Jishi doctor arrives
Chapter 102 Lumbar puncture
Dong Zhao heard the voice and wanted to go over there to see what was going on there, but Jiang Ping didn't know what Shizi was thinking, so he happened to block his way.
Dong Zhao frowned, and a cold light flashed through his eyes. Jiang Ping was startled and quickly moved away, looking at Dong Zhao's back. Although the two masters were not easy to get along with, they were not easy to get along with either. As for this point.
What's going on?
Here, Yang Mo doesn’t know how to explain it. The problem of cerebrospinal fluid rhinorrhea is a place where Chinese medicine and Western medicine are completely out of line, and Chinese medicine cannot be used to make the transition. “It’s the fluid that exists in the human head, not the brain.” Cerebrospinal fluid Not the brain.
"What is the thing in the human head that is not the brain? The brain is the palace of the primordial spirit. If the brain has flowed out of the nose according to Miss Yang, then the primordial spirit is no longer there, and people will be stupid if they are rescued." Ding The imperial doctor next to the department couldn't help but refute.
These two words attracted all the imperial doctors who had left, and the woman who was finally persuaded by Mrs. Wu just now burst into tears, "Miss Yang said that my man is hopeless?"
According to this explanation, Yang Mo was about to tie herself to a pillar and burn to death, but it would be understood as such, the primordial spirit and soul flowed out of her nose... According to ancient theories, people are not different from death .
This is the common sense of modern people, but it was so difficult to explain in ancient times.
"The "Lingshu? Sea Theory" says that the brain is a sea of marrow. How to explain the so-called sea of marrow? Is the brain a liquid that can flow or a solid object?"
As soon as Yang Mo's voice fell, everyone started talking.
Yang Mo took a deep breath. She also wanted to know what the records of the past and present said about the human brain.Among the few ancient books that Yang Molan has read, she can find not many sayings about the brain.
"The sea of marrow is naturally juice." One of them said.
Yang Mo said: "Then please shake your head, if it is juice, then everything should be chaotic."
"It should be similar to those livestock... solid objects." Finally someone boldly expressed his opinion
Yang Mo then retorted, "If it's a solid object, every time you shake your head, wouldn't the brain hit your head, and it will inevitably be damaged? So there must be a layer of juice covering the solid object to protect the brain. I'm talking about that layer of juice .Since we are talking about livestock. The brains of livestock should also have those juices."
Immediately, several young imperial doctors nodded.
"This is a strong argument." Most people said with disdain.
"It's clear and logical, it's not just talking."
It is impossible for Yang Mo to refute the thousands of years of culture in just a few words. She raised her head and looked at Imperial Physician Ding, "Then what do you think it is? If it's blood, why doesn't it scab?"
What exactly is it? Many things cannot be explained in words. Doctor Ding suddenly thought of something that cannot be mentioned to outsiders.He and his mentor once cut the person open for inspection. Although they were afraid that people would find out that they were a little flustered at the time, he still remembered many things clearly. The human brain... seems to be what Miss Yang said. Could it be Yang? This kind of thing has been done in private, so later generations will know so much.
Thinking about it.The patient under the eyelids suddenly twitched.
The patient suddenly opened his eyes and yelled. "It hurts...it hurts me to death." He stretched out his hand to cover his head, and the veins around his eyes bulged, making him look particularly terrifying.
Seeing that the man was about to jump up from the ground, he almost bumped into Yang Mo.Thanks to the people around Yang Mo stretched out two hands and pressed the patient down.
Yang Mo raised her head and saw Dong Zhao with a sullen face.
Dong Zhao said, "Does Imperial Physician Ding have a cure?"
Ding Ke stretched out his hand to the student next to him for a needle, and pricked the patient's acupuncture point, and the patient seemed to calm down a little.But his eyes were still wide open, and he screamed loudly that people could not understand.
Yang Mo knew that this was only a symptom of the patient's brain damage.
Now nothing but acupuncture.There is no better way. Ding Ke has seen similar patients, but in the end there is no good treatment.
Under the watchful eyes of everyone, Ding Ke shook his head.
"Where's Miss Yang?"
When Dong Zhao's voice came, everyone looked at Yang Mo.
This time, Yang Mo lowered her eyes and thought about it quietly. In the modern age, there are such symptoms of acute intracranial hypertension, and drugs to reduce intracranial pressure may be used, but it may not be able to correct the current situation in time. The patient is a viral cerebral palsy. Inflammation, and cerebrospinal fluid rhinorrhea due to skull base fracture, "I still have a solution, but even if I do it, it may not be able to cure the patient."
