Medical Immortals come from the future

Chapter 266 Forming a Group to Brush Teachers
Yang Xiaoyi held a notebook, handed it over cautiously, pointed to a recorded case on it and asked: "I don't understand this very well, please enlighten me, Teacher Qing."

Sima Qing glanced over and saw a case written on it.

Case: female, high abdominal fullness and pain refused to press, cold and fever for more than seven months.

Western medicine diagnosis is: tuberculous pelvic abscess combined with staphylococcal infection, vaginal fistula, rectal fistula, peritonitis.

Medication: Antibiotic treatment was ineffective for more than six months, and then combined with traditional Chinese medicine for clearing away heat and detoxification for more than one month.

Symptoms of traditional Chinese medicine diagnosis and treatment: mental fatigue and thin body, sweating, nausea and vomiting, abdominal fullness and pain, at least from the bottom of the heart, the abdomen is hard and full and painful, can not be touched, and can not be pitched, yellow and turbid vaginal discharge, cloudy urine , yellow and greasy tongue coating, stringy and slippery pulse.

Synthetic pulse syndrome, the diagnosis is water and heat intertwined, knotting heat in the chest, combined with the syndrome of Shaoyang.

This book was also written by Sima Qing in her spare time. It was written based on some cases she had diagnosed and treated or heard about, combined with her own thoughts. It was used as a "book of all diseases" for students to learn. , Dozens of copies were printed in one form, just like textbooks, each person has one copy.

"Hehe, tell me first, what do you think this disease could be?" Sima Qing put down her notebook and asked her.

"Xiaoyi is dull. According to "Treatise on Febrile Diseases", it is said: "Six or seven days, when the chest is full of heat, the pulse is deep and tight, and the heart hurts. If you press the stone whip, Daxianxiong Decoction will be used." It is related to this disease. It matches, so it should, should be chest?" Yang Xiaoyi said not confidently.

After hearing this, Sima Qing nodded in satisfaction: "Xiaoyi, you are actually very smart. In the future, you can speak up boldly. Don't be afraid of making mistakes, and it's nothing."

Yang Xiaoyi smiled shyly: "Thank you Teacher Qing, Xiaoyi understands. But what the teacher means is, is it really a breast knot?"

"Taiyang disease, severe sweating and relapse, no bowel movement for five or six days, dry tongue and thirst, small hot flashes in the afternoon, at least abdominal pain from the bottom of the heart, and pain that cannot be approached. Of."

This shows that Daxiexiong Decoction can't solve the syndrome of Daxiexiong, but if it also has the syndrome of Shaoyang, not only the knot of water and heat can't be cured with Gongzhu, it will also show the evil inside and make the disease worse.

Therefore, "Treatise on Febrile Diseases" also said: "For more than ten days of typhoid fever, the heat is stagnant in the body, and the cold and heat come and go, take Da Chaihu Decoction; but the chest has no severe fever, this is water stagnation in the chest and flanks, but the head is sweating slightly. Those who come out will be the owner of the big chest soup."

Yu Zong's purpose was to try and treat a patient with pelvic abscess, and the effect was rapid.

While speaking, Sima Qing used the oil pen (a product of space) that she always carried with her to make notes on the notebook.

Handed it over to Yang Xiaoyi for a closer look, and then asked her: "If this patient asked you to prescribe a medicine, what would you do?"

Yang Xiaoyi's eyes widened in surprise, apparently she did not expect Sima Qing to ask herself such a question.

It's only been a month since they entered the college, and both Western medicine and Chinese medicine are still at the most basic stage, let alone prescribing prescriptions, they may not even understand the prescriptions.

So why does Sima Qing feel like making things difficult for her on Sima Qing's question?
But this time, Yang Xiaoyi took a look at Teacher Qing who was looking at her leisurely, and she felt an unwillingness to admit defeat, she gritted her teeth and said, "Xiaoyi dare not prescribe a prescription for this patient, but she is willing to give it a try. If you are too wrong, please ask the teacher to correct me!"

After saying that, he frowned and thought for a while, then borrowed Sima Qing's oil pen to write out a small prescription, and finally showed it to Sima Qing tremblingly.

Sima Qing looked at her expectant and nervous little face, couldn't help laughing a little, shook her head to read the prescription she wrote down, and said: "Your prescription, although it is a bit out of the way, but there is something in it. It is very important to use several herbs, such as this big bupleurum, it is very good! This shows that you still have a fundamental view of this disease, and you have grasped some key cruxes, Xiaoyi, very smart Woolen cloth."

The reason why she deliberately made this problem was not to make things difficult for her, but to be more precise, to test her and see if this child really had too much low self-esteem.

In fact, if she came to ask about this case today, she should have studied it carefully before, and she would have some thoughts about the prescription. If she dared to speak her mind, or impatiently showed what she had "prepared" for a long time, then Sima Qing would admit that she was wrong.

Fortunately, her performance like this not only showed the bravery in her bones, but also retained her own humility, which made Sima Qing very satisfied.

Hearing Sima Qing sincerely praised herself, Yang Xiaoyi felt warm in her heart.

