TCM Gaoyuan

Chapter 114 Myasthenia Gravis

Myasthenia gravis is the name of the disease in Western medicine, and it is a disease of the immune system.The condition can range from mild to severe, and a sign of seriousness is dyspnea. Once the respiratory muscles are involved, there is a myasthenic crisis, which is very life-threatening.

Just now I heard the fourth son Yan said that Yan Zhi had difficulty breathing and swallowing, Gao Yuan and Shen Congyun also became nervous.

"Go and have a look." Shen Congyun anxiously ran to the front.

Gao Yuan also followed quickly.

As soon as they opened the door, they saw Yan Zhi lying on the bed, with two children, Yan Kuan and Yan Ren, serving beside him.

The two children looked over, and when they saw Shen Congyun, they were also startled.

"Why are you here?" Yan Kuan frowned and looked at Shen Congyun.

"I...I, I..." Shen Congyun suddenly stammered.

Yan Ren looked at his father, then lowered his head again, he didn't say anything harsh, but he didn't want to say much either.

"Who asked you to come?" Yan Kuan was a little aggressive.

Shen Congyun was at a loss and could only look at Gao Yuan for help.

Gao Yuan said, "We are here to treat your mother."

Yan Kuan stared at Gao Yuan and asked, "Who are you?"

"Don't be rude to Doctor Gao." Yan Qiao walked out.

"Grandpa." Yan Kuan and Yan Ren stood with their hands tied.

Yan Qiao said with a straight face, "Apologize to Doctor Gao."

Gao Yuan said: "No need, there is no conflict."

"Huh?" Yan Qiao stared at the two grandchildren.

"I'm sorry, Doctor Gao."

"I'm sorry." Even Yan Ren, who didn't speak, apologized to Gao Yuan.

Gao Yuan looked at the performance of the two, and then looked back at the rest of the Yan family. He knew that the life of these two boys in the Yan family should not be very easy.

Now that the treatment is the most important thing, Gao Yuan can only put these things down first, he said: "Let me see the patient first."

Yan Kuan Yan Ren stepped aside.

Gao Yuan stepped forward to check and found that Yan Zhi looked tired and his right eyelid drooped severely.

"Xiaozhi, Xiaozhi." Shen Congyun stepped forward and called twice.

Yan Zhi's eyeballs rolled slightly, but they didn't stop, as if they couldn't focus all the time.

Gao Yuan observed this detail keenly, and he knew it was double vision.

Yan Zhi opened his mouth with difficulty, but no sound came out.

Shen Congyun said: "Her throat is full of phlegm."

Gao Yuan frowned, and seeing the other party's difficulty in breathing, he said: "No, I have to send it to the county hospital immediately, and I need to inhale oxygen and sputum in time."

"County hospital? This..." The second child of the Yan family hesitated.

But Gao Yuan scolded: "What time is it, you are still playing sectarianism! Yan Kuan Yan Ren put your mother on your back and set off now."

How dare Yan Kuan and Yan Ren, their status in the Yan family is very low, at this moment, the two of them can only look at Yan Qiao nervously, expecting, but not daring to reveal their expectations.

"You..." Second Yan got angry after Gao Yuan said a few words.

In the past, if Gao Yuan dared to speak like this, he would have been besieged by the Yan family, but now the relationship between Gao Yuan and the Yan family is different.

However, Yan Qiao scolded the two boys Yan Kuan and Yan Ren: "What are you two doing blankly, are you deaf? Didn't you hear what Doctor Gao said?"

"Oh oh oh." The two hurriedly agreed, and hurriedly picked up their mother and ran out quickly.

……

County Hospital.

Dr. Qiao Zheng also showed surprise. The Yan family is the largest family of traditional Chinese medicine in the county, and they have been competing with the county hospital. They will not send their own patients to the county hospital, even if they need help from western medicine. It is usually sent to the city.

"What's the situation?" Qiao Zheng asked Gao Yuan.

Gao Yuan said: "The Yan family has a myasthenia gravis patient who needs to be treated with you."

Qiao Zheng nodded, then gave Gao Yuan a thumbs up, and said, "Doctor Gao, your face is getting bigger and bigger now."

Gao Yuan just shook his head.

Yan Zhi was sent to the ward, and the doctor from the county hospital came to check.Because they are members of the Yan family, many doctors from the county hospital came to watch the excitement.The Yan family was a little embarrassed and embarrassed, and Yan Qiao even closed his eyes.

Listening to the whispers of the people next to him, Yan Qiao's veins throbbed, and he kept silently saying: "For the child, for the child."

Miao Ran came to the hospital for the physical examination. She looked at Yan Qiao, who had her eyes closed. Fortunately, this woman with a strong fighting capacity didn't pick anything at this time. She came and did the physical examination for the patient directly.

Body temperature: 36.6 degrees, pulse 80/min, blood pressure 140/80.Chronic disease appearance, mental fatigue, automatic posture, drooping right eyelid, flexible eye movement, sputum and salivary secretions in the mouth, soft and weak neck, low and dull heart sounds, no pathological murmurs heard in each valve area, clear breath sounds in both lungs, no Wet and dry rales were heard, liver and spleen were not palpable, mild percussion pain in both kidneys, weakness in limbs, and tendon reflexes existed.

Western medicine diagnosis is myasthenia gravis (delayed severe type), high blood pressure.

Gao Yuan also went forward to make a diagnosis. The patient had a pale and fat tongue, thin yellow fur, deep and thready pulse, weakness of limbs, shortness of breath, and difficulty in swallowing.Diagnosed as flaccidity, atmospheric depression.

Gao Yuan discussed with Qiao Zheng, and it was confirmed that it was a myasthenia gravis crisis.

Qiao Zheng's expression also became serious, and he was completely gone from the excitement that the Yan family sent the patient to ask for help before. He said: "We must send it to the city hospital as soon as possible. Our side may not be able to take care of it well. It's dangerous."

As soon as these words came out, the two children, Yan Kuan and Yan Ren, became nervous first.

Yan Qiao also frowned.

Shen Congyun anxiously said to Gao Yuan: "Doctor Gao, think of a way."

Gao Yuan pondered for a while, and said, "Well, let's treat together first and see if we can control the disease."

"Okay." Qiao Zheng immediately agreed. He has cooperated with Gao Yuan many times and they trust each other. He asked, "Then how does Doctor Gao plan to treat myasthenia gravis crisis? This immunity The disease is difficult to cure, let alone a crisis."

Gao Yuan glanced back at Yan Qiao, of course he knew that the disease was not curable, otherwise the Yan family had already cured Yan Zhi, so how could it have dragged on to such a serious state.

Gao Yuan pondered for a while, and said: "Myasthenia gravis belongs to deficiency and damage in traditional Chinese medicine. "Su Wen·Tai Yin Yang Ming Lun" once said, "Spleen disease and limbs are not used, why?" Qi comes from the stomach, but cannot reach the meridian, it must be due to the spleen, and it must be endowed. Today, spleen disease cannot supply body fluids for the stomach, and the limbs cannot send water and grain qi. The qi is declining day by day, the veins are unfavorable, and the muscles, bones, and muscles are unable to move. Health, so don't use it.'"

"So as early as in the Yellow Emperor's Internal Classics, it was mentioned that limbs are not used. Weakness and weakness are caused by spleen disease. The spleen does not flow its body fluid for the stomach, and the insufficiency of qi and blood causes muscle lesions. This TCM theory is similar to that of myasthenia gravis. The clinical manifestations are very consistent, so the treatment of this disease in traditional Chinese medicine is generally based on regulating the spleen and stomach."

(End of this chapter)