At this time, Yang Hongnian put his hand on the other person's wrist, stared at the other person's tongue, and frowned slightly.
The tongue is dark, but no ecchymosis is seen.
The tongue coating is thin and white, and the coating is dry and not slippery.
The tongue is trembling and not centered.
This... doesn't seem to be a simple tongue sign of blood stasis syndrome!
And... Yang Hongnian felt the pulse rate on his fingertips. The pulse was tight and heavy, but it felt a little slow when he pressed it hard?
How is this going?
Is this true or false?
And... there is inner wind!
Yang Hongnian began to think deeply.
This is a pulse condition in which the liver wind is internally moving, with deficiency in origin and excess in excess!
For a moment, Yang Hongnian was not sure.
You know, generally speaking, for patients with brain injuries, the main goal is to improve microcirculation by activating blood circulation and removing blood stasis.
This is the theory of Western medicine.
It is also the modern Chinese medicine treatment plan for the sequelae of brain contusion.
But……
There are differences between traditional Chinese medicine and Western medicine in terms of diagnosis and treatment methods.
Yang Hongnian was once a man with dreams.
When he first learned Chinese medicine, he also had the idea of revitalizing Chinese medicine. He also wanted to innovate and find his own way...
However, after repeated setbacks, life taught him how to behave.
You have to tuck your tail between your legs, learn to follow the herd, not be independent, you can't...
However, at this time, Yang Hongnian felt a little hesitant in his heart.
How to treat it?
Although Yang Hongnian is not necessarily very good at traditional Chinese medicine, he is good at pulse diagnosis, or professional. He clearly felt that this patient's pulse condition was a sign of liver and kidney yin deficiency.
But!
In the current "Expert Consensus" for brain contusion, there is no precedent for such treatment!
Experts all believe that it should activate blood circulation and remove blood stasis to improve circulation!
What should I do?
Yang Hongnian looked at the woman on the bed, pitiful and helpless.
Why……
He sighed.
Yang Hongnian looked at the three deputy directors, Zhao Jianyong, Liu Quan, and Zhou Qinzheng.
"Come on, you guys try it."
He wants some recognition!
After hearing Yang Hongnian's words, Zhao Jianyong took the lead and walked over.
Then came Zhou Qinzheng, and finally Liu Quan.
After some diagnosis.
Yang Hongnian looked at the three of them: "What do you think?"
Zhao Jianyong said thoughtfully: "I don't think there is much problem with the treatment plan. The pulse is tight and astringent, and there is blood stasis. However, it is a deficiency and excess. I think some tonics should be added to replenish qi and promote blood circulation."
Yang Hongnian did not comment, but looked at Zhou Qinzheng aside: "Director Zhou, what do you think?"
Zhou Qinzheng looked at Zhao Jianyong and Liu Quan, thought for a while and said:
"What Director Zhao added makes sense."
"However, I think that the traditional Chinese medicine for this disease falls into the category of congestion and phlegm obstruction. After trauma, the marrow sea loses nourishment, and the qi and blood are insufficient, the pulse channels are not sufficient, and the heart loses its nourishment. The kidneys govern the marrow and brain, and the heart governs the gods. Heart and kidney deficiency
If it is deficient, the marrow sea will be empty and the brain vessels will lose support."
"The brain is the house of the soul. If the brain vessels are not nourished, it will lead to dizziness and failure of the five senses."
"I also think that while promoting blood circulation and removing blood stasis, we should nourish the heart and kidneys, remove phlegm and rejuvenate the mind!"
After the two people finished speaking, the scene became quiet.
Yang Hongnian was a little disappointed.
Because...he didn't hear the answer he wanted.
Obviously, the patient has a deficiency and a deficiency, and the supplement is correct, but... he doesn't think that blood circulation should be activated.
If promoting blood circulation is useful, the patient has been undergoing treatment for such a long time. How can it be useless?
While the patient was hospitalized, he had already undergone treatment plans to improve intracranial circulation and nourish nerves.
Western medicine is more accurate and more effective in this field. Is it the turn of Chinese medicine to speak?
Moreover, after the patient was discharged from the hospital, he also took a large number of drugs for promoting blood circulation and removing blood stasis. He took more than 20 side medicines called "Tongqiao Huoxue Decoction", but instead of getting significantly better, his condition worsened.
Why?
The effect is wrong!
Yang Hongnian didn't hear the answer he wanted.
The scene fell into silence.
The patient was already apathetic and her eyes were full of fear. Although he was slow, she was not stupid.
Seeing the depressing atmosphere at the scene, the woman began to sob softly.
Tears also stayed behind unconsciously.
Yang Hongnian sighed and looked at the woman with a smile: "Sister, don't worry, I will admit you to the hospital, and we will definitely find a way to treat you."
"Don't be nervous...and don't be afraid."
The woman cried and said: "Hey... I'm not afraid."
"I'm worried..."
"My child is 27 years old this year and is not married yet."
