Chinese medicine doctor Xu Yang
Chapter 351 White Tiger and Ginseng Soup
Xu Yang followed Liu Mingda to the ward.
Liu Hejun wants to cry but has no tears. What happened? Dad, please love me again...
After going to the ward, Liu Mingda put his hands behind his back and walked forward slowly, but his expression was very serious.
When the medical staff next to him saw Liu Mingda, they all greeted him respectfully. Liu Mingda only nodded slightly and hummed slightly, without any unnecessary expression.
Xu Yang also carefully observed the medical staff. After saying hello to Liu Mingda, they all ran away as if they had been granted amnesty. Sneaking as far as you can, it's like hiding from the god of plague.
Moreover, when these people ran away, they did not forget to look back at Xu Yang, and then they all showed sympathy and walked together with the big devil Liu Mingda. Is this a good thing?
Xu Yang was also a little strange, not so much at other people's reactions, but at Liu Mingda's performance. When did Liu Mingda become so serious and afraid of ghosts?
strangeness.
"Comrade Xu Yang, are you good at gynecological diagnosis and treatment?" Liu Mingda suddenly asked Xu Yang.
Xu Yang was still thinking about it, but when he heard Liu Mingda's question, he raised his head and said with a smile: "It's not bad, I know a little bit."
Liu Mingda turned to look at Xu Yang, frowned and said: "It's true to be modest, but you must be serious and rigorous. Medicine is a serious and rigorous matter. If you know how, you know how much you know. You must be rigorous and objective, and don't be playful."
"I know, haha..." Xu Yang laughed again. Others were afraid of Liu Mingda, but he didn't have any psychological pressure at all.
When Liu Mingda saw Xu Yang starting to smile playfully again, he frowned again and shook his head slightly, but didn't say anything.
He took Xu Yang to the ward, where the director of gynecology was already waiting.
When the director of gynecology saw Liu Mingda coming, he hurriedly came over to greet her: "Teacher, you are here."
"Yes." Liu Mingda responded softly and asked, "How is the patient?"
The director of gynecology replied: "In the ward."
"Take me in." Liu Mingda pointed back again: "This is Dr. Xu Yang."
The director of gynecology's eyes suddenly lit up and he looked at Xu Yang with some surprise. Xu Yang had become very famous in Beijing's traditional Chinese medicine community in the past two days. There are almost no Chinese medicine practitioners in Beijing's traditional Chinese medicine community who have never heard of Xu Yang's name, but many people don't know what Xu Yang looks like.
"Hello." The director of gynecology stretched out his hand to Xu Yang.
Xu Yang also shook hands with him. Before he could say anything, Liu Mingda said: "Don't be polite. It's during working hours. Treatment is important. After get off work, you two can get to know each other slowly."
The director of gynecology looked disgusted, and then quickly took Xu Yang and Liu Mingda in.
The director of the gynecology department handed the medical records to Xu Yang and Liu Mingda, and then said: "This patient is 32 years old, five months pregnant, and feels febrile disease. The initial treatment was inappropriate, and the warmth spread to the inside, causing Yangming fever."
"According to the patient's symptoms, he should use the cold medicine, but considering that the pregnant woman is already five months pregnant and is afraid of causing damage, she dare not use it lightly, so I asked the teacher to come and make a decision."
After finishing speaking, the director of gynecology turned to look at Xu Yang. Everyone knew about Xu Yang's treatment of the pregnant woman with subarachnoid hemorrhage two days ago.
This is an idiot who dares to give such strong medicine to pregnant women. The first dose is 30g of Pinellia ternata, completely ignoring the theory of harming the fetus, and even used several doses in succession. The most amazing thing is that he also gave pregnant women an Angong Niuhuang Pill.
What they are hesitating about here is probably nothing to this idiot, right?
Liu Mingda flipped through the medical records and asked, "What does Comrade Xu Yang think?"
Xu Yang closed the medical record book and said, "Let's go see the patient first."
Liu Mingda also nodded slightly.
"Please come this way." The director of gynecology led them to the patient.
Liu Mingda said: "Doctor Xu, you come to diagnose first."
"Okay." Xu Yang responded and stepped forward to diagnose. Xu Yang observed the condition of the pregnant woman's face. Her face was red and thick, and then he observed her tongue. The tongue coating was white and thick, and the center was yellow. Dry stool and short red urine.
Xu Yang checked her pulse again, and it was clear that her left and right pulses were smooth and firm, and one breath was five times strong.
After Xu Yang completed the diagnosis, he asked, "Do you want to take a look at it, Professor Liu?"
Liu Mingda also came for diagnosis.
Then several people came out to discuss.
Liu Mingda asked first: "Comrade Xu Yang, what do you think of this patient?"
The director of gynecology also turned his head curiously.