Even if it is done, it may not necessarily cure the patient.Dong Zhao turned his head to see Miss Yang's calm appearance. It is also a kind of courage to let others judge by saying such words in front of so many people.
Sure enough, there were various voices of discussion around.
"After talking so much, it turns out that it can't be cured."
"It's just lip service, it's not arguing, it's really about saving people."
Ding Ke thought for a while before saying, "It's okay to try it in this situation," he told the students beside him, "Prepare a pen and paper, and let Miss Yang write a prescription."
Yang Mo shook her head, "I'm not going to use herbs, I'm going to use needles..."
Yang Mo only talked about using needles, and the voices around her suddenly rose, covering her words completely.
"The Ding Yuan Judgment has already given the needles. Could it be that Miss Yang can't believe it, so she still wants to do it herself? The acupuncture skills of the Ding Yuan Judgment can't be matched by Mr. Bai."
Shen Weiyan next to him opened and closed his lips a few times, and finally couldn't help but walked to Yang Mo's side and said in a low voice: "Ding Yuanpan is a well-known national player, specializing in acupuncture, just now replacing needles with others must not have such an effect."
Yang Mo's acupuncture technique was learned from Shen Weiyan, and Shen Weiyan knew best how far she had learned it.
Yang Mo shook her head, and before she could speak, Ding Ke said, "If Miss Yang has acupuncture prescriptions, I can help." He is more precise in his hands, knowing the direction and depth of needle insertion, so he can achieve better treatment Effect.
Ding Ke asked Ding Ke to help regardless of his own status, Yang Mo looked at Ding Ke gratefully, "Thank you, Doctor Ding, I really need your help to complete it."
It turned out that it was really necessary to move the needle, Ding Ke took the needle box from the student, "Miss Yang, but it doesn't matter."
If acupuncture was really used, she wouldn't have to waste much time talking.He dared not do it for a long time.
Dong Zhao looked at Miss Yang with a heavy face, and somewhat understood what Miss Yang meant.
"I mean use my needle."
Ding Ke also frowned now, Miss Yang thinks his needles are not delicate enough.
Yang Mo looked at the painful patient on the wooden board, and the crying woman lying on the ground next to her. In fact, she had always taken risks in treating her with Western medicine. If one day she couldn't explain it clearly in ancient language, I don't know what would happen. What consequences, especially this time, she couldn't explain in the cerebrospinal fluid.How could he be treated in front of so many people.
But after practicing medicine for so many years, she couldn't bear it anymore. She just watched the patients die without making any efforts.
Yang Mo took a deep breath, raised her head and saw Dong Zhao's solemn but extremely calm eyes.
Maybe it's that calm spirit.It also gave her courage, "I want to use my hollow needle and small bamboo tube to release some of the fluid in the patient's brain. There is too much fluid in the brain, and the trauma to the head makes the fluid flow from the nose to the brain. Come out." There was blood in the cerebrospinal fluid.It proves that there is a small amount of bleeding in the brain, and if some blood is not released, the intracranial pressure will further increase.
The surroundings suddenly became quiet.It was as if he couldn't even hear the sound of breathing.
Even the weeping woman next to him was frightened into silence by the sudden silence. Her eyes fell on the man on the board, she stood up and rushed over without hesitation.
Yang Mo only felt that the sleeves were pulled tightly, and the woman cried, "Save my man, save him, please. Please, all the officials."
Yang Mo looked at the woman, "I have a way. But I can't guarantee that I can save people...but if I don't do it...at most I won't make it through the night."
The woman's whole body collapsed at once.
"But according to what Miss Yang said, it's possible that the person will be put to death right now?" someone from the Imperial Hospital said.
The release of cerebrospinal fluid can not only eliminate some viruses and bacteria, but also reduce intracranial pressure, but it may also cause brain herniation in patients, which has been replaced by other methods in clinical practice, but there are no drugs or other treatment tools to reduce intracranial pressure. With this method, she can still give it a go before the patient's intracranial pressure increases to the point where she can't do it.
"I can't do anything if this continues," Yang Mo looked at the woman, "If you promise me, I will do it, if you don't agree, then use herbal medicine and acupuncture."
The woman was too busy crying and couldn't say anything.
