Chen Yang came to the patient Yiyi and found a small stool to sit in front of the hospital bed.
Looking at the other person's small face, which was like a porcelain doll, it was full of illness. Her big eyes opened from time to time, but they were full of discomfort and exhaustion. She also kept coughing several times and was a little out of breath.
Seeing this, Chen Yang felt heartbroken for a while.
Looking at this little girl, the knowledge point of TCM dialectics of adenovirus pneumonia suddenly popped into my mind. In the early stage, wind-heat often closes the lungs or heat-heat closes the lungs. As the disease progresses, external evils sink in, and the same disease will appear on the outside and inside.
, the exterior is cold and the interior is hot, or the exterior is full and the inside is sharp. In the most severe cases, phlegm-heat can close the lungs, and poisonous heat can close the lungs.
If it is wind-heat that closes the lungs or summer-heat that closes the lungs, then there should not be much deviation in the previous medication. Is it the compatibility and dosage? Or is something overlooked?
"That's not right!" Chen Yang was completely shocked, and almost got it wrong. Pediatric diseases are the most difficult to treat in traditional Chinese medicine.
Therefore, Chen Yang's mentality was slightly unstable, and the knowledge points he had previously recorded in his mind immediately popped into his mind, almost giving him a preconceived impression.
But after all, he is a real Chinese medicine doctor, and he immediately adjusted his mentality. He said softly: "Look at the pulse syndrome, you will know what the problem is, and treat it according to the syndrome."
These twelve characters are the principles for treating diseases in traditional Chinese medicine.
Chen Yang slowly exhaled. He no longer had any preconceived impressions in his mind. Now he had forgotten the diagnosis of adenotoxic pneumonia in this child. He began to re-diagnose and treat the child and make a final conclusion.
The optician asked: "Dr. Chen, do you need me to get the relevant examination report?"
"No need." Chen Yang shook his head slightly.
Chen Yang called out twice: "Yiyi, Yiyi."
After a while, the little girl opened her eyes and looked at Chen Yang, but soon closed her eyes tiredly.
Chen Yang also sighed slightly. He was only over a year old and could not even speak. This is why it is said that pediatric diseases are difficult to treat. Chinese medicine considers pediatric diseases to be mute.
A child as young as this cannot even speak. It is also difficult for older children to express their feelings accurately in words.
Traditional Chinese medicine uses inspection, smell, questioning, and incision, and combines the four diagnostic methods with reference to consultation, which directly eliminates one of the consultations. Moreover, children's pulse is difficult to diagnose, and children are very active, so it is difficult to diagnose the pulse accurately.
Therefore, throughout the ages, Chinese medicine has been very cautious in the diagnosis and treatment of pediatrics, but it has also derived several unique diagnostic methods.
Chen Yang first conducted a careful facial examination on the child. The child's complexion was green and yellow, he was coughing and wheezing, and the area around his mouth was green and his lips were pale. The child's complexion was blue, and the nose, between the eyebrows and around the lips were often accompanied by high fever, which was convulsions.
!
The lips are light, not dry or cracking, and the vagina is not injured? With such a high fever, the fever has lasted for four days, and the vagina is not injured?
Chen Yang continued to diagnose. He took Yiyi's hand over and wiped the palm of Yiyi's right hand with the thenar part of his left hand. He found that there was no sweat on the palm of Yiyi's hand. Then he tested Yiyi's left hand with the thenar part of his right hand.
The heart is also sweatless.
Such high fever, but no sweating. The presence of sweating means deficiency, and the absence of sweating means excess.
Evidence of reality?
Then, Chen Yang picked up Yiyi's hand and observed the index finger fingerprints. This is a special diagnostic method for infants and young children, and is only suitable for infants and young children under two years old.
Because children of this age have insufficient qi and blood and undetermined meridians. Children’s index finger fingerprint collaterals are branches of the hand-taiyin lung meridian, so diagnosing children’s index finger collaterals has the same reference value as diagnosing Cunkou pulse.
