In the emergency department of Kyoto Hospital, the director of the department, Ren Xinwei, was leading the doctors in the department to examine a seventy-year-old man.

When Wei Zhengshuo arrived at the emergency department with Zhu Senqiang and Ye Yiyun, the chief experts from the gastroenterology, respiratory, hepatobiliary and other departments who had been notified also arrived.

Mr. Ren suddenly fell seriously ill, but Kyoto Hospital did not dare to neglect him. According to the situation, the emergency department immediately notified the relevant departments to come for consultation.

"Abdominal bloating, asthma, and now I can't even drink water."

Ren Xinwei, director of the emergency department, explained the situation to everyone.

"We are currently conducting corresponding examinations for Mr. Ren, and we have to wait for the results of the examinations to come out."

Ren Xinwei said and introduced to everyone: "Mr. He was responsible for treating Mr. Ren before. Please let Mr. He explain the situation in detail."

Beside Ren Xinwei, stood an old man of 67 or 18 years old, who was exactly what Ren Xinwei called Mr. He.

"He Lao."

Everyone said hello.

Mr. Ren also lived in a nursing home after his retirement. Mr. He was a traditional Chinese medicine expert in the nursing home. Although he was not a master of traditional Chinese medicine, he was still an experienced traditional Chinese medicine doctor with superb medical skills. In terms of status, he should be similar to Yue Anyun and Jin Anping.

Moreover, in Kyoto and in a sanatorium, his status is higher than that of Yue Anyun, Jin Anping and other famous Chinese medicine experts.

"Lao Ren had vomiting and diarrhea before, and his pulse syndrome seemed to be excessive stomach heat, so he used heat-clearing and detoxifying methods. He never thought that the symptoms would worsen after taking the medicine..."

Mr. He explained the situation to everyone in detail.

In clinical practice, common vomiting and diarrhea can be roughly divided into four situations.

Cold-dampness type, which is more common in summer due to eating too much raw and cold food, is characterized by nausea and vomiting, abdominal pain and bowel sounds, diarrhea with loose stools that are not very smelly, chest and diaphragm tightness, or aversion to cold, dispersing cold, drying dampness, and aromatization

turbidity.

Summer-wet type, symptoms include frequent vomiting and diarrhea, nausea and vomiting, abdominal pain and diarrhea, burning in the anus, vomiting and diarrhea, sour and rancid smell, brown uncle, short red urine, upset and thirst, which may be accompanied by fever, yellow tongue coating, tender pulse,

Slip number.

The stagnation type is mostly caused by overeating and overeating. Symptoms include sour vomiting, belching and fullness, abdominal pain and diarrhea, foul-smelling feces, pain after diarrhea, full abdomen and anorexia, thick and greasy tongue coating, and stringy and slippery pulse.

The deficiency-cold type is more common in people with weak spleen and stomach. Symptoms include frequent vomiting and diarrhea, abdominal pain that requires pressing, pale complexion, sweating and cold limbs, lack of thirst, pale tongue, thick coating, and slow or thready pulse.

Of course, in addition to this, there are also the intrinsic type of dampness and heat, the Yin type in which evils flourish and decline, the Yin exhaustion and Yang detachment type, etc.

In the past, Ren Lao's main symptom was heavy vomiting and diarrhea, with no other symptoms. In Western medicine, this kind of condition is mostly caused by gastroenteritis. He Lao judged that it was due to the accumulation of heat and toxins, which caused gastrointestinal irritation.

He refused to take it in and had vomiting and diarrhea, so he used prescriptions to clear away heat and detoxify.

Unexpectedly, after taking the medicine, Ren Lao's condition worsened, and he developed symptoms of chest and abdominal distension, asthma, and he couldn't even drink water.

"Other than the distension of the chest and abdomen, what other symptoms does Mr. Ren have now?"

Wei Zhengshuo asked.

"Dry mouth, no fever."

Mr. He said.

"Body bloating and dry mouth?"

