Qin Guoliang first gave an emergency treatment plan, let the patient take nitroglycerin under the tongue to dilate the coronary arteries, in order to relieve pain and relieve symptoms, after the patient took it, the symptoms were temporarily relieved, but not long after, the heart rate continued to accelerate, blood pressure still dropped, wheezing sharply, and the blood oxygen index continued to decrease.

Qin Guoliang looked at the index on the ECG monitor and was a little nervous, the patient had symptoms of heart failure so quickly.

Qin Guoliang gave a series of treatment options.

Changing the patient's position to help the patient maintain an upright position, using such a position can help the heart reduce the amount of blood returning to the heart and reduce the burden on the heart.

High-flow oxygen is given immediately to prevent the patient from experiencing symptoms of hypoxia.

Inject sedatives to reduce the burden on the heart.

Let the nurse prepare cardiac drugs, mainly cedilan and other rapid drugs that increase the contractility of the heart muscle, improve the contractility of the heart muscle, treat heart failure, use diuretics to reduce the load on the heart, and reduce the burden on the heart. Vasodilators are used to further reduce the amount of blood returning to the heart and reduce the workload on the heart.

The use of aminophylline relieves airway spasm, improves ventilation quality, increases cardiopulmonary exchange, increases oxygen supply, and relieves symptoms of acute heart failure.

Rapid establishment of intravenous access.

It should be said that Qin Guoliang's treatment plan was timely, but the effect on this patient was not great, and the physiological indicators not only did not improve, but continued to decrease, and soon the symptoms of cardiac arrest appeared.

All healthcare workers are prepared for the worst.

While performing CPR, Qin Guoliang shouted for the nurse to prepare an artificial defibrillator.

After Xu Chunliang heard about the situation here, he also rushed over, and after quickly understanding the patient's condition, he said to Li Jiakuan: "Uncle Li, do you remember the last time we met?" ”

Li Jiakuan nodded, why didn't he remember that on the train to Nanjiang, because Luan Yuchuan of Equator Capital was ill, he urgently sought the assistance of medical workers, and it was he, Xu Donglai, and Xu Chunliang who came to the rescue, of course, it was Xu Chunliang who played a key role.

At that time, Luan Yuchuan's condition was much more serious than this patient, Luan Yuchuan lost his breathing and heartbeat, his lips were black, his fingernails were cyanotic, his pupils were dilated, his reaction to light disappeared, and he was about to die.

Although Li Jiakuan has not officially worshiped Old Man Xu Changshan as his teacher, Old Man Xu has actually regarded him and Liu Shanmin as his disciples, and as long as they ask for advice, they will teach each other without reservation.

Li Jiakuan also privately consulted Xu Chunliang about Luan Yuchuan's case, and Xu Chunliang did not hide it privately, and told him the complete treatment plan in detail.

Xu Chunliang said: "It's better for you to come!" He took out his needle bag and handed it to Li Jiakuan.

Li Jiakuan was stunned for a moment, but when he saw Xu Chunliang's trusting gaze, he instantly had confidence, Chinese medicine does have some metaphysical ingredients sometimes, and the breakthrough of the level is just a thought, the same disease, the same acupuncture, why can others cure you can't cure it, one of the key factors is confidence.

In fact, Li Jiakuan was next to him when the patient became ill, Li Jiakuan hesitated again and again but did not dare to take action in person, and asked Tang Mingmei to invite an expert, and he did not directly say that he would invite Xu Chunliang, after all, he had promised Xu Chunliang that the rescue of Luan Yuchuan would be kept secret for him.

Li Jiakuan silently recalled the scene when Xu Chunliang rescued Luan Yuchuan, closed his eyes and nodded vigorously, and finally made up his mind, this is the best opportunity to combine theory and practice, and it is also the time to test his responsibility.

The patient's right foot was raised, and the needle was taken directly from the soles of the feet, which is located on the sole of the foot, also known as Di Chong, which belongs to the foot Shaoyin and kidney meridians, and the meridian water of the kidney meridians in the human body gushes out of the body surface from this acupoint.

