This doctor is not short of money

Chapter 941 Minimalism is pragmatism

This puerpera, if she turns to the left, she will die, and if she turns to the right, she will die. Even if she stays where she is, she will still die.

In this situation, for them, doctors, what they can do is to live to death, and try their best to create possibilities out of the impossible.

As for the final result, don't think about it, just try your best.

Du Heng followed Director Tao to meet the parturient, and he found that the current situation of the parturient was actually more serious than what Director Tao said.

Director Tao said before that the mother had edema in the lower limbs, but Du Heng found that the edema can be seen from any position.

Moreover, the squeaking sound on the monitor next to it was extremely loud, and the numbers on each of the four monitoring sub-screens would be stuck at the critical value.

Looking at the parturient on the hospital bed, she was also in a semi-comatose state, and from her distorted expression, it could be seen that she was in pain and uncomfortable.

"Director Tao, what kind of treatment have you had before?"

"Let's put it this way, we have done everything we can do." Director Tao sighed and said helplessly, "The medicine can be used, and it has been used for the second time within a reasonable range.

For example, the conventional massage method and stuffing method are all used.

Except for a slight reduction in the amount, nothing has changed. "

After speaking, Director Tao immediately took the treatment record and handed it to Du Heng, so that Du Heng could clearly grasp their treatment process.

"And considering the high blood pressure and heart palpitations of the parturient, we dare not use some medicines." After taking a look at the parturient, Director Tao turned his attention to Du Heng, "Director Du, I hope you can learn from traditional Chinese medicine now." We have found some ways to help patients."

At this time, Du Heng did not express any anxiety, but patiently went through the treatment records of Director Tao and the others in detail. While mastering their treatment process, he also had a better understanding of the actual situation of the parturient.

After reading the treatment records in his hand, Du Heng put down his things and walked up to the mother to start the examination.

Soon, he had a solution in his heart for postpartum hemorrhage.

And this method is the combination of acupuncture and decoction.

Acupuncture selects Sanyinjiao and Xuehai acupoints.

Sanyinjiao, three inches above the ankle, is the liver, spleen, and kidney meridian, which has the effect of promoting qi and stopping bleeding, dredging the meridian and dredging the collaterals. This point is especially effective for some menstrual problems in women. And this point seems to be recorded in books such as "Thousand Gold Wing Prescriptions" and "Thousand Gold Prescriptions".

Moreover, it has been found in modern research that this acupoint also has a very good effect on high blood pressure.

Therefore, choosing the acupoint of Sanyinjiao can achieve the effect of killing two birds with one stone.

As for the choice of another Blood Sea Point, the reason is also very simple.

The parturient is now bleeding profusely. According to Director Tao and the others, this is caused by the low platelets of the parturient.

But in the theory of Chinese medicine, the liver stores blood and the spleen controls blood.

To govern means to govern, govern, and control, and to govern the blood means to govern the blood so that it does not overflow or seep out of the blood vessels.

Now the parturient is bleeding continuously, which means that the spleen has lost control of the blood.

In addition, traditional Chinese medicine also says that blood is the mother of qi, and qi is the commander of blood, which means that the spleen governs the blood with "qi".

Therefore, when the temper is strong, the function of taking blood is normal, and the blood can only be taken in and run in the blood vessels, but cannot overflow outside the blood vessels.

If the Spleen is deficient, the Spleen Spleen will inevitably weaken and lose its ability to control, and the blood will spill out of the veins, which will lead to a situation where the blood flows indiscriminately or the spleen does not control the blood.

The role of Xuehai acupoint is to transform blood into qi, transport and transform spleen blood, to enhance the spleen's ability to fix and absorb, and then achieve the purpose of hemostasis.

This function is recorded in "The Acupuncture and Moxibustion Dacheng": the violent collapse does not stop, and the sea of ​​blood dominates.

At the same time, in view of the fact that the mother has just given birth and is physically weak, and the acupuncture method is more or less 'diarrheal', Du Heng did not dare to choose more acupoints.

And he also planned to use moxibustion on these two acupoints immediately after the acupuncture.

Because there are not many acupoints selected, and the mother's body is weak and intolerable, at this time, decoction must be used as an adjuvant treatment.

But in the current situation of the mother, it is obvious that the compound prescription cannot be used. She is afraid that when the effect of the medicine responds, she will react too much.

Even though Du Heng's assistance with medicine has been superb, he dare not take this risk now.

