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Chapter 17 Five Late and Five Soft

Lu Yan underwent three days of acupuncture treatment and Chinese medicine conditioning.

B-ultrasound showed that the fetus that had stopped developing had shown signs of development again, and Lu Yan's condition had also entered a stable period. The next step was to continue to take the traditional Chinese medicine prescribed by Huang Su for conditioning, combined with acupuncture and moxibustion.

The obstetrics and gynecology department will also conduct regular B-ultrasound examinations to continuously observe the development of the fetus and provide the most intuitive situation for the adjustment of the TCM treatment plan.

After a week's delay, Huang Su brought Na Risong and He Huicai to report to the Pediatric Department.

As soon as the three of them entered the office of the chief of pediatrics, Agudam warmly received them, completely different from the obstetrics and gynecology department's indifferent and eccentric attitude.

"Welcome colleagues from the Department of Traditional Chinese Medicine to transfer to the Department of Pediatrics." Agudam warmly shook hands with the three of Huang Su one by one, and then asked, "How is Lu Yan's condition now?"

Huang Su briefly told Agudamu about the changes in Lu Yan's condition these days and the treatment plan, after all, he may need to use pediatrics in the future.

Agudamu listened quietly, nodding his head from time to time.

"It's good that the condition is developing in a better direction. This is the first case of multidisciplinary comprehensive consultation and combined treatment of traditional Chinese and Western medicine in our hospital. Now the whole hospital is staring at this case. Huang Su, you should be more cautious." Seeing that Huang Su had just entered the hospital, Agudam intentionally mentioned a few words. This kind of thing that would bring fame and fortune, I don't know how many pairs of red eyes are staring behind him.

"Thank you, Director Agudamu." Huang Su could hear the other party's point, and was very grateful in his heart.Then he asked: "Director Agudam, you see we are led by that pediatric doctor."

Agudamu said: "Director Huang's medical skills are obvious to all in the Department of Obstetrics and Gynecology. I will take care of the three of you personally."

"My idea is that during this month, patients with difficult problems in the Department of Pediatrics will be invited to the Department of Traditional Chinese Medicine for consultation."

Huang Su said modestly: "Then I will trouble Director Agudamu from now on."

Agudamu waved his hand and said: "In the future, the pediatric department will trouble Director Huang. Today, there are two difficult patients. Please invite Director Huang to consult with him."

Huang Su didn't expect it to happen so suddenly, so he didn't give him any time to react.

As he spoke, Agudam took Huang Su and the others straight to the outpatient building, and introduced the basic situation of the pediatrics department while walking.

In the past, the pediatric department of the city hospital was only divided into internal medicine, neonatology and pediatric internal medicine.

Isn't it going to be upgraded to a third-class hospital next year? Pediatrics will be more carefully divided, and seven or eight departments will be added, including respiratory medicine, gastroenterology, neurology, urology, and brain medicine, and a group of key doctors will be transferred from the internal medicine department. , Many of the newly recruited doctors today will be added to internal medicine.

Agudamu introduced: "The No.1 patient we consulted today is named Zhang Tao. He is three years old this year. Due to brain hypoplasia, he has mental retardation and mobility problems."

"In the past, the patient was in the Department of Neurology, but now the Department of Pediatrics has added the Department of Neurology and transferred this patient to us. So far we have no good treatment for this disease, so I want to ask Director Huang to look at it from the perspective of the Department of Traditional Chinese Medicine. "

Arriving at the Children's Brain Department, Agudamu knocked on the door, and led the three of Huang Su into the outpatient clinic.

In the outpatient clinic, there was a 50-year-old doctor and a woman holding a little boy in her arms.

The little boy lay quietly in his mother's arms, his head seemed to be limp in front of his mother's chest without support, the corners of his mouth were drooling, and his eyes were looking forward without focus. He was the most curious and active age about the outside world, but The little boy didn't respond at all.

Agudam introduced to the middle-aged doctor: "Doctor Qin, this is Director Huang of the Department of Traditional Chinese Medicine who came for consultation."

Doctor Qin came out from behind the table, enthusiastically held Huang Su's hand and said, "I've heard about Director Huang's medical skills for a long time, and today I finally got to see a real person."

Huang Su said modestly: "Doctor Qin is polite, everyone communicates with each other, I still have a lot to learn."

Doctor Qin introduced to the patient's family: "Mother Zhang Tao, this is Director Huang of the Department of Traditional Chinese Medicine. Let's try to treat your son's disease from the perspective of Chinese Medicine."

Glancing at Zhang Tao's mother, Huang Su saw the shadow of Lu Yan's husband, who was equally numb. The disease devastated not only the patient himself, but also the patient's family members.

Huang Su sat down face to face with Zhang Tao's mother and said, "Zhang Tao's mother, can you tell me about the child's condition?"

Zhang Tao's mother wept and narrated:

"My son developed a high fever on the fourth day after he was born. When he went to the hospital, the doctor said he had jaundice and fever. Not long after the fever and jaundice subsided, the child began to nod and shake his head involuntarily. We didn't pay attention at first, thinking it was because the child was curious. Looking outside. When he was half a year old, the child had frequent convulsions again. He went to many hospitals and said that it was brain hypoplasia, but there was no cure. Until the convulsions disappeared after one year old, we thought the child was fine. But the problem of nodding and shaking his head became more serious, and there was also drooling."

