After some discussion, Chu Mingxing and Duan Changan asked for leave and took Lin Aqiang to visit Beijing.

Zhang Yan wants to go back to Hongxing Hospital to make medicinal wine.

Now that the tiger bones are here, it’s natural to start brewing medicinal wine.

Not only tiger bone wine, but also tiger whip wine that everyone is obsessed with.

But this cannot be called tiger penis wine, it is indecent.

The ancients were not so straightforward. They all liked to choose a more subtle name.

For example, Huwei wine.

Another example is Dragon Tiger Tonic Wine.

After eating, Zhang Yan rode his bicycle to Xicheng Hospital.

Yesterday, Xicheng Hospital admitted several more patients.

Now, more than 50 appendicitis patients have been included, which makes Zhao Pengcheng and others even more excited. They can't wait to break through 100 and make their research topic public.

"Dr. Zhang, plus today's five patients, we have more than 60 patients.

We strive to complete the diagnosis and treatment of 100 patients by March next year.

Then publish a paper." Zhao Pengcheng had a smile on his face that could not be concealed.

Zhao Pengcheng witnessed the miraculous effect of traditional Chinese medicine in treating appendicitis with his own eyes.

As long as one hundred patients are collected, statistics and sorting are carried out, and a standard diagnosis and treatment guideline is finally formed.

At that time, even those who were not Chinese medicine practitioners could treat appendicitis patients according to the guidelines.

Although the effect is not as good as the current one-person treatment, according to Zhang Yan, the effect is still several times better than the current anti-infection treatment effect of simple infusion.

The current Western medicine treatment for appendicitis is too simple. For mild symptoms, antibiotic treatment is required, and for severe symptoms, surgical removal of appendicitis is required.

Although many doctors say that the appendix is ​​useless and it will not affect the body even if it is removed.

But in fact, most doctors know that there are no useless organs in the human body.

The so-called uselessness is just a use that has not been discovered.

Zhang Yan led a group of doctors from the General Surgery Department of Xicheng Hospital to start today's ward rounds.

"Patient, name: Tashi Wangdui, male, age 37 years old.

He was admitted to the hospital for abdominal pain. The patient reported paroxysmal tingling in the right upper abdomen, worsening pain at night, fatigue, anorexia, mild abdominal pain and diarrhea, poor sleep, suspected gallstones, and was undergoing antibiotic and anti-inflammatory treatment," said Zhou Min, a bedside doctor.

patient's condition.

"Huh? Is the patient a Tibetan?" Zhang Yan was stunned for a moment and asked.

"Yes, a Tibetan, came to Beijing on a business trip, and fell ill and was admitted to the hospital for treatment." Zhou Min introduced.

"Well, what tests have you done?"

"A blood test was done.

Hemoglobin: 64g/l, neutrophil count: 661×109/l, lymphocyte count: 068×109/l, basophil count: 012×109/l; coagulation complete set: prothrombin time: 159sec

, activated partial thromboplastin time: 449sec, plasma fibrinogen: 499g/l; biochemical complete set: potassium: 275mmol/l, sodium: 1292mmol/l, calcium: 189mmol/l, aspartate aminotransferase: 59u/

l, total bilirubin: 1065umol/l, albumin: 25g/l." Zhou Min flipped through the checklist and reported.

Zhang Yan nodded, picked up one of the patient's hands, started taking the pulse, and then checked the tongue coating.

According to TCM syndrome differentiation, the patient should suffer from insufficient liver yang and weak spleen and stomach.

"Do an X-ray examination, mainly to examine the liver and gallbladder area." Zhang Yan thought that the patient was a Tibetan, so he arranged it for Zhou Min.

"Dr. Zhang, there is no doubt that the patient has cholecystitis. According to the patient's symptoms, he should have gallstones, which are causing swelling and pain in the liver area." Zhou Min was stunned for a moment and explained.

It's not that Zhou Min dared to question Zhang Yan, but that the patient was not a resident of Xicheng District and could not enjoy public medical care. One more examination would mean one more expense.

As a child from a rural area, she can better understand that it is not easy for Tibetans to make money.

"Although the patient's symptoms have the characteristics of cholecystitis, the main cause is not a gallbladder problem, but a liver problem. Let's wait for the X-ray to come out and discuss it later." Zhang Yan explained with a smile.

"Okay!" Zhou Min's words just now summoned up great courage. Now Zhang Yan strongly requested that she could not refuse.

The director and deputy director were both here, and they didn't object to Dr. Zhang's arrangement. What could she do as a bedside doctor?

I walked around the ward, diagnosed all five patients with appendicitis admitted today, prescribed medicines, and also diagnosed and treated several other gastrointestinal patients.

In the past, Zhang Yan would leave directly after filling out the prescription.

Today, Zhang Yan did not leave in a hurry, but came to Zhao Pengcheng's office.

"Dr. Zhang, are you waiting for the test results of the Tibetan patient?" Zhao Pengcheng saw that Zhang Yan was not there, and after a little thought, he understood the reason why Zhang Yan stayed.

I couldn't help but admire Zhang Yan even more. This is his responsibility to the patients and his loyalty to his profession.

"Yes!" Zhang Yan nodded simply.

"Dr. Zhang, can you tell me your judgment on that patient?" Zhao Pengcheng suddenly became interested, quickly made Zhang Yan a cup of tea, and then asked eagerly.

"I don't have any judgment. The patient's pulse is deep and stringy, his tongue is dark red, and his tongue coating is white and greasy. According to the diagnosis of traditional Chinese medicine, this is a symptom of insufficient liver yang and deficiency of the spleen and stomach.

The patient's symptoms include abdominal pain, stabbing pain in the right upper quadrant, which is lighter during the day and worse at night. Our hospital diagnosed it as calculus cholecystitis, and there should be no problem from the above.

However, the patient is a Tibetan, so I had to think more about it," Zhang Yan explained with a smile.

"Is there any problem with this? Is there any relationship between calculus cholecystitis and the patient's ethnicity?" Zhao Pengcheng asked with some confusion.

"Yes!ъìqυgΕtv.℃ǒΜ

Last year, oh, I should say the year before last, Director Xu Mingqian of the newly established hospital published a paper in the "Chinese Journal of Surgery". I wonder if Director Zhao had any influence?" Zhang Yan asked with a smile.

One sentence made Zhao Pengcheng's face turn red.

Although their department subscribed to the medical journal "Chinese Journal of Surgery", Zhao Pengcheng did not pay too much attention to it and only glanced at it occasionally.

Therefore, I have no idea what the newly-established Director Xu Mingqian’s thesis is that Zhang Yan is talking about.

"Director Xu, Director of the General Surgery Department of Xinjiang Autonomous Region Hospital, the paper he published is "Discussion on the Diagnosis and Treatment of Cystic Hydatid Disease."" Zhang Yan did not continue to talk about it and gave the answer directly.

"Dr. Zhang, what you mean is that the patient just now may have cystic hydatid disease?" Zhao Pengcheng finally came to his senses.

"I just doubt it.

After all, this disease is a frequently occurring disease, which is very consistent with the identity of the patient.
Chapter completed!