Song Yi

Chapter 121 The Plague Controversy (seeking a monthly ticket)

Du Wenhao took the escort to find Lin Qingdai and Pang Yuqin, and after talking about pre-loaning funds to the yamen for disaster relief, since it was Du Wenhao's idea, the money was earned from the isolation suits and gas masks designed by Du Wenhao. Of course the two readily agreed.

During Du Wenhao's visit to Zhuangzhi County, he sold some equipment. In total, he has earned 600 taels.Zhuangzhi County issued an IOU to Du Wenhao with his own handwriting, and stamped the official seal of the county government.Cao Yasi followed Du Wenhao to keep accounts.

Zhuangzhi County's appointment of Du Wenhao as a doctor of the Medical Officer Bureau and full responsibility for epidemic prevention affairs was immediately reported to Fucheng and sent to various departments of the Yamen and the quarantine area outside the city, and Dr. Qiu was notified.Dr. Qiu doesn't care about this position, as long as he saves his life now.

Du Wenhao immediately convened a meeting with Assistant Professor Tang of the Medical Officer Bureau, Wang Xiang, and Hong Guoliang. After a brief discussion, everyone agreed that the medical materials donated by the pharmacies in the city were still enough for the time being, so the first disaster relief funds should be used to purchase Disaster relief tents, cold quilts and food for medical treatment.

After everyone figured out the tents needed by the patients, there was still some money left. Du Wenhao decided to send Assistant Professor Tang to take Min Zhuang to Fucheng overnight to order the needed medicinal materials.

When all this was arranged, it was already daylight.After a whole night of heavy snowfall, it finally stopped, but the snow didn't cool down the snow. Fortunately, there were dozens of bonfires to keep warm, so no one was frozen to death that night.However, hundreds of people have died of illness.

After a night of treatment by more than a dozen doctors, all the thousands of patients outside the city have been examined and taken medication. The disease that suffers from has been controlled to a certain extent, but has not improved, and a small part has no effect, and the disease continues to deteriorate further.With the increase of severe cases, it is estimated that the death toll will continue to increase.

Du Wenhao's epidemic prevention frontline headquarters is set up in a tent in the isolation area. He is now fully responsible for the county's epidemic prevention and treatment work. After learning that the treatment effect is not obvious, he is very anxious. After being introduced by the attending doctor, Hantou and other dozen doctors, as well as Lei Butou and medical officers from the Medical Officer Bureau, were called to the headquarters tent to discuss the countermeasures for epidemic prevention and treatment.

Among the doctors present, Huang Lida, the doctor of Shubaoyuantang, is the oldest at 80 years old.Everyone pushed him to speak first.

Huang Lida was also not humble, stroked his snowflake-like white beard, shook his head and said: "Zhongjing Medical Sage's "Treatise on Febrile Diseases" says: In winter, it is severe cold and the disease is typhoid fever. It is not the disease but the cold poison is hidden in the skin. Abnormal qi such as temperature and season qi turn into a plague, know what is wrong, and treat it according to the syndrome. The initial disease relieves the symptoms, so this time, the old man will use Guizhi Decoction as the main treatment, and add or subtract according to the syndrome. What do you think? ?”

Wearing a gas mask, he spoke in a low voice and shook his head. His appearance was rather funny, but almost all the doctors nodded in agreement with his point of view.

Zhu Jianrong, the sitting doctor of Jurentang, nodded and said: "This old man thinks that the heat poison is no worse than ordinary heat poison, and it is better to let blood directly to purify the poison after taking soup and medicine. Many people treated by this old man all use pricking method, bloodletting with sharp needles, at Baihui point Six to seven drops of bleeding, [-] drops of bloodletting at Dazhui point, seven or eight drops of bloodletting at Weizhong and Chize points, four or five drops of bleeding at each of the ten points of the hands and feet. On the affected part, headache, prick the Yintang point with a sharp needle, and the bleeding will be four to five Prick the temple again, bleed four or five drops, then take it with Poyu Qingxue Decoction, apply both internally and externally, it will have a quick and miraculous effect!"

