A doctor who travels through two eras
Chapter 254 Can Traditional Chinese Medicine Cure Intestinal Obstruction?
Lin Sanqi first took the pulse, not caring about whether it was a flat pulse, a deep pulse, a slow pulse, or a thin pulse, and just pretended to be very experienced.
Dean Shen burst out laughing in the crowd.
The layman watches the excitement, while the expert watches the details. As soon as one looks at Lin Sanqi's gestures and position when taking the pulse, one can tell that this guy is a half-baked one.
Needless to say, the three old men saw the problem at a glance, but they didn't say anything.
At this time, Lin Sanqi asked Yang Xiaojie to lie flat on the ground, bend his legs, put the fingers of his right hand together, put the fingertips on his belly, and began to palpate the abdominal pain in a counterclockwise direction.
A Chinese medicine hospital employee nearby was a little surprised: "Hey, Chief Lin, I've never seen this technique before. What school is this from?"
The employee next to him whispered back, "I guess this is the Lingnan style. There is a big difference between the north and the south."
Dean Shen complained again: "This is not our traditional Chinese medicine technique, this is clearly Western medicine palpation."
Lin Sanqi had already immersed himself in the role by this time, and was conscientiously doing his job as a doctor. As he was touching, he felt a lump in Yang Xiaojie's upper abdomen.
It can move with a slight push of the finger.
Lin Sanqi immediately recalled the introduction to children's abdominal masses in the textbook.
Common causes include parasitic infection, gastrointestinal obstruction, intussusception, inguinal hernia, and mesenteric lymphadenitis.
Which one is it? At this time, Lin Sanqi missed the color Doppler ultrasound machine very much. Otherwise, he would just open an order and do a B-ultrasound. If it was not clear, he would add a CT scan and he would be stuck.
Now I can only guess...
After Lin Sanqi checked all five children, Mr. Shi asked:
"Xiao Qi, what is your diagnosis?"
"Master, I felt a movable mass in the abdomen of several patients. I preliminarily determined that the lesion was in the intestine. Combined with the fact that the patient had an acute onset of the disease and had eaten dry, indigestible fried flour before the onset of the disease, I estimate that the possibility of intestinal obstruction is high."
Suddenly Lin Sanqi remembered that intestinal obstruction was a term in Western medicine, so he quickly changed his words and said, "Hey, it's intestinal knot..."
Mr. Shi squatted down and checked each child. There was no expression on his face. Instead, he continued to examine them:
"If it's an intestinal knot, how do you think it should be treated?"
Lin Sanqi tried hard to recall what he had read in the textbook again, and counted them off with his hands:
“First, we need to perform gastrointestinal decompression, which is mainly to extract the excess gas and fluid accumulated in the intestinal obstruction area, reduce the tension in the intestine, alleviate the symptoms of systemic toxicity in children, and improve respiratory and circulatory functions.
The second is enema treatment. For children with intestinal obstruction, the first thing to do is to promote the excretion of feces to avoid irritating the intestines. Enema treatment can be chosen to clear the obstructed intestinal area.
In the end, if it really doesn’t work, then surgery is the only option. Cut open the stomach and intestines, take out the obstruction, and then sew it up layer by layer.”
After Lin Sanqi finished speaking, he thought about it and felt that there should be nothing he had missed. If he answered like this during the exam, he would definitely get full marks.
But the problem is that this is a Western medicine theory and treatment plan. Will it anger the many Chinese medicine doctors present?
Feeling guilty, Lin Sanqi once again secretly glanced at Grandpa Shi, Grandpa Xiao, and Grandpa Han.
Mr. Xiao was so angry that he blew his beard and glared, Mr. Han kept rolling his eyes, and only Mr. Shi still had that half-smile on his face, which made Lin Sanqi feel scared.
"Boy, there is no problem with the diagnosis of intestinal knots, which shows that you have basic medical knowledge, but you only talked about Western medicine and never mentioned Chinese medicine. What, do you think Chinese medicine is ineffective in treating intestinal knots?"
The staff members surrounding the Chinese medicine hospital all looked at Lin Sanqi with stern eyes, as if they were looking at a traitor.
Lin Sanqi swallowed nervously, but based on the knowledge he had learned, he did not think that traditional Chinese medicine could do anything for intestinal obstruction.
Can you perform surgery, enema, or ventilation as a traditional Chinese medicine practitioner?
But Lin Sanqi knew that he couldn't say that. If he said that, he would be a fool. Would he want to stay in the Chinese medicine hospital in the future?
"Well, our Chinese medicine is so great, there must be a way. But Master Shi, you also know that my family specializes in typhoid fever, and we treat fever and heatstroke. I really don't have any insights into Chinese medicine surgery, hehe~~~"
When everyone heard this, they thought about it and realized that Chinese medicine also has specialists. It is understandable that one who treats headaches and fevers comes to treat intestinal constipation if he says he doesn't understand.
Old Master Shi laughed and said, "Little rascal, since you are ignorant, today we will let you see whether Chinese medicine can really work. It is not only Western medicine that can cure intestinal knots. Oh, you mean intestinal obstruction. Xiao Song, Xiao Song from the pharmacy, is Mr. Song Yan here?"
"I'm here!"
A middle-aged man in his forties ran out from the crowd: "Doctor Shi, give your orders."
"I won't write any more instructions. Just remember this. Prepare two doses of medicine right away. For the first dose, use 5 jin of raw white radish and 4 liang of Glauber's salt. Boil them over high heat for minutes. Divide them into five equal portions and bring them here immediately.
