Chinese medicine doctor Xu Yang

"How is the patient?" Xu Yang hurried to the Traditional Chinese Medicine Hospital.

Zhong Hua, Xu Yuan and Cao Dehua greeted him at the gate of the Traditional Chinese Medicine Hospital.

Cao Dehua looked at Zhong Hua. He didn't know what the situation was. Strictly speaking, he was just a correspondent. He was only responsible for calling Xu Yang.

Zhong Hua and Xu Yuan both had a look of embarrassment on their faces. After all, they just came to find trouble yesterday, and today they called for help again. But Zhong Hua was a veteran after all, and he quickly suppressed his embarrassment.

He extended his hand to Xu Yang: "Dr. Xu, thank you very much for coming to help."

Xu Yang also shook hands with him and said, "You're welcome, that's right. Doctor Cao told me that the patient has acute cholecystitis. How is he doing now? Let's talk about his condition first."

"Okay." Zhong Hua stopped hesitating and extended his hand to ask Xu Yang to go first, and then they talked as they walked.

Xu Yuan opened his mouth. He originally wanted to say a few words to Xu Yang, but he didn't have the chance. He sighed slightly, and then quickly followed.

Zhong Hua said: "The patient's surname is He. He is 65 years old this year. He had abdominal pain for one day. Then he came to our traditional Chinese medicine hospital for treatment. After diagnosis in the emergency department, it was found that the patient had pain in the right upper quadrant. The B-ultrasound report showed an inflammatory mass near the gallbladder area and hair on the gallbladder wall. Oops, he was diagnosed with acute cholecystitis and admitted to the hospital."

"I originally planned to have surgery, but the patient was afraid of surgery and insisted on using traditional Chinese medicine. So he invited me for consultation. I diagnosed that the patient had a fever of 38.5 degrees, distension and pain in the right upper abdomen, dry throat, bitter mouth, nausea and vomiting, dry stools, and tongue pain. The coating is red and yellow, and the pulse is stringy and slippery."

"It was consistent with the syndrome of Da Chai Hu Decoction, so I took one dose of Da Chai Hu Decoction. The patient felt slightly relieved, but the pain was still there, and the effect was average. Western medicine also used antibiotics for treatment, and the effect was average. We advised the patient to have surgery again, but the patient still insisted on taking it. Chinese medicine, so I invited Dr. Xu to come for consultation."

Xu Yang nodded, indicating that he understood.

Article 165 of "Treatise on Febrile Diseases" states, "Dapaihu decoction is suitable for treating fever caused by typhoid fever, incomprehensible sweating, hardness of heart, vomiting and constipation."

According to Zhong Hua, the patient does meet the symptoms of Da Chaihu Decoction syndrome. The patient has fever symptoms, hardness in the heart and pain in the upper abdomen; vomiting does not actually mean vomiting, nausea and retching, hiccups and belching are caused by stomach gas. Negative manifestations include diarrhea and constipation.

And judging from the patient's other symptoms, the patient is indeed ill in the Shaoyang meridian, and the treatment with Dachaihu decoction should be correct. Moreover, Chinese medicine also uses Dabuihu decoction to treat cholecystitis, but it generally treats chronic cholecystitis, and acute cases are not treated by Chinese medicine.

But why is the effect so mediocre?

Xu Yang also fell into thinking.

"Lingshu·Swelling Theory" says: "If the gallbladder is bloated, there will be pain and swelling under the hypochondriac, bitterness in the mouth, and good breathing." "Lingshu·Five Evils" says: "The evil is in the liver, and there will be pain in both hypochondriacs."

These are some records of the dialectics of cholecystitis by previous generations, but now this kind of acute abdomen cannot be treated by traditional Chinese medicine.

Just as they were talking, several people came to the ward of the inpatient department. The patient was still lying on the bed moaning softly, but his daughter, He Miejie, didn't know where she was.

Zhong Hua said to Xu Yang, "This is the patient."

Xu Yang nodded.

Zhong Hua said to the patient: "He Yuanchang, this is Dr. Xu Yang. He will come to diagnose you in a while. Can you cooperate?"

The stubborn old man turned his head, not looking here, and said stubbornly: "I don't, I just want Chinese medicine to treat me."

Several people were dumbfounded.

Zhong Huadao: "Doctor Xu is a Chinese medicine practitioner. Can you cooperate with me?"

The stubborn old man said: "Okay, as long as it's Chinese medicine."

Xu Yang walked over and started diagnosing the patient. The stubborn old man answered whatever Xu Yang asked. He was very cooperative, but there was no feeling of distrust because Xu Yang was young.

Xu Yang diagnosed each patient one by one. The patient's symptoms were just as Zhong Hua said before. After Xu Yang thought for a moment, he began to diagnose the patient's pulse.

"What are you doing?" A cold voice suddenly came from the door.

Several people turned around and saw that it was the stubborn old man's daughter, He Miejie.

