TCM Gaoyuan

Chapter 173 Gallstones

Huang Wending seemed a little surprised, he asked: "He came here to invite you for treatment?"

Gao Yuan said: "Yes, they will invite me to consult with them when they encounter a disease that cannot be solved."

Huang Wending was even more surprised. After all, he had never encountered such a thing before. When would it be necessary to invite Chinese medicine for a problem that cannot be solved by Western medicine?

But thinking about it again, didn't he just see Gao Yuan's terrible record in the provincial hospital a few days ago.

People are still like this in the provincial hospital, so it goes without saying that it is reasonable to put it in this kind of grassroots county hospital.

Huang Wending nodded, but felt that he was not very strong, he said: "You can't cure any disease, can you?"

Gao Yuan said: "Of course, I am a human being, not a fairy."

Huang Wending said: "Dr. Gao can't solve the disease that requires surgery, right?"

Gao Yuan pondered for a while.

Seeing Gao Yuan's faltering, Huang Wending finally smiled: "That's right, otherwise you wouldn't be so anxious to urge me to get the operating room."

Gao Yuan smiled and nodded to Huang Wending: "You are right."

Huang Wending smiled happily.

Gao Yuan also laughed.

The two followed Joe upstairs.

Qiao Zheng glanced at Huang Wending curiously, but didn't take it to heart. He didn't know this great god, so he said to Gao Yuan, "Doctor Gao, this patient is gallstones..."

"Gallstones?" Huang Wending interrupted in astonishment.

Qiao Zheng looked at Huang Wending, then at Gao Yuan, seeing that Gao Yuan didn't respond, he nodded, "Yes, gallstones."

Huang Wending glanced at Gao Yuan, and then said, "Do you have any symptoms? If you have symptoms, you need to have an operation immediately."

Qiao Zheng was a little surprised. He asked, "Comrade, are you also a doctor?"

Huang Wending nodded and said, "I have learned a little bit."

"A little bit..." Qiao Zheng glanced at Gao Yuan again, he was a little allergic to the word a little bit now.

Gao Yuan said, "Don't worry about him, just talk about yourself."

Qiao Zheng promised: "Okay, when the patient was 6-8 years old, he had pain in the upper abdomen and turned yellow from time to time, and the frequency of attacks was quite high. After that, it happened again in a few months or years. It happened again the year before last, and he was diagnosed with cholelithiasis, and then he went to the market. The hospital performed a cholecystectomy."

"Already cut it?" Huang Wending was a little surprised, originally he thought it was his turn to show it this time.

Qiao Zhengdao: "Yes, he recovered after the operation and was discharged from the hospital. But a year later, he relapsed and went to the city hospital for examination. The x-ray examination diagnosed bile duct stones, and he decided to undergo another operation. But the patient refused, so he used Conservative therapy."

"However, there were three attacks in one year, with upper abdominal pain, fever and vomiting, yellow sclera and skin. During the second attack, it was diagnosed as pericholangitis, and conservative treatment was used. After 11 days of treatment, he was discharged from the hospital. On the third day after I was discharged from the hospital and returned to the county, it relapsed again, worse than the last time."

"Because the situation was serious, I was immediately admitted to our hospital. Our preliminary diagnosis was still suspected of cholelithiasis, so we decided to conduct an exploratory laparotomy. However, the patient was afraid of surgery and was still unwilling to undergo surgery. The conservative treatment did not work well, so I was thinking about it. Please take a look."

Gao Yuan understood the whole process.

Huang Wending also frowned, and said, "Then this patient's condition is very serious, gallstone attacks are so frequent."

Gao Yuan said: "It's been like this since childhood. If you don't start from the fundamental adjustment of your physique and rely on surgery alone, it will only be cut and relapse."

"Hey!" Huang Wending didn't like to hear these words. He said, "You are a bit of an afterthought. How can you treat gallstones without surgery? The best treatment for this disease is surgical resection, and the sooner it is treated , the better the prognosis. As for the recurrence of this patient, I doubt it has something to do with his eating habits and geographical factors."

