Chinese medicine doctor Xu Yang
Chapter 281 Flu
The child's parents suddenly became nervous. The young father asked cautiously: "Doctor Xu, is this disease very troublesome?"
Xu Yang comforted: "Don't be nervous, let's discuss it first!"
After finishing speaking, Xu Yang continued to ask Yao Bing: "Then how to judge this disease and how to treat it?"
Yao Bing frowned and said doubtfully: "I can't figure it out, why does this child's pulse and symptoms not match? In this case, should we ignore the symptoms and follow the pulse?"
Xu Yang scolded dissatisfied: "Who taught you to judge like this? If the pulse condition is different from the other symptoms, then we have to find the reason for the difference, instead of just following the pulse condition! Only when there is no evidence to rely on , only then can we rely on pulse diagnosis!”
Yao Bing scratched his head: "But I can't find it. Why is this happening?"
Xu Yang asked: "What is pulse counting?"
Yao Bing replied: "Six breaths per breath, extremely fast movement! The pulse beats around 90 to 100 per minute!"
After hearing this, several people in the ward looked at the equipment nearby, which showed that the child's heartbeat was 180 beats per minute.
Xu Yang asked again: "How should we judge if a child has multiple pulses?"
Yao Bing's eyes suddenly lit up: "Oh, I know! "Pinhu Pulse Study" says that 'only children can do auspicious readings', so his pulse should be a floating pulse."
Others looked at Xu Yang again.
Xu Yang shook his head: "No, this child is just counting his pulse. There is no doubt that he has a diseased pulse!"
"Ah?" Yao Bing was a little surprised.
Xu Yang looked at him and explained: "You must remember that not all pulses indicate heat syndrome. Once the pulse beats above 100 per minute, or even far exceeds 100, it is caused by extreme heat. Cold, especially in some patients with heart failure and dying, the pulse is even above 200, which means that the yang energy in the whole body has begun to disappear."
"If at this time, you still think that you should use cold medicine for severe fever, then the patient will die on the spot. There are also patients with tuberculosis, whose basic pulse is only 100 beats. If you also treat it according to the heat syndrome , something big will happen! So this is a clinical point, you must remember it.”
Yao Bing understood: "I understand, so there is no doubt that this child has a floating pulse. He is just extremely hot and produces cold. That is the pulse pattern of wind-cold syndrome. This is consistent with other diagnoses."
Xu Yang nodded in approval and asked, "Then how to identify the syndrome?"
Yao Bing said: "Hey, I know this question. The child feels wind and cold, and the lungs and defenses are blocked. It is cold asthma caused by wind and cold closing the lungs. The treatment method should be to use pungent and warm to relieve the symptoms, dispel the wind and cold, and open and close the lung qi!"
Xu Yang nodded and said to Yao Bing, "That's right."
Yao Bing suddenly started to sneer: "Hey, thank you for your praise. This may be confusing to other Chinese medicine practitioners. But in fact, it's nothing, they are all simple basics!"
After finishing showing off, Yao Bing looked back out of habit, but did not find Xu Yuan. Yao Bing suddenly felt that he was acting a bit lonely just now!
Xu Yang snarled angrily: "Then you will prescribe the prescription?"
Yao Bing's face suddenly froze!
Cao Dehua rolled his eyes.
Yao Bing laughed awkwardly, and after correct diagnosis, he prescribed a prescription. If the patient is an adult, he would dare to prescribe it. But the child is only a few months old, and now he is so sick, so he can't be sure!
Xu Yang shook his head slightly. He used to think that Yao Bing was particularly dishonest, but it wasn't like this. He didn't know if he was influenced by Xu Yuan!
Xu Yang said helplessly: "Write down a prescription. It should be slightly pungent and slightly warm to relieve the symptoms. 1g of ephedra, 2.5g of almond, 0.6g of licorice..."
Xu Yang prescribed the prescription and after comforting the parents of the child, Xu Yang went out.
Xu Yang instructed: "Doctor Cao, after this child takes the medicine, remember to tell me about his condition tomorrow, and I will come over for a second consultation."
Cao Dehua patted his chest and agreed: "Don't worry, this matter will be taken care of by me, Lao Cao."
