While diagnosing the pulse, Fang Le observed carefully that the patient's abdomen was as big as a drum, and his limbs, head and face were swollen...
"Besides liking to drink water, do you have any other symptoms?"
Fang Le asked: "Are there any symptoms such as vomiting?"
"No, the patient has no symptoms of vomiting and is eating normally," Cheng Meiling said.
"The pulse is strong, the righteousness is not weak, and there is no sign of weakness or coldness."
Fang Le checked the pulse, checked the tongue coating, stood up and said to Zheng Gaofeng and Cheng Zaiming: "Try with Dahuang Gansui Decoction."
“Rhubarb gansui soup?”
Zheng Gaofeng said: "On the fourth day after delivery, the patient uses the attack method. Isn't it a bit inappropriate?"
Cheng Zaiming also said: "There is very little postpartum hemorrhage. It is mostly considered that there is cold in the body, and the cold air condenses, so blood stasis is blocked. Shenghua Decoction has the effects of nourishing blood, removing blood stasis, warming menstruation and relieving pain. It is a commonly used prescription for postpartum women with unfavorable hemorrhage.
Rhubarb Gansui Decoction...what if the blood comes out?"
"Shenghua Decoction is indeed a commonly used prescription for postpartum hemorrhage, but specific symptoms must be treated in detail. After using Shenghua Decoction, the patient's condition has not improved, and there are signs of worsening, which means that the prescription is not correct."
Fang Le finally understood why Mr. Xingxing had solid basic theory but not enough clinical experience.
Fang Le knew a little about Zheng Gaofeng's resume. He was originally an associate professor in the Department of Traditional Chinese Medicine of the First Military Medical University. Later, he went to the Fourth Military Medical University and entered the Clinical Department of the Department of Traditional Chinese Medicine of Xijing Hospital as the department director.
At the earliest, of the four military medical universities, only the First Military Medical University had a Department of Traditional Chinese Medicine. Later, the first military medical university was affiliated to Qinzhou Province, and the second military medical university newly established a Department of Traditional Chinese Medicine. Zheng Gaofeng was earlier.
Therefore, most traditional Chinese medicine doctors like Zheng Gaofeng who have transitioned from education to clinical practice lack the courage and insight of practical Chinese medicine doctors like Qi Yuanshan and Sun Qingping. However, Cheng Zaiming is also from a family of traditional Chinese medicine, and his character appears to be more cautious than courageous. He must be like his father.
He has a son.
"Director Zheng and I have taken this into consideration."
Cheng Zaiming didn't know what Fang Le was saying about him at this moment, and said: "It's just that your Dahuang Gansui Decoction has strong medicinal properties, so you have to be particularly careful when using it."
"Director Cheng is right."
After all, they have different identities and spend all day eating at other people's homes, so Fang Le is very considerate to Cheng Zaiming. If he had been reborn, Fang Le would have given him a lesson long ago.
"But as far as the patient's condition is concerned, it is difficult to urinate. It can be seen that the water is stopped, and the low blood production indicates stasis accumulation. The patient does not vomit, eats normally, and has a strong pulse, which indicates sufficient righteousness and no virtual images. In this case, attack can be used.
Law."
Fang Le explained patiently: "Although Dahuang Gansui Decoction has the effect of breaking blood stasis and removing water, it also has the effect of nourishing blood and strengthening the body. Dahuang Gansui Decoction comes from "The Synopsis of the Golden Chamber", and it is clearly recorded in the book that it is mainly used to treat women.
After childbirth, water and blood accumulate in the blood chamber, and the lower abdomen is full and full; in both men and women, there is swelling, constriction, stranguria, and fullness and pain in the lower abdomen..."
"So, why can't it be used?"
Putting aside the reactions of Zheng Gaofeng and Cheng Zaiming, Pan Qingguo was already dumbfounded.
Although Pan Qingguo didn't understand Chinese medicine, Fang Le spoke in Chinese, so he could still understand every word.
Fang Le actually understands traditional Chinese medicine.
And judging from the current situation, Cheng Zaiming and Zheng Gaofeng were obviously confused by Fang Le.
The two chief physicians of the Department of Traditional Chinese Medicine of Xijing Hospital were asked?
At this moment, Pan Qingguo seemed to have returned to the state he was in that day when he just walked to the door of the operating room and saw Fang Le leading someone out.
"Director Zheng and I have just considered what you said, Fang Le. We just thought that the medicine is very powerful, so we came to discuss it with you. Since you think it can be used, then go ahead and use it."
Cheng Zaiming and Zheng Gaofeng made eye contact, and then said.
Just as Fang Le analyzed last time when he used the Poge Jiuxin Decoction, for many prescriptions, the first ones were more courageous in using the medicines, while the newcomers became more timid than the others.
Some special Chinese medicinal materials in traditional Chinese medicine, such as aconite, rhubarb, gypsum, etc., have strong medicinal effects and often scare doctors away.
Zheng Gaofeng and Cheng Zaiming did consider rhubarb gansui soup, but they had some doubts in their hearts. Thinking that Fang Le was good at it, they called for details.
Just now, Cheng Zaiming and Zheng Gaofeng repeatedly reminded Fang Le that it was precisely because he felt a little inappropriate and he was undecided and needed someone to persuade him.
"Stop the crime and treat it symptomatically. As long as Director Zheng and Director Cheng feel the dialectics are clear, there is no need to wait and see."
Facing the two directors, Fang Le really couldn't use too harsh a tone.
The gradual decline of traditional Chinese medicine, the gradual transformation of traditional Chinese medicine into Western medicine, and eventually its role as an auxiliary medicine are not unrelated to the lack of self-confidence and courage of most traditional Chinese medicine practitioners.
"The older you get, the less courage you get."
