Just after lunch, Tan Jiangxue received a call from the department.

"Director Tan, Mr. Zheng has come to the hospital and is in the ward."

After hanging up the phone, Tan Jiangxue hurried to the ward, followed by Hu Yongxing.

Wang Wanming, deputy director and chief physician, was waiting for Tan Jiangxue at the door of the department.

"Director!"

"Zheng Lao's condition hasn't improved yet?"

Tan Jiang asked.

"I went back and used the medicine for a while, and after a while, I started constipation again in the past two days, with dry stools, and blood in my stool."

Wang Wanming said: "I have already examined Zheng Lao just now, and his stomach is cold and his intestines are hot, which is a little difficult to do." ”

"Let's go check it out."

Tan Jiangxue nodded, and entered the ward again with Wang Wanming.

In the ward, there was an old man in his seventies lying on the hospital bed, the old man frowned, lying on his side, looking a little irritable, and his spirit was not very good.

At the edge of the bed, a middle-aged couple of forty-five or sixteen years old stood on the edge of the bed.

"Zheng Lao, Zheng Si!"

Tan Jiangxue entered the ward and said hello to the old man and the middle-aged man.

The old man is a retired old cadre, who retired from the position of deputy minister, and now enjoys the treatment of the main department, and the middle-aged man on the side is the son of the old man, the real director of Yanjing.

"Director Tan, let's not be polite."

Zheng Haikui said: "The old man didn't sleep well all night last night. ”

Tan Jiangxue didn't say much, and stepped forward to diagnose Zheng Lao's pulse, but the pulse was weak and weak, and the ulnar pulse was slippery......

As Wang Wanming said, Zheng Lao is suffering from stomach cold and intestinal heat.

"Zheng Si, let's discuss it first, and then give you an answer."

After doing the inspection, Tan Jiangxue did not rush to give a plan, but said to Zheng Haikui first.

"Hmm."

Zheng Haikui nodded.

"It's tricky."

Out of the ward, Tan Jiangxue said to Wang Wanming: "His pulse is inches, the string is weak, and the ulnar pulse is slippery, it is the cold stomach and hot intestines, Zheng Lao has dysentery for a long time before, and now he has dry stools......"

Because Zheng Lao had dysentery and diarrhea before, he was treated in the Affiliated Hospital of the University of Chinese Medicine, and Tan Jiangxue was also in charge, but he didn't expect that he would not have diarrhea now, but he began to be constipated.

I asked just now, it's been three days, and I've used Kaiserol once, but the old man with dysentery was already uncomfortable, and now he is constipated, and the pain can be imagined.

Dry stool, constipation, only once in three days, and with the help of Kessel, this pain is not only the pain of not being able to poop, but also other aspects.

Plus blood in the stool......

"Cold stomach and hot intestines."

Wang Wanming said: "You must know that the large intestine likes to be clear and hates heat, the spleen and stomach like warm and cold, no matter how to use medicine, it must first enter the stomach and then enter the large intestine. ”

"That's where the tricky part becomes."

Tan Jiang learned: "The most important thing is to stop the bleeding first, otherwise, if you continue to have blood in the stool, it may cause danger, after all, Zheng Lao is over seventy years old, and he is weak in righteousness, and it is difficult to collect blood, if it causes a collapse, it will ...... collapse."

At any time, it is necessary to be cautious when giving such a big person.

Especially the experts who work in the major hospitals in Yanjing, after working for a long time, the subconscious mentality will make them not seek merit but no fault.

After all, it is your duty, but if it is cured, the consequences can be quite serious.

"Aren't Lin Lao from Hanzhou and Zhou Lao from Shenhai and Zhang Lao from Yan University of Traditional Chinese Medicine all in our hospital, why don't you come over and discuss it together?"

Wang Wanming thought for a while and proposed.

On the one hand, there are many people and many ideas, and the three stinkers beat Zhuge Liang, and on the other hand, it can be regarded as a risk sharing.

Tan Jiangxue looked at the time: "There is still an hour, I'll make a call." ”

After a while, Zhang Xuejun, Zhou Zhiyuan and Lin Xin'an all arrived.

