Since 1981 Health School

Viet Chung People's Hospital, Inpatient Department of Burn Surgery.

Ding Xinjuan's mother and daughter who were burned were arranged to live in a sterile ward.

Since the two people were smeared with pot ash and herbs all over their bodies, they looked like two "black carbon men" from a distance.

So the Yuezhong People's Hospital immediately spread the word, saying that the director Chen had found two patients whose bodies were burnt from nowhere.

Those gossiping medical staff, especially many doctors and nurses in the surgery department, ran to the burn department in twos and threes, looked at the patients through the glass, and then pointed at the two patients.

"Yo, the whole body is burnt like this, can it be revived?"

"Dean Chen is really lucky. Such a wonderful patient can be found. This is a test of the ability of the burn department."

"From the very beginning, he was a king bomb. It seems that the burn surgery department is going to lose its nerve."

"That's not necessarily true. Our dean has never missed a shot."

Zhu Huoyan, as the director of the major surgery, rushed over after hearing the news. As soon as he entered the ward, he smelled a strong stench.

"Chen Qi, what's going on here?"

Even though Chen Qi was the dean, he still obediently acted as a "lower-level doctor" and reported the medical records in front of him.

"Ms. Zhu, it's like this. The mother and daughter were burned a month ago because of family conflicts and a fire at home. After the burns, they had no formal treatment because they had no money. They took oxytetracycline for a few days to prevent infection. The family members It has been treated with folk earth prescriptions..."

Zhu Huoyan was also very surprised when he heard this, "You are still alive for a month? What kind of earthen formula did you use?"

Thinking of this, Chen Qi still couldn't help being amazed:

"That's right, it's a ointment made by using the ashes from the pot bottom of the earthen stove at home, adding messy herbs, and stirring it with tung oil, and as you can see, it's applied all over the body, and the whole person looks like a beggar chicken. "

The little doctors next to them glanced at the two patients on the hospital bed, thinking that they would never eat "beggar's chicken" again in their life.

Zhu Huoyan fell into deep thought. As a senior doctor, he had the same thinking as Chen Qi, and immediately realized that such a large area of ​​body burns survived for a month, and the so-called folk remedies must have unknown benefits.

At this moment, Shen Changzhen, a doctor of traditional Chinese medicine who was standing at the door watching the bustle, spoke:

"Dean Chen, I think this folk prescription has its merits. It's not some messy Chinese herbal medicine. You look down on Chinese medicine. I, Old Shen, are not convinced!"

Shen Changzhen is over 60 years old this year, and he is a veteran doctor of Yuezhong Hospital.

As a doctor, as long as you live a long time, the older you get, the more popular you are. This is true for patients, and so is your seniority in the unit.

Chen Qi and Zhu Huoyan looked back and saw that it was Old Shen from the Department of Traditional Chinese Medicine, so they hurriedly greeted him politely:

"Mr. Shen, I'm sorry I used the wrong words, but I really don't know much about traditional Chinese medicine, why don't you keep explaining it?"

A little doctor in the crowd also shouted unconvinced:

"I have seen too many clinical cases of delayed treatment caused by Chinese herbal medicine. As for the liver and kidney toxicity caused by eating Chinese herbal medicine, don't be too much now, especially this kind of folk prescription, which is simply not credible and has no scientific basis!"

The little doctor's words obviously aroused the approval of many young doctors.

"That's right, what age do you still believe in Chinese herbal medicine?"

"To put it bluntly, Chinese herbal medicine is a placebo effect. It can be used when the disease is terminally ill, and a dead horse can be used as a living horse medicine."

"We should still believe in science and modern medicine!"

Hearing people talking about it, Shen Changzhen was a little annoyed no matter how old he was:

"What do you dolls know? Chinese medicine has been passed down for thousands of years, how can it be a placebo? Folk remedies have been used from generation to generation, and how can they be passed down if they really don't work?"

At this time, a young man in the crowd shouted again: "Mr. Shen, tell me, what is the scientific reason for this folk recipe?"

Obviously, Chen Qi and Zhu Huoyan were equally interested in this question, after all, these two didn't understand Chinese medicine either.

Shen Changzhen thought for a while, and said to the crowd:

"In this way, let's discuss it together, because I don't know what Chinese herbal medicine is used in this folk prescription, so I can only talk about it from a medical point of view.

