This doctor is not short of money

Chapter 463
And Du Heng's words, in the ears of others, seemed to say that he himself did not have confidence this time. I froze for a moment.

But Du Heng can't control so much. The fact is that although the reason is unknown, it doesn't affect his treatment with medication. As long as the vomiting and fever are suppressed, the rest only needs to be treated with medication.

At this time, Gu Ping came in with a needle kit.

Du Heng took a deep breath, cleared away the distracting thoughts in his mind, and began to concentrate on treating the patient.

"Come on, open your mouth... Yes, bear with it, persevere, it will be fine soon."

Du Heng asked the family members to hold the patient a little bit, and then asked the patient to open his mouth and prick the Jinjin and Yuye points under the tongue to drain the black blood.

Then he extracted 2ml of black blood from the Chize point on both arms, and then went to the left Zusanli, the right Yangling spring to penetrate the Yinling spring, and used the purging method to lift, insert and twist, and in the end, he even kept the needle and did not take it.

With the longer the needle retention time, the patient's pain became weaker and weaker, but the patient's vomiting did not weaken at all.

Du Heng touched his chin and stood aside, his brows twisted into a tangle.

This is not right. According to my expectation, when the patient's pain subsides, the feeling of vomiting will also decrease accordingly.

What went wrong in the middle?
Moreover, the patient's condition has been obviously relieved, but in his own system statistics, there are no effective figures, which makes him even more confused.

Forget it, forget it.

Anyway, no matter what the reason is, now it is only necessary to treat the patient with heat-clearing and detoxifying, clearing the internal organs and purging heat, and sweeping away blood poison.

Thinking of this, Du Heng was not going to wait any longer, and bent down to remove the needle from the patient.

When he stretched out his hand to check the pulse again, Du Heng saw the patient's hands and the black dirt in the nails again.

While feeling a little awkward in his heart, Du Heng then asked, "Has your mother had any kind of experience before?"

The patient's son looked worried, "Several times, she complained that she had a stomachache. We wanted to take her to the hospital, but she refused. She went to the clinic to prescribe some medicine for stomachache, and what anti-inflammatory drugs?" Gallbladder."

"Do those medicines work?"

"It used to be a little bit, but it's not working recently, and it doesn't matter how much you drink."

Du Heng let go of the patient's wrist, and was about to prescribe medicine to the patient in the office. Before leaving, he asked, "Is your mother still working?"

"No, I've already retired."

Du Heng paused, pointed to the patient's nails and said, "If you don't go to work, what's in your mother's nails?"

The patient's son followed Du Heng's fingers and looked over, with embarrassment and shame flashing across his face, "After my mother retired, she fell in love with picking up trash for some reason, plastic bottles, paper shells, foam boards, anyway, as long as I can For the money, no matter where the thing is, she will pack it up and take it home.

My mother's pension also has more than 3000 per month, plus my dad's, the two of them have no worries about food and drink, I really don't understand what she is doing?
The house was so noisy that my dad couldn't stay at home, so he ran to my place and couldn't go back.

Doctor, I want to ask, is there something wrong with my mother's spirit? "

Du Heng didn't hear what the patient's son said behind him, but when he heard the patient picking up trash, his mind suddenly turned.

Suddenly, Du Heng slapped his hands abruptly, "I see."

Xu Pinglin looked puzzled, "What do you know?"

"This knows what caused the patient's vomiting and upper abdominal cramps."

"What's the reason?" Xu Pinglin also became agitated.

If Du Heng really knew and judged correctly, they might save a lot of trouble.

With a look of conviction on Du Heng's face, he said decisively, "Using the name of your disease in Western medicine, it is biliary ascariasis complicated with acute pancreatitis. This is caused by unhygienic daily life and diet."

Biliary ascariasis?
Xu Pinglin went through the video data just now in his mind.

Then he let out an annoyed "Oh".

Ascariasis, biliary ascariasis, these are not complicated diseases.But the high incidence period of this disease is before the millennium, or before the 90s.In the new century, this disease has gradually faded out of the sight of doctors.

In the past, because of personal hygiene problems, many people drank raw water such as river water and well water, so ascariasis was very common.

But now, whether in rural areas or cities, the sanitation situation has been greatly improved, and people are now very conscious of hygiene and health, washing hands before meals and after going to the toilet, drinking water has also become tap water after disinfection, Very few people have this disease.