Xu Yang nodded and said, "Okay, then we'll leave first."
Doctor Liu came over to shake hands with Xu Yang and said gratefully: "Thank you for your hard work, Doctor Xu. I really trouble you this time."
Yao Bing looked at Dr. Liu with expectant eyes, almost jumped up and stretched out his hand, and he wanted to shake it too!
But Dr. Liu directly ignored Yao Bing, and then shook hands with Cao Dehua.
"Bah, you scumbag!" Yao Bing secretly spat.
Doctor Liu said to Cao Dehua: "Thank you very much, Director Cao, for making a trip at night."
Cao Dehua said happily: "It's okay, it's all for the sake of the patient. That medical record..."
Dr. Liu said very politely: "I understand, I understand!"
"Haha... Hi, you're welcome, aren't you (ω)?" Cao Dehua even laughed so hard that he couldn't even see his eyes.
…
Xu Yang walked back with Yao Bing. Yao Bing still had a sullen expression on his face, muttering all the time, and just had to draw a circle for Dr. Liu in his notebook!
Xu Yang seemed a little worried. Xu Yang asked unconsciously, "Was it quite hot some time ago?"
Yao Bing turned to look at Xu Yang: "Yes, it was still hot before. I thought it was a warm winter, but now it has cooled down all of a sudden. The weather has changed so fast. Hey, I don't have a mobile phone now, so I don't know what's going to happen next. What’s the weather like!”
Xu Yang frowned and said in a deep voice: "The four solar terms follow the weather. If the qi is abnormal at the right time, people are susceptible to evil qi and get sick. Winter is mainly cold, and cold is latent. But before, it was cold but not cold, and instead The temperature is already easy to become an epidemic, and now the wind and cold suddenly drop..."
But Yao Bing said casually: "Hey, it's just a flu. It happens every year. How big can it cause!"
Xu Yang did not answer.
…
The next day, the parents of the child with bronchopneumonia brought the child over to Xu Yang for a second diagnosis. The condition improved significantly, the pulse became floating, the tongue was pale and the coating was yellow and greasy, and the closed lungs were opened, but the phlegm-dampness was still blocked, so Xu Yang adjusted the prescription to regulate the lungs and resolve phlegm! After another dose, the body temperature completely returned to normal and the symptoms subsided.
After taking a dose of medicine prescribed by Xu Yang last night, the baby's temperature in the Traditional Chinese Medicine Hospital dropped slightly, and other symptoms were also somewhat reduced. The tongue is reddish, the greasy coating has subsided, and the pulse has become fine.
Xu Yang adjusted the medication and added 3g of gypsum to the original prescription.
The next day, the patient's body temperature was normal and all symptoms had subsided.
Only the lungs and stomach were in disharmony, so Xu Yang prescribed treatments to harmonize the lungs and stomach, clear qi and resolve phlegm.
These two pediatric patients with pneumonia were cured by Xu Yang several times. After taking two or three doses, they were almost cured. The effect was very fast. Although these two patients were cured, Xu Yang was not happy!
Because the flu really broke out.
Not to mention the hospital, even Mingxintang was crowded with patients who came to treat colds, mostly children and the elderly!
Xu Yuan came over and talked non-stop: "Teacher Xu, wow, you were right, the flu really broke out! The hospitals in the county are all crowded with cold patients, and so is our hospital. The outpatient clinic is full of cold patients."
Xu Yang asked: "How is the Department of Traditional Chinese Medicine?"
Yao Bing interjected: "He must be free, otherwise he would still have time to come to our place?"
Xu Yuan said disdainfully: "What do you know? We are all busy helping them with consultations now, okay? This time it is quite powerful, some patients have already turned into severe cases! We are also very busy, okay? I come to Mingxintang , it’s like squeezing water out of a sponge, trying every possible means to find time to study with Teacher Xu, can you understand my studious spirit?”
Yao Bing looked disgusted.
Xu Yang asked: "Aren't the Traditional Chinese Medicine Department admitting patients?"
Xu Yuan said: "Not much, everyone is more accustomed to seeking Western medicine for treatment. And I have just started to get treatment now, so I don't know how effective it will be. So Du Yuan asked me to invite you to the hospital for a meeting after get off work!"
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