Yang Mo shook her head, "We can't confirm the diagnosis yet."
Without being able to prescribe a series of laboratory tests, Western medicine loses a lot of help in diagnosis and can only rely on simple and easy methods such as palpation and percussion.
There was light laughter in the room.
The imperial doctors looked at each other. Diagnosing and cutting off pulses requires decades of skill to diagnose diseases that others cannot. A novice can identify them.
Miss Yang can only tell the pulse mysterious number about the pulse condition, which means she can't diagnose the disease.
Hospital envoy Chen was helped to stand up, "The patient's pulse is evidence of internal heat toxins. It should be treated first with prescriptions for dispelling wind and heat combined with acupuncture at acupoints."
"What the envoy said makes sense."
"Exactly this disease."
"You should first use the prescription to dispel wind and heat."
Chen Yuanshi glanced at Yang Mo and paused for a moment.
Yang Mo was opening Han Ji's eyelids to look at his eyes. There was no jaundice in his eyes and no edema on his body. All high fever diseases should be ruled out little by little. If it is encephalitis, it should be high fever, headache, coma, and convulsions. But the patient
He was not unconscious, he was obviously conscious.
Projectile vomiting is the most obvious symptom and can confirm the diagnosis of increased intracranial pressure. Currently, patients do not have such symptoms.
"Miss Yang, do you have any objections?"
The envoy from Taiyuan Hospital asked Yang Mo. Yang Mo shook her head, "Can you please give me some more time for diagnosis?"
Miss Yang has been diagnosing the pulse for half an hour. No matter who is diagnosing the pulse, it is impossible for it to take that long. It is obvious that the diagnosis cannot be made.
"Have Mr. Han's personal entourage followed up in Beijing? We should ask Mr. Han if he has any past illnesses." Yang Mo raised her head, this was the most important thing to ask.
"The patient can't speak, so it's one step missing to see, hear and ask questions..." Before Yang Mo could finish her words, the imperial doctor next to her had interrupted, "Miss Yang can't diagnose it herself, so she is unwilling to find ways to be better than others."
Say something like this."
She really couldn't diagnose it, so let her come to the conclusion now, and she would also give her medicine to soothe the wind and relieve the symptoms.
The discussion in the room gradually became louder and louder. The emperor in the main hall was impatient with waiting and kept asking people to urge him. The chamberlain came to ask over and over again.
"What's so easy to diagnose?" the imperial doctor whispered privately, "it's obviously this kind of disease."
This time Yang is not as sure as before, and there is no new secret recipe to cure the disease. All the imperial doctors who have been suppressed by this woman feel a little relieved. No one can diagnose all diseases. If the imperial hospital has the upper hand this time,
Whether it was the previous acne or the illness of Prince Chunjun, it could be overcome. After all, it was the result of the unfavorable leadership of Imperial Doctor Tong in the imperial hospital.
While everyone was discussing happily, Han Ji suddenly started twitching on the bed.
Chen Yuanshi immediately ordered the imperial doctor, "Quickly go and ask someone to get some medicine, and add Gastrodia elata to calm liver wind."
The imperial doctors changed the prescription, and the palace officials immediately went down to get the medicine. Yang Mo stood aside as if she had been forgotten.
Chen Yuanzhang nodded. This situation is normal now. Tai Hospital recruits famous doctors from all over the world. How can it be inferior to a private woman? It is obvious that Yang has insufficient experience in identifying pulses. In the past, Yang was diagnosed and treated outside the hospital.
Mr. Bai relies on Mr. Bai's pulse diagnosis to quickly identify symptoms. Now without Mr. Bai's crutch, Yang can only walk with a limp. With Yang's medical skills, even if he is a man, he can only study in Tai Hospital.
, he couldn't even be a sole imperial doctor. Tong Yingfu was so focused on greed that he created a mess in the imperial hospital.
"Pull the curtain up." Regardless of what was said outside, Yang Mo still turned around and ordered the palace people.
Hearing this, the imperial doctors looked at each other, what are they going to do?
Mr. Han has already convulsed and should take emergency medicine and acupuncture immediately. Why did Miss Yang let the curtain be pulled?
"What's the point?" Someone finally asked.
"Please keep quiet, adults." Yang Mo turned around and interrupted the imperial doctor.
Isn't this just to make them shut up?
How dare she talk like this.
A little woman dared to stand here and give orders to officials, and everyone frowned in displeasure.
As if there was no one around, Yang Mo stood up and pulled the curtain up with her own hands.
"Master Envoy, look... what does this sound like?"
Chen Yuanzhang looked at Mr. Yang. This Mr. Yang was indeed bold. He was fine in the hall just now and was very respectful in every move. But when it came to diagnosing and treating patients, he did not give in at all. He was not like an inexperienced doctor, but like an inexperienced doctor.
A doctor who has been practicing medicine for many years and has achieved little success.
"Hold the patient down." Yang Mo looked at the palace attendant.
The palace attendant then stepped forward to help hold Han Ji down on the bed. Yang Mo stretched out her hand to press Han Ji's neck. Han Ji's neck muscles were tense, not only twitching but also spasmodic. Yang Mo let go and touched Han Ji again.
legs.
Leg muscle stiffness.
Just as Yang Mo was about to continue the examination, the patient on the bed suddenly relaxed, and the symptoms of spasm and stiffness disappeared immediately. A name of the disease suddenly popped into Yang Mo's mind.
Lifting the curtain, Yang Mo walked out. Director Chen looked over and saw Miss Yang, who was thoughtful just now, her eyes suddenly became bright and sharp.
