Unique doctor

Chapter 152 Small dose, big problem

This incident was just an episode, but Wang Xu didn't expect that Tongyu Liang, who was left by him to wash the dishes, would have this function, and when he heard Bai Nongxin talk about it afterwards, he also found it ridiculous.

But after this incident, people in Bai Nongxin's Xiangxiang Pavilion would definitely dare to make trouble nearby. Whether it's the public office or the surrounding gangsters, they all know that there is a great boss behind this restaurant.

After the opening of Xiangxiang Pavilion, Wang Xu had a place to eat and eat. He and Zhao Kai and Yang Han basically went there to eat and drink at noon and afternoon. Sometimes they were busy, and Bai Nongxin also ordered the waiter to pack and deliver them.

On the third day after the opening of Xiangxiang Pavilion, Yao Qingping brought Jin Ping over for an inspection in the morning, and after returning home, at two o'clock in the afternoon, he brought Jin Ping back in a hurry.

"Doctor Wang, the hospital's examination today is a bit abnormal. Let me see if there is anything wrong?" After entering the door, Yao Qingping took out the hospital's laboratory test form from his body and handed it to Wang Xu and asked. [

Following Wang Xu's instructions, Yao Qingping took Jin Ping to the hospital every day after the examination at Fushengtang to check the blood drug concentration. This blood drug concentration is a reference value for the detection of anti-rejection drugs in the human body, and Wang Xu has always attached great importance to it.

Hearing that Yao Qingping said that there was an abnormality in the test, Wang Xu was also taken aback, and hurriedly took the test sheet and read it. During this period of time, Jin Ping's blood drug index was high, and he checked it every day. When it was high, it was four. [-] points, [-] points when it was low, the difference is not very big.

Jin Ping's condition was originally due to necrosis of the femoral head caused by kidney transplantation. The kidneys are very sensitive to the tolerance of drugs. This is the reason for the surgery and a major problem in treatment.Once the kidneys can't bear the side effects of the drug, the follow-up situation will be very bad.

The blood drug concentration around four o'clock is basically within the range that Jin Ping's kidneys can bear, but it's on today's list.The blood drug concentration directly became [-], which was a full [-] higher than usual.

If the blood drug concentration is used to explain it, every time the blood drug concentration increases by one index, the damage to the kidneys will increase by about 18.00%, and the current blood drug concentration has increased by [-].That is to say, the damage of the drug to the kidney has increased by [-]%. If this continues, irreversible situations may occur.

Jin Ping had already undergone a kidney transplant operation. If the kidney was damaged in any way, there would be no room for recovery. Up to now, no one had heard of anyone transplanting kidneys as if they were eating, changing one after another.

Patients who underwent kidney transplantation.Under normal circumstances, anti-rejection drugs are taken for a long time, the purpose is to control one's own immunity and avoid rejection and damage to the transplanted kidney.

The blood concentration of the anti-rejection medicine that Wang Xu asked Yao Qingping to make every day is a reference to reflect the strength of Jin Ping's immunity.

It is true that Wang Xu studied Chinese medicine, but he is not rigid. He does not reject Western medicine like some doctors of Western medicine reject Chinese medicine. On the contrary, things in Western medicine are sometimes very desirable.

Chinese medicine and Western medicine are two different medical concepts.One is based on the human body, focusing on the entire cycle of the human body.Treat diseases starting from the body's own defense system and its own resistance, and help the body recover by regulating the camp and defense system to balance yin and yang. The other is based on the disease, starting from microscopic viruses and causes.Treat disease by eliminating individual viruses.

Fundamentally speaking, Chinese medicine and Western medicine.Both have advantages and disadvantages, and Chinese medicine pays attention to the macro.To control the overall situation, sometimes you don't know enough about some details, such as high blood sugar, specific blood sugar levels, high blood pressure, specific blood pressure values, and so on.

Western medicine starts with viruses and treats various viruses, sometimes ignoring other causes, such as cough, thinking it is a lung virus infection, and starting with medicine for lung virus infection, it will ignore the internal organs of the human body Maybe the cough is cured, but the patient's liver or kidney has problems again.

In fact, the same is true. Western medicine often tends to repeat the disease. When one disease recovers, another disease comes back, which is very troublesome. In fact, the root cause is investigated. It turns out that everything is caused by the initial cough.

Wang Xu studied Chinese medicine with Wang Henian since he was a child, and then studied at Beijing College of Traditional Chinese Medicine. At the same time, he also learned some western medicine to make up for his own shortcomings. He sometimes used some western medical data for reference.

Take this time as an example, fortunately he asked Yao Qingping to check Jin Ping's blood drug concentration every day, otherwise such details would be discovered in a few days at the earliest by his pulse diagnosis.

Looking at the blood drug concentration report in his hand, Wang Xu frowned. Generally speaking, an increase in blood concentration means that the body's immune function has increased. This situation is very serious and must not be ignored.

Seeing this, some people may ask, isn’t increased immunity a good thing, but why is it a bad thing? This is the real reason why they don’t understand it.

From our normal thinking, the higher the immunity, the better, the less likely to get sick. It should be a good thing, but it is not. It is a good thing for others, but it is a good thing for Jin Ping.