But after thinking about it, Du Heng still couldn't find one or two medicinal materials, or it could stop bleeding, but without other medicinal materials, the medicinal effect could not be exerted.

Either the medicinal property is enough, but the toxicity of the medicinal material itself cannot be controlled when used alone.

Director Tao didn't dare to disturb Du Heng, and could only wait for Du Heng to say it himself, but the creaking sound of the monitor next to her made her feel inexplicably irritable.

"Director, the blood oxygen of the parturient is low again." At this moment, the colleague on the side reminded Director Tao in a low voice, which made her feel even more irritable.

Since this patient was admitted to the hospital, they have not let them rest for a day.

It's all right now, not to listen to persuasion, not to mention putting herself in an extremely dangerous situation, but also giving them an extremely difficult trouble for these doctors and nurses.

Never mind, I'm really at a loss what to do now, like a tiger eating a hedgehog but has nowhere to go.

You don't care, the mother obviously has a chance to survive, which is unacceptable to conscience and morality.

"There is."

Director Tao was startled by Du Heng's sudden utterance while he was feeling melancholy.

But she immediately reacted, looked at Du Heng expectantly and asked, "Director Du, have you found a solution?"

Du Heng let out a heavy breath, then nodded solemnly.

In the thinking just now, Du Heng almost gave up, because he couldn't find any medicinal materials that could meet the current requirements in the common pharmacology classics.

But just at the moment when he was about to give up, a flash of inspiration flashed in Du Heng's mind, and a medicinal herb named 'Roropetalum Root' appeared in his mind.

Loropetalum root, also known as loropetalum root, soil Jiangxiang, slightly warm in nature, bitter in taste, enters the liver, stomach, large intestine, and kidney four meridians, has the effects of stopping bleeding, promoting blood circulation, astringent and astringent, and mainly treats hemoptysis, vomiting blood, blood in the stool, and traumatic bleeding , Metrorrhagia, postpartum lochia and other symptoms.

Moreover, according to modern pharmaceutical research, loropetalum root significantly increases the swing and tension of the uterus, expands blood vessels, resists edema caused by histamine, and has the effect of stopping bleeding.

Thinking about the efficacy of this medicine carefully, isn't this just in line with the current situation of the pregnant woman.

The reason why Du Heng remembered it now is because this medicine is not recorded in common basic medicine books, but is mostly recorded in local medicine books in the south, such as "Fujian Folk Herbal Medicine", "Jiangxi Herbal Medicine", "Hunan Medicines and other books.

For a doctor sent by an academy like Du Heng, his first choice of classics is the kind of books and documents that are well-known throughout the country and have great influence. Even if he has systematic rewards, it is difficult for him to change this thinking habit .

Therefore, at the first moment, he did not think of this medicinal material.

But now that I can think of it, Du Heng has to thank him for adding an extra study habit after he came to the capital.

The stimulation he received when he joined the health care group before winning money, and also because of the influence of academician Sun Jiaxiang, made him no longer focus his study on traditional classics, but devoted part of his energy to modern books. study of medical research.

And the root of loropetalum suddenly popped up in his mind because he had just read the "Chinese Journal of Traditional Chinese Medicine" not long ago, and there was a research report on root of loropetalum.

However, there is a problem with this medicinal material, that is, it is highly toxic, and it is very unfriendly to patients with heart disease.

If you look at it this way, it seems that this medicine can't be used, but Du Heng happened to know that this medicine is indeed highly toxic if it is taken directly, but once it is boiled, the toxicity can be completely ignored.

Therefore, according to Du Heng's current method, the combined use of acupuncture and this single medicine can achieve the effects of hemostasis, lowering blood pressure, relaxing blood vessels, and relieving edema.

After Du Heng expressed his thoughts and explained everything clearly, Director Tao and her colleagues all showed expressions of disbelief.

Such a complicated situation made them feel angry, but now they only use two acupoints and a single herbal medicine can solve it?

Are you kidding me?
Although it is said that Chinese medicine has the ability to simplify the complicated and turn the decayed into a miracle, but is the method proposed by Du Heng a bit too simple?Is it too amazing?
But Director Tao and the others had no other choice now, even if the method Du Heng said was exaggerated, they could only try it.

Soon, the things Du Heng needed were brought in.

After Du Heng confirmed with Director Tao again that he could be treated, he began to focus on acupuncture treatment.

