Song Yi

Chapter 137 Chinese medicine is not a slow doctor

Du Wenhao turned his head, thought of a way, and said anxiously: "Quick! Go get ten qian rutaecarpa, grind it into powder, mix it with vinegar and apply it to Yongquan acupoint!"

Yingzi rushed to prepare the medicine, and first brought Evodia rutaecarpa. After Du Wenhao grinded the powder himself, he mixed it with vinegar. Pang Yuqin took it and applied it to Yongquan acupoint for Zhan's mother.

It's amazing, mother Zhan's vomiting stopped without a single meal!
Seeing that everyone in the room was busy for herself, Zhan's mother felt relieved, and after the young doctor applied medicine to the acupoints on her feet, she didn't even vomit anymore, and her trust in the doctor's medical skills suddenly surged in her heart.

Du Wenhao then added Longdan Xiegan Decoction with Sugeng and Huogeng to harmonize stomach qi, and took a small amount of decoction to further stop vomiting.

After Yingzi prepared the flavored Longdan Xiegan Decoction, Pang Yuqin swallowed Zhan's mother little by little with a spoon.At the same time, she kept beating her back to expel phlegm, and wiped the coughed up sputum with a towel.

Taking care of Pang Yuqin like her own children allowed Zhan's mother to find the warmth of home. She saw that Pang Yuqin's body and sleeves were covered with the phlegm she vomited, and she also saw the blood on the back of her hands that she had scratched when she was irritated. Groove, couldn't help the eye sockets getting wet, choked up and said:
"Girl..., old man... I'm sorry..."

Pang Yuqin smiled slightly: "You're welcome, my grandma is about the same age as you, and taking care of you is like taking care of my grandma. You should rest well and don't talk too much."

"Well..." Mother Zhan nodded like a good child.

Du Wenhao and the others stayed by the side to talk and chat with Zhan's mother to relieve her psychological pressure.

However, in the afternoon, Zhan's mother began to have symptoms of irritability again, her breathing became short of breath, she tried to sit up and breathe, coughing with difficulty, the sputum had bloody foam, wheezing could be heard during her breathing, she had fever, her limbs were swollen and began to Convulsions, lips become cyanotic, pulse slippery and rapid, red tongue with yellow coating.

Acute heart failure?Also known as "heart failure"?
This old lady looks in good health, but she must have suffered from heart and lung insufficiency before!The operation caused heart failure. Due to the urgency of the condition, there was no time for pre-operation examination and corresponding treatment, and acute heart failure occurred after the operation.

what to do?Modern treatment of acute heart failure basically uses Western medical methods, such as oxygen inhalation, dexamethasone, epinephrine, and respiratory stimulants. Where can I find such things in the Song Dynasty?It has to be treated from traditional Chinese medicine.

However, under his anxiety, apart from the knowledge of western medicine, he couldn't even find the shadow of Chinese medicine prescriptions, and his mind became blank.

Due to the variety of western medicines, convenient and widely used methods of medicine, modern people, whether they are patients or doctors, have become accustomed to "use traditional Chinese medicine slowly and use western medicine urgently". Western medicine is generally used for emergencies, and there are few clinical practices of emergency rescue in traditional Chinese medicine. However, few people in the teaching study how to use pure Chinese medicine to rescue critical and emergency diseases.

So when encountering such an emergency, the first thing Du Wenhao thought of was western medicine, and there was no trace of traditional Chinese medicine.

He circled around the room, kept beating his forehead with his hands, tried his best to calm himself down, and thought about how Chinese medicine could treat acute heart failure.

Heart failure belongs to the category of palpitations, chest obstruction, and heart pain in traditional Chinese medicine!The treatment in this area mostly uses the method of promoting blood circulation and removing blood stasis or nourishing the heart and energy!Finally, he found some ideas.However, there are too many prescriptions in this area, which one should I use?
Seeing Pang's mother in pain and breathing more and more quickly, Pang Yuqin seemed to see her grandmother suffering. Tears rolled in her eyes, and she kept wiping the saliva and phlegm from the corners of her mouth with a towel.

