Song Yi
Chapter 108 Military Supplies
Chapter 108 Military Supplies
Du Wenhao said anxiously: "Find a piece of gauze, pour the medicine on the gauze, then stuff it into the wound to bury it, and then tie it tightly with a bandage!"
At this time, when looking for gauze, Pang Yuqin lifted up her shirt, tore off two skirts with a hiss, rolled up one, poured Sanqi powder on it, and stuffed it into the wound.Wrap the wound tightly with the other.
A group of people got into the ox cart, drove the ox hard, swayed back and forth, and finally rushed back to Wuweitang in the county seat.
Gong Ming was very surprised to see that the wounded man was still humming and groaning even though his sanity was a little blurred. He has practiced medicine for decades, and he suffered such a serious injury for so long. Normally, he would have died on the way up.
Unexpectedly, Du Wenhao's medicine is so miraculous that it can delay the bleeding greatly. He has never seen that the main vein of the thigh can be delayed for such a long time without bleeding to death.
Without waiting for Du Wenhao's order, Pang Yuqin and Xue Fei'er had already rushed into Wuweitang to prepare for the operation.
After the preparations for the three operations were completed, anesthesia was administered to the injured. Du Wenhao was not in a hurry to open the wound. He first made a small incision above the wound with a scalpel to expose the proximal section of the injured artery. Bypass and lift, clamp the gauze band with hemostats to block blood flow.
Then the bandage was removed, the cloth strips filled in the wound were taken out, the foreign matter in the wound was removed, and the wound was initially rinsed.
Then, use a knife to extend the incision up and down along the blood vessel direction of the wound to fully expose the blood vessel, separate the proximal and distal sections of the artery and vein, place an atraumatic vascular clip to control bleeding, and then loosen the hemostatic gauze in the upper incision.
After checking the condition of the blood vessel, it was found that it was completely broken. Du Wenhao trimmed the ends on both sides. In order to prevent the formation of thrombus, he cut off the damaged part. The side stumps were trimmed neatly, and blood clots in the blood vessels were washed out with water to prevent thrombus, and then the blood vessels were sutured.
After the blood vessel was sutured, Du Wenhao loosened the distal vascular clamp and found a little blood leakage from the anastomosis, which was due to the rough suture thread.After a moment of light pressure with sterile gauze, the bleeding stopped.
Because the wound was clean and fresh, the wound was sutured immediately, and another small incision was made to place a drainage strip.
After the wound was healed, he was revived with salt water, and then he took some medicine to prevent wound infection.He was told to stay in the hospital for observation for two days, and then he could go back when he was able to do so.
The wounded man woke up and learned that it was Du Wenhao, a doctor of Wuweitang who is good at Hua Tuo's magical skills, who saved his life. Only then did he come back from the gate of hell. That's right, I met a noble person, otherwise this life would be ruined.
Gong Ming and Qian Bushou watched the whole process from outside the door through the window. They had never seen Du Wenhao's surgical wound treatment technique before, so they were naturally very surprised.
At this time, it was almost three o'clock in the middle of the night. Because of the urgent need to be dealt with on the road, the three of them were delayed in discussing how to treat Pushan. After Du Wenhao finished the operation, he settled the patient, and the three of them visited again. After leaving Mrs. Konghui, she was more conscious than in the afternoon, and her condition was improving, so the three of them sat down to discuss again.
Gong Ming was very excited, and said: "Brother Du, your Panax notoginseng powder is really powerful. I gave Master Kong Hui Taizhi a stroke yesterday. I remember you mentioned that you used this strange medicine, and said that this kind of medicine Medicine to stop bleeding without blood stasis, this time it saved the main vein of the thigh and made the injured person die. To be honest, it is a miracle that a person with such a serious injury survived for so long! I have never seen it before. Brother Du , your panax notoginseng powder is really amazing!"
Du Wenhao smiled and said: "Hehe, Panax notoginseng powder is a very effective wound medicine. It can be said bluntly that it is much better than the Jinchuang medicine currently used in all our pharmacies. It not only stops bleeding quickly and effectively, but also removes blood stasis and promotes regeneration. , but also has the characteristics of stopping bleeding without leaving stasis, removing stasis without hurting the body, it can be used for all kinds of bleeding, whether there is stasis or not, and it is especially good at treating those with stasis."
