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Chapter 6 Transfer to Obstetrics and Gynecology (Please bookmark, comment, recommend monthly ticket investment)

Monday, early morning.

Today is the first day of transfer, Huang Su came to the city hospital early, first passed the obstetrics and gynecology department, and then entered the outpatient department of the traditional Chinese medicine department.

Pushing open the door, Na Risong and He Hui put down their books and stood up to say hello in unison: "Director, good morning."

Huang Su put on a white coat and said, "Have a morning meeting and talk about the transfer of the Chinese medicine department today."

Na Risong and He Hui sat facing Huang Su.

"There are two things to say about this transfer. First, in the obstetrics and gynecology department, we are not allowed to mention the matter of last week's treatment. Second, we are communicating and learning, and our attitude must be modest. It was you that Risong."

"Understood, Director!" Na Risong replied weakly.

Huang Su looked up at the clock hanging on the wall, checked the time, and led Na Risong and He Hui out of the outpatient clinic to the floor of the obstetrics and gynecology department of the inpatient department, just in time for the obstetrics and gynecology department to finish its morning session. meeting.

Liu Huiying warmly stepped forward to shake hands with Huang Su and said, "Director Huang, colleagues from the Department of Traditional Chinese Medicine are welcome to transfer to the Department of Obstetrics and Gynecology. During this month, colleagues from the Department of Traditional Chinese Medicine are also invited to give advice."

This doesn't sound like a new doctor welcoming a transfer, but like an expert who came down to guide the business.

Hearing the sarcasm in the words, Huang Su said in a neither humble nor overbearing tone: "Director Liu, I dare not take what you said. Traditional Chinese medicine and Western medicine have their own strengths. We should communicate more with each other to deepen our understanding. As for advice, we dare not take it even more. , we are all students who have just stepped out of school, and we still focus on learning.”

It seems that the grievances of the obstetrics and gynecology department are not small, and I hope that after working together for a month, it will gradually disappear.

"Yes, yes, yes! Communicate with each other and get to know each other better." Liu Huiying echoed with mixed feelings, and introduced Dr. Yan beside her to Huang Su: "This is Yan Bing, Dr. Yan. During the month of transferring to another department, Dr. Yan The doctor takes you, don't look at Dr. Yan's young age, but he is a backbone doctor in our department."

Looking at the intellectual and cold Doctor Yan, Huang Su nodded slightly to her and said, "Doctor Yan, please take care of me in the future."

Yan Bing didn't speak, but nodded slightly.

Yan Bing made the already delicate atmosphere even more embarrassing.

Whoa, whoa, whoa!
Liu Huiying coughed lightly twice and said, "Director Huang, don't be offended. Dr. Yan has such a personality. After you have been in contact with him for a long time, you will know that Dr. Yan is a cold-faced and warm-hearted person. We are about to go to the ward rounds. Why don't you, Director Huang?" The three of you will also accompany you."

Huang Su said: "Since we have been transferred to the Department of Obstetrics and Gynecology, we are now part of the Department of Obstetrics and Gynecology, so we naturally listen to Director Liu's arrangement."

"it is good!"

Liu Huiying led all the medical staff to the obstetrics and gynecology ward area in a mighty manner. The three Huang Su and the three new recruits who were also transferred to the department were at the end according to their seniority.

Na Risong looked at Liu Huiying who was walking in the front, surrounded by more than a dozen medical staff behind him, put his head next to Huang Su and whispered: "Director, just because of this style, I will work hard to become the director in the future." Physician."

Huang Su also joked: "It's very easy to feel the momentum of this style. He Hui and I are walking behind you. Although we can't feel the momentum of the director of the obstetrics and gynecology department, we can let you feel the momentum of the first brother of the Chinese medicine department first." .”

He Hui came over to attack Na Risong and said: "Director, you will test his scriptures tomorrow, and let him feel the aura of the Wannian younger brother in the department."

Huang Su echoed: "He Hui's idea is good. Na Risong, you can make money this time. You can switch between the elder brother and the younger brother freely."

