Fang Le took the microphone, tapped it twice, and tried the microphone.
"Dear leaders and colleagues."
Fang Le is a newcomer in name, but his soul is not.
Academic conferences, preoperative analysis, postoperative explanations, medical conferences, and observation of surgeries. Fang Le didn’t know how many of these he had prescribed or performed.
Today's scene is really a small scene for Fang Le.
Therefore, Fang Le behaved very naturally, getting to the point after a simple opening remarks.
"What Director Han said just now is right. Traditional Chinese medicine has always had advantages in emergency care. Traditional Chinese medicine participates in emergency care, cooperates with modern medicine, and complements each other. Its clinical role is definitely not as simple as one plus one equals two.
, this patient can only be said to be an epitome of clinical emergency care in traditional Chinese medicine."
As he spoke, Fang Le stood up, walked to the blackboard, and wrote a few words on the blackboard:
Extraordinary heart-saving soup!
"Exceptional heart-saving soup?"
Sun Qingping looked at the words written by Fang Le and recalled them in his mind. It was obviously the name of a prescription. This kind of prescription must be a finished prescription. After clinical practice, it can be added or subtracted at will, and it has specific purposes.
For clinical disease groups, otherwise, the prescriptions are generally mixed randomly. Unless they are based on previous prescriptions, no one will give them names.
If you use it once and you can no longer use it, why give it a name?
Breaking the rules?
Although Sun Qingping hasn't seen the prescription yet, he has already guessed that it must be a large dose of prescription.
Fang Le continued: "Let's talk about the patient's symptoms first. The patient's eyesight is dark, his face is ashen, and his head is sweaty. These are all signs of a critical condition. He is unconscious, unable to breathe, breathless, and incontinent.
, lips, tongue, and nails are blue and purple, and the mouth and nose are cold, these are all signs of insufficient righteousness and dying Yang."
"As Director Cheng said just now, the patient has died and is in danger of dying at any time. In modern medical terms, there is a possibility of ventricular fibrillation again at any time."
"Clinical doctors all know what it means to have patients with repeated ventricular fibrillation. Every time they are competing with death, every time is quite difficult. The patient has ventricular fibrillation caused by acute heart failure and has a history of rheumatic heart disease for three years.
, once ventricular fibrillation occurs again, there is almost no possibility of saving it.”
"In this case, only by quickly reviving the disease can the patient have a chance of survival."
As he said this, Fang Le had already written out the recipe for Breaking the Heart-Saving Soup completely on the blackboard.
Aconite, dried ginger, licorice, Korean ginseng, dogwood, raw dragon bone, raw oyster, lodestone, musk.
Sun Qingping stared at Fang Le word by word as he finished writing the nine main ingredients of the Poge Jiuxin Decoction.
When Fang Le finished writing the last medicine, musk, the muscles on Sun Qingping's face couldn't help but tremble a little. Han Jiancong, who was sitting next to Sun Qingping, could clearly feel Sun Qingping's inner excitement.
"Mr. Sun, this prescription?"
Han Jiangong asked softly.
"I have never heard of it before, nor have I seen it before, but judging from the composition, it is derived from the Sini Decoction type prescription, which uses aconite, cornus and musk. This prescription is very particular, from the dosage and composition.
In terms of prescriptions, it makes up for the shortcomings of too light dosage of aconite and other medicinal materials in Sini Decoction prescriptions. The addition of musk, dragon fruit, and magnet makes this prescription have the functions of strengthening the body, fixing prolapse, activating blood circulation and removing blood stasis, reviving the mind and refreshing the brain...
..”
Sun Qingping's voice was very soft and slow, but he was obviously a little excited: "This recipe is very sophisticated. It not only requires many years of clinical practice, but also a very good understanding of the medicinal effects of aconite and other medicinal materials to formulate this recipe...
..”
While Sun Qingping was explaining to Han Jiangong, Fang Le was also explaining.
