Medical Immortals come from the future

Chapter 73

Of course, these are off topic.

But it is because of this that the emergency patient was sent in in a very short time today.

The hog-killing cries of the old woman resounded through the valley.

Sima Yinglong was not there.

It happened that Mei Ruotian and Ling Ruyin were the only doctors in Beiyuan at that time.

"Help my mother, doctor!" After finally seeing Mei Ruotian and Ling Ruyin in strange gossip clothes, the old woman's son couldn't care less about the surprise and fear, and knelt on the ground hugging the male doctor's leg and crying I begged, "I beg you, doctor, my mother is about to die of pain, please show mercy and save her, I will repay you like a cow and a horse in the future!"

Mei Ruotian quickly helped him up, and said: "You don't have to do this, we are doctors, so we will try our best to heal your mother."

"Yes, this family member, can you please give way first? We have to go to see your mother first." Ling Ruyin also comforted him softly.

The two people who had been ambiguous for a while looked at each other, and then went to check on the patient tacitly.

The old woman was lying on a bed covered with white sheets specially prepared for patients in the valley, her hands were covering her upper right abdomen, her wrinkled round face was terribly pale due to the pain, and she was rolling and struggling non-stop due to the severe pain.

"Severe pain in the right flank, abdominal distension and fullness, refusal to press, chills and high fever, yellow eyes, extremely cold limbs, red tongue, yellow dry coating, slippery and rapid pulse." After careful observation and questioning, Mei Ruotian concluded this conclusion.

While Ling Ruyin played the characteristics of a female doctor and softly comforted the old woman, she turned her head to discuss with Mei Ruotian: "This disease... can you be sure what it is, my lord?"

"Damp heat accumulates in the liver and gallbladder, the liver and gallbladder are unfavorable to ventilate, stagnation is blocked, so the hypochondriac pain is endless, fullness and refusal to press. Damp heat accumulates and blocks yang, then you can see chills and high fever or alternating cold and heat. Damp heat fumigation, gallbladder failure to ventilate, Bile does not follow the usual path and overflows, so the body and eyes are yellow and dyed. Damp heat accumulates, causing heat toxins, disturbing the mind, causing coma and delirium; Yang Qi is stagnated and cannot be expressed, so the limbs are cold. Heat enters the blood of the heart and hurts the body. When yin depletes body fluid, the tongue is red and crimson, stingy yellow and dry, and the pulse is slippery and rapid." Mei Ruotian said the answer in her heart.

Ling Ruyin is also a medical student, and he made it so obvious that if she doesn't know what the disease is, she will lose her role.

"Jaundice? Gallbladder?"

Mei Ruotian nodded: "At present, it can be confirmed that it is jaundice or biliary distension." After a pause, he added, "And it can be judged that it is a syndrome of sepsis."

There are four types of syndrome differentiation for jaundice and biliary distension:

[-]. Qi stagnation certificate:

Syndrome: distending pain in the right hypochondriac, or paroxysmal aggravation, pain in the shoulder and back, bitter mouth, loss of appetite, mild tenderness in the upper right abdomen, pale red tongue with white or yellowish coating, thready or stringy pulse tight.

Syndrome analysis: stagnation of liver qi, lost in the strips, obstructed in the hypochondriac collaterals, so hypochondriac distension and pain can be seen.Qi is invisible when it gathers and sometimes disperses, so there may be paroxysmal intensification.The gallbladder meridian runs along the shoulder, and pain can be seen in the shoulder and back.The liver is inflamed, so the mouth is bitter.The liver qi is inverse and violates the spleen and stomach, so the appetite is poor.Stringy pulse is a sign of liver depression.

[-]. Blood stasis syndrome:
Syndrome: Stinging pain in the right flank, the pain is fixed, there may be lumps under the flank, dark complexion, dark purple lips, dark red tongue or ecchymosis, white fur, deep or astringent pulse.

Syndrome analysis: qi stagnation over time, qi stagnation and blood stasis, numbness blocking the veins, so the hypochondriac pain is like a thorn, the pain is fixed, and the stasis stagnates, and if it persists for a long time, it will gradually form a lump.Dark complexion, dark purple lips, dark red tongue or ecchymosis, white fur, deep or astringent pulse, all belong to the signs of internal stagnation of blood stasis.

[-]. Damp-heat syndrome:

Syndrome: Persistent pain in the right upper quadrant, accompanied by heaviness, high fever and chills, bitter mouth and dry throat, thirst, nausea and vomiting, or yellow sclera, yellowish urine, constipation, and right upper quadrant tenderness.Muscular tension, refusal to press, sometimes palpable enlarged gallbladder, red tongue, yellow greasy fur, stringy and rapid pulse.

Syndrome analysis: Damp-heat accumulates in the liver and gallbladder, the liver and collaterals are out of harmony, and the gallbladder cannot be drained, so hypochondriac pain and bitter mouth.Damp-heat resistance in the middle, loss of stomach and descending, then nausea and vomiting.Damp and hot steaming, bile overflows out of the usual way, resulting in yellow eyes and yellow body.Damp heat pours into the bladder and the urine turns yellow.Liver fire is inflamed, so the mouth is bitter, the throat is dry, and the mouth is thirsty.Red tongue, yellow and greasy coating, stringy and rapid pulse, all are signs of damp heat in the liver and gallbladder.