Qian Bushou smiled and said, "Master's notoginseng powder can be said to have made great achievements many times, and it has remarkable effects in treating various blood diseases. I heard that the last time he rescued Liu Bukuai who had an injured spleen, he also took this notoginseng powder, which slowed down the internal bleeding. , It bought time for Master to have a laparotomy later. Hehe, if there is any war in the future, if it is widely used on the battlefield, I don’t know how many soldiers survived because of it, it will be a great event for accumulating merit.”
Du Wenhao said: "If it is purely used for sword wounds, Sanqi powder can also be combined with keel, blood and other medicines to make Qibao powder, the effect will be even better!"
"Really? This is a precious medicine! Hehe"
Gong Ming patted his thigh: "That's right! Doctor Qian's words reminded me that there are many generals in the army in our White Clothes Club. When I go back, I will tell them that the barracks ordered a large number of your Panax notoginseng powder, ah no , What is the name of the compatible one you mentioned just now...?"
"Seven treasure powder!"
"Yes! Qibaosan! Purchase a large amount from Wuweitang for war preparations, what do you think?"
Du Wenhao was overjoyed, this is a big deal, he quickly cupped his hands and said, "Thank you bro! If this is done, I will give you a commission!"
"Great! Who do you think I am, your elder brother? You saved Jingci's presidency. I don't even know how to thank you. Besides, this is also for the benefit of the soldiers. Right now, the imperial court is using troops against Xixia. If How many soldiers have benefited from the use of these medicines on the battlefield. Buying your medicine will benefit both sides. Hehehe."
All three laughed.
Qian Bushou stroked his gray beard and said, "But I don't know if Master's notoginseng powder can treat Pu Shan's syndrome of exhaustion and blood dryness?"
Du Wenhao said: "Of course, as long as it is a hemorrhage, whether it is traumatic bleeding, hematemesis of various reasons, epistaxis, metrorrhagia, hemoptysis, blood in the second stool, etc., internal and external bleeding, whether there is stasis or not, it can It can be used! Moreover, it can also treat bruises, bruises, swelling and pain. I once used Panax notoginseng powder to heal Lei Butou's elbow joint bruises.
For the bleeding due to consumptive fatigue and blood stasis, Radix Notoginseng can be combined with Salvia Miltiorrhiza and Cortex Moutan to stop bleeding and remove blood stasis.Bleeding is no problem.In the future, I will prepare the medicine for you, and you will pass it on to them. "
"I thank Master on behalf of their family!"
Du Wenhao thought for a while, and said: "Stopping the bleeding alone can't cure Pu Shan's disease, it can only be slowed down for a while. His exhaustion and blood dryness are very serious. We must find a way to treat it fundamentally!"
Gong Ming shook his head and said, "Brother Du, I don't dare to agree with what Brother Du said. The so-called emergency cures the symptoms, and the slow one cures the root cause. Now there are two main emergencies in Pushan. One is continuous bleeding. This is why Brother Du's notoginseng powder It can be resolved, but the second emergency, that is, strong fever, has been treated by Dr. Qian for more than a month, but it has no effect. This is what we must solve first. The only way is to stop the bleeding and subside the strong fever. Treat the symptoms, and then deal with the root cause.”
Qian Bu Shou said: "This statement is reasonable. Mount Pushan has constant strong heat, the so-called hot ones are cold, but the old man has used all the pungent and cool detoxification medicines, including sweet and cold ones, and bitter cold detoxification medicines, but none of them are effective. What's the master's opinion? ?”
Du Wenhao thought for a while, and said: "The strong fever doesn't go away, it's a bit troublesome, what medicine did you use?"
"Silver flower, forsythia, gongying, gypsum, Anemarrhena, etc., almost all cold and cold medicines have been used."
"This..., let me think about it and see if there are any other medicines that can be used." Du Wenhao was thinking in his head that those cold medicines appeared after the Song Dynasty. Finding one or two new medicines might be able to play a role. Effect.
While Du Wenhao was thinking, Gong Ming stroked his white beard and said:
"Although he has a strong fever, do you remember that at his house, we once gave him water, but he asked for cold water. In this cold winter, he actually wanted to drink cold water, which shows that he is upset, but, After touching the water bowl, he felt cold again, and immediately retracted it, which means that he is really cold, and the restless heat in his heart is just a deficiency heat. Why don't you try it with Paofuzi, dried ginger, red ginseng and moxibustion licorice?"
Qian Bushou was stunned for a moment, and laughed: "Yes! How could I have overlooked this point! Yes! Deficiency heat is really cold! It is actually a cold syndrome, and it should be hot! I have used all silver flowers, Forsythia, Gongying, Zhimu and other cold medicines, don’t you know that he is really cold, and the cold is added to the cold, so naturally he can’t cure his strong fever. ——Master, what do you think?”
