Chapter 054: Woman Leaking Loess Soup
Zhang Jing said confidently: "Director Huang, it's okay, it's all been diagnosed." Xiaocui, get me a new medical record first, and I'll go to the clinic to write down the medical record. ”
"Also, Xiaocui, you go to the neighborhood and buy a decoction device. It is the mini gas stove we used to eat small hot pot in the restaurant, plus a ceramic medicine jar. ”
"What do you want all this for? Don't we have a decoction machine? Gui Cui handed him an outpatient medical record and looked at him in confusion.
"I'll only prescribe one dose of medicine first, and the decoction machine shouldn't be able to decoction, besides, the traditional method of decocting Chinese medicine will have better efficacy." Zhang Jing explained.
"Oooh." Gui Cui suddenly realized, and hurriedly said: "Okay, okay, I'll ride the battery car." A few days ago, I saw the vegetable market in front of me, there are two kinds of things for sale, and I will definitely be able to buy them back within ten minutes. ”
After speaking, he set off in a hurry.
Zhang Jing quickly returned to his consultation room with the medical record book, and Huang Biao followed closely.
As soon as he entered the door, Huang Biao couldn't help but ask, "Doctor Zhang, do you really just need to prescribe a pair of medicines?" And the on-site decoction was taken at the time, what if the effect was not good? ”
"Director Huang, as doctors, we must have confidence in our medical skills. If you don't even believe in yourself, how can a patient trust you? Zhang Jing frowned slightly.
"Don't get me wrong, Dr. Zhang, I'm not doubting your medical skills. It's just that this matter is all because of me, and no matter what, it shouldn't affect you. Huang Biao hurriedly explained.
Seeing the sincerity on Huang Biao's face, Zhang Jing knew that this was indeed from the bottom of his heart.
So he said solemnly: "Director Huang, time is a little tight, I'll prescribe the benefits first." Xiaocui is out, so please go to the Chinese medicine pharmacy to catch the medicine according to the prescription, and I will write the medical records, is it okay? ”
When Huang Biao heard this, he hurriedly nodded like pounding garlic: "Of course, of course, I can, I can." ”
Zhang Jing bowed his head slightly and began to write on the prescription note.
15 grams of raw licorice, 15 grams of raw rehmannia root, 15 grams of raw atractylodes, 15 grams of aconite, 15 grams of ejiao (boiling), 15 grams of skullcap, 40 grams of loess in the stove (cloth bag decoction) a dose.
On the seven flavors, take 1000 ml of water, boil 300 ml, and divide the temperature into two servings.
After opening, he immediately handed it to Huang Biao: "Director Huang, then it's hard for you." ”
Huang Biao took a cursory look, frowned and asked, "I know this is loess soup, but aconite is poisonous, you still used such a large amount of 15 grams, and you are currently a patient with a medical dispute." Dr. Zhang, you don't have to worry at all, in case there is a deviation, it will directly escalate into medical malpractice? ”
Zhang Jingye frowned, and said with a straight face: "Director Huang, let's put it back for the time being when discussing medical records and prescriptions, as a doctor, I don't think I can just care about protecting myself." ”
In fact, he really wanted to give Huang Biao a "medical ethics" education class in person, but after all, he was facing an old-timer who was nearly sixty years old, and it would hurt people's self-esteem too much if he said it too directly.
So, Zhang Jing decided to quote a passage from "The Great Doctor's Sincerity" to euphemistically admonish.
"Whoever heals the sick must be calm, have no desires or desires, and first have great compassion and vow to save the suffering of the soul. If there is a person who comes to ask for help, he should not ask whether he is rich or poor, whether he is old or young, whether he is a friend or friend, who is foolish and wise, and who is the same as his relatives. Nor should they look ahead and look backwards, worry about good luck and evil, and protect their lives......"
When Huang Biao heard this, he immediately held the prescription in his hand, turned around and walked away quickly in shame.
Of course, Zhang Jing also knew that Huang Biao was actually worried about him.
However, as an old Chinese medicine doctor who has worked for nearly 40 years, he is also afraid of aconite like a tiger and wolf, which is really embarrassing!
