TCM Gaoyuan
Chapter 288 Water Manure Management
Chapter 288 Water Manure Management
"Okay." Li Shengli quickly agreed.
Gao Yuan immediately wrote a prescription, and after handing it over to Gan Jing, he went out first.
Li Shengli quickly followed up and asked, "Dean, how is the patient's condition? Is it serious? Will he die from serious illness later?"
Gao Yuan looked at him speechlessly: "Didn't you understand earlier?"
Li Shengli said with a smile: "I really didn't understand it. The main reason is that what you said at the beginning was too permeable. You would perforate and bleed at every turn. You also said that you would die. Who wouldn't be afraid to hear such words?"
Gao Yuan patiently explained to him: "Although this patient has had a fever for five days, as I said before, the crystal clear whiteness means that the righteousness has not faded, and the damp and heat disease evils have the intention of exuding, so at this time, let's make the best use of the situation. It should get better."
"Oh." Li Shengli breathed a sigh of relief, he was terrified in front of him.
Gao Yuan also frowned and said, "I have to go back and report this case as soon as possible to arouse everyone's vigilance."
Li Shengli also nodded.
Gao Yuan hurried back to report to the higher authorities. According to his previous life memory, it was about this time.In my previous life, primary medical care was in a mess due to major adjustments. In this life, I know that my words still have weight. I hope that I can get attention early and prevent and control diseases.
After Gao Yuan went to send the telegram, after returning, he went to see the patient's condition.
According to Gao Yuan's observation, after taking the medicine, the patient's body temperature was quickly controlled, and then gradually subsided.Gao Yuan prescribed two doses of medicine. After taking the two medicines, all the symptoms disappeared, the fever disappeared, and he was in good spirits. The first half of the greasy coating on his tongue had disappeared, but he continued to release it. Of course, this was not a bad thing.
On the whole, dampening and heat-clearing, the upper part has already taken effect, so the effect will not change, so continue to use the medicine.
After taking three more doses, he recovered.
And during this time, Gao Yuan was not idle, and took these people from the hospital to train them.
"The development of this disease is very tortuous, and it is easy to be lingering and repeated. Once it encounters troublesome ones, it is difficult to treat. This is mainly caused by the damp and hot characteristics of poison evil. It’s easy to get trapped and choked.”
"And the heat is very explosive, the qi is hot, and it is easy to burn the body fluid. The two are intertwined and mixed together, which is brewing and fumigation, which is difficult to solve. There is such a saying, which is called heat and dampness. Chi, moist and hot and stronger."
"As we said just now, the symptoms of typhoid fever are very similar to other diseases, so it is easy to be misdiagnosed, and it is also easy to be regarded as a common cold. Some of them are very serious, and they may be treated as appendicitis when they bleed and perforate. So early An accurate diagnosis is critical."
"The characteristics of fever are very clear, so how to distinguish dampness is the key. As long as we can accurately distinguish whether there is dampness, it will increase our accuracy. Then we can judge dampness from the following aspects. , turbidity, dullness, boredom, greasy, slow' these typical characteristics to analyze..."
It is also an old tradition for Gao Yuan to give lectures. As early as when he was reborn, he started to give lectures when he was leading the hygienists. Li Shengli was brought out by him.It has always been so, and it is no different now.
Therefore, it is not without reason that the medical level of Zhangzhuang Health Center is relatively high, and even many people from outside will come to seek medical treatment.You must know that there is no public welfare fund reimbursement across regions. In such a poor age, there are still people who are willing to do this. This is indeed a great trust in the level of other doctors.
Gao Yuan played a very important role in this and contributed even more.
Yan Qiao always felt that his family took advantage of Gao Yuan's ability, and he was quite complacent. He even agreed to Gao Yuan's many conditions for this, and he was willing to do so.Gao Yuan said that my knowledge is the knowledge of Yan's family. The old man was so excited that he wanted to go to the countryside to become the dean regardless of his age.
In fact, Gao Yuan has always thought about my knowledge, that is, the knowledge of the world, not just the Yan family. He is not afraid that others will learn it, but he is afraid that these people will not learn it.It's like Li Shengli's brain is not very bright, which makes Gao Yuan very headache.
After talking for a long time, Li Shengli was still in the fog.
But before Li Shengli could ask, there was a voice at the door: "Are you finished?"
Everyone looked at it, and it was Wang Hanzhang who came over.
"The great leader is here." Gao Yuan quickly stood up.
"Go!" Wang Hanzhang gave Gao Yuan a blank look, and said, "Come here, I have something to talk to you about."
