Song Yi

Chapter 165 Postpartum Stroke
Du Wenhao and the others came all the way to a hill outside the city. There was a nunnery on this hill called "Shili Nunnery".

When the three rushed to the nunnery panting, they saw Mei'er kneeling down in tears on the dilapidated hall, and an old nun with a wrinkled face was holding a razor in her hand and was about to shave her hair.

"Wait!" Du Wenhao yelled.

Mei'er turned around and saw Du Wenhao, tears streaming down her face: "Brother..."

Du Wenhao took a few breaths and said, "You want to become a monk because of the pulseless disease and thought it would be incurable?"

"Well..., since there is no cure, I want to go to calm down before I die..."

"Okay, let me check your pulse. If there is really no cure, I won't stop you. If it can be cured, you have to go back with me for treatment, okay?"

Meier nodded, got up from her knees, smiled apologetically at the old nun, and sat down on the hardwood chair next to her. Du Wenhao also sat down beside her, took her wrist, exchanged hands, and focused on her pulse.

After a long time, Du Wenhao asked, "What about the prescription that Dr. Ling gave you earlier?"

"Here." Mei'er took out the prescription from her arms and handed it over.

Du Wenhao took it for a closer look, nodded slightly, and asked again: "What did the old doctor Ling say?"

Mei'er has a good memory, and repeats what the old doctor Ling said.

Du Wenhao heard the old Ling doctor say that he is the only one who can cure this disease, he not only laughed: "He said too much, I thought your disease was a heart attack, it would be very troublesome, the current medical conditions may not be able to Heal, after the pulse diagnosis just now, it is concluded that your disease is indeed just numbness of the pulse. The old Ling doctor is right. The prescription he prescribed to warm the meridians, activate blood circulation, and unblock the veins is also suitable for the symptoms, but it is too peaceful. What is the effect? ​​The ephedra should be removed, and safflower, red peony root, and salvia miltiorrhiza should be used to increase the effect of removing blood stasis, activating blood circulation, and dredging the veins. Such fine-tuning can get twice the result with half the effort!"

Mei'er's beautiful eyes were full of tears, and she laughed through her tears: "Brother, my little sister's disease can really be cured? You're not trying to make me happy, are you?"

"It can be cured, not only can it be cured, but you are at the beginning of the disease, and the disease is still on the surface. Within three doses, I can guarantee that your symptoms will be significantly improved! However, this disease must be cured for a long time. It takes about fifty or sixty doses of medicine to clear the root. You have to adjust the prescription according to the symptoms—you should have waited for me to come back yesterday, if so, how could there be so many troubles?"

Mei'er was a little embarrassed, she bowed her head and said nothing.In fact, if Yan Miaoshou and Xue Feier hadn't been ridiculed, Meier would have insisted on waiting for Du Wenhao to come back.

"Okay, let's go back."

After bidding farewell to the disappointed old nun, everyone walked down the mountain and returned to Wuweitang by car.

Du Wenhao re-prescribed the medicine and decocted it in the hall.

Then, Du Wenhao called Pang Yuqin to the inner hall, and asked in a deep voice: "Qin'er, why did you hide Meier's condition from me yesterday? Are you afraid that I will be tempted by her?"

Pang Yuqin wept and said: "Husband underestimated Qin'er, three obediences and four virtues, Qin'er never dared to disobey, how can she be such a jealous shrew? Qin'er just heard from my husband that people who have no pulse die, and there is no cure for this disease. Since it is dead, why bother, Husband was in a bad mood yesterday, Qin'er didn't want to add trouble to Husband, so she didn't tell Husband."

Suddenly, Du Wenhao hugged Pang Yuqin in his arms, and said in a low voice: "I'm sorry, Qin'er, I misunderstood you. I was in a bad mood yesterday, so I didn't go into details. In fact, not all pulseless illnesses are terminally ill. It depends on the pulseless person." Reason. No pulse like Meier’s is caused by inflammation of the radial artery, which leads to blockage of blood flow, which can be cured by timely treatment.”

Pang Yuqin studied medicine with Du Wenhao for many days, and knew a lot of modern human anatomy knowledge, so she was not surprised by the modern medical terms Du Wenhao said.Hearing that Mei'er's illness can be cured, he breathed a sigh of relief and said with tears in his eyes, "Husband, Qin'er was wrong, and I will never dare to hide the patient's condition from now on."

"That's good! Let's go out."

When the two came to the front hall, Yan Miaoshou and Hantou greeted them, and asked in a low voice: "Master, can the pulseless disease really be cured?"

"No pulse is just a symptom, it is the reaction of related diseases on the pulse condition. Whether it can be cured depends on whether the disease itself can be cured. As the saying goes, 'the cure must be based on the root'. Meier is a syndrome of yin and deficiency. The syndrome is related to the deficiency of yang qi, warming yang to stimulate the menstrual flow, nourishing qi and nourishing blood. Prescribe the right medicine and it will be cured.”

While talking, I heard someone shouting at the door: "Mr. Du!"

Du Wenhao looked back, but it was Pan Judgment of the Imperial Medical Bureau. Du Wenhao hurriedly went up to meet him and cupped his hands and said, "Mr. Judgment is here, please come in quickly!" scented tea.

Judgment Pan had a sullen face, and without greeting, he said bluntly: "What Mr. Du did today is very inappropriate!"

