While observing the patient, Fang Le also walked to the side of the emergency bed and reached out to touch the patient's wrist. His mouth was full of breath and his hands were cold.
"Director Han!"
While Fang Le was examining the patient, Cheng Zaiming, deputy director and chief physician of the Department of Traditional Chinese Medicine, Wang Pengfei, deputy director and chief physician of the Department of Cardiology, and Guo Baohua, a senior attending physician at the cardiothoracic surgery department, also arrived.
Entering the emergency room, Cheng Zaiming saw Fang Le examining the patient, and asked Fang Le directly: "How is the patient's condition?"
"Rheumatic heart disease combined with ventricular fibrillation, I have just been rescued, but my breath is like a hairpin, my whole body is cold, my breath is weak, I have incontinence of urination, my consciousness is comatose, I have a slight fever in my chest, I have already seen the third terminal disease of the five internal organs, my vitality is dying, and I am in critical condition.
At the moment, the situation is not optimistic."
As he spoke, Fang Le's confidence was revealed involuntarily.
Before his rebirth, he had seen too many critically ill patients. The more serious battles he encountered, the calmer Fang Le seemed.
Han Shengxue glanced at Fang Le subconsciously. At this moment, how could this kid look more like a department director than the department director?
Cheng Zaiming knew Fang Le's level and subconsciously frowned.
In his heart, Wang Pengfei met Fang Le for the first time. When he saw that he was a young man in his early twenties, he did not ask Fang Le. Instead, he asked Han Shengxue: "What's your blood pressure? Have you done any other tests?"
There are more old-fashioned people in any age, but there were more old-fashioned people in the 1990s. Wang Pengfei values seniority very much, and what he dislikes the most is young people randomly interrupting in the department.
This is also in the emergency department. If it were in their hearts, Wang Pengfei might have to train people.
Rheumatoid heart disease combined with ventricular fibrillation, is it possible for a young person to deal with such a critical situation?
Han Shengxue is really getting more and more broken.
"The blood pressure was measured, but the blood pressure cannot be measured. Other examinations are being prepared."
An attending doctor on the side said hurriedly.
"Tsk, this situation is not consistent with the signs of surgery at all."
Guo Baohua, a senior attending surgeon at the Department of Cardiothoracic Surgery, slapped his mouth.
"The patient has just been rescued, and his current symptoms are indeed not consistent with surgery."
Han Shengxue said: "Let's discuss a treatment plan first. What Fang Le said is right. The patient's current situation is quite difficult. There is a possibility of a second ventricular fibrillation at any time. Once ventricular fibrillation occurs again, it is difficult to say whether he can be rescued."
"With acute heart failure combined with ventricular fibrillation, there is indeed the possibility of ventricular fibrillation again at any time."
Wang Pengfei nodded: "First use cardiotonic drugs, cooperate with blood purification, first raise blood pressure, and at the same time cooperate with blood vessel dilation..."
"With cardiotonic drugs and blood purification, the patient has no hope at all."
Fang Le took over the conversation: "The patient now has the third terminal illness of the five internal organs, and his vitality is dying. If he uses cardiotonic drugs, it will kill the patient's last glimmer of hope. Blood purification cannot be used, and his vitality is dying.
With blood purification, there is no hope for the patient, as the Yang Qi will be exhausted immediately."
Wang Pengfei looked at Fang Le and frowned: "What does this young doctor mean? The plan I mentioned is wrong. Do you have any ideas of your own?"
As the deputy director and chief physician in the heart, Wang Pengfei's words were considered polite, and his meaning was very clear: "If I, the chief physician, can't do it, how can you, a young man like you, do it?"
Fang Le knew that there was nothing he could say to a layman like Wang Pengfei at this time, so he directly said to Cheng Zaiming: "In the patient's condition, the only way to give him a large dose of the Decoction is to save his heart. This..."
Halfway through his words, Fang Le suddenly stopped, and he almost said that he was talking nonsense.
Po Ge Jiu Xin Decoction is the famous prescription of Li Ke, a master of traditional Chinese medicine in the time and space before Fang Le was reborn, and the famous prescription of Li Ke, a famous national expert. Li Lao was born out of the Sini Decoction in "Treatise on Febrile Diseases". The soup and Zhang Xichun's Laifu soup are made by using aconite, cornus and musk in an unusual way.
This prescription was quite famous in the time and space before Fang Le was reborn, and many Chinese medicine practitioners knew it.
TCM has many clinical variables and is more empirical. Therefore, in actual clinical practice, most TCM practitioners use classic and proven prescriptions first. This way, the risk is smaller and the safety is higher. In actual clinical consultation, If a prescription has a provenance, it will be more trustworthy.
For example, it comes from "Treatise on Febrile Diseases", who has used it, etc.
Just now, Fang Le subconsciously told Cheng Zaiming that this prescription, Li Ke Li Lao's prescription, has remarkable clinical effects.
Not to mention Chinese medicine people, even Western medicine people, some people have heard of Mr. Li and know about the Decoction to Save the Heart.
Only halfway through, Fang Le suddenly realized that there seemed to be no Mr. Li in this time and space. Since there is no Mr. Li, is there any special heart-saving soup?
If not, then this prescription is a brand new one and Cheng Zaiming must have never heard of it, which would be insufficient in terms of persuasion.
"Exceptional heart-saving soup?"
As expected, Cheng Zaiming had never heard of it. He was stunned and asked, "What kind of prescription is this?"
"It's a prescription I saw in a medical book. It was derived from the Sini Decoction formula in "Treatise on Febrile Diseases". Sini Decoction is a derivative of Shenfu Longmu Jiuni Decoction and Zhang Xichun's Laifu Decoction. It uses Aconite and Shanxi Decoction in an unusual way. It is made from cornus meat and musk, and is very effective in treating heart failure."
