"Raw Aconite and prepared Aconite are indeed different, and they are also different when used clinically."
Fang Le explained: "Aconite is a medicine that restores yang and relieves adversity. It can improve yang qi. Among them, the raw aconite in aconite has a strong medicinal effect. It is mainly used to treat yang deficiency, cold limbs, weak pulse, impotence, insufficient kidney yang and coldness.
Caused by vomiting, diarrhea, edema, etc.; while the yang-enhancing effect of Aconite is relatively weakened, it is mainly used to treat insufficient kidney yang, as well as chills, cold hands and feet, and weak spleen yang..."
"The patient's pulse was extremely thready, his limbs were cold, and his yin and yang were slightly weakened. The vomiting of blood would have seriously damaged yang, and the doctor who diagnosed and treated him was not qualified enough. He simply stopped the bleeding and used cold and cooling medicine, which caused the patient's condition to not heal. This
At that time, we can only restore Yang to strengthen the foundation, quickly restore Yang to save the disease, and warm the menstruation to stop bleeding."
Some of the situations faced by Chinese medicine have actually existed since ancient times and are not new to the present, such as quackery.
There are quacks all the time.
In the past, the threshold for becoming a doctor was very low and there was no assessment. It can be said that anyone can say that he is a doctor. Some people can say that they are doctors after reading two books or knowing two folk remedies.
Treating people, and some of them are exploring on their own.
Of course, there are some famous doctors like Mr. Li Ke and Li who are self-taught and their level is not low. However, there are also more people who have only a smattering of understanding of traditional Chinese medicine, which is not true.
Minor illnesses can still be treated, but larger and more complex illnesses are prone to misdiagnosis and mistreatment. The probability of misdiagnosis in traditional Chinese medicine is higher than that in modern medicine, because the dialectics of traditional Chinese medicine are more complex.
Just like this patient, the traditional Chinese medicine doctor in the village did not identify the cause of the disease. They just used Sanhuang Jiedu Decoction to stop the bleeding. However, these hemostatic prescriptions were all too cold. Not only did they fail to stop the bleeding, but they also caused Yuanyang.
The loss is serious, the yin and yang are weakening, and the patient is caught in the line between life and death.
This time was in 1995. In 1998, the national unified examination of the qualifications of practicing doctors was implemented. To be honest, the implementation of this policy aroused the opposition of many traditional Chinese medicine practitioners, and even disgusted many traditional Chinese medicine practitioners. They have been disgusted for many years. After all, this policy is indeed
This has caused some qualified Chinese medicine practitioners to lose their qualifications to practice medicine.
But objectively speaking, it has raised the threshold for practicing medicine, and it has also eliminated some swindlers who rely on ancestral secret recipes or little knowledge from the medical team. Although it is impossible to eliminate all quacks, the improvement of the medical threshold is generally beneficial to patients.
of.
Doctors treat illnesses and save lives. They are faced with the lives of patients. Medical qualifications and seniority restrictions on professional titles are all restrictions on the profession of doctors. Although some genius doctors will be promoted slower, overall, they can
Let the level of doctors with certain professional titles be guaranteed.
Let’s just talk about the attending doctor. After all, after so many years, no matter how bad his level is, there is a bottom line. But if there is no such limit, think about it, that would be really scary.
Just like what He Yaoping said just now, Chinese medicine also has misdiagnosis, and Western medicine also has misdiagnosis. You can't deny Chinese medicine just because you encounter quack doctors, and you can't say Western medicine is bad just because you encounter misdiagnosis. Treat it objectively.
The remarks made by the patient's eldest brother just now really made Fang Le unhappy. If Fang Le hadn't been a man of two generations, he would have really been able to quarrel with the other person.
"I didn't expect Dr. Fang to be so good at Chinese medicine."
Chu Jianlin and others don't understand traditional Chinese medicine, so they can just listen to it. They are here for Fang Le, and there is no need to ruin Fang Le's face.
After dinner, Chu Jianlin and others left, while Fang Le returned to the department.
There is no duty arrangement for Fang Le tonight, but an emergency department came in just after get off work, and it was Fang Le who handled it. It was naturally difficult for Fang Le to leave until the patient's condition was stable. More importantly, besides Fang Le, the emergency department Le, Cheng Yunxing is a traditional Chinese medicine doctor. If there is a situation, Xingxing probably won’t be able to handle it.
After two consecutive doses of medicine, the patient's limbs were warm by about three o'clock in the morning. However, the vomiting of blood still did not stop, but the temperature of the limbs returned, which meant that he was out of danger.
Fang Le changed the prescription and continued taking the medicine, and the patient was also transferred from the observation room to the observation room.
Fang Le rested in the small room in Han Shengxue's office at night.
At seven o'clock in the morning, Fang Le went to do his rounds, and Chu Jianlin and his group arrived. They were all doctors, and they didn't have the habit of sleeping in. Moreover, this morning was the postoperative analysis meeting, so everyone was looking forward to it.
"Dr. Fang didn't sleep all night?"
When Chu Jianlin saw Fang Le, he asked with concern.
Today's postoperative analysis meeting was chaired by Fang Le. If Fang Le didn't sleep all night, would this meeting be postponed?
"Took a nap."
Fang Le said politely: "In the emergency department, there are many things, and often there is nothing we can do."
"Too."
Chu Jianlin nodded: "But the emergency department also trains people."
While talking, several people followed Fang Le to the observation room.
In the observation room, the patient who was transferred from the observation room to the observation room in the middle of the night was already awake. When Fang Le came, the patient was already awake and sitting against the hospital bed.
"How about it?"
Fang Le walked to the bedside and asked.
"I still vomit blood, but not as frequently as before."
The patient's wife was accompanying him.
"Well, I'll take another dose later."
Fang Le said: "It is not easy to recover from yesterday's situation, but the crisis has passed."
With that said, Fang Le sat on the edge of the hospital bed, examined the patient, and gave some instructions before getting up and leaving the observation room with Chu Jianlin and others.
Chu Jianlin and others followed Fang Le, but they felt very uneasy.
Last night, when Fang Le explained it, Chu Jianlin and others didn't quite understand it, and they didn't care. They didn't go into it, they just wanted to see the effect.
Several people can still tell what the patient looked like yesterday and what he looked like just now. Compared with yesterday, the patient's condition has improved significantly and he is out of danger.
The most important thing is that Chu Jianlin and others were a little worried about the 25 grams of raw aconite last night. Unexpectedly, the patient was fine, not only fine, but also getting better.
No wonder Han Shengxue said that Fang Le had a nickname, and he was called Fang Fuzi. Sure enough, he had the wrong name but not the wrong nickname.
"Xiao Fang."
Fang Le, Chu Jianlin and others returned from the observation room, and Han Shengxue also arrived.
"Didn't you sleep last night?" Han Shengxue asked with concern.
"Took a nap."
"Is it okay to have a post-operative analysis meeting later?"
Han Shengxue said: "Why don't you postpone it until the afternoon? You can go back and take a nap. How is the patient?"
"We are out of danger. Let's continue the meeting. We can't keep Director Chu and others waiting." Fang Le joked.
"What Dr. Fang said, it's okay for us to wait. This is an internal analysis meeting at Xijing Hospital, and we are just observers."
Niu Baohua said with a smile.
They are indeed observers. This is not an external meeting. Normally, outsiders are not allowed to enter Xijing Hospital.
They are all in the industry, how dare Chu Jianlin, Niu Baohua and others have any temper at this moment.