With high immunity, the human body is not easy to get sick, but high immunity also means that the human body is fighting against viruses. The reason why immunity is improved is because the human body has been injured. [

For ordinary people, this is of course fine. They have immunity and can resist the virus, which is naturally a great thing, but Jin Ping is different. His kidneys can't bear it. When the immunity improves, it means that his kidneys are under greater pressure. harm.

Wang Xu gave Jin Ping a blood drug concentration index of about [-]. Within this range, Jin Ping's immunity is normal and will not cause damage to the kidneys. Now the index has directly increased to [-], which means It means that Jin Ping's transplanted kidney is being rejected.

Where did this problem come from? Wang Xu seriously recalled the prescriptions he prescribed to Jin Ping. Judging from Jin Ping's situation, it should be that the prescriptions he prescribed contained immunity-enhancing ingredients. drug.

"Doctor Wang, how are you? Is it serious?" Yao Qingping asked anxiously when he saw Wang Xu talking for a long time.

"Fortunately, I discovered it early, and it's not a problem for now, but the previous prescription can no longer be used, I need to think about it carefully." Wang Xu waved his hand, said something softly, and then walked back and forth.

The prescription Wang Xu prescribed at that time was the addition and subtraction of the two prescriptions of Lingguizhugan Decoction and Taohong Siwu Decoction. There are a total of more than a dozen medicinal materials. Where does this problem come from?

After walking back and forth for a few steps, Wang Xu suddenly patted his forehead, and finally found the problem. The problem lies in Ling Gui Zhu Gan Decoction. The Poria cocos in it not only promotes water, but also strengthens the spleen, that is to say There are supplementary ingredients in it.

After repeated thinking, Wang Xu felt that Poria cocos had the greatest chance of problems. Poria cocos can invigorate the spleen and dampness, and help digestion. It also contains polysaccharides such as poria cocos, which can improve immunity.

Since Poria had contradictory requirements on Jin Ping's immunity for kidney transplantation, this medicine could not be used, but the same problem reappeared.

For kidney transplant patients, the immunity should not be too high, but it is not good if it is too low. If the immunity is too low, people are prone to get sick and catch colds, which is not conducive to the health of the body and Jin Ping's self-recovery.

It has to be said that this is a very tangled problem, too high or too low, the medicine must be used with caution. Considering this problem, the medicinal material Poria cocos cannot be simply cancelled.

Poria cannot be taken, and Jin Ping's blood medicine is too thick, what should I do? After repeated consideration, Wang Xu decided to reduce the dosage of Poria from the original 9 grams to 6 grams.

After reducing the Poria cocos, Wang Xu was still a little worried. He walked to the table, wrote down the entire prescription, and gradually added the safflower from the original 10 grams to 12 grams.

Safflower is a medicine for promoting blood circulation and removing blood stasis, so reducing the dosage of medicines for enhancing immunity and increasing the dosage of medicines for promoting blood circulation and removing blood stasis, so that one increase and one decrease may be able to balance the current problem.

After changing the prescription, Wang Xu was still hesitant, hesitated again and again, and then walked up to Yao Qingping, handed the prescription in his hand to invite Ping and said: "Don't use the previous prescription, and cook medicine according to this prescription in the future. , the medicine you brought back before, you bring it back, and I will refill the medicine for you."

"Okay, I'm sorry to trouble you, Dr. Wang." Yao Qingping thanked hurriedly. He doesn't know medicine, so naturally he doesn't know the severity. In his opinion, the data just now didn't change much, but Wang Xu was cautious and couldn't stop Thinking, being so careful, moved Yao Qingping very much.

"Mr. Yao is polite. Aunt Jin's situation cannot be sloppy. After returning home, he still needs to check the blood drug concentration at any time. If the data is restored, I will cooperate with Aunt Jin in acupuncture and moxibustion to recover as soon as possible. He has taken too much medicine. After all, It's not good for your health." Wang Xu waved his hand.

"I've made a note, Doctor Wang, please be busy, I've troubled you." Yao Qingping sincerely thanked him, and then left Fushengtang with Jin Ping.

Watching Yao Qingping and Jin Ping leave, Wang Xu walked back to the clinic. He couldn't help feeling a little bit embarrassed. Fortunately, he had been careful before and told Yao Qingping to check Jin Ping's blood drug concentration every day. It was not in vain. Be careful! .

While sighing, Wang Xu also felt that some things in Western medicine should not be underestimated, and subtle differences can be found, ranging from small to large. The earlier the problem is discovered, the better it is for the patient and the better it is for the treatment.

"Master, I just read your modified prescription. If I remember correctly, it is no different from the previous one?" Wang Xu was in a daze, Zhao Kai walked to the side and asked, the first time Yao Qingping asked someone to come over to grab the medicine, It was he who caught it himself, unexpectedly he remembered it clearly.

"The difference is not big, but the amount of the two herbs has been changed. Although the change is not big, it is of great significance." Wang Xu explained the reason with a smile, and then said: "So when it comes to curing diseases and saving lives, we must be careful. Sometimes you have to pay attention to the slightest bit, but sometimes you have to let go, and the truth needs to be carefully pondered." (To be continued. If you like this work, you are welcome to come to the starting point to vote, monthly tickets, your support is my greatest motivation.)[

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