Under, Chinese medicine flavin

Chapter 15 Fake True Love

Brigud walked into the ward with Director Liu of the Department of Obstetrics and Gynecology, Director Agudamu of the Department of Pediatrics, and Director Li of the hospital office.

As soon as he entered the ward, Brigud asked directly, "What is the patient's condition now? Dr. Yan, you are the doctor who treats the patient, so you come and talk first."

Yan Bing introduced today's examination results and treatment plan to Briggood in detail.

Briggood asked Liu Huiying, the director of obstetrics and gynecology beside him: "Director Liu, you are the director of obstetrics and gynecology. Can you tell me about Dr. Yan's treatment plan?"

Liu Huiying replied: "Dean, first use drugs to suppress contractions and prevent miscarriage. Is there any problem with Dr. Yan's treatment plan?"

Buzhigude looked at Huang Su and asked, "Director Huang, what do you Chinese medicine practitioners think of this patient and how do you treat it?"

Huang Su replied: "The patient's pulse conditions are all deficiency syndromes, and there is a risk of miscarriage. First, protect the pregnancy and then consider the follow-up Chinese medicine to regulate the body. I am going to use Taishan Panshi Decoction to protect the pregnancy."

Taishan Panshi Decoction is a tonic, which has the effects of nourishing qi and invigorating the spleen, nourishing blood and preventing miscarriage.Indications of deficiency of qi and blood and deficiency of fetal element.Symptoms include women with restless fetal movement, pale complexion, fatigue, lack of appetite, pale tongue, slippery or weak pulse, or those who have a history of repeated abortions.

“党参15g、生黄芪25g、炒白术15g、当归身20g、酒白芍15g、淡黄芩10g、川芎7.5g、川断15g、砂仁4g、阿胶珠15g、炙甘草10g，先服五剂，再根据治疗效果考虑是否进行下一步治疗。”

After Burggood nodded to express his understanding, he said impassionedly: "I have seen an advanced treatment model called MDT multidisciplinary joint consultation in medical journals. I think we might as well learn from it boldly!"

"The joint consultation of obstetrics and gynecology, pediatrics, and traditional Chinese medicine is led by director Liu, director Agudamu, and director Huang. We not only need multidisciplinary joint consultation, but also combined treatment of traditional Chinese and Western medicine."

Briggood pointed to Director Li and said: "If you have any needs, you can directly apply to Director Li, and Director Li will guarantee the supply of this consultation throughout the whole process."

Afterwards, Briggood held Lu Yan's husband's hands enthusiastically and said, "On behalf of the city hospital, I guarantee that the most advanced medical equipment and the most powerful doctor team will be used to treat your wife."

Zhang Cheng said calmly, "Thank you!"

Seeing the indifferent reaction of the patient's family members, Briggood's face convulsed, and he left the ward with the three directors.

Huang Su asked: "He Hui, have you written down the prescription I said?"

He Hui handed the prescription to Huang Su and said, "Director, I wrote it down."

Huang Su handed the prescription to Lu Yan's husband and explained the precautions for taking the medicine.Walk out of the ward with Dr. Yan.

At noon, the canteen of the city hospital.

Huang Su, Na Risong, and He Hui finished their meal, sat together and talked about today's patient.

He Hui asked: "Director, what is the cause of today's patient's illness?"

"Judging from the pulse condition, the patient's congenital qi is insufficient, the acquired qi is insufficient, the qi and blood are weak, the fetal element is not solid, and it cannot nourish the fetus, which leads to signs of miscarriage." Huang Su explained while explaining to the two. The knowledge of Chinese medicine is treated as case teaching.

"Lingshu·Determination Qi Chapter" says: "Two gods fight each other and form together. Mr. Chang's birth is called essence." Obviously, innate refers to the essence of "two gods fighting each other" from his parents.It is the source of human life, and the innate essence is just stored in the kidneys. Because the essence of the kidneys is full, it has the ability to reproduce.

Therefore, it is said that the kidney is the place where the innate vitality is located. A strong body is called "innate sufficiency", while a weak body is called "innate deficiency".

Huang Su said: "The patient is unable to conceive a fetus because of congenital deficiencies. Others, such as 'five late' and 'five soft', are all related to congenital deficiencies. They often get good results by treating the kidneys, so the kidneys are called the 'innate foundation'." .”

"Suwen Meridians" said: "Drink into the stomach, overflow the essence, and transfer upward to the spleen, dissipate the spleen essence, return upward to the lungs, regulate the water channel and transfer downward to the bladder, the water essence is distributed in four directions, and the five meridians run in parallel."

In short, the spleen is the source of acquired nutrition for digesting food and absorbing water and grain essence to nourish the whole body.Therefore, the spleen is called "the foundation of acquired constitution" and "the source of Qi and blood biochemistry".

Zhang Jingyue, a great master in the Ming Dynasty, said: "The beginning of human life depends on the source of essence and blood; the life of human beings depends on the nourishment of water and grain. Without essence and blood, there is no foundation for a three-dimensional body, and without water and grain, there is no strength to form. It is governed by the gate of life, and water and grain are governed by the spleen and stomach, which originally depends on the innate as the master, but the sea of ​​essence and blood must rely on the acquired capital."