The purpose of acupuncture is to create a strong pain to wake the patient up, to wake the patient from a severe coma.

Li Jiakuan reviewed the acupuncture method used by Xu Chunliang countless times after the train first aid, and now it can be said that he knows it well.

He followed Xu Chunliang's original method, punctured the patient's skin to stimulate the first needle sensation, and then continued to perform the needle, successively breaking through the plantar aponeurosis and finger bending of the patient's foot, and then passing through the intermyenteric fascia and dorsum skin of the foot through the metatarsal space, penetrating the inner courtyard acupoint of the foot Yang Ming stomach meridian, and the bright needle tip penetrated the skin of the dorsum of the foot and penetrated the entire sole of the foot.

This acupuncture process requires accurate acupuncture recognition, and must avoid the blood vessels and nerves of the foot, and the millineedle penetrates the soles of the feet.

Xu Chunliang looked at Li Jiakuan's crisp and neat acupuncture technique, and a gratifying smile appeared at the corner of his lips, Li Jiakuan's acupuncture level is not low, but because of professional limitations, in addition to anorectal diseases, he is rarely involved in the treatment of other diseases.

After Li Jiakuan successively acupunctured the Yongquan acupoints of the patient's feet, he selected the acupoint Neiguan, which is also known as the Yinwei acupoint, which belongs to the Yin Pericardial Meridian of the hand.

The long needle is quickly pierced into the skin through the fat layer, and when the intermyenteral fascia is broken, the long needle creates a noticeable sense of resistance. Piercing the intermyenteral fascia stimulates the first needle sensation, continuing through the superficial flexor digitorum to between the superficial flexor digitorum and the flexor digitorum profundus, and the needle tip is pierced into the median nerve to stimulate the second needle.

Li Jiakuan did not have Xu Chunliang's ability to insert the needle with his left and right hands at the same time, so he chose to proceed in turn, Rao was so, and his method of inserting the needle also made everyone admire.

Liu Shanmin watched intently, he didn't expect Li Jiakuan's progress in acupuncture and moxibustion to be so fast, could it be that Mr. Xu loved him so much that he opened a small stove alone, how did he know that Li Jiakuan got the true scriptures from Xu Chunliang.

Li Jiakuan gradually relaxed, and he controlled the milli needle with both hands to twist and insert the patient's Neiguan acupoint.

The patient's hands and feet began to move, and the blood pressure stopped the downward trend and slowly increased.

Qin Guoliang was dumbfounded, he couldn't figure it out, he used so many first aid measures, the patient's condition did not improve, and the blood pressure did not rise, but after a few injections from Li Jiakuan, the patient began to show a stable trend.

Liu Shanmin saw the doorway, the fundamental reason for the effect of Li Jiakuan's acupuncture is the Neiguan acupoint, the body surface of the pericardial meridian is injected into the body through the water through the Neiguan acupoint, and the ground part of the human body flows to the Neiguan acupoint through the water, and the ground void of the acupoint is injected into the internal meridians of the pericardial meridian from the surface of the inner meridian, but the vaporized gas of the pericardial meridians and water in the meridians in the body cannot be discharged from the body from the ground void of the Neiguan acupoint, just like a one-way checkpoint valve.

Li Jiakuan's use of the method of lifting and inserting repeated acupuncture and moxibustion of Neiguan acupoints is equivalent to helping the patient open and close the valve and discharge the vaporized qi, so as to improve circulation.

The treatment has reached the most critical moment, and Li Jiakuan has to use a milli needle to build a bridge to connect the yin and yang veins.

After three minutes in the puncture point, he continued to insert the needle, the tip of the needle broke through the extensor digitorum generalis, the intermyenteric fascia, and pierced into the outer guan acupoint, Li Jiakuan was completely immersed in his own world at this time, he forgot the onlookers, forgot the environment he was in, only himself and the patient were left between heaven and earth, and he wanted to use this needle to build a bridge of life for the patient.

