Chinese medicine doctor Xu Yang
Chapter 338 Are you crazy?
Both of them moved forward to diagnose.
Xu Yang carefully observed the patient's expression. She was breathing very rapidly, with a slit in her eye. She was almost unconscious. She didn't react at all, but her eyeballs moved slightly.
Xu Yang went up to open her eyelids and found that her eyes were red. As soon as Xu Yang let go, her eyelids retracted again.
Now the patient's tongue is contaminated by filthy vomit, and her consciousness is in this state. There is no way to clean it up, so she cannot see the tongue.
Ask her a question now and she can't answer it.
After the two people performed inspections, they unanimously diagnosed the pulse.
The two of them each held a hand and began to diagnose.
After a while, the two of them exchanged hands. After a while, the two of them frowned and thought.
The director of the ICU stood beside him a little bored.
The director of the Department of Traditional Chinese Medicine asked: "How is it? Do you want to continue the diagnosis? If the diagnosis is over, let's go out."
Sun Tzu Yi and Xu Yang looked at each other and nodded.
A few people walked out again, and everyone came to the small conference room. The patient's husband wanted to follow him in, but he was not allowed in, so he could only worry outside.
The small conference room was basically filled with young Chinese medicine practitioners, and several Chinese medicine doctors from the hospital also came, as well as two Western medicine doctors, and the director of the ICU.
Before the director of the Department of Traditional Chinese Medicine came on stage, he asked, "Have you read the patient's medical records?"
Everyone in the conference room looked solemn and nodded.
The director of internal medicine continued: "Then let everyone share their opinions."
No one spoke, everyone looked at Xu Yang and Sun Ziyi.
The director of internal medicine asked directly: "Two of you, tell me."
Sun Tzu Yi also forgot whether it was a competition at this moment. He analyzed the condition seriously: "The patient is vomiting non-stop, has multiple brief convulsions, has crooked eyes and mouth, has a headache, red eyes and thick air. I diagnosed his pulse as stringy and slippery. strength."
"So judging from the patient's pulse syndrome, she has liver and stomach phlegm fire, so the qi is in chaos, rising and not falling, so the stomach qi is rising and vomiting is endless, and the liver wind carries the fire to the top, so she has a headache. Like broken.”
"At this moment, the internal wind has moved. In the past few days, he has had convulsions and crooked eyes and mouth. If it is not controlled, it will deceive the gods. By then, it will be even more dangerous. The cause of the patient's disease is what we call internal stroke. "
Everyone else nodded.
Xu Yang also nodded slightly. Sun Tzu Yi's analysis was very accurate. It was rare that he was not troubled by the diagnosis of subarachnoid hemorrhage made by Western medicine. If you are trapped here, you can only think about how to remove the stasis and how to stop the bleeding, and you will be confused.
From this point alone, it is enough to see that Sun Tzu Yi's level is good.
But how to use the medicine next is the key. The patient's condition is already very serious. To put it bluntly, if he cannot control it today, he will be completely comatose tomorrow. By then, the liver wind will become more severe, and it will be even more dangerous.
But the key patient is a pregnant woman who is five months pregnant. Many medications cannot be used on her. The most difficult part is here.
Sun Tzu Yi was already thinking when he was in the ICU. At this time, he nodded slightly and said: "No matter what, the condition is critical. If it is urgent, treat the symptoms first. My personal suggestion is to treat the stomach first and reduce the inverse condition."
"Her current qi is in chaos, rising but not falling. As long as her stomach qi is lowered, the symptoms of endless vomiting can be controlled, and the intracranial pressure can also be reduced to a certain extent. Then, use liver-suppressing medicine The treatment is to calm the wind, harmonize the stomach and reduce the inverse condition."
Sun Tzu Yi frowned and said: "I personally recommend using Pinellia ternata plus Poria cocos soup to quickly stop the vomiting and eliminate phlegm. In addition to stopping the vomiting, this prescription can also relieve the dizziness and palpitations, so that the patient can be conscious."
He ignored Xu Yang and turned to the director of internal medicine: "Director Wang, what do you think?"
The director of the internal medicine department frowned and said: "We have used the method of reducing nihilus before, but after using two doses of medicine, the effect was average. After reducing nihilus, he vomited again soon."
Sun Tzu Yi frowned and said: "I read the medical records, one is to add more ocher to reduce the adverse effects. In addition, increase the dosage of ginger pinellia to 10g. In addition to adding ginger, add 10ml of ginger juice. To increase its anti-reduction effect.”
As soon as this statement came out, the people around were surprised.
The director of internal medicine was also a little surprised: "This dose is a little too high. Pinellia ternata can cause miscarriage. This is a pregnant woman. We only dared to use 3g of ginger pineapple before."
Sun Tzu Yi said in a deep voice: "Although Pinellia ternata is a forbidden drug during pregnancy, the phlegm and fluids are blocked, the yin and yang are reversed, and the stomach qi is reversed. Otherwise, it cannot be cured. The situation is critical, and 10g is not harmful to the fetus. Let me write a prescription. .”
"Okay." The internal medicine department nodded and Sun Tzu Yi sat down to write the prescription.
Xu Yang, who was standing aside, stared at his grandson Yi who was writing the prescription. He said, "This prescription of yours can't cure her."
Hearing this, Sun Tzu Yi raised his head in shock.
Everyone else also frowned at Xu Yang.
"Why?" Sun Tzu Yi asked doubtfully.
Xu Yang said in a deep voice: "The patient's condition is extremely critical. If we can't control it today, it will be really dangerous tomorrow. The idea of reducing stomach qi is not wrong, and the choice of prescription is not a big problem, but there is a problem with the dosage."
Sunzi Yi frowned and said: "I have treated patients with pregnancy obstruction before, and the obstruction was very serious. I used ginger pinellia up to 10g, and there was no problem with the fetus."
Xu Yang said: "I'm not saying that you used too much, but that you used too little."
As soon as these words came out, everyone looked at Xu Yang with wide eyes.
"What?" Sun Tzu Yi thought he heard wrongly.
Xu Yang said calmly: "Use up to 30g of Pinellia ternata, and you cannot use ginger Pinellia ternata, just use raw Pinellia ternata!"
"Ouch!" Everyone in the audience was shocked. This man is a madman!
Sun Tzu Yi was also stunned.
The director of internal medicine twitched at the corner of his mouth when he heard this. He just said that grandson Yi was a bit cruel in taking medicine. Good guy, this is the real cruel person, so fierce!
Everyone in the conference room immediately started discussing.
Pinellia ternata is poisonous. In clinical practice, it is rarely used to treat diseases. It is usually used after being concocted. After processing, the recommended dosage of Pinellia ternata in the Pharmacopoeia does not exceed 9g.
This man, what a good guy, comes up with 30g of raw Pinellia ternata!
Xun Wusheng couldn't help but said: "Hey, if you take this medicine, don't kill the patient. Besides, can the fetus be saved?"
Xu Yang said seriously: "There is no reason to die, and there is no death, how can you give up eating because of choking?
As soon as these words came out, there was a sudden silence in the venue.
Several Western doctors looked at each other, what does this ancient text mean?
Xu Yang said solemnly: "The patient's condition is extremely critical. If the disease cannot be stopped in time, both mother and child will be in great danger! In treating this critical illness, we must not treat it slowly, let alone hesitate. We must not only reduce stomach qi quickly, but also Quickly clear away phlegm. After the vomiting stops, take an Angong Niuhuang Pill quickly."
As soon as these words came out, the venue almost exploded. Why on earth are you going to give pregnant women Ambrosia?
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