Chapter 86 Acupuncture for Fever

Tang Yi's hand is very steady, even if the child is crying in the arms of a middle-aged man, it does not affect the depth of his needle at all.

The middle-aged man watched as the needle pierced into his skin, and then pulled out, each time as if it were piercing his heart.

Glancing at the middle-aged man with a painful face, Tang Yi's movements on his hand did not stop, "Don't worry, I use subcutaneous sutures, which have the advantage of leaving light scars compared to intermittent sutures." ”

The middle-aged man nodded lightly, his eyes on the child from beginning to end, "Thank you!" ”

After the suturing was over, Nurse Lin had already prepared the gauze for bandaging.

"How long?" As early as when Tang Yi began to stitch up the child, Tang Yongming walked in with Xihua.

It's just that Tang Yi's disinfection, debridement, and choice of suture methods have not gone wrong, so he didn't bother.

"It should be about five minutes and thirty seconds!" Taking the gauze from Nurse Lin's hand, Tang Yi replied while bandaging, "Subcutaneous sutures are still more difficult than intermittent sutures. ”

Wash Lead Hua glanced at his watch, "Six minutes and seventeen seconds!" ”

Tang Yi's hand moved, "More than six minutes, is it so slow?" Could it be that the suturing skills are rusty? ”

As early as when Tang Yongming and the two came in, Tang Yi found out, but he was stitching up the child at the time, so he didn't say hello.

Wound disinfection, anesthetic, removal of irregular skin edges, and subcutaneous sutures for a total of more than six minutes, is this still called slow? Are you pretending?

Tang Yongming and Xi Jianhua's faces are not very good-looking, if they are still slow for more than six minutes, should their sutures be called turtle climbing?

Sending the patient away, Tang Yongming looked at Tang Yi who was washing his hands, and wanted to pick and prick the sutures just now. But the suture just now is completely the existence of a textbook, and there is nothing wrong with it, 'How can a related household have such a good suture technique?' ’

Wash Lead Hua asked with a smile, "Young man, what's your name?" I see that you are experienced in suturing techniques, do you often do surgical sutures? ”

Drying the water on his hands, Tang Yi leaked a polite smile, "Tang Yi, I used to do surgical sutures when I was in the clinic, and over time, the level naturally came up." ”

Xi Xianhua nodded lightly, "What else would you do besides surgical sutures?" ”

"Osteopathy, massage, bare hands to stop bleeding, surgery, gynecology, proficient in first aid!" Tang Yi thought about it for a while, and it seemed that there was only so much he could do.

Wash the lead Hua looked surprised, and looked Tang Yi up and down, "You really know how to correct bones?" ”

The corners of Tang Yongming's mouth twitched, you can really blow, can you do gynecology? Why don't you go to heaven!

If Tang Yi knew Tang Yongming's thoughts at this time, he would definitely tell him very seriously, I want to be inspirational as a rogue man, what disease is most likely for women to get? Gynecological diseases, as a gynecologist, you can legally play hooligan, do you understand?

It is generally believed that the patients who go to the gynecology department are married or elderly, but this is actually biased.

When a woman reaches the age of fourteen or fifteen, she may suffer from one gynecological disease of one kind or another from the time of her first menstrual period. It's just that married or older women are more likely to get sick, and the original ...... Ahem, understand by yourself, don't know how to ask Baidu.

Tang Yi shrugged, "What's there to lie to you, this is an emergency department, not to mention that there are fracture patients every day, and a few will be sent every once in a while, and as soon as you let me get started, the lie will be exposed, isn't it embarrassing?" ”

Think about it, this is also the reason, the orthopedic is not a stiff pull, first determine the injury location, the type of fracture, then use the hand to feel the fracture, and finally use the technique to reduce the patient.

Without some skills, it is impossible to feel the fracture with your hands alone, let alone reduce it.

