Under, Chinese medicine flavin

Chapter 126 Traditional Chinese Medicine Treats Concussion
Let's not talk about District Chief Yang and his party.

Huang Su and five people have come to the emergency inpatient area under the leadership of the nurse.

In order to facilitate diagnosis and treatment, the emergency department has arranged all concussion comatose patients in an emergency inpatient area.

Compared with the inpatient areas of other departments, the inpatient area of ​​the emergency room is very simple.

The inpatient area is in the emergency building, which is often a semi-enclosed space with several beds and a screen screen, which is an emergency inpatient area.

The emergency inpatient area generally accepts mild to moderate patients, and the emergency department can handle them by itself. For example, some severe patients or highly specialized patients need to be sent to professional departments or joint consultations through green channels.

Huang Su and his group walked into the isolation area that was simply made of screens, and five of the seven beds had five comatose patients lying on them.

Huang Su, Wang Xinlu, and Dr. Liu were responsible for the examination of one patient first.

Huang Su went to the third bed and began to check the patient's condition.

After a brief look at the patient's appearance, I saw scratches on the forehead and nose, which should have been caused by a fall. The wound has been cleaned by the emergency department and disinfectant has been applied.

Look at the patient's eyes closed again, his eyes and face are blue-purple, and his whole nose is black, like smoke.

Huang Su turned to the nurse beside her and asked, "Did the patient suffer from nosebleeds when he was sent here?"

The lady nurse replied: "When it was delivered, there was bleeding from the mouth and nose, but we have already cleaned up the patient."

After listening to the nurse's introduction, Huang Su nodded and did not speak. He stretched out his hand and rolled up the patient's sleeve, and saw many crimson red spots on the arm, surrounded by a faint purple color. Pulling up the trousers, he also saw blood spots.

The face and eyes are blue and purple, the nose is like smoke, and there are blood spots on the limbs, all of which indicate the presence of blood stasis in the patient's body.

In addition, the nurse lady said that the patient had bleeding from the mouth and nose when he was delivered, indicating that there was blood stasis in the patient's body after hemorrhage.

Huang Su picked up the patient's arm, pressed lightly with three fingers but there was no pulse, and pressed hard to touch the wrist bone. I only felt that the three fingers were pressed evenly and forcefully, and the veins were hard. It is a deep and solid pulse.

The real pulse, the main syndrome, is the excess of evil qi and the righteousness is not empty, the evil and the right are fighting each other, the qi and blood are congested, and the pulse is tight and full, so the pulse should be firm and powerful.Of course, normal people can also have a real pulse, which is a manifestation of sufficient righteousness and good visceral function.However, in normal people, the solid veins are quiet and gentle, which is different from the hard vessels of diseased vessels.

Flood pulse, the syndrome of the main internal heat, is due to excess yang qi, qi stagnation and hyperactivity of fire, and internal heat is flooded, causing the channels to expand, qi to fill and blood to surge, so the pulse shows a flood.

It can be seen that both the solid vein and the flood vein are related to qi and blood.

"Su Wen · Atrophy Theory" says: "The heart governs the blood of the body."

"Su Wen·The Formation of the Five Viscera" says: "All blood belongs to the heart."

Excessive heart-fire means faster heartbeat and strong pulse expansion, which is in line with the pulse condition of Shihong.

According to the pulse condition, the patient is high and falling, with stagnant blood and stagnation, and stagnant heat generates heat, and the heat is reversed to the pericardium, and the upper Mongolian clears the orifices, causing the patient to remain unconscious.

After diagnosing the patient's pulse with both hands, Huang Su walked to the head of the hospital bed, ready to see the patient's tongue.

Huang Su spread the thumb and index finger of his right hand, and pressed the Dicang acupoint on both sides of the patient's cheek.

Acupuncture of Hegu, Dicang, and Jacara by pressing can make comatose patients open their mouths quickly, especially the effect of rapid acupuncture on Hegu is the most significant.

However, Huang Su pressed hard on the patient's ground chamber, but the patient still did not open his mouth.

Huang Su frowned slightly, the patient should be a symptom of silent mouth.

Mouth silencing is the name of a syndrome in Chinese medicine, which refers to the symptoms of closed teeth and unable to open the mouth.

Huang Su let go and reached out to stroke the patient's neck, only to see that the patient's neck was stiff.

The symptoms of silent mouth and neck stiffness in patients are mostly caused by the internal movement of liver wind, stagnation of qi and blood, and blockage of tendons and arteries.

Huang Su said to the nurse beside him, "Take a disposable three-edged needle."

At this time, Wang Xinlu and Dr. Liu also asked the nurse for a three-edged needle. It seems that everyone has encountered the same situation of silence.

Not long after, the nurse took the disposable three-edged needle. After Huang Su tore open the package and took out a three-edged needle for disinfection, he supported the patient's hand with one hand, and pierced the patient's Hegu point quickly and accurately with the other hand.

In order to make the silent patients open their mouths quickly, it is necessary to pay attention to the suddenness when needling the Hegu acupoint, and the needling must be fast, precise and ruthless.

As soon as the needle was injected, the patient suddenly opened his mouth.Huang Su quickly pinched the Dicang acupoints on both sides of the patient's face to prevent the patient from closing his mouth again.

Flavin looks through the mouth at the patient's tongue coating.

The patient only sent it for more than half an hour, and the tongue had become crimson red, the tongue coating was white and thick, dry and without body fluid, and large ecchymosis appeared on both sides of the tongue.The tongue is crimson and dry, which is a manifestation of internal heat, and the heat enters the camp blood. As for the ecchymosis around the tongue, it proves that there is congestion in the body.It is the same as the syndrome of pulse diagnosis.

