He didn't expect Fang Le to be so well prepared in this regard and analyze it so comprehensively.
The theories and diagnostic criteria of traditional Chinese medicine and Western medicine are completely different, and they have their own principles.
Modern medicine is based on various data, while traditional Chinese medicine is more accurate based on the symptoms displayed by the patient.
To put it bluntly, Chinese medicine determines the disease based on the patient's fever, chills, chills, pain, coma, appetite, etc., starting from the symptoms, and then looking for the cause.
Whether it is a patient after liver transplantation, liver resection, or liver tumor, TCM has its own treatment standards.
Fang Le's series of analyzes just now is equivalent to a very comprehensive summary of the postoperative conditions of liver transplant patients.
Fang Le continued: "Although in modern clinical medicine, patients after liver transplantation can be classified into the same type of patients, there is still a lack of unified diagnostic standards for complications after liver transplantation for traditional Chinese medicine treatment. Regarding liver transplantation,
The treatment of postoperative complications should still be based on empirical and symptomatic treatment."
"TCM treatments vary from person to person. We don't need to use modern medical standards to force quantification. We should divide unified treatment standards and treatment details for patients after liver transplantation. According to the syndrome differentiation therapy of TCM, it is enough to treat the symptoms."
"Um."
Han Sheng Xuedao: "Xiao Fang did this very well in our Xijing Hospital, including the first semi-isolated liver tumor resection and the first living donor liver transplant in Jiangzhong. The patient recovered so well after the operation.
There are factors involved in traditional Chinese medicine treatment.”
Tanabe Yuro didn't understand Chinese medicine, but his Chinese was very good. He didn't need a translator. He listened and asked Zhang Ruihua beside him.
Previously, Ariro Tanabe was surprised by the prognosis after his music surgery.
Although the level of surgery does determine the patient's prognosis to a certain extent, the limitations of an extrahepatic ceiling-level surgery like liver transplantation are indeed great.
From the first case, liver transplant surgery has gradually become relatively mature clinically in several aspects. One is the application of new drugs, and the other is the application of vascular reconstruction in the field of liver transplantation.
Even so, some difficulties are still unavoidable.
For patients before Kefenle, whether they received semi-isolated or living donor liver transplants, the prognosis was quite good.
Only now did Tanabe Yuro realize that there were factors involved in this aspect.
The superb surgical skills and the superb Chinese medicine skills complement each other perfectly. Will anyone be able to outplay Fang Le in the future?
Tanabe Yuro couldn't help but ask himself.
China has truly produced an amazing medical genius.
No, he is a monster.
"Relieving symptoms and reducing mortality are the two main goals of modern treatment of complications after liver transplantation."
Fang Le continued: "At the same time, the patient's qi and blood were severely depleted after major surgery, resulting in insufficient righteousness, which is also a key factor."
"Um."
Qi Yuanming had already read the patient's condition and nodded: "Fang Le's analysis in several aspects is very accurate. We can start from these aspects."
Qi Yuanming said: "From the perspective of pulse syndrome, we can now adopt the method of clearing away heat, removing blood stasis and detoxifying the child. The acute rejection after liver transplantation is definitely caused by epidemic poison, which is rampant and runs through the whole process of liver disease.
....."
"I agree with Director Qi's opinion."
Fang Ledao: "In terms of prescriptions, the main ingredients are Gardenia, Coptis, Scutellaria, Forsythia, Yinhua, Xianxiu, Gongying and other medicines. At the same time, supplemented by Xingnaoqiao, which can eliminate toxins and evil spirits, and help the patient wake up as soon as possible.
.”
"Miao Dongmei's side, because the patient had liver tumors before, and the body is already heavy with cold and dampness, the main purpose is to remove dampness, strengthen the spleen and protect the liver. After the liver transplantation, various symptoms are mixed, the condition is varied, and the liver and gallbladder are not able to drain properly.
If dampness and turbidity accumulates poison, you can use Yigan Jianpi Decoction to protect the liver and yang, ensure the survival of the transplant, and supplement it with refreshing drugs."
"In that case, let's follow the opinions of Professor Fang and Director Qi."
Niu Baohua and Chu Jianlin naturally had no objections.
They are relatively simple surgeons. If it weren't for Fang Le, they would basically not be very involved in the patient's postoperative treatment. At most, they would only provide some reference opinions during the examination.
