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Chapter 11 There is no death for a reason, and there is no death (please collect comments and recommend monthly ticket investment)

After accepting a patient with febrile asthma.

In today's ward rounds, Huang Su became the busiest doctor in the obstetrics and gynecology department, and also became the first doctor in the history of the city hospital whose transfer doctor was busier than the department doctor.

Sitting by the bed, Huang Su was checking the pulse of the first patient he transferred to another department. It was not much different from yesterday's reexamination, with a thin yellow tongue coating and a deep, thready pulse.

Symptoms of the tongue coating can be divided into white, yellow, gray, and black. The white coating is mostly cold-damp syndrome, the yellow coating is mostly interior-heat syndrome, and the gray coating is mainly interior syndrome. The gray coating is thin and lubricated, and it is mostly cold-damp internal resistance , or stop within the phlegm.The moss is gray and dry, which means febrile disease or yin deficiency and hyperactivity of fire.The black fur is mostly transformed from yellow or gray fur, indicating that the condition is extremely serious.

From the thin, thick, greasy, and rotten tongue coating, we can judge the severity of the exterior and interior.

Chen Ping's tongue coating became thin and yellow, which can be judged that the syndrome of internal heat has improved. As for the pulse condition that is heavy and thin, it is mostly a pulse condition of Qi and blood loss. It is normal for Qi and blood to be lost after recovering from a serious illness.

Seeing that Huang Su's pulse diagnosis was over, Chen Ping's husband hurriedly asked, "Director Huang, how is my wife's condition?"

"The heat syndrome has been greatly improved." Huang Su explained to the family members while saying, "He Hui, take the patient's temperature."

Yan Bing rushed ahead of He Hui and took a thermometer to measure the patient's temperature.

When she noticed that Yan Bing was standing in front of her, Huang Su asked in puzzlement. "Dr. Yan, why are you taking the patient's temperature?"

Yan Bing explained: "As the first patient with acute suppurative mastitis treated by traditional Chinese medicine, a course of treatment is over. Of course, I, a former doctor, want to see the curative effect."

Not long after, Yan Bing took out the thermometer and checked it.

Huang Su asked, "What's your body temperature?"

Yan Bing handed the thermometer to Huang Su for him to see for himself, only to see that the thermometer showed 36 degrees seven.

Passing the thermometer to the patient's family, Huang Su said: "The body temperature has returned to normal, now let's check the recovery of the lesion."

After the curtains were drawn, the patient exposed the lesion, Huang Su carefully removed the medical gauze from which the medicine was applied.

Most of the redness and swelling of the lesion have disappeared, and the reddish-purple area has completely disappeared.

Huang Su asked: "Is the lesion still painful now?"

Chen Ping replied: "Although it still hurts a little, it's not like the pain a few days ago so that I couldn't sleep at night."

黄素点了点头，待陈萍穿上病服道：“我再给你开四剂汤药加以巩固。何慧记方，柴胡10g、蒲公英10g、当归10g、乳没各10g、青皮10g、漏芦10g、蜂房10g。”

This prescription removes the cold and cool medicines of Scutellaria baicalensis and red peony, and replaces them with green skins with warm medicinal properties, so as to prevent blood clots from causing lumps that are difficult to eliminate, and supplemented with angelica to warm and nourish both qi and blood after the disease.

Traditional Chinese medicine uses traditional Chinese medicine to regulate the balance of yin and yang in the body with five medicinal properties: cold, heat, warm and cool.Cold and cool medicines are used for febrile diseases, and hot and warm medicines are used for cold diseases. It is up to the doctor to control the balance of yin and yang at any time.Therefore, most Chinese medicine patients have to go through multiple follow-up consultations. The doctor adjusts the properties of the prescription according to the patient's physical changes.

Handing the prescription to Chen Ping's husband, Huang Su walked to the next hospital bed.

Yan Bing ordered the following resident physician: "Give Chen Ping a blood test and check the number of white blood cells."

Seeing Huang Su approaching, Baolige's husband got up and greeted warmly: "Director Huang, hello."

Huang Su asked, "Did the patient feel any discomfort after taking the medicine yesterday?"

Baolige's husband replied: "There is no discomfort. She said that after applying the ointment you prescribed, the swelling of the affected area has decreased."

Huang Su nodded and said, "Then I'll come back for a follow-up visit after I finish taking the medicine I prescribed."

Walking out of the ward, Huang Su and his party went directly to the ICU.

Entering the ward, the patient's husband stood up with a tired face and said, "Director Huang, you are here!"

Huang Su asked: "Family, how is the patient's condition after drinking the medicine last night?"

The husband of the patient replied: "Drinking the medicine you prescribed yesterday, I didn't have such a bad breath at night, and I slept peacefully for two hours. Director Huang, you don't know that since my wife got pregnant, she got asthma and was sick. The torture was such that it was hard to sleep day and night, and the pain was excruciating."

Huang Su nodded and asked, "Have you caught the medicine for the new prescription?"

