He said: "Our hospital has realized the integration of information, and when we discuss the disease, we can see all the data of patients. ”

"As for this patient, as we have already said before, he is 33 years old, married and has children. There is pain on both sides of the abdomen, refusal to press, yellow belt is like note, filthy. Gynecological examination of the anterior position of the uterus, laboratory test: white blood cells 19500, neutral 80, diagnosed as acute infection of chronic pelvic inflammatory disease. There's all the other information here. ”

"Gynecology of traditional Chinese medicine is the dominant discipline of our hospital, so many gynecological patients who have been diagnosed by Western medicine are still willing to transfer to us for treatment. Okay, let's not talk about anything else, let's have a consultation and discuss the condition, right?"

Everyone looked at Xu Yang and Shen Yuyan in unison.

The teacher who led the team said, "In this case, you two write down the conclusion of the diagnosis and the prescription to be prescribed on a piece of paper, and call it to me, and then you can talk about it." ”

Shen Yuyan and Xu Yang wrote it according to their words and handed it to the leading teacher.

Everyone's eyes lit up slightly, and the show was about to begin.

Shen Yuyan looked at Xu Yang with inquiring eyes.

Xu Yang nodded slightly to it very humbly.

Shen Yuyan said: "Then I'll talk about my diagnosis first, everyone knows the other body surface characteristics, from the diagnosis of traditional Chinese medicine, the patient's pulse is a thin pulse, with a pulse of 58 times per minute." ”

Xu Yang nodded slightly, Shen Yuyan's pulse diagnosis was very correct.

Although Shen Yuyan is young, she was born in a family of traditional Chinese medicine, and she has been cultivating traditional Chinese medicine since she was a child, so her medical skills have always been better than her peers, so over time, she has developed a body of self-confidence and pride.

Shen Yuyan raised her head slightly, her tone was gentle, and her expression was flat, as if she was dealing with a very relaxed condition, she said: "The patient's tongue seems to be a pale and slippery tongue. The stomach is sour and nauseated, the waist is sleepy and the knees are cold, the spirit is tired and drowsy, and the face is tender and red. ”

"One breath and three solstice are late pulses, and the late pulses are more main cold syndromes, and the main dampness of fine veins can also be main deficiency. The tongue is not cold, especially the fat and slippery tongue, which can be seen as the characteristics of cold, dampness and spleen deficiency. ”

Therefore, although the patient was diagnosed with acute pelvic inflammatory disease infection, although the blood level was very high, the disease was by no means a fever syndrome, and it was absolutely not advisable to take heat-clearing and dampness-relieving agents. ”

Xu Yang shook his head again when he heard this.

Even the gynecology director on the stage kept nodding.

If nothing else, this analysis is very insightful. How many traditional Chinese medicine practitioners, when they see that there is inflammation and the blood level is very high, they don't want to think about it and take the medicine of cold, this is not evil.

Shen Yuyan said loudly: "The change of the anointing has been guarded, and the body of the quinoa is poor in qi and blood. It is absolutely impossible to ignore the syndrome differentiation and see the disease and treat the disease, especially now that the patient's face is tender and red, as if he is wearing makeup. ”

Coupled with the fact that his waist is sleepy and his knees are cold, this is obviously a real cold and a false heat. If you dare to throw cold at this time, the separation of yin and yang is just around the corner, and I am afraid that the patient will enter the ICU in the afternoon. ”

After speaking, Shen Yuyan glanced at Xu Yang again.

The young people next to him were also surprised.

The director of the Department of Gynecology of Traditional Chinese Medicine looked at Shen Yuyan with appreciation again, it is really worthy of a family of traditional Chinese medicine inherited from the Ming Dynasty to the present, it is really rare for such a young girl to have this ability.

Xu Yang also nodded and praised: "The analysis is very good." ”

Shen Yuyan rolled his eyes widely, I especially use you to praise me.

It's just that Xu Yang knows in his heart, with this level of analysis and diagnosis alone, Shen Yuyan is definitely much stronger than the traditional Chinese medicine gynecology department in Wenxian County, and he can directly take the lead.

If the level of medication is okay, then you can go to the city hospital to mix up a specialist. Xu Yang's eyes also warmed up all of a sudden, talent!