The Waiguan acupoint is the Shaoyang Sanjiao Sutra, which leads to the Yangwei vein and is the acupoint where the eight veins meet. Normal people's meridians circulate, and yin and yang run alternately. The patient's cardiac arrest, stasis obstruction of the heart pulse, lack of heart drive, stagnation of yin and yang, and inability to switch between each other, which leads to the occurrence of the disease.

This key needle re-built a bridge between the yin and yang veins, the yin qi sank, the yang qi rose, and the power of the yin and yang cycle reappeared in the meridians, yin and yang converged, yang gave birth to yin, and the meridians that had been stagnant for a long time began to flow again.

In an exchange between Li Jiakuan and Xu Chunliang, Xu Chunliang told him that the meridians of cardiac arrest are like a stationary water channel, and the heart ratio is the waterwheel in the canal.

Before the AED came in handy, the patient had already regained his spontaneous heartbeat under Li Jiakuan's acupuncture.

A strand of long hair on the temporal side of Li Jiakuan fell down, and his bare head was covered with sweat, which looked quite funny, but no one laughed, in their eyes, Li Jiakuan's body was covered with a holy aura, the angel may not be what everyone imagined, and the angel may also be crowned.

Li Jiakuan successfully completed the rescue, and seeing the physiological indicators of gradual recovery, Li Jiakuan was stupid, and he came to Xu Chunliang in despair: "Chunliang, I succeeded." ”

Xu Chunliang nodded.

Li Jiakuan excitedly grabbed Xu Chunliang's hand: "I succeeded!" ”

Xu Chunliang said: "It's successful, you saved this patient." ”

Qin Guoliang frowned, re-auscultated the patient, and said in a deep voice: "The condition is not so simple, further examination is needed to determine the condition, I recommend sending it to Juzhou City for a comprehensive examination as soon as possible." After finishing speaking, he said to Li Jiakuan: "What does Director Li think?" ”

Taking advantage of Li Jiakuan's efforts to rescue the patient just now, Xu Chunliang had already checked the patient's pulse and read the patient's medical records: palpitations, wheezing, coughing up blood, and even worse. Every time I eat, my heart is moved, and every time I eat, I am worried, so as not to beat my heart, I stop eating, and I often delay a meal for two or three hours.

Xu Chunliang wrote his opinion on the medical record and quietly handed it to Li Jiakuan.

Li Jiakuan glanced at it and said: "Looking at the symptoms, the yin and yang of the heart are both deficient, and the yang deficiency is too heavy. Long-term illness is damaged, the spleen and stomach are greatly injured, and the child steals the mother's qi, so the palpitations during meals are aggravated. Gradually, the five organs are denourished, and the congenital kidney qi is consumed, so the waist is sleepy, the kidneys are not able to absorb qi and wheezing, the true yang is lost and sweating, and the convulsion is reversed and the pulse is corrupted. Then the deficiency will be sandwiched with stasis, stasis obstructs the heart and veins, so the chest is tight and stinging, it is advisable to warm the kidneys and return to the yang, clear the pulse and dissolve the stasis, and nourish the fluid to save the heart. ”

Qin Guoliang sneered secretly, he thought that Li Jiakuan had a certain element of luck in successfully rescuing the patient just now, and the correct treatment was to send the patient to the municipal general hospital as soon as possible, and it was best to do a coronary angiography to determine the stenosis and perform interventional treatment.

He did not completely deny the role of traditional Chinese medicine, but Chinese medicine may not be able to eradicate this kind of patient in the treatment of this kind of patient, and according to his auscultation just now, this patient should be combined with rheumatic heart disease and mitral valve organic lesions, and ordinary hospitals are afraid that they will not dare to carry out interventional treatment for her.

Let's say it again.,There's been something in the last ten days.,Updates will be affected.,I'll try to keep updating it.。

(End of chapter)