Chapter 164: Postpartum Stroke
Du Wenhao and the others came all the way to a hill outside the city, there is a nunnery on this hill, called "Shili Nunnery", there is no road, they can only hike up the mountain.
When the three of them rushed to the nunnery panting, they saw that above the dilapidated hall, Mei'er was on her knees with tears in her eyes, and an old nun with a wrinkled face was holding a razor in her hand and was about to give her hair loss.
"Wait!" Du Wenhao shouted.
Mei'er turned around and saw Du Wenhao, tears streaming down her face: "Brother......"
Du Wenhao took a few breaths and said, "You want to become a monk because of the disease, which is incurable?" β
"Well...... since there is no cure, I want to go calm before I die......
"Okay, I'll check your pulse, if it's really incurable, I won't stop you, if it can be cured, you have to go back with me to heal, okay?"
Mei'er nodded, got up on her knees, smiled apologetically at the old nun, and sat down on the hardwood chair next to her, Du Wenhao also sat down next to her, took her wrist, exchanged hands, and concentrated on the pulse.
After a long time, Du Wenhao asked, "What about the prescription that Doctor Ling prescribed for you before?" β
"Here." Mei'er took out the prescription from her arms and handed it over.
Du Wenhao took it and looked at it carefully, nodded slightly, and asked again: "What did the old bell doctor say?" β
Mei'er has a very good memory, and repeats the words of the old bell doctor on the side.
Du Wenhao listened to the old bell doctor say that only he can cure this disease in the world, not only smiled: "He said a little bigger, I thought that your disease was heart paralysis, then it was very troublesome, the current medical conditions are only afraid that it cannot be cured, just now after diagnosing the pulse, it was concluded that your disease is indeed just pulse paralysis, this old bell doctor is right, he prescribed this prescription to warm the meridians, activate the blood, and pass the pulse, but it is also symptomatic, but it is too peaceful, and it has no effect." Ephedra should be removed, and safflower, red peony, and salvia should be used to increase the effect of removing blood stasis and activating blood, and the effect of clearing the veins. β
Mei'er's beautiful eyes were full of tears, and she burst into tears: "Brother, can my little sister's disease really be cured?" You're not making me happy, are you? β
"It can really be cured, not only can it be cured, but you are at the beginning of the disease, the disease is still on the surface, within three doses, I dare to guarantee that your symptoms will be significantly improved! However, in order to completely cure this disease, it is necessary to take medicine for a long time, about fifty or sixty doses, before the root can be broken. You have to adjust the prescription according to the evidenceβyou should have waited for me to come back yesterday, if so, how could you cause so many troubles? β
Mei'er was a little embarrassed and bowed her head silently. In fact, if it weren't for Yan Miaoshou and Xue Fei'er sneering, Mei'er would have insisted on waiting for Du Wenhao to come back.
"Alright, let's go back."
After saying goodbye to the disappointed old nun, everyone walked down the mountain and rode back to Wuweitang.
Du Wenhao re-prescribed the medicine and decocted the medicine in the hall.
Then, Du Wenhao called Pang Yuqin to the inner hall and asked in a deep voice: "Qin'er, why did you hide Mei'er's illness from me yesterday?" Are you afraid that I will be obsessed with her? β
Pang Yuqin wept and said: "My husband underestimates Qin'er, and I never dare to disobey Qin'er, how can I be such a jealous woman?" Qin'er just heard her husband say that those who have no pulse die, there is no cure for this disease, since it is not cured, why bother, husband was in a bad mood yesterday, Qin'er didn't want to block her husband anymore, so she didn't tell her husband. β
Du Wenhao suddenly hugged Pang Yuqin in his arms, and said in a low voice: "I'm sorry, Qin'er, I blamed you by mistake, I was in a bad mood yesterday, I didn't elaborate, in fact, pulselessness is not all terminally ill, it depends on the reason for pulselessness." Pulselessness like Mei'er is only caused by inflammation of the radial artery, which leads to blockage of blood flow, and timely treatment can be cured. β
Pang Yuqin has followed Du Wenhao to study medicine for many days and knows a lot of modern human anatomy, so he is not surprised by the modern medical terms that Du Wenhao said. Hearing that Mei'er's illness could be cured, he breathed a sigh of relief and said with tears: "Husband, Qin'er is wrong, and I won't dare to hide the patient's condition in the future." β
"That's good! Let's get out. β
When the two came to the front hall, Yan Miaoshou and Hantou greeted them and asked in a low voice, "Master, can the pulseless disease really be cured?" β
"Pulselessness is only a symptom, it is the reaction of related diseases on the pulse, whether it can be cured, the key depends on whether the disease itself can be cured, as the so-called 'cure must be based on the root'. Mei'er is a yin syndrome and a false syndrome, which is related to the lack of yang qi, warms the yang through the meridians, and nourishes the qi and nourishes the blood. The right medicine can be cured. β
While he was talking, he suddenly heard someone shouting at the door: "Mr. Du! β
Du Wenhao looked back, but it was the Pan Judgment Bureau of the Taiyi Bureau, Du Wenhao hurriedly greeted him and said, "The judge is here, please come in!" "Led the Pan judgment to the living room of the wing room and sat down, and Yingzi served fragrant tea.