Huang Su said: "Congenital deficiencies lead to the development of the fetus to a certain extent. The innate qi is no longer able to support the development of the fetus. The day after tomorrow, due to the weakness of the spleen and stomach, it is impossible to take in sufficient nutrients. In addition, the blood deficiency cannot transmit nutrients. Naturally, it is impossible to conceive the fetus. Nutrition supply Insufficient fetal development will slow down or stop developing, and in severe cases, fetal death will occur.”

Na Risong and He Hui listened carefully to Huang Su's explanation, Yan Bing walked to their table with the food and sat opposite to Huang Su.

When Risong saw this, he secretly touched He Hui, and the two of them carried the lunch box together in a tacit understanding, and quietly moved to another place, leaving a space for them to be alone.Take a peek at the situation here from time to time.

Seeing that Yan Bing had been eating without talking, Huang Su asked without words: "How are you going to treat him next step?"

Dr. Yan swallowed the food in his mouth, put down his chopsticks and sighed authentically: "The contractions are under control for the past two days, and the next step is to supplement the nutrition that can support the development of the fetus."

Huang Su continued to ask: "I see that the patient's complexion is pale and dull. Has she always been like this?"

Dr. Yan said: "No, when the fetus develops to 24 to [-] weeks, she will have nutrition that cannot keep up with the development of the fetus. No matter how we supplement nutrition, it will not be able to support the development of the fetus. Every time it will be [-] weeks The phenomenon of malnutrition and stillbirth occurred during the period of time. So far we have not found the reason for this phenomenon.”

As he spoke, Dr. Yan looked at Huang Su and asked, "Do you Chinese medicine practitioners have any explanations for this phenomenon?"

Huang Su explained to Dr. Yan again what he had explained to Na Risong and He Hui, and then said: "After conserving the baby, the most important thing is to strengthen the spleen and kidney. If the spleen and stomach are not changed, the spleen and stomach will always be weak, no matter how much nutrition you eat. Even fines can’t be transported, instead they will become waste fluid and accumulate in the body, making the condition worse.”

"If the kidney is not strengthened and the congenital is restored, even if the baby is born smoothly, it will be congenitally deficient and weak. If the patient came a few months earlier, he would be fine. Now we can only do our best."

I don't know if she can understand the theory of innate qi and acquired qi in Chinese medicine.

After listening to a lot of classical Chinese articles about Hu Zheye, Yan Bing concluded: "You still mean malnutrition."

Huang Su was like a chicken talking to a duck, saying helplessly: "You can understand it however you like."

Yan Bing asked again: "Then how do you plan to treat it?"

Huang Su said: "Today is just a pulse diagnosis. After saving the fetus, we will invigorate the spleen and strengthen the kidney, nourish both qi and blood, so as to strengthen the innate, and use the innate to feed back the future."

After talking about the illness, the two people who were not familiar with each other fell into an embarrassing situation with nothing to talk about for a while.

Huang Su had no choice but to ask, "Is Dr. Yan a native of the grassland?"

Yan Bing said: "That's right. My ancestral home is in Zhejiang Province. My grandfather was a soldier of the Jiansheng Corps. Later, he took root in Mengjiang."

The Mengjiang Production Corps was established in 8. It came from a part of the North China Land Reclamation Corps. At its peak, the number reached [-] to [-]. Now many Han people living in Mengjiang are children of the Construction Corps.

The two ate and chatted until the end of the lunch. Although the two had worked together for more than a month, they really knew each other today.

After lunch, the three of Huang Su bid farewell to Dr. Yan.

A little worried about the patient, Huang Su walked to the inpatient area alone.

When he was about to enter the ward, Huang Su stopped in his tracks.

Through the glass on the door, Huang Su saw that Zhang Cheng was feeding Lu Yan one bite at a time, and stroked her long, broken hair in front of her from time to time, for fear that the food soup would stick to her hair.

Every time he feeds a mouthful, Zhang Cheng will carefully blow it for a while, for fear that the too hot food will scald his wife.

Every time food residue stuck to his mouth, Zhang Cheng would wipe it gently and carefully.

When Huang Su was immersed in this warm moment, suddenly his nose smelled a faint fragrance of jasmine.

Yan Bing's voice came from behind: "It has been seven years, and several doctors in the obstetrics and gynecology department have given up. Do you know why I have been working hard for seven years and have not given up? Not only because Lu Yan was the first patient I handled, but also Because they never gave up on each other no matter what kind of despair they faced. But after hearing what Lu Yan said today, I know this is the last chance."

The plain narration paused for a long time, and Yan Bing's trembling begging came from behind Huang Su.

"Huang Su, you Chinese medicine practitioners are my last hope now, I beg you, I beg you and me to try one last time."

Huang Su's heart trembled for a moment, she nodded heavily and said, "I will."

This was the first time Yan Bing called Huang Su's name since the two met.

(End of this chapter)