The tongue responds very quickly to changes in the human body, but Western medicine has always said that the tongue diagnosis of Chinese medicine is unscientific.

They believe that tongue coating is made up of debris, bacteria and dead cells on the tongue.If the tongue coating appears yellow, gray, or black, they think that it is related to poor oral hygiene, thirst, dehydration, smoking, excessive drinking, frequent mouth-breathing food that is too delicate and soft, mechanical stimulation of dental appliances, and fever.Therefore, Western medicine advocates using a tongue scraper to scrape off the tongue coating. In Western homes, a tongue scraper has become a must-have for oral hygiene just like a toothbrush.

Really complied with that sentence, what I can't see is equivalent to non-existence, it really is a great cleverness.

All I can say is that the ignorant are fearless.

After completing the syndrome differentiation and joint consultation of the first three patients, the three Huang Su made the final diagnosis and treatment for the last two concussion patients, and the pulse and tongue conditions were basically the same.

After diagnosing the five people, Wang Xinlu called them together and said: "Everyone, tell us about your own diagnosis and treatment of patients, and we will work out a prescription together."

Afterwards, Wang Xinlu looked at Huang Su and said by name: "Huang Su, you go ahead."

After all, Huang Su has the least seniority among the three, so he should be the first to speak.

Huang Su introduced the patients he diagnosed and treated: "After the patient fell from the building, the mouth and nose had a lot of bleeding, the face and eyelids were bruised, the limbs had congested spots, the teeth were closed, the neck was stiff, the tongue was crimson red, the tongue coating was white and dry, and the pulse was deep and fast. Hong, the patient is caused by blood stasis and stagnation, heat generation from stasis, heat transformation into the interior, stasis and heat fight each other, stagnation of nutrient blood, heat entering the clear orifices, blinding the heart orifices, and internal movement of liver wind."

Wang Xinlu glanced at Dr. Liu again and asked, "What is the syndrome of your patient?"

Dr. Liu replied: "It is consistent with the syndrome of the patient diagnosed and treated by Huang Su."

Wang Xinlu continued: "It seems that the syndromes and pathogenesis of the five patients are not much different."

The syndrome of falling from a high place in Chinese medicine is very simple.

"The Yellow Emperor's Canon of Internal Medicine" says: "Someone has fallen, and the evil blood stays inside"

"Lingshu·Visceral Disease Forms of Evil Qi" says: "Where there is blood stasis, there must be Fuyang."

It shows that the root of the pathogenesis of falling from a height is blood stasis in the body, which generates heat, and other syndromes are caused by the two.

Wang Xinlu said: "Let's talk about how to treat it?"

This time, Huang Su was not in a hurry to express his suggestion, but looked at Dr. Liu.

Dr. Liu also understood Huang Su's meaning and said: "We should clear the camp and activate the blood, rejuvenate the mind, and let the patient wake up first."

Seeing Huang Su's humility and courtesy, Wang Xinlu directly called out his name and said, "Huang Su, what prescription should you use for treatment?"

Huang Su said: "I think Niujiaodihuang Decoction, Qingying Decoction, Lingjiao Uncaria Decoction and Siwu Decoction should be modified and subtracted for treatment."

Wang Xinlu frowned slightly when he heard Qingying Decoction and Antelope Horn Decoction: "Rhino horn and antelope horn are now prohibited drugs."

Huang Su said: "We can double the buffalo horns to replace them. As for the antelope horns, we can use Gastrodia elata. Gastrodia elata and Uncaria can also cool the liver and quench the wind."

Wang Xinlu said: "You first write down the prescription and let us all refer to it."

黄素随后拿出笔和处方写道：水牛角30g、玄参15g、生地20g、黄连10g、当归尾15g、赤芍10g、麦冬15g、天竺黄5g、钩藤（后下）15g、天麻10g、赤茯苓15g、甘草10g、另服用安宫牛黄丸两颗。

Huang Su handed the prescription to Wang Xinlu.

Wang Xinlu and Dr. Liu looked at Huang Su's prescription together and asked, "Tell me about your thinking on this prescription."

Huang Su replied: "Buffalo horn is sour, salty and cold, it can enter the blood system, clear heat, cool blood and detoxify; supplemented with Scrophulariaceae, Shengdi, Chishao to nourish yin, cool blood and disperse blood, Angelica tail activates blood and removes blood stasis, Coptis chinensis , Tianzhuhuang clears the heart and resolves phlegm, calms shock and resuscitates, Ophiopogon japonicus clears the heart and nourishes yin, and can also nourish yin and promote body fluid with Scrophulariaceae and Rhizoma Scrophulariae; finally add Uncaria and Gastrodia elata to cool the liver and quench the wind."

Huang Su paused for a while and continued: "Considering that the patient's heat enters the camp blood, the patient will inevitably have symptoms of short urination when he wakes up, so he added red poria cocos to clear away heat and diuresis, and induce the heart heat to go down, and finally use licorice as an agent to reconcile all the medicines .At the same time, take Angongniuhuang Pills together to clear the heart and detoxify, and refresh the mind.”

Wang Xinlu handed the prescription to Dr. Liu and said, "Doctor Liu, what do you think of this prescription?"

Dr. Liu took the prescription and said: "This prescription is just right. I have always heard that Dr. Xiao Huang's medical skills are so good. When I saw it today, it really lived up to its reputation."

Dr. Liu handed the prescription to the nurse next to him and said, "According to this prescription, take the medicine and decoct it, and feed the medicine to five patients through nasal feeding."

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(End of this chapter)