At this time, Xue Fei'er took out a "Surgical Consent Contract" and handed it to Gong Ming, explaining the intention of this deed, and asking the patient's immediate family to sign before the operation.

An obese middle-aged female nun stepped forward and said: "Our monks, the six roots are pure, the dust is extinct, and the relatives have nothing to do with it. ”

signed, Xue Fei'er helped Du Wenhao prepare for the operation.

After Liu Zhu's quick operation last time, Du Wenhao and the others estimated that such an operation would be indispensable in the future, so the relevant equipment, instruments and drugs were fully prepared and could be operated on at any time. Therefore, this time the preparation time was not long.

After a while, Du Wenhao, Pang Yuqin, and Xue Fei'er wore surgical coats, masks and gloves, and stood in front of the operating table.

First, Pang Yuqin helped to insert the stomach tube and urinary tube for Mrs. Jingci, and then poured anesthetic, and Mrs. Jingci quickly fell asleep.

Du Wenhao held a willow leaf scalpel, stabilized his mind, made an incision in Shi Tai's right middle rectus abdominis muscle, cut deep to the peritoneum, and found that the peritoneum was congested and edematous, which confirmed the previous speculation of diffuse peritonitis. The peritoneum was cut open, and a strong smell of herbs escaped, and the abdominal cavity was filled with chymal gastrointestinal fluid, blood and black-red decoction.

How can there be a decoction in the abdominal cavity?

Du Wenhao turned his mind and immediately understood, it was very likely that there was a perforation in the esophagus, and the decoction he took naturally leaked into the abdominal cavity through the hole, aggravating the abdominal infection, no wonder the decoction under Gong Ming and the three doctors did not work, and the more he took the acute abdomen, the more serious his condition became.

Du Wenhao immediately used a homemade simple siphon device to suck the intra-abdominal decoction and gastrointestinal blood, and then first explored the esophagus, when the duodenum was explored, pus and exudate were found, Du Wenhao was overjoyed, as expected, it is likely that the duodenal ulcer perforation caused peritonitis, and the pus is where the lesion is!

He examined the entire duodenum again, and only found this perforation, which was really God's face, and he didn't embarrass himself too much. Although the perforation is a bit large, the duodenal ulcer perforation repair is still difficult for him. He continued to explore the remaining abdominal organs one by one, and found no obvious lesions. This is when work began to repair the perforated duodenum.

This perforation is relatively large, the surrounding tissues are hard, in this case, it is not easy to heal after suturing, Du Wenhao decided to complete the whole thickness of the suture, without ligation, the bundle of omentum is stuffed in the perforation, and then the sutures are ligated. After the suturing was completed, because the infection had spread to the whole abdomen, Du Wenhao had a self-made siphon device, used his own disinfectant mixture to clean and flush the abdominal cavity, carefully sucked up the irrigation solution, and then placed a drainage strip at the poke opening.

Considering that Mrs. Jing Ci was relatively old and had an intra-abdominal infection, Du Wenhao made an extraperitoneal incision to reduce the tension and suture to avoid postoperative wound tears.

The operation went smoothly and it was already late in the evening when the operation was completed.

Du Wenhao used salt water to wake up Mrs. Jingci, and at the same time checked Mrs. Jingci's pulse and breathing, and found that her physical signs were stable, and her heart was relaxed.

He sighed very much in his heart, duodenal ulcer perforation repair is just an ordinary operation in general surgery in modern medicine, and ordinary surgeons can do it, but in ancient times a thousand years ago, he could only wait for death helplessly.

Du Wenhao prescribed antibacterial, anti-inflammatory and fluid balance decoction, and asked Xue Fei'er and Pang Yuqin to feed Jingci Master too small and many times, and it was absolutely forbidden to eat before the intestines were ventilated, so as not to cause intestinal obstruction. Due to the lack of intravenous infusion and injection methods, it can only be administered through the stomach and intestines, but fortunately, the decoction can be absorbed by the stomach and intestines, and intestinal obstruction generally does not occur when it is administered in small quantities and many times. After ventilation, increase the dosage of medication.

