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Chapter 14 Traditional Chinese Medicine and Western Medicine Cooperative Treatment of Habitual Abortion

Today is the day when the Department of Traditional Chinese Medicine is about to transfer to another department. Huang Su came to the hospital half an hour earlier.

When he walked to the entrance of the outpatient clinic of the city hospital, a man was squatting on the steps of the outpatient entrance, his eyes were numb, staring straight ahead without converging, and slowly smoking a cigarette between two fingers at the same frequency.

Huang Su just glanced lightly, walked past the man and walked into the hospital.

It's not that Huang Su is hard-hearted. He has practiced medicine for more than 20 years, and he has seen too many such things.

The hospital is a place where all kinds of sufferings in the world are gathered. Birth, old age, sickness, death, desirability, resentment and hatred, and love and separation are staged every day.

Walking into the outpatient clinic of the Department of Traditional Chinese Medicine, I saw Na Risong and He Hui cleaning the room.

Huang Su walked to the hanger, picked up his white coat and put it on.

Suddenly the door of the Department of Traditional Chinese Medicine was pushed open heavily, and the door hit the wall with a loud crash.

Huang Su looked back, Yan Bing hurriedly opened the door, with an anxious face.

"Director Huang!..."

During the month of being together, Huang Su saw the calm and rational Dr. Yan lose his senses for the first time, and hurriedly asked: "Doctor Yan, don't worry, talk slowly if you have anything to say."

Yan Bing adjusted his breathing: "I have a very troublesome patient with recurrent miscarriage, and he was hospitalized again today. I would like to ask Director Huang to see how to treat this patient from the perspective of Chinese medicine."

Habitual abortion refers to three or more consecutive spontaneous abortions called habitual abortion.Each miscarriage often occurs in the same month of pregnancy, and the miscarriage process is the same as that of general miscarriage.

According to the time of habitual abortion, it is divided into early habitual abortion or late habitual abortion. It is called early before twelve weeks and later called late.

Yan Bing briefly introduced the patient's medical records.

Lu Yan, female, 29 years old, was the first patient received by Dr. Yan. In seven years, four consecutive fetuses died in the uterus when the fetus reached the sixth month of development. The obstetrics and gynecology department has not found the reason so far.

The previous year's first child lasted until seven months, and the obstetrics and gynecology department performed a forced caesarean section, but the baby unfortunately died of bacterial infection because of his weak body and poor resistance.

"Last year, our doctors and patients worked so hard, but in the end we still couldn't keep the baby. I still can't forget the hopeless and numb eyes of Lu Yan and his wife when they heard that the baby had died."

When telling Lu Yan's medical history, Yan Bing, who has always been known for his calmness, lost the plainness of life and death that doctors have long been used to, and spoke with trembling voices several times because of emotional excitement.

Listening to Yan Bing's narration, Huang Su's mind came up with the man squatting at the door of the outpatient clinic smoking a cigarette at work.

"Doctor Yan, what is the patient's condition now?"

Yan Bingdao: "I have irregular contractions in the six months of pregnancy, and I am about to send her to B-ultrasound for examination."

"Doctor Yan, go to the B-ultrasound room and wait for me first. The three of us are going to be transferred to the Pediatrics Department today. I need to inform the Department Director of the Pediatrics Department first."

The three of Huang Su and Yan Bing walked out of the Department of Traditional Chinese Medicine, and Huang Su quickly ran to the hospital.

Walking to the office of the director of the Department of Pediatrics at the inpatient department, Huang Su calmed down and knocked lightly on the door.

"Please come in!"

Seeing Huang Su push the door in, the director of Pediatrics, Agudamu, warmly held Huang Su's hand and said, "Welcome colleagues from the Department of Traditional Chinese Medicine to transfer to the Department of Pediatrics."

Seeing that there was only Huang Su alone, Agudam asked, "Why did Director Huang come here alone, and where are the other two doctors from the Department of Traditional Chinese Medicine?"

"Director Agudam, I may come to the Pediatrics Department two days late."

Huang Su told about Yan Bing looking for her.

"That's not a problem." After Agudam agreed very readily, he continued: "I also know this patient. The patient is also an acquaintance of the city hospital. Our pediatrics department also participated in the treatment the year before last, but it is a pity that the child was not saved in the end. "

"This is a hard-fated couple. If it were an ordinary man, they would have divorced a long time ago." Agudam thought for a while and agreed: "It is a good way to treat with the idea of ​​Chinese medicine. If this child can be born smoothly, It can not only fulfill this loving couple, but also relieve Dr. Yan's heart disease. Don't worry, I will go and talk to the dean about it."

Huang Su walked out of Agudam's office gratefully, and ran directly to the B-ultrasound room.

Agudam walked to the highest-level dean's office.

Knocked on the door, entered the dean's office, and saw that Director Li of the hospital office was reporting to the dean.

Dean Brigud asked, "Is there something wrong with Director Agudam?"

Agudam told about Huang Su's matter.

While Buzhigude was meditating, Director Li of the hospital office said excitedly: "It's a good thing for the dean. No one in the city hospital knows what happened to Lu Yan. It has become a chronic disease in the hospital. The child almost survived last year." Well, this time, if the baby can be born successfully under the joint treatment of Director Huang and Dr. Yan, this is the first case of cooperation between Chinese and Western medicine in our hospital. As long as we do a good job of publicity, it will be of great benefit to our hospital's rating next year .”

Dean Buzhigude said: "There is no rush to publicize, it still depends on the follow-up treatment effect."

