Song Yi

Chapter 98

During this time, Xue Fei'er took out a "Surgery Consent Contract" and handed it to Gong Ming, explaining the purpose of the document, requiring the patient's immediate family members to sign before the operation can be performed.

An obese middle-aged nun stepped forward and said:
"As monks, our six faculties are pure, our ties to the world are gone, and we have no relationship with relatives. The poor nun is the first disciple Konghui who presided over it. Let the poor nun sign the contract."

After signing, Xue Feier helped Du Wenhao prepare for the operation.

After the last operation on Patrol Liu, Du Wenhao and the others estimated that such an operation would be indispensable in the future. Therefore, the relevant equipment, instruments and medicines are fully prepared, and the operation can be performed at any time.Therefore, the preparation time this time is not long.

After a while, Du Wenhao, Pang Yuqin, and Xue Feier were wearing surgical gowns, masks and gloves, and stood in front of the operating table. Fortunately, it was noon and there was enough light, so there was no need to worry about the lighting problem.

First, with the help of Pang Yuqin, Mrs. Jingci inserted a gastric tube and a urinary catheter, and then administered anesthesia. Mrs. Jingci fell into a coma very quickly.

Holding a willow-leaf scalpel, Du Wenhao stabilized his mind, made an incision on the right middle rectus abdominis of the teacher, and cut deep outside the peritoneum. He found that the peritoneum was congested and edematous, which confirmed the previous speculation of diffuse peritonitis.The peritoneum was incised, and a strong herbal smell escaped, and the abdominal cavity was full of thick-like gastrointestinal fluid, blood and black-red decoction.

How could there be decoction in the abdominal cavity?

Du Wenhao thought about it, and immediately understood that there was probably a perforation in the esophagus, and the decoction he took naturally leaked into the abdominal cavity through the hole, which aggravated the abdominal infection. The more you take it, the worse your acute abdomen will be.

Du Wenhao immediately used a self-made simple siphon device to suck up the decoction and gastrointestinal blood in the abdomen, and then first checked the esophagus. When he checked the duodenum, he found pus moss and exudate. As expected, it is likely that the duodenal ulcer perforation caused peritonitis, and the pus moss is the lesion!
He checked the entire duodenum again, and only found this perforation. It was a blessing from God, and he didn't make it too difficult for himself.Although the perforation is a bit large, the repair of duodenal ulcer perforation is not difficult for him.

He continued to explore the remaining abdominal organs one by one, but found no obvious lesions.Only then began to repair the perforated duodenum.

The perforation is relatively large, and the surrounding tissue is hard. In this case, it is not easy to heal after suturing. Du Wenhao decided to suture the whole thickness without ligation, and stuffed the bundled omentum in the perforation, and then ligated the sutures.

After suturing, because the infection had spread throughout the abdomen, Du Wenhao had a self-made siphon device. He used his own disinfectant mixture to clean and rinse the abdominal cavity.

Considering Mrs. Jingci's age and intra-abdominal infection, Du Wenhao performed tension-reducing sutures on the extraperitoneal incision to avoid postoperative wound rupture.

The operation went smoothly, and it was already evening when the operation was completed.

Du Wenhao revived Mrs. Jingci with salt water. At the same time, after examining her pulse and breathing, he found that the physical signs were stable, and he was relieved.

He sighed in his heart, duodenal ulcer perforation repair is just an ordinary operation in general surgery in modern medicine, and ordinary surgeons can do it, but in ancient times 1000 years ago, there was only no Way to die.

Du Wenhao prescribed antibacterial and anti-inflammatory decoctions to maintain body fluid balance, and asked Xue Feier and Pang Yuqin to feed Master Jingci several times in small amounts. Before the intestinal tract is ventilated, it is absolutely forbidden to eat, so as not to cause intestinal obstruction.

Due to the lack of means of intravenous infusion and injection, it can only be administered through the stomach. Fortunately, the decoction can be absorbed by the stomach, and small amounts of multiple doses generally do not cause intestinal obstruction.After ventilation, increase the dosage.

Du Wenhao taught Pang Yuqin to use gold needles on Jingcishi's Taizusanli, Shangwan, Zhongwan, Tianshu, Hegu and other acupoints, which can help prevent abdominal distension and intestinal paralysis.