Du Wenhao taught Pang Yuqin to use golden needles to puncture Jingci Shi's Taizu Sanli, Shangguan, Zhongguan, Tianshu, Hegu and other acupoints, which helped to prevent abdominal distension and intestinal paralysis.

After dealing with it, Du Wenhao took off his coat and pushed the door out. Throughout the operation, the nun and the believers had been sitting in the backyard, silently chanting and praying, and when they saw Du Wenhao pushing the door out, they all got up and greeted them.

Looking at the eager eyes of the first Konghui Shitai and Gong Ming and others, Du Wenhao smiled and nodded: "Shitai has turned the corner!" ”

Everyone was surprised and delighted, and they even thanked them.

"Amitabha! Shanzai ......" The first big disciple presided over by Jingci, Master Kong Hui, was too surprised, put her palms together, and pronounced a Dharma name, and was about to thank her, when suddenly, her fat body shook, and slowly softened to the ground.

When everyone was surprised, they didn't expect that Kong Hui would suddenly faint, but fortunately, the nun behind her reacted quickly and hurriedly helped her, but she was too fat, and several nuns could support her, and everyone shouted in unison. Everyone gathered around, only to see Kong Hui's eyes closed, and he didn't know who was going on. Hurriedly grabbed her shoulder and called out repeatedly, and pinched people, but never woke up.

Gong Ming said hurriedly: "Quick! Help her lie down! These days, she is undressed, serving Jingci day and night, and she is exhausted and prostration. Hurry up and grab a bowl of sugar water! ”

The powerful nun held Kong Hui, picked her up horizontally, and carefully placed her on the bed that had been carried by Jingci before. After the sugar water was brought, she was about to pour it down, but she didn't accept the money and said, "Wait! Dr. Du, you see that her mouth and eyes are crooked, and her limbs are not followed, but I am afraid that it is not due to exhaustion, I am afraid that she has a stroke! ”

Gong Ming's heart sank, he didn't check it carefully when he first came, but now he noticed that Kong Hui Shitai's facial expressions and hands and feet were indeed symptoms of stroke, so he hurriedly took her wrist, concentrated on the pulse, and looked at her tongue coating, took out a three-edged golden needle, punctured the Shixuan acupoint, and used the golden needle to prick Neiguan, Sanyinjiao, Fengchi, and Zusanli.

After a while, the air master woke up too leisurely and muttered, but no one could understand.

Everyone asked her how she felt, but Master Kong Hui looked at the sky with both eyes, and did not pay attention to everyone's questions, her whole face was distorted and deformed, her face was extremely painful, and her mouth was just muttering, and she was slurred because of the crooked tongue. No one understood what she was saying.

The nuns were in a hurry, Jingci presided over a serious illness and life and death were uncertain, and now the first big disciple Kong Hui had a stroke and fell ill, and suddenly had no idea, and knelt down together to beg Dr. Gong Ming for treatment.

Although Du Wenhao had just performed a laparotomy to save Mrs. Jingci, Gong Ming was very famous in Fucheng, similar to the fame of not collecting money in the county. When encountering the patient, all the nuns and believers still couldn't help but ask Gong Ming for treatment.

Gong Ming hurriedly helped everyone up, stroked his white beard and concentrated on the pulse, and after a moment, he said: "Master Konghui's mouth and eyes are too slanted, his speech is slurred, his headache is twitching, his face is red, he is irritable, and his pulse is slippery. It is caused by the entry of external evil into the body, the meridians in the injury, and the stagnation of phlegm and salivation. When using rhino horn, fairy spleen, pearl powder, talc, Hu Coptis chinensis, evil fruit, ginseng ground lily grass, white poria cocos, silkworm sand, sweet nitrate, banlan root, turmeric, rhubarb, bezoar, blood exhaustion, with Hu Suo, tortoiseshell, amber as the medicine lead, a total of 26 flavors, and pound the research as the end, with new water to adjust a money dagger. If you can cough. In the middle of the night, when the provincial personnel. If you do not cough after four doses...... Alas, I am afraid that the disease is incurable! ”

The disciples of Master Kong Hui immediately burst into tears.

