Chapter 131 The condition has changed (please subscribe and please vote for monthly tickets)

Huang Su took Liu Shasha to the opposite ward.

In the ward, one patient was sitting up with his back against the head of the bed, while another patient was lying on his side and still snoring loudly.

Huang Su first performed a reexamination on the sober patient and took the medical record handed over by Liu Shasha. The patient was named Zhang Defu.

First it was Zhang Decai, then it was Zhang Defa, and then there was Zhang Defu.

Huang Su thought: This should be from the same clan as the village, all of whom are from the De generation.

Huang Su sat next to the patient and first gave Zhang Defu a pulse and tongue diagnosis, and then asked about his basic physical condition.

Zhang Defu's syndrome is basically the same as the three patients in the opposite ward. They all have deep and rapid pulses, red tongue, yellow and thin and dry tongue coating. They are all caused by the blood stasis yesterday, which caused heat, which caused the yin fluid.

The treatment method is to clear heat and promote blood circulation, nourish yin and nourish the spirit.

After Huang Su handed the signed prescription to Liu Shasha, Zhang Defu asked worriedly: "Doctor Huang, I won't leave any disease in the future."

Huang Su smiled faintly and said, "Don't scare yourself. As long as there is no symptoms of slow reaction, unclear speech, dizziness, headache, coma and lethargy, there will be no big problem."

Western medicine believes that concussion is caused by external impact on the head, and sudden brief disorders in brain nerve function.

Traditional Chinese medicine believes that this disease is brain damage, and clinical diagnosis should first grasp the word "stasis". Among them, those with blood stasis blocking brain meridians have a fixed headache, and the pain is like a thorn in the thorn, and the pain is endless, dizzy, sometimes mild and sometimes severe. In severe cases, coma is in a coma and eyes are closed, and unconsciousness is unconscious.

The most commonly used classical prescription is Tongnao Zhuyu Decoction: 15 grams of Sumu, 10 grams of Liu Jinu, 10 grams of calamus, 15 grams of Xixicao, 30 grams of chicken blood vine, 10 grams of Zelan, 10 grams of red peony root, and 6 grams of Chuanxiong.

If the patient wakes up and becomes slow to react, traditional Chinese medicine believes that the mastoid sea is empty.

People with empty marrow sea have headaches, dizziness, forgetfulness, dull eyes, slow reactions, and long-term bones will become weak and partial and useless. Treatment is to fill the sperm and benevolent.

The commonly used classic prescriptions are Dabuyuan decoction: 10 grams of Ziheche, 15 grams of Longan meat, 30 grams of mulberries, 18 grams of cooked Rehmannia, 15 grams of Prince Ginseng, 15 grams of Salvia miltiorrhiza, 9 grams of red and white peony each, 12 grams of Tulip, 9 grams of Acorus, 9 grams of Yuanzhi, 9 grams of Poria cocos, 12 grams of Raw Puhuang.

The marrow is the brain defined in traditional Chinese medicine. It belongs to the strange and everlasting organ. The brain is connected to the marrow in the spine. It is the Du meridian, the foot Taiyang bladder meridian, and the foot Jueyin liver meridian, which belongs to vision, hearing, spiritual consciousness and thinking activities. When the brain marrow is insufficient or the meridians in the dependent region are lesions and affect the brain, patients with mental and mental aspects will be produced.

"Su Wen. Different Discourse on the Five Internals" says: "The brain, marrow, bone, vein, gallbladder, and female veins. These six are the origin of the earth's qi. They are all hidden in the yin and image in the earth, so they are hidden but not discharged, and are called Qiheng's Mansion."

The Qiheng viscera is the general term for the brain, marrow, bone, vein, gallbladder, and female cells. Qiheng means strangeness. "Qiheng" means abnormality. The physiological functions of these six organs and tissues are characterized by the storage of essence and energy, but they are also different from the functions of the five internal organs and six organs, so they are called.

For example, the gallbladder is one of the six organs. Although it participates in the digestion of water and grain, it stores essence and does not directly accept and transmit water and grain, so it is also included in the Qiheng organ.

Except for the gallbladder, Qiheng's internal organs have no external and internal relationships with the five internal organs, nor have the five elements classifications. However, they are closely related to the heart, liver, spleen, kidney and other organs. Therefore, their diagnosis and treatment often starts with the relevant organs.

Therefore, when studying Chinese medicine, we must first abandon the definition of human organs in Western medicine. Any internal organ in Chinese medicine refers to a system, not an isolated definition of organs in Western medicine.

After giving Zhang Defu a review, Huang Su asked casually when he got up: "Does your worker snore so loudly when he sleeps?"

Zhang Defu shook his head and said, "We live in a dormitory. He doesn't snore normally. I don't know why he suddenly snores when he sleeps today. The sound is still so loud. I originally wanted to have a sleep, but I couldn't sleep because of his snoring."

Hearing that Huang Su frowned slightly, he sat back and asked, "When he woke up, was there anything unusual? What's different from you?"

"abnormal……"

Zhang Defu recalled for a while and said, "He was always listless when he woke up, as if he hadn't woken up."

Huang Su continued to ask, "Then does he still know you?"