He looked up at Du Wenhao, and wanted to tell his husband to save her quickly, but seeing Du Wenhao's anxious look, he dared not speak out, knowing that his husband was already trying his best to think of a way.

Pang Yuqin's anxious eyes made Du Wenhao even more nervous, but his mind was full of all kinds of prescriptions for promoting blood circulation, removing blood stasis and nourishing the heart, which made him at a loss as to what to do.

Zhan's mother coughed weakly and the traction incision was painful. The phlegm stuck in her throat was stuck by the intubation tube, and it was even more difficult to breathe. Pang Yuqin said anxiously to Yingzi, "Hurry up and get some cotton swabs!"

Yingzi hurried to get a cotton swab, and Pang Yuqin carefully inserted the cotton swab into Mother Zhan's mouth, rolling out the sticky phlegm inside.

Seeing this scene, Du Wenhao's heart suddenly moved, yes, acute heart failure will produce a lot of foamy sputum, this is a phlegm syndrome!Can you choose relevant scriptures from above?
Although acute heart failure is located in the heart, the onset is related to the dysfunction of lung, spleen, kidney and liver.Because the lung governs Qi, the spleen governs movement and transformation, the kidney is the root of Qi, and the liver governs catharsis.If liver stagnation and qi stagnation or spleen fails to transform, body fluid cannot be applied and gathers to form phlegm, turbid phlegm obstructs the lungs, and the lung qi is unfavorable, which can lead to phlegm stasis and obstruction of the heart.

Therefore, phlegm turbidity and blood stasis are the crux of inducing acute heart failure.To treat heart failure, phlegm and blood stasis must be treated!
However, there are many symptoms of phlegm and blood stasis, and now it is necessary to accurately differentiate the syndromes to determine the final prescription.

Du Wenhao refocused on the pulse diagnosis, tongue inspection and inspection, and asked Zhan's mother's physical feelings. From coughing up thick phlegm, low-grade fever, dry mouth, yellow and greasy fur, rapid pulse, and heart failure symptoms, the syndrome was identified as phlegm and blood stasis obstructing the heart. , stagnant and hot.

Decided to clear away heat and resolve phlegm, regulate qi and activate blood circulation, unblock yang and dissipate stagnation.

With the differentiation of syndromes, it is easy to use prescriptions. After pondering for a while, I decided to use Gualou Xiebai Banxia Decoction with addition and subtraction.

The situation is urgent and there is no means of intravenous administration. It seems that the drug can only be administered at the risk of intestinal obstruction.Fortunately, a gastric tube has been inserted into Zhan's mother's esophagus, and the drug can be administered directly through the gastric tube.

In order to avoid intestinal obstruction as much as possible, at the same time, heart failure started to occur, and shock and coma did not appear to directly endanger life. There is still some time for rescue, so Du Wenhao decided to imitate the intravenous infusion method, taking small amounts of medicine repeatedly and continuously, so that the stomach and intestines can continue to slow down. absorb.

Pang Yuqin fed a bowl of decoction for more than an hour, and then fed the second bowl, replacing it with Shenfu Longmu Decoction to recover from Yang.Change back when you're done drinking.

At the same time, continue to use Evodia rutaecarpa powder and adjust vinegar for external application at Yongquan point to stop vomiting.

Zhan's mother was critically ill, and Lin Qingdai and Xue Fei'er came to help when they got the news.Feed her medicine and apply medicine instead.

After being rescued until the evening of the New Year's Eve, Zhan's mother's heart failure finally gradually eased.

When Du Wenhao told everyone the news, all the girls breathed a sigh of relief.

Seeing that Zhan's mother's condition had stabilized, Pang Yuqin saw that Du Wenhao hadn't slept all night, his eyes were red from boiled, and she was distressed and tried to persuade him to go back to the room and sleep for a while.

Du Wenhao agreed, and in order to deal with possible complications in the future, he went back to sleep for a while while his condition was temporarily stable.