After finishing the treatment, Du Wenhao took off his coat and opened the door.During the entire operation, the nun and all the believers sat down in the backyard, chanting scriptures and praying silently. When Du Wenhao pushed the door open, they all got up and greeted him.

Looking at the eager gazes of the head teacher Kong Hui, Gong Ming and others, Du Wenhao smiled and nodded: "The teacher has turned the corner!"

Everyone was surprised and delighted, and they all thanked him.

"Amitabha! Goodness..." Jingci's chief disciple, Kong Huishi, was overjoyed, clasped his palms together, and uttered a dharma name. Just as he was about to thank her, suddenly, her fat body swayed, and slowly softened to the point of on the ground.

When everyone was pleasantly surprised, Konghui would suddenly faint. Fortunately, the nun behind her reacted quickly and hurriedly helped her up. It was just that she was too fat for several nuns to support her, and everyone shouted repeatedly.

Everyone gathered around, only to see that Kong Hui's eyes were closed tightly, and he was already unknown.He hurriedly grabbed her shoulder and called repeatedly, and pinched her again, but he still didn't wake up.

Gong Ming said anxiously: "Quick! Help her to lie down! These days she is in a mess and has been serving Jingci's host day and night. She is tired and exhausted. Hurry up and bring a bowl of sugar water!"

The strong and powerful nun supported Kong Hui, hugged her horizontally, and carefully placed her on the bed that had carried Jing Ci before.After the sugar water was brought, he was about to pour it for her, but the money was not accepted and he said:
"Wait! Doctor Du, you can see that her mouth and eyes are crooked, and her limbs don't follow. I'm afraid she's not exhausted due to exhaustion, but she may have suffered a stroke!"

Gong Ming's heart trembled, he didn't check carefully when he first came here, and now he noticed that Kong Huishitai's facial expression and hands and feet were indeed symptoms of a stroke, so he hurriedly took her wrist, concentrated on her pulse, looked at her tongue coating, and took the Use a three-edged golden needle to pierce Shixuan acupoint, and another golden needle to pierce Neiguan, Sanyinjiao, Fengchi, and Zusanli.

After a while, Master Kong Hui Taiyou woke up and muttered something that no one could understand.

Everyone kept asking her how she was feeling, Master Kong Hui looked up at the sky, and ignored everyone's questions, her whole face was distorted and deformed, her complexion was extremely painful, she was just muttering, slurred because of her crooked tongue.No one could understand what she was saying.

The nuns are in a hurry, presiding officer Jing Ci is seriously ill, and her life or death is uncertain, and now the chief disciple, Kong Hui, is suffering from a stroke, and suddenly lost her mind, they all knelt down and begged Dr. Gong Ming for treatment.

Although Du Wenhao had just performed a laparotomy to save Mrs. Jingci's life, Gong Ming's reputation in the prefecture was very famous, similar to the reputation in the county town where money was not collected.When encountering a patient, all the nuns and believers could not help begging Gong Ming for treatment.

Gong Ming hurriedly helped everyone up, stroked his white beard and took the pulse with concentration. After a while, he said, "Master Kong Hui's mouth is slanted, his speech is slurred, he has a headache, his face is red, irritable, and his pulse is stringy and slippery. It is caused by external evils. The body is caused by injury to the meridians and collaterals, and the obstruction of all the gates, stagnation of phlegm and salivation.

When using rhinoceros horn, celestial spirit spleen, pearl powder, talc, berberine, evil fruit, ginseng chrysanthemum, white poria cocos, silkworm excrement, sweet nitrate, isatidis root, turmeric, rhubarb, bezoar, dried blood, husuo, tortoiseshell , Hushang is medicine primer, a total of 26 flavors, smashed and ground into powder, and mixed with new water to make a money dagger.

If you can cough.In the middle of the night, the provincial personnel.If you don't cough after four doses of the medicine... Alas, I'm afraid the disease will be incurable! "

Master Konghui's disciples suddenly burst into tears.

