I run a clinic in the United States

Chapter 356 Conservative Treatment of Ectopic Pregnancy with Traditional Chinese Medicine

In California, Talia invited Zhou Qiao, Yang Xuejun, Veronica and others to form a partnership to establish a new media company, Iris Media.

It has signed contracts with many new-generation Hollywood artists, all of whom are young and beautiful, coquettish, charming, or pure, with all skin colors. Of course, they are all not yet famous, but they have considerable potential.

Being an actor is not as interesting as being a boss.

Thalia is still very young and doesn’t want to just be an entertainer her whole life.

Jenna also joined in, but Jenna was relatively weak. Although she had Thalia's relationship with her, she was still calm.

On the contrary, Xu Tiantian, after being absorbed, relied on her accumulation of more than ten years to release a new album, which became an instant hit.

Her new album, the English version of the Chinese style series "Drinking Wine with You Under the Camellias", was released and after a short period of operation, it became a hit! Moreover, it successfully ranked in the top three and became famous instantly.

In addition, Ling Qingqing also applied to join. With Zhou Qiao's introduction, Talia naturally signed up Ling Qingqing and several classmates.

After all, Ling Qingqing is also a small internet celebrity. She has a lot of fans in the United States for her guzheng skills, and she is also highly educated.

As for Xu Tiantian, although she does not have a high degree of education, her singing skills are outstanding among her artists.

"It would be great if my skin could be as delicate as Dr. Xiao Yang's!"

It is also one of the favorite content for fans to watch.

However, starting last week, the patient developed a small amount of bleeding and dull pain in the lower abdomen, and then went to a tertiary A major hospital in Hangzhou for treatment.

As a doctor, she cannot delay the patient's condition just to make money.

It was not until the end of last year that my menstruation was delayed and I went to the hospital for a check-up, only to find out that I was pregnant.

With Talia and Veronica's connections, it's no problem to invite some popular singers to the live broadcast room to be guests and communicate.

"You have an ectopic pregnancy. It is recommended that you go to a large hospital for surgical treatment." Yang Xuejun read the examination reports from other hospitals and gave the woman the traditional Chinese medicine examination. The smile on his face disappeared and he became very serious. said.

In addition, Fang Yuanyuan and Chu Xuan will often receive some commercial performance projects, such as when a shopping mall opens and they are invited to perform. Although the money is not much, it is still a good income.

Talia also gave Fang Yuanyuan and Chu Xuan a chance to find a screenwriter to write a short film for them. It tells the inspirational story of a young couple's struggle to promote the Southern Chinese Lion Dance in North America. As for whether it will attract more fans. ,I do not know.

For ectopic pregnancy, surgical treatment is more effective.

It is indeed difficult for pure traditional singing to become popular. After all, times have changed, so Xu Tiantian keeps pace with the times and often communicates with some popular singers in the United States to learn from each other's strengths.

After all, having skin like cream and face like peach blossoms is something that no girl can resist.

"Dr. Xiao Yang's skin is really good. I saw her in person, when she went to a famous doctor's clinic for treatment. There was no trace of cosmetics at all, but she was so white and rosy."

At the Famous Medical Center, Yang Xuejun is treating patients with a friendly smile.

As spring warms and flowers bloom, many girls are prone to dry skin and allergies. Therefore, Dr. Xiao Yang posted a video on his account to explain some skin care knowledge.

However, after the filming was completed, Zhou Qiao had a sneak peek and watched the finished film, which was quite good.

This time, sitting opposite her was a middle-aged woman in her forties. The situation is not good.

A fan took a photo of Dr. Yang diagnosing a patient and taking his or her pulse. The photo was from a passerby’s perspective without makeup, and the beauty mode was not turned on on the phone. He posted it in the comment area, attracting tens of thousands of likes.

The patient is 42 years old and is an advanced pregnant woman with normal menstruation. She gave birth to a boy by cesarean section 15 years ago. She has not used contraception since then, but she has never been pregnant.

……

In a large hospital, three pregnancy tests were performed, blood HCG: 3782 IU/L, progesterone (PRG): 17.5nmol/L, estradiol (E2): 279pmol/L.

Gynecological ultrasound showed that the endometrium was thickened by 25.8 mm and was heterogeneous. There was a mass-like enhanced structure inside and a small liquid dark area with irregular shape (6 mm × 4 mm × 3 mm).

The uterus was enlarged, with multiple fibroids (the larger ones were 44 mm × 33 mm and 28 mm × 22 mm, all located on the posterior wall, RI: 0.71). The right ovary had a fluid dark area of ​​20 mm × 18 mm and 19 mm × 16 mm, and its side probing and mixed structure 16 mm × 14 mm, with unclear boundary with the ovary, and no obvious abnormality in the left adnexal area. Yang Xuejun performed a physical examination and found that the abdomen was flat and soft, with no tenderness or rebound tenderness, negative shifting dullness, a pale tongue, thin white fur, and a thin and slippery pulse.