Ding Ke lowered his head and looked at the patient. Using Miss Yang's method may kill the person, but without this method the patient will die. The patient's condition has reached the point where everyone is helpless.
"What did Miss Yang say?" Ding Ke asked suddenly.
Yang Mo did not expect that it was Ding Yuyi who agreed first, and the envoys of the children's hospital tried their best to stop her before.
There was help from the side, which gave her a little more confidence. Although lumbar puncture is a subject of the clinical operation exam, she has practiced it hundreds of times on teaching aids. She is still afraid of inaccurate needle insertion when facing a real person. Doctor Ding has made great achievements in acupuncture and moxibustion, so he will definitely be able to help her.
Yang Mo said: "First carry people into the clean room outside the Taoist temple. There can be no more than five people present in the room. Everyone who enters the room must dress according to my requirements. I also need shochu, Sichuan pepper, Pinellia, boiled washed salt water," said looking at Shen Weiyan, "and a clean soft cloth and cloth towel."
Shen Weiyan knew these things and hurriedly prepared them.
Ding Ke also ordered the students from the Taiyuan Hospital to help, and after a while the room was cleaned up, and everyone redressed and entered the room.
Yang Mo stepped into the room and looked at Imperial Doctor Ding, "You need to find someone to hold the patient down completely without moving a bit, otherwise your life will be in danger."
Doctor Ding nodded, and ordered a few words to the students next to him. After a while, Dong Zhao came into the room.
The patient on the bed was delirious, and it was not easy to hold him down, especially if he couldn't move a little bit. Fortunately, there were many people in the room, so he quickly turned the patient to his side to expose his back as Yang Mo said. , curled up again.
------------------
There is an update at night.Thank you Gongxi Facai for your pink ticket, thank you 123xixi for your pink ticket, thank you lcaterpillar for your pink ticket, thank you chris666 for your pink ticket, thank you rk_owl for your reward, thank you for the pink ticket I am not a guest, and thank you aji1 for your Thank you for the pink ticket of Gongmaomao, the pink ticket of 13918043636, the pink ticket of tigerxuejun, the pink ticket of Running Onion, the pink ticket of Zanhua Nongyue, and the pink ticket of Jiang Lin5) (To be continued. If you like this work, you are welcome to vote for recommendations and monthly tickets. Your support is my biggest motivation.)
Dong Zhao frowned, and a cold light flashed through his eyes. Jiang Ping was startled and quickly moved away, looking at Dong Zhao's back. Although the two masters were not easy to get along with, they were not easy to get along with either. As for this point.
What's going on?
Here, Yang Mo doesn’t know how to explain it. The problem of cerebrospinal fluid rhinorrhea is a place where Chinese medicine and Western medicine are completely out of line, and Chinese medicine cannot be used to make the transition. “It’s the fluid that exists in the human head, not the brain.” Cerebrospinal fluid Not the brain.
"What is the thing in the human head that is not the brain? The brain is the palace of the primordial spirit. If the brain has flowed out of the nose according to Miss Yang, then the primordial spirit is no longer there, and people will be stupid if they are rescued." Ding The imperial doctor next to the department couldn't help but refute.
These two words attracted all the imperial doctors who had left, and the woman who was finally persuaded by Mrs. Wu just now burst into tears, "Miss Yang said that my man is hopeless?"
According to this explanation, Yang Mo was about to tie herself to a pillar and burn to death, but it would be understood as such, the primordial spirit and soul flowed out of her nose... According to ancient theories, people are not different from death .
This is the common sense of modern people, but it was so difficult to explain in ancient times.
"The "Lingshu? Sea Theory" says that the brain is a sea of marrow. How to explain the so-called sea of marrow? Is the brain a liquid that can flow or a solid object?"
As soon as Yang Mo's voice fell, everyone started talking.
Yang Mo took a deep breath. She also wanted to know what the records of the past and present said about the human brain.Among the few ancient books that Yang Molan has read, she can find not many sayings about the brain.
"The sea of marrow is naturally juice." One of them said.
Yang Mo said: "Then please shake your head, if it is juice, then everything should be chaotic."
"It should be similar to those livestock... solid objects." Finally someone boldly expressed his opinion
Yang Mo then retorted, "If it's a solid object, every time you shake your head, wouldn't the brain hit your head, and it will inevitably be damaged? So there must be a layer of juice covering the solid object to protect the brain. I'm talking about that layer of juice .Since we are talking about livestock. The brains of livestock should also have those juices."
