Fang Le continued: "Sini Decoction is the main agent for strengthening the heart. It is clinically effective in treating heart failure. However, heart failure patients have complicated conditions. Not only is the yang energy weak, but the yin fluid is exhausted. Even if
Adding ginseng makes it the Sini Added Ginseng Decoction, which greatly replenishes vitality, nourishes yin and yang, replenishes qi and promotes body fluids, making this prescription more perfect and can be used to treat heart failure and critical illness. It is still a matter of life and death. There are two factors in this...
....”
"First, most of the prescriptions used by doctors in the past for typhoid fever were too light, and the main drug, Aconite, was only about 10 grams."
"The original prescription of "Treatise on Febrile Diseases·Sini Decoction" uses 1 piece of raw aconite. It is converted with reference to the weights and measures of the Han Dynasty that have been established in ancient times. 1 piece of aconite is equivalent to about 20 grams today. If we talk about the toxicity and medicinal efficacy of raw aconite,
If the amount of Aconite is more than twice that of Aconite, then the Aconite used in each dose of the original prescription for Treating Treating Febrile Diseases is equivalent to 40-60 grams of Aconite in modern preparations, while the Sini Decoction used by doctors in the past dynasties is only 1/6-1/10 of the original prescription. Director Cheng said this
It’s lightweight, how much hope do you have in saving lives and dying in an instant?”
"..."
Cheng Zaiming opened his mouth.
No one mentions these things, and generally no one thinks about them. But when Fang Le asked Cheng Zaiming such a question, it was really difficult for Cheng Zaiming to answer.
This is actually true in all walks of life, even when it comes to creating a dynasty or establishing a foundation. The founder is naturally the boldest and most courageous, because he has no experience and no constraints.
But when future generations follow the experience of their predecessors, most of them tend to be conservative, walking in a circle, for fear of getting out of the circle. The bolder ones walk along the circle, and the timid ones even have to give in a little.
Stay further away from the circle.
Generation after generation, people become more conservative and cautious. Not to mention whether the circles drawn by their predecessors are correct or not, it is said that future generations avoid the circles and move within them smaller and smaller. Such courage is barely enough to treat minor illnesses and disasters, but in the face of emergencies
How much role can it play in critical illness, a matter of life and death?
Fang Le continued: "Second point, the reason why most doctors in the past did not dare to reuse Aconite was because they were afraid of the toxicity of Aconite. But in fact, ancient and modern materia medica have already concluded that Aconite is very poisonous, but Aconite is good at strengthening the heart.
, its toxicity is where its rejuvenation effect lies. When heart failure is on the verge of death, the patient's whole body function fails, and the internal and external triple burners of the five internal organs and six internal organs have been trapped by heavy yin and cold. Life and death depend on the critical moment. When yang returns, life will occur, and when yang disappears, there will be life.
Then die."
Speaking of this, Fang Le's voice also became a lot louder: "At this time, we have to make an extraordinary use of the medicinal properties of Daxin and Dare, which are pure yang products of Aconite. If we don't use the power of thunder, we can't cut through the barriers and seize the door, break the yin and return the yang."
, and how to save a dying life?"
"Director Cheng, Director Han, the patient's life is hanging by a thread. As you said, there is a possibility of ventricular fibrillation again at any time. Once ventricular fibrillation occurs again, how low is the probability of recovery?"
Fang Le looked at Han Shengxue and Cheng Zaiming: "There is no need to delay, time does not wait for us, we are not given much time, we must make a decision as soon as possible."
Cheng Zaiming frowned slightly, then gritted his teeth: "There is nothing wrong with the prescription. The dose is indeed large, but what Fang Le said makes sense. If it is a regular dose, we already know whether it will have any effect. I personally support it.
Yes, communicate well with the patient’s family, clearly explain the pros and cons, solicit their opinions, and sign an agreement.”
As he spoke, Cheng Zaiming glanced at Fang Le and said to Han Shengxue: "Old Han, from now on, you don't need to invite our Traditional Chinese Medicine Department for consultations in your emergency department. I won't come next time. It's very torturous."
"What you said, Lao Cheng, is that without our emergency department transfer, your Traditional Chinese Medicine Department will have fewer patients. Are you sure?"
Han Shengxue also had a toothache.
Cheng Zaiming, an expert, couldn't stand it, let alone a layman like him.
Fang Le's level is obvious to all, and Han Shengxue really likes him. However, several of the patients treated by Fang Le really challenge people's nerves, scaring them half to death every time.
Even that time I tried to stop the bleeding with my bare hands, it was still scary.
This is like bungee jumping. Everyone knows that jumping is actually not dangerous, but there are only a few people who can really muster the courage to jump.
Playing bungee jumping every day is too much for even a good heart.
Director Han is fifty-three years old, and he is really afraid that one day he won't be able to bear it anymore and will have a heart attack.
"Then why don't you let Fang Le go back to our Department of Traditional Chinese Medicine and have Fang Le come over for consultation later?"
Cheng Zaiming said.
"roll!"
Han Shengxue cursed, turned around and said to Huang Xiaolong: "What are you doing standing still? Go see if the patient's family members are here, talk to someone who can make the decision and sign, and make preparations at the same time."
Huang Xiaolong responded and hurried out.
The patient's lover is in Xijing City. On the way to the hospital, the patient's lover got the news. When Huang Xiaolong went out, the patient's lover had just arrived and Liushenwuzhu.
Huang Xiaolong communicates with the patient's lover, who basically does whatever the doctor says. I have to admit that the family members of patients in this era do need to be more sensible. Of course, it also depends on the level of education and hospital level.