"I'm like this. If I continue like this, what should I do if I become dementia?"
"Who would want to marry a fool's child?"
"I'm a burden!"
"Doctor...I don't blame you."
"It's all my fault, I was careless..."
The woman spoke very slowly, but...every word she said spoke to everyone's heart.
Who is not a child or a parent?
How can this feeling and scene not touch the soul?
Yang Hongnian patted the back of the woman's hand, then looked at everyone around him: "Do you all have any different thoughts or opinions?"
As soon as these words came out, the scene became quiet.
No one dares to talk about such a difficult and complicated disease, let alone boast about it.
Who is sure about the treatment?
Including Chen Nan, no one has such certainty.
For a moment, everyone seemed to be silent.
Several deputy directors present spoke.
Let them speak, what should they say?
Some people have nothing to do with themselves, are indifferent, will not cause trouble for themselves, and are not their patients, so why should they care?
Some people are well versed in world affairs and don't speak randomly. Even their team leaders have expressed their opinions, and they sing the opposite opinion. What does the leader think?
Some people frown, thinking, but can't think of a good solution, so they can only choose to remain silent.
Seeing this, Yang Hongnian suddenly raised his head and glanced at Chen Nan.
to be honest……
For some reason, Yang Hongnian suddenly wanted this "unpleasant" "prick" to stand up and express his opinion.
Unfortunately, Chen Nan did not speak, but frowned. At this time, he was thinking about what treatment method to use!
He knows it very well!
Every word I say now will be as serious as "evidence in court."
He must organize his own language and prepare his own plan!
Once the battle begins, there is no chance to retreat!
Just when Yang Hongnian sighed and was about to speak.
He Duankang suddenly said: "I think... maybe there is no need for blood-activating and blood-stasis-removing treatment."
As soon as these words came out, Liu Quan frowned and stared at He Duankang.
But Yang Hongnian's eyes lit up: "Go on, what do you think?"
He Duankang blushed:
"I haven't thought of a plan yet."
"However, I feel that the patient's blood stasis is not obvious. Instead of spending a lot of time on blood circulation and blood stasis treatment, it is better to treat based on the dialectics of traditional Chinese medicine and break away from modern medical thinking."
"Proceed completely in accordance with the concepts of traditional Chinese medicine and don't be constrained by the constraints of modern medicine."
After finishing speaking, He Duankang suddenly felt that his inner confidence had increased a lot.
So cool!
This was the first time he stood up and raised objections, and suddenly he felt really good!
This sentence touched Yang Hongnian's heart.
This is what he wanted to say.
Chinese medicine has taken a detour.
Yang Hongnian has always thought so.
Under the impact of Western medicine, some concepts of traditional Chinese medicine are suspected of overthrowing the current situation and using too much force!
This has resulted in some traditional Chinese medicine becoming neither traditional Chinese medicine nor Western medicine.
But there are some people who use these theories to stand on a high ground.
Sometimes when people stand at a high place, they tend to feel overwhelmed. The so-called feeling overwhelmed is the fear of making mistakes!
The higher you stand, the more afraid you are of standing unstable and making mistakes!
It’s easy to not recognize yourself, it’s easy to lose yourself, and it’s even easy to... take a detour.
Yang Hongnian nodded to He Duankang: "Well, Xiao He is right. Let's brainstorm. Does anyone else have any ideas?"
At this time, a sound suddenly sounded.
"Can I try?"
Everyone looked for the name and found that it was Chen Nan.
Yang Hongnian didn't know why, but his eyes lit up.
Haha, "little prick", you have lived up to my "expectations" and still stood up.
"good!"
"Come and try."
Instead of being angry, Yang Hongnian said with a smile.
Chen Nan nodded and walked up.
Holding a ruler in hand.
The five elements palace is in the palm of the eye.
The mind is calm and the mind is calm.
After a while.
Chen Nan's eyes lit up.
Sure enough, that's not right!
This is not a blood stasis syndrome.
The patient's tongue has a dark texture, thin and white coating, and the pulse condition shows that the upper part is full and the lower part is weak, and the yin and yang are confused.
The pulse conditions in both hands are different.
The heart, liver and kidneys are on the left, and the lungs and spleen are on the right hand.
The Guan pulse string in the left hand is tight, long and powerful, with signs of liver wind turbulent movement.
The ulnar pulse in the right hand is deep and slow, indicating that the yin is not guarded internally.
A dark tongue is a sign of internal liver wind movement, loss of yin and yang, and a superior liver color.
A trembling tongue coating is obviously a sign of internal wind.
This should be a symptom of internal liver wind movement and loss of yin and yang.
Moreover, combined with the patient's various symptoms, Chen Nan's thinking was instantly opened up.
For a long time... Chen Nan remained silent.
He is thinking about treatment options.
Everyone at the scene looked at Chen Nan.
There are expectant looks, questioning looks, disgust, curiosity, and all kinds of things...