Zhang Xuejun is in his early sixties, Zhou Zhiyuan is one year younger than Lin Xin'an, all three of them are over 60 years old, as professors of top universities, all three of them are also famous doctors with rich clinical experience, and they are not simply engaged in academic research.

"According to the symptoms, it is necessary to consider both the spleen and stomach and the large intestine."

Listening to Tan Jiangxue's condition, Lin Xin'an muttered slightly: "The patient's stool is dry and bloody, and the cause is in the spleen, stomach and large intestine, the stomach is cold, so the stool is dry, and the intestine is hot, so the stool is bloody......."

Because of the dryness, coupled with intestinal fever and bleeding, all aspects must be taken into account.

"When taking medicine, both parties are taken into account, but to ward off cold, it is inevitable to use hot medicine, and if hot medicine is used, it will aggravate the heat and dryness of the large intestine......"

Zhou Zhiyuan also frowned slightly, this situation is a dilemma.

In clinical practice, it belongs to the mixture of cold and heat, which should not only solve the cold, but also solve the heat, and solve the cold must use hot medicine, and the cold medicine must be used to solve the heat.

But now the cold and heat are mixed, and the use of hot medicine to get rid of the stomach cold will aggravate the heat of the large intestine, and the use of cold medicine to treat the heat of the large intestine will aggravate the stomach cold......

It was a disease that was difficult to choose, and the patient was Zheng Lao, so a group of people did not discuss a specific plan for a while.

Listening to the analysis of several bigwigs, Hu Yongxing couldn't interject at all.

Before you know it, it's not early.

Because the game will continue in the afternoon, Zheng Lao is important, and the game is equally important, so they don't dare to delay, and after thinking about it for a while, everyone decided to give it a try with a relatively gentle plan.

At 1:50 in the afternoon, Chen Luo and others arrived at the consultation room, and as soon as Chen Luo and others arrived, Hu Yongxing came in, but he did not see Tan Jiangxue.

"Director Hu."

Chen Luo and the others politely greeted Hu Yongxing.

"Hmm."

Hu Yongxing nodded, saw Chen Luo, and suddenly planned to make things difficult for Chen Luo.

"Chen Luo, let me ask you something."

"Director Hu, please speak."

Hu Yongxing said: "If it is evidence of stomach cold and intestinal fever, how to solve it?" ”

"Stomach cold, intestinal heat?"

Chen was stunned for a moment and asked, "What are the specific symptoms?" ”

"Constipation, blood in the stool, and a history of diarrhea." Hu Yongxing said.

Hu Yongxing didn't expect Chen Luo to answer this disease, but he thought that he was reminded by Chen Luo of his mistake in Zhongping City at that time, and he had not been able to find the field, so he asked by the way, in fact, there is more meaning of bad taste.

After all, Chen Luo didn't know if Hu Yongxing would be able to, as long as Chen Luo was stumped, it would be enough for Hu Yongxing.

"Cold stomach and hot intestines."

Chen Luo communicated with Sun Wanqing in his heart: "Is this a dilemma? ”

"Yes, when the stomach is cold, hot medicine should be used, cold medicine should be used for intestinal heat, the large intestine likes to be clear, and the spleen and stomach like warmth, which is indeed a dilemma."

Sun Wanqing to Chen Liu's analyst.

"So what should I do in this situation?"

Chen asked Sun Wanqing.

"Traditional Chinese medicine has a prescription and a method, and the combination of methods is the principle of curing diseases.

Sun Wanqing said: "You can use honey refining pills, wrapping the four things soup and puhuang outside the honey refining pills, including rhubarb, sunflower, skullcap, and soaphorn, so that the medicine enters the large intestine and the medicine wrapped outside is dissolved, and the Jun medicine is exposed. ”

Chen Luo: "......"

it, can you still come like this?

Listening to Sun Wanqing's explanation, Chen Luo was instantly stunned, sure enough, medicine is broad and profound, and he still has a lot to learn.