Chapter 212: The lungs are delicate and dirty, and they like to be clean
Mao Yong had a cold recently, and he was too lazy to go to the hospital to prescribe medicine, so he came directly to the clinic to buy some.
Speaking of which, the medicine prescribed by the hospital is cheaper than in the clinic or pharmacy, but when you go to the hospital to prescribe medicine, you first have to register, you have to queue, and finally when it is your turn to see, the doctor may not necessarily prescribe the medicine you want, and even if you just want to buy a box of medicine, but in the end you take a bunch of medicines home.
In the end, the cost is much higher than in a clinic or pharmacy, and it may even be several times higher.
Even if you don't prescribe more medicine, just a registration fee is basically the same as the cost of buying medicine.
Moreover, this is just an ordinary person, if it is an expert number or a scarce number, the registration fee alone may be dozens or hundreds.
Of course, spending money is not the main thing.
The point is that a trip to the hospital is too much trouble.
What may be solved in half an hour, if you go to the hospital, it will take two or three hours to say the least, and even if there are many people in line, two or three hours may not be able to stop.
Therefore, most people don't like to run to the hospital very much.
Because the child in the family was sick, Mao Yong ran to the nearest Lujia clinic early in the morning, he had passed several times before, and knew that the door was opened relatively early, and Dr. Li Feng, who was sitting in the clinic, also had some ability, and he was still a doctor in the county hospital before.
He took the medicine and was about to leave, but what happened next made him, who was already holding the medicine and preparing to leave, forcibly restrain his step.
Lu Xuan took Yan Xiaoping's pulse to see a doctor, but he didn't actually feel anything.
I even feel in my heart that a young man in his twenties can understand something, don't fool people.
But when he heard that Lu Xuan only charged a dozen yuan for diagnosis and treatment, and the Chinese medicine still asked Yan Xiaoping to go to the pharmacy to catch it, he was a little stunned.
There is nothing to fool around with this medical fee.
But that's limited to that, in the final analysis, he still doesn't believe that a young man in his twenties can have great medical skills, a young man like Lu Xuan basically just graduated from school, even if he goes to the hospital, it is to help other doctors, and it is unlikely that he will sit on his own, or even say that there is none.
But when he was about to leave with such an idea, the scene of Lu Xuan giving the child a straight bone really shocked him.
Zhima eye dislocation, although it is not a big deal, he can go to any hospital for reduction, but it is the first time he has seen it if he wants to be as simple as Lu Xuan.
Not even for a minute, just need not to carry heavy objects for a few days afterwards, and not to fall into the place where it was dislocated before.
If you go to the hospital instead, even if it is reduced, I am afraid you will have to put a plaster cast or something.
Coupled with the cost of filming, it will cost hundreds to say the least.
Even thousands are possible.
But Lu Xuan still only collected a dozen yuan.
If Yan Xiaoping may have been a to, the child in front of her was not.
"The orthopedics are so powerful, the medical skills shouldn't be bad, right?"
Mao Yong didn't dare to be sure, but he was a little moved at the moment, and after hesitating for a while, he gritted his teeth and walked to Lu Xuan: "That, doctor, what do you call you?" ”
Hearing the voice coming from behind him, Lu Xuan subconsciously glanced behind him, and saw the middle-aged man who was buying medicine in the clinic, and responded: "My surname is Lu." ”
"Hello Dr. Lu!"
Mao Yong greeted politely, and then said in a deep voice: "Doctor Lu, I want to ask, can it be treated with traditional Chinese medicine if it is toxic pneumonia?" ”
"Toxic pneumonia?"
Lu Xuan was stunned for a moment and asked, "Is anyone nearby?" I'll take a look at what's going on first. ”
Mao Yong shook his head: "I'm still hospitalized, but the doctor said that the situation is not too good." ”
Lu Xuan thought for a while and said: "If the person is not there, if you don't see the specific situation, I can't say whether it is okay to take Chinese medicine, but you can tell me first what the specific situation is, and what kind of symptoms do you have?" ”
Toxic pneumonia, the name of Western medicine, is one of the more serious types of pediatric pneumonia.
Of course, adults are also at risk of developing this disease, but the chance of developing this disease is much lower than that of children.
However, toxic pneumonia is a type of introduction in Western medicine, and it belongs to the category of warm disease in traditional Chinese medicine.
Lu Xuan has not been exposed to toxic pneumonia, and there are no such patients in the health center and Liannan Chinese Medicine Association.
It's not because of other reasons, but mainly because these patients are mostly children.
The children who have toxic pneumonia basically go to the women's and children's hospital for hospitalization, and because of the ferocity, few people will come to see the Chinese medicine, unless they have to do so, they will choose to come to the Chinese medicine doctor.
However, when he was in school, Lu Xuan's master's supervisor mentioned toxic pneumonia, and specifically explained this kind of disease and its clinical manifestations.
Toxic pneumonia has a sudden onset and is violent, generally manifested as high fever, drowsiness, coma, convulsions, circulatory and respiratory failure.