A slap in the face can't make a difference. Some medical systems have indeed increased because of the recklessness of some patients' families, but patients' distrust of doctors and hospitals is also caused by some bad apples.
The patient's family signed the signature, and the nurse took the medicine. In order to save time, they used rapid decoction with strong fire, and poured it in while decoction.
In just twenty minutes, the patient's Yang returned and his breathing became stable.
Wang Pengfei, the chief physician in the heart, had been watching from the side. When he saw the patient's breathing was steady and his hands and feet were warm, his eyes almost popped out of his head.
"The crisis is over!"
Cheng Zaiming also let out a long breath, and his heart returned to his stomach.
"Is the effect so obvious?"
Han Shengxue's voice changed a bit.
The director of the emergency department was used to seeing scenes, but this time, Han Shengxue was still shocked.
From the time he took the medicine to the present, in just twenty minutes, the patient's crisis was gone, his breathing was stable, his hands and feet were warm, and he was out of danger. This is simply incredible.
"Director Han, heart rate is 99!"
On the side, Huang Xiaolong reported to Han Shengxuehui.
"Well, let's go out and talk to the patient's family."
Han Shengxue nodded.
The heart rate is 99. From all aspects, the patient is indeed out of danger.
"Simply."
Guo Baohua, the senior attending physician, witnessed a miracle with his own eyes.
Everyone present was an expert, whether it was Wang Pengfei or Guo Baohua, or Cheng Zaiming and Han Shengxue.
They are all senior doctors, and they are all in related fields. Everyone knows what the patient's condition means just now.
Acute heart failure combined with ventricular fibrillation has just been rescued. Not to mention Xijing Hospital, even Union Medical College cannot say how sure it is. But according to Fang Le's prescription, the patient was out of danger in just twenty minutes after taking the medicine.
.
The disease is definitely still far from being cured, and I can’t say that the risk will not happen again in the future, but at least the probability of ventricular fibrillation happening again is much lower.
At this point, the patient can be transferred to a specialist department for follow-up treatment without being admitted to the ICU.
"Director Cheng, you are an expert. Let me tell you a few words."
Han Shengxue said to Cheng Zaiming with a smile.
Cheng Zaiming glanced at Han Shengxue and said in his heart, I want to slap you.
say what?
What should he say at this time?
Say something about Fang Le cowhide?
Although Fang Le is indeed very naughty.
"Acute heart failure combined with ventricular fibrillation and critical condition, rescued in twenty minutes."
There was unconcealable excitement in Han Shengxue's tone: "Director Cheng, what do you think of our emergency department applying for an in-hospital discussion and a clinical analysis meeting?"
"Um!"
Cheng Zaiming responded dully.
Acute heart failure combined with ventricular fibrillation and escape within 20 minutes is indeed worthy of discussion in the whole hospital.
Preoperative analysis, postoperative summary, and in-hospital discussions are all symbols of awesomeness.
In the medical field, it is definitely not enough to treat diseases and perform operations quietly. You also need to promote and package yourself, and various conferences and papers are the ways for doctors to package and promote themselves.
In the hospital system and within the medical circle, those who perform good surgeries and treat diseases can only be regarded as operators, while those who write good papers can be regarded as authoritative scholars.
This time the emergency department pretended to be so big, how could Han Shengxue remain silent?
Patients with acute heart failure combined with ventricular fibrillation, a three-year history of rheumatic heart disease, and refractory heart failure are almost considered to have reached the ceiling in this era.
But Cheng Zaiming felt a little uncomfortable.
If Fang Le stayed in the Department of Traditional Chinese Medicine, wouldn't this clinical analysis meeting be an application for the Department of Traditional Chinese Medicine, with the whole hospital participating in the study?
When the time comes, it will definitely be the traditional Chinese medicine department, not the emergency department.
Thinking about Cheng Zaiming, he couldn't help but glare at Fang Le, this kid, with such a high level, why should he come to the emergency department? Isn't it good to be in the Chinese medicine department?
"Where does Director Wang feel?"
Han Shengxue is like a child who ranks first in the grade and wants to show off when he meets others.
"Well, we really should analyze it carefully and promote learning throughout the hospital."
Wang Pengfei also nodded dullly.
To be honest, Wang Pengfei still hasn't come to his senses at the moment, his thoughts are still floating in the air.
Being out of danger in twenty minutes, this speed and efficiency really scared Director Wang.
Just now Wang Pengfei talked about several plans, and they were all conventional plans. It's really hard to say whether they would be effective or not, but now, the patient is out of danger.
"Fang Le, what do you think?"
After Han Shengxue finished showing off, he turned back to ask Fang Le.
"You have the final say."
Fang Le nodded cooperatively.
Although this case is a case of traditional Chinese medicine, the Poge Jiuxin Decoction can be promoted throughout the hospital, and clinical analysis is also beneficial. Mutual reference and mutual learning can at least make the whole hospital feel the status of traditional Chinese medicine.
Relatively speaking, the status and influence of traditional Chinese medicine in hospitals is still very weak. Sun Qingping can only be regarded as an individual and cannot represent traditional Chinese medicine. Fang Le is young and still working. The publicity of this medical case is very important for Fang Le to participate in some subsequent treatments.
Benefits.
"Okay, I'll give a report to the superiors later. Fang Le, you should also prepare and tell everyone about your experience."
Han Shengxue said with a smile.
Not to mention, although bungee jumping is scary, it’s really exciting, especially when you’re done bragging about it, it’s even more fun.