Because Chen Yang was too nervous, the handsome woman repeated the action four or five times before he successfully inserted the tongue depressor into Yiyi's mouth.
Chen Yang, who had a very high mental quality, quickly calmed down, quickly discarded distracting thoughts in his mind, calmed down and continued to concentrate on treating the child.
He reached into the duckboard, pressed lightly, poked in, and quickly took it out.
"Ugh..." Yiyi's tongue was stimulated and she felt nauseated.
In just a short moment, Chen Yang completely observed Yiyi's tongue and found that the tongue was pale and the coating was gray-white.
Although it is a bit unbearable, it must be done like this. With such a young child and such a serious illness, it is impossible for you to let her stick out her tongue honestly. Only by vomiting can the entire tongue be fully observed.
A pale tongue indicates cold syndrome or deficiency syndrome. The tongue coating is gray-white, and the tongue coating changes from white to gray, regardless of which part of the tongue it is, it is caused by evil heat transmitted through the meridian due to exogenous factors.
Well, that's what it means. I understand. Chen Yang suddenly felt enlightened.
But Chen Yang did not dare to be careless, because the child at this moment could no longer withstand any misdiagnosis, and if it was not under control, his life would really be in danger.
Chen Yang saw that Yiyi was very well-behaved, so he kept lying quietly on the bed. Even after the diagnosis, the child did not move.
It’s not that children’s pulse cannot be diagnosed. Diagnosing the pulse takes time, and the shortest time is five minutes. Children often don’t have such patience. They move around, and you are not sure about the diagnosis. So the difficulty in pediatrics is to take the pulse.
superior.
Seeing that the child was lying still and not moving, Chen Yang decided to take the child's pulse. So, he grabbed Yiyi's hand and did not put it on the pulse pillow. Instead, he pressed his thumb on Yiyi's wrist to check the pulse.
place, and then put your index finger on the back of her wrist to fix it.
From the outside, it looked like Chen Yang had clamped Yiyi's wrist with his two fingers.
There are three parts of Cunkou pulse, Cunguanchi. In the past, three fingers were needed to diagnose the pulse, corresponding to each part respectively. However, children under two years old are too young, and their wrists have not yet developed.
So one finger can cover three parts. This diagnosis method is called "one finger cuts three passes."
One finger has to complete the work of the previous three fingers. This pulse condition is not so easy to diagnose.
Chen Yang took out a few breaths and calmed down. The most important thing to check the pulse is to calm the heart. If the doctor doesn't calm down, the diagnosis will definitely be inaccurate.
Chen Yang concentrated on checking his pulse. Yiyi was very obedient and did not move around. She lay quietly on the bed, which made him feel relieved.
About ten minutes later, Chen Yang finished checking the pulses of both hands. Currently, Yiyi's pulse is a slippery pulse. The floating pulse is mainly superficial, slippery in the middle, and mainly wind and phlegm in the lungs.
Chen Yang muttered a few words, breathed a long sigh of relief, confirmed the condition, and said to himself: "Prescribe!"
The doctors who were watching were all shocked, and they all looked at Chen Yang in surprise. Has the diagnosis result come out?
The spectacled doctor hurriedly handed over the paper and pen to Chen Yang. Seeing that Chen Yang had confirmed the condition, Director Wang felt relieved. He wiped the sweat from his head and asked hurriedly: "Doctor Chen, who is Yiyi?"
What disease do you have?"
Chen Yang glanced at him and explained to him: "The child suffered from a stroke caused by the sun, the camp and the guards are not harmonious, and the lung qi is not clear. Although she has a high fever, her feet are cold. And the tongue is also light. This is not a heat syndrome.
."
As soon as these words came out, all the doctors were shocked.
Chen Yang paused and continued: "The pulse is slippery, and the floating pulse is an external syndrome. Wind and cold bind the surface, and the Yang Qi floats out to fight against evil. At this time, the body's nutrition and defense are out of balance, and there will be symptoms of floating pulse and fever.
