A doctor who travels through two eras

Chapter 158 Negotiating conditions before treatment

"Silly child, how can you not treat it? It has come to this point, and you don't need a pair of clothes. Hurry up."

Lin Sanqi silently chanted "May you be blessed with infinite happiness" in his heart, then exposed Zhang Jingjing's groin, and indeed saw two obvious Pa's lines on the inside.

Pareto lines are a specific lesion caused by scarlet fever. They are usually purple lines that appear in certain parts of the body. These purple lines can be caused by skin folds, dense rashes, and friction bleeding.

Mother Zhang also saw it, and the last bit of doubt she had about Lin Sanqi disappeared:
"Doctor Xiaolin, how are these? Are these the lines you mentioned? Can you confirm what's wrong with my daughter now?"

Lin Sanqi nodded: "It is basically confirmed, but I am still verifying it. I hope the patient can bear it for a while."

Mother Zhang suddenly had a bad feeling and asked cautiously:
"Doctor Kobayashi, how else do you want my daughter to cooperate?"

Lin Sanqi decided to make it clear in advance, so as not to be considered a hooligan:
"I also need to look around the patient's bar, mainly to see if there is any skin shedding around the bar."

"Bar door???"

The old lady felt that she was really ignorant. Is this how the Lingnan School of Medicine treats illnesses? Isn't this too exaggerated?
But the inspection had already reached this point, and everything that should and shouldn't be seen had been seen. The old lady also decisively helped her daughter to turn over:
"My dear daughter, bear with me for a while. This is the last step for us to check."

At this time, Zhang Jingjing already felt that her body was not her own. She was just a corpse without any emotions. So whatever.

Lin Sanqi did not waste time. He found no skin peeling around the patient's body, so he felt relieved and knew the diagnosis was clear.

If there is shedding, Kawasaki disease should be suspected.

"Aunt Zhang, it's ok. Please help the patient put on his clothes. I already know what the disease is."

Seeing the relaxed expression on the young doctor's face, Zhang's mother immediately asked in surprise: "Doctor Xiaolin, is my daughter saved?"

Lin Sanqi nodded slightly: "It's troublesome, but not hopeless."

Zhang Jingjing was already so ashamed and angry that she wanted to die. When she heard that she could still be saved, her eyes immediately lit up and she asked weakly:
"Doctor Lin, do I not have to die?"

Lin Sanqi still felt a little guilty when facing Zhang Jingjing. It was his fault for seeing her naked. She had a good figure, but the rash affected the appearance.

"Don't worry, I will do my best."

Zhang's mother was so happy that she cried: "That's great, that's great, then Doctor Xiaolin, please help me treat it as soon as possible."

Zhang Xingbang was already waiting outside the door anxiously. When he saw Lin Sanqi coming out, he grabbed him and said:
"Doctor Kobayashi, how is it? What's wrong with my daughter?"

Lin Sanqi said affirmatively: "Your daughter's disease is called sore throat in traditional Chinese medicine and scarlet fever in Western medicine. It is a kind of infectious disease."

As soon as this was said, a middle-aged doctor nearby said to his companions: "Look, I'll just say it's sore throat."

Another doctor frowned: "Throat ulcer, this disease is a fatal disease, so what even if the diagnosis is clear?"

Infectious diseases, not to mention the shortage of medical care and medicine in the past, even now there is no particularly good treatment.

When Zhang Xingbang heard that it was plague, he cried anxiously: "Oh, what should I do, my poor daughter?"

Huang Liqiang, however, was a bystander and saw things more clearly: "Old Zhang, don't worry, Comrade Lin didn't say it can't be cured. Comrade Lin, look at Zhang Jingjing's illness..."

How could Lin Sanqi say so easily that he could cure it? People would not cherish what is too easy to obtain. This is not how favors are sold.

"By the way, teachers, how did you treat them before?"

A middle-aged doctor replied:
"Comrade Lin, this is what happened. We previously used Lianqiao Shuanghua Yin for treatment, and later used Pien Tze Huang to reduce fever and protect the liver. It was initially effective, but later the rash spread all over the body and the body temperature went up again."

Lin Sanqi asked curiously: "Have you considered antibiotic treatment?"

The first choice drug for treating scarlet fever is penicillin, and Lin Sanqi knew that this drug should be available in this era.

At this time, Huang Liqiang helped to explain: "Comrade Lin, you are talking about penicillin, right?"

Lin Sanqi felt particularly familiar with the name, as if he was watching an anti-Japanese drama in which the underground party used gold to exchange for penicillin, and then sacrificed many comrades to bring it to the rear.

"Yes, it is penicillin."

Huang Liqiang was a little embarrassed:
“I don’t know what the situation is like in the capital, but after the founding of New China, foreign countries have imposed a penicillin embargo on my country, so the amount of penicillin that flows into my country each year is not much.

Our hospital only has a small amount of stock, but the province has made it clear that this is a strategic drug and cannot be used unless absolutely necessary. I tried my best to get two bottles, but they didn’t work very well after using them.”

Lin Sanqi thought that penicillin must be effective, but there were only two bottles, and the antibiotic was gone just as it was taking effect in the human body. It would be strange if the treatment was not enough.

This gave Lin Sanqi an intuitive impression of medical drugs in the 1950s.

Zhang Xingbang wiped his tears and asked carefully:
"Doctor Xiaolin, my daughter's illness..."

Lin Sanqi thought that he would definitely save the man. As a medical student, he still had the minimum humanity and medical ethics. However, staying in Fuzhou to save people would delay things. After all, his procurement tasks were quite heavy.