Just at this moment, a person came in suddenly and whispered something in Director Tao's ear, which immediately made Director Tao's face change drastically.Glancing at Du Heng who was about to give the needle, Director Tao retreated in silence.

After Du Heng got Director Tao's confirmation, he stopped caring about her and focused on treating her.

Waiting for the injection to end, he was not surprised to see Director Tao when he turned his head. He just waited quietly for the loropetalum root concoction to be delivered.

However, when the medicine juice was delivered and taken, Du Heng did not leave in a hurry, but waited by the side all the time to prevent accidents caused by the consumption of loropetalum root juice.

Although this probability is very small, Du Heng is sure in his heart, but as far as this patient's situation is concerned, he dare not be careless at all.

After observing like this for almost two hours, the condition of the parturient mother began to improve without any surprise. First, the bleeding was stopped, and the blood pressure also dropped slightly.

Although it is still not within the healthy range, at least it has reached an acceptable level, and following this trend, by tomorrow morning, it will basically be able to meet the requirements for surgery.

But at this time, Du Heng saw that Director Tao still had no intention of coming back, so he said goodbye to the doctor in the ward and left.

At this time, the doctor on duty in the ward was impressed by Du Heng's minimalist treatment of the parturient. Seeing that Du Heng was about to leave, she respectfully sent Du Heng out of the ward.

After leaving the ward, Du Heng also breathed a sigh of relief, and the pressure in his heart also dissipated.

What he should do, he has fulfilled his mission, and the rest is out of his control, and he can prepare his own affairs with peace of mind.

The outpatient clinic the next morning was his last outpatient clinic before aiding foreign countries. He was also extraordinarily attentive. He also admitted two patients to the inpatient department, an elderly patient with chronic obstructive pulmonary disease, and a woman with chronic gastric ulcer and enteritis that caused blood in the stool. teacher.

After finishing the outpatient work, Du Heng returned to the office area, and was going to take his food to the cafeteria for dinner.

Just as soon as he got the lunch box, Du Heng was stopped by a doctor, who said he wanted to ask the old man with COPD who was sent over in the morning, how to arrange the treatment.

Du Heng has experience with chronic obstructive pulmonary disease. Although he can't completely cure this disease, according to his treatment ideas, it can effectively relieve his dyspnea and slow down the pulmonary fibrosis to a great extent.

If patients are willing to spend more and can afford the cost of using certain medicinal materials, Du Heng can provide more effective treatment.

When he was working in the hospital, he was the first patient when he first emerged, and Li Qiuhua, who was rescued by him from a near-death state, had already been verified.

So soon, this problem was solved.

Just waited for him to return to the nurse's desk, only to find that the lunch box that had just been placed on the nurse's desk could not be found.

Seeing that there was nothing on the table, Du Heng stretched his head to look inside, but he did not find his lunch box, "Xiao Zhang, did you put away my lunch box? I will put it on your table."

Nurse Xiao Zhang who just came out of the dispensing room shook her head, "I didn't clean up."

"Ask for me to see if it was put away by someone else? It was about 10 minutes ago."

Nurse Xiao Zhang shook her head, "Impossible, I was the only one in front of the nurse's desk just now, and they had already gone to eat.

Um. . .I'd better help you go inside and have a look. "

But Nurse Zhang looked around from the nurse's desk, and shook her head at Du Heng.

This made Du Heng very depressed. He just talked to his colleagues about something, but he couldn't find his lunch box when he came out.

uncomfortable.

I have no choice but to go to the cafeteria empty-handed and use the tableware in the cafeteria to settle the meal.

But as soon as he arrived at the ward after eating, he saw the suspected lunch box from an aunt's hand.

Du Heng frowned, this is impossible, after all, it is the business of the guy who eats, who would be willing to use someone else's?
But Du Heng was a little unwilling to give up. When the aunt returned to the ward after washing, he still followed to the ward, wanting to take a closer look.

But when he got closer to take a sneaky look, Du Heng suddenly had a bitter smile in his heart, this lunch box was really the one he lost just now.

But now that I know and confirm it, so what? Is it possible to get it back from the aunt?

But even if you want to come back, will you still use it?

Du Heng felt so awkward, who is this? He took all the lunch boxes used by others.

No more, no more.

Du Heng chatted a few words casually, and wanted to leave as soon as he was depressed.

But suddenly he saw a woman sitting quietly on a stool next to the aunt, clutching her belly.

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