"Oh." Gao Yuan agreed, and then said to the others: "If you have any questions, please write them down first, and ask me later. Go out and do your work first."
After explaining, Wang Hanzhang followed Gao Yuan to the dean's office.
Wang Hanzhang entered the door and said, "I have received your telegram, and I have also received your subsequent letter. I will also ask the county hospital to pay attention to the problem of typhoid fever, and ask them to organize inspections as soon as possible."
Gao Yuan asked, "What about the countryside?"
Wang Hanzhang said: "The letter has been sent, it should be here soon."
Gao Yuan frowned.
But Wang Hanzhang said: "No way, the health center basically exists in name only, and the medical care in the countryside is too scattered, so we can only notify in advance. I am worried that the efficiency is very low. When I was in the health center, I found one and reported it to the other. Now there are Many of them are private businesses, and I am afraid they will be easily overlooked by them."
Gao Yuan squeezed the space between his eyebrows, he knew that typhoid fever was unavoidable: "But at least this time, we have finished the vaccination."
Wang Hanzhang said: "It means that you have finished the vaccination here, and there are still a few communities that may still have part of the vaccine."
Gao Yuan was speechless.
Wang Hanzhang hurriedly said: "I have already urged!"
Gao Yuan shook his head helplessly: "This is only one aspect. More importantly, typhoid fever is transmitted through feces and mouth, so the rural production team must do a good job in feces management, water source management, fly and mosquito control, and isolation and treatment. It is the key to stopping this typhoid fever."
Wang Hanzhang nodded, but after thinking for a while, he asked again: "Do you think this epidemic will be serious?"
Gao Yuan said seriously: "If the source of water and excrement management is not eliminated, this disease may last for several years!"
"This!" Wang Hanzhang's face changed: "Are you a little alarmist?"
Gao Yuan said: "I'm still keeping it!"
Wang Hanzhang choked, and then he thought quickly.
Gao Yuan persuaded again: "Nowadays, the medical care in rural areas is insufficient, and the sanitation campaign is slow. These are real factors. But no matter what, we must find someone in the production team who is responsible for sanitation, and carry out the sanitation campaign!"
Before Wang Hanzhang could react, Li Shengli hurried over: "Dean, come out quickly, a serious patient is here!"
(End of this chapter)
"Okay." Li Shengli quickly agreed.
Gao Yuan immediately wrote a prescription, and after handing it over to Gan Jing, he went out first.
Li Shengli quickly followed up and asked, "Dean, how is the patient's condition? Is it serious? Will he die from serious illness later?"
Gao Yuan looked at him speechlessly: "Didn't you understand earlier?"
Li Shengli said with a smile: "I really didn't understand it. The main reason is that what you said at the beginning was too permeable. You would perforate and bleed at every turn. You also said that you would die. Who wouldn't be afraid to hear such words?"
Gao Yuan patiently explained to him: "Although this patient has had a fever for five days, as I said before, the crystal clear whiteness means that the righteousness has not faded, and the damp and heat disease evils have the intention of exuding, so at this time, let's make the best use of the situation. It should get better."
"Oh." Li Shengli breathed a sigh of relief, he was terrified in front of him.
Gao Yuan also frowned and said, "I have to go back and report this case as soon as possible to arouse everyone's vigilance."
Li Shengli also nodded.
Gao Yuan hurried back to report to the higher authorities. According to his previous life memory, it was about this time.In my previous life, primary medical care was in a mess due to major adjustments. In this life, I know that my words still have weight. I hope that I can get attention early and prevent and control diseases.
After Gao Yuan went to send the telegram, after returning, he went to see the patient's condition.
According to Gao Yuan's observation, after taking the medicine, the patient's body temperature was quickly controlled, and then gradually subsided.Gao Yuan prescribed two doses of medicine. After taking the two medicines, all the symptoms disappeared, the fever disappeared, and he was in good spirits. The first half of the greasy coating on his tongue had disappeared, but he continued to release it. Of course, this was not a bad thing.
On the whole, dampening and heat-clearing, the upper part has already taken effect, so the effect will not change, so continue to use the medicine.
After taking three more doses, he recovered.
And during this time, Gao Yuan was not idle, and took these people from the hospital to train them.
"The development of this disease is very tortuous, and it is easy to be lingering and repeated. Once it encounters troublesome ones, it is difficult to treat. This is mainly caused by the damp and hot characteristics of poison evil. It’s easy to get trapped and choked.”
