Chinese medicine doctor Xu Yang

There was no time to reminisce, so Xu Yang took the time to ask: "Where is the patient and how is his condition?"

The first wife pointed to the third bed: "The patient is here, but his condition is not very good."

Xu Yang looked over and saw that the patient was in a daze, very agitated, and kept talking nonsense. He said he was going to heaven to fight the Japanese, and he even said he was going to the sea to catch the Dragon King.

He also said that he was once a special forces soldier, and was later imprisoned for seven days for tearing up Japanese soldiers. Anyway, I kept talking all kinds of nonsense.

The patients nearby were watching the fun and found it very interesting.

Xu Yang frowned immediately and said, "This is because the evil has entered Yang Ming, and he is in a coma and delirium."

"That's right." Team leader Feng affirmed: "The condition has further developed."

Xu Yang's expression became more solemn and he continued to diagnose the patient. The patient had obvious symptoms of wheezing and shortness of breath, and was maintaining non-invasive ventilator-assisted ventilation.

The peripheral blood oxygen saturation is about 90%, there is no fever, no obvious cough and sputum, poor appetite, abdominal distension, and small stool volume. The tongue is dark and the coating is yellow and thick. Pulse string count.

"How's it going, Doctor Xu?" Seeing that Xu Yang's diagnosis was over, Feng Chaoyang couldn't help but ask.

The principal wife and Zhao Guobin also looked at him curiously.

Xu Yang frowned and said: "The patient is old and has been ill for a long time. In the early days of the cavalry, he had obvious symptoms of high fever, chills, and shortness of breath. The boy coughed and produced phlegm, but was accompanied by abdominal distension and constipation, and showed symptoms of lung congestion. Symptoms of fu viscera."

"But now the condition has progressed to the point where the evil heat has sunk in, excess heat damages body fluids, and symptoms of irritability and delirium have appeared. The shortness of breath has not decreased, the tongue has shrunk, and the coating has turned yellow and dry. The heat has trapped Yangming, and it needs to be treated. "

Feng Chaoyang asked: "I think so, but what formula should be used? We are a little hesitant here."

Xu Yang thought about it and said: "Let's combine Da Bui Hu Decoction with Sheng Jiang Powder. The patient is physically weak and should not take it seriously. Da Bui Hu Decoction also has a relatively strong effect on stagnant Qi and purging internal heat."

Feng Chaoyang hesitated for a moment, but finally nodded and said, "Okay, Doctor Xu, I agree with you. Could you please give me a prescription?"

"Okay." Xu Yang agreed.

After Xu Yang finished writing the prescription, Zhao Guobin asked again: "Doctor Xu, how did you know the internal conditions of the patient's body based on his symptoms?"

Feng Chaoyang quickly asked the principal wife to make arrangements.

Xu Yang and Zhao Guobin walked back. Xu Yang had long known that Zhao Guobin was now very interested in Chinese medicine. It happened that there was nothing going on on the way back, so Xu Yang chatted with him a little more.

Xu Yang said: "The basis is to know the physical characteristics of the patient who is old and has been ill for a long time. This is the first and biggest difficulty."

"In addition, we also need to know that he waited for a week at home for a bed and was not admitted to the hospital for treatment in time. This delayed treatment and pushed the difficulty to a higher level."

"It is precisely because of the combination of the two that it makes subsequent treatment very difficult. As soon as the patient was admitted to the hospital, the dampness poison quickly turned into heat and the lungs were smoked."

"This also disrupted the normal Qi movement, so symptoms such as high fever, shortness of breath and restlessness appeared. The lung orifices were blocked by evil poisons, and Zong Qi could not circulate blood, so his lips were cyanotic and his tongue was purple."

"The heat poison burns the body fluids in the stomach, forming dry feces, which leads to abdominal distension, hardness and fullness of the abdomen. The lungs and the large intestine are mutually external and internal. If the fu-organ qi does not fall, the lung qi will be difficult to express."

