Jishi doctor arrives
Chapter 181 Tetanus
Yang Mo shook her head, "I can't make a diagnosis yet."
It is impossible to prescribe a series of laboratory tests, which is not very helpful for Western medicine in diagnosis, and can only rely on simple and easy methods such as palpation and percussion.
There was a chuckle in the room.
The imperial doctors looked at each other, it took decades of skill to diagnose and diagnose the disease that others could not.
In terms of pulse condition, Miss Yang only said the mysterious number of pulse, so she couldn't diagnose the disease even more.
Envoy Chen asked someone to help him to stand up, "The patient's pulse condition is the evidence of internal heat and toxin, and it should be treated with prescriptions for expelling wind and heat combined with acupuncture at acupoints."
"My lord envoy is right."
"It's the disease."
"We should use the unilateral prescription of expelling wind and heat first."
Court Envoy Chen glanced at Yang Mo and paused for a moment.
Yang Mo was opening Han Ji's eyelids to look at his eyes. There was no jaundice in the eyes, and no edema on the body. However, any high fever disease should be ruled out little by little. If it is encephalitis, it should be high fever, headache, coma, and convulsions. No coma, obviously conscious.
Projectile vomiting is the most obvious symptom, which can confirm the increase of intracranial pressure, and the patient does not have such a performance now.
"Does Miss Yang have any objections?"
The envoy of Taiyuan Hospital was asking Yang Mo, Yang Mo shook her head, "Can you give me some more time to make a diagnosis, sir."
Miss Yang has been examining the pulse for half an hour. It is impossible for anyone to diagnose the pulse for such a long time. It is obvious that the diagnosis cannot be made.
"Have Master Han's followers followed up in Beijing? You should ask Master Han if he has any past illnesses." Yang Mo raised her head, this is the most important thing to ask.
"Patients can't talk. It's one step missing..." Before Yang Mo could finish speaking, the imperial doctor next to her interrupted, "Miss Yang couldn't make a diagnosis by herself, and she was unwilling to try to outdo others. Say something like that."
She really couldn't make a diagnosis, so let her draw a conclusion now that she is also the medicine for Shufeng and Jiebiao.
The voices of discussion in the room gradually increased, and the emperor in the main hall was already impatient, and kept being urged, and the servants came to ask over and over again.
"What else is there to distinguish." The imperial doctor whispered in private, "It is obviously such a disease."
This time Yang is not as sure as before, and there is no new secret recipe to cure the disease. All the imperial doctors who have been suppressed by this woman feel a little relieved. No one can diagnose all diseases. If the Tai Hospital has the upper hand this time.Whether it's the previous acne or the illness of Prince Chun's son, they can all be uncovered. After all, it's the unfavorable result of Tong Yu's commanding Tai Hospital.
Everyone was discussing happily when Han Ji on the bed suddenly twitched.
Envoy Chen immediately ordered the imperial doctor, "Hurry up and get someone to fetch the medicine, and add Gastrodia elata for calming liver wind."
The imperial physicians changed their prescription.The palace people immediately went down to grab the medicine.Yang Mo stood aside as if forgotten.
Court Envoy Chen nodded, this situation is normal now.The Tai Hospital accepts famous doctors from all over the world, how could it be inferior to a common woman? It is obvious that Mrs. Yang lacks experience in distinguishing the pulse. She used to take Mr. Bai with her when she went out for diagnosis and treatment. Mr. Yang can only walk with a limp on this crutch.With Yang's medical skills, he is considered a man.However, he can only study in the Imperial Hospital, and he can't even be a sole imperial doctor. The previous Tong Yingfu put all his heart on corruption, so he created a miasma in the Imperial Hospital.
"Pull up the curtain." Yang Mo turned her head and told the palace servants no matter what was discussed outside.
Hearing this, the imperial doctors looked at each other in blank dismay, what are they going to do?
Master Han has convulsions and should immediately use emergency medicine and give acupuncture. Why did Miss Yang let the curtain be pulled.
"What's the point?" Finally someone couldn't help asking.
"Please keep quiet, adults." Yang Mo turned her head to interrupt the imperial doctor.
It's not about telling them to shut up.
How dare she speak like that.
A small woman dared to stand here and issue orders to the officials, and everyone frowned in displeasure.
As if no one was around, Yang Mo stood up and pulled the curtain with her own hands.