Director Li of the hospital office then flattered him, "It's because I'm too impatient, or because the dean is thoughtful."

Buzhigude looked at Agudam and said, "Director Li, please call Director Liu from the Department of Obstetrics and Gynecology. Let's take a look at the patient together."

B ultrasound room.

Huang Su walked into the B-ultrasound room, and saw Yan Bing holding a pregnant woman's hand tightly with both hands, accompanying her for the examination, his expression was more nervous than that of a pregnant woman, like a pair of sisters.

In Huang Su's impression, Dr. Yan is a person who is intellectually cold and never involves personal feelings in his work.

But what happened today changed Huang Su's impression of Yan Bing drastically.

Seeing Huang Su coming in, Yan Bing explained: "The fetal heart rate is weak at 110 beats per minute, and the uterine contraction has been shortened to once every 5 minutes. The blood oxygen content of the pregnant woman is low, and the fetus is hypoxic. We are going to send the patient to Enter the ward to inhale oxygen, and then inject progesterone to prevent contractions.”

"Doctor Yan, you must save my child. If there is another miscarriage this time, my mother-in-law will force Zhang Cheng to divorce me."

Lu Yan held Yan Bing's hand tightly, two lines of unwilling tears fell from the corners of her eyes, and the eyes looking at Yan Bing were full of longing and begging.

Yan Bing felt the strength in Lu Yan's hand, stretched out the other hand and patted the back of her hand to comfort her: "Lu Yan, this time I invited Director Huang from the Department of Traditional Chinese Medicine, this time we will be able to keep this child together. You must have confidence in yourself."

At this time, a person walked into the B-ultrasound room, Huang Su turned his head and took a look. It was the man squatting at the door smoking in the morning.

The man walked up to Yan Bing and asked without any emotion in his tone: "Doctor Yan, how should I treat you this time?"

Yan Bing said: "Go through the hospitalization procedures first, then take progesterone to suppress the contractions, and inhale oxygen to solve the problem of fetal hypoxia."

After the examination, Lu Yan was sent to the general ward with an oxygen mask on her face. When injecting progesterone, she also injected 25% glucose solution intravenously to supplement the nutrition and sugar of the pregnant woman.

The man went into the ward after completing the hospitalization procedures.

Yan Bing pulled Huang Su to the man and introduced: "Zhang Cheng, this is Director Huang of our hospital's Department of Traditional Chinese Medicine. This time we are going to use a combination of Chinese and Western medicine to protect the fetus in your wife's womb."

The man still had an expression on his face, like a robot asking without a trace of emotion: "How does Director Huang plan to treat you?"

Huang Su could understand the man's lukewarm tone, and having experienced many times of despair, now he did not dare to hope for a miracle, fearing that the greater the hope, the greater the disappointment.

"I check the patient's pulse first before I can determine the next treatment plan."

Huang Su walked to Lu Yan's side and carefully observed her condition. The pregnant woman was thin and frail, making her six-month-old belly look extraordinarily large. Her complexion was pale and dull, and her lips had no blood color. Is a malnourished patient with pot belly disease.

Then, I sat down in front of the bed, first took Lu Yan's right arm for six to seven minutes, and then took the left arm for another six to seven minutes.

Huang Su took a deep breath and re-examined the two arms again. The three fingers were like playing the piano between Lu Yan's inches, and the fingers kept tilting and pressing to switch back and forth, which took a full half an hour.

Because Lu Yan's pulse condition is extremely complicated, Huang Su adopted a more accurate pulse comparison method to diagnose the pulse.

The pulse-taking method is different from the three-finger method taught in schools.

In the method of pulse comparison, the left and right comparisons can be used to compare the pulses in sections.This is the central part of syndrome differentiation of viscera.Press the same pulse on the left and right with the same fingers and the same force in both hands (lift the fingers of the other two parts slightly), first inch, then close, and then press the ruler. Each part should be lifted, pressed, and searched. By comparing and analyzing left and right, we can discover the diseased viscera and grasp the etiology and pathogenesis.

Its diagnosis method is more complicated and difficult to master, and most of the pulse diagnosis methods are in the hands of medical families.

It just so happened that Huang Su's master, Zhang Bin, was a family doctor of traditional Chinese medicine, so he passed on the method of pulse tracking to Huang Su's mentor, Chen Jingshan. Integrate.

Huang Su slowly lowered the patient's arm. Lu Yan's pulse was fine at two feet, soft at the left, especially at the foot, and weak at the right. , the pulse comparison method can diagnose the details of the pulse conditions of Cun Guan Chi.

The left inch represents the heart and small intestine; the right inch represents the lungs and large intestine; the left Guan represents the liver and gallbladder; the right Guan represents the spleen and stomach; the two chi represents the kidney and the triple burner.

Moistening the veins governs all deficiencies, which are two injuries of essence and blood, and deficiency of yin cannot maintain yang.Thin veins are caused by deficiency of both qi and blood. Deficiency of ying and blood cannot fill the channels, and insufficiency of qi will not be able to agitate the blood to run, so the pulses are small and weak. Stringy pulses are mainly associated with liver and gallbladder diseases, phlegm retention, pain syndrome, malaria, and air blockage. stagnation, discord between yin and yang.

It can be said that Lu Yan has both qi and blood deficiency, spleen deficiency and heavy dampness, and her kidneys are both essence and blood injuries. The congenital damage has been caused, and the acquired congenital deficiency makes it impossible to conceive a fetus, and there is a risk of miscarriage and stillbirth.

(End of this chapter)