Immediately, several young imperial doctors nodded.
"This is a strong argument." Most people said with disdain.
"It's clear and logical, it's not just talking."
It is impossible for Yang Mo to refute the thousands of years of culture in just a few words. She raised her head and looked at Imperial Physician Ding, "Then what do you think it is? If it's blood, why doesn't it scab?"
What exactly is it? Many things cannot be explained in words. Doctor Ding suddenly thought of something that cannot be mentioned to outsiders.He and his mentor once cut the person open for inspection. Although they were afraid that people would find out that they were a little flustered at the time, he still remembered many things clearly. The human brain... seems to be what Miss Yang said. Could it be Yang? This kind of thing has been done in private, so later generations will know so much.
Thinking about it.The patient under the eyelids suddenly twitched.
The patient suddenly opened his eyes and yelled. "It hurts...it hurts me to death." He stretched out his hand to cover his head, and the veins around his eyes bulged, making him look particularly terrifying.
Seeing that the man was about to jump up from the ground, he almost bumped into Yang Mo.Thanks to the people around Yang Mo stretched out two hands and pressed the patient down.
Yang Mo raised her head and saw Dong Zhao with a sullen face.
Dong Zhao said, "Does Imperial Physician Ding have a cure?"
Ding Ke stretched out his hand to the student next to him for a needle, and pricked the patient's acupuncture point, and the patient seemed to calm down a little.But his eyes were still wide open, and he screamed loudly that people could not understand.
Yang Mo knew that this was only a symptom of the patient's brain damage.
Now nothing but acupuncture.There is no better way. Ding Ke has seen similar patients, but in the end there is no good treatment.
Under the watchful eyes of everyone, Ding Ke shook his head.
"Where's Miss Yang?"
When Dong Zhao's voice came, everyone looked at Yang Mo.
This time, Yang Mo lowered her eyes and thought about it quietly. In the modern age, there are such symptoms of acute intracranial hypertension, and drugs to reduce intracranial pressure may be used, but it may not be able to correct the current situation in time. The patient is a viral cerebral palsy. Inflammation, and cerebrospinal fluid rhinorrhea due to skull base fracture, "I still have a solution, but even if I do it, it may not be able to cure the patient."
Even if it is done, it may not necessarily cure the patient.Dong Zhao turned his head to see Miss Yang's calm appearance. It is also a kind of courage to let others judge by saying such words in front of so many people.
Sure enough, there were various voices of discussion around.
"After talking so much, it turns out that it can't be cured."
"It's just lip service, it's not arguing, it's really about saving people."
Ding Ke thought for a while before saying, "It's okay to try it in this situation," he told the students beside him, "Prepare a pen and paper, and let Miss Yang write a prescription."
Yang Mo shook her head, "I'm not going to use herbs, I'm going to use needles..."
Yang Mo only talked about using needles, and the voices around her suddenly rose, covering her words completely.
"The Ding Yuan Judgment has already given the needles. Could it be that Miss Yang can't believe it, so she still wants to do it herself? The acupuncture skills of the Ding Yuan Judgment can't be matched by Mr. Bai."
Shen Weiyan next to him opened and closed his lips a few times, and finally couldn't help but walked to Yang Mo's side and said in a low voice: "Ding Yuanpan is a well-known national player, specializing in acupuncture, just now replacing needles with others must not have such an effect."
Yang Mo's acupuncture technique was learned from Shen Weiyan, and Shen Weiyan knew best how far she had learned it.
Yang Mo shook her head, and before she could speak, Ding Ke said, "If Miss Yang has acupuncture prescriptions, I can help." He is more precise in his hands, knowing the direction and depth of needle insertion, so he can achieve better treatment Effect.
Ding Ke asked Ding Ke to help regardless of his own status, Yang Mo looked at Ding Ke gratefully, "Thank you, Doctor Ding, I really need your help to complete it."
It turned out that it was really necessary to move the needle, Ding Ke took the needle box from the student, "Miss Yang, but it doesn't matter."
If acupuncture was really used, she wouldn't have to waste much time talking.He dared not do it for a long time.
Dong Zhao looked at Miss Yang with a heavy face, and somewhat understood what Miss Yang meant.
"I mean use my needle."
Ding Ke also frowned now, Miss Yang thinks his needles are not delicate enough.
