Chinese medicine doctor Xu Yang
Chapter 112 I am willing to take responsibility
After Professor He finished signing, he looked at the prescription carefully.
Although Xu Yang was really bold in taking medicine, he was not reckless. Nowadays, there are many people who advocate the Vulcan sect among the people, but many of them act haphazardly and increase the dosage at will, without paying attention to compatibility or considering the patient's condition.
Xu Yang's dosage of this prescription is all based on the actual dosage in Zhongjing Jing's prescription, such as Sichuan Aconite, Aconite, Ephedra, especially Asarum.
The current pharmacopoeia stipulates that asarum is only 1-3g. This stipulation is the same as Li Shizhen's "Compendium of Materia Medica" which states that asparagus is not worth the money, so this is why many people in the traditional Chinese medicine community are scolding Li Shizhen.
After the excavation of ancient tombs of the Eastern Han Dynasty, the true dosage of asarum in Zhongjing Jing's prescription was also proved. Calculated based on one tael in the Han Dynasty and 16 grams today.
Among the 16 prescriptions using asarum decoction, 8 prescriptions used 3 taels; 5 prescriptions used 2 taels; Zhenwu decoction used 1 tael. Among the pills, Zhongjing took 6 taels of black plum pills. Only the Asarum in Hou's Black Powder only uses 3 points.
Therefore, many later generations of doctors speculate that people in the Song Dynasty were accustomed to taking powders. Maybe asarum was in the powders and was highly toxic. It had not been decomposed by high temperatures, so only very low doses could be used.
Of course, some people say that when Chen Cheng of the Song Dynasty wrote "Compendium of Materia Medica", it was because he heard that a prisoner died suddenly, and it was suspected that he had taken Chinese medicine containing asarum powder, so he did not verify the truth and simply thought that it was true. If Asarum is used alone, it should not be overcharged.
Then, without careful verification, Li Shizhen simply quoted Chen Cheng's view and entered the "Compendium of Materia Medica" into the "Compendium of Materia Medica" without careful verification, regardless of the records in the "Shen Nong's Materia Medica" or the dosage of Zhongjing's prescription. middle.
So far, the medicine Asarum has been wronged for hundreds of years, and even now...
However, among the people, there are also many people who respect Zhongjing Jingfang. After all, "Shen Nong's Materia Medica" also classified Asarum as a top-grade non-toxic drug.
It's just that when it's used as a powder, don't use too much. After all, Zhong Jing only used three-thirds of the powder. It is only used as a decoction. When boiled at high temperature, a few more doses will keep you safe.
Even Mr. Liu Peiran, a famous doctor in Hebei, used 120g of asarum the most, which was more than seven taels in the Han Dynasty. Compared with the 3g in the pharmacopoeia, it was naturally too disparate. However, Mr. Liu became famous for this and did not fail.
"Compendium of Materia Medica" also summarizes Asarum as follows: "Asarum has the strongest aroma, so it is good at opening knots of Qi and venting stagnation, and can reach the top of the mountain, clear the ears and eyes, and reach all the bones, in every possible way. It can spread the meridians internally. And to unblock all the knots, the outer passages go through the orifices and penetrate directly into the skin.”
In fact, Asarum is a great general in the hands of traditional Chinese medicine practitioners. It can effectively remove the evil spirits and cure some serious cold diseases that are deep in the three yins, as well as chronic malaria that cannot be cured for a long time.
However, it has been wronged for hundreds of years and no one dares to use it.
But this time, Xu Yang did not use a particularly large dose. Like Ephedra and Guizhi, he used 15g.
Looking at the entire prescription, according to the pharmacopoeia, Xu Yang definitely exceeded the dosage and even faced the risk of medical accidents.
But according to the true measurement of Zhongjing's prescription, Xu Yang did not use it out of the ordinary. He adhered to the true measurement and compatibility of the prescription.
In the eyes of Chinese medicine practitioners, Xu Yang did not do anything wrong. But according to forensic analysis, he is expected to face a big lawsuit. So Professor He could only sign his name and help him take responsibility.
Professor He took the prescription and said to everyone in the room: "This prescription... I prescribed it..."
Everyone in the room was startled.
Xu Yang was very moved. He didn't expect Professor He to take all the responsibility.
The Chinese medicine practitioners present were also moved by the emotion between teachers and students.
Professor He is an old Chinese medicine doctor with reputation and status. The more such a Chinese medicine doctor is, the more he will cherish his feathers, but Professor He is willing to bear all this for Xu Yang.
Everyone was greatly touched.
Xu Yang looked at Professor He and said, "Teacher, you really don't have to do this. I'm the one who wants to prescribe the medicine this way."
Professor He smiled gently, looked at Xu Yang and said, "You are a doctor, and so am I."
"Teacher..." Many words were stuck in Xu Yang's chest for a while.
Professor He shook his head slightly at Xu Yang. He smiled and comforted: "It's okay. In fact, the teacher knows that you are right, and Zhong Jing is right too. But you have to know that this patient is the teacher's patient, and of course the teacher will bear the responsibility." ."
The other Chinese medicine practitioners present had sore eyes.