Traditional Chinese medicine believes that toxic pneumonia is caused by the invasion of heat evil, which causes the qi to be hot, burning the lungs and hurting the body, and then the heat enters the camp blood and disturbs the mind.
For those who are hot and hot, it is advisable to calm asthma and detoxify, promote lung phlegm, and add Houttuynia cordata, honeysuckle, Zhu Huang and Zhuli with Ma Xing Shi Gantang; For those who are hot in the camp blood, it is advisable to clear the camp for detoxification, relieve asthma and dissolve phlegm, and use Qingying decoction to add or subtract.
If the good does not prevail over the evil, the yang qi fails, and the heart failure is combined, the ginseng attached decoction is used to benefit the qi and solidify it; Combined with toxic encephalopathy, it is advisable to add antelope hook vine decoction or Shen Xi Dan.
However, the specific treatment depends on the actual situation of the patient.
Depending on the symptoms and the patient's condition, different medication regimens are chosen.
These contents flashed in Lu Xuan's mind.
At this moment, Mao Yong thought for a while and said: "A few days ago, I still had a headache and dizziness, accompanied by vomiting and coughing up blood.
In the morning, the nurse measured the blood pressure, and the blood pressure dropped to 50/30 mm Hg, which stabilized after resuscitation. However, the situation has not been stable for too long, and today I am not in good spirits, my body temperature once rose to 38 degrees, and I have no appetite.
The doctor of the county hospital said that the disease is more troublesome, coupled with the menacing, the situation is too dangerous, the cure is more difficult, it takes time, and it may not be able to treat well, this morning the attending doctor also talked to me, asked me if I have the idea of transferring to a big hospital in the province, the county hospital has limited conditions, it is difficult to say that it will be cured, and once the situation is critical again, it is difficult to say whether it can be saved next time.
I'm also a little entangled now, I don't know whether to go to the big hospital in the province, mainly because my son is unwilling, saying that going to the province is too troublesome and expensive.
I originally wanted to buy some cold medicine to go back, but after seeing Dr. Lu's orthopedics just now, I wondered if Chinese medicine could work. ”
Speaking of this, Mao Yong couldn't help but sigh, his face full of worry.
Lu Xuan asked, "How is the poop and pee?" Are there any other tests? Do you remember the test results? ”
Mao Yong thought for a while and said: "It seems to be a black stool two days ago, but I heard what my son said, I haven't seen it, I have sent it for testing before urinating, it seems to have red blood cells and the like, and I don't know the specifics."
In addition, he said that he had pain in his right lower back, swelling and pain in his right chest, unfavorable cough, bloody spitting, shortness of breath, shortness of breath, dry nose and mouth, and did not urinate much. ”
Hearing this, Lu Xuan already had a judgment in his heart, but he still asked, "Is there anyone next to your son now?" If someone has someone, take a picture of the tongue coating and show it to me. ”
"it, I'll let her shoot it right away and send it over."
As soon as Mao Yong heard this, a glimmer of hope suddenly swelled up, and he quickly took out his mobile phone and dialed his wife's number.
After a while, Mao Yong's wife sent a photo of the tongue coating.
It seems that he is worried that he is not clear enough, Mao Yong received five or six photos on his mobile phone in a short period of time, Lu Xuan took a look, the tongue coating is thick and greasy, covering the tongue, although there is no pulse diagnosis, but the patients with viral pneumonia are basically in a state of pulse deficiency and rootlessness, the pulse is weak and the pulse is chaotic, and the treatment is not much different.
The only difference should be that the symptoms are different, and there will be subtle differences in the prescriptions.
Mao Yong looked at Lu Xuan nervously, and seeing that Lu Xuan frowned and didn't speak, he hurriedly asked, "Doctor Lu, is it okay for my son to take Chinese medicine in this situation?" ”
"Yes." Lu Xuan nodded.
"I'll prescribe you two pairs of medicines, one payment a day, if nothing happens, some of the symptoms on your body should be improved, you can bring your son to the clinic to find me in two days, and I will administer the medicine according to his recovery."
"Good, good."
"Dr. Lu, thank you so much."
Mao Yong's face was overjoyed, although Lu Xuan looked young, but after experiencing the scene where Lu Xuan gave the child bone correction just now, he still believed in Lu Xuan's medical skills very much.
Moreover, when I showed it to Yan Xiaoping before, those medical theories, as soon as I heard them, there were words that only people with ability could say.
At this moment, when he heard that Lu Xuan was going to prescribe a prescription for his son, he was naturally a little ecstatic.
Lu Xuan smiled modestly, and then found a pen and paper to write down the prescription:
Prescription:
Banlan root 15, Radix radix 9, Maimendong 9, Pueraria lobata 15, Mao root 15, Lu root 15, Platycodon 9, Whole melon wilt 9, Sichuan fritillary 6, Zhimu 6, Ephedra 3, Almond 6, Gypsum 15, Raw Licorice 6, Fried Citrus aurantium 9, Sugar Ginseng 6, Poria cocos 9, Yuanzhi 9, Arborvitae orientalis 9, Arborvitae leaf 9
Two pays, one pay a day.
