Chapter 7 Pulse Diagnosis: Internal Bleeding
Department of Traditional Chinese Medicine, Fifth Hospital of Xiyuan City.
Inside the outpatient hall.
Countless patients crowded here, anxiously waiting for the doctor's consultation.
Xiao Bufan gave the old man in front of him all the pulses, and found that her pulses were a little weak, and the pulses were floating....
This should obviously be an inflammation.
And judging from the abdominal pain of the elderly, it may be that there is inflammation in the uterus.
Generally, if intrauterine inflammation occurs in the elderly, the main manifestations are abdominal pain and increased secretions.
After thinking about it, Xiao Bufan said to the old man's son:
"Your mother may be suffering from inflammation, and if this situation is treated with traditional Chinese medicine, I am afraid it will take a long time, so I suggest that your mother can use Western medicine for emergency treatment first, first to reduce inflammation and relieve pain, and then use traditional Chinese medicine to recuperate."
To be honest, although Xiao Bufan studied Chinese medicine, he is not averse to Western medicine.
It's just that the power of capital is too strong.
Although Western medicine can also cure diseases, it is regarded as a more scientific medical method by modern people.
However, the cost of treatment in Western medicine is often unaffordable for ordinary people.
There are often many minor problems, and Chinese medicine only needs a dozen or even a few dollars to solve them.
But Western medicine can't solve it without hundreds or thousands of dollars.
The Western medical treatment concept of treating headaches and foot pains often ignores that the patient himself is a whole.
As a result, it was cured here, and it didn't take long for there to be problems again.
This is the current state of medical care.
However, this is not to say that Western medicine is bad.
At least for some conditions, the effect of Western medicine is still very fast.
However, it takes a long time for TCM to recuperate.
In this case, Xiao Bufan personally recommends that patients first relieve their symptoms through Western medicine treatment, and then use Chinese medicine to regulate their bodies.
This treatment regimen.
It is also one of the integrated traditional Chinese and Western medicine treatments that have been pursued in China.
Heard Xiao Bufan say this.
The man hurriedly nodded and responded, "Okay, well, listen to the doctor, as long as I can make my mother get better quickly." ”
"Uh-huh, good!"
Xiao Bufan nodded with a smile, and then directly prescribed some intravenous drip treatment drugs to the old man.
It's something that can't be helped.
The elderly are older, and if they are treated with traditional Chinese medicine, the process will be longer, and the elderly may not be able to tolerate abdominal pain for so long.
Therefore, choosing intravenous drops to reduce inflammation and relieve pain first, although it is not the best treatment plan, is definitely the most suitable method.
Of course, it is perfectly fine for a TCM doctor to prescribe Western medicine to a patient.
China's Law on Medical Practitioners and the Measures for the Administration of Prescriptions do not explicitly prohibit TCM practitioners from prescribing Western medicines.
In fact, in the practice of clinical treatment.
In order to achieve better treatment results, TCM practitioners occasionally prescribe Western medicine to patients.
This is done according to the doctor's clinical dialectic.
Soon, Xiao Bufan prescribed medicine to the old man, handed it to the man casually, and said:
"You take this to the head nurse in front of you to pay the bill, and then the nurse will arrange intravenous drip for your mother."
"Okay, okay, thank you, doctor."
The man nodded his head again and again in thanks, and then helped his mother to get up and pay the bill.
Bang!
The man in front of him had just left with his mother.
A patient in the back immediately pounced and handed over the registration slip in his hand:
"Doctor, please help me see what's wrong with me, I feel a panic in my chest at this moment, it's so uncomfortable!"
"Huh?"
Xiao Bufan couldn't help but be stunned for a moment, and after carefully looking at the face of the patient in front of him, he found that the other party's face was a little pale, and the seal hall was even a little bloated.
And Xiao Bufan also noticed that the other party's breathing gap was relatively long, and there was sweat flowing from his forehead.
Does this seem like a sign of internal bleeding?
Suddenly, Xiao Bufan immediately gave the other party a pulse, and at the same time asked the patient:
"Have you been hit hard in the past few days? Or was it knocked over by something? Or maybe it's a fall or something? ”
"Uh...."
The patient couldn't help but be stunned for a moment, then thought for a while:
"It doesn't seem like there is.... Uh, no, I fell last night when I went to the rink with my friends, and it hurt a lot, and I was so stunned that it took me a long time to get up. ”
"Then I came together this morning and felt a little chest tightness and shortness of breath, and I couldn't breathe well, so I hurried to the hospital to have a look."
Hear what patients say.
Xiao Bufan's eyebrows couldn't help but raise slightly, cutting the other party's pulse in his hand, only to feel that his pulse was urgent and flooding, but he didn't have any strength.
There is a saying in "The Pulse Collection": "The flood veins are very large, strong as a flood, coming and going, surging and full of fingers." ”
If you are sick for a long time, or if you have blood loss, ejaculation and other symptoms of the flood pulse, it is mostly a crisis of evil prosperity and decline.
Thinking of this, Xiao Bufan hurriedly shouted to Qin Zirou, the head nurse not far away:
"Sister Qin, quick, there is a patient here I suspect is bleeding, and he must be sent to the operating room immediately to stop the bleeding, otherwise I am afraid that his life will be in danger!"
"What? Hemorrhage? ”
Qin Zirou couldn't help but be stunned for a moment, and hurriedly walked over and asked:
"Are you sure this patient is bleeding internally? It can't be a wrong diagnosis, right? ”
Qin Zirou didn't quite believe Xiao Bufan's diagnosis.
After all, for Xiao Bufan's traditional Chinese medicine skills, she still knows how many catties and taels there are.
Just give the patient a lower pulse to know that the other party has internal bleeding?
Even Director Wang of the department doesn't have such a powerful pulse diagnosis technique, right?!
looked at Qin Zirou with a suspicious look on her face.
Xiao Bufan couldn't help but be anxious, and urged her: "I'm not kidding, this patient is indeed suffering from internal bleeding, and he must be sent to the operating room for surgery as soon as possible." ”
"And the hospital has a power outage, and you know that the Western medical department can't do any examinations."
"If you don't operate on this patient as soon as possible, it will be too late if something happens to the patient later!"
"Are you sure the patient is bleeding internally?"
Qin Zirou couldn't help but be stunned for a moment, looking at Xiao Bufan as if he was joking, and suddenly felt that something was wrong.
That's just at this time.
The patient on the side suddenly covered his chest and shouted at Xiao Bufan with a shortness of breath:
"Big.... Doctor.... Doctor, help me, I feel like I'm breathing so badly, I'm about to lose it...."
"Quick, push the bed over and send the patient to the emergency room immediately."
Xiao Bufan's face couldn't help but change slightly, and he immediately shouted at Qin Zirou.
"Okay, okay, I'll go."
At this moment, Qin Zirou also knew that the patient's situation was wrong, so she quickly turned around and pushed a transfer bed over.
Xiao Bufan didn't have time to say anything, so he directly helped the patient to lie on the transfer bed, and then pushed the patient towards the operating room of the emergency department.
No way.
Now the entire hospital is without power.
Only the operating theatre in the emergency department has a backup power supply.
As for the TCM department, there is no electricity in the entire department, let alone the operating room.
Although there are also TCM surgeries in TCM.
However, under normal circumstances, there are still very few surgeries performed by TCM departments.
Therefore, the operating room of the TCM department is basically in a semi-deserted state, and there is no way to perform surgical rescue on patients.