Chapter 0124 This is called Professional
() Lin Jiangbei came to the bed, looked at Xu Binghui, whose face was sallow, and his two little eyebrows were slightly frowning even in his sleep, he sighed slightly in his heart, and then said to Mrs. Xu: "Mrs. Xu, you have to wake up Xiaohui, so I can do a check!" β
Mrs. Xu looked at her son who had just fallen asleep, although she couldn't bear it, she still gritted her teeth and gently pushed Xu Binghui with her hand, and called softly: "Xiaohui, Xiaohui, wake up, the doctor has come to check on you." β
Xu Binghui slowly opened his eyes and hummed softly to Mrs. Xu.
Xu Bingqing pointed at Lin Jiangbei with her finger on the side, and said to Xu Binghui: "Xiaohui, do you still recognize this brother?" Last year by the West Lake, you saw him. β
"I don't recognize ......" Xu Binghui glanced at Lin Jiangbei, who was like a black loach, and replied weakly.
Xu Bingqing smiled at Lin Jiangbei embarrassedly, and then told Xu Binghui: "It doesn't matter if you don't remember. Later, this brother will help you do the examination, don't be afraid, it will be fine soon! β
"Sister, I'm not afraid, let my brother check it for me!" Xu Binghui said.
Lin Jiangbei saw that although Xu Binghui didn't have any strength at all, he still behaved so bravely, and couldn't help but secretly praise, it was really a tiger!
"Well, Xiaohui is so brave, then my brother will prepare it and start to check it!"
So he first went to the bathroom of the ward to clean his hands with soap, then took a piece of disinfectant cotton wool from the nurse, came to Xu Binghui, wiped the corners of his eyes with the cotton wool, and then took it to the light to watch.
Not to mention Xu Tiecheng and his wife, even Mao Xian has never seen such an inspection method.
"Jiangbei, what are you doing here?" Mao Xian's open-mindedness is far beyond that of ordinary doctors, even in front of his friend Xu Tiecheng and his wife, he did not hide that he did not understand the meaning of Lin Jiangbei's examination method, and asked very frankly.
"Instructor Mao, come and see what color is on the cotton wool?" Lin Jiangbei pointed to the medicine wool for Mao Xian to see.
Hula, not only Mao Xian, but also Xu Tiecheng and his wife, Xu Bingqing, and Su Dali all surrounded him.
I saw that on the cotton wool in Lin Jiangbei's hand, there were two obvious yellow-green traces, just like the juice that flowed out of the bark of the camphor tree outside after it was cut.
Xu Tiecheng and his wife and Xu Bingqing couldn't help but scream, and they only found out at this time that the tears in the corners of Xu Binghui's eyes turned out to be yellow-green.
"Brother Lin, what's going on? How could Xiaohui's tears be green? Xu Bingqing nervously grabbed Lin Jiangbei's arm.
"This shows that the heat in Xiaohui's body is stagnant, and the internal fire is too strong!" Lin Jiangbei said, "To put it simply, it is the same as the yellow urine of children, which means that children are hot." β
"It's just that Xiaohui has been infusion, and the liquid will dilute the color of the urine, so it is not very accurate to look at the color of the urine at this time, relatively speaking, the secretion of tears is less affected by the infusion, so I use this way to check!"
Although Mao Xian is engaged in Western medicine, he also has a certain degree of understanding of traditional Chinese medicine, and when he heard Lin Jiangbei's words, he couldn't help but give Lin Jiangbei a thumbs up and said: "Jiangbei, your examination method is really a different way, which opens my eyes!" β
Although Su Dali also saw the yellow-green traces on the cotton wool clearly, he shook his head secretly, and was quite dissatisfied with Lin Jiangbei's "internal heat" and "fire" rhetoric.
In his opinion, just a change in the color of tears does not mean anything, and it is necessary to culture and test the tears to see what changes in the composition or what bacteria are in them, which has medical significance.
Lin Jiangbei threw the cotton wool into the trash, took a flashlight and a long cotton swab from the nurse's hand, and then came to Xu Binghui and said to him: "Xiaohui, open your mouth wide and stick your tongue out for my brother to see!" β
So Xu Binghui stuck out his tongue.
Lin Jiangbei first carefully observed Xu Binghui's tongue and found that the tip of the tongue and the edge of the tongue were bright red, but the other parts were secretly purple, and the tongue coating was very thick, white and greasy, slightly yellow.
Then he took a cotton swab and pressed Xu Binghui's tongue and said to him: "Xiaohui, grow your mouth a little longer, and a few 'ah' sounds come out." β
So Xu Binghui opened his mouth wide and said "ahhhh
Lin Jiangbei took the opportunity to shine a flashlight into it, observed Xu Binghui's throat, and found that the throat area was quite normal, and there was no inflammation.
