This doctor is not short of money

"Why?" Director Lu has been a Chinese medicine practitioner all his life, and he is not timid, otherwise he would not have prescribed hundreds of grams of rhubarb.

But looking at Du Heng's dosage, he still felt a little jittery.

Rhubarb is a purgative medicine blindly. It has the functions of purging and attacking accumulation, clearing heat and purging fire, cooling blood and detoxifying, removing blood stasis and dredging menstrual flow. However, rhubarb is bitter and cold, which can easily damage stomach qi and blood. It is suitable for people with spleen and stomach deficiency and deficiency of qi and blood. In other words, if it is used incorrectly, it is not a good medicine for blindly curing the disease, but a poison for harming the body and killing the body.

Now this patient has just undergone an intestinal obstruction operation, and now has intestinal adhesions and incomplete obstruction, so it can be known that he is a patient with severe qi deficiency and blood deficiency.

In this case, he was brave enough to use a dose of hundreds of grams.

It should be known that the prescribed dosage is that when rhubarb is taken orally in decoction, the usual dosage is 3-15g, and 15-20g is used for severe heat knot.

Five or six times the increase, isn't it bold enough?
But looking at Du Heng's medication, he couldn't stop it ten times.

Is this to cure the disease, or to harm people?
Du Heng understood Director Lu's feelings very well, so he did not leave in a hurry after writing the prescription, but waited to give them an explanation.

As for Director Lu's "why", Du Heng also knew which aspect he was asking about, so he explained directly, "If the temper is sunken and the stomach qi is reversed due to the six evils, external evils, or internal injuries caused by diet, it will form The barrier is blocked, at this time, using Dachengqi Decoction, especially Director Lu's dosage, is definitely enough.

But now, this patient's qi mechanism is in disorder, rising but not falling, unable to go up and down, this is a severe disease.

However, the patient is old and frail, and has undergone another operation. In addition, he has not eaten for many days, and his spleen, stomach and intestines are no longer able to function.The dosage of rhubarb and Magnolia officinalis is not enough, and it is not enough to mobilize the linkage between spleen, stomach and intestines.

To treat serious diseases of Guange, one must use the agent of mopping up and attacking fortifications, and the medicine of qi should be used as the commander.The amount is small, how to be the commander? "

However, Director Lu could not accept this explanation, but asked worriedly, "But such a large dose, can the patient bear it? What if there is a situation where it cannot be taken?"

"So, I only prescribed two doses of medicine. Magnolia officinalis has also increased. Using Magnolia officinalis to reduce stomach upset, the gasification of the triple burner will quickly return to normal, and it can be stopped after breaking through the blockage."

But Director Lu still shook his head, "No, I still think the risk of using such drugs is too great.

This patient is over 60 years old. He couldn't hold on to the operation for intestinal obstruction, and he became in a state of intestinal adhesion and semi-obstruction. If such a large dose of laxatives goes on, if something goes wrong, it will be his. Life.

No, I do not approve of this method. "

Du Heng was not at all uncomfortable with Director Lu's objection.Consultation, isn't it just to gain the strengths of all the families and take the essence.

Some people object that it is the responsibility of the patient, and it is also the protection of the person who made the suggestion.

Because once a problem occurs, the patient will suffer, and the doctor who made the suggestion is also to blame.

At this time, after this prescription was obviously opposed by Director Lu, the director of the anorectal department also became entangled, and the attending doctor beside him didn't know how to describe his mood.

Say you're happy, your life-saving straw is gone.

Let's say I'm not happy, but seeing the young deputy director who makes me feel uncomfortable makes me feel better.

Tangled, awkward, uncomfortable.

Instead, Du Heng didn't argue with Director Lu, but bowed his head and pondered for a while.

The advantage of the proven prescription is that it has been applied by a large number of predecessors, and a reliable and effective therapeutic effect has been obtained, which has given future generations a practical tool that can be used immediately.

But its disadvantages are also obvious at a glance.

Just like now, if you prescribe a prescription, if the changes are too much beyond the original prescription, then everyone will question it, and even worry about problems.

Then, to solve this problem, you can only formulate your own prescriptions, and match the prescriptions according to the actual conditions of the patients.

However, in this case, the doctor must have very rich diagnosis experience and a large amount of detailed knowledge of Chinese herbal medicines. This is not an easy task for the current Chinese medicine doctor.

Today's TCM doctors, let alone formulating prescriptions freely, even if they can use the proven prescriptions clearly, it is not easy to agree.