According to his dictation, the disciples who followed Gong Ming copied the prescription and handed it to Lin Qingdai to pick the medicine.Gong Ming said: "Slow down! Doctor Du and Doctor Qian, you two should consult together."

Qian Bushou nodded, and after checking his pulse and tongue, he said, "Doctor Gong, what I see is slightly different from yours."

"Oh? Ask me!"

"Suddenly the master became unconscious, his spiritual consciousness was ignorant, Yingwei was paralyzed, his head was dizzy, his speech was slurred, and his mind was restless.

To prove that it is moderate to severe wind, you should use Tongguan pills, frankincense, musk and other nine flavors, the same as the end, take [-] liter of wine, simmer over low heat to make ointment, and add refined and cooked honey, Tonghe as pills, [-] per serving pill.Warm Nepeta soup, regardless of time. "

Gong Ming shook his head and looked at Du Wenhao: "Dr. Du, in your opinion, does the teacher's certificate belong to apoplexy?"

Du Wenhao shook his head: "Master's stroke may not be caused by wind evil!"

Gong Ming and Qian Bushuo were taken aback for a moment. They glanced at each other, and Gong Ming asked, "Can the stroke come from other sources?"

"Yes, a stroke can not only originate from wind evil, but also from fire, phlegm, blood stasis, and deficiency. The patient usually has deficiency of Qi and blood, imbalance of yin and yang in the heart, liver, and kidney, or excessive anxiety, anger, and five senses, etc. , can lead to remaining yin deficiency, yang hyperactivity, internal wind swirling, phlegm and fire, crossing the meridians, blinding the heart orifices, cerebral paralysis, and blood overflowing the brain leading to stroke, resulting in qi and blood disorder, brain nerves The machine is damaged..."

Gong Ming frowned, and interrupted Du Wenhao: "I don't understand what Doctor Du said. "Lingshu" says: "The thieves of the virtual wind hurt people, and the people are deep in them, and they can't get rid of themselves. The evil tends to be on the half body, and it penetrates deep, and resides in the camp. If the camp is weaker, the true energy will go away, and the evil will be alone, and the hair will be dry.' Has it ever been said that apoplexy comes from fire, phlegm, stasis, and deficiency? Dr. Qian, What do you say?"

Qian Bushou nodded, and said: "Zhongjing Medical Sage's "Synopsis of the Golden Chamber" also said: "The husband's wind is a disease, when hemiplegia, or but the arm is paralyzed, this is numbness, the pulse is weak and frequent, and it is caused by a stroke. And It doesn’t involve fire, phlegm, blood stasis, or deficiency. It’s just that my master often finds a different way in differentiating syndromes, so don’t be surprised by Dr. Gong.”

"Really? This old man has heard of Dr. Du's tendency to use his medicines to take advantage of the sword. However, this argument, I'm afraid...is it too unbelievable?"

Apoplexy, also known as apoplexy or hemiplegia, includes the categories of various cerebrovascular diseases such as cerebral hemorrhage, cerebral infarction, cerebral vasospasm, and subarachnoid hemorrhage in modern medicine.Discussions about the etiology and pathogenesis of stroke were different before and after the Song Dynasty.

Before the Tang and Song Dynasties, based on the theory of "internal deficiency and evil in the middle", apoplexy was considered to be external wind, which was caused by the deficiency of Qi and blood in the human body, the emptiness of the veins, and when the external defense was not strong, it caused wind evil to enter the meridian veins, resulting in stroke.After the Tang and Song Dynasties, the emphasis was placed on internal factors. The four masters of the Jin and Yuan Dynasties put forward the theory of wind, fire, phlegm, dampness and blood stasis blocking collaterals to treat diseases.

Du Wenhao is not very sure about the treatment of stroke, and this kind of theoretical controversy is not very meaningful now. Besides, the treatment of stroke is the traditional strength of traditional Chinese medicine. These two doctors are better than myself If you are strong, you don't have to show your ugliness.

So I smiled and didn't argue.

PS: "Monthly Ticket War Report"

Yesterday's monthly ticket battle entered a stalemate, with mutual offense and defense. In the end, the No. 13 position is still in our hands, but the gap is still not big. There is a gap of [-] votes from the No. [-] position.

(End of this chapter)