The three of them chatted and laughed, and the obstetrics and gynecology inpatient area arrived soon.

Liu Huiying greeted the three of Huang Su and said, "Since Dr. Yan has brought colleagues from the Department of Traditional Chinese Medicine, let's start with Dr. Yan's patients today."

When the patient's husband saw the doctor coming for an examination, he got out of the way.

Dr. Yan walked to the hospital bed and began to introduce the patient's situation: "Chen Ping, a new patient admitted to the obstetrics and gynecology department on Saturday, the affected area has been treated with 25% magnesium sulfate hot compress for two days, metronidazole and penicillin have been injected successively for anti-inflammation, The high fever still persists, and the number of white blood cells has not decreased."

Huang Su was also observing the patient's condition at this time.

The patient was depressed and lying weakly on the hospital bed.

Liu Huiying frowned and asked someone to draw the blocking curtain, ready to check the patient's affected area.

The family members of the patient helped Chen Ping untie her shirt to reveal the lesion on the left side.

During Liu Huiying's examination, Huang Su was also carefully observing Chen Ping's affected area. One-third of the area of ​​the lesion was red and swollen, and some areas were purple-red, without festering and pus.

Liu Huiying separated her thumb and index finger, and gently pressed the lesion with the tiger's mouth.

When pressing the lesion, a burst of pain made Chen Ping frown and take a breath.

Fortunately, no lump was found, and the lesion did not fluctuate. Liu Huiying breathed a sigh of relief.

If there is a sense of fluctuation, it proves that there are signs of suppuration inside the lesion.

When the patient's husband saw the doctor's examination, he hurriedly asked, "Doctor, how is my daughter-in-law's condition? She has been in the hospital for two days, and her condition has not improved at all."

Liu Huiying was just about to try cephalosporin, but when she turned her head and saw the three Huang Su standing outside, she thought of a competition. Yan Bing happened to have two patients with acute suppurative mastitis. Let's see who they are. Can be cured first.

"Director Huang, what do you Chinese medicine practitioners think about acute suppurative mastitis?"

Huang Su brought Na Risong and He Hui to the front and hesitated: "Director Liu, this is not good, we are transfer doctors now."

"Director Huang, it's okay. Since you've been transferred to our obstetrics and gynecology department, and you are also a doctor in our obstetrics and gynecology department, we should exchange and learn from each other." Liu Huiying blocked Huang Su's mouth with what Huang Su said just now, and turned to ask the family members Said: "Patient's family, you see that our western medicine treatment has not been ideal in the past two days. How about using Chinese medicine to treat your wife?"

The family members of the patient said in a friendly manner: "It doesn't matter if you have Chinese medicine or Western medicine, as long as you can cure my wife."

Liu Huiying took the initiative to step aside.

Seeing that Liu Huiying had made up her mind, Huang Su took the bench and sat on the side of the bed, gently took the patient's arm, put her three fingers on the three parts, felt the pulse, and said: "We Chinese medicine call this disease mastitis. That day Song, He Hui, whoever you are, please introduce mastitis to the obstetrician and gynecologist.”

How could Na Risong miss such an opportunity to grow face in front of others, and coughed lightly twice: "Acne is a common disease of puerpera, especially primipara. In TCM theory, RT belongs to the liver, RF belongs to the stomach, and mastitis is the cause of disease." It is related to the two liver and stomach meridians."

Huang Su let go of the patient's arm and said, "Stick out your tongue, let me see the coating."

The patient opens the mouth slowly and sticks out the tongue slowly.

Carefully observe the tongue coating, and see that the tongue coating is slightly yellow, and the yellow coating is mainly associated with internal heat syndrome.

Huang Su asked the patient to put away his tongue and asked, "Do you feel dry mouth and want to drink water?"

The patient nodded slowly.

Huang Su continued to ask: "How is your appetite?"

The patient's husband picked up the insulated lunch box on the cabinet, unscrewed it to display the remaining four-fifths of the porridge inside and said, "I can't eat at all. Look at the doctor, I don't drink a box of porridge after two sips."

