Chinese medicine doctor Xu Yang

Except for the tidbits about Chinese medicine.

The cooperative treatment of traditional Chinese and Western medicine is the theme of this large-scale epidemic, whether it is in the previous designated hospitals or the current makeshift hospitals.

Just like now...

"Teacher Xu, Teacher Xu." Zhang Hua hurriedly came to Xu Yang.

Xu Yang was about to go out to work for someone else to pay off his debts. When he heard Zhang Hua calling him, he turned around and asked, "What's wrong?"

Zhang Hua trotted over and said, "Teacher Xu, Director Liu Baoquan of Ward No. 3 has asked you to consult a patient."

Xu Yang was already used to going out to work, so he subconsciously nodded and agreed: "Okay, I understand, I'll go over and take a look later."

Xu Yang was about to go out, but suddenly he stopped and turned around and asked: "What ward number is it?"

Zhang Hua replied: "No. 3."

Xu Yang suddenly became confused and asked: "No. 3? Which Chinese medicine hospital took over that? Why didn't I pay off the debt... No, why don't I have any impression?"

Zhang Hua said: "No, it is not a ward under the supervision of the Traditional Chinese Medicine Hospital, but a ward under the supervision of Western Medicine Hospital."

Xu Yang nodded: "That's it..."

The current treatment principles are based on the cooperative treatment of traditional Chinese and Western medicine, and the wards under the supervision of Western medicine also have Chinese medicine doctors for cooperative treatment.

Therefore, they have Chinese medicine doctors in charge, but the ward there is not under Xu Yang's responsibility. But now I have asked him for help through internal communication, so this can only prove that there is a very difficult patient there, and the Chinese medicine doctor there can't handle it.

Xu Yang immediately said: "I understand, I'll go to Ward 3 first to take a look."

Zhang Hua said: "Teacher Xu, do I want to go with you?"

"What are you going to do..." Xu Yang said this subconsciously, but after thinking about it, this was also a good opportunity to get in touch with difficult and complicated diseases. He thought for a while and asked Zhang Hua: "What are the jobs here? Have you finished?"

Zhang Hua's original expression was still a little gloomy. After hearing Xu Yang's change of subject, he immediately raised his head and said, "It's done, it's done!"

Xu Yang said: "Okay, you come with me to see it."

"Okay." Zhang Hua immediately agreed happily.

Xu Yang quickly rushed over with Zhang Hua. Ward No. 3 was not far away, and they walked quickly for a while before reaching it. I found the nurse here and asked her to take Xu Yang to find their Liu security expert.

"Hello, Dr. Liu." Xu Yang stepped forward.

"Hello, hello, thank you for your hard work, Doctor Xu." Liu Baoquan was also very polite.

Xu Yang nodded and looked up to see Li Yishan. These medical staff all have famous brands. Although they wear masks and protective clothing, you can tell by just looking at the famous brands.

"Hello, Doctor Li." Xu Yang also said hello to Li Yishan. He didn't expect that Li Yishan also came to see it. He probably looked for him because he couldn't get it.

"Humph." Li Yishan hummed slightly and turned away. He didn't like to talk to this guy who liked to teach others.

Xu Yang didn't care much and asked, "What's wrong? Is this a patient with special circumstances?"

Expert Liu Baoquan, a respiratory expert in Western medicine, also immediately said: "Yes, there is a patient who has many comorbidities, the most serious of which is systemic lupus erythematosus."

When Xu Yang heard this, he was suddenly startled.

During his long medical practice, he had only treated two or three cases of this disease. The most dangerous and urgent one was the last time Zhang Ke reported it.

Xu Yang frowned, quickly calmed down and said, "Has the diagnosis been confirmed? Tell me, what's going on?"

Expert Liu showed the case to Xu Yang and said: "The patient is 44 years old. He developed pain in both knees and wrists 2 months before admission, but no systematic diagnosis and treatment was given."

"I developed intermittent coughing and sputum one month before admission. I started to have fever half a month ago, with a maximum body temperature of 38.5 degrees Celsius, accompanied by chest tightness, palpitation, and shortness of breath."