After writing, he took a picture and handed it to Mao Yong: "There is no way to catch medicine for you here, you have to go to the pharmacy by yourself." ”
"Thank you, Dr. Lu."
Mao Yong took the prescription, but he didn't know what to say, so he kept saying words of thanks, and then rushed to the pharmacy with the prescription like a treasure.
"Well, you haven't paid for the medical treatment yet." Li Feng reacted and was about to shout to stop the other party, but he didn't want to be interrupted by Lu Xuan's outstretched hand.
"Uncle Li, it's okay, it's a doctor's duty to save lives and help the wounded, I'm afraid that people's families are not rich, besides, I just prescribed a prescription, and he has to buy the medicine himself, and people don't give it, but they may forget." Seeing Li Feng looking at him with a puzzled expression, Lu Xuan explained with a smile.
Li Feng looked at Lu Xuan with a complicated expression, and finally spit out a sentence: "You are really similar to your father in this regard, patients sometimes forget to give money after taking medicine, and he won't mention it next time people come, some people who have a little conscience, they will give it if they remember, but there are also many who take advantage of it and don't come again, do you say that your father can not lose money in this clinic?"
That is, it has been okay recently, if you can have a surplus, I have paid your Uncle Li and me every month, and it is good if I don't lose money. ”
Lu Xuan smiled slightly, his father is really this character.
It's not for nothing that my mother keeps saying that his dad is not suitable for opening a clinic.
The two didn't say anything more about this matter, Lu Xuan didn't care, and Li Feng naturally didn't say much, anyway, for Lu Xuan, at most, it was just a waste of time, and the clinic didn't have much to lose.
However, Lin Yongzhen, who had not spoken, saw that the two of them did not speak again, and hurriedly said, "Xiao Xuan, it is very dangerous for you to do this. ”
Lu Xuan turned his head and smiled slightly, he knew what his cousin meant by danger.
Dangerous indeed.
After all, he prescribed the prescription, and if there was a problem with eating, Lu Xuan was duty-bound, and he couldn't run.
However, in the face of Lin Yongzhen, who had a serious face, Lu Xuan thought for a while and said: "There is always someone who has to pay, as a doctor, I can't do it without saving him, his son's situation just now cousin, you also heard it, the situation is still relatively critical, the county hospital can't come up with any good plan, and people's families may not have the money to transfer to the provincial hospital for treatment, so you can't watch people lose their lives because of viral pneumonia, right?" ”
There's always someone to give......
This sentence lingered in Lin Yongzhen's mind, he looked at Lu Xuan, and suddenly felt that this cousin, who had known each other for more than 20 years, had become a little strange at this moment.
Lu Xuan's image in his mind gradually grew taller.
Seeing that his cousin was no longer talking, Lu Xuan turned his head to Ji Xiuwen and said, "You also heard the situation just now, do you have any ideas?" ”
Ji Xiuwen groaned and said something, but it was also up to the point, this was because he had listened to his tutor when he was in school before, otherwise he might not be able to say anything if he had not been exposed to viral pneumonia.
"That's all I know, and as for the rest, you better just say it." Ji Xiuwen smiled bitterly.
Lu Xuan still understands Ji Xiuwen, and the reason why he asked such a question is mainly to know if this guy still remembers some of the things that the tutor mentioned before.
Seeing that Ji Xiuwen hadn't forgotten, he didn't say anything, but he couldn't help but roll his eyes at Ji Xiuwen's last sentence: "In the traditional Chinese medicine concept, the lungs are delicate and dirty, and they like to be clean. ”
Ji Xiuwen listened with a serious face, not daring to be distracted in the slightest.
"Now it is infested by evil poison, and it is inappropriate to declare it. Moreover, it is also hot and fumigated, and the fluid is dry and turns into phlegm, resulting in unfavorable cough and blood in the sputum.
The lungs are also the source of water, and if the lungs are not suppressed, the role of the water channel cannot be played, so the urine is short.
If the heat injures the lungs and stomach, the blood overflows, so the stool is black and a large number of red blood cells appear in the urine.
Because the lungs like to be cool and moist, they are most afraid of hot and dry, and this disease is purely dry and hot, so the lungs are really difficult to tolerate and are extremely urgent. In this case, the prescription is to use Ma Xing Ganshi decoction plus shell, fritillary, zhimu, melon wilt, sand ginseng, wheat Dong and other medicines to clear lung heat, nourish lung yin, benefit lung qi, stop lung asthma, and evacuate depression to curb the evil poison of the lungs, more banlan root, mao root, reed root, etc., detoxification fever, anti-inflammatory swelling as supplement.
And because the patient's body qi has long been very deficient, it is a syndrome of deficiency in the real body, so sugar ginseng is added to strengthen the lung qi, and Poria cocos, Yuanzhi, and oriental cypress leaves are added to strengthen the heart qi.
Dispel evil and help the right, and cooperate with each other.
Add kudzu root to disperse the fire, drum up the stomach, open the stomach, raise the yin qi, and quench the thirst, and is the best at dissolving the muscles and raising the yang, and the clear qi sinks, and the spirit is abnormal. ”
(End of chapter)