Yang Mo stepped forward and saluted, and for some reason the room suddenly became quiet.
It turns out that after waiting for such a long time, everyone still wants to hear what conclusion Yang, who has always been amazing in medical skills, can come up with.
Yang Mo said calmly: "I think it's tetanus."
The words tetanus came out of his mouth, surprising everyone.
"Your Excellency, the envoy of the hospital, the daughter of the people thinks that the possibility of tetanus cannot be ruled out." "Lishang Intermittent Prescription" has already used the name of tetanus, and the name of the disease created by the ancients has continued to modern times.
tetanus?
Chen Yuanshi looked at the imperial doctor next to him, then walked into the curtain to examine Han Ji.
Tetanus is more common in broken bones and sores. Han Ji has no obvious scars on his body, which is one of the reasons why it cannot be diagnosed. However, he is conscious but has paroxysmal spasms and muscle stiffness. He clenches his teeth and cannot speak.
Although it is not an obvious bitter smile, it already matches most of the clinical manifestations of tetanus.
Miss Yang was diagnosed with tetanus, and Chief Chen checked Han Ji's pulse again.
"There is no wound, where did the tetanus come from?"
Is it just the injury on the forehead?
Chen Yuan envoy opened the curtain and came out, "What signs did Miss Yang rely on to diagnose tetanus?"
"Tendinous reaction..." is another modern medical term.
The modern term is called tendon reflex, which is a type of muscle stretch reflex. What she now calls more commonly is called tendon reaction.
What kind of tendon reaction has never been heard of by everyone in the room? What kind of diagnosis is this?
Miss Yang always says something that others don't know.
What kind of medical theory has the Yang family developed over the years, and is it really going to be its own school? And why has no one used it before?
As Yang Mo spoke, she walked over and stretched out her hand to bend Han Ji's leg. She held the patient's calf with one hand, clamped the upper edge of the patella between her thumb and index finger, and suddenly pushed it downward. After doing this several times, the patella suddenly appeared to move up and down rhythmically.
Trembling.
Oh my god, what is going on? How can human bones vibrate up and down on their own?
What method did Yang use?
The imperial doctor standing aside couldn't help but said "Ah" in surprise, attracting people outside to come over, but no one could see clearly through his pants.
"Did you see it? Did you see it?" The younger imperial doctor couldn't help but say, "This is the bone moving on its own."
Yang Mo put Han Ji's leg down and said, "Masters, please check carefully to see if there are any injuries on Master Han's legs." Generally, there is infection near the site of hyperreflexia.
Han Ji seemed to react to noisy sounds and bright lights. This reminded her that she thought of tetanus from encephalitis. Tetanus is really difficult to identify if the symptoms are not serious, and the misdiagnosis rate is still very high in the early going.
Yang Mo walked out of the curtain, and the palace attendants took off Han Ji's pants, and a wound was found on the inner side of his calf.
"This...is a wound."
There are wounds, there are real wounds.
Miss Yang really guessed it right.
"Master Han came to Beijing by boat like Master Wang. He encountered water thieves on the way. He must have been injured at that time. The wound was exposed to water and wind, which caused tetanus."
The imperial doctor just now watched Yang Mo without blinking as he started to check. Now all he could think about was Master Han's beating legs. Is everyone like this or is it just Master Han?
Otherwise, how would Miss Yang know that Mr. Han might have injuries on his legs?
Dean Chen stood by the bed for a while, and then walked out. He wanted to go straight to the Nourishing Heart Hall, but looked at Yang Mo next to him, "Tetanus causes the neck to straighten and the back to bend, and Mr. Han has not had such symptoms."
Yang Mo nodded, "The disease has just begun, and it has not reached such a serious stage yet."
Chen Yuanzhi couldn't help but hesitate in his heart. According to his experience, it was not possible to diagnose tetanus yet, but Miss Yang dared to diagnose it like this.
Yang Mo said: "You should use prescriptions to dispel wind and calm spasms." There were many prescriptions for tetanus in ancient times, but this disease was rarely cured. How could it be treated without a large amount of antibiotics.
Immediately, the imperial doctor said: "Now that there are no symptoms of tetanus, how can we treat it as tetanus?"
Modern tetanus has summarized many clinical manifestations based on predecessors, and it cannot be diagnosed by just opisthotonus. Yang Mo refused to give in, "There is Yuzhen Powder in "Surgery Authentic", which can dispel wind, reduce phlegm, and calm convulsions.
For the antispasmodic effect, Mr. Han now has wind syndrome and convulsions. Fangfeng, Angelica dahurica, Gastrodia elata and Qianghuo are also some herbs that adults should use."
What a sharp-tongued Yang, he used such words to defend himself.
The doctors at Tai Hospital looked at Chen Yuanshi to see if he could agree with Yang's diagnosis.
Chen Yuanshi thought slowly, then raised his eyes and looked at Yang Mo, "Just use Yuzhen Powder to add and subtract."
The imperial doctors couldn't help but gasp. Mr. Chen agreed with Yang's conclusion and should treat it as tetanus.
After Chen Yuanshi finished speaking, he said: "I'm going to report to the Holy One. Even though I used Yuzhen Powder, whether it is tetanus or not depends on Mr. Han's future condition."
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The second part of "Fu Gui Ying Men" is out. The cover is very beautiful. I didn't expect that simplified Chinese publishing would use such beautiful hand-drawn illustrations. The lower part includes more than 10,000 words of extras that have not been published on the Internet. If there are students who want to buy a signed book, you can leave a message.