"Judging from the pulse syndrome, the patient is in critical condition due to heart failure, the patient's systemic function has failed, the internal and external three burners of the five internal organs and six internal organs have been trapped by heavy yin and cold, the hands and feet are cold, the mouth and nose are cold, and the whole body is cold. These are all symptoms. This
The moment of life and death is at the critical moment. If Yang returns, life will occur; if Yang disappears, death will occur."
"So at this time, how to restore Yang and save the country, and what method should be used?"
Fang Le continued: “In Treatise on Febrile Diseases, Sini Decoction-type prescriptions are the most suitable. TCM clinical doctors and medical students should all know that Sini Decoction-type prescriptions refer to the four prescriptions in Treatise on Febrile Diseases.
Ni Tang is the representative of all kinds of additive and subtractive prescriptions, including Tongmai Sini Decoction, Tongmai Sini Decoction with Pig Bile Decoction, Sini Decoction with Ginseng, Poria Sini Decoction, Baitong Decoction, Baitong Decoction with Pig Bile Decoction,
Ganjiang Fuzi Decoction and Fuzi Decoction have nine prescriptions. These nine prescriptions have different specific effects due to additions and subtractions, but they all have the effect of restoring Yang and relieving adverse events."
Many Chinese medicine doctors present nodded.
Fang Le said it in great detail.
The more Zheng Gaofeng listened, the more he couldn't help but want to beat Cheng Zaiming.
Although Fang Le's explanation at this time is just a prelude and has not yet entered the real theme, Fang Le's level can basically be judged from what Fang Le said.
Such an analysis requires not only a mastery of the symptoms, but also a mastery of all aspects of traditional Chinese medicine, and the foundation must be solid.
Before, Zheng Gaofeng actually disagreed that the prescription Cheng Zaiming said might be Fang Le's own idea, but now, Zheng Gaofeng felt that what Cheng Zaiming said was not impossible.
"The reason why these nine Sini Decoction-like prescriptions have the effect of restoring Yang and relieving Nishi is actually due to the main ingredient in the prescription, Aconite."
"Aconite is pungent and sweet, has a hot nature, returns to the heart, kidney, and spleen meridians, restores yang and relieves adverse reactions, replenishes fire and yang, dispels cold and relieves pain. It is recorded in "Compendium of Materia Medica" that aconite treats three yin meridian syndromes and typhoid due to yin toxins.
, Yin and Yang are prone to disease."
"As for the patient's symptoms, non-large doses of Aconite are not enough to restore Yang and save the patient."
"We will learn more about the patient's illness. His life is hanging by a thread and he is dying. At this time, no matter what plan, there is only one chance. If one dose does not work, then there is no chance. Therefore, the medication must be decisive and bold. If the disease is serious,
Using strong medicine, only with the power of thunder to cut off the barrier and seize the door, break the yin and restore the yang, can the patient have a chance to survive."
"But aconite is also known to be very poisonous. So what is the appropriate dose of aconite?"
As he spoke, Fang Le drew a circle on one of the nine main herbs, Aconite, and circled the Aconite.
Some doctors below were also discussing softly.
When Fang Le wrote about the Poge Jiu Xin Decoction just now, he did not write down the dosage, so at this point, except for a few people who know the inside story, most people actually don’t know how much dosage of Aconite Fang Le used.
Except for the dose, as of now, the Chinese medicine doctors in the demonstration classroom still agree with Fang Le’s statement.
The patient's yang is dying and his life is hanging by a thread. At this time, he really needs to restore his yang to save his life, and the dose cannot be small. But how much should it be?
"30 grams?"
There was a doctor sitting nearby who communicated softly.
"I think the dose of 30 grams is too small. This disease can be analyzed and discussed at a hospital-wide meeting, which is definitely unconventional. I think the dose should be 60 grams."
"60 grams, such a large dose?"
"We used 200 grams of monkshood at that time."
While some people were discussing, Fang Le gently wrote down the dosage next to the circled Aconite.
200 g!
A total of 200 grams of monkshood stunned a group of people in an instant.