Xi Xianhua turned his head, "Director Tang, how about you assign Tang Yi to our group?" ”

Tang Yongming was worried about who would take Tang Yi, and now it would be better if Xihua was willing to take over, so he readily agreed.

I have seen the level of Tang Yi's trauma sutures, and it remains to be seen what other aspects will be.

Xihua did not rashly let Tang Yi sit in the clinic, but followed him first and observed for a few days.

The two came to the surgical room, and Xi Xianhua asked Tang Yi to sit next to him, "The patient will come in a while, you can get started first, if there is anything you can't do, you can ask me!" ”

Tang Yi nodded, "Okay, then it's troublesome to wash the doctor." ”

Not long after the two of them sat down, a woman in her thirties walked in with her lower abdomen on her hands.

Wash the lead Hua gave Tang Yi a look and motioned for him to come to receive the treatment.

Tang Yi didn't twist either, he was idle when he was idle, he couldn't buckle his mobile phone when he sat opposite, and he couldn't buckle his mobile phone, so that the patient could be next to him, and asked, "It's uncomfortable there?" ”

The woman sat opposite Tang Yi and put the medical card on the table, "Pain in the lower abdomen." ”

"Reach out!" Tang Yi took the pulse and asked, "How about sleeping at night?" ”

The woman shook her head, "Insomnia, dreams!" ”

Hearing the answer, Tang Yi nodded, and then asked, "How is the urine?" ”

"Dry stools, sometimes constipation!" A woman in her thirties, who had never seen anything, replied quite simply, "Less urine, yellow!" ”

"Tongue sticking out!"

The woman opened her mouth, "Ah~!" ”

Glancing at the tongue coating, Tang Yi nodded, "Have you had your period recently?" It's not a lot! ”

"I just came here a few days ago, and the amount is not much, a little sporadical!"

Tang Yi took his hand back and looked at Xihua, "The patient has lower abdominal pain, thin pulse, red tongue, dreamy night, mouth ulcers, menstrual irregularities caused by kidney yin deficiency and fire, and 15g ligustrum 10g yam 10g danpi l0g raw astragalus 10g angelica 10g Chuanxiong 10g hyssop 10g cornus 10g poria cocos l0g, 20 grams of sour jujube kernels, and 15 grams of raw rehmannia root. ”

Wash the lead Hua and checked the woman's pulse again, and nodded lightly, "Prescribe medicine!" ”

When the patient left with the prescription, Tang Yi leaned back in the chair, "She went directly to the outpatient clinic in this case, why did she run to the emergency department?" ”

Xi Jianhua picked up the cup and blew off the foam on it, and took a sip, "The outpatient registration fee is higher than that of the emergency department, and the queue time is long, and some patients with minor illnesses don't want to wait, so they will choose the emergency department for diagnosis and treatment." ”

Regardless of the location, there are many kinds of patients in the emergency department, and all kinds of patients can be encountered, which is one of the reasons why the hospital requires the emergency department to have comprehensive medical skills.

Near noon, Tang Yi had already diagnosed and treated five patients, who had different symptoms and different age groups.

Wash the lead Hua put down the phone, "Your kid's level of internal medicine is good, the diagnosis is reasonable, and the prescription is accurate." I heard you introduce yourself before, and I thought you didn't know how to do internal medicine. ”

Tang Yi picked up the disposable water cup and took a sip, "Compared with acupuncture and massage, my internal medicine level is that one bottle of water is not satisfied, and half a bottle of water is swaying." ”

"Oh?" Wash the lead Hua sat up slightly straight, and came a little interested, "Listen to what you mean, acupuncture and massage are your strengths?" ”

Tang Yi felt in his heart, isn't that nonsense? Seeing a doctor in internal medicine, in addition to looking and hearing, is to open a house and prescribe medicine.

Acupuncture and massage are different. If you give acupuncture to female patients, there are many opportunities to take advantage of it.

