Lin Yuan looked at the treatment notes and listened to Kong Yuhuai's story, and he had a general understanding of the patient's condition.
The second son of the Cheng family is twenty-seven or eighty years old and suffers from nephrotic syndrome. Nephrotic syndrome also has many complications, such as high fever and so on.
Kong Yuhuai's previous treatment was not wrong. From the perspective of traditional Chinese medicine, the patient's symptoms were indeed a severe deficiency of righteousness, and guest evils took advantage of the deficiency, resulting in excessive pathogenic heat, suppressing the qi, and burning the yin and body fluids....
..
Moreover, Kong Yuhuai's prescription is indeed correct. It is most appropriate to use the blood-cooling medicine of Ginseng Baihu Decoction and the three methods of 'clearing', 'penetrating' and 'nourishing' at the same time. Lin Yuan thought that even if
If I had changed myself, I would have adopted this method.
In fact, after the patient took the decoction, his condition did improve and his condition began to improve. However, he did not expect that his condition would relapse five days later.
The problem now is indeed this recurrence. After the illness recurred, the Cheng family had some trust in Kong Yuhuai. Not only did they invite famous doctors from Zhongzhou Province, Mrs. Cheng also used her own connections to seek help from Mr. Wang Boyuan.
After Kong Yuhuai told the story of his illness, he sat on the side without saying a word. He knew that the Cheng family could not trust him now. After all, he was stained in the hearts of the Cheng family, and Kong Yuhuai asked himself that he could not offend the Cheng family, so he had no choice but to do so at this time.
honestly.
Mrs. Cheng said: "Xiaokong has told everyone about the situation. Do you have anything else to ask?"
"Old madam, let's take a look at the patient first," Gao Wenyuan said.
"Okay." The old lady nodded, looked at the middle-aged man who brought Lin Yuan in before and said: "Xiao Ke, please take some doctors to see the small room."
Wang Ke nodded, politely greeted Lin Yuan and others to get up, and together they went to the room of Cheng Mingfang, the second son of the Cheng family.
In the room, Cheng Mingfang was lying unconscious on the hospital bed. There was also a beautiful young woman in her mid-twenties in the ward. When the young woman saw Wang Ke coming in with Lin Yuan and other doctors, she hurriedly got up to greet her. Wang Ke also introduced her at the same time.
: "This is Mr. Fang's wife."
Several doctors nodded to the young woman and gathered around the bed. Gao Wenyuan was the first to step forward and conduct an examination, followed by others, and finally Lin Yuan. After Lin Yuan had examined her, the group of people returned to the living room again.
When the group of people sat down again, Mrs. Cheng asked: "How is it? What do you think?"
It was Gao Wenyuan who was the first to speak: "Judging from the patient's symptoms, it does not appear that there is a great loss of righteousness, but rather that the yang energy is damaged, and there is a deficiency of yang and an excess of yang..."
As soon as Gao Wenyuan spoke, Mrs. Cheng looked at Kong Yuhuai beside her, her eyes were cold. Although Mrs. Cheng was not a doctor, she probably knew some things about Chinese medicine and had a superficial understanding of Chinese medicine. Of course, there were also
It is due to Lin Yuan’s grandfather Lin Yizhi. Of course, this is another story, so I won’t tell it here for now.
A great loss of Qi and damage to Yang Qi, as well as excessive Yang Qi and excess are completely different things. According to what Gao Wenyuan said, Kong Yuhuai was completely misdiagnosed and mistreated before.
"Old Madam, the patient did have a loss of righteousness before. My medical record records the patient's condition and symptoms in detail. As for why the yang has become damaged now, the reason for the deficiency and excess of yang needs to be found out." Kong Yuhuai hurriedly explained.
.
Gao Wenyuan also said hurriedly: "Old madam, but the patient's current condition does not mean that the patient did not suffer losses before. There is indeed a reason that needs to be found."
"Lin family boy, what do you think?" Mrs. Cheng looked at Lin Yuan and asked.
Lin Yuan was stunned, with a wry smile on his face. Through the previous events, he could tell that there must be something going on between Mrs. Cheng and his grandfather, otherwise no one would target him like this. Everyone present sat down
There were several famous doctors, but this old lady asked him first. Obviously it was not because of her superb medical skills.
Although he smiled bitterly, Lin Yuan still said seriously: "What Gao Lao said is right. The patient's yang energy is now damaged, and his yang is deficient and excessive. This situation is obviously inconsistent with the previous situation. Either he was misdiagnosed and mistreated before, or he was in the middle.
What drugs were used indiscriminately?"
"Xiao Lin is right." Gao Wenyuan nodded: "We need to ask who is responsible for preparing medicine for patients these days."
"Go and call Madam here," Mrs. Cheng said.
After a while, the young woman who was in the room of the second young master of the Cheng family came to the hall, walked up to Mrs. Cheng, and shouted respectfully: "Grandma!"
"Xiao Rui, you have been responsible for Fang'er's medication these past few days. Have you used any other medicine for Fang'er in the meantime?" Mrs. Cheng asked.
"I haven't used any other medicines." The young woman shook her head and said, "Ever since Mr. Kong saw it, I have been treating it according to Mr. Kong's prescription and no other medicines have been used."
Mrs. Cheng nodded when she heard this, looked at Kong Yuhuai and said, "Since no other medicine has been used, it was a misdiagnosis and mistreatment. Xiao Kong, how can you explain it to me?"