Pan's judgment had a gloomy face, and he didn't say hello, and said bluntly: "What Mr. Du did today is very inappropriate!" β
Du Wenhao hurriedly laughed and said: "I'm really sorry, my sister thought she was terminally ill and was going to leave home, so she hurried to go, fortunately she caught up, otherwise, she would be in trouble." I'm really sorry for the delay, I'm willing to review. β
Judge Pan shook his head: "What Lao Yu said is not about this matter, this point has been introduced by Mr. Du, we can understand it." It was also explained to the trainees. The old man is talking about what Mr. said in class. β
Du Wenhao was stunned for a moment: "Is the content of my lecture inappropriate?" β
"Hmm!" Pan Juju nodded: "Mr. said that the postpartum stroke is not an external wind evil but contaminated with evil poison, this statement is a big fallacy, has Mr. ever read "Jin Kui Yao"?
Du Wenhao smiled and said, "I can read at the age of ten." β
"In this case, can Mr. know the cause of postpartum stroke in "Jin Kui Yaolu", whether it is the six external feelings or the internal injuries and seven feelings?"
"The wind evil in the six external prostitutions."
"In that case, why did the gentleman say in class that it was an evil poison that caused a postpartum stroke? Isn't the gentleman so open-mouthed, don't you realize that you are misleading people's children? β
Postpartum stroke, that is, postpartum spasm, that is, postpartum diseases such as convulsions, neck and back stiffness, mouth silence and angular arch reflexion that occur during the puerperium, similar to stroke, so it is called postpartum stroke, and Western medicine is called postpartum tetanus and postpartum infectious febrile convulsions. At present, traditional Chinese medicine research has found that the cause of postpartum stroke is not external wind evil, but blood deficiency and yin deficiency caused by various infections. The main cause of infection is the ancient method of delivery, lack of knowledge of aseptic operation such as disinfection, and the damage to the reproductive tract caused by childbirth, which can easily lead to maternal infection and stroke.
Puerperal infections are one of the leading causes of maternal mortality. Puerperal fever can be caused by non-genital causes, such as mastitis, upper respiratory tract infection, urinary tract infection, etc., but the vast majority of cases are puerperal infections. Postpartum stroke is an acute obstetric illness, and improper or delayed treatment can lead to sepsis, toxic shock and life-threatening.
However, in the Song Dynasty, the understanding of the cause of postpartum stroke was to attribute it to external wind evil. The most representative exposition is the exposition on postpartum stroke in the "General Record of Shengji": "After childbirth, the blood and qi are not finished, and the wind is evil, and it enters the meridians," which leads to stroke.
Therefore, the ancients required strict windproof for mothers, making the delivery room airtight, and even blocking the gaps between doors and windows, even on hot days, which increased the reproduction of germs and increased the probability of postpartum stroke.
However, Du Wenhao knows that his theory involves modern medical knowledge, and he can't explain it clearly to Pan's judgment, Du Wenhao also has the experience of arguing with Qian Buhui, and knows that it is almost impossible to rely on theory to convince these old scholars of the Song Dynasty, the only way is to speak with facts, Du Wenhao finally conquered Qian without collecting money, and it also relied on the real efficacy of specific medical cases.
Therefore, Du Wenhao did not debate with him, but only said: "Master Pan, let's put it this way, I can guarantee the ticket and use my method to deliver the mother, and the postpartum stroke rate can be controlled at least below 10%!" β
"What?" Pan's eyes widened, postpartum stroke was a high incidence in the Song Dynasty, generally at 780 percent, and it was the main cause of maternal death. Du Wenhao can actually be said to be able to control it below 10 percent, and Pan's eyes were so surprised that his eyes popped out.
Du Wenhao said: "In order to prove the correctness of my argument, we can do a comparative test in the internship at Tai Hospital, randomly select two groups of mothers, one group according to your method of delivery, and one group according to my method to deliver babies, to see which group has a high rate of postpartum stroke, and then we will know whether my point of view is correct." How is it? β
Like the modern medical university, the teaching of the Taiyi Bureau is also linked to theory and practice, and there are also practical teaching, which are for students of Taixue, Law, and Martial Arts, soldiers of various battalions in Beijing, and patients of "Anjifang". Of course, the obstetrics internship is mainly for pregnant women in "Anjifang".
Anjifang is a kind of reception set up by the imperial court to shelter patients who have been displaced to the capital due to poverty and famine, and have no money to see a doctor. Many of these patients are pregnant women. These students from the Tai Medical Bureau helped to deliver the babies and treat the sick.
Seeing Du Wenhao's confident appearance, Pan couldn't help but feel a little apprehensive, thinking that his point of view was really right? If it were someone else, Pan Judgment would only be a grandstanding crazy talk and ignore it at all, but the young man in front of him claimed to be good at Hua Tuo's caesarean section healing technique, and he was the master of Cheng Qian Yi, the Tai Doctor of the Tai Hospital, and he was personally recommended by Zhan Di in the Ministry of Officials, saying that his mother was the young doctor who performed the caesarean section to save the injury, and the other two were also, he really didn't dare to underestimate it. However, to convince him that a stroke is not an external wind evil but an evil poison is completely different from what he has learned for decades, and he cannot accept it anyway.
He thought about it again, if the comparative test proves that Du Wenhao is right, he can reduce the incidence rate of postpartum stroke to 12 out of 10, which is a major event for the benefit of thousands of people.
Therefore, Pan Juju nodded and said, "Okay!" Just do as Mr. suggests. β