Chapter 064: A child's cough is not necessarily a lung fever

"Hmm." Zhang Jing nodded and continued to ask, "Little friend......"

"Uncle Doctor, my name is Xuan Xuan." Liu Zixuan interrupted him again in a low voice.

Zhang Jing smiled slightly, so he changed his words: "I'm sorry, my uncle said something wrong, it's Xuan Xuan." ”

Xuanxuan's mother glared at her daughter fiercely, and then said to her mother-in-law, "Her grandmother, you take Xiaobao out first and wait, I still have something to ask the doctor." ”

The old lady came to hug Xuanxuan very interestingly and hurried out of the consultation room.

"When does Xuan Xuan usually have a bad cough? Is there phlegm? What is the nature of phlegm, watery, foamy, white sticky, or yellow thick sputum? Zhang Jing then asked.

"According to her grandmother, the cough is the worst at night, but since yesterday, she has coughed a lot during the day, especially when playing outdoors."

"It sounds like there is phlegm, but she can't cough it up, so I don't know what kind of phlegm it is."

Zhang Jing continued to ask: "What about the appetite, how much water is drunk, how is the stool, except for the first time in the morning, the color of the urine is not yellow?" ”

"She is usually a picky eater, and these days when she is sick, she doesn't like to eat even more, she drinks some milk powder or pure milk every day, and rarely eats rice. The stool is a little constipated, about once every two days, the front is a little hard, and the back is okay. I didn't pay much attention to urinating, so it should be normal. ”

At this point, Zhang Jing was completely aware of Xuan Xuan's condition.

I saw him bow slightly: "It's okay, Xuan Xuan's condition is not serious, let's prescribe three doses of Chinese medicine first, and then prescribe a few doses of conditioning Chinese medicine after eating, and pay attention to your diet in the future." ”

Although Xuanxuan's mother had already heard Huanhuan's mother say that Zhang Jing only used one dose of medicine to cure Huanhuan's diarrhea.

But she also knew in her heart that in general, coughing was much more troublesome than diarrhea.

So he timidly asked, "I'm sorry, Dr. Zhang, it's not that I don't trust you." If my Xiaobao coughs badly, can I take it with Western medicine during the period? ”

Without waiting for Zhang Jing to reply, Xuanxuan's mother immediately took out a few boxes of medicine from her handbag.

"No, all the medicines prescribed by the hospital are here."

Zhang Jing glanced at it, there were azithromycin granules, ambroterol oral liquid, and a pediatric pulmonary fever cough and asthma oral liquid.

Xuanxuan's mother pointed to the oral liquid for children's lung fever cough and asthma, and said, "The doctor said, this seems to be a Chinese patent medicine, and I often see it in elevator advertisements." What does that advertising phrase come about...... Oh yes, it seems that it is, the child's cough is not good, most likely it is lung fever. ”

"Doctor Zhang, is this really a lung fever cough?"

Zhang Jing frowned and said: "This is indeed a Chinese patent medicine for the treatment of lung fever, but Xuan Xuan is by no means a lung fever, but a lung cold. ”

"Huh? Didn't the doctor at the Children's Hospital do the opposite? No wonder it doesn't get any better! But what's going on with that ad? Xuanxuan's mother looked angry and puzzled.

"It's not surprising that the prescription is reversed, because most of the doctors who prescribe this kind of Chinese patent medicine are Western doctors, and none of them have studied Chinese medicine, so where can they distinguish between syndromes? Therefore, it can only be regarded as Western medicine and directly prescribed for diseases. Zhang Jing shook his head helplessly.

"And that advertisement, I believe that the manufacturer is not short of experts in Chinese medicine. However, the purpose of advertising is to sell more products in the first place. As a result, the effect is often exaggerated or misleading. ”

"There are many causes of coughing, and there is a cloud in the Su Wen Treatise on Cough: 'All the internal organs make people cough, not only the lungs.'" Although most of the cough is caused by the lungs, it is not mostly caused by lung fever, at least what I have seen is that the lungs are mostly cold. ”

Zhang Jing paused slightly, and then continued to say angrily: "Therefore, this advertisement is extremely irresponsible and very easy to mislead the public. Moreover, the most important point is that I think that all medicines, especially proprietary Chinese medicines, must be purchased under the guidance of Chinese medicine practitioners or Chinese medicine pharmacists, and there should be no 'brainwashing' false advertising at all. ”

Xuanxuan's mother nodded again and again after hearing this: "It's really too hateful, unscrupulous pharmacists don't even want their faces in order to make money!"