First of all, after the pot bottom ash has been heated at high temperature, it has a fine texture and good air permeability, and the traditional Chinese medicine pot bottom ash is mainly hot, which can well resist external wind and cold, and prevent the body from being affected by evil. The effect of heat preservation and moisturizing. "

Everyone in the ward listened carefully to the explanation and analysis, and some people nodded slightly from time to time.

Seeing that everyone listened carefully, Shen Changzhen spoke even more vigorously:

"There is another one. As long as there is a burn wound, there must be bacteria. The exudate and necrotic tissue of the wound provide sufficient food for the growth of bacteria, so there will be more and more bacteria. Once the bacteria enter the blood and cause sepsis, the patient will be in danger. right?"

"Yeah……"

"Okay, now let's take a look at the traditional Chinese medicine ointment applied by these two patients. You see, if you apply layer after layer, you can still feel hard binding on the surface when you touch it. What does this mean, what does this mean? The pot bottom ash and Chinese herbal medicine have hardened and scabbed, just like armor.

Well, at this point, it is equivalent to that the wound inside is completely covered by the Chinese herbal medicine outside, forming a sealed space, an environment without oxygen, is it conducive to the growth of bacteria, or is it not conducive to the reproduction of bacteria? "

Chen Qi and Zhu Huoyan's eyes lit up at the same time, as if they had caught some train of thought.

Zhang Xing, the newly appointed deputy director of the burn department, said excitedly:

"Yes, you may not know that the bacteria most likely to be felt by burn patients are Staphylococcus aureus and Acinetobacter baumannii, both of which are aerobic bacteria. Oxygen bacteria.

If the ointment made of pot ash and Chinese herbal medicine separates the wound from the outside world, and the space inside is anaerobic, it is difficult for aerobic bacteria to survive. Perhaps this is why the patient survived for a month under the premise of such a large area of ​​burns. main reason. "

Zhu Huoyan said softly to Chen Qi beside him: "Xiao Zhang's speculation makes sense."

Shen Changzhen also laughed out loud when he heard this:

"Right, I said that folk remedies can be handed down, there must be some reason for him. Not only the problem of anaerobic bacteria and aerobic bacteria mentioned by Director Xiao Zhang, this protective film also has another function, that is Play the role of heat preservation and moisturizing.

What do burn patients fear most? It is the loss of a large amount of water, which causes what you Western medicine calls water and electrolyte imbalance, or hypovolemic shock, etc. Chinese medicine calls it cold and heat imbalance, and imbalance of yin and yang. This is very easy to die.

Now you see, there is such a protective film, which directly locks the patient's water, so that the patient can survive the infection and the loss of body fluids. You said, is this kind of folk remedy for burns? Effective and beneficial? "

Hush, huh, huh~~Many medical staff applauded.

Shen Changzhen finally said with emotion:

"We should not blindly slander traditional Chinese medicine, especially our medical staff should believe in the role of traditional Chinese medicine. In the era of lack of medical treatment and medicine, these local methods still have a certain theoretical basis, and they have saved many lives."

The applause sounded again, apparently many young doctors were convinced, and felt that what old man Shen said was quite reasonable.

Standing in the crowd, Chen Qi was quite emotional. He didn't expect that in the 1980s, there was already a trend of "Chinese medicine is useless", especially among young people.

Is traditional Chinese medicine a liar medicine, or is it really effective? This topic is also full of controversy on the Internet decades later.

For example, the well-known Jishuitan burn surgeon Ning Xgang, whose online name is "Burn Superman Abao", belongs to the most fierce anti-Chinese medicine people on the Internet.

But he forgot that even the most commonly used drug for burn patients, "MEBO Moist Burn Ointment", is a traditional Chinese medicine preparation.

Of course, any problem needs to be viewed dialectically. Whether Chinese medicine is good or bad, it is normal for everyone to have their own opinions.

But one thing is clear, that is, Chinese medicine must also make progress, and cannot rest on its laurels.

There are also fake Chinese medicine. There are too many fake Chinese medicines, which are harmful to people. It’s okay to cheat people’s money. It makes people miss the best time for treatment.

Even many real Chinese medicine doctors prescribe random medicines in order to earn high drug discounts. They prescribe generously regardless of the life and death of patients, which is also wrong.

At least Chen Qi believes that if Chinese medicine really disappears one day, the executioners will not be those who oppose Chinese medicine, but those who are engaged in the Chinese medicine industry.

While everyone was arguing about Chinese and Western medicine, Zhu Huoyan asked the thoughtful Chen Qi next to him:

"By the way, has the burn area of ​​the two patients been counted?"