"He can be saved!" Zhang Xingbang, Huang Liqiang and several local doctors nearby were a little excited.

“But there are several difficulties:

The first difficulty, Section Chief Huang also knows, is that I was sent by the unit to purchase medicinal materials, and our unit is still waiting for my medicine. If I stay in Fuzhou now, the treatment will take at least 7 to 10 days. Delaying so many days will disrupt the clinical medication of our Capital Hospital of Traditional Chinese Medicine..."

Zhang Xingbang patted his chest and said, "Doctor Xiaolin, don't worry. I dare not talk big about other provinces, but as long as we have it in Hujian Province, I will take care of it. What you want is..."

"Andrographis, two tons."

"Two tons of Andrographis, right? Leave it to me. I'll find someone to help you buy it in Zhangpu today, and deliver it to Xiamen Railway Station as quickly as possible and ship it directly to the capital."

Lin Sanqi thought that it was indeed easier to get things done if one had connections there, as it was just a matter of a word from them.

Huang Liqiang also spoke well of his friend:
"Also, Doctor Xiaolin, you are interested in Pien Tze Huang. Just tell me the number and Lao Zhang and I will work together to help you find a solution."

Although Pian Zai Huang is not too precious now, its production is limited due to the scarcity of raw materials, and it is difficult for people without connections to get it.

Lin Sanqi was happy and prepared to implement it quickly:

"It's like this. I'm buying Pien Tze Huang for other friends in the capital. The more the better. The first batch requires 5000 pills. I wonder if Director Zhang and Section Chief Huang can..."

"can!"

Director Zhang said firmly: "Five thousand pills is not a small number. I will place an order in the name of the supply and marketing cooperative and ask Zhangzhou Pharmaceutical Factory to work overtime to produce them immediately."

Lin Sanqi was more concerned about the price: "How much is this one?"

He thought, if the medicine is expensive and he only has 10,000 yuan, he will have to find a way.

Zhang Xingbang said with some embarrassment:

"Doctor Xiaolin, it's like this. I can ask Zhangzhou Pharmaceutical Factory to deliver the quantity you want, but the price can't be discounted. Generally, their ex-factory price is 1 yuan per pill, and they can issue a formal invoice."

Lin Sanqi breathed a sigh of relief. At 1 yuan per pill, he had enough money.

By 2023, those Pian Zai Huangs made of synthetic materials will be sold for 1600 yuan per pill. Mine is made of authentic natural materials, so it must be sold for over ten thousand yuan per pill.

"Director Zhang, I don't need a discount on the price. Everything should be done according to the rules. If there is a chance in the future, I would like to buy more Pien Tze Huang."

Zhang Xingbang patted his chest again and said, "Leave it to me from now on, no problem."

Lin Sanqi was satisfied. Since the other party was loyal, he couldn't be stingy either:
"Okay, Director Zhang, prepare for me right now the Radix Isatidis, Bamboo Leaves, Red Peony Root, Cortex Moutan, Root of Phragmites, Radix Rehmanniae, Flos Lonicerae, Fructus Chiqiao, Cinnamomum cassiae, and Fructus Arctii. Seven wild ginsengs aged 50 years or more, as well as Dendrobium Officinale, Saffron, Dracaena Dracaena, and Fructus Icebergii. The higher the grade, the better."

Lin Sanqi is just making up stories. How can he know anything about Chinese medicine prescriptions?

The reason why he quoted many precious Chinese patent medicines was because Lin Sanqi didn't want the Zhang family to think that saving people was easy. Otherwise, how could he show his level as the successor of the Lingnan School?
Zhang Xingbang didn't know anything about medicine and looked at Huang Liqiang next to him.

Huang Liqiang discussed it with several doctors nearby and nodded heavily:
"Comrade Lin, no problem. We have all these herbs in stock in our medicine storehouse. We will definitely get the best ones."

Lin Sanqi pretended to be mysterious at this time and said:
"Then prepare a room for me, a stove and medicine pots. The medicines I prepare are all secret recipes passed down from our family. They cannot be known to outsiders. I hope you can forgive me."

Huang Liqiang understood instantly. No wonder Dr. Kobayashi wanted so many medicinal herbs. His real purpose was probably to confuse people and make it difficult for outsiders to guess the real prescription.

But this is exactly in line with the sectarian views of traditional Chinese medicine families.

With Section Chief Huang's guarantee, Lin Sanqi's request was quickly met, and all the medicinal materials and decocting tools were ready.

Lin Sanqi hid in an empty room and began to prepare the medicine in a mysterious way.

In fact, he knows nothing, and he is afraid that the wrong combination of drugs will produce toxic side effects, which will harm people instead of saving them.

So he picked the safest licorice and started to boil the medicine on the stove.

Licorice is found in almost all Chinese medicine prescriptions and is very versatile, but from another perspective it can be seen that this medicine has low toxicity and little effect and will not kill people.

After boiling for half an hour, when it was almost done, Lin Sanqi poured out the juice, added a loxoprofen capsule into it, opened it and stirred it evenly.

Loxoprofen is a phenylpropionic acid non-steroidal anti-inflammatory drug with excellent analgesic and antipyretic effects, although from the perspective of traditional Chinese medicine it is only a temporary solution and not a permanent cure.

But if Lin Sanqi wants the Zhang family to see hope in the shortest possible time, he must use Western antipyretic medicine.

Besides, the patient is about to die from a fever, why are you still talking about symptoms and signs? That's just bullshit.

When it comes to emergency medication, the most important thing is to reduce the fever and save lives.

(End of this chapter)