Chinese medicine doctor Xu Yang
Chapter 657 Pulse syndrome does not match
Zhao Guobin led them to the next ward in a hurry, and complained: "Oh, these patients who were admitted before have not been discharged yet, and there are so many new ones coming in, they are all busy!"
Xu Yang asked: "Isn't the current hospital's treatment capacity insufficient?"
Zhao Guobin said: "Of course it is not enough. The second batch of hospitals are about to open, but it is definitely not enough. After all, the turning point has not yet come, and the number of people will only increase."
"So now it is said that we will follow the Xiaotangshan model of that year and build a new makeshift hospital to treat patients. I heard that construction will start in the next few days. It was too busy, so I didn't ask much."
Xu Yang and Professor He looked at each other. According to the current situation, there are currently not enough beds, medical equipment, or medical care.
The two of them felt a little more gloomy.
Xu Yang secretly reminded himself that he must quickly collect enough first-hand information, complete syndrome differentiation, and formulate a suitable treatment plan.
Only in this way can Chinese medicine fully play its role in this battle! Only in this way can the current tense and embarrassing situation be alleviated to a certain extent.
Xu Yang's brows darkened a lot. Although he didn't sleep well all night, Xu Yang didn't feel tired at all now. As long as he walked into the hospital, he would have endless energy!
Professor He asked: "How is the patient's condition developing now? Are there many critical illnesses?"
Zhao Guobin replied: "There are still some cases, especially the elderly, especially those with underlying diseases, who can easily develop severe illnesses after getting sick."
"Currently, there is no research on specific drugs, so our treatment plans are basically based on anti-inflammatory, anti-viral, oxygen supply, and immune support."
"Some young people who have always been in good health will be discharged after a period of treatment. But the frail, elderly, and those with underlying diseases are in trouble."
Xu Yang frowned and sighed: "The righteousness is within the body, and evil cannot be done. If the whole hall is filled with gentlemen, how can there be a place for villains to gain a foothold?"
"Is this also a theory of traditional Chinese medicine?" Zhao Guobin asked curiously.
Xu Yang said: "This is the most basic theory of traditional Chinese medicine."
Zhao Guobin was amazed. He had never cooperated with Chinese medicine before, but this was actually his first real cooperation. He really felt that Chinese medicine was quite interesting. The theories were like ancient poems, one after another.
Xu Yang said: "I'll explain it to you later. Let's talk about the patient's condition first."
"Okay." Zhao Guobin agreed, gave Xu Yang the medical record, and then said: "This patient is also a female, 49 years old, and has a history of gallbladder stones."
"The patient developed fever on January 20, 2020, with a maximum body temperature of 39 degrees. He occasionally had dry cough, no sputum, and no shortness of breath. There were no obvious abnormalities in routine blood tests at an outside hospital."
"Chest CT showed multiple calcifications in the upper lobes of both lungs and the lower lobe of the left lung. Afterwards, oral oseltamivir treatment was given, and the body temperature dropped."
"On January 24, high fever occurred again, accompanied by diarrhea, fatigue, and loss of appetite. A review of the blood routine at the local community hospital on January 25 showed no obvious abnormalities."
"On January 27, another chest CT scan showed infectious lesions in both lungs and secondary tuberculosis in the left lung. The lesions were mainly induration, calcification, and fibrosis. Continue antiviral treatment."
"On January 29, the patient was complicated by shortness of breath and went to the outpatient department of our hospital. The patient was given moxifloxacin infusion and ribasulin treatment at the outpatient department, but the symptoms did not improve. The patient was accompanied by chest tightness and headache."
"On January 31, he was admitted to the hospital. He was given routine anti-inflammatory treatment with methylprednisolone and antiviral treatment with oseltamivir. The second page is the laboratory report."
Xu Yang turned to the second page. The patient's white blood cells were 18.4, the absolute value of lymphocytes was 0.8, the percentage of lymphocytes was 4.1%, the absolute value of neutrophils was 17.3, and the C-reactive protein was 126.
The last page is the ct report.
Xu Yang looked at it and said, "Okay, I understand."
After saying that, Xu Yang turned around and entered the ward.
Zhao Guobin and Professor He also quickly followed.
Arriving in the ward, I came to the patient's side.
The patient's mental state was extremely poor and he was tired and weak. He maintained dual-channel high-flow oxygen inhalation via nasal cannula and mask, but his blood oxygen was still only 92%. The patient also had paroxysmal coughing, which occurred from time to time.
Zhao Guobin also called the nurse in charge to inquire about the situation.
Xu Yang mostly asked the nurses, and some of the patients who insisted on their cooperation also asked the patients, but the patients' mental state was really poor.
Xu Yang learned that the patient had paroxysmal cough, less phlegm, sticky texture, and shortness of breath. He felt short of breath when resting, with obvious shortness of breath, difficulty breathing, severe chest tightness, and obvious palpitations.
They also placed a urinary catheter in the patient.
The patient could no longer get out of bed to go to the toilet.
Xu Yang frowned, the patient's condition was really serious.
He continued to diagnose and found that the patient's condition had progressed to the point where he no longer had fever symptoms. Xu Yang's expression became a little more solemn.
In fact, having a fever is not a bad thing. Fever is actually a confrontation between the righteous energy and evil energy in the body. Therefore, in the early stage of the development of the disease, the body's righteous energy is very strong, and it wants to encourage the evil energy to come out, so it can cause fever.
But in the later stages, the righteousness was greatly weakened. There is no power to encourage evil, and the evil has prevailed and retreated, and even the ability to have a fever has been lost, so this stage is more difficult.
The patient also had symptoms of chills, no chest pain, no abdominal pain, but diarrhea. He has a dull complexion, looks young, and his extremities are cold. Pale tongue, yellow and greasy coating.
Xu Yang checked the pulse.
Professor He also watched for a while and nodded: "Yes, it's another sign of deficiency and cold."
Zhao Guobin asked: "Is he the same as the previous patient?"
Professor He nodded: "Yes, when it develops to the later stage, it is almost the same. It has reached the point where righteousness, deficiency and evil have entered. There are three yang syndromes, which turn into three yin syndromes."
Zhao Guobin didn't understand the theory, so he asked: "Is the treatment plan the same as the previous one?"
Professor He said: "Well, it can be the same, just use the four inverses. I suggest that we can determine the standard of the treatment plan. How to determine the compatibility, let's wait until Xu Yang's diagnosis is completed."
"Okay." Zhao Guobin nodded.
Xu Yang checked for pulse. This time, it didn't take long before he suddenly released his hand.
Professor He looked curious and asked: "Xu Yang, what's wrong? What's your pulse?"
Xu Yang's tone became serious: "My pulse is floating and weak."
"Huh?" Professor He was stunned at first, and when he realized what he was doing, he was surprised: "Ah!"
Zhao Guobin didn't know what the riddle these two people were playing, so he asked, "What's wrong?"
Professor He said: "Pulse counting mainly focuses on heat syndrome, but the patient has very obvious cold syndrome. This is because the pulse condition does not match the syndrome."
Zhao Guobin asked: "What does this... mean?"
Professor He said flatly: "The situation is critical!"
As soon as Professor He finished speaking, the patient who was still in the hospital bed suddenly changed!
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