"Old madam, I am definitely very cautious this time. I can guarantee that the previous treatment is absolutely correct." Kong Yuhuai hurriedly defended, not to mention that he couldn't afford to offend the Cheng family, but at the moment, he was planning to take advantage of Gao Wenyuan.
If the news about his misdiagnosis and mistreatment comes out at this time, it will be very detrimental to him.
Lin Yuan frowned, pondered carefully, and suddenly said: "Mr. Kong, did you set the dosage when you prescribed it to the patient?"
"Yes." Kong Yuhuai said hurriedly: "The prescription I prescribed was to take two doses. I left after the prescription was prescribed. I didn't see anyone from the Cheng family contact me after that. I thought the medicine didn't work.
Please give me Gao Ming, and I didn’t ask any questions.”
"May I ask how many doses of decoction Madam gave Mr. Cheng?" Lin Yuan asked the young woman again.
The young woman thought for a while and said: "After the first two doses, I saw that the situation was improving, so I suffered a few more times. So far, I have taken it five times in total."
"That's it." Lin Yuan heard the words and said: "I understand, Mr. Kong's previous treatment was not wrong, and the prescription was also very symptomatic, but he took too much medicine. At the beginning, Mr. Kong prescribed Ginseng and White Tiger Decoction.
At that time, the patient's condition was due to evil factors damaging qi and yin, but the medicine he took was Han Liang's heat-clearing medicine. After the first two doses, the patient's condition improved, so he should have stopped taking the medicine, and then continued taking the medicine. This was an overkill, which caused the patient's yang qi.
Damage, resulting in symptoms of deficient yang and external excess. Although the evil heat in the patient's body has bloomed, it has not been completely eliminated. This puts the patient at risk of internal transmission to Shaoyin..."
Listening to Lin Yuan's explanation, Gao Wenyuan and Doctor Jiang on the side nodded approvingly. The problem was finally found. Lin Yuan was very careful and had superb medical skills, which they admired very much.
Apart from anything else, Lin Yuan's explanation is not something that ordinary Chinese medicine practitioners can explain.
Some things seem simple after the answer is revealed, but before the answer is revealed, it is difficult to find the cause without knowing the cause and effect. Lin Yuan was able to find out from the changes in the condition of the two that it may be an overdose of drugs, which is too much.
This shows that Lin Yuan has rich experience.
Dr. Jiang had some doubts about Lin Yuan's age before, thinking that there was something wrong with Lin Yuan's Miaoshou Salon badge. Now it seems that this young man is indeed not simple.
Kong Yuhuai also glanced at Lin Yuan gratefully. Although he and Lin Yuan didn't know each other, it was Lin Yuan who resolved his embarrassment this time. Although it was not that he really misdiagnosed and mistreated this time, if for a while
Unable to find the reason for the change in condition, Mrs. Cheng would inevitably blame him.
TCM treatment is different from Western medicine in that there is no certain system or standard. Moreover, in critical and severe cases, the condition is changeable and changes rapidly. When a doctor treats a patient, even a single detail may lead to an unexpected condition.
For some complex diseases, when should you use which medicine, when should you use which method, these are all very particular, and the difference can be thousands of miles away. Sometimes if you don't pay attention, it is difficult to find the reason.
In addition, we are treating diseases for wealthy families, and sometimes people don't listen to explanations at all. Take today for example, no reason can be found. No matter how much Kong Yuhuai denies it, Mrs. Cheng will not believe it easily.
"Ah, is it too much medicine?" The young woman opened her mouth and was a little surprised. She didn't expect that she had done something bad with good intentions.
Gao Wenyuan said, "Traditional Chinese medicine is not a nutritional supplement, but also a medicine. If used too much, it will be harmful. Any medicine must be used in moderation. When the patient's condition improves, the doctor should be notified."
Gao Wenyuan was also a little angry when he said this. Although he didn't want to see Kong Yuhuai, he had to sigh about the current situation of traditional Chinese medicine, especially some prescriptions of traditional Chinese medicine, which were often taken by patients indiscriminately.
Some prescriptions are slow to take effect. If you tell him ten doses, he may take three doses and feel there is no effect, so he may not use them. Some prescriptions are effective, if you tell him three doses, he may take ten doses, but in the end it will be counterproductive.
They want to blame the doctor.
"Xiao Rui, you should be careful when using medicine in the future and don't make random decisions." Mrs. Cheng warned the young woman, then looked at everyone and said: "Since you have taken too much medicine, how should you treat it now? I don't know if you have any ideas.
idea?"
"Xiao Lin, what do you think?" Gao Wenyuan asked Lin Yuan. After all, the reason for the change in condition was Lin Yuan's first thought, so they did not intend to take the credit from Lin Yuan at this time.
"I took a look just now. Although the patient's condition is critical, it is not beyond saving. The patient's current situation requires nourishing Qi and blood and exorcising evil spirits. I will prescribe a prescription to see the effect first." Lin Yuan said.
"Bring a pen and paper." Mrs. Cheng ordered.
Wang Ke hurriedly brought a pen and paper to Lin Yuan. Lin Yuanchen printed it and wrote the prescription, then handed it to Wang Ke and said: "You must learn a lesson when using medicine in the future. The most important thing is to be very strict when renting a house. In my house, Central Ji. Lin Baigen
, royal family, angelica... At the same time, this prescription of mine only requires four doses, more will be harmful, so remember."