Seeing such annoying eyes, Shen Yuyan pursed her lips, holding back the dissatisfaction in her heart, and she continued: "So don't look at the patient who is already acute pelvic inflammatory disease, but it is a rare cold syndrome. ”

Therefore, in the treatment of this disease, we must not use cold medicine, but hot medicine. This is the evidence of the four reverse soup of less yin disease, so it is necessary to use the four reverse soup to dissipate the cold in the warmth. ”

"You see, her tongue is light and fat and slippery, and her stomach is sour and nauseous, which is the middle and upper gasification has no power, the four reverse soup is warm and cold, the yang qi comes and goes, the natural gasification is normal, and the symptoms can be reduced. Moreover, the aconite can burn the real fire of the life, relieve the scorching cold, and the danger of scorching false heat. ”

"In addition, combined with the Shao Abdomen and Chase Stasis Soup, this prescription can also warm the true cold of the Jiao, which can help relieve Dai Yang's danger. At the same time, its effect of chasing down scorched stasis will also be effective for patients with pelvic inflammatory disease. ”

"The patient has always been tired, so the body is weak and the righteous qi is weak, and the juvenile cold syndrome acute pelvic inflammatory disease will appear. It is also necessary to use the medicine of Fuzheng, my family Codonopsis ginseng is beneficial to qi and correct, Poria cocos strengthens the spleen to promote the gasification of Zhongjiao, protects the spleen and stomach, and adds a small amount of cockscomb to stop bleeding and stop its yellow belt. That's all I have to say. ”

After finishing speaking, Shen Yuyan looked at Xu Yang and smiled.

Others were impressed.

Awesome!

I can't help but be reasonable, accurate, and the composition is also extremely ingenious and very correct. I was not deceived by the patient's illusion at all, and it was very good.

Everyone looked at Shen Yuyan differently, she really deserved to be a family of traditional Chinese medicine that has been inherited for hundreds of years, this girl is also a young Chinese medicine doctor under the age of thirty, she has this ability at such a young age, it's amazing!

The director of the gynecology department of traditional Chinese medicine at the top also nodded cautiously, looking at Shen Yuyan's eyes with a little fiery, even he thought about digging Shen Yuyan over.

Shen Yuyan raised his chin at Xu Yang and teased, "Doctor Xu, it's your turn." ”

Xu Yang said: "The words have been finished by you, I have nothing to say." ”

Shen Yuyan said with a smile: "Are you going to admit defeat?" heh, then you have to hurry up and prepare a mop and a rag. ”

Xu Yang turned his head to look at the leading teacher and smiled: "That's not true." ”

The teacher who led the team also kept looking at the paper written by the two in advance, and he spread it out and said, "The diagnosis conclusions of the two are completely the same." ”

Shen Yuyan's expression changed slightly.

The teacher who led the team said: "The prescription is also a soup with less abdomen and stasis. ”

Shen Yuyan frowned suddenly, what are you doing with the writing wheel?

The teacher who led the team said: "It's just that there is a deviation in the dosage and details of several flavored medicines, Director Zhou, you have seen it." ”

The teacher who led the team took the paper and handed it to the director of the gynecology department.

The director of the gynecology department took it and frowned and observed, and after a while, his brows suddenly shook, and he couldn't help but look up, looking a little surprised.

Director Zhou's actions aroused everyone's curiosity.

Shen Yuyan couldn't help it, she said, "Director Zhou, can you let me take a look?"

Director Zhou didn't refuse, and directly took Xu Yang's piece of paper to Shen Yuyan, and everyone else also came over, and what caught his eye was a beautiful handwriting.

Shen Yuyan found that the two were extremely similar, that is, there was a difference in dosage, and there were also differences in several medicines.

"Ze Yuan?" Shen Yuyan looked up and asked Xu Yang.

Xu Yang said: "After the warmth and cold, and after the righteous qi returns, the pelvic inflammatory disease of the deficiency and cold will turn into a hot syndrome." In the first prescription, there is heat and diarrhea, and you always have to diarrhea after the stale, so the use of zeep is more effective, and it is also conducive to the change after the condition becomes mild. ”

Shen Yuyan bowed slightly when he heard this: "Cockscomb, you also used 30g?"

Xu Yang said: "The patient's yellow discharge is like a note, your low dose is not good, don't worry too much about its cold nature, there is a hot medicine to control it, there will be no problem." ”

Shen Yuyan frowned again: "What about this oil cinnamon?"

Xu Yang smiled: "The official cinnamon in Yi Shao's belly and stasis soup is oil cinnamon, which is to lead the floating fire downward, this is the medicine that guides the dragon into the sea, although the amount is small, only 3g, but its effect is very obvious." ”

"This is a matter of experience, the next time you encounter the floating fire upward, you can add less 3g of oil cinnamon in the recipe, swallow it with rice pills, and it can guide the dragon into the sea, and the effect is very fast. ”

Shen Yuyan's face suddenly froze.

Xu Yang said: "Actually, your diagnosis is very correct, and there is no problem with the prescription, but the sophistication of the medication is slightly lacking." Your prescription can also cure her, but I can see the effect faster than you, and the effect is better than yours. ”

Shen Yuyan's face suddenly froze.

Xu Yang smiled kindly: "Go home and pack your things, remember to bring more clothes, we have no heating over there, it's cold ......"

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