Otherwise, why the doubts of Chinese medicine are getting louder, and the reputation of slow doctors in Chinese medicine is getting louder and louder, and there is a problem at the root.

But these things can't affect Du Heng, he really has the ability to come from the free group.

So after thinking for a while, Du Heng didn't choose to argue with Director Lu, but took a pen and paper, and wrote a new prescription.

Director Lu didn't know what Du Heng was writing, but when Du Heng started to write, he didn't bother him, but after Du Heng finished writing, he immediately took what Du Heng wrote, before the director of the anorectal department. inside.

"Nitrate soup?" Director Lu saw what Du Heng wrote at a glance.

Although a lot of medicinal materials are added in it, the foundation of the recipe has not changed. All the extra medicinal materials are added around Glauber's salt and white radish.

Du Heng smiled and looked at Director Lu, "Director Lu, what do you think of this prescription?"

But Director Lu didn't answer Du Heng's words, but frowned again.

He seemed to feel that his judgment just now was wrong, this prescription was not based on nitrate soup, it seemed to be. . .It's a variation of the Dachengqi soup just now.

But it's wrong to think about it carefully.

Because in Du Heng's prescription, it does not have rhubarb as the main drug.

There is no main medicine, so is it still Dachengqi Decoction?Not to mention other adjuvants, Du Heng also removed a lot.

Soon, Director Lu seemed to have thought of something, although he didn't want to admit it, but looking at the prescription in his hand, he had to admit that Du Heng made a prescription himself, although there were shadows of Dachengqi Decoction and Nitrate Decoction Yes, but they are indeed the prescriptions of their own group.

And this time the prescription looks like this, it is much more complete and reliable than the large dose of Dachengqi Decoction just now.

At least those doses seemed to be within my acceptable range.

Even though these doses are a little bit over the regulation, but I can really accept it.

After taking a deep breath, Director Lu looked at Du Heng and asked, "Deputy Director Du, please explain to everyone the characteristics of your prescription."

Du Heng smiled.

As soon as Director Lu said this, Du Heng knew that Director Lu was convinced.

"The patient had intestinal adhesions after the operation, accompanied by incomplete obstruction. This is the blockage caused by qi deficiency." Du Heng followed Director Lu's question and directly began to explain the composition of his prescription.

"This time, I re-use ginseng to invigorate the vitality of the patient. With a small amount of woody fragrance, the agarwood is ground into the juice to help the patient's air flow. The radish seeds in the prescription are the mature seeds of white radish. It is related to radish. It also has the function of dispelling qi and eliminating phlegm."

Du Heng talked eloquently and calmly, and started from the beginning to the prescriptions in his group, "This time I used a large dose of ginseng as the commander, and used the goodness of Laifuzi to prevent its disadvantages and avoid the use of rhubarb last time. possible hazards.”

Director Lu nodded and agreed with Du Heng's method, "Indeed, using radish seeds is much more reassuring than using rhubarb."

Du Heng nodded in the same way. It was precisely because Director Lu was worried about the large dose of rhubarb just now that he chose to mix the prescription in this way.

After a slight pause, Du Heng continued, "This time I reduced the amount of magnolia bark, but added ocher to it, and together they can reduce stomach upset, and can also quickly restore the gasification of the triple burner, and break through the blockage. All diseases can be healed immediately.”

Director Lu fully accepted this explanation, nodded again and said, "Deputy Director Du's prescription is naturally different from Dachengqi Decoction's broken and smooth qi, and it is mainly to nourish the qi.

When the qi is sufficient, the movement, rotation, ascending and descending will return to normal, and the swelling and stuffiness will disappear on its own.

Taking a different path, but the same goal by different routes, Deputy Director Du, you are like everyone. "

Then he turned his head and handed the prescription to the director of the anorectal department, "I think there is nothing wrong with this prescription, you can use it for patients."

But the director of the anorectal department was still a little hesitant.

Especially with Director Lu's objection before, this time he also has such doubts, "Deputy Director Du, Director Lu, can patients with this prescription be able to bear it?
But there must be no uncontrollable situation happening.

If we really can't, we will have a second operation. Although it is a bit risky, the problem will not be too big. "

Director Lu smiled and said, "This time the prescription does not contain those medicines that are aggressive and cathartic, so you can use them with confidence.

In this recipe, Deputy Director Du used white radish, and white radish is a vegetable that is available in all seasons.