Tang Yi walked to the water dispenser and poured another glass of water, "Well, compared to internal medicine, acupuncture and massage are indeed my strengths." ”

Hearing Tang Yi say this, Xi Xianhua was somewhat looking forward to it.

There are many young people who study Chinese medicine now, but at Tang Yi's age, it is not only unique that he can reach the level of attending medicine, but it is also rare.

Just as he was about to say something, a young man walked in.

The young man was dressed in sportswear, his lips were dry, his breathing was heavy, and he spoke in a slightly nasal voice, "Doctor, I'm dizzy, a little nauseous, I just took my body temperature at the nurse's station at 38.5 degrees!" ”

Tang Yi beckoned, asked the young man to sit in front of him, and put his hand on the patient's wrist, "Cough?" ”

The young man sniffed and replied weakly, "Cough, runny nose!" ”

"Open your mouth!"

Tang Yi glanced at his throat, his throat was swollen and inflamed, "Is there phlegm?" What color? ”

"Ahem!" The young man covered his mouth and coughed dryly, "There is phlegm, white." ”

"Pulse floating, symptoms, headache, fever, cough, runny nose, swollen throat, whitish tongue coating, cold fever caused by wind chill." Ordinary doctors don't need to say so much when they diagnose and treat patients, Tang Yi is telling Xi Jianhua his diagnosis, "Treatment with Xiao Chai Hu Tang can be cured in three doses!" ”

As the deputy director of the emergency department, when the patient came in, Xi Xianhua had already judged the cause of the young man's illness, and he didn't say much, nodded lightly, indicating that he recognized Tang Yi's medication.

Before Tang Yi could prescribe medicine, the young man coughed a few times, "Doctor, I'm an athlete, and I have a competition tomorrow." Does Xiao Chai Hu Tang affect urine tests? ”

Tang Yi replied with a smile, "Traditional Chinese medicine generally does not affect urine testing, you can rest assured!" ”

"Generally, there is uncertainty in it!" The young man shook his head, "No, if the urine test is abnormal, my career will be ruined, doctor, do you think there is any other way?" Preferably the drug-free kind."

Xi Jianhua shook his head, "Aren't you embarrassed by our doctor?" How can I treat my condition without medication? Physical cooling? You're going to have a game tomorrow, just rely on the immune system, don't rush! ”

The young man stood up and smiled bitterly, "I am determined not to use medicine, trouble the two of you!" ”

Seeing the young man stand up, Tang Yi hurriedly stretched out his hand, "Wait a minute, is acupuncture treatment okay?" ”

"Acupuncture?" The young man's eyes lit up, "As long as you don't use medicine!" ”

Wash Leadhua's eyelids jumped, and he secretly blamed himself for forgetting the method of acupuncture treatment.

Have the patient crawl on the observation table and remove the shirt and shoes.

Acupuncture therapy for the treatment of fever, the main treatment principles are to clear away heat and relieve fire, cool blood and detoxify.

Tang Yi disinfected with alcohol cotton in one hand and silver needle in the other, respectively pierced into the patient's hand Taiyin, hand Yangming meridian acupoint, well acupoint, and the big acupoint were Dazhui acupoint, Quchi acupoint, Hegu acupoint, Twelve Wells, and Ten Xuan acupoints.

Xi Jianhua stood aside, watching Tang Yi use needles on the patient, nodding from time to time.

At the end of the acupuncture, the young man sat up from the observation bed, sniffed his nose, and it was still a little blocked, but it was much better than before.

Throw the used silver needle into the trash can for medical waste and "go to the nurse's station to take your temperature again in ten minutes!" ”

The young man got dressed, "Ten minutes, don't you have to wait a little longer?" You didn't take the medicine so quickly, did you? ”

"The drug will be absorbed by the human body only after passing through the gastric mucosa, and acupuncture is to directly stimulate the body's acupuncture points, and the effect is naturally faster than taking the drug!" Tang Yi washed his hands while explaining to the young man.