Xu Yang said very simply: "In fact, the patient's condition is not complicated, it is quite obvious. It's just that her pulse is smooth and solid on the left and right sides, and the center of her tongue is yellow."
"Actually, not only is Yangming's stomach fever very real, but her liver and gallbladder fever is also very severe. I guess she must have been angry before she got sick, otherwise she wouldn't have been like this."
Liu Mingda and the director of gynecology were startled at the same time.
Xu Yang continued: "The patient's condition is not complicated, but it is still very dangerous. If the fever is not cleared in time, the blood will be forced and the safety of the fetus and mother will be endangered."
The director of gynecology asked: "Then how do you think it should be treated?"
Xu Yang said: "Isn't it already so obvious? Just serve the White Tiger and Ginseng Soup."
Liu Mingda and the director of gynecology frowned at the same time.
The director of the gynecology department also gave a wry smile. He deserved to ask this question more often. Why is this idiot so afraid of taking medicine?
Liu Mingda looked at Xu Yang with burning eyes, and said: "I wanted to invite you to meet yesterday, and I just wanted to talk about your medication problem. I came with you today specifically to tell you this. You are really using medication. Are you so bold?"
Xu Yang was also a little surprised. Liu Mingda really came here for him? He replied: "No, I always use medicine cautiously."
Liu Mingda's face darkened a little, and he said: "Aren't you that pregnant woman a few days ago? Just today, you didn't even think about it, and you dared to prescribe it like this without even thinking about it?"
The director of the gynecology department couldn't help but chew his teeth. What he was most afraid of was Liu Mingda's posture. He had been working under Liu Mingda since he was a junior doctor in the hospital.
Liu Mingda is such a strict person. Even though he has become the director now, he is still extremely afraid of Liu Mingda. This shows how big a psychological shadow Liu Mingda left on him.
The director of gynecology looked at Xu Yang with some sympathy. He had never seen a young doctor who could persevere under the aura of such a terrifying demon Liu Mingda.
But he saw Xu Yang with a calm face, and even saw Xu Yang rolling his eyes, and he almost suspected that he had seen it wrong. Are young people so fierce now? Don’t you even know the name of this devil?
Xu Yang should be the person least afraid of Liu Mingda. He shook his head and said: "The patient's condition is critical. If you don't take action immediately, once you miss the opportunity, both the fetus and the mother will be in danger. This is the doctor's responsibility."
Liu Mingda's voice suddenly became louder.
The director of gynecology straightened up subconsciously.
Liu Mingda said seriously: "But the herbs in this white tiger soup..."
But Xu Yang raised his hand and interrupted: "Can you please speak nicely? Don't shout."
The director of gynecology was stunned. Damn it, this young man is really talented.
Liu Mingda also looked at Xu Yang in surprise. No young man had dared to talk to him like this for a long time.
Xu Yang looked calm, as if he had just done something ordinary. He said: "I know what you are worried about. First, the symptoms of this pregnant woman are very obvious, that is, she has a flushed face and a thick breath in the febrile disease. Dry stool and floody and slippery pulse are symptoms of excess heat of Yangming Qi."
"The condition of pregnant women today is that the fire is strong and the gas is absorbed, and the excess heat damages the body fluids. It may disturb the fetal vitality at any time and cause the fetal gas to become unstable. Therefore, the medicinal Baihu Decoction is used to reduce the fever and stabilize the fetus. This is not harming her, but saving her. she."
Liu Mingda said again: "But..."
Xu Yang interrupted again: "I know what you are worried about. You are worried that the herbs in the Baihu Decoction may be slippery or oozing, and may be harmful to the fetus."
"We use white tigers, not dead, but live. One of them, Anemarrhena, should be replaced by raw rehmannia glutinosa, which has the effect of tonifying the kidneys and anti-fetus. For the japonica rice, we should also replace it with raw yam, which has a sticky texture and can tonify the kidneys and anti-fetus. ."
"These two medicines can replace Baihu Decoction, and they also have the effect of nourishing the kidneys and relieving fetuses. In this way, they can reduce fever without damaging the fetus. Naturally, it can stabilize the safety of the fetus and ensure its health."
Liu Mingda and the director of gynecology looked at each other, a little surprised.
The director of gynecology asked again: "That plaster, this is the main medicine."
Xu Yang said: "The "Shen Nong's Materia Medica" says that gypsum is pungent, slightly cold, and can be used for lactation. If it can be used for lactation, you will know that gypsum is pure and good. And I use Baihu plus ginseng soup, which works. Ginseng protects the fetus, strengthens the body, helps the plaster to remove evil spirits, and clears away internal heat. Coupled with the substitution of the first two herbs, all methods are used in the same way, and the fetus will naturally be safe!"
Xu Yang looked at Liu Mingda and said, "Everyone says that I am very bold when using medicine, but my first master taught me many times that I should be cautious when using medicine! I have always been more cautious than others."
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