Swallow raw food, immediately burp the breath, raise the breath and broaden the chest, and pass the upper burner first; cooked food will turn the arrow breath, the bowel sounds moist, the root of the lower breath is quick, and the two stools are relieved, and the middle and lower burners can be cleared.

There is also Glauber's salt in the recipe, and Glauber's salt is boiled together with radish, which is the Chinese medicine prescription "Nitrate Soup", which has the effect of softening and softening.Pushing down with the characteristic of radish thick juice, which is good at lowering the air, can speed up the peristalsis of the intestinal tract, and it can untangle the knot quickly without hurting the body.

As for the other medicines, they are all tonics and will not harm the body. "

With Director Lu's explanation, Du Heng didn't waste his time talking. He just nodded after Director Lu finished speaking, indicating that Director Lu was right.

The director of the anorectal department looked at the prescription and took a deep breath, "Okay, then I will arrange it now."

For the rest, as long as the patient has no problems, it basically has nothing to do with Du Heng.

So he wobbled back to the office, and then went to the resident doctor, "Did that guy come yesterday?"

The resident doctor shook his head, "I specifically asked the outpatient clinic and Director Wu, and they all said that there was no news about that guy.

I also called him, but it kept ringing, but no one answered. "

Du Heng thought for a while, "Forget it, don't worry about him. I should have found the problem myself, so I'm sorry."

It's a pity for the resident doctor, he still wants to see what's going on.

Afterwards, Du Heng really didn't care about that patient, and plunged into his own work.

Just after work in the afternoon, Du Heng was called by the director of the anorectal department, "Deputy Director Du, after the patient drank the medicine you prescribed in the morning, about an hour or so, his stomach started to gurgle, and he vomited. The situation is also under control.

You said in the morning that this situation is normal, so I didn't bother you.

Just now, the patient's stool passed, and the abdominal pain problem disappeared. "

Du Heng smiled implicitly, "This is a good thing."

The director of the anorectal department has the same attitude towards Du Heng as he did to Director Lu and Director Qian in the morning, affectionate and respectful, while the attending doctor who has been following him has been looking down at the case in his hand, not knowing what is on it. It's not that there are flowers, which completely fascinated him.

The director of the anorectal department smiled, "It's like this, after the patient passed the stool, he said he was hungry and wanted to eat.

But I don't know if he can eat at this time and what he should eat after drinking the traditional Chinese medicine.

In addition, the patient's stool has passed, and the problem should have been resolved, so should we continue to take the medicine.

So I can only trouble Deputy Director Du again to solve these two problems for me. "

Du Heng smiled and said he was polite, and then went to the ward with the director. After the examination, Du Heng said to the patient, family members, and the director and attending of the anorectal department, "You can eat, but be careful not to eat too much. Many, the stomach and intestines have just recovered, and it is still a bit difficult to transport and transform.

In addition, don't eat raw, cold things, and don't eat those things that are not easy to digest. "

At this time, the family members were very happy, and thanked Du Heng and the director of the anorectal department.

After this wave of thanks, the family members asked, "Doctor, then I want to give my father something nutritious, like pork and mutton, is this okay?"

Du Heng nodded, "Yes, but when making it, it must be soft and rotten. It is best to make soup. For the first three days, try not to eat meat if you can drink soup.

When the old man recovers completely, he can eat whatever he wants at that time. "

After leaving the ward, Du Heng told the answer to the second question to the director of the anorectal department, "The effect of the medicine is good, I think two more doses of medicine will be enough, and you can follow your own way for the rest."

The director of the anorectal department asked a little doubtfully, "Didn't you say that the patient is weak? Wouldn't it be better to drink more medicine and help him replenish?"

It seems that the director of the anorectal department is completely convinced of the curative effect of traditional Chinese medicine, and now he actively asks his patients to use more traditional Chinese medicine for supplementation.

This is a good thing.

Du Heng smiled lightly, "Director, your idea is good, but there is a word in our Chinese medicine, which is called deficiency without supplementation.

The viscera are a whole, and the most important thing is their mutual balance and stability.

As long as the movement and transformation between the intestines, spleen and stomach, and the whole body's qi and blood can be integrated, let them self-regulate and recover.

If you continue to supplement the intestines and spleen and stomach, the newly established balance will be broken, and the patient will have other problems. "

The director of the anorectal department chuckled, and said heartily, "Okay, just listen to Deputy Director Du."