"Your Excellency, look... what kind of words are these?"
Court Envoy Chen looked at Mrs. Yang. This Mrs. Yang was indeed bold. She was fine in the hall just now, and she acted very respectfully, but when it came to diagnosing and treating patients, she was steadfast, not like an inexperienced doctor A doctor who has practiced medicine for many years and has made a lot of achievements.
"Press and hold the patient." Yang Mo looked at the palace man.
Only then did the palace servants come forward to help hold Han Ji on the bed, Yang Mo stretched out his hand to press Han Ji's neck, Han Ji's neck muscles stretched, not only convulsions but also convulsions, Yang Mo let go of his hand, and touched Han Ji again legs.
Leg muscles are stiff.
Just as Yang Mo was about to continue the examination, the patient on the bed suddenly relaxed, and the symptoms of convulsions and stiffness disappeared immediately, and a disease name suddenly jumped into Yang Mo's mind.
Pulling back the curtain, Yang Mo came out, Court Envoy Chen looked over, and the eyes of Miss Yang, who was thoughtful just now, suddenly became bright and sharp.
Yang Mo stepped forward and saluted, and somehow the room was suddenly quiet.
It turns out that after waiting for such a long time, everyone still wants to hear what conclusions Yang, who has always been astounding in the world in terms of medical skills, can come to.
Yang Mo said calmly, "I think it's tetanus."
The word tetanus was exported, which surprised everyone.
"Your Excellency, the women think that the possibility of tetanus cannot be ruled out." "Lishang Duandu Fang" has already used the name of tetanus, and the name of the disease created by the ancients has continued to modern times.
tetanus?
Chen Yuanshi looked at the imperial doctor next to him, and then walked into the curtain to examine Han Ji.
Tetanus is more common in broken bones and sores. Han Ji has no obvious scars on his body, which is one of the reasons why it is impossible to diagnose. However, when he is conscious, he has paroxysmal spasms and muscle stiffness, and he can't speak with his teeth clenched. Although it is not an obvious wry smile, it has already met most of the clinical manifestations of tetanus.
Miss Yang was diagnosed with tetanus, and the envoy Chen took Han Ji's pulse again.
"No wound. Where did the tetanus come from?"
Could it be the wound on the forehead?
Envoy Chen pulled back the curtain and came out, "Miss Yang is diagnosed with tetanus based on what symptoms."
"Tendon reaction..." Another modern medical term popped up.
The modern term is called tendon reflex, which is a kind of muscle stretch reflex. The popular point she is talking about now is called tendon reflex.
What kind of tendon reaction, no one in the room has heard of it, what kind of diagnosis method is this?
Miss Yang will always say something that others don't know.
What kind of medical theory has the Yang family developed over the years, is it really going to be their own school?And why no one used it before.
As Yang Mo said, she walked over and stretched out her hand to bend Han Ji's leg. She held the patient's calf in one hand, clamped the upper edge of the patella with her thumb and forefinger, and suddenly pushed it downward.After going back and forth several times, the patella suddenly vibrated continuously up and down rhythmically.
God, what is going on, how can human bones vibrate up and down by themselves.
What method did Yang use.
The imperial doctor standing aside couldn't help but let out an "ah" in surprise, attracting people outside, but they couldn't see clearly through their pants.
"Did you see it? Did you see it?" The younger imperial doctor couldn't help but speak. "It's the bones moving by themselves."
Yang Mo put down Han Ji's leg, "Masters, please check carefully if there is any injury on Mr. Han's leg." Generally, there will be infection near the site of hyperreflexia.
Han Ji seemed to respond to loud sounds and bright lights. This reminded her that she thought of tetanus from encephalitis. It is really difficult to distinguish tetanus without serious symptoms.The misdiagnosis rate is still very high.
Yang Mo walked out of the curtain, and the palace servant took off Han Ji's trousers.Sure enough, a wound was found on the inside of the calf.
"This... is a wound."
There are wounds, there are wounds.
It really made Miss Yang guess right.
"Master Han came to Beijing by boat like Lord Wang. He encountered water thieves on the way. He must have been injured at that time. The wound was exposed to water and wind, which caused tetanus."
The imperial doctor just watched Yang Mo's inspection without blinking. Now he only thinks about Mr. Han's beating legs, whether everyone is like this.Still only Mr. Han.
Otherwise, how would Miss Yang know that Master Han might have an injury on his leg.