After making up his mind, Zhang Jing began to write the medical records seriously.
The patient, female, 38 years old, came to the clinic for a day, due to menstrual irregularities, the former doctor gave seven doses of Taohong Siwu decoction (including 6 grams of peach kernels, 3 grams of safflower), yesterday was suitable for menstrual cramps, after eating several hairy crabs, there was pain in the lower abdomen, and the amount of menstrual blood was extremely large, and this morning it has been treated in the hospital with infusion for symptomatic treatment. Usually afraid of cold in winter, it is obvious that he often eats cold products.
Engraving: tired and lazy speech, low voice, obvious chills, poor appetite, loose stool, check: light tongue, tooth marks on the side of the tongue, thin and white moss, stasis under the tongue I degree, fine pulse.
Diagnosis: Shaoyin and Taiyin syndrome (qi and blood deficiency syndrome)
Prescription: Loess decoction (one-third of the original dose)
After writing the medical record, Zhang Jing came to the waiting hall of the clinic.
At this time, Huang Biao was carrying a Chinese medicine bag and was walking out of the pharmacy.
"Director Huang, have you done it all?" Zhang Jing asked.
"Mmmmmmmm, I've doubled it three times, and there will be no mistake." Huang Biao hurriedly replied.
After a pause, he added: "Doctor Zhang, I see that the aconite on your prescription does not indicate that it is fried first, it should be that I accidentally missed the label, and I also wrapped it separately." ”
Zhang Jing shook his head slightly, it seems that it is not possible to popularize the use of aconite for him.
So he said slowly: "Director Huang, you haven't used aconite, and you may not know much about its toxic effects. When I was studying with my teacher, I saw that the teacher often used aconite, of course, except in special cases, it was necessary to give birth to aconite, and it was generally used as aconite. ”
"We all know that raw aconite contains a large amount of aconitine, which may cause toxic effects on the human nervous system and cardiovascular system. In severe cases, it can even lead to death. Therefore, when using raw aconite in clinical practice, it is necessary to decoction for more than an hour to minimize its toxicity. ”
"However, the standardized concocted appendages, which are the concocted tablets in our pharmacy, are very safe to use, as long as the dose is not particularly huge, there are almost no toxic reactions. I'm absolutely sure about that. ”
"Oh, I see, teachable, teachable!" Huang Biao nodded again and again, it seems that this time he really listened.
At this moment, the two heard the prompt sound of an electric car outside:
"Please check that your car is locked."
"Di~ The car is locked. Welcome to use it next time. ”
When I looked up, it was Gui Cui who was back, waving inside.
Zhang Jing and Huang Biao hurriedly greeted each other, took off the gas stove and medicine tank from the electric car, and each took one.
"It's very fast, Xiaocui, you came back just after the medicine was taken, and it hasn't been ten minutes yet." Huang Biao praised.
"That's necessary, knowing that you are in a hurry, I am moving at full speed." Gui Cui said proudly as she took off her helmet.
Zhang Jingke didn't have time to greet her, took the medicine jar and hurried to the sink and took a small half jar of tap water.
Huang Biao understood, hurriedly put down the gas stove, followed over, and handed the Chinese medicine to Zhang Jing.
Zhang Jing opened the medicine bag and picked out the ejiao that needed to be boiled.
As for the rest of the medicine, including the cannon attached tablets, it was all poured into the medicine jar in one go.
Immediately afterwards, Zhang Jing picked up the medicine jar and said to Huang Biao: "Director Huang, please take the gas stove to the decoction room, find a suitable place to put it, and start decocting the medicine now." ”
Huang Biao was a little puzzled, and couldn't help asking, "Don't you need to soak for half an hour first?" ”
"If the time is too long, patients and their families should be in a hurry. Moreover, I estimate that the hemostatic needle infused by the patient in the hospital will not last long. Chances are, there will be another leak later. Zhang Jing said with a serious face.
After hearing this, Huang Biao didn't dare to delay any longer, and hurriedly set up the gas stove.