Chinese medicine doctor Xu Yang
Chapter 354 Mingda
When Liu Mingda and Xu Yang heard this, they put aside the patients in the outpatient clinic here and went to see the patient who was in serious condition.
In fact, this is the norm in hospitals. The larger the hospital, the more likely it is to encounter intractable diseases and critical illnesses. For ordinary people, it may be rare to encounter them once in ten years, but for doctors, this is a common occurrence.
Liu Mingda went out and asked, "What's going on?"
The director of the gynecology department quickly replied: "The patient has been suffering from dysfunctional uterine bleeding. He went to other places for medical treatment some time ago. He consulted a traditional Chinese medicine doctor and prescribed a lot of tonics. He took large doses of astragalus, angelica, donkey-hide gelatin, shenglongmu and other blood-tonifying medicines."
"I took more than a dozen doses, and then I stopped menstruating and had abdominal pain like cramping. On the second day, I started to have violent cramps, and there was a lot of bleeding in one day. After three days, the violent cramps stopped, and it became a continuous dripping for 7 days. . Because I felt very uncomfortable, I came to seek treatment under the persuasion of my family."
"This is the medical record we made earlier." The director of gynecology handed over the medical record.
Liu Mingda took it and looked at it.
Xu Yang also pondered slightly. Abnormal bleeding during menstruation is called metrorrhagia in traditional Chinese medicine. Metrorrhagia is actually two conditions. To explain it simply, metrorrhagia means metrorrhagia, and there is a lot of abnormal bleeding. Leakage means endless leakage, and the leakage continues for a long time after the menstrual period.
These two diseases often transform into each other during the development process. For example, if the bleeding lasts for a long time and the qi and blood are depleted, it will also turn into leakage; if the leakage lasts for a long time and the disease progresses, it will also turn into bleeding. Therefore, doctors in the past dynasties have always referred to metrorrhagia as a common term.
Just like what is said in "Jisheng Fang": "The disease of metrorrhagia is basically one syndrome. The milder one is called leakage, and the more severe one is called metrorrhagia."
Metrorrhagia is a relatively common disease among women. The two conditions alternate with each other and are related in cause and effect. Therefore, this disease is sometimes difficult to cure. Female patients often cannot be cured in half a year.
This can be regarded as one of the difficult diseases in gynecology. As the director of gynecology just said, I am afraid that this patient is already difficult and serious, otherwise he would not specially ask Liu Mingda to check it.
After Liu Mingda read the medical records, he handed them to Xu Yang.
Xu Yang also took it over and looked at it.
Soon, several people went to the director of gynecology.
The director of gynecology led the two people in. The patient leaned on the chair and frowned. The temperature outside was still quite low. Although it was warmer in the room, the temperature was not high, but there was a thin layer of sweat on the female patient's forehead. beads, and also panting slightly.
Liu Mingda took one look and asked, "Did you exercise vigorously when you came here? Did you run here?"
Her husband replied: "No, I didn't have the strength to run. I walked slowly."
As soon as these words came out, the three doctors' hearts sank.
Xu Yang immediately gave her a face-to-face examination. The woman's complexion was sallow, which was a sign of weak Qi and blood. The medical records I just looked at showed that this woman’s hemoglobin was only 6g.
Liu Mingda stepped forward and asked, "How do you feel now?"
The female patient replied feebly: "I am tired, have no strength, my heart is not feeling well, I always have heart palpitations, and I can't sleep at night."
Liu Mingda said: "Put your tongue out and let me take a look."
The female patient sticks out her tongue.
After Liu Mingda read it, he checked the patient's pulse. Xu Yang was not polite and went directly to check the other hand.
The director of the gynecology department was stunned for a moment. This guy was really rude and brave!
After a while, the two looked at each other without saying a word, exchanged hands with each other, and then continued to check the pulse carefully, still without speaking.
It's just that the movements were very smooth and smooth, and the expressions of the two did not show any strangeness. Instead, there was an indescribable sense of tacit understanding, as if they had practiced many times before.
This scene made the director of gynecology stunned again.
After a while, the pulse diagnosis is over.
Both of them frowned.
Liu Mingda looked at Xu Yang and asked, "Xu Yang, what do you think?"
Xu Yang said: "The patient has been suffering from metrorrhagia for a long time. From the other three diagnoses, it is obvious that her qi and blood are weak. However, based on her pulse diagnosis, it should be a weak pulse. This can correctly reflect the condition, but instead it is A large number of pulses appeared, and the pulse reached 128 beats per minute."
"The matching pulse syndrome is considered auspicious, and the opposite pulse syndrome is considered unlucky. In addition, the patient is sweating and panting, and the disease should be in danger of further progression. I am afraid that there is a high possibility that the qi will be lost along with the blood. The condition at this time It’s already very dangerous.”
When the patient and his wife heard this, their expressions suddenly changed. They were frightened by what Xu Yang said.
The director of the gynecology department also nodded. He had seen that the condition was serious, so he asked Liu Mingda to come over and take a look, because he couldn't make a decision at the moment.
The director of gynecology looked at Liu Mingda and asked: "Teacher..."
Liu Mingda also nodded: "Xu Yang's analysis is correct. The patient's condition is indeed very dangerous. If it cannot be controlled immediately, the Qi may be lost along with the blood, and the situation will suddenly become serious."
The director of the gynecology department nodded: "Okay, how about I arrange for them to be hospitalized as soon as possible."
The patient and his wife are even more confused. Should they still be hospitalized?
The female patient said in confusion: "Am I... so serious? I just lost a little more blood. Can't you just prescribe me some blood-replenishing medicine?"
The director of the gynecology department shook his head and said angrily: "Your disease is caused by taking blood-tonifying medicine."
"Huh?" The patient and his wife were dumbfounded.
The director of gynecology said: "Otherwise, you will go to the Western Medicine Hospital next door. In your case, you must be hospitalized for observation, and you must control it, otherwise it will be dangerous."
The expressions of the patient and his wife became condensed.
The female patient gasped in panic: "We only take Chinese medicine because we believe in Chinese medicine. How can this... be still... so serious? I just took some blood-tonifying medicine, but why do you think it will be fatal?" "
Liu Mingda also frowned.
Xu Yang said: "You don't need to be transferred to another hospital. We can also treat you here. As for whether you need to be hospitalized, you can first take a dose of medicine and check the situation. If it is stable, you don't need it. If the situation is likely to be dangerous, you can finally It’s better to be hospitalized for observation.”
The patient and his wife looked at each other, a little panicked, because before coming, they didn't think it would be so serious.
The director of gynecology frowned: "Xu Yang..."
Xu Yang stretched out his hand to stop the director of gynecology. His expression was a little solemn. He said: "The condition is urgent. First, prescribe a prescription quickly. In order to prevent the qi from being lost with blood, it needs to be fixed urgently."
Xu Yang immediately turned to look at Liu Mingda. The patient's condition was urgent. He didn't think much about it. He opened his mouth and said, "Mingda, help me write the prescription."
"Okay." Liu Mingda agreed without thinking.
But after the sound, there was a sudden silence in the clinic.
Liu Mingda himself was stunned.
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