Yang Mo looked at the painful patient on the wooden board, and the crying woman lying on the ground next to her. In fact, she had always taken risks in treating her with Western medicine. If one day she couldn't explain it clearly in ancient language, I don't know what would happen. What consequences, especially this time, she couldn't explain in the cerebrospinal fluid.How could he be treated in front of so many people.
But after practicing medicine for so many years, she couldn't bear it anymore. She just watched the patients die without making any efforts.
Yang Mo took a deep breath, raised her head and saw Dong Zhao's solemn but extremely calm eyes.
Maybe it's that calm spirit.It also gave her courage, "I want to use my hollow needle and small bamboo tube to release some of the fluid in the patient's brain. There is too much fluid in the brain, and the trauma to the head makes the fluid flow from the nose to the brain. Come out." There was blood in the cerebrospinal fluid.It proves that there is a small amount of bleeding in the brain, and if some blood is not released, the intracranial pressure will further increase.
The surroundings suddenly became quiet.It was as if he couldn't even hear the sound of breathing.
Even the weeping woman next to him was frightened into silence by the sudden silence. Her eyes fell on the man on the board, she stood up and rushed over without hesitation.
Yang Mo only felt that the sleeves were pulled tightly, and the woman cried, "Save my man, save him, please. Please, all the officials."
Yang Mo looked at the woman, "I have a way. But I can't guarantee that I can save people...but if I don't do it...at most I won't make it through the night."
The woman's whole body collapsed at once.
"But according to what Miss Yang said, it's possible that the person will be put to death right now?" someone from the Imperial Hospital said.
The release of cerebrospinal fluid can not only eliminate some viruses and bacteria, but also reduce intracranial pressure, but it may also cause brain herniation in patients, which has been replaced by other methods in clinical practice, but there are no drugs or other treatment tools to reduce intracranial pressure. With this method, she can still give it a go before the patient's intracranial pressure increases to the point where she can't do it.
"I can't do anything if this continues," Yang Mo looked at the woman, "If you promise me, I will do it, if you don't agree, then use herbal medicine and acupuncture."
The woman was too busy crying and couldn't say anything.
Ding Ke lowered his head and looked at the patient. Using Miss Yang's method may kill the person, but without this method the patient will die. The patient's condition has reached the point where everyone is helpless.
"What did Miss Yang say?" Ding Ke asked suddenly.
Yang Mo did not expect that it was Ding Yuyi who agreed first, and the envoys of the children's hospital tried their best to stop her before.
There was help from the side, which gave her a little more confidence. Although lumbar puncture is a subject of the clinical operation exam, she has practiced it hundreds of times on teaching aids. She is still afraid of inaccurate needle insertion when facing a real person. Doctor Ding has made great achievements in acupuncture and moxibustion, so he will definitely be able to help her.
Yang Mo said: "First carry people into the clean room outside the Taoist temple. There can be no more than five people present in the room. Everyone who enters the room must dress according to my requirements. I also need shochu, Sichuan pepper, Pinellia, boiled washed salt water," said looking at Shen Weiyan, "and a clean soft cloth and cloth towel."
Shen Weiyan knew these things and hurriedly prepared them.
Ding Ke also ordered the students from the Taiyuan Hospital to help, and after a while the room was cleaned up, and everyone redressed and entered the room.
Yang Mo stepped into the room and looked at Imperial Doctor Ding, "You need to find someone to hold the patient down completely without moving a bit, otherwise your life will be in danger."
Doctor Ding nodded, and ordered a few words to the students next to him. After a while, Dong Zhao came into the room.
The patient on the bed was delirious, and it was not easy to hold him down, especially if he couldn't move a little bit. Fortunately, there were many people in the room, so he quickly turned the patient to his side to expose his back as Yang Mo said. , curled up again.
------------------
There is an update at night.Thank you Gongxi Facai for your pink ticket, thank you 123xixi for your pink ticket, thank you lcaterpillar for your pink ticket, thank you chris666 for your pink ticket, thank you rk_owl for your reward, thank you for the pink ticket I am not a guest, and thank you aji1 for your Thank you for the pink ticket of Gongmaomao, the pink ticket of 13918043636, the pink ticket of tigerxuejun, the pink ticket of Running Onion, the pink ticket of Zanhua Nongyue, and the pink ticket of Jiang Lin5) (To be continued. If you like this work, you are welcome to vote for recommendations and monthly tickets. Your support is my biggest motivation.)
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