Du Wenhao hurriedly smiled and said: "I'm really sorry, my sister thought she was terminally ill and wanted to become a monk, so she hurried to go, and luckily caught up, otherwise, she would be in trouble if she lost her hair. It will delay the teaching , I am really sorry, and I am willing to review."

Judgment Pan shook his head: "What the old man said is not this matter. Mr. Du has already introduced this point, and we can understand it. He also explained it to the students. What the old man said is what the teacher taught in class."

Du Wenhao was stunned for a moment: "Is the content of my lecture inappropriate?"

"En!" Pan Juju nodded: "Mr. said that postpartum stroke is not caused by external pathogenic factors but infected with evil poison. This conclusion is completely fallacious. Sir, have you ever read "Synopsis of the Golden Chamber"?
Du Wenhao smiled and said, "You can read at the age of ten."

"Since this is the case, sir, do you know whether the etiology of postpartum stroke in "Synopsis of the Golden Chamber" is exogenous six evils or internal injuries?"

"Fengxie among the six evils caused by external factors."

"Since that's the case, why did you say in class that it was an evil poison that caused postpartum strokes? Don't you feel that you are misleading your children by talking so casually?"

Postpartum stroke, that is, postpartum convulsions, refers to postpartum diseases such as convulsions, nuchal stiffness, mouth stasis, and opisthotonus that occur during the puerperium. It is similar to stroke, so it is called postpartum stroke. Western medicine calls it postpartum tetanus and postpartum infectious hyperthermia. twitch.Now Chinese medical research has found that the cause of postpartum stroke is not caused by exogenous wind pathogens, but by blood deficiency and yin deficiency caused by various infections.The main cause of infection is the ancient method of delivery, lack of knowledge of aseptic operation such as disinfection, and the reproductive tract damage caused by childbirth, which can easily lead to maternal infection and stroke.

Puerperal infections are one of the leading causes of maternal mortality.Puerperal fever can be caused by non-genital tract causes, such as mastitis, upper respiratory tract infection, urinary tract infection, etc., but most of them are puerperal infections.Postpartum stroke is an obstetric emergency. Improper treatment or delayed treatment can lead to sepsis, toxic shock and life-threatening.

However, the understanding of the etiology of postpartum stroke in the Song Dynasty was attributed to exogenous pathogenic factors.The most representative discussion is the discussion about postpartum stroke in "Shengji Zonglu": "Postpartum blood energy is not exhausted, and wind evil is caught in it and enters the meridians," resulting in stroke.

Therefore, the ancients required strict wind protection for pregnant women, making the delivery room airtight, even blocking the gaps between doors and windows, even in hot weather, which actually increased the reproduction of germs and increased the probability of postpartum stroke.

However, Du Wenhao knew that his theory involved modern medical knowledge, so he couldn't explain it clearly to Judgment Pan. Du Wenhao also had the experience of arguing against Qian Bushuo, so he knew that it was almost impossible to convince these old scholars of the Song Dynasty with theory. , the only way is to speak with the facts, and Du Wenhao finally won the conquest without accepting money, which also relied on the actual curative effect of the specific medical case.

Therefore, Du Wenhao didn't argue with him, but said: "Master Pan, let's put it this way, I can guarantee that, with my method of delivery, the postpartum stroke rate can be controlled at least below [-]%!"

"What?" Judgment Pan's eyes widened. Postpartum stroke was a high incidence in the Song Dynasty, usually [-]% to [-]%, and it was the main cause of maternal death.Du Wenhao could say that he could control it below [-]%, Pan Juju was so surprised that his eyes popped out.

Du Wenhao said: "In order to prove the correctness of my argument, we can do a comparative test in the practice of Tai Hospital, randomly select two groups of puerperas, one group will deliver babies according to your method, and the other group will deliver babies according to my method. Let's see Which group has a higher rate of postpartum stroke will tell if I'm right. How?"

Like modern medical universities, the teaching of the Imperial Medical Bureau combines theory with practice, and it also arranges practice teaching. The objects of the internship are students of imperial studies, law studies, and martial arts, soldiers of various battalions in the capital, and patients of "Anjifang".Of course, the objects of obstetrics practice are mainly pregnant women in "Anjifang".

Anjifang is a kind of hospital established by the imperial court to accommodate patients who were displaced due to poverty and famine and came to the capital without money to see a doctor. They not only provide medical care, but also prepare soup and diet in the kitchen. After they are cured, they will send them back to their hometown with money .Many of these admitted patients are pregnant women.Then the students from the Imperial Medical Bureau helped to deliver and treat the sick.

Judgment Pan could not help being a little apprehensive seeing Du Wenhao's confident appearance, wondering if his point of view was really right?If it were anyone else, Judgment Pan would just treat it as a sensationalist rant and ignore it at all, but the young man in front of him claims to be good at Hua Tuo's magic technique of laparotomy, and he is the master of Qian Yi, the imperial physician of the imperial hospital, and an official Zhan Ti, the doctor of the kaogong department, personally recommended it solemnly, saying that his mother was saved by the young doctor's laparotomy, and the other two were also saved. He really dare not underestimate it.However, asking him to believe that a stroke is not an exogenous wind evil but an evil poison is completely different from what he has learned for decades, and he cannot accept it anyway.

He changed his mind and thought again, if the comparative test proves that Du Wenhao is right, and can reduce the incidence of postpartum stroke to one in ten, this will be a major event that will benefit thousands of people, for the sake of not charging money and Zhan Ti , let him try it.

Therefore, Judgment Pan nodded and said, "Okay! Let's do it according to the master's opinion."

(End of this chapter)