Then the conversation changed: "By the way, there is another one, I also want to ask Dr. Zhang by the way." That's why my little treasure was in good health before and rarely got sick, why did he just start the kindergarten class and have two colds and coughs in three days? ”

"That's a good explanation. Until the age of three, the children are brought with their parents and are very well protected, like flowers in a greenhouse. However, after going to kindergarten, it is equivalent to a sudden stocking, especially when so many children are crowded in a classroom, and the time to test the real physique is the resistance. ”

"Oh...... I see. Xuanxuan's mother suddenly realized.

Then he asked nervously: "Then it seems that our Xiaobao is not in poor health?" ”

Zhang Jing smiled slightly: "That's not it, it's just that because of the use of too many Western medicine anti-inflammatory drugs during this time, especially infusion therapy, it has a certain amount of damage to the child's physique." ”

"What then?" Xuanxuan's mother seemed to be more nervous.

"Xuanxuan's mother, don't worry, I just said that I will take three doses of Chinese medicine to cure my current cough. Go back and get a few pairs of conditioning Chinese medicine, just pay attention to dietary taboos in the future, there will be no problem. ”

"Oh. So what are the things you can't eat? Xuanxuan's mother finally relieved herself when she saw Zhang Jing's determined tone.

"This is a bit too much, especially during the cough period, it needs to be strictly contraindicated, wait until I finish the prescription and then tell you, okay."

"Okay, okay, I'm sorry, I'm too anxious." Xuanxuan's mother hurriedly apologized.

Zhang Jing began to write carefully in the medical record book.

The patient, a 3-year-old female, had been treated with Western medicine to reduce inflammation and expectorant and dissputation of phlegm since she entered kindergarten in September, during which she received several infusions.

On the third day of the cough, mainly at night, there is phlegm that can not be coughed up, clear mucus, nasal congestion at night, less sneezing, slightly worse acceptance, two can be.

Check: There is obvious crackles in the right lung, the tongue is light, the lichen is thin and white and greasy, and the pulse is weak.

Writing this, Zhang Jing silently recited in his heart.

Article 40 of the "Treatise on Typhoid Fever": Those who are incomprehensible about typhoid fever, have moisture in their hearts, cough due to retching and fever, or thirst, or benefit, or choke, or urinate unfavorably, have less stomach, or wheezing, are the main ones of Xiaoqinglong Soup.

Article 41 of "Treatise on Typhoid Fever": Typhoid fever, water vapor under the heart, coughing and wheezing, fever, no thirst; The soup has been served, and those who are thirsty will want to be relieved of this cold; The main soup of the little green dragon.

Three taels of ephedra (to the knot), three taels of peony, three taels of dried ginger, three taels of licorice (burned), three taels of cinnamon branches (peeled), three taels of fine spice, half a liter of schisandra, half a liter of half a liter of summer (washed)

On the eight flavors, take a bucket of water, boil ephedra first, minus two liters, remove the foam, the internal medicines, boil three liters, remove the trickle, and take one liter warm.

If you are thirsty, go to the half summer and add three taels of oak roots. If the profit is small, go to ephedra and add vids like a chicken, and boil it red. If you choke, go to ephedra and add aconite, cannon. If urination is not good, if the abdomen is full, go to ephedra and Poria cocos four taels. If wheezing, remove ephedra and add half a liter of almonds (peeled tip).

After thinking about it, I began to continue writing.

Diagnosis: Sun disease (cold outside and drink inside)

Prescription: Xiaoqinglong soup (one-tenth of the original formula) with flavor

4.5 grams of raw ephedra, 4.5 grams of white peony, 4.5 grams of fine spice, 4.5 grams of dried ginger, 4.5 grams of cinnamon branches, 4 grams of schisandra chinensis, 6.5 grams of ginger banxia.

Another: Bring your own 3 slices of ginger (the size and thickness of a dollar coin), green onion white (green onion to green), 3 jujubes (broken).