Fang Le hesitated for a moment, then said slowly.
Originally, Fang Le planned to put the Po Ge Xin Jiu Xin Decoction on his own head. This prescription was a brand-new prescription, and its effect had been tested in the time and space before Fang Le was reborn. Thousands of clinical experiences can already prove that Po Ge Xin Jiu Xin Decoction was used. Efficacy.
A reborn person, who should not be a copywriter?
After hesitating for a moment, Fang Le still didn't do that. On the one hand, he respected Mr. Li, and on the other hand, the arrogance of his family made him disdain to do that.
Mr. Li's prescription is indeed very famous and very good. Once this prescription is promoted and the clinical effects are demonstrated, it will bring great fame to Fang Le, but Fang Le really doesn't want to do this.
"Since it is a prescription for treating heart failure, write it down and I will take a look."
Cheng Zaiming said.
Fang Le did not hesitate, walked to the side, wrote out the prescription for the Poge Xin Jiu Xin Decoction, and then handed it to Cheng Zaiming.
"200 grams of monkshood?"
Cheng Zaiming was frightened when he saw the prescription written by Fang Le. Isn't the dose too high?
When dealing with Hu Yang's condition two days ago, Sun Qingping originally planned to use 60 grams of aconite, but with Fang Le's persuasion, the dose was increased to 90 grams. This dose scared many people at the time.
If it weren't for Sun Qingping's consultation, Cheng Zaiming wouldn't have dared to use such a large dose.
This time Fang Le was even more frightened. He took 200 grams of aconite, which was more than double the dosage of Hu Yang.
Looking at the other medicinal materials, licorice root, dried ginger, Korean ginseng, raw cornus, raw dragon fruit, living magnet, musk, in addition to the nine medicinal herbs in the original recipe of Breaking the Heart Decoction, Fang Le also added agarwood powder, osmanthus oil, and cloud. Ling, Alisma...
Cheng Zaiming's level is pretty good. Excluding the large dose of aconite in the prescription, the entire prescription is indeed a cardiotonic prescription for the treatment of heart failure.
It’s just that these 200 grams of aconite really cost Cheng Zaiming his life.
"200 grams of monkshood?"
Han Shengxue also came to the side and took a look, his pupils shrank, and then he looked at Fang Le resentfully.
Han Shengxue is not a traditional Chinese medicine doctor. Han Shengxue doesn’t know whether this prescription is suitable for the patient’s symptoms and whether it is good or not, and he can’t tell. However, Han Shengxue still knows what aconite is.
200 grams of aconite. Even if this prescription works, Han Shengxue feels he is worried.
I've only been here a few days, do you want to be this scary all day long?
Wang Pengfei also took a look but said nothing.
Although Director Wang is rigid, he still has some integrity. He doesn't understand, so he doesn't talk nonsense. Fang Le is not a doctor in their department, so he doesn't bother to care.
Han Shengxue didn't say anything, Cheng Zaiming obviously knew Fang Le, and Wang Pengfei didn't bother to say anything.
This patient is quite difficult, and if the Traditional Chinese Medicine Department can really handle it, that would be a good thing.
Some people may have unpleasant personalities, but they are still qualified to be doctors.
"Director Cheng, the reason why this prescription is called the Extraordinary Jiuxin Decoction is because it uses aconite in an unusual way."
Fang Le said to Han Shengxue.
The dosage of aconite in the original prescription of Poge Jiuxin Decoction is not fixed at 200 grams, but varies from 30-100-200 grams, depending on the patient's condition. But even so, this unequal regulation is very irregular.
"hiss!"
Cheng Zaiming took a breath. He recognized Fang Le's statement. He broke the rules and broke the rules. Naturally, he did not stick to the form and broke the original pattern of dosage. Moreover, this prescription was indeed, as Fang Le said, born out of the Sini decoction in "Treatise on Febrile Diseases".
The prescription, Sini Decoction derived from Fang Shen Fu Long Mu Jiu Ni Decoction and Zhang Xichun's Laifu Decoction, etc., have changes, but they are not without rules. The prescription is indeed a good one.
It’s just 200 grams of aconite, and Cheng Zaiming really doesn’t dare to use it.
Fang Le was a little speechless. He was young and not well-known, so he was indeed very limited. If he had been in Jiang Zhongyuan before his rebirth, Fang Le would have made the decision directly, so there would be no need to convince Cheng Zaiming.
But now he is just an intern, a young man. If he cannot convince Cheng Zaiming and get Cheng Zaiming's approval and support, this recipe will definitely be useless and no one will dare to use it.
"Fang Le, which famous master did your recipe come from?"
Cheng Zaiming looked at it again and again, and then asked Fang Le.
Since it is from a book, it comes from a famous person, whether living or not, as long as everyone has heard of it, it can at least make you feel more at ease and have knowledge in your mind. This way, it really makes Cheng Zaiming feel a little confused.
Down.
"There is also such a prescription recorded in the book. His name is not mentioned, his surname is Li, and he is called Mr. Li above."
Fang Le said.
"The surname is Li, the name was not mentioned?"
Cheng Zaiming's head is bigger, so it's not the work of a famous artist?
Even Cheng Zaiming had some doubts. Whether the book Fang Le mentioned and the Mr. Li named Li were true or not, perhaps they were all fabricated by Fang Le.
But such a prescription was carefully composed. If Fang Le really came up with it himself, why would he deny it?
Because you are young, are you afraid that the trees will show off in the forest?