"It's already been caught, and the Chinese pharmacy is boiling." The patient's husband said worriedly: "Director Huang, since the amount of rhubarb and Glauber's salt exceeds the standard, there is a risk of miscarriage. Look, isn't the prescription you prescribed at the beginning effective? , why don’t we use the previous prescription to treat it slowly and steadily.”

Huang Su explained: "Family members don't have to worry, as long as the medicine is used properly, there will be no risk of miscarriage. If the treatment is slow and the evil heat persists for a long time, it will damage the innate vitality of the fetus, and there is a risk of abortion. Even adults If it is cured, the fetus will be fine, and it will inevitably be weak and sick after birth."

Just when the patient's husband was hesitating, the nurse had already brought the traditional Chinese medicine over.

Looking at the brown-yellow and slightly black Chinese medicinal liquid, the patient finally agreed.

About a quarter of an hour after the patient drank the traditional Chinese medicine, he suddenly felt the need to defecate.

The patient's husband carefully supported her, who was weak, and slowly moved to the bathroom.

Huang Su instructed: "Don't wash the feces away, come out and tell me what the feces look like."

After a long time, the patient walked out of the bathroom with the support of her husband.

Everyone obviously found that the patient's chest and abdomen rose and fell slowly, and there was almost no noise in the breathing, and his asthma symptoms improved greatly. Although his face was still blue and purple, his spirit was slightly better.

The method of purging is fast, and it is a method often used in first aid in Chinese medicine. It can erect heavy ailments for diseases blocked by evil qi, and the effect is like a drum, pushing old to new.

After the patient was settled on the hospital bed, the patient's husband said happily: "Director Huang, my wife has passed a lot of stools that look like skin jelly. After so many days, I finally passed the stool."

Friends in the south may not know what skin jelly is, so you can imagine it as jelly.

Just when the family members were happy, the patient on the bed whispered, "I'm hungry."

When he heard that his wife wanted to eat, the patient's husband showed a smile on his face. This was the first time his wife asked for food since he was hospitalized for half a month.

Huang Su smiled and said, "Hurry up and buy food for your wife."

After the patient's husband thanked him again and again, he walked out of the ward happily and never mentioned the dosage of rhubarb and Glauber's salt again.

Looking at the backs of the happy patient's family members, Huang Su frowned and couldn't be happy.

I am still restricted by the Pharmacopoeia regulations, too little dosage will cause the patient to suffer for an extra day, if life is at stake, would I still dare to prescribe a prescription?

According to the Pharmacopoeia, the dosage of rhubarb is between [-] and [-] grams, and the dosage of mirabilite is between [-] and [-] grams. It is stipulated that pregnant women should use it with caution.

Many medicinal materials in traditional Chinese medicine have taboos. If you are sick and use medicine, why are there taboos?

Regardless of thousands of years of experience in medication, one-size-fits-all rigid regulations are imposed on traditional Chinese medicine, but modern synthetic medicines with many sequelae and adverse effects are ignored. Is it too harsh on traditional Chinese medicine?

As a result, Chinese medicine always seeks to be prudent when it comes to curing diseases, not seeking merit, but seeking no faults.

Especially for special patients like pregnant women, no matter what the disease is, they often want to save the pregnancy first.

Although he knew that the disease should be attacked, and the disease can be cured by attacking the fetus, he still looked ahead and prescribed safe medicine. He didn't care whether the prescription was effective, but only cared about whether it complied with the pharmacopoeia regulations.

Little do they know that the disease should be attacked and not attacked, if not attacked, the disease will progress, and if the disease progresses, the fetus will be aborted.Attack when you attack, and attack properly, you can get rid of illness and save miscarriage.

A special group of patients has so many scruples, not to mention the toxic medicinal materials in traditional Chinese medicine, which has long been taboo, and is often used by Chinese medicine practitioners with ulterior motives to attack Chinese medicine, but never mentions that Chinese medicine has been used for thousands of years The method of neutralization has long been known in experience.

Taking aconitum as an example, we can often see that whenever there are aconitum prescriptions, most of them will contain licorice or roasted licorice.

Licorice can neutralize the toxicity of many toxic traditional Chinese medicines.In addition, its medicinal properties are sweet and flat, and will not affect and offset the medicinal properties of other drugs. Licorice has become the most commonly used medicinal material for neutralizing drug toxicity.

But every time I mentioned the side effects of western medicine to them, I chose to forget them with a double standard.

Huang Su knew that if she was in a hospital with a well-established TCM department, she would never be able to prescribe such a prescription.

In ancient Chinese medicine, there is a reason and there is no death, and there is no death.

Nowadays, Chinese medicine prescribes prescriptions according to the classics. Regardless of whether the dosage is sufficient or not, there is nothing wrong with prescribing according to the pharmacopoeia, so as not to cause troubles for oneself, and cause Chinese medicine to be slow to cure diseases and not cure diseases.

There is no longer one person, one side, and the characteristics of treatment that vary from person to person, and are completely bound by the discourse system of Western medicine.

In addition, cultivate batch after batch of Chinese medicine practitioners who can't treat diseases, or Chinese and Western medicine doctors who use Western medicine to treat diseases under the name of Chinese medicine.

If things go on like this, the inheritance will be lost...

(End of this chapter)