This doctor is not short of money

Chapter 151 Disulfiram-like
Wu Buwei is also a doctor now, he can see a doctor, but he can't prescribe medicines for patients, but it is completely possible to prescribe some over-the-counter medicines or Chinese patent medicines.

Physicians do not have the right to prescribe, and they must be supervised by a superior doctor to prescribe prescriptions.

But in Zhonghu Town, most of the village doctors are doctors, and only Du Fei and the other three are junior practitioners.

For them, the policy is slightly more relaxed, and they can prescribe some prescription drugs in their own clinics.

Otherwise, there was an emergency in the village, and there was no prescription for emergency treatment. By the time someone arrived at the hospital, he would have died long ago.

Du Heng didn't bother him, but found a place beside Wu Buwei's stool and sat down.

Wu Buwei glanced at him, Du Heng shook his head lightly, "Leave me alone, look at you."

Hearing what Du Heng said, Wu Buwei stopped looking at Du Heng, but took his pulse seriously.

Du Heng didn't speak, but kept observing the patient in front of him carefully.

Female, in her fifties, with red face and red eyes, profusely sweating.

At this time, Wu Buwei also finished his pulse diagnosis, but this time was a bit long, similar to that of Du Heng before, it should be confirmed with the things in his mind when he was taking his pulse.

"Auntie, apart from dizziness, nausea, and vomiting, do you have any other symptoms?"

"No, it's just that I'm sweating a lot this time. Look, my clothes are soaked through again."

"Before you came here, did you take any medicine?"

The patient thought for a while, "I felt a little dizzy at noon, and felt nauseous. I thought I might have a heatstroke, so I took a bottle of Huoxiang Zhengqi water and drank it. I was still very dizzy afterwards, so I went to bed. One sleep. I don’t know why, when I woke up, it became like this, sweating too much.”

Wu Buwei was also a little uncertain.

The patient is counting pulses. "Pinhu Pulse Science" records that counting pulses can be known as yang heat, and only the emperor's fire is used to treat it. It is really suitable to cool down, relieve deficiency and warm up, but fear it when lung disease is deep in autumn.

Combined with the patient's physical signs and characteristics, this is a symptom of summer heat invasion, that is, heat stroke, and it is also a mild heat stroke.

But now the sweating is really strange, even if the Huoxiang Zhengqi Water has the effect of sweating, it is just a slight heat and sweating on the body surface, it is impossible to become the profuse sweating like now.

Wu Buwei couldn't decide to pay attention, so he turned his attention to Du Heng.

Du Heng looked at Wu Buwei and asked for help, but Du Heng was also puzzled.

Wu Buwei's pulse diagnosis should not be wrong, and looking at the patient's symptoms and self-report, it really looks like heatstroke, but this sweating also stumped Du Heng.

But now Wu Buwei couldn't take it anymore, so he could only ask the patient, "I hear you are a little hoarse, do you have a cold?"

The patient nodded, "I let the wind blow last night. I already had a little pharyngitis, so my throat was a little hoarse when I woke up in the morning. It should be another inflammation."

"Oh, have you taken anti-inflammatory drugs?"

"It must be eaten. You don't know, my pharyngitis is driving me crazy. If I don't control it in advance every time and don't drink anti-inflammatory drugs, I won't be able to speak or eat."

Having said that, Du Heng immediately thought of the content of the chat with Yu Haiting just now, and the two of them really talked about this issue.

Du Heng cheered up, and quickly asked, "What medicine did you take?"

"Just that cephalosporin or something, I don't remember the last three words."

It doesn't matter if you don't remember the last three words, as long as you remember the first two words.

As the saying goes, cephalosporin comes with wine, and suona blows all night.

But cephalosporin with Huoxiang Zhengqi water, that is to say, go away.

Drinking these two medicines together will also cause a drug reaction.

Lighter dizziness, nausea, vomiting, chest tightness, and limb weakness, and more serious ones may lead to anaphylactic shock, causing liver damage, acute heart failure, and even death.

For one reason, there is alcohol in Huoxiang Zhengqi Water.

Therefore, after taking the cephalosporin, it is best to wait for about a week before drinking or drinking alcoholic beverages, otherwise you will really have to play suona all night.

"My God, you have a reaction between cephalosporin and Huoxiangzhengqi water, which is called a disulfiram-like reaction." He said to Wu Buwei, "Go and ask Dr. Yu to come down and let him handle this situation. The methods of western medicine are more direct and better than those of traditional Chinese medicine.”

Wu Buwei also understood, and hurriedly got up to find Yu Haiting.

The aunt couldn't understand what disulfiram-like reaction was like, so she asked in a panic, "Doctor, am I poisoned?"

"Almost the same thing."

"Then can I still be saved?" There was a cry in her voice.

Du Heng shook his head with a smile, "It's okay, your situation is not serious, and we, Doctor Yu, can help you deal with it later."

Auntie breathed a sigh of relief when she heard Du Heng say that.

Chatted with the patient a few more words to let him relax and not be so nervous.

While chatting, Yu Haiting walked in quickly.

"Dean, what's the matter?"

"Let's take a look, it should be the disulfiram-like reaction you just told me about after mixing cephalosporin with alcohol."

Yu Haiting's heart skipped a beat.

Just now, Du Heng solved the problem that trapped him with a simple two-flavored medicine, and he was very impressed.But I didn't want to talk about it just now, and introduced him to the disulfiram-like reaction, and it was so easy to use it so quickly.

Yu Haiting checked carefully, and then confirmed what Du Heng said, the patient really had a reaction to cephalosporin.

In fact, the correct way now is to test the patient's blood, but the condition of the hospital is like this, so these auxiliary methods can only be omitted.

Du Heng looked at Yu Haiting and nodded, then asked, "Can you handle it here?"

"Yes, our medicines are complete and can be handled completely."

"That's good, the patient will be handed over to you."

Watching Yu Haiting take people out, Du Heng sat on the chair and became silent.

This is not the first time that a patient has taken the wrong medicine, leading to more serious lesions.

When he entered the village in March, he found several cases.One of them, his mother-in-law, had edema all over her body caused by drinking cold medicine.

This problem also exists in cities, but it is rare.Every time the medicine is taken, whether it is the doctor who prescribes the medicine or the nurse who takes the medicine, they will tell the patient which medicines cannot be mixed and how long the interval is.

But in rural areas, one is limited by the overall level of village doctors, and they themselves don't know whether these medicines can be mixed.The second one is that there is no such habit at all to tell the person who takes the medicine what medicines cannot be mixed.

And patients do not have this awareness, and rarely ask.Even if you ask, it will be forgotten after a long time.

However, medicines such as cephalosporin and Huoxiang Zhengqi water are commonly used at home.If you feel a little uncomfortable, you don't go to the clinic or the hospital, just drink some medicine yourself and you're done.

But that's what happened.

Now the weather is getting hotter and hotter, blowing on the air conditioner, drinking cold drinks, eating ice cream, working in the field under the sun, and sitting on the ground when tired, the heat and humidity invade, which is especially likely to cause intestinal discomfort.

There will be more and more problems such as fever, sore throat, diarrhea, etc., and the frequency of use of Huoxiang Zhengqi Water will become higher and higher.

Huoxiangzhengqi water is available in every village clinic, and patients will not go to the health center to get the medicine.

Now it seems that it is necessary for Yu Haiting to give you a daily medication training, and talk about the combination and contraindications of daily medication.

(End of this chapter)