For Xu Pinglin, since he entered the profession, he has seen ascariasis twice, and this happened more than ten years ago when he was just a doctor.

Besides, most of those with roundworms went to the anorectal department, and very few came to the gastroenterology department, which made them completely forget about this disease.

At this time, someone behind him said, "Ascariasis? Impossible? In this society, how can there be people suffering from ascariasis."

Du Heng shook his head and said affirmatively, "Yes, there will definitely be. For example, this patient, you can see her hand. Although the hand is cleaned very clean and the nails have been trimmed, but look at her nail seams, the top To the innermost part, the black dirt is a breeding ground for roundworms.

There is another kind, those who like to eat vegetables with organic fertilizers, but do not wash the vegetables, they have the same chance of getting ascariasis. "

With organic fertilizers and no washing of vegetables, several doctors present swallowed and spit involuntarily.

No one really has such a heavy taste, right?
Du Heng didn't care about their physical discomfort, and continued, "There is another situation, that is, children in rural areas who are not cared for, they are also a high-risk group of this disease.

In my health center, there are still people who come to deworm children, but they are all intestinal roundworms. This is the first time I have seen biliary ascariasis today. "

Du Heng now understands that the system did not count the effective figures because he did not deworm and did not solve the root cause.

And the treatment plan of clearing heat and detoxifying, dredging the internal organs and purging heat, and sweeping away blood poison is not wrong.

"Gu Ping, continue to bring the needle over."

"Ms. Du, if it is biliary ascariasis, it would be better to use anthelmintics?" Gu Ping walked to the front again, and asked softly while helping Du Heng find the needle.

"If roundworms are in the stomach, taking anthelmintic medicine is indeed effective, but now there are roundworms in the bile duct, so I have to force them back first. Don't worry, I will use acupuncture to force the roundworms back. At this time, it is much more convenient and useful than medicine."

While Du Heng was speaking, he was already holding the needle in his hand and began to do it again.

The fragrance of Ying penetrates the four whites, and then there is the point of Renzhonghe Gallbladder, and this time, Du Heng didn't just stick it and finish it, or the usual kind of lifting, thrusting and twisting.

Instead, after inserting the needle into the acupuncture point to a certain depth, hold the needle handle, and use small and fast frequency lifting, inserting and twisting movements to make the needle body slightly tremble.

This is another method of acupuncture, called tremor method, the purpose is to promote Qi at the lesion, enhance the effect of eliminating evil and strengthening the body.

Afterwards, acupuncture was performed again at Zusanli, Quchi, and Zhiyang points, but this time only ordinary acupuncture techniques were used.

With the progress of Du Heng's acupuncture and moxibustion, the patient's desire to vomit became stronger.

Du Heng saw that the time was almost up, so he hurriedly ended the acupuncture treatment this time.

As soon as Du Heng took off all the needles, the patient couldn't bear it anymore, turned over directly, lay on the head of the bed and began to retch vigorously.

And vomited and vomited, there was a scene that made everyone stunned and retched.

I saw a white and tender worm spit out from the patient's mouth, and the body of the roundworm outside the mouth was still writhing.

The most exaggerated thing is that only half of the worm came out, and there was a large part invisible in the patient's throat.

And as the bug continued to twist, the half of the bug exposed outside seemed to be retreating.

"Goo~~~~"

Du Heng's Adam's apple couldn't help but began to writhe up and down, and his mouth felt dry and tight.

Although this was a scene he created, he himself did not expect such a result.

"Yo~~~~"

A female doctor standing behind couldn't bear it anymore, she covered her mouth and pushed away the person behind her, then ran out the door quickly.

While running, he also made the sound of retching.

Du Heng also wanted to run, but looking at the patient's outermost half of the worm, he knew he couldn't run.

Not only can't run, but you have to solve the immediate problem immediately.

"Nurse, where is the nurse, give me a clip and a tray." Suppressing the discomfort, Du Heng began to call the nurse.

In just a few seconds, a nurse appeared in front of everyone with what Du Heng needed.

When passing through the crowd, her eyes were full of contempt.

This group of doctors usually consisted of five or six people, but now, in her eyes, they were just a group of chickens.