Du Wenhao shook his head: "I'm afraid it won't work! Asthenia and blood dryness are combined with infection, which leads to strong fever. Since there is a syndrome of heat, if the fever is cold, it is right not to take cold and cool medicine, because he has high fever caused by infection. Doctor Gong It is advocated to do the opposite, using aconite and dried ginger. This aconite is pungent and warm, and has the effect of tonifying Yuanyang, benefiting fire and eliminating yin. Dried ginger is pungent, hot and dry, and it is a medicine for great heat. Retreat, wouldn't it add fuel to the fire!"
Gong Ming also shook his head and said: "No! "Treatise on Febrile Diseases" says, 'Those who are very hot and want to get clothes, the heat is in the skin, and the cold is in the bone marrow.' .”
He nodded frequently even if he didn't accept the money.
Du Wenhao wanted to refute, but when he opened his mouth, he didn't know what to say.Because he thought about what Gong Ming said carefully, and found that he couldn't refute it. cold medicine.
I was also confined to the ecstasy of Western medicine thinking that aplastic anemia caused infection, and used Western medicine thinking to guide traditional Chinese medicine, but did not make good use of TCM syndrome differentiation. I couldn't help but feel a little ashamed.
I thought to myself, the clinical experience of these two old Chinese medicine practitioners is far superior to mine, and they are accurate in syndrome differentiation, so I can learn a lot from them in the future.
Thinking of this, Du Wenhao cupped his hands in embarrassment: "That's right! I ignored it. Then let's use Dr. Gong's prescription."
Qian Bushou said: "After stopping the bleeding and reducing the fever, let's discuss how to treat his exhaustion and blood depletion syndrome. Let me talk about my previous medication first. The prescriptions are mainly for nourishing the heart and spleen and nourishing blood and qi." , Judging from the medication for more than a month, there is no effect."
Gong Ming glanced at Du Wenhao, and said with a smile: "Brother Du has an ingenious formula, so you can talk later, lest I confuse my brother and myself after listening to your dialectical formula."
The money is not accepted and Du Wenhao both laughed.
(End of this chapter)
Du Wenhao said anxiously: "Find a piece of gauze, pour the medicine on the gauze, then stuff it into the wound to bury it, and then tie it tightly with a bandage!"
At this time, when looking for gauze, Pang Yuqin lifted up her shirt, tore off two skirts with a hiss, rolled up one, poured Sanqi powder on it, and stuffed it into the wound.Wrap the wound tightly with the other.
A group of people got into the ox cart, drove the ox hard, swayed back and forth, and finally rushed back to Wuweitang in the county seat.
Gong Ming was very surprised to see that the wounded man was still humming and groaning even though his sanity was a little blurred. He has practiced medicine for decades, and he suffered such a serious injury for so long. Normally, he would have died on the way up.
Unexpectedly, Du Wenhao's medicine is so miraculous that it can delay the bleeding greatly. He has never seen that the main vein of the thigh can be delayed for such a long time without bleeding to death.
Without waiting for Du Wenhao's order, Pang Yuqin and Xue Fei'er had already rushed into Wuweitang to prepare for the operation.
After the preparations for the three operations were completed, anesthesia was administered to the injured. Du Wenhao was not in a hurry to open the wound. He first made a small incision above the wound with a scalpel to expose the proximal section of the injured artery. Bypass and lift, clamp the gauze band with hemostats to block blood flow.
Then the bandage was removed, the cloth strips filled in the wound were taken out, the foreign matter in the wound was removed, and the wound was initially rinsed.
Then, use a knife to extend the incision up and down along the blood vessel direction of the wound to fully expose the blood vessel, separate the proximal and distal sections of the artery and vein, place an atraumatic vascular clip to control bleeding, and then loosen the hemostatic gauze in the upper incision.
After checking the condition of the blood vessel, it was found that it was completely broken. Du Wenhao trimmed the ends on both sides. In order to prevent the formation of thrombus, he cut off the damaged part. The side stumps were trimmed neatly, and blood clots in the blood vessels were washed out with water to prevent thrombus, and then the blood vessels were sutured.
After the blood vessel was sutured, Du Wenhao loosened the distal vascular clamp and found a little blood leakage from the anastomosis, which was due to the rough suture thread.After a moment of light pressure with sterile gauze, the bleeding stopped.