"Treating a disease, what are you doing?" Xu Yuan didn't have a good attitude towards He Jiedie.

He Miejie glanced at Xu Yang, who was diagnosing the patient's pulse, and she asked coldly: "Who allowed your Chinese medicine doctor to come here to treat me?"

Xu Principle said confidently: "The patient gave his permission."

He Jiedie's face turned colder, but she was also angry. She pointed at Xu Yang and asked, "Who is this?"

Xu Yuan replied: "Traditional Chinese medicine expert, didn't you say that we Chinese medicine practitioners should cure this Chinese medicine fan?"

He Mie's face suddenly turned as cold as frost.

Xu Principle was secretly happy, he was so happy to criticize others.

Zhong Hua also showed a hint of joy at the corner of his mouth, but he said: "Okay, stop arguing, and don't disturb Dr. Xu's diagnosis and treatment."

Xu Yuan stopped talking.

He Miejie glanced at the few people with cold eyes, and she said: "Okay, I'll go find his attending doctor. I want to ask who approved your diagnosis and treatment?"

"Please." Zhong Hua was also very tough.

He Jiejie turned around and walked away angrily.

Xu Yang continued to diagnose the pulse carefully.

After a while, Director Qi and his party also arrived.

"It's them. Let me ask you, who is his attending doctor? Why did our family members invite some Chinese medicine doctor for consultation without our family members knowing anything?" He asked angrily.

Director Qi also quickly took a step forward, approached Zhong Hua, and asked in a low voice: "Old Zhong, what's going on?"

Zhong Hua replied: "I found a friend to come for consultation."

Director Qi's brows suddenly frowned, and he suddenly became embarrassed: "Old Zhong, don't be vindictive."

Now is the time to try our best to persuade the patient to undergo surgery, but Lao Zhong was lucky and actually invited another Chinese medicine doctor to come over. Isn't this a grudge?

Zhong Hua said: "This is not grudge, this is what I want to do."

Director Qi was speechless at the time.

He Jiejie asked: "Director Qi, tell me, what should I do?"

Director Qi thought for a while and then said bravely: "The hospital naturally has its own rules and regulations, but if the patient himself insists on inviting someone over, it will be difficult for us to handle it."

The stubborn old man lying on the bed said immediately: "I want this Chinese medicine doctor to treat me, it has nothing to do with anyone else. You don't care about me, why don't you let me find a doctor by myself?"

He Jiejie was immediately furious, and his chest kept rising and falling.

Xu Yang, who carefully diagnosed the pulse, reminded the patient: "Don't talk and stay calm."

The patient shuts up.

Xu Yang continued to diagnose the pulse.

At this time, a few people outside looked at Xu Yang. When they saw this, everyone was startled.

Isn't this too young?

Director Qi was speechless for a long time. Lao Zhong actually invited such a young Chinese medicine doctor for consultation? What are you doing? This is not fighting spirit, this is causing trouble?

Cao Dehua explained from the side: "Old Qi, that's it. This doctor is the same doctor who cured the postpartum incontinence and the one-and-a-half-year-old severe case of adenovirus pneumonia."

Director Qi was stunned for a moment and asked, "Is this the one who persuaded Liu Jingning to go to Beijing?"

Cao Dehua didn't know how to answer for a moment. Xu Yang's most famous record is this! He could only nod: "Yes."

Director Qi and the young Western doctors following him looked at Xu Yang again. They had also heard the legend about Xu Yang, but they didn't expect Xu Yang to be so young.

He Jiejie had a cold face and didn't even want to say anything.

Xu Yang checked the patient's pulse for half an hour before he finally checked the pulse of both hands. His brows furrowed, showing confusion. He stretched out his hand to press the patient's lower abdomen and asked, "Does it hurt here?" ?”

"A little," the patient replied.

Xu Yang frowned again.

Zhong Hua asked: "Doctor Xu, how are you doing?"

Xu Yang said: "Based on the symptoms, a red tongue with mostly yellow coating belongs to the syndrome of internal heat syndrome. Moreover, the patient's bitter mouth, dry throat and desire to vomit are also syndromes of Shaoyang disease."

"But when I checked the pulse, I found that the patient's pulse traveled through the large intestine meridian of Hand Yangming, and when it went down the large intestine, it showed symptoms of fever. So I suspected that the patient had intestinal carbuncle, but the pain in the patient's lower abdomen was not obvious. .”

Several Chinese medicine doctors were dumbfounded.

The Western doctors were confused when they heard this. A young Western doctor whispered to the person next to him and asked: "What is intestinal carbuncle?"

"It looks like acute appendicitis."

"Ah?" The young Western doctor was dumbfounded: "Isn't appendicitis painful in the lower right abdomen? How could it be the right upper quadrant? Besides, the appendix does not belong to the large intestine!"

"Ha!" He Jiejie's face turned even colder after hearing this.