"The CT scan of the lungs showed multiple infectious lesions in both lungs and multiple swollen lymph nodes in the mediastinum. Bilateral pleural effusion was evident on the left side. Anti-infective treatment was given in the emergency department but there was no improvement. The calculated test was positive, and he was admitted to the hospital."

"After admission, we diagnosed COVID-19, thrombocytopenia, and systemic lupus erythematosus. The examination report is on the next page of the report you have."

"As for the treatment plan, we gave Arbidol as an oral antiviral and intravenous infusion of moxifloxacin to fight infection. After admission, the tuberculosis nucleic acid test of sputum samples was negative, and the autoimmune test showed that anti-double-stranded DNA antibodies were positive."

"Antinuclear antibodies were positive, and the clinical diagnosis was systemic lupus erythematosus. Then we gave dexamethasone intravenous drip treatment and immunoglobulin pulse therapy."

"To be honest, this patient was sent here as a severe case of new pneumonia, and she also had such serious complications, so her condition became more complicated."

"Moreover, the patient had a history of arthritis before admission, as well as pleural effusion and pericardial effusion. The examination after admission showed abnormalities in her blood system and renal system."

Expert Liu frowned: "Our treatments are also targeted, anti-viral, anti-infective, and immunotherapy. But now, the effect is not particularly obvious."

"So we found a traditional Chinese medicine practitioner for combined treatment. Expert Li Yishan came to prescribe traditional Chinese medicine prescriptions before, but after using them, the patient's condition still didn't improve significantly."

Li Yishan frowned slightly but didn't say much. If it's not cured, it's just not cured. There's nothing to lose face about.

Liu Baoquan looked at Li Yishan and said, "Doctor Li, how about you do the diagnosis and treatment of traditional Chinese medicine?"

"Yes." Li Yishan responded softly from the tip of his nose, and then said expressionlessly: "I came here for the first consultation on the third day after the patient was admitted to the hospital. The first consultation found that the patient was tired and fatigued, with a fever of 38 degrees Celsius and chills."

"Profuse sweating, shortness of breath after activity, cough with little phlegm, poor appetite, no abdominal distension and abdominal pain, a little dry mouth and bitter taste, normal urination, loose stools 2-3 times a day, dark tongue, white and greasy coating. Pulse is heavy and thready."

"The conclusion of my first diagnosis was that Yang Qi was weak and dampness was trapped. So I used a prescription that replenishes Qi and Yang, moves Qi and resolves dampness. The prescription is on the next page of yours. After three days of treatment, there was no significant improvement. "

"I also thought that the spleen should be deficient and damp, so I planned to treat it by strengthening the spleen and dispersing dampness, so I used Shenling Baizhu Powder, the prescription is on the next page."

"After five days of treatment, the patient's shortness of breath worsened, and he had difficulty breathing at rest. His blood oxygen saturation was 95% under 4L/min of oxygen inhalation. His diarrhea worsened, and he was watery 5-6 times a day. Just like that."

"Alas..." After saying this, Li Yishan frowned tightly. He had no choice but to participate in the treatment. Not only did he fail to control the condition, but it also became more and more serious.

In desperation, he went to Xu Yang for help, otherwise he really didn't want to find this guy who was so easy to teach, and just listened to him like he was teaching elementary school students.

Li Yishan said: "The situation is basically these. Doctor Xu, you are a great expert, let's take a look. I heard from Mr. Gao Mingcheng that you have treated critical cases of systemic lupus erythematosus, and the results are very good."

Expert Liu from Western Medicine also looked at Xu Yang a few more times.

Xu Yang also finished looking through the cases, and he said directly: "The previous idea was not very good, and the treatment was to warm the yang. Why did we change the treatment idea when it was all good?"

Li Yishan was stunned and said, "Because the treatment for three days has no effect."

Xu Yang said displeasedly: "I've been thinking about this for a long time. This 10g tablet cannot cure the disease, but it can warm the yang!"