Huang Su nodded and stood up, looked at Na Risong and He Hui and asked, "Have you studied pulse in college?"

The two nodded and said, "I have learned."

"Then come over and feel the pulse, the patient is a typical pulse count."

After Huang Su finished speaking, she made way for the two of them to come over.

Na Risong was the first to rush over again, sitting on the stool, staring at the patient's wrist in a daze for a moment.

Recalling the knowledge taught in the textbooks, carefully stretch out your middle finger to find the protrusion of the radius behind the opponent's palm, move down the Dingguan, then stretch out the index finger and ring finger, tighten the third finger, and look for the two parts of cun and chi.

Everyone's inch width is different, and the three parts are as wide as your index finger, middle finger, and ring finger.

When Chinese medicine practitioners diagnose the pulse of a patient, they need to adjust the distance between their three fingers. The fingers that are thinner than their own should be tightened, and the fingers that are thicker than their own should be opened.

After seeing that Risong was in the right position, Huang Su instructed: "Adjust your breathing and feel the rate of your pulse."

"Multiple Pulse": "Counting pulses come and go quickly."

The number is yang heat, which belongs to heat and belongs to fire. The main fever syndrome can be seen in wind-heat invading the lungs, dryness invading the lungs, flaming lung heat, phlegm heat blocking the lungs, Feng Shui fighting, liver stagnation turning into fire, flaming liver fire, and ascending liver yang Hyperactivity, liver yang transforming wind, phlegm fire disturbing the body, flaming stomach heat, intestinal damp heat and many other fever symptoms.

Most of the new pulses belong to excess heat syndrome caused by exogenous pathogens.

Rapid pulse, yellow fur, body heat, dry mouth and thirst are all manifestations of yang syndrome.

"Encyclopedia of Ulcer Medicine" said: "In the diagnosis and treatment of carbuncle and gangrene, Yin and Yang must be examined first.

Huang Su explained the diagnosis of traditional Chinese medicine to everyone around him: "The patient is caused by the mutual influence of external evil poison, liver stagnation, stomach heat, and milk stagnation, resulting in blocked milk collaterals, milk accumulation, milk duct obstruction, and qi stagnation. High fever caused by blood stasis. If the stomach heat persists, no amount of anti-inflammatory drugs can reduce the fever.”

Looking at the family members of the patient, he said, "I'll prescribe a prescription for soothing the liver and regulating qi, clearing away heat and detoxification, and promoting blood circulation and unblocking the breast. Take it orally. There are four doses in total, one dose a day. Combined with external application of gold ointment, there are also four doses, which are changed once a day. After four days We will add or subtract according to the condition.”

黄素说道：“何慧记方。柴胡10g、黄芩10g、蒲公英15g、赤芍10g、橘叶10g、乳没各10g（乳香和没药）、漏芦10g、路路通10g、蜂房10g。”

After He Hui memorized the prescription, Huang Su handed it to the patient's husband after the examination, and then began to tell Na Risong and He Hui why the prescription was prescribed in this way.

"The treatment of mastitis lies in the liver and stomach. Bupleurum and orange leaves soothe the liver and regulate qi, so as to promote stagnation of Jueyin and stagnation of stomach heat; use Scutellaria baicalensis and dandelion to clear away heat and detoxify and clear the heat of Yangming; frankincense, myrrh, red peony root Promoting blood circulation to remove blood stasis, relieving pain and reducing swelling; Leulu can clear away heat and detoxify while promoting milk; Passepartout is a good medicine for promoting milk, and honeycomb is a good product for treating mastitis."

After the confession, he bid farewell to the patient and his family members. Huang Su only wore his ears and eyes for the next ward rounds, and did not express another opinion. He just whispered to He Hui to pay more attention to the patient's condition.

Along the way, Huang Su also slowly realized Director Liu's intentions. It seems that the matter of robbing the patient a few days ago cannot be resolved easily.

(End of this chapter)