...

"Tianyu, you called me from the town, what's the matter? Tell me clearly!"

Jiang Fei looked at Wang Tianyu seriously with a solemn expression.

Officer Bai said that Wang Tianyu encountered a difficult case, and he was not sure about performing this operation.

This may be the reason why Wang Tianyu called himself over.

Wang Tianyu saw that the teacher hadn't forgotten about himself, and there was some warmth in his heart.

And he won't hide it, he just asked the teacher to help him, so naturally he won't hide it.

"Teacher, my patient also had appendicitis, but I can't perform the operation."

Wang Tianyu spoke depressedly, looked at Jiang Fei and said it.

Jiang Fei frowned, it has been seven or eight years.

Although domestic medical care is still very backward at this time, it is not impossible to even perform an appendix operation.

Especially for Wang Tianyu, a surgeon who has returned from advanced studies, an appendicitis must not be difficult for him.

"Teacher, the patient is an eight-month-old baby!"

Seeing that Jiang Fei was puzzled, Wang Tianyu sighed and spoke again.

When Jiang Fei heard this, he suddenly realized.

It was so...

An eight-month-old baby suffering from appendicitis needs surgery, and the risks of this surgery are indeed not small.

"Take me to see, maybe you don't need surgery."

Jiang Fei leaned on his chin and opened his mouth, motioning to Wang Tianyu.

It would be the best situation for the baby if it can be treated with traditional Chinese medicine instead of surgery.

The baby itself is weak and weak, and all organs have not yet fully developed. The operation at this time is really harmful to the body.

Babies are born with vitality. If the vitality is damaged due to surgery, the child will have various problems when he grows up.

At that time, it was an emergency, but it affected the child's life.

And if surgical treatment is indeed required, the organs of such a young child are very fragile, which will test the experience and ability of the surgeon.

Wang Tianyu said that he could not perform such an operation because it was a pediatric case.

However, Jiang County People's Hospital does not yet have a formal pediatric surgery department, nor does it have a corresponding surgeon to perform this operation.

As for the hospital transferred to the prefectural committee, that is, the city hospital, first of all, there is too little time, and secondly, the risk is relatively high.

This created a dilemma, so the county hospital must find a way here.

"Teacher, I'll take you to the ward."

Wang Tianyu led Jiang Fei to the pediatric ward in a hurry.

Now there are still wards in pediatrics, and there are corresponding pediatric medical care, but there is no pediatric surgery.

A few years ago, it was said that a pediatric surgery department would be established, but due to some changes in the past few years, it was completely delayed.

Jiang Fei followed Wang Tianyu to the pediatric ward, which was on the fifth floor, which was the highest floor.

The pediatric ward is set on the highest floor to prevent children from running out.

Moreover, many hospitals in this era do not have a distinction between the inpatient department and the outpatient department, and they are all in one building. The hardware conditions do not allow two buildings to be built.

This situation will also improve completely after the 90s, and grass-roots hospitals begin to have perfect hardware conditions and good software conditions.

Come to the pediatric ward area, on the east side of the fifth floor.

On the west side are the pediatric consultation room and related storage rooms, pharmacy, pediatric emergency observation room and so on.

Knocking on Ward No. 5, Wang Tianyu opened the door and walked in.

In the ward of No. 5, the parents who accompanied the child saw Wang Tianyu coming in, and immediately stood up, a little cautious and apprehensive.

The child's parents are also not well dressed, and the living conditions are also very average.

This is also normal. It is more difficult to find a few rich people at this time.

"Teacher, I gave the child two bottles of antibiotics and anti-inflammatory drugs. Now the high fever has subsided a little, but the child is still not feeling well."

"The abdomen is distended, and the McBurney's point tenderness is obvious. After the blood test, it is found that the white blood cell count is 13x10 to the 9th power l unit."

"The neutrophil count is 0.77, which is also very high."

"At the same time, this child also induced epilepsy!"

The more Wang Tianyu talked, the more ugly his face became, saying that he couldn't be operated on.

Under such circumstances, who would dare to operate on this child to remove his appendix?

epilepsy?

Jiang Fei's eyes were fixed, and his face became serious.

This undoubtedly increases the difficulty of treatment, and such a situation is indeed not conducive to surgery.

If epilepsy is induced during surgery, it is no joke.

"How many times a day?"

Jiang Fei asked Wang Tianyu, but his hands were not idle. He gently held the child's delicate fingers, pushed and rubbed them gently, and soon saw that the lines on the inside of the fingers turned red to purple.

Generally, the formation of appendicitis is mostly related to heat evil fire pole and damp evil, which block the circulation of blood and qi, and also block the intestinal tract, resulting in inflammation.

Western medicine says that inflammation is the evil infection of cells in the body, which is actually the same as what Chinese medicine says.

