TCM Gaoyuan

Chapter 176
Li Runyu said: "That's right. Our hospital admitted a male patient in his forties today. He has a high fever, chills, and acute pain in his lower abdomen. It has been a day and a half. It was originally treated by Dr. Yan. He suspected it was intestinal ulcer. Rhubarb peony bark soup, but it didn't work."

"Hmph!" Yan Qiao's face turned livid.

Gao Yuan glanced back at Yan Qiao, then at Li Runyu, motioning for him to continue.

Li Runyu went on to say: "Then I took over the patient, and after syndrome differentiation, I thought it was likely to be the syndrome of coix aconite baijiang decoction. So I used acupuncture first, and after half an hour of acupuncture, the patient's pain was relieved, so I paid more attention to it. I confirmed my original judgment."

"Tricky!" Yan Qiao turned his body around, and treated intestinal ulcers with classic prescriptions, usually two kinds of rhubarb peony skin soup and coix aconite paijiang soup. .

Li Runyu ignored Yan Qiao's complaints, and said: "But when I wrote the prescription, the patient suddenly began to moan in pain again, even into unbearable pain, which was even worse than before. I didn’t dare to prescribe any more…”

"What?" Yan Qiao suddenly turned to look at Li Runyu, and asked, "You haven't been cured either?"

After all, Li Runyu is the number one person in the county, and he is very face-saving. He immediately said: "What do you call this? What hasn't been cured? Who hasn't been cured! I just have some doubts about the effect of acupuncture and moxibustion. I just heard that Gao When the doctor comes, I will specially come to consult with him for a consultation."

Yan Qiao sneered and said, "Hehe, that sounds really nice."

Li Runyu gave him a white look, and said, "I don't know who prescribed the rhubarb peony skin soup, but it made the patients worse!"

"You!" Yan Qiao was furious.

The two quarreled again.

Gao Yuan was also lost in thought. The treatment of intestinal abscess is basically inseparable from the basic prescription of rhubarb and moutan skin soup.But the first diagnosis has failed. Coix Fuzi Paijiang Decoction is usually used to treat chronic appendicitis, or it has turned from excess to deficiency.

Jiang Zuojing once said that the "Golden Chamber" method divides intestinal carbuncle into two types, one is hot, and the rhubarb Mudanpi Decoction is the main one.The other is cold in nature, which is the main one of Coix Fuzi Paijiang Decoction.

"Why are there problems with both ways of thinking?" Gao Yuan was also very puzzled.

Huang Wending crossed his hands in front of his chest. He couldn't understand what these people were thinking. Since the traditional Chinese medicine didn't work, they should be sent for an operation as soon as possible. What if there is a problem?
Seeing that the two were arguing endlessly, Gao Yuan interrupted and said, "You two, let's stop for a while, let's talk about the patient's condition."

Only then did the two stop, but they still refused to pay attention to each other.

Several people went out.

Huang Wending was beside Gao Yuan, and he said: "Doctor Gao, you still have to persuade the patient that acute appendicitis can't be delayed, and you can't delay the illness just because you're afraid of surgery."

"I don't even know if it's acute appendicitis." Gao Yuan muttered softly.

"What?" Huang Wending didn't hear clearly.

Gao Yuan said: "When you see the patient at that time, you can go for an examination. If the patient is willing to undergo surgery, there is no problem with me."

"Okay." Huang Wending also nodded excitedly.

When we arrived at the consulting room, Huang Wending rushed out before several people entered the room to examine the patient.

Li Runyu didn't know Huang Wending either, so he turned around and asked Gao Yuan in doubt, "Who is this person and what's the situation?"

Gao Yuan replied casually: "We are a new western doctor from the hospital."

Yan Qiao looked at Gao Yuan, and he keenly found that Gao Yuan's introduction was getting simpler and simpler.

Gao Yuan was also observing the patient's posture and expression, while the patient's wife stood aside, looking anxious.

Huang Wending went to ask and check.

The patient was curled up on the hospital bed, with his hands covering his lower abdomen, looking in pain and embarrassment.

"Huh?" Gao Yuan felt that the other party's posture was a little strange.

After Huang Wending's examination, he turned the patient over and asked him to lie down, then pressed his Max point again, and asked, "Does it hurt here?"

"Hmm..." The patient just moaned deeply.

Huang Wending pressed it again, and asked again, "Does it hurt here?"

The patient said uncomfortably, "It hurts, this part hurts."

"Hiss..." Huang Wending also became puzzled, the pain at Mai's point was not obvious.

Gao Yuan was even more puzzled.

As soon as Huang Wending let go of his hand, the patient curled up again.

This time, Gao Yuan saw it clearly, the patient's two hands covered the lower abdomen, almost to the position of the lower body.

Gao Yuan narrowed his eyes slightly, and he called Yan Xun who was beside him and whispered something in his ear.

Yan Xun's eyes widened slightly.

Li Runyu said to Gao Yuan: "The situation is like this, Doctor Gao, please help us with the staff."

Gao Yuan said, "Let Xiao Xun go and have a look."

"Huh?" Li Runyu was obviously taken aback.

Yan Qiao was also stunned for a while, the two old guys couldn't solve the problem, what's the use of letting such a kid go up?He said, "Doctor Gao, are you joking?"

Gao Yuan smiled and shook his head.

Yan Xun said: "My teacher never jokes!"

Yan Qiao swallowed, everyone gave his good grandson a chance to show off, what can he say as a grandfather, he said: "Then you should go and have a diagnosis, be careful, think more, don't It’s easy to judge.”

"Yes!" Yan Xun happily agreed, and hurried forward to check and ask.

After all, the Yan family is a family of medicine, although Yan Xun is young, but he has been fascinated by it since he was a child. He has studied medical books since he was a child, and he is very intelligent. Now he is quite capable, much better than ordinary doctors.

Huang Wending saw that Yan Xun was already checking up, so he came over to Gao Yuan and said, "Doctor Gao, my suggestion is to send the patient to the county hospital for a blood test to see how the white blood cell and neutral data are."

Gao Yuan said: "Wait, wait until the child is checked first."

"Okay." Huang Wending could only nod in agreement.

After Yan Xun looked, heard and asked carefully, he recorded all the diagnosis results. He also imitated Huang Wending and pressed the Max point, and the tenderness was indeed not obvious.

Huang Wending frowned. He also discovered this problem just now, so he also had doubts, and wanted the patient to go to the county hospital for further examination.

But Yan Xun was not discouraged. Seeing that the pain from Mai's pressure was not obvious, he walked to the patient's foot again, found the Zusanli point, and pressed it around two inches below this point. He asked, "Does it hurt?" , does this hurt?"

Li Runyu looked puzzled and asked, "What are you doing?"

Yan Qiao himself is still in a daze, how does he know what his grandson is doing?He could only turn his head to look at Gao Yuan again, only to see Gao Yuan smiled.

(End of this chapter)