For the second dose of medicine, prepare two liang of ochre powder; three qian of Inula flower; one liang each of raw Pinellia and Magnolia officinalis; three qian each of Citrus aurantium, costus root, agarwood, and licorice; one liang of fresh ginger; simmer over low heat for two quarters of an hour, then add one cup of ginger juice into the medicine soup.
In addition, add three grams of red ginseng, decoct it separately and add it in. Do you remember what I said?" Song Yanfu nodded repeatedly: "Don't worry, Doctor Shi, I remember it all."
Song Yanfu is also an old man in the Chinese medicine room. He worked as an apprentice in the drug store since he was a child. People in the industry call him "the one who grabs all the herbs". He doesn't need to weigh them, his hands are the scale.
After saying that, Song Yanfu ran to boil the medicine. Although the branch of the Chinese Medicine Hospital had not yet opened, all the medicinal materials had been prepared and could be used at any time.
After writing the prescription, Mr. Shi was about to get up when Lin Sanqi got a little anxious:
"No, old man, these five children are still in pain. How long will it take for the medicine to take effect? Is there any other way to give them some relief?"
At this time, Mr. Han came over with a wooden box under his arm:
"It's easy to stop the pain. Get out of the way. Watch me."
Old Man Han opened the wooden box, took out the silver needles inside, and casually inserted the needles into the children's Weiwan, Qihai and Hegu acupoints. His movements were smooth and effortless.
Lin Sanqi was still in a daze, but Mr. Han had already finished his work.
"No, Master Han, is this all right?"
"Okay, ask them if they still feel pain now."
Lin Sanqi was stunned, turned around and asked, "Does it still hurt?"
Several children immediately showed their joy: "It still hurts, but not as much anymore. Thank you, Grandpa."
Lin Sanqi exclaimed sincerely: "Wow, this acupuncture is amazing."
A Chinese medicine hospital employee nearby sighed:
"That's the Seventy-two Taiyin Needles from Old Man Han's family. That's truly magical. It's a pity that Old Man rarely uses it now. If we can learn a few moves, we can also become famous doctors."
Lin Sanqi blinked and thought that Mr. Han's acupuncture experience and the acupuncture set made of meteorite were in his hands. Should he go back and take a look at them?
Mr. Shi had already come to Pan Ye's side at this time, and asked with a smile:
"Xiao Yezi, how did you diagnose this patient?"
"Master, I have already asked. The patient started vomiting half an hour after eating the scallion pancake, and eventually developed severe hiccups. Now his voice is high and his breathing is rapid, his face is red as makeup, his tongue is pale and slippery, his six pulses are deep and thin, and he is in great pain.
Judging from the pulse, the patient is already suffering from fatigue and internal injuries. The kidney essence has been weak for a long time, and the fire has not returned to its place, causing the bitter cold to damage the yang, and the middle burner is frozen, blocking the yang energy. There are signs that the yang is floating and about to escape. I, I can't cure it. "
After saying this, Pan Ye's face turned red again, this time because he felt ashamed for his poor medical skills and inability to provide rescue.
Lin Sanqi was stunned as he listened to this, thinking to himself, he knew each word separately, but why didn't he understand what it meant when they were put together?
Mr. Shi squatted down, took the patient's pulse and diagnosed him, then nodded approvingly to Pan Ye.
"Xiao Yezi, your diagnosis is basically correct. The patient is indeed in critical condition. If he hadn't been sent to the hospital in time tonight, I'm afraid he would have died by tomorrow."
The old lady was still retching. She had vomited all the bile and had nothing left to vomit. However, the nausea was still there. She was in great pain and shouted weakly:
"Doctor, save me, save me..."
Who wants to die? Old men and women always talk about death, but when they are really about to die, they all have a strong desire to live.
When the family members heard this, they knelt down anxiously and asked the doctor for help again and again.
At this time, Mr. Shi saw Lin Sanqi with a confused look on his face and ordered with a stern face:
"Why are you standing there like an idiot? Go find a pair of scissors, prepare an empty bowl, and some disinfectant alcohol. Hurry."
When Lin Sanqi heard this strange "prescription", he was full of questions. He really couldn't understand what vomiting had to do with scissors? Could it be that in order to cure the disease, he had to castrate himself first? But the patient was a woman.
Complaints aside, Lin Sanqi was still very skillful, and the bungalow dormitory area was not far away, so he brought the scissors in no time.
"Here, old man, are the scissors."
"What are you doing for me? Go, cut the patient's fingernails. Be sure to collect all the fingernails and put them in the bowl."
Lin Sanqi was stunned again, thinking that he was going to play the role of a "manicurist"?
The problem is, the nail technicians are at the door of Haidilao, serving the women in line to kill time. Now is a critical moment to save lives, how can they still have the leisure to cut their nails? Should they paint their nails a dead Barbie pink?
Not to mention Lin Sanqi who didn't understand, even Dean Shen, Pan Ye, and the staff of the Chinese Medicine Hospital who were watching were full of questions.
Everyone knows that Mr. Shi Jinmo must have his reasons for wanting nails, but no one has ever heard that nails can be used as medicine.
Now was not the time to question. As a junior doctor, Lin Sanqi would follow the instructions given by his superior doctor without hesitation, so he obediently picked up the scissors and cut the old lady's nails. (End of this chapter)
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