Court Envoy Chen stood beside the bed for a while, then walked out.Wanting to go straight to the Hall of Mental Cultivation, he still looked at Yang Mo next to him, "Tetanus is caused by straightening of the nape and bending of the waist. Mr. Han has no such symptoms yet."
Yang Mo nodded, "I just got sick now, and it's not that serious yet."
Court Envoy Chen couldn't help hesitating. According to his experience, the diagnosis of tetanus could not be made yet, but Miss Yang dared to diagnose it like this.
Yang Mo said: "The prescription for dispelling wind and calming spasm should be used." There are many prescriptions for tetanus in ancient times, but this disease can rarely be cured. How to treat it without a large number of antibiotics.
Immediately, the imperial doctor said: "Now there are no symptoms of tetanus, how can it be treated as tetanus?"
Many clinical manifestations of tetanus have been summarized according to the predecessors in modern times, and it is not only a single opisthotonus that can be diagnosed.Yang Mo refused to give in even one step, "In "Surgery Authentic", there is Yuzhen San, which has the effect of dispelling wind and phlegm, calming convulsions and relieving convulsions. Mr. Han already has wind syndrome and convulsions. Fangfeng, Baizhi, Gastrodia elata and Notopterygium are also used by adults."
The eloquent Mrs. Yang used such words to justify.
The imperial physicians of the Imperial Hospital looked at Court Envoy Chen, wondering if the Envoy could agree with Yang's diagnosis.
Chen Yuanshi thought about it slowly, then raised his eyes to look at Yang Mo, "Use Yuzhen powder to add and subtract."
The imperial doctors couldn't help but gasp. Mr. Chen agreed with Yang's conclusion, and he should be treated as tetanus.
After Chen Yuanshi finished speaking, he said, "I'm going to tell the Holy Majesty that although I use Yuzhen powder, whether it is tetanus or not depends on Master Han's future illness."
--------------------------
The second part of "Fu Gui Ying Men" is out, the cover is very beautiful, I didn't expect Simplified Publishing to use such a beautiful hand-drawn illustration, the lower part includes more than 1 characters that have not been published on the Internet, if there are students who want to buy autographed books, please leave a message ha. (To be continued. If you like this work, you are welcome to vote for recommendations and monthly tickets. Your support is my biggest motivation.)
It is impossible to prescribe a series of laboratory tests, which is not very helpful for Western medicine in diagnosis, and can only rely on simple and easy methods such as palpation and percussion.
There was a chuckle in the room.
The imperial doctors looked at each other, it took decades of skill to diagnose and diagnose the disease that others could not.
In terms of pulse condition, Miss Yang only said the mysterious number of pulse, so she couldn't diagnose the disease even more.
Envoy Chen asked someone to help him to stand up, "The patient's pulse condition is the evidence of internal heat and toxin, and it should be treated with prescriptions for expelling wind and heat combined with acupuncture at acupoints."
"My lord envoy is right."
"It's the disease."
"We should use the unilateral prescription of expelling wind and heat first."
Court Envoy Chen glanced at Yang Mo and paused for a moment.
Yang Mo was opening Han Ji's eyelids to look at his eyes. There was no jaundice in the eyes, and no edema on the body. However, any high fever disease should be ruled out little by little. If it is encephalitis, it should be high fever, headache, coma, and convulsions. No coma, obviously conscious.
Projectile vomiting is the most obvious symptom, which can confirm the increase of intracranial pressure, and the patient does not have such a performance now.
"Does Miss Yang have any objections?"
The envoy of Taiyuan Hospital was asking Yang Mo, Yang Mo shook her head, "Can you give me some more time to make a diagnosis, sir."
Miss Yang has been examining the pulse for half an hour. It is impossible for anyone to diagnose the pulse for such a long time. It is obvious that the diagnosis cannot be made.
"Have Master Han's followers followed up in Beijing? You should ask Master Han if he has any past illnesses." Yang Mo raised her head, this is the most important thing to ask.
"Patients can't talk. It's one step missing..." Before Yang Mo could finish speaking, the imperial doctor next to her interrupted, "Miss Yang couldn't make a diagnosis by herself, and she was unwilling to try to outdo others. Say something like that."
She really couldn't make a diagnosis, so let her draw a conclusion now that she is also the medicine for Shufeng and Jiebiao.