Gao Yuan was noncommittal and did not argue with him, he said, "Where is the patient, take me to see it."

Joe is taking the two to the ward.

The patient was a 22-year-old young man accompanied by his parents and his new wife.

Qiao Zheng said to Gao Yuan: "This is the patient, and the patient's condition is not very good now."

The patient's father seemed to be some kind of leader, he was dressed very cleanly, he frowned and asked, "This is..."

Qiao Zhengdao: "I invited a doctor of traditional Chinese medicine for consultation."

The patient's father said: "Didn't I say that I only accept consultation and treatment from Dr. Gao Yuan."

Qiao Zheng said helplessly: "This is Dr. Gao Yuan, who just happened to come to the county to do business."

"Oh." The patient's father hurried forward to shake hands with Gao Yuan: "Doctor Gao, you have worked hard."

Gao Yuan nodded: "You're welcome."

Then he pointed aside: "This is Dr. Huang Wending."

Huang Wending raised his head, a little proud. After all, he is a doctor who studied abroad, and he is a well-known figure in the provincial hospital. If he is placed in this kind of rural grassroots, he will be a real dragon.

Unexpectedly, the patient's father simply nodded: "Okay."

Huang Wending was startled: "It's over?"

"What?" The patient's father was also taken aback.

Huang Wending shook his head, a little guilty: "It's okay."

Gao Yuan has already stepped forward to diagnose the illness.

Huang Wending also ran to ask Qiao Zheng about the inspection and laboratory report.

Gao Yuan's diagnosis revealed that the patient had abdominal pain, yellow sclera, dark yellow urine, diarrhea, indigestion, slippery pulse, dark red tongue, white fur, red cheekbones, slightly blue nose bridge, and red lips.

"The pulse and syndrome are all solid." Gao Yuan read softly, looked at the patient's appearance again, and said, "Yanghuang."

Huang Wending came over after reading the materials. He also checked the patient's condition and asked Gao Yuan: "Doctor Gao, how does Chinese medicine treat gallstones?"

Gao Yuan replied: "Cholelithiasis is not a disease name in traditional Chinese medicine..."

Huang Wending showed a smile: "It seems that this time, Dr. Gao needs my help?"

Everyone was stunned.

The patient's father was also taken aback, and asked Huang Wending: "Sorry, I haven't asked for advice yet, who are you?"

Huang Wending cleared his throat, he always felt that it would be more reasonable for someone to introduce him here, but now there is no one, so he can only speak by himself, he said: "My name is Huang Wending, and I am the chief doctor of the Provincial Hospital. I am currently in Zhangzhuang The health center supports grassroots medical work."

Hearing that it was a great expert from the provincial hospital, everyone in the ward was in awe.

All the family members of the patient stood up.

Qiao Zheng was also stunned for a while, and then he looked at Gao Yuan, and couldn't help admiring him. Doctor Gao is Doctor Gao, and the countryside and the countryside can recruit such great experts, which is not the case in their counties.

"Hello, hello." The address of the patient's father changed immediately, and he shook hands with Huang Wending as soon as he came up.

Huang Wending also smiled and rolled his eyes when he saw that he was arrogant and respectful, and then glanced at Gao Yuan again.

The patient's father was very polite, with a flattering smile on his face, he said: "Expert Huang, Director Huang, we are really lucky this time, to have met a great expert from the Provincial Hospital."

Huang Wending was also very useful, so he said, "You are being polite."

The patient's father kept his attitude very low, "Then you have worked so hard to help my son find a way. How do you think my son should be treated now?"

Huang Wending replied without thinking, "Of course it's an exploratory laparotomy and surgical treatment."

The patient's father froze slightly, then shook off Huang Wending's hand, turned his head and said seriously to Gao Yuan: "Doctor Gao, in fact, we believe in Chinese medicine even more."

"Hey!" Huang Wending was dumbfounded.

(End of this chapter)