The doctor sitting in Hui Zetang is an old woman named Xin Ainiang, who said:
"The prescription used by the old man is derived from the ancestral prescription for treating heat syndrome. The prescription uses red clam feces, leaf wraps, and blood-scattering red leaves, plus an oil-stealing woman and a stinky beetle. The stinky beetle needs to remove the head, feet, and intestines Pestle it, fry it with red beans and pour it in boiling water, remove the dregs and drink it, if it is light, it will be cured after three or four hours, and it will be healed, and if it is severe, it will be cured."

Huang Lida said with a smile: "Doctor Xin's method is also novel. The old man can also try it."

Another doctor sitting in Huizetang said: "The old man thinks that plague is yin dryness, and the yin dry body uses yang. Cleanse the bitter cold. The lungs are at the highest position. Dryness first hurts the lungs. The lungs govern the qi and should be used to treat the qi. The old man uses Taisu Qingzao Jiufei Decoction, which treats dryness and stagnation in the qi."

Then, other doctors also talked about their own experience in using prescriptions.

After listening, Du Wenhao smiled wryly in his heart. These doctors' prescriptions all came from Zhang Zhongjing's "Treatise on Febrile Diseases".This medical book is of course one of the greatest TCM works. However, in terms of plague research, due to historical limitations, it failed to reveal the real etiology and pathogenesis of the plague. The "fever qi" advocated by doctors is not the cold evil mentioned in the Treatise on Febrile Diseases.

Regarding the study of febrile diseases such as plague, the medical classics of the Ming and Qing Dynasties have much more scientific and detailed discussions, and their thinking must be corrected, otherwise, syndrome differentiation will encounter problems.

Du Wenhao was about to speak, but saw that Hantou lowered his head and did not agree with Huang Lida's point of view. He suddenly remembered that Hantou hadn't spoken just now. Seeing his expression, he couldn't help but feel moved, and asked, "Hantou, tell me your opinion." .”

"Yes! Master." Qian Bushuo cupped his hands, thought for a while, and said:
"If it had been before, my grandson's point of view was the same as Dr. Huang's. But when the plague case was discovered yesterday, the master once said that the plague is different from the general typhoid fever syndrome. Although time was tight at the time and I couldn't elaborate The master definitely has a basis. So far, everyone has used medicines for the overnight treatment. In general, the Maxing Shigan Decoction and the Weigan Decoction that the master uses according to the syndrome of heat-toxin closing the lungs are the best. Except Except for critical cases, the condition of most patients improved to varying degrees after taking it."

This is the truth, all the doctors nodded one after another.

Hantou continued: "The epidemic is urgent now, and a large number of new patients are coming in one after another. We don't have more time to discuss slowly. Therefore, I would like to ask the ancestors to give some advice on how to use the prescription. Everyone will consult in detail and guide the battle. What do you think?"

Huang Lida stroked his white beard and nodded, "Well, this old man has heard that Mr. Du is good at the magical technique of Hua Tuo's laparotomy and healing, and he is also good at treating various intractable diseases. This plague is indeed rare, and it must be intractable diseases. Listen to Mr. Du's opinion."

All the doctors nodded frequently and looked at Du Wenhao.

Du Wenhao also felt that the epidemic prevention was urgent, and he had no time to study the medicine slowly. Now these doctors' clinical evidence of the plague is still limited to the scope of "Treatise on Febrile Diseases". It is obviously inappropriate to treat it according to the general treatment of fever. biggest reason.It is necessary to update everyone's dialectical thinking on the plague, so as to fundamentally change the unfavorable situation of poor treatment effect.