Chen Qi hurriedly replied: "I just picked up the patient. To calculate the burn area, we must first clean up the pot ashes. This is a big project, and I can't do it alone."

Zhu Huoyan is very decisive:

"Since the patient has come, let's not wait any longer, start debridement immediately, and race against time, so that the patient will be out of danger earlier. In this way, I will debride the mother, and you, the little girl, will be in charge of debridement."

Chen Qi nodded. He had treated the "Roast Duck Commander" in Africa. He was an experienced doctor who saved the life of the black commander under such difficult conditions.

Zhang Xing was promoted by Chen Qi to be the deputy director of the "New Burn Surgery" department for the same reason.

Although everyone knew that Dean Chen took the opportunity to promote his confidant, because Yang Xiuxiu, who was also going to Africa, was appointed as the deputy head nurse of the burn surgery department, and Chen Li was also appointed as the deputy head nurse of the emergency department.

Two unmarried little girls became "a bar" in a municipal hospital. This step is definitely at least 10 years ahead of their colleagues.

Among them, Yi Zewen was in place in one step. From the temporary head of the emergency department, he officially became the director of the emergency department, and with the dean as the backstage, his position was quite stable.

The surrounding doctors were all kicked out, and the exhaust system in the sterile ward was also turned on, otherwise it would be impossible to stay in the closed room.

Zhu Huoyan, director of burn surgery Luo Yuyang, head nurse Liu Min, and resident doctor Cao Junnan were in a group.

Chen Qi, deputy director of burn surgery Zhang Xing, deputy head nurse Yang Xiuxiu, and resident doctor Wu Guoliang were in a group, and the two groups started debridement at the same time.

The purpose of debridement is to clean up the ashes and Chinese herbal medicines smeared on the patient's body, exposing the burn wound. This process is easy to say, but it is very, very difficult to do.

Because the "protective film" on the patient's body has become hard, although this effectively protects the wound surface, it is difficult for you to remove these "scabs".

Chen Qi prepared the tools, and couldn't bear to look at this child who looked like a black carbon man.

Only doctors know that the "protective layer" formed by pot bottom ash and Chinese herbal medicine has been closely adhered to the patient's skin, and the pain of peeling off the "protective film" is no different from peeling human skin alive.

Director Zhu's side has already started to act. Ding Xinjuan's screams have resounded through the entire inpatient department, making the medical staff around the door and other hospitalized family members shudder.

"Ah~~~~"

"It hurts~~~~"

"Help~~~~"

Ding Xinjuan's voice had been hoarse from the heat and smoke, so yelling made her goosebumps like fingernails scratching glass.

Song Yanzi, a little patient on the hospital bed, started to shake when she heard her mother's screams. Chen Qi felt distressed when she saw it, and couldn't do anything anymore.

Song Yanzi didn't dare to cry, but let the tears not stop, and asked weakly:

"Uncle Chen, will the treatment be painful?"

Chen Qi squatted down, trying to make himself smile:

"It will be very painful, very painful, just like a butterfly growing from a cocoon to a butterfly, the process will be very painful, but after this painful process, it will become a beautiful little butterfly.

You are the same, now you are sick and injured, and there are so many dark things all over your body that are ugly, uncle wants to clean them up, so that the swallow can be cured and you can be beautiful again of. "

The children of the poor families have long been in charge, which is not wrong at all. Song Yanzi just shed tears, but understood Chen Qi's words:

"Uncle, grandma said that you are good people, you are good people who treat us, I believe you, come on, I will endure no matter how painful it is."

Chen Qi knew that he couldn't wait any longer. Short-term pain is worse than long-term pain, so he nodded:

"Okay, uncle promises you that he will cure you, and I heard that you really want to go to school. When you recover from illness, your uncle will pay for your tuition and make you a glorious young pioneer, okay? good?"

"Okay, thank you uncle."

The little girl thanked her with tears in her eyes, Chen Qi nodded to his assistants and started the "skinning operation".

To remove the "scab" formed by the ash at the bottom of the pot and the Chinese herbal medicine, you must first soften the scab with salt water, and then slowly tear it off with a camera. This seemingly simple action makes one big and one small two The patient suffered a lot and kept screaming.

Chen Qi worked hard for half an hour, but only less than 10% of the wound was cleaned.

Director Zhu over there is not optimistic either.

"Chen Qi, I have to stop here. The patient has fainted from the pain. If this continues, painful shock will occur. It's too dangerous. I have to find a way."

Chen Qi looked at Song Yanzi in the same pain, and his mind was running fast, thinking of what to do?