The voices of discussion in the room gradually increased, and the emperor in the main hall was already impatient, and kept being urged, and the servants came to ask over and over again.
"What else is there to distinguish." The imperial doctor whispered in private, "It is obviously such a disease."
This time Yang is not as sure as before, and there is no new secret recipe to cure the disease. All the imperial doctors who have been suppressed by this woman feel a little relieved. No one can diagnose all diseases. If the Tai Hospital has the upper hand this time.Whether it's the previous acne or the illness of Prince Chun's son, they can all be uncovered. After all, it's the unfavorable result of Tong Yu's commanding Tai Hospital.
Everyone was discussing happily when Han Ji on the bed suddenly twitched.
Envoy Chen immediately ordered the imperial doctor, "Hurry up and get someone to fetch the medicine, and add Gastrodia elata for calming liver wind."
The imperial physicians changed their prescription.The palace people immediately went down to grab the medicine.Yang Mo stood aside as if forgotten.
Court Envoy Chen nodded, this situation is normal now.The Tai Hospital accepts famous doctors from all over the world, how could it be inferior to a common woman? It is obvious that Mrs. Yang lacks experience in distinguishing the pulse. She used to take Mr. Bai with her when she went out for diagnosis and treatment. Mr. Yang can only walk with a limp on this crutch.With Yang's medical skills, he is considered a man.However, he can only study in the Imperial Hospital, and he can't even be a sole imperial doctor. The previous Tong Yingfu put all his heart on corruption, so he created a miasma in the Imperial Hospital.
"Pull up the curtain." Yang Mo turned her head and told the palace servants no matter what was discussed outside.
Hearing this, the imperial doctors looked at each other in blank dismay, what are they going to do?
Master Han has convulsions and should immediately use emergency medicine and give acupuncture. Why did Miss Yang let the curtain be pulled.
"What's the point?" Finally someone couldn't help asking.
"Please keep quiet, adults." Yang Mo turned her head to interrupt the imperial doctor.
It's not about telling them to shut up.
How dare she speak like that.
A small woman dared to stand here and issue orders to the officials, and everyone frowned in displeasure.
As if no one was around, Yang Mo stood up and pulled the curtain with her own hands.
"Your Excellency, look... what kind of words are these?"
Court Envoy Chen looked at Mrs. Yang. This Mrs. Yang was indeed bold. She was fine in the hall just now, and she acted very respectfully, but when it came to diagnosing and treating patients, she was steadfast, not like an inexperienced doctor A doctor who has practiced medicine for many years and has made a lot of achievements.
"Press and hold the patient." Yang Mo looked at the palace man.
Only then did the palace servants come forward to help hold Han Ji on the bed, Yang Mo stretched out his hand to press Han Ji's neck, Han Ji's neck muscles stretched, not only convulsions but also convulsions, Yang Mo let go of his hand, and touched Han Ji again legs.
Leg muscles are stiff.
Just as Yang Mo was about to continue the examination, the patient on the bed suddenly relaxed, and the symptoms of convulsions and stiffness disappeared immediately, and a disease name suddenly jumped into Yang Mo's mind.
Pulling back the curtain, Yang Mo came out, Court Envoy Chen looked over, and the eyes of Miss Yang, who was thoughtful just now, suddenly became bright and sharp.
Yang Mo stepped forward and saluted, and somehow the room was suddenly quiet.
It turns out that after waiting for such a long time, everyone still wants to hear what conclusions Yang, who has always been astounding in the world in terms of medical skills, can come to.
Yang Mo said calmly, "I think it's tetanus."
The word tetanus was exported, which surprised everyone.
"Your Excellency, the women think that the possibility of tetanus cannot be ruled out." "Lishang Duandu Fang" has already used the name of tetanus, and the name of the disease created by the ancients has continued to modern times.
tetanus?
Chen Yuanshi looked at the imperial doctor next to him, and then walked into the curtain to examine Han Ji.
Tetanus is more common in broken bones and sores. Han Ji has no obvious scars on his body, which is one of the reasons why it is impossible to diagnose. However, when he is conscious, he has paroxysmal spasms and muscle stiffness, and he can't speak with his teeth clenched. Although it is not an obvious wry smile, it has already met most of the clinical manifestations of tetanus.
Miss Yang was diagnosed with tetanus, and the envoy Chen took Han Ji's pulse again.
"No wound. Where did the tetanus come from?"
