty of the nursing industry, he called a friend to open this Chinese medicine sanatorium, and later because of his bad character, and his partner friend suffered a lot of losses, divested and left.
Now seeing that You Yang paid for Dr. Zhang, who paid for him, was speechless, this is urgent, it is money, but he has no way to refute it, who makes himself not understand medical skills.
"You two don't quarrel, can this disease be cured, this old man is still lying here!"
Sophie asked, looking at You Yang and Physician Zhang.
"You can endure greatness, I'll see how you can cure this disease!"
Dr. Zhang hurriedly got rid of his responsibilities, although he did not know how to learn, but he also knew that acute appendicitis could cause death if it was not treated in time, and he did not want to be killed by himself.
"I rule? You should have said that a long time ago, stupid! ”
You Yang looked at the old man's painful expression, and couldn't bear it, he knew that this Doctor Zhang couldn't cure this disease, and he also knew how to treat it with acupuncture, but he had never treated anyone, at most he simulated it in his mind.
Therefore, You Yang didn't dare to start easily.
"Why don't you take grandpa to the hospital? Grandpa is already in pain."
Sophie saw You Yang's embarrassed expression, so she said.
You Yang looked at the old man's face when he heard this, and sure enough, he found that the color of pain was even heavier.
To save or not to save?
You Yang touched the old man's forehead again with a complicated face, and the temperature was higher than just now, which made him immediately have a decision in his heart.
"Can't wait, I'll treat it!"
The body temperature indicates that the old man's appendicitis is gradually suppurating, and if the suppuration is complete, the appendix can only be cut at that time. An old man who had his appendix removed didn't know what the sequelae would be, and he couldn't think about it that much at this time.
After all, this is Sophie's grandfather, and it is normal for You Yang to be worried.
After looking at the layout of the medical hall, You Yang immediately became familiar with it, and went directly to the medicine cabinet to take out a row of disposable silver needles, ginger slices and moxa sticks, and then threw it to Doctor Zhang for fifty yuan, which was considered to be bought by him.
"You control the old man, I'm going to start the treatment."
You Yang said to Doctor Zhang solemnly, then unbuttoned the old man's clothes and focused his eyes on the middle navel acupoint at the lower end of the old man's sternum and the midpoint of the navel connection.
If he remembers correctly, the Xuanwu Physiognomy Technique wrote that the first acupoint for the treatment of acute appendicitis should be here, the middle navel acupoint for the treatment of digestive system diseases.
You Yang knew that there could be no hesitation at this time, and Teacher Sophie's grandfather might really be in danger if he dragged it any longer, so he immediately took out the silver needle, twisted the silver needle clockwise at the middle navel acupoint and pierced it.
Doctor Zhang, who was watching the play on the side, saw the scene of You Yang applying the needle, and the banter on his face turned into surprise and caution, he just felt that You Yang was talking big, but now it seems that this is not the case. Although the technique of applying the needle is a little rusty, the identification of acupoints is extremely accurate.
For traditional Chinese medicine, acupuncture is nothing, who can't prick needles, acupuncture focuses on recognizing acupuncture points, and if it is not recognized, it may lead to life.
In the course of acupuncture, the acupuncture points were recognized, and basically half of them were learned.
Actually, You Yang is not unfamiliar with the needle, he is just for the sake of caution, and he is cautious when he puts the needle.
Who is this kid? At a young age, where did you learn this set of acupuncture techniques?
Physician Zhang looked at You Yang, who was gradually skilled in acupuncture, and had an attitude of appreciation and doubt for his acupuncture level.
At this time, the owner of the hall walked out of the inner hall and saw that it was You Yang who was administering the needle, and couldn't help but be surprised, hurriedly pulled Doctor Zhang over, and asked sternly: "How can you let him use the needle, will he?" And who is the money he saved alive? ”
After the owner was bluffed by You Yang's words before, he went to the inner hall to check the information, but this time, the symptoms mentioned in the book are the same as what You Yang said.
When he came out, he saw You Yang being treated, so he asked Doctor Zhang something like this. He is still thinking about money now, and he didn't think of another layer at all, if You Yang is cured badly and the treatment is delayed, who is this person.
Hearing this, a sinister smile appeared at the corner of Dr. Zhang's mouth and said:
"Pavilion master, this is not an ordinary disease, it is acute appendicitis! If you don't get it right, it may cause death, and I don't dare to treat this disease anyway, and I can't cure it. Fortunately, there is this silly boy who just takes the responsibility on his shoulders. If he heals you, you can take the credit for yourself, and charge some money by the way. If he can't be cured well and delays treatment, what happens to us will not be a matter of our hospital, and this is a sure-fire deal. ”
Hearing Dr. Zhang's words, the hall owner's eyes suddenly lit up and gave him a thumbs up.
He is now starting to be a little scared in his heart, he knows very well what level Doctor Zhang is, if he really delays the patient, then their medical hall will not want to open, he didn't think about it so much when he welcomed people in, but now he has considered it, and he is really afraid. But fortunately, there is this stupid boy who doesn't know where he came from, not only can he give him money afterwards, but he can also give him a top bag if something happens, it's really my lucky star!
Thinking of this, the corners of the hall owner's mouth also showed a hint of a sinister smile.
You Yang didn't notice the pavilion owner and Doctor Zhang's expressions at all, his attention was completely on the old man now.