The patient frowned and said, "Dr. Xiao Yang, I just didn't want surgery, so I came here to call you. Is there really no possibility of conservative treatment?"

"Yes, there is, but the risk is very high." Yang Xuejun explained carefully and informed of the risks.

Middle-aged woman: "Surgery also has various risks."

"Does conservative treatment have to be done?" Yang Xuejun pondered and asked.

"It's best." The middle-aged woman insisted, looking at Yang Xuejun expectantly.

Yang Xuejun thought for a moment and then said: "It's not impossible, but I have to carefully consider the medication."

然后，她拟定了一个方药：桃仁10g、赤芍10g、丹参15g、醋三棱10g、醋莪术10g、天花粉20g、白术15g、甘草10g、醋鳖甲15g。

This prescription is specially designed to treat ectopic pregnancy. Yang Xuejun made additions and subtractions to the specific ingredients based on the patient's condition. The method is to activate blood circulation and remove blood stasis, eliminate symptoms and kill embryos. There are 2 doses in total. Decoction in water and take warmly after breakfast and dinner. , and then combined with Danleng Sanjie Patch (a combination of Salvia, Sanleng, Curcuma, Chuanxiong and other drugs), applied externally to the lower abdomen, which can enhance the effect of activating blood circulation and removing blood stasis, eliminating diseases and dispersing jigs.

In the prescription, Salvia miltiorrhiza is used to activate blood circulation and remove blood stasis, and Red Peony Root is used to dissipate blood stasis and relieve pain. Peach kernel is used as a ministerial drug to activate blood circulation and remove blood stasis. The addition of Trigonella miltiorrhiza and Curcuma zedoaria strengthens the movement of qi and relieves pain, and relieves symptoms and dissipates stagnation.

In addition, trichosanthes is added to kill embryos, Atractylodes is added to promote qi, turtle shell is added to break blood and disperse stagnation, and licorice is added to harmonize the other medicines.

After formulating a treatment plan, Yang Xuejun took it to Dr. Xu, the teacher in the next door clinic, to take a look.

Doctor Xu gave a thumbs up. This apprentice has extraordinary talents and a good combination of medicines. He is becoming more and more like everyone.

When Doctor Xu nodded, Yang Xuejun felt more relieved.

After taking 2 doses, the patient came for follow-up consultation. He still had bleeding, dark red color, lower abdominal pain relieved, pale tongue, thin white fur, and thready pulse.

Yang Xuejun arranged for his reexamination, and his blood HCG: 606IU/L, PRG: 3.07nmol/L.

Considering that the patient's blood HCG dropped significantly and the embryonic activity gradually weakened, combined with the patient's past history of uterine fibroids and infertility for many years, Yang Xuejun used the method of promoting qi and blood circulation, removing blood stasis and eliminating diseases, and changed "Guizhi Fuling Pills" to the base formula. .

赤芍10g、桂枝10g、牡丹皮10g、桃仁15g、茯苓20g、五指毛桃20g、熟党参20g、白术10g。

A total of 4 doses, decoction in water, taken warmly after breakfast and dinner, combined with Danling Sanjie Patch for external application on the lower abdomen.

In the prescription, peach kernels, peony bark, and red peony are used to activate blood circulation and remove blood stasis to eliminate symptoms. Guizhi is added to warm the blood vessels to help remove blood stasis, and red peony is used to reconcile qi and blood. Combined with Poria cocos to infiltrate dampness and diuresis, it can treat both blood and water.

Taking it to Dr. Xu for review again was not because Yang Xuejun was unsure, but out of respect for the teacher and responsibility for the patient. It was equivalent to inviting an extra famous expert for consultation.

Doctor Xu nodded again, because after she thought about it carefully, she couldn't find any room for modification. Every medicine was just right, and it could be said that she had three tastes.

Doctor Xu couldn't help but sigh: "This apprentice has really grown his wings. Oh, no, he has truly become a disciple!"

Dr. Xu felt that Yang Xuejun was completely capable of taking charge on his own.

After taking 4 doses, the patient's bleeding decreased significantly, with dark red color, dull pain in the lower abdomen, pale tongue, thin white fur, and thready pulse. Review blood HCG: 148 IU/L, PRG: 2.13nmol/L.

Yang Xuejun prescribed a prescription and continued treatment for 14 days.

A reexamination 14 days later showed that the blood HCG was negative, and the patient excitedly told Dr. Xiao Yang that menstruation had come again.

I'm sure it's not bleeding, but normal menstruation.

Yang Xuejun finally breathed a sigh of relief. To be honest, she was really worried about something going wrong. Fortunately, there were no dangers along the way and she successfully helped the patient out of trouble.

(End of this chapter)