readx;

Zuo Shaoyang said: "I am." Pen "Fun" Pavilion www.biquge.info"

The woman hurriedly bowed: "Doctor Zuo, my son is sick, he has been sick for two days, his stomach hurts, and he rolls all over the bed, can you go and take a look." ”

The sycophant on the side waved his hand: "Bring people here!" Doctor Zuo is about to go out, and Master Xu, a regular attendant of the free riders, invited us to go to the house to talk, how can we have time to visit the door? ”

The woman gave a strong salute: "My man went out to work, and my son is too heavy for me to carry ......"

"Didn't you say you've been sick for two days? Why don't you ask your husband to carry it? ”

"I thought it might just be a bad stomach, and I could get over it after a while, but I didn't expect it to get heavier and heavier today. Rolling all over the bed, - Doctor Zuo, could you please help me take a look? ”

The sycophant said again: "You asked the neighbor to carry it!" If you can't do it, pay some money to call a carriage. ”

"The neighbors are not at home, my family is ......, and I can't afford to hire a carriage."

The sycophant sneered: "Don't have the money to hire a carriage? Can you afford to see a doctor? You have to pay double the money for the housekeeping! ”

"This ......" the woman cried, her family was surrounded by walls, and she owed a lot of debts, where did she have any money to see a doctor, "Lord Zuo, they all say that you have a good heart and can use very cheap medicine to treat people, I beg you, save my son!" "As soon as your knees are weak, you have to kneel.

Zuo Shaoyang hurriedly stopped and said, "Auntie, don't worry, I'll go with you to see the child's illness immediately." ”

"Thank you! Thank you so much! ”

Zuo Shaoyang instructed the medicine boy to take out the medical box, and the doctor or above of the Tai Medical Department could bring the medicine boy with him.

Doctor Liao hurriedly said: "Lord Zuo, Master Xu, who is still waiting for you, if you don't, you go to Master Xu, and I'll find another doctor here to go over." ”

Zuo Shaoyang shook his head and said: "People ask me to go to the clinic by name, this is the patient's trust in me, I can't let others go, Mr. Xu is not in a hurry, just come to visit, and it doesn't matter if it's late." ”

The two attendants glanced at each other, and the one at the head bowed down and said, "Lord Zuo, not only our old lady is waiting for the son, but also the old doctor Sun Simiao is also there." ”

Zuo Shaoyang was surprised and delighted: "Medicine King Sun Simiao Sun Old Divine Doctor? ”

"Yes, Master Peng's illness was originally cured by Sun Laoshen, but he couldn't be cured, and I heard that you were cured, so I want to see you too."

Zuo Shaoyang was a little hesitant, the divine doctor he wanted to see most in the Tang Dynasty was Sun Simiao, one of the greatest divine doctors in China. Now two eighty or ninety-year-old people are waiting for them to go, and if they don't go in time, it will be too disrespectful to the old man. But the patient ...... on his side. He turned his head to look at the woman. The woman looked at him pitifully, her eyes full of expectation. He said: "It is important to treat the disease and save people, please reply to the two old doctors, saying that I will rush to the doctor immediately after seeing the disease." ”

The attendants hurriedly bowed and agreed, one stayed behind to wait, and the other hurried back to his life.

Seeing that Zuo Shaoyang insisted, Medical Supervisor Liao was not able to persuade him again, so he instructed Doctor Liang to go with him, and if the illness was not important, he would help deal with it, so that Zuo Shaoyang could make time to rush to Xu's mansion.

There was a coachman who prepared a carriage for the hospital, which was specially used for medical visits, and if the disease required continuous treatment, it would be transported back to the hospital for treatment. Therefore, the carriage is relatively long, you can lie flat on it, and there is also a stretcher.

The two medicine boys helped Zuo Shaoyang and Doctor Liang carry the outpatient boxes respectively, and took the woman home in a carriage.

This woman's house is still a little far away from the medical hall, all at the foot of the city outline, the city wall is high and big, a large area is covered, under the city wall, there is no sun in winter, it is as cold as an ice cave, there is no wind in summer, it is as hot as a stove, and the lighting is not good, so the people who live here are basically poor.

When we arrived at the intersection, the carriage could no longer enter, so I could only get out of the carriage and go inside. The road was muddy, littered with garbage, and rats were scurrying around. It was already starting to heat up, and from time to time there was a foul smell.

After going around for a long time, I finally came to a crooked and low grass hut, with no yard or even a suite, just a grass hut, separated by a white-washed white cloth.

Outside is the kitchen and bedroom, and the door is a stove, an iron pot, and a black lid is buckled. There are several porcelain bowls on the stovetop.

On a clay kang in the middle, a child in a coarse cloth shirt is rolling all over the bed, and a wooden basin is placed along the side of the kang with some vomit in it.

Zuo Shaoyang said: "Don't get out of here, let me see a doctor, I'm a doctor, I'm here to see you." ”

The boy forced himself to stop, panting for air.

Zuo Shaoyang asked, "What do you feel uncomfortable with?" ”

"My stomach hurts, it hurts...... it hurts, and it looks like there's a breath in my stomach...... "The boy gasped.

Zuo Shaoyang said: "You lie flat, I'll check it for you." ”

The child struggled to endure the pain and lay on his back. The mouth kept humming.

Zuo Shaoyang lifted his coarse cloth shirt, revealing his lean abdomen, a pair of ribs were displayed in a solemn manner, his upper abdomen was high and bulging, his abdomen was swollen, and he reached out to press it, and his hands were soft. With a little force, the child hurriedly held his hand on his abdomen and screamed in pain.