"Then use these two prescriptions first, and pay attention to the patient's condition at all times."
Fang Le wrote two prescriptions and handed them to Qi Yuanming first. After Qi Yuanming signed them, they were then handed over to the ICU for execution.
Although the patient is not awake yet, he still has a swallowing reflex. After the prescription is transferred to the ICU, the ICU will first administer the medicine to the patient according to Fang Le's plan.
After all, Fang Le was the commander-in-chief of this operation, and his current status in the field of extrahepatic surgery was very high. He also had precedents from Jiangzhou, and with Qi Yuanming as his check, the ICU did not question it too much.
After the two patients took the medicine, their fever subsided slightly, and the child regained consciousness around eight o'clock in the evening. Miao Dongmei woke up around four o'clock the next morning, but she was accompanied by abdominal pain.
Fang Le had changed the prescription after the patient woke up the day before and went back to the guest house to rest. When Miao Dongmei woke up at around four in the morning, Fang Le was called by Niu Baohua.
"Professor Fang."
Niu Baohua greeted Fang Le and told Fang Le about his condition: "After the patient woke up, he developed vomiting, nausea and abdominal pain."
"Have you had a bowel movement?"
Fang Le asked.
"No."
"Where is the patient?" Fang Le asked by the way.
"The patient had a bowel movement around ten o'clock in the evening," Niu Baohua said.
Defecation after major surgery is a very important situation. Once you have defecation, it means that the air is clear and the gastrointestinal function is gradually beginning to recover. From defecation to being able to eat, it is a very important indicator after major surgery.
"Doctor Fang!"
Mr. Miao and He Wenkui were also guarding the side at the moment.
Mr. Miao rested for a while during the day yesterday. At that time, Fang Le and others did not meet Fang Le. Mr. Miao stayed here all night. His daughter had such a major operation and she still hadn't woken up. How could Mr. Miao sleep?
Get.
Fang Le nodded to Miao elder He Wenkui and went to check on the patient's condition first.
"Vomiting, abdominal pain, constipation, the disease is located in the middle burner, typical of Yangming liver disease, with excess heat."
As he said this, Fang Le prescribed a dose of Yinchenhao decoction and Dabupleurum decoction to clear the bowels.
There are many complications after liver transplantation, and the rejection is complex, so the course of the disease changes quite quickly.
The first week after surgery is the period when the condition changes the fastest and the patient is at greatest risk.
After formulating the prescription, Fang Le watched the patient take the medicine, and then went to Niu Baohua's office with Niu Baohua.
Mr. Miao and He Wenkui watched Fang Le and Niu Baohua go away before returning to the door of the ward.
"Doctor Fang also prescribed the prescription yesterday. The child over there and Dongmei both woke up after taking the medicine."
He Wenkui said softly to Mr. Miao.
"Um."
Mr. Miao nodded: "I really want to thank you very much this time."
Fang Le was not the only one who performed the surgery, but Fang Le was still responsible for the operation after the operation. This made Mr. Miao and He Wenkui even more embarrassed.
Fortunately, they failed to invite Yuro Tanabe at the beginning, and Fang Le finally performed the operation. If they did, after the operation, what would happen after the operation?
Although there is no shortage of powerful Chinese medicine practitioners in Yanjing and Union Medical College Hospital, with Miao Lao's connections, he can barely recruit some famous Chinese medicine experts in Yanjing.
But at this moment, Mr. Miao and He Wenkui did not simply think that. Fang Le could do surgery and knew about postoperative treatment, so Fang Le must be better than others in this aspect.
In comparison, Fang Le must have an advantage in this aspect, right?
"I asked the cafeteria to prepare breakfast and have it delivered directly to me later. After Professor Fang has eaten, he will go back and rest for a while."
Niu Baohua politely invited Fang Le into the office.
"I'm actually fine. I usually get up very early."
Fang Le said with a smile.
Usually, unless he goes to bed very late at night, or Mr. Zhang is at home and Dr. Fang can't bear to do it, Fang Le usually gets up early.
When he got up in the morning, he had free time, so Fang Le mostly had to practice boxing before going to work in the hospital.
"The post-operative analysis meeting will be arranged in the afternoon."
Fang Le pondered for a moment and said.
There was a post-operative analysis meeting in the afternoon, and most of the doctors here at Xiehe University had to go back to Beijing. It was not a problem for so many people to stay in Shanghai all the time.