Could it be the wound on the forehead?
Envoy Chen pulled back the curtain and came out, "Miss Yang is diagnosed with tetanus based on what symptoms."
"Tendon reaction..." Another modern medical term popped up.
The modern term is called tendon reflex, which is a kind of muscle stretch reflex. The popular point she is talking about now is called tendon reflex.
What kind of tendon reaction, no one in the room has heard of it, what kind of diagnosis method is this?
Miss Yang will always say something that others don't know.
What kind of medical theory has the Yang family developed over the years, is it really going to be their own school?And why no one used it before.
As Yang Mo said, she walked over and stretched out her hand to bend Han Ji's leg. She held the patient's calf in one hand, clamped the upper edge of the patella with her thumb and forefinger, and suddenly pushed it downward.After going back and forth several times, the patella suddenly vibrated continuously up and down rhythmically.
God, what is going on, how can human bones vibrate up and down by themselves.
What method did Yang use.
The imperial doctor standing aside couldn't help but let out an "ah" in surprise, attracting people outside, but they couldn't see clearly through their pants.
"Did you see it? Did you see it?" The younger imperial doctor couldn't help but speak. "It's the bones moving by themselves."
Yang Mo put down Han Ji's leg, "Masters, please check carefully if there is any injury on Mr. Han's leg." Generally, there will be infection near the site of hyperreflexia.
Han Ji seemed to respond to loud sounds and bright lights. This reminded her that she thought of tetanus from encephalitis. It is really difficult to distinguish tetanus without serious symptoms.The misdiagnosis rate is still very high.
Yang Mo walked out of the curtain, and the palace servant took off Han Ji's trousers.Sure enough, a wound was found on the inside of the calf.
"This... is a wound."
There are wounds, there are wounds.
It really made Miss Yang guess right.
"Master Han came to Beijing by boat like Lord Wang. He encountered water thieves on the way. He must have been injured at that time. The wound was exposed to water and wind, which caused tetanus."
The imperial doctor just watched Yang Mo's inspection without blinking. Now he only thinks about Mr. Han's beating legs, whether everyone is like this.Still only Mr. Han.
Otherwise, how would Miss Yang know that Master Han might have an injury on his leg.
Court Envoy Chen stood beside the bed for a while, then walked out.Wanting to go straight to the Hall of Mental Cultivation, he still looked at Yang Mo next to him, "Tetanus is caused by straightening of the nape and bending of the waist. Mr. Han has no such symptoms yet."
Yang Mo nodded, "I just got sick now, and it's not that serious yet."
Court Envoy Chen couldn't help hesitating. According to his experience, the diagnosis of tetanus could not be made yet, but Miss Yang dared to diagnose it like this.
Yang Mo said: "The prescription for dispelling wind and calming spasm should be used." There are many prescriptions for tetanus in ancient times, but this disease can rarely be cured. How to treat it without a large number of antibiotics.
Immediately, the imperial doctor said: "Now there are no symptoms of tetanus, how can it be treated as tetanus?"
Many clinical manifestations of tetanus have been summarized according to the predecessors in modern times, and it is not only a single opisthotonus that can be diagnosed.Yang Mo refused to give in even one step, "In "Surgery Authentic", there is Yuzhen San, which has the effect of dispelling wind and phlegm, calming convulsions and relieving convulsions. Mr. Han already has wind syndrome and convulsions. Fangfeng, Baizhi, Gastrodia elata and Notopterygium are also used by adults."
The eloquent Mrs. Yang used such words to justify.
The imperial physicians of the Imperial Hospital looked at Court Envoy Chen, wondering if the Envoy could agree with Yang's diagnosis.
Chen Yuanshi thought about it slowly, then raised his eyes to look at Yang Mo, "Use Yuzhen powder to add and subtract."
The imperial doctors couldn't help but gasp. Mr. Chen agreed with Yang's conclusion, and he should be treated as tetanus.
After Chen Yuanshi finished speaking, he said, "I'm going to tell the Holy Majesty that although I use Yuzhen powder, whether it is tetanus or not depends on Master Han's future illness."
--------------------------
The second part of "Fu Gui Ying Men" is out, the cover is very beautiful, I didn't expect Simplified Publishing to use such a beautiful hand-drawn illustration, the lower part includes more than 1 characters that have not been published on the Internet, if there are students who want to buy autographed books, please leave a message ha. (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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