This is called the Children’s Index Finger Pulse Diagnosis Method, also called the Children’s Fingerprint Diagnosis Method.
The index finger has three sections, which are divided into three levels: wind, qi, and life. The first section is the wind section, the second section is the qi section, and the third section is the life section.
Chen Yang asked her to stretch out her index finger, then grab the other fingers and fix them, and then use the thumb of his right hand to push Yiyi's index finger straight from the fingertip to the root of the finger.
These onlookers looked at it strangely.
"What are you doing?" Yiyi's mother couldn't help but ask, wiping the tears from the corners of her slender eyes.
Director Wang had seen this diagnosis method and replied: "This is the index finger pulse diagnosis method for children. It is a special diagnosis method of traditional Chinese medicine for infants and young children."
"Oh." Yiyi's father nodded. Hearing this name, he felt very powerful. It seems that this young man has some abilities.
Other Western medicine doctors looked at Chen Yang's diagnosis and treatment quietly. They used to think that this kind of thing was unscientific, but now he didn't know what to say, he just felt very confused.
After Chen Yang pushed a few times, he found that the meridians were clear. They were blue in color, indicating convulsions, and went straight above the Qiguan.
At this moment, Chen Yang's face looked a little more solemn, and the three joints of his index finger were the three levels of wind, qi, and life.
If the collaterals appear from Feng Guan, it means that evil Qi has entered the collaterals. If the pathogenic factors are superficial and the disease is mild, it is not serious at this time; but if the collaterals appear from Feng Guan to Qi Guan, it means that evil Qi has entered the meridians, and the main disease will be deep and serious.
That's when it started to get serious.
The last section is the Ming Guan. If the collaterals penetrate from the Feng Guan all the way to the lowest Ming Guan, it means that evil energy has entered the internal organs, which may endanger life.
Judging from Yiyi's weak breath, if the condition cannot be controlled today, it will definitely turn into a serious disease, which will be really dangerous. The condition is so serious, Chen Yang also feels a lot of pressure.
Chen Yang slowly let out a breath, calmed down, then reached out to explore Yiyi's fingers, and found that the girl's fingers were a little cold?
After being surprised, Chen Yang put down Yiyi's hands and quickly went down to touch Yiyi's feet. Her feet were also cold. With such a high fever, her limbs were not warm.
This, this is too strange, isn't it? Chen Yang was silent for a while. After a while, he continued to explore, pressed his hands on Yiyi's body, and found that her chest and abdomen were full, and her diaphragm was moving.
He turned his head and looked outside and shouted, "Bring me a tongue depressor."
"I'll go." A handsome nurse responded, turned around and went to the nurse station to get it.
"Give."
After a while, the handsome nurse brought a tongue depressor and handed it to Chen Yang.
Chen Yang looked at Yiyi and said gently: "Come on, Yiyi, open your mouth, ah..."
Seeing this, Yiyi's mother leaned down and looked at her daughter and said, "Yiyi, come on, let's open our mouths."
However, Yiyi just looked at her mother helplessly, her mouth tightly tightened and did not open.
"Come on, Yiyi, follow daddy's example and open your mouth."
Yiyi's father also came to comfort the child.
However, until the young parents were sweating profusely from exhaustion, the child did not open his mouth. At this time, the doctors who were watching also became anxious.
Just when everyone was anxious, Yiyi's mother ignored her shyness, lifted up her T-shirt, lifted up her bra, revealing a plump white mass, and stuffed it into her child's mouth.
When Chen Yang saw this scene, his face suddenly turned red, and the hand holding the tongue depressor trembled slightly.
Yiyi smelled her mother's breath, maybe her "rice bag", and instinctively opened her mouth to hold it. Although her mouth was open, the tongue depressor still couldn't be inserted.
"Dr. Chen, when you see me removing the vagina from the child's mouth, immediately put the tongue depressor into the child's mouth."
The handsome woman said without raising her head, her face flushed.
"OK, all right."
Chen Yang felt that this was the first time in nineteen years that he heard his trembling voice.
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