"If the lung qi is not clear, the qi of the fu organs will be difficult to lower. This is a vicious cycle. As for the treatment plan, in the early stage, the dampness poison turns into heat and burns the qi, so the lungs and fu organs are blocked."

"Based on the theory of treating the lungs and intestines together, Xuanbai Chengqi Decoction is used as the main treatment. The purpose is to clear away heat and detoxify, soothe the lungs and open the bowels."

Zhao Guobin seemed to understand, but nodded: "The theory of traditional Chinese medicine is quite unique, as the lungs and large intestine are the exterior and interior of each other."

"There is no such truth in the science of decryption, but your logic is to treat pneumonia by allowing patients to defecate smoothly, huh!"

Xu Yang added: "This is a way to get rid of the fire under the cauldron. I have already used this to treat coughs, repeated fevers and other diseases. Okay, I won't say more, I'm going to be busy."

At the corner, Xu Yang turned around to leave.

Zhao Guobin hurriedly asked: "Doctor Xu, is this patient confident?"

Xu Yang paused for a moment as he left, and then said, "Just do your best."

Zhao Guobin looked at Xu Yang with a complicated expression.

…

The patient is also taking the new plan given by Xu Yang, taking it every day, and going for diagnosis every day. Xu Yang is also busy with matters in his ward.

But at the eighth consultation, Xu Yang was invited again. At this time, the patient was still a little irritable, and he continued to maintain sedation with a small dose of sedative drugs and continued to use a non-invasive ventilator to assist breathing.

The peripheral blood oxygen saturation is between 92% and 95%, obvious shortness of breath, no fever, occasional cough, no phlegm, nasogastric feeding, abdominal distension is slightly reduced, stool once a day, unable to cooperate with tongue examination, and stringy and rapid pulse.

Judging from the results of the eighth diagnosis, the patient's condition has slightly improved. If the effect does not change, continue taking the medicine.

At the thirteenth consultation, Xu Yang was invited again.

The patient is occasionally irritable and remains in shock with medication and continuous non-invasive ventilator assistance for the same period. The peripheral blood oxygen saturation is 85%-89%. The shortness of breath has not improved, there is no fever, and the abdominal distension has been reduced.

The tongue is purple and dark, the tongue body is dry and shrunken, the coating is yellow and dry, and the pulse is thready and rapid.

Xu Yang also felt that it was very difficult.

He judged that the evil had entered Yingfen, the heat had sunk into the pericardium, and the dampness and poison had transformed into heat and entered the blood, consuming blood and causing blood loss. "Su Wen·Zhi Zhen Yao Da Lun" says that when heat evil prevails, it should be treated with salty and cold, supplemented by bitter and sweet, and treated with sour.

The treatment plan was to cool the blood, activate blood circulation, detoxify and promote fluid production, so Qingying Decoction was used. On the basis of the original prescription, Qingying Decoction was used to relieve heat from the fu organs and relieve lung qi.

The effect of the three prescriptions in one is to clear away heat and detoxify, cool blood and purge fire, clear Qi and blood, and allow disease pathogens to come out.

This time, even Feng Chaoyang looked ugly.

This patient is really difficult to deal with.

Zhao Guobin didn't ask too much. He also knew that it was very difficult to handle.

Fortunately, the medicine given at the 13th clinic was effective.

By the seventeenth clinic, the patient was still taking shock medication and a non-invasive ventilator, but his blood oxygen level had improved to 92-95.

The shortness of breath was finally relieved slightly, there was no fever, I was fed nasal feeding, my abdomen was slightly distended, I had one bowel movement every two days, and my urination was normal.

Team Leader Feng finally had a smile on his face again, and the situation finally improved.

But Xu Yang, who had always dealt with critical illness, did not feel relieved because he already had a bad premonition.

Facts have proved that Xu Yang's hunch was right.

During the twenty-second consultation, the patient’s condition suddenly worsened again!