For her who has experienced many battles, the scene in front of her can only be regarded as pediatrics.

Du Heng stabilized his mind, took the tweezers, resisted the urge to feel uncomfortable, and clamped the "fat" and "fresh" half of the worm's body.

"The mouth grows, and the head is raised... Yes, a little higher."

Following Du Heng's movements, a roundworm over [-] centimeters was finally dragged out of the patient's throat.

And the doctors present, after the initial discomfort, all stared wide-eyed, looking at the 'trophy' made by Du Heng in front of them.

At this moment, they believed in Du Heng's judgment.

They were glad that they didn't refute Du Heng just now, what a wise choice.

For some doctors who are not very old, in addition to admiring Du Heng, the roundworm over [-] centimeters and the way it appeared are enough to broaden their horizons.

They have seen such scenes in books and video materials, but no matter how much they learn and watch, it is far less profound than experiencing it personally.

They believe that at least this week, there will always be a feeling of a foreign body 'gurgling' in their throats.In the future, today's scene is definitely the kind of scene that cannot be forgotten.

Du Heng threw all the worms and tweezers into the tray, and he couldn't help shivering as he put down the tweezers.

"Director, the patient's problem has been clarified. Now go back and prescribe a prescription. We need to get the worm out of the bile duct as soon as possible."

The corners of Xu Pinglin's eyes twitched slightly. When he heard Du Heng's words, he also hurriedly said, "Okay, I will prescribe the prescription now. The patient's condition must be brought under control."

While speaking, Xu Pinglin turned around and walked towards the door.

When everyone walked out of the ward, everyone suddenly felt relaxed.

"Director Du, the patient's bile duct problem has been solved. As for the pancreatitis problem, is there anything you can do about it?"

"Don't worry, just leave it to me."

Back at Xu Pinglin's office again, only Du Heng, Xu Pinglin, and Dr. Zhou were left.As for the others, the problem has been solved and they will not come.

Come on, the most is to listen to Xu Pinglin's bragging about Du Heng.

Du Heng is amazing, they have this consensus now, but they always listen to Xu Pinglin bragging about Du Heng, they are also very uncomfortable, and they are more and more disgusted with such behavior.

Besides, now that Du Heng is going back to prescribe medicine, and they don't know Chinese medicine, can they help Du Heng prescribe medicine?
But they didn't understand, Dr. Zhou did, so he followed him to the office.

"Director Du, what prescription are you going to use next?"

Du Heng didn't answer, but instead asked Dr. Zhou, "Does Dr. Zhou have any suggestions?"

As a senior attending doctor, Dr. Zhou still has two brushes. When he heard Du Heng's question, he opened his mouth and said, "I want to use the Jiedu Chengqi Decoction in "Treatise on Febrile Diseases and Plagues". Expelling heat, just right symptom."

Du Heng nodded, "The patient's liver and gallbladder are obstructed by evil heat, and he also has symptoms of chest congestion due to heat. He used Jiedu Chengqi Decoction to treat the symptoms, but the effect is not so good."

Dr. Zhou frowned slightly, looking at Du Heng, hoping that Du Heng would explain.

Du Heng paused and continued, "Jiedu Chengqi Decoction is mainly used to treat febrile diseases with severe fever in the triple energizer, fullness and dryness, and it has a miraculous effect on the treatment of febrile diseases.

Especially for warm toxins that flow up and down and cause disordered qi movement in the body, this medicine can clear away and raise yang, clear deficiency and disperse fire.

But in this patient, not only is the Qi disorder in the body, but also the circulation of blood and toxins, which is also the origin of the inflammation in her body. Therefore, we need to sweep away the blood toxins and expel pus and blood before we use the medicine.

However, Jiedu Chengqi Decoction lacks this function and cannot solve the most fundamental and fatal problems of patients. "

Doctor Zhou was silent for a while, Jiedu Chengqi Decoction was the most suitable prescription he could think of now, but at Du Heng's place, the medicine was not effective enough to solve the most urgent problem of the patient.

Then he asked directly, "Then how are you going to prescribe the prescription, Director Du? Are you going to use the formula, or mix it yourself?"

He asked quite sincerely, and he didn't feel embarrassed or unable to open his mouth at all because he was older than Du Heng.

(End of this chapter)