TCM Gaoyuan

Chapter 287 Typhoid Fever

"Dean, come and take a look." Li Shengli brought Gao Yuan over.

Gao Yuan frowned and asked, "Where is the patient?"

Li Shengli said: "I was afraid that he would run away, so I took him to the ward first. Of course, the hospitalization procedures have not yet been completed."

"Yeah." Gao Yuan nodded: "What's the patient's symptoms now?"

Li Shengli said: "Sudden onset of high fever, sweating, headache, nausea and vomiting, and abdominal pain and diarrhea. You told me before that if you have relevant symptoms, you must be notified in time, so I came here quickly."

"Okay." Gao Yuan agreed.

Li Shengli asked again: "Dean, what kind of disease do you suspect this is?"

Gao Yuan frowned and said, "It may be typhoid fever."

Li Shengli was stunned for a moment: "Typhoid fever? Haven't we been vaccinated against typhoid fever all this time?"

Gao Yuan said: "That's right, that's what we're defending against. I'm afraid that the enemy has already attacked."

Li Shengli's expression became serious, and he asked, "Is this disease very serious?"

Gao Yuan said: "Typhoid fever is the name of the disease in Western medicine. After the typhoid bacillus enters the body, it also flows to various organs along with the blood. Generally speaking, the lymph nodes on the wall of the small intestine will swell, and if it is serious later, it will be necrotic, crusted, and ulcerated. There could even be bleeding and perforation. Once you get to the point of bleeding and perforation, it's a real life-threatening situation."

Li Shengli tensed immediately: "Then is this disease curable?"

Gao Yuan said: "If it is well cured, then this disease will not be terrible. So far there is no special specific drug for treatment, and the effect of antibiotic treatment is also very poor. This bacteria is very resistant to drugs."

Li Shengli asked again: "What about our Chinese medicine practitioners?"

Gao Yuan replied: "Generally, it is treated according to dampness and temperature, but there are exceptions in some cases. This disease is very confusing, and it is easy to misdiagnose. Once the misdiagnosis is wrong, the treatment effect will be very poor. The seriousness rate and death rate are quite high, so don’t be careless.”

Li Shengli nodded cautiously: "Fortunately, the most difficult time has passed now, and the supply of medicinal materials has also come up. If it is still the same as before, it will be a big trouble."

Gao Yuan was a little noncommittal, he said: "Victory, you have to remember one thing. No epidemic can be eliminated by drugs."

Li Shengli was startled: "What do you mean?"

Gao Yuan said: "Medicine treatment is just a last resort. It is the helplessness of having to spit out the snot already in the mouth. Thieves can never be caught. The key is to plug the leaks in the room and change the consciousness of the whole society." Form can be cured."

"Ah..." Li Shengli became even more confused after hearing this.

Gao Yuan pushed him: "Hurry up, go to the doctor, stop talking nonsense."

Li Shengli could only suppress his doubts, and the two went to the ward.

Inside the ward was a young couple. Gan Jing stood guard at the door. Both of them were a little stunned and a little scared. This posture always made them feel that they had been locked up.

"Teacher." Seeing Gao Yuan coming, Gan Jing hurriedly greeted Gao Yuan.

"Okay." Gao Yuan nodded, then looked inside.

"Doctor Gao." The patient's wife called out first.

Gao Yuan said: "Hello, don't be nervous, they may not have enough experience with this disease, so let you stay here first and ask me to come and see."

"Okay, okay." The patient's wife agreed. Of course they knew Gao Yuan's name, so they had a relatively high degree of trust in Gao Yuan.

Gao Yuan stepped forward.

The patient turned his head blankly and said, "Gao... Doctor Gao is here."

Gao Yuan frowned slightly, the patient's expression was dull and his reaction was very slow.

The patient's wife said: "My man has been sick for several days, but he hasn't recovered. He should be suffering now. He doesn't like to talk or talk to people."

Gao Yuan asked, "How long have you had the fever?"

The patient's wife said: "It's been five days. At first we thought it was just a cold. Who knew that the body temperature was getting higher day by day, and people were not feeling well. The health workers in the team couldn't see it, so they sent us to the health center. "

"Stairway fever." Gao Yuan said in a low voice, and then said, "Sit down, and I'll diagnose it for you."

"Huh?" The patient turned his head in a daze.

The patient's wife said: "Did you hear that, I'll let you sit over there, and Doctor Gao will show you."

"Gao... oh..." The patient came over and sat down.

Seeing the patient's performance, Li Shengli and Gan Jing also frowned.

Gao Yuan continued to diagnose and found that the patient had fever, dizziness, slight sweating, or soreness.There are 5-6 rose-colored rashes on the front chest, one of which becomes herpes.Throat congestion, swollen tonsils.There are not many whites revealed on the neck and chest, and the state is like crystal.

The pulse condition is soft and slow, and the tongue coating is thin and greasy.

After the diagnosis, Gao Yuan stood up.

Li Shengli was also very aware of Gao Yuan's habits, seeing that he had finished his diagnosis, he hurriedly asked, "Dean, is this typhoid fever?"

Gao Yuan looked back at him: "Typhoid fever is the name of a disease in Western medicine. You must remember that you must not be obsessed with the name of the disease, and you must not start messing up the name of the disease when you see related symptoms, and start taking medicine according to the name. In this way, the probability of misdiagnosis and mistreatment is very high. It's going to be big."

"Oh." Li Shengli agreed.

Gao Yuan glanced at the sluggish patient again, and said, "Therefore, I didn't go to the relevant experiments of Western medicine as a basis, but the high probability should be typhoid fever. However, whether it is the name of the disease or not, it will not affect the diagnosis and treatment of Chinese medicine."

"You have to remember that there are only twelve words in the treatment of traditional Chinese medicine, 'observe the pulse and syndrome, know what is wrong, and treat it according to the syndrome'. You must carefully judge and differentiate the syndrome. Of course, the name of the disease has great value in summarizing the disease, but the typhoid fever Symptoms are very similar to other diseases, so it is easy to misdiagnose and mistreat.”

"So you must not have preconceived ideas, and you can even put aside the concept of the disease name, first judge what the disease syndrome is, which classics have been committed, and the disease has evolved to various stages, and then treat according to the disease syndrome, so that the deviation is not big gone."

Both Li Shengli and Gan Jing nodded seriously, expressing that they remembered.

Gao Yuan said: "Let's talk about the patient again. This patient is a typical damp-warm disease, with damp-heat stagnant steam. You can see that he has whites on his body. Whites are mostly seen in damp-heat syndrome. They appear on the skin of the neck and chest, showing white small The particles are crystal clear and contain water, which is a unique syndrome of damp-heat syndrome. Coupled with other diagnoses, it can be definitely judged to be damp-heat syndrome."

"Of course, we can also use the feature of whiteness to analyze the changes in the condition. Whiteness has come out, which proves that there is a chance for evil spirits to leak out. If the particles are full and crystal-colored, it means that the righteousness is still sufficient and the body fluid is not damaged. Good thing. If the body is shriveled, then the Qi and fluid will be seriously injured."

Gan Jing also hurriedly took notes.

Li Shengli also asked eagerly: "Then how should this patient be treated?"

Gao Yuan asked back, "What do you think?"

Li Shengli laughed dryly.

Gao Yuan rolled his eyes at him and said, "Add and subtract with Coix Bamboo Leaf Powder."

(End of this chapter)