Zheng Gaofeng smiled, and then went down to take the medicine. He only asked Fang Le to discuss it together, not to take responsibility.
After opening the prescription, Zheng Gaofeng couldn't help but glare at Cheng Zaiming.
What an outstanding young man.
After placing the prescription, Zheng Gaofeng asked Pan Qingguo with a smile: "Why are you here, Director Pan? Is there a friend who is hospitalized here?"
"No!"
Pan Qingguo was still a little dazed at the moment.
"Director Pan came here after Fang Le."
Han Shengxue said with a smile.
"Come here after Fang Le?"
Although Zheng Gaofeng regretted that Fang Le went to the emergency department, as the director of the department, he did not keep an eye on Fang Le all the time. Besides, it had been less than ten days since Fang Le started the surgical operation. Zheng Gaofeng really didn't know
This batch.
"Director Zheng, Fang Le has performed almost thirty external hand suture surgeries in the emergency department in the past few days, and the patient's prognosis is excellent." Cheng Zaiming hurriedly explained to Zheng Gaofeng.
Cheng Zaiming noticed the look in Zheng Gaofeng's eyes just now, but he didn't say much about it. Now he can say something about it. Fang Le is not only good at Chinese medicine.
"Hand surgery?"
Zheng Gaofeng glanced at Fang Le and Pan Qingguo: "Director Pan, why are you here?"
"Then what else can I do? I'm surprised that Fang Le can actually do Chinese medicine."
Pan Qingguo said angrily.
Pan Qingguo was still a little confused at this moment.
How could there be such a person in this world?
Isn’t the span of this field too big?
But the fact was right in front of him, but Pan Qingguo couldn't help but not believe it.
...
After all, the patient is a pregnant woman, so all aspects must be taken into consideration. Dahuang Gansui Decoction is indeed very effective. Although Zheng Gaofeng prescribed it, he was still a little worried, so after taking the medicine, no one left in a hurry and arrived at Cheng Meiling's office.
Talking and waiting for the results.
Of course, the ones Fang Le knew the most about were Cheng Zaiming and Han Shengxue. Cheng Meiling also didn't know much about many things.
Listening to Han Shengxue talking about some things about Fang Le like a treasure, Cheng Zaiming also added a few words appropriately.
At any rate, Zheng Gaofeng knew Fang Le a little before and had some foreshadowing, but Pan Qingguo learned so much out of the blue, as if he was listening to a story.
What about using bare hands to stop bleeding, what about breaking the heart-saving soup, what about PDT, bone setting...
For a moment, Pan Qingguo was a little doubtful about life. Could it be that the directors of Xijing Hospital were colluding to fool him together?
But what are they planning?
Moreover, Pan Qingguo has also seen the level of surgery and traditional Chinese medicine. If there are more, it doesn’t seem to be so difficult to accept.
As the several people talked, time passed quite quickly. Before they knew it, it was more than an hour. Han Shengxue was still talking enthusiastically when the resident doctor in charge of the bed knocked on the door to report the situation.
"Director Cheng, the patient has yellow water."
"Is there nothing else besides yellow water?" Zheng Gaofeng asked.
"No, it's just yellow water now." The attending doctor said.
"The water was yellow but there was no bleeding. It seems that we are indeed a little too worried."
Zheng Gaofeng said to Cheng Zaiming with a wry smile.
"Um."
Cheng Zaiming was used to it, but he didn't have as complicated a mentality as Zheng Gaofeng. He asked Fang Le for help more than once.
For some things, the first time often leads to the second and third time. From being embarrassed to becoming accustomed to it, it just depends on the number of times.
The patient drank yellow water after taking the medicine, but there was no bleeding, which meant that there was no danger of bleeding. The hearts of Cheng Zaiming and Zheng Gaofeng were put back into their stomachs.
"Go ahead and keep an eye out."
Cheng Meiling said something to the resident doctor who passed the message, and the few of them continued chatting. Fang Le had not been in the hospital for long, but there were many things worth mentioning, and Cheng Meiling still didn't hear enough.
The few people chatted for another forty minutes, and then the resident doctor came over again.
"Director Cheng, I have a blood clot."
"How is the patient's condition?" Cheng Meiling asked.
"The yellow fluid was first administered, and then the blood clot was administered. At the same time, the patient's abdominal distension improved significantly, and there was no other condition."
"Okay, I got it, go ahead."
"If there is a blood clot, it means it is effective."
Zheng Gaofeng felt a little emotional: "Fang Le is young and I really don't know what he is capable of... Hey, where is Fang Le?"
As Zheng Gaofeng was talking, he noticed that Fang Le was no longer in the office.
"He ran away early."
Han Shengxue said: "I said I was going to the bathroom at that time, but I didn't come back."
A group of directors were chatting, and they were all talking about their own business. Fang Le, who was sitting on the edge, couldn't stand listening any more, and used his urine to escape.
The only ones who noticed Fang Le's absence were Han Shengxue and Cheng Zaiming. Zheng Gaofeng and Pan Qingguo listened with great interest, but they didn't notice that the protagonist was actually gone.
"Fang Le?"
Fang Le actually felt a little regretful at this moment, why did he have to urinate?
Because just after coming out of the Traditional Chinese Medicine Department, Fang Le encountered someone calling him.
The person who called Fang Le's name was a female classmate who was about the same age as Fang Le and had a ponytail.
"Ah...what a coincidence!"
Fang Le looked at the other person and said hello awkwardly, mainly because he encountered the embarrassment he felt when he met classmate Cheng Xingxing for the first time. He didn't know his name or how to address him.
"Why are you here?"
Lin Xiao'e looked at Fang Le with shock on his face, as if he had seen a ghost: "Are you okay?"