TCM Gaoyuan

Chapter 249 Treatment of Diphtheria

After hearing Wu Wenquan's story, Gao Yuan couldn't help but frowned.

Zheng Zhenghui said to Gao Yuan: "Anyway, you should be careful yourself. This time, the main purpose of coming to the provincial capital is to cure diseases. Show your ability to cure diseases. This is the most important thing."

Gao Yuan nodded slightly, his expression became more serious, and he said, "I see."

"Let's go." Wu Wenquan took them to the Provincial Hospital of Traditional Chinese Medicine. On the way, he told him about the diphtheria.

After Gao Yuan listened, his heart became heavy again.

Several people arrived at the Provincial Hospital of Traditional Chinese Medicine, and Wu Wenquan led them up.

"President Shi, you have met before. This is Qi Ting." Wu Wenquan introduced Gao Yuan.

"Hello." Gao Yuan greeted Lao Qi.

Lao Qi's attitude was rather cold, he nodded slightly: "Let's not say anything else, hurry up and get medical treatment, the situation is urgent."

"Okay." Gao Yuan didn't talk nonsense.

Wu Wenquan and Zheng Zhenghui looked at each other. Although they didn't say anything, they frowned slightly.

Wu Wenquan said: "Then let's go to the ward to see the patients first. There is a patient who was admitted to the hospital yesterday, and Doctor Gao will take a look first."

Zheng Zhenghui glanced at Wu Wenquan, and then at Lao Qi. He knew in his heart that Wu Wenquan had deliberately picked a simple one and handed it over to Gao Yuan, asking him to come over and light up the mountain gate first, and make a good start to boost his situation.

Gao Yuan had no objection, so he wanted to nod in agreement.

But at this time, Lao Qi said: "Isn't there an 8-year-old girl who hasn't recovered after being admitted to the hospital for a week? This girl is very sick, let's treat her first."

Wu Wenquan and Zheng Zhenghui hesitated slightly.

Gao Yuan didn't pick and choose, just nodded and said: "Then let's look at this little girl first."

Wu Wenquan nodded heavily, and took Gao Yuan to the little girl's ward.

Hulala, a group of people went in, which confused the girl's parents.

Wu Wenquan explained the purpose of his visit to them, and then asked Gao Yuan to make a diagnosis. He said: "This little girl has a sore throat for a week, and she has been taking medicine for a week, but she still has a sore throat and a hoarse voice. Her throat is swollen and painful, and there is a sound of phlegm in her throat. , thirst, irritability, delirium."

Gao Yuan frowned and looked at the little girl on the hospital bed. The little girl was talking all kinds of nonsense in a dazed way on the hospital bed, and her mind was no longer clear.

Gao Yuan's heart sank slightly, it was a difficult and serious illness.

"Teacher." Yan Xun looked at Gao Yuan.

Gao Yuan said: "Start diagnosis and differentiation."

Yan Xun nodded vigorously, and went to get the previous medical records, ready to show Gao Yuan.

Gao Yuan suppressed his inner emotions, stepped forward to open the little girl's mouth, and checked.The little girl has a red tongue with a thin yellow fur.Examine the pharynx, soft palate, and tonsils for hyperemia.The white pseudomembrane extends beyond the throat and the neck is swollen.Diagnose the pulse again, the pulse is slippery...

Seeing Gao Yuan stopped to check, Lao Qi asked, "How is it?"

Gao Yuan said: "It's diphtheria, that's right. Diphtheria is an acute infectious disease that children are prone to. The lower energizer is stagnant, the stomach qi cannot go downward, but it burns upwards in the lungs, pharynx, and larynx, and is deceived by its action, transpiring all day long, without rest, so that it swells and stagnates, and collapses and is closed.'”

"The process of this disease is also divided into several stages. In the initial stage of pharynx plague, mild fever, mild sore throat, slightly red tonsils, and punctate pseudomembranes or small flakes of pseudomembranes in tonsils can be seen. It can be cured to clear away heat and detoxify. Clears away the plague and soothes the throat. For general prescriptions, you can choose Chuwen Huadu Decoction, etc."

