Chinese medicine doctor Xu Yang

Xu Yang came from later generations, and his knowledge of Pu Lao was limited to written materials. He knew that later generations of doctors rated Pu Lao as a master of fever. Pu Lao is very good at treating various acute febrile diseases and is also very powerful.

It's just that the patient's condition in front of him is so complicated. Other experienced experts did not dare to vouch for it, but Mr. Pu directly said that it would be cured in one or two doses, and said that this was already a very conservative statement.

What's the matter, are you still planning to cure yourself with one dose?

Even Xu Yang was a little surprised.

He recalled the compatibility and dosage on the Pu Lao prescription. Pu Lao's method of using medicine pays attention to light dosage, proper compatibility, and pure pharmacology!

The Buzhong Yiqi Decoction that Pu Lao admired the most was Li Donghuan's prescription. The dosage of each medicine in this prescription is very small, but when used in combination, it is very effective.

To use a word from a martial arts novel to describe it, it can definitely be said to be a thousand pounds.

This is the secret of Donghuan’s medicine.

Mr. Pu also highly praised this realm!

Xu Yang thought about it carefully for a while and felt that he still had a lot of room for improvement and that he still needed to study more. The way of using Chinese medicine is really broad and profound, with endless exploration and endless wonderful uses.

Pu Lao's expression dimmed slightly and he sighed slightly.

Gao Huaxin asked from the side: "Teacher, why are you sighing? Has there been any change in your condition?"

Mr. Pu shook his head: "That's not true. It's just that this patient was mistreated and became bad. I'm not sure what it was like initially. There's no way to diagnose and treat based on the initial situation, so we still need to see a new batch of patients. , only through careful identification can we know what the condition is this time. And..."

Gao Huaxin asked: "What?"

Mr. Pu frowned and complained: "When will the weather report be sent to me?"

…

Mr. Pu just finished complaining.

Their team leader came over and said, "Doctors, Team Leader Qin invites you to consult with a patient."

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

The patient this time was a 5 and a half year old girl.

There are already many doctors in the ward, including team leader Qin Bomo.

Mr. Pu and others walked in, and the original doctor in charge of the patient also came over to explain the condition to them.

Mr. Pu and his team leaders ran to Team Leader Qin and whispered to Team Leader Qin about the situation there just now.

After Team Leader Qin heard this, he showed obvious surprise. He turned his head and looked at Mr. Pu solemnly, with a look of surprise in his eyes.

Team leader Qin asked the team leader in a low voice: "Is this Doctor Pu the gynecologist recommended by Dean Liu?"

"Yes, that's him." The leader.

Team leader Qin glanced at Mr. Pu again. As a team leader, he naturally knew the conditions of the experts on the expert team very well, and his understanding of Mr. Pu was certainly not limited to gynecologists.

In fact, Pu Lao and his 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 or so.

Otherwise, no matter what the background of a single gynecologist, he would not be able to join such an expert group. After all, his expertise is not suitable for him!

…

Doctors like Mr. Pu are also looking at medical records.

This little girl was admitted to the Children's Hospital three days ago because she had a fever for two days, dizziness, and convulsions.

Hospitalization examination.

The body temperature is 39.7 degrees, the pulse is 140, the respiration is 30/min, and the blood pressure is 100/60. The development is normal, the nutrition is moderate, the lips are cyanotic, and there are three or four pinpoint-sized bleeding spots in the lower abdomen and buttocks.

There was a 2cm x 3cm blue mass on his forehead, increased muscle tone, convulsions, twitching of limbs, and foaming at the mouth. Auscultation: Grade 2 blowing murmur at the apex. lung(-).

Nervous system examination: semi-consciousness, nuchal stiffness, Brucella sign (+), Klinefelter sign (+), Bartholin sign (+), knee (bilateral) hyperreflexia, and pupillary light reaction.

Cerebrospinal fluid examination showed hairy appearance, trace amounts of protein, 1-5 tubes of sugar (+), cell count of 12,400/cubic millimeter, neutral 97%, and mononuclear 3%. Blood tests: white blood cells 22,000, 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, had a fever of 39.2, accompanied by chills, but was in good spirits. The fever subsided after being given antipyretic drugs. The next day, her body temperature rose again to 39 degrees, and she still felt dizzy, so she was given antipyretics again.

However, he was playing normally and suddenly fainted at noon. He could not answer questions and had no convulsions. It took him ten minutes to wake up. Four hours before admission, I had two convulsions and drooling from the mouth, which lasted for ten minutes. He was still conscious but unwilling to answer questions, so he came to the hospital for treatment and was admitted.

Penicillin and chloramphenicol were given, but he still suffered from obvious lethargy and persistent high fever. On the third day, he became unconscious and his condition gradually worsened.

This is all the cases.

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

This little girl is only 5 and a half years old. She is lively and cute at her age, but now she is so sick. Xu Yang couldn't bear it in his heart.

The little girl's parents and family sat beside the hospital bed and kept wiping their tears, extremely worried.

Their new doctor read all the medical records and then stepped forward to make a diagnosis.

Xu Yang followed Mr. Pu.

This little girl had been suffering from a high fever for five days. Xu Yang reached out and touched her forehead, limbs and body. There was no sweat. She had a high fever but no sweat.

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

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

Xu Yang frowned a little.

Xu Yang touched the girl's limbs again. Although she was very hot now, the little girl's limbs were cold.

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

Mr. Pu opened the little girl's mouth and looked at her tongue. It was pale in texture and had a greasy coating.

After checking the pulse, Pu Lao said: "The pulse is floating and stringy."

This little girl has not been treated by traditional Chinese medicine, and Western medicine is only for testing, and the medicines used are only penicillin and chloramphenicol. It can be said that he is a newly diagnosed 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? How should he be treated dialectically?"

Hearing this, Mr. Pu looked at Team Leader Qin and said, "Oh, Team Leader Qin. This patient's condition is indeed very serious. It is obvious that the excess of dampness causes yang depression, so the clear yang is blocked, and that's why he is comatose. Not awake."

"At this time, the patient's triple burner is blocked by dampness. The dampness is stronger than the heat. The high fever persists and he is unconscious. The situation is quite dangerous. Therefore, there is an urgent need to establish a method to clear the yang and remove dampness. To clear the triple burner, the disease can be cured!"

As soon as these words came out, the doctors nearby whispered to each other, and they all looked surprised.

Even Team Leader Qin was obviously surprised. The reason was very simple. The experience in treating Japanese encephalitis given before was all based on heat-heat treatment, and all cold-cooling medicines were used.

Why was it that as soon as he arrived at Dr. Pu's place, he was immediately overthrown without any hesitation!