"And the heat is very explosive, the qi is hot, and it is easy to burn the body fluid. The two are intertwined and mixed together, which is brewing and fumigation, which is difficult to solve. There is such a saying, which is called heat and dampness. Chi, moist and hot and stronger."
"As we said just now, the symptoms of typhoid fever are very similar to other diseases, so it is easy to be misdiagnosed, and it is also easy to be regarded as a common cold. Some of them are very serious, and they may be treated as appendicitis when they bleed and perforate. So early An accurate diagnosis is critical."
"The characteristics of fever are very clear, so how to distinguish dampness is the key. As long as we can accurately distinguish whether there is dampness, it will increase our accuracy. Then we can judge dampness from the following aspects. , turbidity, dullness, boredom, greasy, slow' these typical characteristics to analyze..."
It is also an old tradition for Gao Yuan to give lectures. As early as when he was reborn, he started to give lectures when he was leading the hygienists. Li Shengli was brought out by him.It has always been so, and it is no different now.
Therefore, it is not without reason that the medical level of Zhangzhuang Health Center is relatively high, and even many people from outside will come to seek medical treatment.You must know that there is no public welfare fund reimbursement across regions. In such a poor age, there are still people who are willing to do this. This is indeed a great trust in the level of other doctors.
Gao Yuan played a very important role in this and contributed even more.
Yan Qiao always felt that his family took advantage of Gao Yuan's ability, and he was quite complacent. He even agreed to Gao Yuan's many conditions for this, and he was willing to do so.Gao Yuan said that my knowledge is the knowledge of Yan's family. The old man was so excited that he wanted to go to the countryside to become the dean regardless of his age.
In fact, Gao Yuan has always thought about my knowledge, that is, the knowledge of the world, not just the Yan family. He is not afraid that others will learn it, but he is afraid that these people will not learn it.It's like Li Shengli's brain is not very bright, which makes Gao Yuan very headache.
After talking for a long time, Li Shengli was still in the fog.
But before Li Shengli could ask, there was a voice at the door: "Are you finished?"
Everyone looked at it, and it was Wang Hanzhang who came over.
"The great leader is here." Gao Yuan quickly stood up.
"Go!" Wang Hanzhang gave Gao Yuan a blank look, and said, "Come here, I have something to talk to you about."
"Oh." Gao Yuan agreed, and then said to the others: "If you have any questions, please write them down first, and ask me later. Go out and do your work first."
After explaining, Wang Hanzhang followed Gao Yuan to the dean's office.
Wang Hanzhang entered the door and said, "I have received your telegram, and I have also received your subsequent letter. I will also ask the county hospital to pay attention to the problem of typhoid fever, and ask them to organize inspections as soon as possible."
Gao Yuan asked, "What about the countryside?"
Wang Hanzhang said: "The letter has been sent, it should be here soon."
Gao Yuan frowned.
But Wang Hanzhang said: "No way, the health center basically exists in name only, and the medical care in the countryside is too scattered, so we can only notify in advance. I am worried that the efficiency is very low. When I was in the health center, I found one and reported it to the other. Now there are Many of them are private businesses, and I am afraid they will be easily overlooked by them."
Gao Yuan squeezed the space between his eyebrows, he knew that typhoid fever was unavoidable: "But at least this time, we have finished the vaccination."
Wang Hanzhang said: "It means that you have finished the vaccination here, and there are still a few communities that may still have part of the vaccine."
Gao Yuan was speechless.
Wang Hanzhang hurriedly said: "I have already urged!"
Gao Yuan shook his head helplessly: "This is only one aspect. More importantly, typhoid fever is transmitted through feces and mouth, so the rural production team must do a good job in feces management, water source management, fly and mosquito control, and isolation and treatment. It is the key to stopping this typhoid fever."
Wang Hanzhang nodded, but after thinking for a while, he asked again: "Do you think this epidemic will be serious?"
Gao Yuan said seriously: "If the source of water and excrement management is not eliminated, this disease may last for several years!"
"This!" Wang Hanzhang's face changed: "Are you a little alarmist?"
Gao Yuan said: "I'm still keeping it!"
Wang Hanzhang choked, and then he thought quickly.
Gao Yuan persuaded again: "Nowadays, the medical care in rural areas is insufficient, and the sanitation campaign is slow. These are real factors. But no matter what, we must find someone in the production team who is responsible for sanitation, and carry out the sanitation campaign!"
Before Wang Hanzhang could react, Li Shengli hurried over: "Dean, come out quickly, a serious patient is here!"
(End of this chapter)
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