"The second stage will progress to common pharyngeal diphtheria, pharyngeal plague and lung heat syndrome. Fever, pharyngeal swelling, submandibular lymph node enlargement and tenderness, tonsil flake gray-white pseudomembrane, general malaise, red tongue with yellow coating and slippery pulse. At this stage, it is necessary to detoxify and clear the throat, and the Yangyin Qingfei Decoction in "Chonglou Yuyao" is generally used, which is an important prescription for treating diphtheria."

"The third stage is from severe diphtheria to pharyngeal distemper poison syndrome. High fever, rapid expansion of pharyngeal pseudomembrane, obvious sore throat, swollen tonsils, nausea and vomiting, pale complexion, red tongue and yellow coating. Timely detoxification is required. To clear the fire, you can use the Sore Throat Recipe in Beijiqianjin Yaofang."

"In the fourth stage, it is extremely severe diphtheria, which belongs to the syndrome of pharyngeal plague poisoning. The onset is sudden, high fever, extensive black pseudomembrane, tonsils and pharynx are highly swollen, affecting breathing and swallowing. Irritability, cyanosis of lips, pale complexion Symptoms are more troublesome at this stage. Of course, there are also different syndromes and treatment options for laryngeal diphtheria and nasal diphtheria, so I won’t go into details here.”

Wu Wenquan praised Gao Yuan: "Doctor Gao's knowledge is very profound, and his understanding of diphtheria is also very deep. It seems that you are really the right person to find you."

Gao Yuan waved his hand, indicating that he was too polite.

Yan Xun also showed pride.

But Lao Qi's frown did not open. He asked, "I've been talking about general analysis for a long time, so what's the specific situation in the patient? Take this little girl as an example, what kind of disease does she belong to?" evidence, how to treat it?"

The girl's parents also looked at Gao Yuan nervously.

Gao Yuan frowned and said: "This little girl should have severe diphtheria. The epidemic poison is hot in the pericardium, so she started to fret and delirium, and her mind is not clear. The situation is not optimistic. It needs to clear the heart and clear the fire in time, detoxify and relieve the throat."

Wu Wenquan asked, "Then how do we prescribe?"

Gao Yuan deliberated for a while, and said: "Use Qingying Decoction to clear the heart and detoxify, clear the heat and benefit the heart, use Xiexin Decoction to purify the heart meridian and heat, and then use Jigeng Decoction to clear the throat and throat to detoxify. Combine these three prescriptions, Xiao Xun , prescription."

"Here we come." Yan Xun came over with a notebook.

Gao Yuan took the notebook and was about to write the prescription, but suddenly stopped writing. He turned his head and asked, "Are there enough medicinal materials here?"

Wu Wenquan said: "You open it first, I will take care of the medicinal materials."

"Okay." Gao Yuan nodded, then wrote the prescription and handed the notebook to Wu Wenquan.

After giving the little girl a prescription, several people went to see another patient. After much discussion, they ran to the conference room for a half-day meeting.

Gao Yuan also learned about the situation in the provincial capital. The problem is the same. There are many patients and there is not enough medicine, especially diphtheria serum. The supply is not enough at all, so the above now hopes that the Chinese medicine will come up with a reliable solution as soon as possible.

Although Chinese medicinal materials are relatively scarce now, compared with diphtheria serum, the difficulty of solving Chinese medicinal materials is still much smaller, so now the pressure is on the Chinese medicine side.

Lao Qi said in a deep voice: "This time the diphtheria is far from over, and the number of patients is still increasing, but the diphtheria serum has disappeared. All Chinese medicine experts, it's up to you."

Lao Qi looked at everyone in the Chinese Medicine Hospital.

All the experts from the hospital of traditional Chinese medicine all looked at Gao Yuan.

(End of this chapter)