"This disease is caused by the feeling of wind and cold. It should be treated with pungent and warm medicine to relieve the symptoms. However, pungent and cool medicines are used instead, which leads to the depression of the exterior and the lack of lung defense, resulting in coughing and shortness of breath. In addition, there are wind phlegm and convulsions.
Feng, I'll prescribe it right now, just drink it and you'll be fine."
The treatment is to relieve muscles and dispel wind, harmonize Yingwei, reduce qi and calm asthma, clear away pathogenic factors and bring out the symptoms, combine bitter-warm and pungent-warm methods, and add Houpu Xingzi Decoction with cinnamon twigs to flavor it.
Chen Yang pondered for a while and then wrote: "1.5g cassia twig, 1.8g white peony root, 1.5g licorice, 2 slices of ginger, 2 jujubes, 1.8g of Magnolia officinalis; 10 almonds, 3g of silkworms, Pediculus chinensis.
1.5g.”
Just as Chen Yang was prescribing the medicine, Su Yong arrived. She might have been walking in a hurry and was a little out of breath.
"Hey, why are you here?"
Chen Yang asked curiously.
"Not long after you arrived, Dean Niu called Director Gao and asked him to come too, but he sent me instead because he had patients."
Su Yue stared at Chen Yangjunlang's face and said.
"Then you came just in time. I just happened to have prescribed the prescription. You go grab the medicine and make it right away."
With that said, Chen Yang handed the written prescription to Su Yue.
About an hour later, Su Yue came to the ward with the cooked medicine. Chen Yang took the medicine bowl and was about to feed Yiyi, but a beautiful middle-aged woman took it over and said, "Give it to me, you can't feed it in."
"
After coaxing and lying, Yiyi finally finished drinking the medicine. The middle-aged couple looked at their weak-breathing daughter and wondered, could things get better this time?
During Chen Yang's diagnosis and treatment, Director Wang said nothing and just watched silently.
After a while, Yiyi started to sweat slightly.
Chen Yang observed that the child was sweating, and said with joy on his face: "It's relieved!"
The logic of treating diseases in traditional Chinese medicine is to use the deviation of the medicinal properties to correct the deviation of the body. If it is deficient, it will be replenished, if it is true, it will be purged. If it is cold, it will warm it, and if it is hot, it will cool it. As for the external syndrome, it is necessary to relieve the external syndrome, which is the solution of sweating.
The solution is shown.
Clinically, there are also superficial symptoms of wind-cold and superficial syndromes of wind-heat. Wind-cold means wind-cold external evils are bound to the surface, and cold will warm it, so the pungent-warming method should be used. The pungent energy can be dispersed, and everything will be fine after the sweating is resolved.
Wind-heat superficial syndrome means heat evil, which requires pungent and cool substances to relieve the superficial symptoms. Liu Jingning misjudged last time. Maxing Shigan Decoction and Yinqiao Powder are both pungent and cool to relieve the superficial symptoms, but Yiyi has wind-cold superficial syndrome and the medicine is wrong, so
Ineffective but worse!
At this time, all the doctors present breathed a sigh of relief, with joy on their faces. Except for Director Wang and the two attending doctors, they all returned to their posts.
When Yiyi's parents saw their child rescued, their eyes shone brightly, and their joy was beyond words.
After observing for a while, Yiyi opened her eyes and turned her head to look here and there with a curious expression on her face.
Upon seeing this, the doctor with glasses immediately called the nurse to take the temperature.
"38.2 degrees."
When the nurse reported this number, Chen Yang and others were excited, and the high fever began to subside.
Yiyi's parents were so excited that they burst into tears. They were so worried during this time. Their one-year-old daughter was so sick that they were heartbroken. Now they finally see the light of day.
Director Wang, who is known as the chief master of Western medicine and rejects traditional Chinese medicine, is deeply ashamed and impressed by Chen Yang's strength. If the little girl cannot be saved, it will cause a medical accident, and the main responsibility lies with him. It is his subjective judgment error.
As a result, the little girl was not rescued in time, causing her condition to worsen.
At this time, it was already half past six in the afternoon, and Chen Yang felt hungry.