Because the wound was clean and fresh, the wound was sutured immediately, and another small incision was made to place a drainage strip.
After the wound was healed, he was revived with salt water, and then he took some medicine to prevent wound infection.He was told to stay in the hospital for observation for two days, and then he could go back when he was able to do so.
The wounded man woke up and learned that it was Du Wenhao, a doctor of Wuweitang who is good at Hua Tuo's magical skills, who saved his life. Only then did he come back from the gate of hell. That's right, I met a noble person, otherwise this life would be ruined.
Gong Ming and Qian Bushou watched the whole process from outside the door through the window. They had never seen Du Wenhao's surgical wound treatment technique before, so they were naturally very surprised.
At this time, it was almost three o'clock in the middle of the night. Because of the urgent need to be dealt with on the road, the three of them were delayed in discussing how to treat Pushan. After Du Wenhao finished the operation, he settled the patient, and the three of them visited again. After leaving Mrs. Konghui, she was more conscious than in the afternoon, and her condition was improving, so the three of them sat down to discuss again.
Gong Ming was very excited, and said: "Brother Du, your Panax notoginseng powder is really powerful. I gave Master Kong Hui Taizhi a stroke yesterday. I remember you mentioned that you used this strange medicine, and said that this kind of medicine Medicine to stop bleeding without blood stasis, this time it saved the main vein of the thigh and made the injured person die. To be honest, it is a miracle that a person with such a serious injury survived for so long! I have never seen it before. Brother Du , your panax notoginseng powder is really amazing!"
Du Wenhao smiled and said: "Hehe, Panax notoginseng powder is a very effective wound medicine. It can be said bluntly that it is much better than the Jinchuang medicine currently used in all our pharmacies. It not only stops bleeding quickly and effectively, but also removes blood stasis and promotes regeneration. , but also has the characteristics of stopping bleeding without leaving stasis, removing stasis without hurting the body, it can be used for all kinds of bleeding, whether there is stasis or not, and it is especially good at treating those with stasis."
Qian Bushou smiled and said, "Master's notoginseng powder can be said to have made great achievements many times, and it has remarkable effects in treating various blood diseases. I heard that the last time he rescued Liu Bukuai who had an injured spleen, he also took this notoginseng powder, which slowed down the internal bleeding. , It bought time for Master to have a laparotomy later. Hehe, if there is any war in the future, if it is widely used on the battlefield, I don’t know how many soldiers survived because of it, it will be a great event for accumulating merit.”
Du Wenhao said: "If it is purely used for sword wounds, Sanqi powder can also be combined with keel, blood and other medicines to make Qibao powder, the effect will be even better!"
"Really? This is a precious medicine! Hehe"
Gong Ming patted his thigh: "That's right! Doctor Qian's words reminded me that there are many generals in the army in our White Clothes Club. When I go back, I will tell them that the barracks ordered a large number of your Panax notoginseng powder, ah no , What is the name of the compatible one you mentioned just now...?"
"Seven treasure powder!"
"Yes! Qibaosan! Purchase a large amount from Wuweitang for war preparations, what do you think?"
Du Wenhao was overjoyed, this is a big deal, he quickly cupped his hands and said, "Thank you bro! If this is done, I will give you a commission!"
"Great! Who do you think I am, your elder brother? You saved Jingci's presidency. I don't even know how to thank you. Besides, this is also for the benefit of the soldiers. Right now, the imperial court is using troops against Xixia. If How many soldiers have benefited from the use of these medicines on the battlefield. Buying your medicine will benefit both sides. Hehehe."
All three laughed.
Qian Bushou stroked his gray beard and said, "But I don't know if Master's notoginseng powder can treat Pu Shan's syndrome of exhaustion and blood dryness?"
Du Wenhao said: "Of course, as long as it is a hemorrhage, whether it is traumatic bleeding, hematemesis of various reasons, epistaxis, metrorrhagia, hemoptysis, blood in the second stool, etc., internal and external bleeding, whether there is stasis or not, it can It can be used! Moreover, it can also treat bruises, bruises, swelling and pain. I once used Panax notoginseng powder to heal Lei Butou's elbow joint bruises.
For the bleeding due to consumptive fatigue and blood stasis, Radix Notoginseng can be combined with Salvia Miltiorrhiza and Cortex Moutan to stop bleeding and remove blood stasis.Bleeding is no problem.In the future, I will prepare the medicine for you, and you will pass it on to them. "
"I thank Master on behalf of their family!"