According to his dictation, the disciples who followed Gong Ming had to hand Lin Qingdai the medicine after copying the prescription. Gong Ming said, "Slow! Dr. Du and Dr. Qian, the two of you will also have a consultation. ”

Qian Bushui nodded, and after checking his pulse, he said, "Doctor Gong, what the old man sees is slightly different from yours. ”

"Oh? Ask! ”

"The master suddenly fainted, his consciousness was dizzy, the camp guards were paralyzed, the leader was dizzy, his speech was slurred, and his mind was restless. The argument should be a medium rapid, should be used through the pill prescription, **, musk and other nine flavors, the same as the end, with a liter of wine, slow fire boiling as a paste, more into the refining of cooked honey, the same and as a pill, each serving 30 pills. Under the warm nepeta soup, regardless of the time. ”

Gong Ming shook his head and looked at Du Wenhao: "Doctor Du, in your opinion, does Shitai's certificate belong to a medium rape?" ”

Du Wenhao shook his head: "Shitai had a stroke, maybe it didn't come from the wind evil!" ”

Gong Ming and Qian Bu were stunned, glanced at each other, and Gong Ming asked, "Can a stroke come from something else?" ”

"Yes, stroke can not only originate from wind evil, but also from fire, phlegm, stasis, deficiency, the patient's ordinary qi and blood deficiency, heart, liver and kidney yin and yang imbalance, or worry and anger five zhi extreme, etc., can lead to yin deficiency remaining, yang hyperactivity, internal wind swirling, phlegm and fire, transverse meridians, blinding the mind, cerebral pulse paralysis, blood overflow cerebral veins leading to stroke, resulting in qi and blood reversal, brain and spinal brain damage, brain and marrow and nerve machine damage......"

Gong Ming frowned and interrupted Du Wenhao's words: "What Doctor Du said, the old man can't understand it. "Lingshu" cloud: "The thief of the void wind hurts people, and the people are also deep, and they can't go by themselves, and the evil is partial to the half-body, and it is deep, and the camp guards are slightly weakened, then the true qi goes, and the evil spirit is alone, and the hair is dry." 'How did you say that a stroke comes from fire, phlegm, stasis, and deficiency?' Doctor Qian, what do you say? ”

Qian Bushui nodded, and also said: "Zhongjing Medical Sage's "Jin Kui Yaolu" Yiyun: 'The husband is sick, when the body is not successful, or the arm is not successful, this is paralysis, the pulse is slight, and the stroke is caused. It does not involve fire, phlegm, stasis, or deficiency. It's just that my master has found a different way to distinguish the evidence, and Dr. Gong doesn't need to be surprised. ”

"Really? Dr. Du often uses drugs to go off the rails, and this old decay is also heard. It's just that this argument is probably ...... It's ridiculous, isn't it? ”

Stroke, also known as stroke and dryness, includes a variety of cerebrovascular diseases such as cerebral hemorrhage, cerebral infarction, cerebral vasospasm, and subarachnoid hemorrhage in modern medicine. The discussion of the etiology and pathogenesis of stroke was different before and after the Song Dynasty. Before the Tang and Song dynasties, the theory of "inner deficiency and evil in the middle" was based on the theory that stroke was an external wind, which was the deficiency of qi and blood in the human body, the emptiness of the veins, and the lack of solidity in the external guard, which caused the wind evil to enter the central vein, resulting in stroke. After the Tang and Song dynasties, the emphasis was on internal factors, and Jin Yuansi put forward the theory of wind, fire, phlegm, dampness, stasis and obstruction of the disease, and it was more detailed in modern times.

Du Wenhao is not very sure about the treatment of stroke, and this kind of theoretical controversy is not much meaningful now, and in the treatment of stroke this disease, it is the traditional strength of traditional Chinese medicine, these two doctors are smart, they must be stronger than themselves, so there is no need to be ugly, so they smiled and did not refute.