After examination, it was found that there was tenderness in the upper abdomen and right lower quadrant, but there was no rebound tenderness, and obvious bowel sounds could be heard by ear. But there was no sound of gas over the water. If the abdomen is observed, intestinal peristaltic waves can be seen when the pain is severe. Raise the wrist to diagnose the pulse and look at the tongue, the tongue coating is yellow and rough, and the pulse strings are smooth and counting.

This is a case of acute abdomen, there are many causes of acute abdomen, acute intestinal obstruction, purulent peritonitis, biliary tract infection, pancreatitis, etc., in the absence of modern diagnostic methods, the patient is in severe pain and flipping, and the physical examination is not very cooperative, it is more difficult to judge.

Judging from the current situation, the likely surname of intestinal obstruction is the largest, and the intestinal obstruction of the surname acute is divided into several types, among which, intestinal obstruction caused by simple adhesion surname, intestinal obstruction with paralysis surname, roundworm mass, fecal mass or food mass blockage can be conservatively treated with traditional Chinese medicine, and intestinal obstruction with strangulated surname is generally treated with open surgery. For intestinal obstruction that does not improve after conservative treatment, surgical treatment is also required.

Under the conditions of the Tang Dynasty, surgery was very risky, and it was best to do without laparotomy.

Zuo Shaoyang touched the sick child's forehead and found that it was not hot. Ask the child, "How long have you not pooped?" ”

"It's been five or six days. I can't figure it out at all. ”

"What did you eat?"

The child was so painful that he rolled around in bed again and could not answer. The woman wept and said, "It's the ...... you eat, the rice bran rice." ”

Zuo Shaoyang turned around and came to the stove, lifted the lid of the pot, and saw that there was still a small half pot of so-called "rice bran rice" in the pot, saying that it was rice, but in fact, most of it was rice bran, and there were some wild vegetables, and basically there was no rice.

Eating such food, it is easy not to digest and cause fecal intestinal obstruction, from the perspective of the symptoms of suitable diagnosis, it is also more in line with the characteristics of acute intestinal obstruction caused by fecal mass, but this is only a preliminary judgment, Zuo Shaoyang is not completely sure. Turning his head to Doctor Liang on the side, he said, "You can also see, what is the child's disease?" ”

The patient invited Zuo Shaoyang to come to the clinic, and Dr. Liang himself only accompanied him, so he did not take the initiative to diagnose, and after listening to Zuo Shaoyang's words, Zuo Shaoyang was a doctor, that is, his boss, and Dr. Liang naturally had to listen to his words. nodded in agreement at the moment, walked to the edge of the kang and bent down to check it, then twisted his beard and said: "The child's illness should be Yangming's body, stagnation and blockage, and intestinal blockage." It must be conquered. ”

Physician Liang's judgment was completely consistent with Zuo Shaoyang's, which further confirmed Zuo Shaoyang's thoughts, nodded and said, "What do you think is the best way to use?" ”

There was no such thing as abdominal surgery in the Tang Dynasty, and the only option was decoction. Doctor Liang frowned slightly, pondered for a moment, and said: "There is a cloud in the "Treatise on Typhoid Fever": 'Those who have dry feces in the stomach can be attacked, and it is advisable to have a large Chengqi soup'. Why not try Da Cheng Qi Soup? ”

Zuo Shaoyang shook his head and said: "Da Chengqi soup is used for both laxative and heat discharge, and the fever targeted is a typical hot flashes caused by Yuyan, that is, fever in the afternoon. The patient does not have a heat syndrome, so it is not the right symptom to use Da Chengqi soup on the heat syndrome. Moreover, the Dachengqi soup is used in combination with nitrate and yellow, and the rhubarb is lowered, and the citrus aurantium and Pu are added, so the power of the attack is quite Jun, which is the 'Jun Agent', which is mainly for the treatment of ruffian, full, dry, and solid four diseases. The child is young and has a soft abdomen, which is not suitable for this syndrome. ”

Doctor Liang's heart sank, and he bowed down and said, "Lord Zuo is reasonable, but he is old and abrupt. In the eyes of adults, where should it be used? ”

"Xiao Chengqi soup!" Zuo Shaoyang said, "The child's ruffian, full, solid, and dry symptoms are not obvious, which belongs to the light evidence of the beginning of Yangmingfu's empirical evidence, and Xiaochengqi soup does not use miscanthus salt, and it is rhubarb, citrus aurantium, and magnolia bark at the same time, and the dosage is less than that of Dachengqi soup, and the power of attack is lighter, which is suitable for children." ”

Doctor Liang nodded again and again: "Lord Zuo is good at medicine, and the old man is impressed." ”

Zuo Shaoyang said it easily, but in fact, he was not easy at all in his heart, what if he made a mistake in judgment? Is it not an acute intestinal obstruction caused by a fecal mass, but a strangulated intestinal obstruction? Or is it some other acute abdomen? Then you'll have to have surgery.

If you are not afraid of 10,000, you are afraid of what if, you still have to prepare for surgery!

Zuo Shaoyang said to the woman: "Send the child to the hospital, I want to observe the child's medication, and then decide how to treat it later." ”

"Good! ――...... this consultation? ”

Zuo Shaoyang looked at the appearance of the four walls of their family, and shook his head with a wry smile: "Forget it, it's important to save the child, the medicine I use is not expensive, if not, I'll help you paste it." ”

"Thank you! Thank you, Dr. Zuo! The woman knelt down and kowtowed, and Zuo Shaoyang hurriedly asked her to get up. The old woman cried and said, "They all say that you have a good heart, and the fate of today's child is considered to be a savior!" Thank you......! ”

Zuo Shaoyang didn't have time to listen to her nagging and thanking, so he told the medicine boy to help, took down the stretcher from the carriage, carried the child out of the house, crossed the alley, came to the carriage on the main road, and carefully put the child away. Rushed back to the hospital.

(To be continued)