Du Wenhao thought for a while, and said: "Stopping the bleeding alone can't cure Pu Shan's disease, it can only be slowed down for a while. His exhaustion and blood dryness are very serious. We must find a way to treat it fundamentally!"
Gong Ming shook his head and said, "Brother Du, I don't dare to agree with what Brother Du said. The so-called emergency cures the symptoms, and the slow one cures the root cause. Now there are two main emergencies in Pushan. One is continuous bleeding. This is why Brother Du's notoginseng powder It can be resolved, but the second emergency, that is, strong fever, has been treated by Dr. Qian for more than a month, but it has no effect. This is what we must solve first. The only way is to stop the bleeding and subside the strong fever. Treat the symptoms, and then deal with the root cause.”
Qian Bu Shou said: "This statement is reasonable. Mount Pushan has constant strong heat, the so-called hot ones are cold, but the old man has used all the pungent and cool detoxification medicines, including sweet and cold ones, and bitter cold detoxification medicines, but none of them are effective. What's the master's opinion? ?”
Du Wenhao thought for a while, and said: "The strong fever doesn't go away, it's a bit troublesome, what medicine did you use?"
"Silver flower, forsythia, gongying, gypsum, Anemarrhena, etc., almost all cold and cold medicines have been used."
"This..., let me think about it and see if there are any other medicines that can be used." Du Wenhao was thinking in his head that those cold medicines appeared after the Song Dynasty. Finding one or two new medicines might be able to play a role. Effect.
While Du Wenhao was thinking, Gong Ming stroked his white beard and said:
"Although he has a strong fever, do you remember that at his house, we once gave him water, but he asked for cold water. In this cold winter, he actually wanted to drink cold water, which shows that he is upset, but, After touching the water bowl, he felt cold again, and immediately retracted it, which means that he is really cold, and the restless heat in his heart is just a deficiency heat. Why don't you try it with Paofuzi, dried ginger, red ginseng and moxibustion licorice?"
Qian Bushou was stunned for a moment, and laughed: "Yes! How could I have overlooked this point! Yes! Deficiency heat is really cold! It is actually a cold syndrome, and it should be hot! I have used all silver flowers, Forsythia, Gongying, Zhimu and other cold medicines, don’t you know that he is really cold, and the cold is added to the cold, so naturally he can’t cure his strong fever. ——Master, what do you think?”
Du Wenhao shook his head: "I'm afraid it won't work! Asthenia and blood dryness are combined with infection, which leads to strong fever. Since there is a syndrome of heat, if the fever is cold, it is right not to take cold and cool medicine, because he has high fever caused by infection. Doctor Gong It is advocated to do the opposite, using aconite and dried ginger. This aconite is pungent and warm, and has the effect of tonifying Yuanyang, benefiting fire and eliminating yin. Dried ginger is pungent, hot and dry, and it is a medicine for great heat. Retreat, wouldn't it add fuel to the fire!"
Gong Ming also shook his head and said: "No! "Treatise on Febrile Diseases" says, 'Those who are very hot and want to get clothes, the heat is in the skin, and the cold is in the bone marrow.' .”
He nodded frequently even if he didn't accept the money.
Du Wenhao wanted to refute, but when he opened his mouth, he didn't know what to say.Because he thought about what Gong Ming said carefully, and found that he couldn't refute it. cold medicine.
I was also confined to the ecstasy of Western medicine thinking that aplastic anemia caused infection, and used Western medicine thinking to guide traditional Chinese medicine, but did not make good use of TCM syndrome differentiation. I couldn't help but feel a little ashamed.
I thought to myself, the clinical experience of these two old Chinese medicine practitioners is far superior to mine, and they are accurate in syndrome differentiation, so I can learn a lot from them in the future.
Thinking of this, Du Wenhao cupped his hands in embarrassment: "That's right! I ignored it. Then let's use Dr. Gong's prescription."
Qian Bushou said: "After stopping the bleeding and reducing the fever, let's discuss how to treat his exhaustion and blood depletion syndrome. Let me talk about my previous medication first. The prescriptions are mainly for nourishing the heart and spleen and nourishing blood and qi." , Judging from the medication for more than a month, there is no effect."
Gong Ming glanced at Du Wenhao, and said with a smile: "Brother Du has an ingenious formula, so you can talk later, lest I confuse my brother and myself after listening to your dialectical formula."
The money is not accepted and Du Wenhao both laughed.
(End of this chapter)
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