From childhood to adulthood, few people would praise her so directly. She grew up surrounded by scolding. Although those scolding were also malicious, growing up in such an environment made her feel inferior and cowardly. character.

But ever since she came to the academy, Teacher Qing has always given her praise and exaggeration. Whether in class or in private, as long as she does well, she will be praised by Teacher Qing. While being moved, her self-confidence also improved unconsciously.

"Thank you teacher, Xiaoyi is not so smart, but after reading this case last night, I have been thinking about it. Teacher, please write me a prescription, so that I can study."

Hearing that Yang Xiaoyi was being honest again, Sima Qing was even more happy, and said with a smile, "There is naturally more than one medicine that can cure this disease. But today I will write one for you to see."

After all, he took the oil pen again and wrote down a prescription in the notebook:
Da Chaihu Decoction: 24 grams of Bupleurum, 12 grams of Pinellia, 12 grams of Scutellaria, 12 grams of Radix Paeoniae Rubra, 15 grams of Citrus aurantium, 30 grams of Patrinia, 9 grams of white mustard seeds, 9 grams of rhubarb, and 3 slices of ginger.

After taking one dose of medicine, the pain and fever will be reduced, and the vomiting will stop;
After taking two doses, the pain was reduced by more than half, the abdomen also became soft when pressed, the appetite increased, and the body temperature returned to normal;
After taking ten doses, the abdominal pain subsided eighty-nine times, the appetite increased greatly, and the pus and yellow discharge in the stool disappeared. The traditional Chinese medicine was suspended, and the antibiotic treatment cured it.

After reading this prescription, Yang Xiaoyi felt enlightened immediately, and said with a smile on her face, "Thank you, Teacher Qing, for your guidance!"

Sima Qing smiled and said: "You all call me teacher, isn't it my duty to preach the teachings and solve doubts?"

Afterwards, I exchanged a few words with the little girl, and then the little girl also walked away tactfully.

But when he was leaving, the little girl turned her head three times a step, Sima Qing was still puzzled, so she heard the cheap old lady whispering: "The child is looking at the pen in your hand."

Sima Qing suddenly came to her senses, and couldn't help laughing, thinking that the little girl has pretty good eyesight, and this oil pen is something that doesn't exist in this era, and it is much more convenient to write than a brush.However, since there are still many in the space, Sima Qing was not stingy, and waved to her and said, "Does Xiaoyi like this pen? If you like it, I will give it to you."

"Really?" The little girl's eyes lit up and she asked in surprise.

"Can I still lie to you?" Sima Qing rolled her eyes and handed out the pen directly.

Seeing that Sima Qing didn't seem to be joking, plus she felt a little more intimate with her today, the little girl only hesitated for a moment, then boldly ran back, and took the pen from Sima Qing's hand , said "Thank you Teacher Qing" with a beaming smile, and then ran away bouncing around.

"A child is just a child. It's good to be young, full of vitality." Looking at the happy back of the little girl, Sima Qing felt deeply moved.

Sima Yinglong couldn't help laughing when he heard this: "You, sometimes you are younger than a child when you make a scene. Listening to your emotion, it seems that you are so old. Can you consider the feelings of an old man like me?"

"Grandpa, I'm not a child anymore, your granddaughter is a teacher now! My young girl's body lives with an old soul, cough, cough, cough..." Sima Qing started playing tricks.

The old man and the cheap old lady were amused and laughed.

The laughter made the third student who had already stepped into the yard to ask questions stop in place for a while, not daring to go forward.

After seeing him, they stopped talking here, and Sima Qing beckoned him to come over.

This is a man in his late thirties. He once worked as an apprentice in a medicine hall for seven or eight years, but he never had the opportunity to become a teacher. When he heard about this opportunity, he immediately resigned from that job, just to improve his medical skills. of.But he didn't make this decision in vain. In just one month, he learned more than what he learned in a year when he was an apprentice!

However, compared to other students, he is on the same starting line as them in western medicine, but he is not a rookie in Chinese medicine.Now other students have to work hard to learn the basics of Chinese medicine, but he has already mastered most of them, so he focuses on the new and novel western medicine learning, and his learning progress is much faster than other students.

No, recently he has started to learn suture.

Now, holding a large piece of pigskin in his hand, he came towards Sima Qing.

Sima Qing looked at it and couldn't help but touch her forehead. Damn it, asking questions is not enough, and now even she has to demonstrate.

These guys, are you going to form a group to brush the teacher today?

I don't know whether to feel gratified or unfortunate to be able to teach such studious students?

Teacher Qing, who had a rare day off, lamented in his heart.

The student named Wang Zhuangzi, of course, asked for suture technique. As far as the suture technique is concerned, the current Western medicine course of the college has not been taught here, but the progress of learning is too fast, so Sima Qing is also flexible. Teach students in accordance with their aptitude, and taught him this complicated suture technique that requires a lot of practice in advance.

Of course, at the current stage of practice, there are no patients to practice, so we can only sew pigskin and practice on some small animals.

(End of this chapter)