…
Director Shi Rentong of the ICU frowned and said, "It's just a prescription like this that the pharmacy can't prescribe."
Cao Dehua lowered his head and exhaled a long breath. He raised his head and walked up. His eyes gradually became firm. He took away the prescription on the table and wrote his name on it.
Professor He and Xu Yang were both a little stunned.
Cao Dehua looked at them and smiled casually. He said: "I have been chasing fame and fortune all these years, and I almost forgot that I am also a doctor. Professor He, what you said is not entirely right. This patient is not just your patient. They are also patients in our Department of Traditional Chinese Medicine.”
"I went to see Dean Du to sign the prescription today. I don't believe that Zhong Jingjing's prescription was wrong. We saved this patient. Let me bear the responsibility!"
Everyone was shocked.
Even Cao Dahua was shocked. He did not expect that his elder brother, who spent all his time cultivating connections, would actually have such a bloody side.
The patient's wife's eyes turned red again.
Director Qi and ICU Director Shi Rentong also looked at Cao Dehua in shock.
Zhong Hua took a few steps forward, walked to Cao Dehua, took the prescription from his hand, and wrote his name on it. He said, "Old Cao, why are you pretending to be a big man? You are talking as if you are not a doctor? "
"Old Zhong, you..." Cao Dehua was also shocked.
Zhong Hua sighed slightly, looked at the prescription, and then said with some shame: "Actually, I also know the true dosage of Zhongjing Jing's prescription, but when I use it, I never dare to use it, even for treating serious diseases. Even when the time comes, I don’t dare.”
"I didn't suspect that Zhong Jingjing was wrong, I was afraid that I would bear the responsibility. Now I think about it and I feel ashamed. The great doctor's sincere article is engraved on the wall of the hospital, but I couldn't save myself wholeheartedly. Instead, I committed suicide Think about good or bad luck."
"We, the little doctors, speak softly and cannot change things at the top. But when it comes to patients, we should do our best to save them at all costs. This is the doctor's responsibility, isn't it? So, I am responsible for this. This patient, we The Department of Traditional Chinese Medicine saved the day today!"
Xu Yang looked at the two people blankly.
Professor He also looked a little dull.
Director Qi and Director Shi Rentong were also stunned.
Xu Yuan also stood up: "Actually, my master abandoned everything and went to Beijing to start from scratch because he is a real doctor. As an apprentice, I naturally cannot fall behind. So...if you don't mind, I also want to sign me name."
Cao Dehua and Zhong Hua were also stunned.
"Count me in too." Another young Chinese medicine practitioner stood up.
"Count me in, I don't believe that Zhong Jing can be wrong, let alone thousands of years of clinical experience!" Another young Chinese medicine doctor stood up.
"Count me in."
"Me too."
…
Everyone was stunned. No one could have imagined that such a scene would happen in the Traditional Chinese Medicine Hospital.
Obviously this was an illegal operation, but all the Chinese medicine practitioners were willing to take responsibility for it at this moment.
The patient's wife cried. She covered her face and cried. This time she was not crying desperately like a puppet, but was moved to tears.
The eyes of Xu Yang and Professor He were red.
Xu Yang thought of what Mr. Li told him before he died: If a great doctor cannot come out, what will happen to the people?
At this moment, Xu Yang seemed to really see a great doctor and the hope of traditional Chinese medicine.
This time, the traditional Chinese medicine doctors at the County Traditional Chinese Medicine Hospital seemed to have gone crazy, and were unusually paranoid about this prescription that was full of dangers.
Finally, Dean Du, who is in charge of traditional Chinese medicine, signed.
The patient also signed a liability release agreement.
A group of Chinese medicine doctors rushed downstairs to find a pharmacy to prescribe medicine.
Finally, the medicine was prescribed, and they followed Xu Yang's method of decoction. Add 2500 ml of cold water and boil until it reaches 500 ml, then add 500 ml of rice wine.
The patient is given a dose of three times a day and one night. Xu Yang also follows Zhong Jing’s decoction method. Each dose of medicine is only boiled once and then taken in multiple portions to ensure that the effectiveness of the medicine remains unchanged.
After a dose of medicine is used up, everyone is paying attention to the patient's condition.
It was already evening, but all the traditional Chinese medicine doctors were unwilling to get off work. They all stayed in the hospital and at the door of the ICU. They were all doing their duty as doctors.
The patients will not leave until they are out of danger.
In the evening, the medical staff in the ICU came to report that after taking one dose of medicine, the patient's symptoms subsided and he fell asleep peacefully.
The patient has never been as comfortable as he is today in the seven months he has been hospitalized.
Xu Yang's medicine worked!
At this moment, the entire Chinese medicine hospital burst into cheers from the Chinese doctors.
Cao Dehua and Zhong Hua also laughed heartily.
Cao Dahua looked at his brother, with sincere respect showing in his eyes for the first time.
The patient's wife also burst into tears. She finally cried out her voice, and also cried out her hope and emotion.
The sincere articles of great doctors engraved on the walls of the Traditional Chinese Medicine Hospital seem to have become gleaming tonight.
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