Take the hospital back to ancient times

Chapter 121 The Difference Between Chinese and Western Medicine

Li Hu took a step back at this time, stretched out his hand to signal, and asked the Chen family father and son to go up for diagnosis and treatment.

Chen Jinbai's hands were shaking a little at this time. For the old Chinese doctor, looking at the official's face and mental state, he could basically be regarded as a "near-death" state. This is definitely bad news for the doctor.

Is Chinese medicine effective?
Later generations have proved that Chinese medicine has a unique curative effect on chronic diseases, but it is often helpless for some acute diseases, and there are not many ways.

For example, if you have sudden severe abdominal pain, it may be a very simple appendicitis. In ancient times, this was basically a terminal illness, and the mortality rate could reach more than [-]%.

Traditional Chinese medicine can't perform abdominal surgery, and this one doesn't even have to lift the bar.

To give another example, take the official diarrhea as an example. For Chinese medicine, if you want the patient to have rapid diarrhea, there are some medicinal materials that can do it (in fact, it is a manifestation of mild poisoning).

But if you want the patient to stop diarrhea quickly, there are not many ways to do it.

Moreover, the most important treatment for patients with diarrhea is the need for a large amount of fluid and electrolyte supplementation, which was simply impossible in ancient times, and there was no such medicine.

Some people have to lift it up, saying that in ancient times, doctors would let patients drink some salt water. Isn't this a rehydration fluid?
This is okay for patients with mild diarrhea, but for patients with moderate to severe diarrhea, just supplementing with salt water will cause high "sodium" in the body, which will aggravate the condition instead.

Sodium supplementation is only part of a large amount of diarrhea, and other ions such as potassium, calcium, magnesium, and other nutrients are necessary.

Another important knowledge point is that a large amount of intestinal fluid is lost in severe diarrhea, which causes metabolic acidosis.At the same time, accompanied by vomiting, acidosis and alkalosis may occur.

Therefore, in the treatment of patients with moderate to severe diarrhea, the first thing is to replenish fluids, replenish various electrolytes, and correct the acid-base balance, which is the most important thing.

But when it comes to traditional Chinese medicine, everyone's eyes are only on whether the "official family" can quickly stop diarrhea and reduce fever, and try every means to prevent him from having diarrhea?
As a result, bowls of traditional Chinese medicine were poured down, not only did not relieve the symptoms, but also did not correct the electrolyte imbalance. On the contrary, the traditional Chinese medicine aggravated gastrointestinal reactions such as diarrhea and vomiting.

However, intestinal inflammation has not been controlled for a long time, and traditional Chinese medicine is still increasing the burden of intestinal operation, which will cause the high fever caused by systemic inflammation to never subside.

So Chen Buer doesn't need to ask about the current treatment, since he has fallen into a dead end anyway.

When he saw the official's house for the first time, what he saw was still a court lady feeding medicine to the official's house. What kind of medicine is this feeding?

Didn't you see a big puddle of vomit next to the official's bed?

Everyone can imagine that you have stomach discomfort, vomiting and diarrhea, and then your wife brings you a bowl of traditional Chinese medicine, and then tells you: "Come on, Dalang, drink the medicine."

How would you react if you drank it?
Wait, it's not that the seven orifices bleed to death. (Why are you so wary of your own wife?)

If you drink such a bitter traditional Chinese medicine, let alone whether it is effective or not, you will definitely vomit it, and then vomit desperately until you get metabolic alkalosis. Do you think you can recover from this disease?

At this time, Chen Jinbai had already stepped forward, gently took the official's skinny hand, and started the pulse diagnosis, which is the favorite part of traditional Chinese medicine.

And Chen Buer stood by the bed, looking directly at the official on the bed.

This is a thin little old man without much beard, his face is not as flushed as when he has a high fever, but is grayish white, and he has been half awake and half awake at this time.

At first glance, it looks like it will hang up at any time.

Fortunately, he has not fallen into a "coma" state, at best it can only be regarded as a "coma", and finally he did not come too late, and he can still be rescued.

Chen Buer didn't dare to think wildly anymore, the patient couldn't afford it, and the Chen family would be buried with him when he died, so he had to compete for points.

He first took the official's body temperature with an ear thermometer, then took out the blood pressure machine, started to measure his blood pressure, and then took out a small flashlight to look at the official's pupils.

The eyes of Li Hu and Physician Pan beside them were all wide open. They had seen a doctor before, but they had never seen a doctor like this.

What do you put in the official's ears?What the hell is that "beep" sound?What kind of treasure is that glowing thing in your hand?How can it emit dazzling light at the touch of a button?But what are you looking into the official's eyes?
All of this filled their minds with question marks.

Also full of question marks were Empress Yang who was not far away, and Prime Minister Cui who had just rushed to Funing Palace to visit the official family.

As soon as Cui Miyuan arrived at the official's bedroom, he saw a strange young man holding some strange tools to "check" the official's house?Feeling very surprised, he asked softly:

"Your Majesty, the old minister just heard that someone has released the list of doctors seeking medical treatment. Could it be these two?"

Empress Yang nodded lightly:
"It's them. The old one said to use Chinese medicine, and the young one said to use Western medicine from Western countries. Moreover, both of them are from medical families, and they can be regarded as descendants of famous families. I will let them try."

Cui Miyuan became more confused when he heard this, "Madam, which doctor is this? It can't be witchcraft, right? I've never seen a doctor like this."

"Chen Jinbai of Jingshitang, Chen Buer and his son, probably also used their family's ability to suppress the bottom of the box in order to survive from death."

When Cui Miyuan heard about Jing Shitang, the light in his eyes flickered.Gushengtang's competitors are coming again, if the official family is cured, it will destroy the layout of the eyeliner in the palace for him.

Chen Buer doesn't care about other people's thoughts. He is busy monitoring the four major vital signs of the human body, body temperature, pulse, respiration, blood pressure, and changes in pupil and corneal reflexes. If possible, he also monitors blood oxygen saturation.

When many people go to the hospital to see a doctor, all they think about is blood drawing, filming, CT, etc., thinking that this is the only way to check.

In fact, for a doctor or an emergency patient, the most important thing is to observe the temperature, pulse, respiration, blood pressure and other places that are usually not very eye-catching.

Experienced doctors, because these are important indicators for judging the severity and criticality of a patient's condition.

For example, the simplest change in breathing rhythm.

If the doctor sees the tidal breathing of the patient, he can probably judge that the patient has severe cerebral hypoxia, ischemia, severe heart disease, etc.

If breathing is intermittent, consider whether there is encephalitis, increased intracranial pressure, pleurisy or malignant tumor, rib fracture, etc.

When a doctor sees that the patient is breathing like a nod, that is, the head is nodding and the mouth is opening and closing, like a fish opening its mouth, then it will be known that the patient has reached the end of life.

At this time, either the tracheotomy is performed and the ventilator is used, or the family members can consider sending them home.

(End of this chapter)