Wei Zhengshuo said: "Judging from the symptoms, it is indeed consistent with the damp-heat syndrome of the spleen and stomach, and it is not wrong to use the method of clearing away heat and detoxifying."

"It's just that Ren Lao's condition got worse after taking the medicine, and I'm not sure now."

Mr. He said slowly.

Treating big leaders puts a heavier burden and greater pressure on doctors. Any changes during the treatment process can make doctors hesitate.

Mr. He was also a famous Xinglin expert. After taking the medicine once, Mr. Ren's condition worsened, and Mr. He became burdened.

"The results are out."

While talking, the test results came out.

Ren Weixin looked at the result and handed it to others: "Viral infectious acute gastroenteritis."

Everyone else took it and looked at it.

"If it is viral acute gastroenteritis, in terms of traditional Chinese medicine, it is not wrong for He Lao to use the method of clearing away heat and detoxifying."

Lu Zhiwen, director of the Department of Gastroenterology, said.

"The current situation is that Mr. Ren still has severe symptoms of dehydration, but he cannot drink water and can only rely on infusions to maintain his condition, which will aggravate abdominal distension."

He Laodao: "So the current situation is still quite difficult."

Mr. Ren was sent from the nursing home and had been treated before. The current situation cannot be delayed too much. Kyoto Hospital must come up with a treatment plan as soon as possible.

"Judging from the test results, it seems to be food poisoning."

Lu Zhiwen looked at it carefully again and asked, "Is there anything wrong with Mr. Ren's usual diet?"

"Mr. Ren's diet is not bad."

He Lao said: "Mr. Ren doesn't drink much, and he doesn't eat spicy food very much. He can also control greasy food. In the nursing home, the diet can still be guaranteed."

Lu Zhiwen stopped talking.

There are dedicated people in charge of the diet of the senior leaders of the sanatorium. Even some senior leaders who are addicted to alcohol and like greasy food have someone to specifically control them.

After reading the examination list, a group of people went to the ward again, examined Mr. Ren, and then went to the consultation room.

"Tell me everything."

Ren Xinwei said: "What kind of treatment should we use now? I think the most important thing right now is to solve Mr. Ren's vomiting and abdominal distension first. Otherwise, the old man will not be able to eat and drink, and he will not be able to survive."

Mr. Ren was in his seventies and suffered from severe vomiting and severe abdominal distension. This is a very serious situation for an old man of such an age.

In traditional Chinese medicine, elderly patients, children, and women are also special patient groups. Elderly patients are older, weaker, and have many geriatric diseases. For elderly patients, it is not serious diseases such as cancer that are fatal. Sometimes some minor illnesses can be quite difficult.

"Director Ren is right."

Lu Zhiwen said: "These two problems must be solved as soon as possible. Should we use traditional Chinese medicine or Western medicine now?"

"Mr. He had used Fang before, but his condition worsened."

Wei Zhengshuo said: "From the current point of view, I personally think that Mr. He's judgment is not very different. How about trying Western medicine first?"

"Then use conventional treatment methods?"

Ren Xinwei asked.

"Acute viral gastroenteritis, please treat it first."

Wei Zhengshuo nodded.

Mr. He's condition is not low, and his condition worsened after taking medication. From this aspect, the doctors on site are considering Western medicine first for the time being.

You still have to be cautious when treating your leaders. Western medicine was not effective before, so you tried Chinese medicine. But the traditional Chinese medicine was not effective before, so you tried Western medicine. This is also the consistent policy.

The predecessor of Kyoto Hospital was originally a sanatorium. It was responsible for treating leaders and already had rich experience. To treat leaders, the first thing to do is to solve the pain quickly and not to delay it for a long time.

If the leader continues to suffer, even if the disease is cured in the end, it will not be cured.

"Okay, let's use the regular plan first."

Ren Xinwei said: "Mr. Ren will be assigned to the gastroenterology department?"

"Can."

Lu Zhiwen nodded. He couldn't shirk this matter. He couldn't let the old leader be in the emergency department.
Chapter completed!