"Last year, my hands turned inward and swayed, and my walking became unbalanced. My neck seemed to have no support, and my head drooped every day. At the beginning of this year, I suddenly couldn't speak again, and other problems aggravated. Now I have become dull. Silly, without any reaction to the outside world. For the sake of our children, we went to hospitals in all big cities, and our savings were exhausted. This time going home is the last effort.”

Based on Huang Su's preliminary observations combined with Zhang Tao's mother's narration, Huang Su roughly judged that the child's symptoms were "five late" and "five soft" in traditional Chinese medicine.

Huang Su took out the pulse pillow and put it on the table: "Mother Zhang Tao, put the child's arm on the pulse pillow, and I will diagnose the child's pulse."

Huang Su stretched out a finger to press the child's Cunguan Chisan.

This method of diagnosis is called the method of one designation and three passes, and it is a pulse-cutting technique for children with short Cunkou pulse.

Pediatrics is very difficult for Chinese medicine. For ordinary doctors, children aged one to three are not suitable for pulse diagnosis. The combination of four diagnostic methods in traditional Chinese medicine is one less diagnosis, and often only the tongue coating can be used to distinguish the disease.

Those who can grasp the pulse of young children are some experienced old Chinese medicine practitioners, because the pulse of infants and young children is different from the pulse of adults.

The pulse condition of normal children is calm, softer and faster than that of adults.The younger you are, the faster your pulse.If calculated according to the normal breathing rate of an adult, the breath rate of a newborn baby is 7-8 minutes, 1-3 years old is about 7 hours, 4-7 years old is about 6 hours, and 8-13 years old is about 5 minutes.If the pulse speeds up due to activities, crying, etc., it cannot be regarded as a sick condition.

For a three-year-old child, Huang Sude's pulse diagnosis was very careful this time, and both siblings took half an hour to diagnose.

Pressing Zhang Tao's Cun Guan Chi is like pressing on the strings of a zither, but the pulse beats thin and weak.

Huang Su looked at Zhang Tao's mother and said, "Mother Zhang Tao, let the child open his mouth, and I'll take a look at the tongue coating."

Zhang Tao's mother took out a lollipop from her bag and shook it in front of the child for half an hour before the child was attracted by the candy and slowly opened his mouth, but only for a short while.

After many times, still the same.

Huang Su had no choice but to take out the tongue depressor and stick it into Zhang Tao's throat.

When Zhang Tao retched and stuck out his tongue, Huang Su quickly checked the condition of his tongue.

A red tongue with no coating is a sign of yin deficiency. The three parts of the tongue represent the heart and lungs, spleen and stomach, kidneys and lower burner intestines, which is a sign of yin deficiency in the viscera.

Huang Su turned to look at He Hui and asked: "I just told you about the 'five lates' and 'five softs' a few days ago, He Hui, please tell me how the 'five lates' and 'five softs' were caused. How to treat."

Five delays refer to delays in standing, walking, speech, hair, and teeth; five softnesses refer to soft head and neck, soft mouth, soft hands, soft feet, and soft muscles, all of which are symptoms of growth and development disorders in children.

In Western medicine, brain hypoplasia, mental retardation, cerebral palsy, rickets, etc., can all be seen as symptoms of five late and five soft.Wuchi is characterized by developmental delay, and Wuruan is mainly characterized by flaccidity, softness and weakness. The two can appear alone or often appear together.

He Hui replied: "The five lates and five softs are caused by congenital deficiencies. We should invigorate the kidneys and consolidate the foundation to strengthen the congenital."

Huang Su explained the child's syndrome to Zhang Tao's mother from the perspective of Chinese medicine: "Zhang Tao's mother, the child is born with insufficient kidney qi, which leads to insufficient brain marrow. I prescribed a prescription for the child to nourish the liver and kidney, calm the liver and calm the wind. Take it for a month and come back for a follow-up visit."

Liver stores blood, kidney stores essence, liver blood is nourished by kidney essence; kidney gets liver blood and essence is filled.When treating the syndromes of "five lates" and "five softs" in traditional Chinese medicine, it is indispensable to nourish the liver while nourishing the kidney qi.

“何慧记方，生紫贝齿60g、生紫石英60g、生石决明30g、珍珠母30g、旱莲草30g，合欢花15g、白蒺藜25g、女贞子25g、蜗牛壳12g、天竺黄12g、胆南星12g、天麻18g、麝香1g。”

Ligustrum lucidum and Eclipta chinensis have the function of nourishing the essence and blood of the liver and kidney, making the essence and blood sufficient and the brain vigorous, and promoting the growth and development of children.Albizia julibrissin Zeng Zhi soothes the nerves, accompanied by musk to resuscitate and refresh the brain, and Tianzhuhuang and Dannanxing are used to clear phlegm to help resuscitate. Zibei tooth, amethyst, raw stone cassia, mother of pearl, and white tribulus are used to calm the liver and relieve wind. Medicine compatibility has the effect of promoting intellectual development.

Ligustrum lucidum and Eclipta chinensis can also be replaced by Eucommia, Shouwu and other medicines, and Albizia julibrissin can also be replaced by calamus, polygala, and Yizhiren.

Huang Su handed the prescription to Zhang Tao's mother and said: "Grind the medicine on the prescription into fine powder, mix it with honey to make honeyed pills, 6g per pill, take one pill in the morning and evening every day, and come back for a follow-up visit after eating for a full month."

After sending away Zhang Tao's mother and son.

Agudam said embarrassingly: "I have to trouble Director Huang and me to go to the inpatient department today to see a patient with hemiplegia.

(End of this chapter)