Du Wenhao had the experience of discussing medical skills with Qian Bushuo before, and he knew that when communicating with ancient doctors, he should not use too modern medical knowledge to convince the other party, so that the other party would not only be unacceptable, but would also suspect that he was talking nonsense, and had to use what they could. Understandable medical theories to explain, let them slowly accept more advanced medical theories.

Therefore, Du Wenhao did not directly use germs to explain, but chose some views of the doctors in the Ming and Qing Dynasties about the plague, glanced at the doctors in the field, and said: "The plague is indeed different from typhoid fever syndrome. Husband plague is a disease. It's neither wind nor cold, nor heat nor damp, but a strange feeling from heaven and earth!"

As soon as this remark came out, there was a lot of discussion. Huang Lida shook his head and said: "The six evils are cold, heat, dampness, wind and heat. The six evils are the normal qi of the sky. When they are exposed, they first flow in from the meridians, and they are housed in the viscera inside and are released outside." Because, where does the theory of sickness come from?"

Regarding the cause of the disease, Hantou and his master Qian Bushou once argued with Du Wenhao on this issue when he was treating Wang Baokuai, who had a stomach injury and wound infection. Cases have proved that Du Wenhao's prescriptions guided by strange talks and strange theories have remarkable medical effects, which is why the money is not accepted and Hantou and others are dissatisfied.

Now hearing Du Wenhao talk about this point of view again, the other doctors had the same reaction as himself and the master at the beginning. He was a little funny, and said in a loud voice: "Everyone, this theory of six evils is also a new one. Zhongjing Medical Sage "Synopsis of the Golden Chamber" doesn't mention it, but don't I all accept this point of view?"

Everyone nodded when they heard it.

Zhu Jianrong, the doctor sitting in Jurentang, said: "That's right, Doctor Han's words are justified. Since we can have the exogenous sensations of the six evils, what's the harm in having an extra lewdness? We doctors really shouldn't stick to the rules, let's listen to Dr. Du's illness." It’s not too late to discuss whether it’s appropriate or not.”

Huang Lida was not a stubborn person, he nodded and said: "That's right, the old man is too anxious, Doctor Du, please continue."

Du Wenhao said: "The plague is caused by feeling the evil spirits between heaven and earth. Most of the evil spirits are heat and poisonous evils, and their nature is rapid. They often contain poisonous mist, miasma and other turbid evils to invade the human body. Compared with the six evils, the disease is more severe. Sudden, ferocious, and changeable, the patients often present with critical symptoms such as fever, disturbed nerves, hemorrhage, wind, and vomiting.

Plagues are caused by different pestilences, resulting in different plagues.From the perspective of my diagnosis, the current cases mainly have three symptoms.There are three types: the syndrome of heat-toxin closing the lung, the syndrome of heat entering the ying and blood, and the syndrome of exhaustion of yin and yang. "

These doctors lacked experience in treating pneumonic plague, let alone knowledge of modern epidemiology. However, Du Wenhao explained the three common symptoms of pneumonic plague from the perspective of traditional Chinese medicine instead of Western medicine theory, and these doctors immediately understood.

After Du Wenhao introduced the typical characteristics of the three symptoms respectively, he said: "The heat-toxin closing the lungs is a syndrome of plague, and the prescription is Maxing Shigan Decoction combined with Weigan Decoction plus Yinhua to clear the lungs and detoxify; It is a critical period of plague, and the prescription uses Shengmai San combined with Sini Decoction to strengthen the yin and restore the yang.

In addition, there are diseases caused by heat entering the camp and blood syndrome, which can be combined with Qingying Decoction and Xijiao Dihuang Decoction, or nasal feeding of Angong Niuhuang Pills to clear the camp and cool the blood. We have Angong Niuhuang Pills in Wuweitang, I will go back later Step up the preparation and send it. "

Gong Ming said: "Brother Du, this Angong Niuhuang Pill has also made great achievements many times. I didn't expect it to be of great use in the treatment of plague this time."

　PS: Call monthly ticket support, thank you!
　　
　
(End of this chapter)