Traditional Chinese medicine says that stasis blocks the flow of blood and qi, which is the cause of inflammation, because without blood supply and transfusion, it will naturally gradually become necrotic and inflamed locally, and then cause high fever.

"How many times does the child have epilepsy a day?"

Wang Tianyu didn't know much about it either. After all, he was not a pediatric doctor, so he could only look at the child's parents.

The child's father is a 23-year-old young man, dressed in gray overalls, he replied nervously: "Three, three times."

"At what time?"

Jiang Fei frowned and continued to ask him.

The child's father looked at Jiang Fei in surprise. He was younger than himself, but why did Dr. Wang call him teacher?

Doctor Wang is very famous, and they have heard of Wang Tianyu.

Now Wang Tianyu's teacher also came to see his son, but he was a young man in his twenties, so weird.

"Huh? Why didn't you talk?" Jiang Fei looked over in surprise when he saw that the child's father didn't speak.

Only then did the young father come to his senses, and quickly said, "At home yesterday, there were three episodes at ten o'clock in the noon, one o'clock in the afternoon, eight o'clock in the evening and midnight."

"After being admitted to the hospital today, there was one episode at eleven o'clock in the noon and one episode at two o'clock in the afternoon."

After Jiang Fei heard the young father's answer, he began to count in his hands.

Wang Tianyu stared at Jiang Fei suspiciously, how could this be his life?

Could it be that the teacher is still a great god?

A few minutes later, Jiang Fei turned to Wang Tianyu and said, "Are there any coins?"

"Yes!" Wang Tianyu didn't understand what he meant, but he still took out a one-cent aluminum coin from his pocket.

Jiang Fei took a penny and walked to the hospital bed.

"Help me turn the baby over, on its back!"

Jiang Fei opened his mouth and looked at the young couple.

Just as the young father was about to go forward, he was stopped by the young mother. She then came over and gently turned the child over. The child suddenly groaned in discomfort because of the pain and soreness of the appendix.

There was some distress in her eyes, and she didn't know what Jiang Fei was going to do, so she couldn't help asking: "Doctor, what are you going to do?"

"According to the operation law of the meridian inflow, deduce the law of your child's epilepsy."

"It is said that epilepsy is irregular, but it is not accurate. Epilepsy has rules to follow, and there are many details in it."

"Of course you don't understand this, so I won't say more."

Jiang Fei simply explained a few words, then held the coin, and unbuttoned the child's clothes, revealing the white and tender back.

It occurs once at ten o'clock in the noon. In the Ziwu Liuzhu method, it is the time when the spleen meridian runs, and the disease is in the spleen.

It happened again at one o'clock in the afternoon, and according to this rule, it went between the heart meridian and the small intestine.

As for the third attack at twelve o'clock in the middle of the night, it means that the triple burner and gallbladder meridian have been circulated.

Let's take a look at it together. All the meridians that have circulated are all related to the congestion of damp heat and poison. To put it more clearly, they are all related to the onset of appendicitis.

This is the magic of Chinese medicine. Only by using syndrome differentiation to discuss celestial phenomena and human phenomena can treatment be carried out.

You can't practice Chinese medicine with the thinking of Western medicine. Simply put, you can't fix the knowledge of Chinese medicine. What is the meaning of one, two, three, four memorized in textbooks?

The syndromes in the eyes of Chinese medicine are all in motion and changing, not static.

You prescribe all these things to death, one is one, and two is two. This is a typical thinking of Western medicine, which is completely inappropriate when applied to Chinese medicine.

One life is two, two is three, and three is all things. This is the thought of Taoism, but it is also related to Chinese medicine.

"I'm giving him blood circulation to activate the uterus, similar to scraping."

Jiang Fei gently pushed the coin along the skin texture, pushing the small sea in the middle of the arm, along the small sea to the Tianzong acupoint on the inner side of the shoulder, and then to the governor channel, which is the line of the spine, and pushed it down little by little.

After going back and forth like this seven or eight times, you can see the slightly red line from the child's arm to the back.

The outer side of this line includes many Shu points, Jueyin Shu, Xinshu, Dushu, and Geshu, Ganshu, Danshu and Piweishuangshu in the lower three inches.

The natural movement has the meridian flow, and when it comes to the universe of the human body, it is the acupuncture points and meridians of the heart, liver, spleen, stomach, lung and kidney.

"Turn the baby over!"

Jiang Fei put away the coin and motioned for the young mother to turn the child over.

He glanced at Wang Tianyu walking out of the ward, and the latter hurriedly followed.

"I gave him treatment just now, and his epilepsy will turn around."

"Treat him again in the evening, and give him anti-inflammatory drugs on your side as well."

"Eight o'clock in the evening, ready for surgery!"

After Jiang Fei came out, he spoke in surprise.

Seeing what Jiang Fei said, Wang Tianyu nodded with a serious expression.

Even the teacher said so, which shows that Chinese medicine is not very conservative for children's appendicitis this time.

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