Xu Yang came from later generations, and his understanding of Pu Lao was limited to written materials, and he knew that the evaluation of Pu Lao by later generations of doctors was that of a fever country. For the treatment of various acute fevers, Pu Lao is very good at it, and he is also very powerful.

It's just that the condition of this patient in front of me is so complicated. Other old experts didn't dare to pack tickets, but Pu Lao was good, and directly said that one or two doses could be cured, and said that this was already a very conservative statement.

What's the matter, you're still planning to get cured with one dose?

Even Xu Yang was a little surprised.

He recalled the compatibility and dosage on Pu Laozi's prescription again. Pu Lao's way of medication pays attention to light dose, proper compatibility, and pure pharmacology!

Pu Lao's most admired is the tonic and beneficial qi soup, Li Donghuan set up this recipe, but the dosage of each herb in this recipe is very small, but when used in combination, its effect is very great.

To describe it in a martial arts word, it can definitely be said to be four or two thousand pounds.

This is the mystery of Donghuan's medicine.

Pu Lao also admires this kind of realm!

Xu Yang pondered for a while, and felt that he still had a lot of room for improvement, and he still had to study more. The way of medicine in Chinese medicine is really broad and profound, and the exploration is endless, and the wonderful use is also endless.

Pu Lao's expression darkened slightly, and he sighed slightly.

Gao Huaxin asked on the side, "Teacher, why are you sighing? Is there any change in your condition?"

Pu Lao shook his head: "That's not it, it's just that this patient was mistreated and bad, and I'm not sure what it was at first." There is no way to diagnose and treat according to the initial situation, so it is still necessary to see a new group of patients and carefully distinguish the syndrome to know what the condition is this time. And then there's ......"

Gao Huaxin asked, "What?"

Pu Lao frowned and complained, "When will the weather report be sent to me!"

......

Pu Lao just finished complaining.

Their team leader came over and said, "A few doctors, Team Leader Qin has invited you to consult a patient together. ”

Several old doctors looked at each other and followed him to another ward.

This time it was a five-and-a-half-year-old girl.

There were already many doctors in the ward, and the team leader Qin Bomo was also there.

Pu Lao and the others walked in, and the patient's original doctor in charge also came to explain their condition.

Pu Lao's team leader ran to Team Leader Qin's side and whispered to Team Leader Qin about the situation over there just now.

When Team Leader Qin heard this, he showed obvious surprise. Turning his head and looking at Pu Lao solemnly, there was some surprise in his eyes.

Team Leader Qin asked the team leader in a low voice: "This Dr. Pu is the gynecologist recommended by Dean Liu, right?"

"Yes, that's him. "Lead the team.

Team Leader Qin glanced at Mr. Pu again, as a team leader like him, he naturally knew the situation of these experts in the expert group very well, and his understanding of Mr. Pu was definitely not limited to gynecologists.

In fact, Pu Lao's dean had already submitted Pu Laoxin's information, including the pediatric and internal medicine patients that Pu Lao had treated in the past six months.

Otherwise, a single gynecologist can't enter such an expert group, after all, the profession is not right!

......

Pu Lao, these doctors are also looking at the medical records.

The little girl, who had a fever for two days, dizziness and convulsions, was admitted to the children's hospital three days ago.

Hospitalization check-ups.

Body temperature 39.7 degrees, pulse 140, breathing 30/min, blood pressure 100/60.normal development, moderate nutrition, cyanosis of the lips, three or four pinpoint-sized bleeding spots in the lower abdomen and buttocks.

There is a 2 cm by 3 cm blue lump on the forehead, increased muscle tone, convulsions, twitching of the limbs, and vomiting of white membrane. Auscultation: grade 2 wind-like murmur at the apex. Lungs (-).

Neurological examination: semicomatose consciousness, nuchal rigidity, Brinell's sign (+), Klinefelter's sign (+), Pap sign (+), hyperreflexia of the knee (bilateral), presence of pupillary response to light.

Cerebrospinal fluid examination, appearance hair, protein trace, sugar 1-5 tubes (+), cell number 12400/cubic mm, neutral 97%, mononuclear 3%. Blood test: 22000 leukocytes, neutral 96%, mononuclear 4%. Complement fixation test results (-).

Clinical diagnosis: Japanese encephalitis (severe).

Course of disease and treatment: Two days before admission, I felt dizzy, fever reached 39.2, accompanied by chills, and my spirit was still good. The fever subsided after being given antipyretics. The next day, the body temperature rose again to 39 degrees, and he still felt dizzy, and he was given antipyretics.

But playing normally, he suddenly fainted at noon, could not answer the question, did not see convulsions, and lasted ten minutes to wake up. Convulsions twice in the first four hours of admission, foaming at the mouth, for 10 minutes to relieve. He was still in good spirits, but he was reluctant to answer questions, so he came to the hospital for treatment and admission.

He was treated with penicillin and chloramphenicol, but remained drowsy and persistent high fever. By the third day, he was unconscious and his condition gradually worsened.

That's all there is to it.

Xu Yang also looked at the little girl lying on the hospital bed, who was already unconscious, but her neck was straight, and her limbs twitched from time to time.

This is only a 5 and a half years old girl, who is just a lively and lovely age, but now she is sick like this. Xu Yang was also very unbearable in his heart.

The little girl's parents and family sat next to the hospital bed and kept wiping their tears, very worried.

Their new doctor read all the medical records and then came forward to diagnose them.

Xu Yang followed behind Pu Lao.

This little girl has had a high fever for five days, Xu Yang reached out and touched her forehead, limbs and body, there was no sweat, high fever but no sweat.

"Xiaoying, Xiaoying. Xu Yang gently patted the little girl on the shoulder with his hand and called her name at the same time.

But at this time, the little girl was already in a semi-comatose state and would not answer any questions at all. But she opened her eyes slightly, but she didn't look at anyone, just opened them, and then quickly closed them again.

Xu Yang's brows furrowed a little.

Xu Yang touched the girl's limbs again, although it was hot now, the little girl's limbs were cold.

Xu Yang talked to the doctor in charge and learned that the little girl had not had a bowel movement for four days, and she didn't want to drink, so she had convulsions three times. Xu Yang pressed her abdomen, and her abdomen was dissatisfied.

Pu Lao opened the little girl's mouth and looked at her tongue, which was light and greasy.

After Pu Lao finished diagnosing the pulse, he said, "The number of pulses floating." ”

This little girl has not been treated by traditional Chinese medicine, and Western medicine is only testing, and the medication is only penicillin and chloramphenicol. It can be said that it is a first-time patient.

Seeing that the diagnosis had been completed, Team Leader Qin took the initiative to call Mr. Pu's name: "Doctor Pu, what do you think of this patient's condition?

Hearing this, Old Pu looked at Team Leader Qin, and he said, "Oh, Team Leader Qin. This patient is indeed very sick. It is the more obvious dampness that causes yang depression, so the clear yang is closed, so it will be unconscious. ”

"At this time, the patient's Sanjiao is blinded by dampness, dampness is better than heat, high fever does not subside, unconscious, the situation is more dangerous, so it is urgent to establish the method of Yang and dampness, Xuantong Sanjiao, and his disease can be treated!"

As soon as these words came out, the doctors next to them whispered one after another, and they all showed surprise.

Even Team Leader Qin was obviously surprised, the reason was very simple, the experience of treating Japanese encephalitis before was all treated according to the summer temperature, and all the cold medicine was used.

How did you come to Dr. Pu and immediately overthrow it, without hesitation!

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