He turned off the flashlight, threw the cotton swab into the trash, and said to Xu Tiecheng and his wife: "The throat is normal, but the tongue coating is thick, white and yellow, and the internal fire is still too strong!" β
Then he asked Xu Binghui to bend his legs, lift his clothes, and examine Xu Binghui's abdomen. As soon as the palm of his hand was touched, he felt that Xu Binghui's abdomen was soft, but the temperature of his skin was slightly lower than normal.
"Xiaohui, I'm pressing with my hand now, if you hurt, just say it!"
Lin Jiangbei gently pressed Xu Binghui's abdomen with his hand while observing Xu Binghui's expression.
"It hurts!" Xu Binghui's two small eyebrows frowned slightly.
"Is it amazing?" Lin Jiangbei asked.
"It's not amazing!" Xu Binghui replied.
Lin Jiangbei was worried that Xu Binghui would say that the severe pain was not bad in order to show his bravery too much, so he reached out and pinched Xu Binghui's finger and said, "Compared with me pinching you, that one hurts a little more?" β
"My brother pinched a little harder!" Xu Binghui replied.
Xu Bingqing immediately glared at Lin Jiangbei angrily, "You won't pinch lightly?" β
Ahem!
Lin Jiangbei coughed twice in embarrassment, then walked to the other side of the bed, pulled Xu Binghui's left hand to the side of the bed, and said to him, "Brother help you take the pulse!" β
As he spoke, he stretched out a thumb and pressed it on Xu Binghui's left wrist.
When Xu Tiecheng invited two famous Chinese medicine doctors from Hangzhou to give Xu Binghui a pulse, he used a thumb like Lin Jiangbei, and also explained to him, saying that Xu Binghui was too young and the inch part of his wrist was very short, so he had to use a designated method to diagnose the pulse, that is, use the thumb to press the three pulses of the ruler.
At this time, seeing that Lin Jiangbei was also using a designated method, he really put his mind at ease, believing that Mao Xian was not bragging, and his proud protΓ©gΓ©'s medical skills were really extraordinary.
Lin Jiangbei closed his eyes slightly, feeling the subtle sensation at his thumb, and only felt that Xu Binghui's pulse was as thin as silk, undulating, which corresponded to the symptoms of the previous examination.
Generally speaking, the number pulse needs to be reached by the left and right hands, but because Xu Binghui's right hand is still infused, it will have an impact on the pulse, so Lin Jiangbei also omitted this step.
He stood up and asked the nurse to bring over the thermometer and measure the temperature of Xu Binghui's armpit.
Ten minutes later, the nurse took the thermometer out of Xu Binghui's armpit, looked at the reading, and said to Lin Jiangbei: "The patient's body temperature is 99.1 degrees. β
During the Republican period, many hospitals adopted the Fahrenheit temperature scale, especially hospitals set up by British missionaries such as Guangji Hospital, which maintained the British tradition of using the Fahrenheit temperature scale.
Therefore, Xu Binghui's 99.1 degrees, converted to the Celsius temperature scale, is about 37.2 to 37.3 degrees, which is slightly higher than the normal temperature for four-year-old Xu Binghui.
After checking the body temperature, Lin Jiangbei asked Su Dali to bring Xu Binghui's medical records, Lin Jiangbei read it carefully, and finally focused on the stool test sheet.
According to the results of the fecal test sheet, Xu Binghui's other indicators, including parasites and amoebic pathogens, were normal, but the intestinal flora has undergone great changes, and the number of resident bacteria that should have been parasitic in the intestine has become extremely rare, and at the same time, a large number of pass-by bacteria have been detected, such as Staphylococcus aureus, Escherichia coli, Candida albicans, etc., and even double infection of intestinal mold.
Combined with the overheating of the internal fire, vomiting and diarrhea, and diarrhea more than 20 times a day, if not treated in time, Xu Binghui will inevitably die!
"Can't delay! It must be treated right away! Lin Jiangbei returned the medical records to Su Dali and said to him, "Pull out the needle, and the liquid will stop immediately!" Then find a hard-boiled egg! β
Thank you for the tips of book friends Legebriand, Wudian Chen Hao, and Xiangchu Lone Wolf, and thank you book friends for their recommendation votes!
ps: I saw that many book friends gave prescriptions for treating diarrhea in the comments, such as montmorillonite powder (also known as Smecta), such as fried burnt rice decoction. These two do have a good effect on the treatment of diarrhea, and my children have also used these two methods when they have diarrhea.
However, both of these methods are physical antidiarrheal, and many times the effect is not obvious for intractable diarrhea caused by dysbiosis.
There are many ways to treat intractable diarrhea with dysbiosis (such as taking an enema into the feces of normal people to help patients cultivate normal intestinal flora), because this book is a spy war theme, I will not describe it too much. I'll list the more convenient ones in the next chapter. And it's a relatively quick one.