The last type is what Mei Ruotian called "Sepsis Syndrome".

This "sepsis syndrome" is also the most severe of the four syndromes.

"How long has your mother been sick?" Mei Ruotian turned to ask the young man who was waiting anxiously, that is, the sick old woman's son.

"One day, my mother was washing clothes in the yard yesterday morning, and suddenly felt abdominal pain. I didn't feel much at first, but it started to hurt a lot around noon." The honest son answered truthfully.

"Did you see the doctor?"

"Look, look. My family really had no money, so I went to a wandering doctor in the village at that time. He prescribed three packs of medicinal roots... After drinking, my mother became more painful and vomited. Several times." The son seemed a little regretful of believing the words of that damned wandering doctor.

After hearing this, Mei Ruotian finally frowned fiercely.

Jaundice and biliary distension are not difficult to treat, but the four symptoms of qi stagnation, blood stasis, damp-heat and sepsis can intertwine and evolve with each other.In the treatment, attention should be paid to clearing, benefiting, dredging, and dredging. Because the dampness and heat are not cleared, the evil poison will not be eliminated.For those with severe biliary colic, the most important thing is to relieve the pain by purging the internal organs.People with good physique can reuse rhubarb.On this basis, integrating and adapting, and applying treatment according to the syndrome, good results can be obtained.Moreover, clearing away dampness and heat should be done as early as possible. If clearing away is not timely and thorough, the dampness and heat may become excessive, leading to a critical situation of sepsis syndrome.

And the packs of medicine that the wandering doctor gave were obviously messed up, which made the disease so severe and ferocious, it really hurt people a lot.

"Ah? So what should I do?" Ling Ruyin was also a little surprised, and then showed a somewhat ashamed expression, "I don't have any experience with this kind of disease, I've always learned it..." The word gynecology couldn't be said at all.

Mei Ruotian naturally knows what she is good at. Seeing her nervousness, she can only put one hand on her shoulder and smile gently: "It's okay, just let me do it."

Seeing the dazzling and breathtaking smile of the man in front of him, Ling Ruyin couldn't help but lose her mind slightly.

However, in this scene, it was a coincidence that Sima Qing, who had heard the news, rushed over and bumped into him.

The old woman's cry was so strong and powerful that she heard it before she reached the gate of Beiyuan. At that time, she grabbed a drug boy who hurried out from Beiyuan and asked what was going on?

Yaotong told her that an emergency patient was brought in.

Shocked, she blurted out, "Emergency patient? I thought it was a pig cutting out its cecum."

Medicine Boy: "..."

Although her words were a bit unreliable, she still rushed to the ward as fast as she could, and as a result, half of her body stepped into the treatment room, and what she saw was such a sweet scene.Ah bah, if there wasn't a sick patient lying in pain behind them.

This scene greatly stimulated Sima Qing's nerves that had been tense for many days. Even if the two people in front of her were other people, she would give them a disgusted look. Prioritize, okay?How shameless and immoral do these two doctors have to be to show their affection while leaving behind the sick and suffering patients like no one else?And when the person who did it turned out to be Sima Qing's most hated enemy recently, this matter...isn't it a big deal?

This guy is indeed a scumbag!A sanctimonious hypocrite!
At that moment, she exploded, and her eyes could almost spit fire: "Mei Ruotian, get the hell out of here! Get out of here, don't tarnish this place of innocence!"

Not only did Mei Ruotian and Ling Ruyin not react to the sudden shout, but even Chunxi, Liu Yu and Gu Yang who followed Sima Qing in were shocked for no reason.

Of course Chun Xi came with her, but Liu Yu and Gu Yang met at the gate of the compound.

Sima Qing ran faster, so she walked in first and saw this unlucky scene.

The entire room was instantly dead silent, and no one understood what was going on with Sima Qing's scolding.Even the patient, who had been moaning in pain, seemed to be reflected by the atmosphere, and unexpectedly paused for several seconds.

Immediately, Ling Ruyin was the first to react.

She pushed away two steps as if avoiding suspicion, left Mei Ruotian's hand on her fragrant shoulder before she had time to take it off, and explained to the little junior sister who looked angry: "It's not like what you saw, I misunderstood Mr. Mei is just comforting me..."

At this time, Mei Ruotian also came to her senses, knowing that Sima Qing had really misunderstood, but he was very angry at her for letting him "get out" without asking anything clearly, such a vicious, shrew and domineering act!Very hot!I can't stand it!What the hell did I do to provoke this duplicity hag!

"Miss Ling." So he stopped Ling Ruyin from explaining, turned his head to look at Sima Qing, showed a cool and domineering smile that was completely different from his usual gentle smile, and said word by word, "No need to explain, No, what, what, mistake, will, yes."

The air froze for a few more seconds.

Sima Qing's instantly widened eyes met Mei Ruotian's exquisite phoenix eyes full of sarcasm, and when the four eyes met, virtual sparks collided in the air.

The sky thunder set off the ground fire.

However, it's just sky thunder and ground fire that don't have that kind of ambiguous meaning.

For the reaction of the two people, everyone around them who knew the inside story felt a little unbelievable.

Is this for real?Although I usually know that the two of them are at odds, and there are always small conflicts and small conflicts, but they are limited to bickering and mocking each other, just like today's confrontation with a strong smell of gunpowder that can be smelled from miles around. , it really never happened.

(End of this chapter)