However, just after he fell asleep for a while, he was woken up hastily by Yingzi:

"Master! It's not good, the old lady is dying!"

Du Wenhao was startled, got up and asked while putting on his shoes, "What's going on?"

"The old lady's eyes turned white, she exhaled more and breathed less!"

"Ah? Why didn't you tell me earlier?"

"As soon as I got sick, I came to call you!" Yingzi felt aggrieved.

Du Wenhao's heart sank, the disease developed so fast?Without even caring about putting on her shoes, she rushed into the snow and trotted to the ward, where Pang Yuqin was beating the old lady's back and crying anxiously.

Du Wenhao saw that Zhan's mother was restless, her lips were cyanotic, she was short of breath, and her forehead was dripping with cold sweat. When she checked her pulse and looked at her tongue, her pulse was weak and her tongue was reddish.

No, acute respiratory distress syndrome!

Du Wenhao's heart sank. It must be that the old lady inhaled the cough and vomit into her lungs, causing aspiration pneumonia.It's happening now!

The most urgent treatment in this case is oxygen, even pure oxygen if necessary.

But where can I find oxygen?
First restore the unobstructed breathing passage!
"Prepare for tracheotomy and intubation!" Du Wenhao shouted anxiously.

Pang Yuqin had experience in this operation, so he hurriedly prepared for the operation, performed disinfection, and performed local infiltration anesthesia. Sure enough, a lot of thick phlegm, stomach acid and vomit came out.

After the intubation, although Zhan's mother's breathing was relieved to a certain extent, the cyanosis was not relieved, and her mind was still in a comatose state.This shows that aspiration pneumonia has infected the lungs and affected lung function.If no decisive measures are taken, I am afraid that intubation will not save the old lady's life, and she will eventually die of respiratory failure.

How does pure Chinese medicine rescue acute aspiration pneumonia?
Du Wenhao's head was full of the messy western medicine rescue methods. He tried to calm himself down and beat his forehead with his hands while thinking.

Aspiration pneumonia belongs to the category of "lung carbuncle" in traditional Chinese medicine. The traditional Chinese medicine treatment of this type of disease is mainly to clear the lungs, remove blood stasis and eliminate carbuncles, and expel pus and detoxify.

When he thought of lung abscess, he immediately thought of "Synopsis of the Golden Chamber" written by the medical sage Zhang Zhongjing. The book mentioned that when the lung abscess did not become pus, the treatment was to purify the lungs and remove dampness, and Tingli Dazao Xiefei Decoction was used; , Treat with expulsion of pus and detoxification, with Platycodon grandiflorum decoction.

Moreover, Zhang Zhongjing said: "Lung abscess can be cured when it starts to sprout, but if it becomes pus, it will die"!It must be treated as soon as possible!

This prescription has never been used by Du Wenhao, and now there is no better choice, Du Wenhao decided to try it, since it is said by the medical sage, it should be right!If you make a mistake, then the fault lies in your own inaccurate diagnosis, not the wrong words of other medical sages.

Du Wenhao personally went to the pharmacy to pick up the medicine and fry it, and brought it back.Pang Yuqin took over and fed Zhan's mother a small amount and several times.

Facts have proved that the method of taking a small amount and taking it repeatedly is a relatively effective pure Chinese medicine treatment method in the absence of intravenous administration methods. As long as it is used properly, intestinal obstruction can be avoided.

Due to the timely discovery and the use of prescriptions to check the symptoms, the acute pneumonia was promptly cured with medication at the beginning of the occurrence, so that the condition did not deteriorate further, and there was no such thing as "the pus forms and dies" as Zhang Zhongjing said.

When it got dark, Zhan's mother gradually regained consciousness, and the cyanosis of her lips began to ease, indicating that her respiratory distress had improved.

If the effect is not improved, continue to use the medicine.

Du Wenhao was very happy. The two first aids proved that not all Chinese medicine doctors are slow doctors, and they can also treat emergencies when they really want to drive ducks to the shelves.

　PS: Merry Christmas!

　　
　
(End of this chapter)