"Of course I know us, but I just react a little slowly?" Zhang Defu suddenly remembered the adverse reactions of concussion that Huang Su had just told him, and asked anxiously: "Doctor Huang, there is nothing wrong with Deguang, my third uncle and third aunt are just like this, and he is not married yet."

Huang Su comforted: "What's the specific situation? You have to wait until I have been diagnosed and treated. Don't be in a hurry. You are also a patient and don't be emotionally excited."

After soothing Zhang Defu's mood, Huang Su walked to Zhang Deguang's hospital bed and first checked Zhang Deguang's facial condition. His eyes did not fade away, but instead showed signs of aggravation, and his nose was still as smoked.

Huang Su reached out to check Zhang Deguang's neck again, and saw that it was still stiff and there was no improvement.

Zhang Defu was not relieved of Zhang Deguang's condition, and sat by the bed staring at Huang Su's every move, every expression.

Seeing Huang Su frowned, Zhang Defu hurriedly asked: "Doctor Huang! What is the situation with Deguang?"

"The patient's condition is still stable now. I'll talk about the pulse diagnosis after I've seen a tongue diagnosis."

Huang Su took one of Zhang Deguang's arm and started to take the pulse. Even if he moved this way, Zhang Deguang still showed no sign of getting up.

Zhang Defu asked anxiously again: "He is in a stable condition. Why is he different from us? You see, we are all almost well."

While taking the pulse, Huang Su explained: "Everyone absorbs the drug differently. Some people take a dose of medicine very quickly, while others take a dose of medicine and have little effect. Moreover, the stable condition means that the patient's condition has not worsened, and it does not mean that the patient's condition has begun to improve."

oh!

When Zhang Defu heard that his condition had not worsened, he calmed down and watched Huang Su take the pulse.

Huang Su put three fingers on the three parts, and felt that Zhang Deguang's pulse was like a bow string, his pulse was weak, his blood vessels were soft and empty, as if half of the blood was filled with blood vessels, there was a lot of space in the vessels, and the pulse was beating very fast. This was a pulse of weak strings, especially the patient's left Guan strings.

The deficiency of the pulse is a sign of deficiency. The deficiency of qi is not enough to transport the blood, so the pulse is weak and the deficiency of blood is insufficient to fill the meridians. Therefore, the pressing is empty. Due to the deficiency of qi and the expansion of the outside, the deficiency of blood and the qi is not attached to it and floating outside, and the pulse is loose, so the pulse is large and the momentum is soft.

Fei Su said to Sasha: "Tell me the patient's medical record last night."

Yu Sasha opened the medical record folder, searched it, and handed the medical record to Feisu.

Flavin took the medical record and said that at 2 a.m., the patient experienced acute cranial pressure increase and used dehydration agent to control the reduction of cranial pressure.

As soon as he saw the dehydrating agent, Feisu completely understood why Zhang Deguang's pulse changed so much.

Zhang Deguang's blood stasis generates heat, and heat evil damages the yin. After using dehydration agents, it leads to a large amount of body fluid in the body, reduces body fluid in the blood, and causes yin deficiency type blood deficiency, and reduces body fluid in the blood, which naturally leads to aggravation of blood stasis. This is why Zhang Deguang's eye circles show signs of aggravation.

Yin deficiency and blood stasis will naturally lead to aggravation of heat evil in the body. The patient's teeth are tight and the neck is stiff, which is caused by internal movement of liver wind. When the liver wind encounters heat, it will naturally lead to excessive liver fire. This is why the patient's left guan string is particularly severe.

Since he knew the patient's pathogenesis, Fei Su gently shook Zhang Deguang's body, woke him up, and looked at the tongue coating to confirm.

After a long time, Zhang Deguang transformed slowly, and his eyelids were only half opened, and his eyes were turbid and unconscious.

It can be seen that Zhang Deguang is a little confused now.

Huang Su pointed at Zhang Defu and asked, "Who do you still know him?"

After a long time, Zhang Deguang wanted to speak but could not open his mouth, so he had to nod his head weakly.

Zhang Deguang's current symptoms are consciousness disorders after concussion.

Huang Su leaned closer to Zhang Deguang and said, "Open your mouth, I'll take a look at your tongue."

It took Zhang Deguang a long time to open his mouth slowly, and his mouth was only one-third wide.

But you could barely see the tongue coating, and Feng Su leaned close to Zhang Deguang's mouth to check carefully.

I saw that Zhang Deguang's tongue was purple, with less dry and no fluid on the tongue coating. Only the sides of the front end of the tongue were full of ecchymia.

"Doctor, what is Deguang's body going on? He is much worse now than in the morning."

Seeing that Zhang Deguang's physical condition was worse than when he woke up in the morning, Zhang Defu grabbed Huang Su's arm and asked anxiously.

"You are also a patient, so don't be excited." Huang Su comforted Zhang Defu and explained in easy-to-understand words: "The patient's tongue coating indicates that the heat evil in the body is extremely strong, and the heat has invaded the blood. The tongue coating has less, which means that the patient has severe yin deficiency, lacks a lot of water in the body, and there is ecchymosis on the edge of the tongue, which means that there is blood stasis in his body. I prescribe a prescription for clearing and cooling blood, nourishing yin and producing fluid, clearing heat and blood, and opening orifices and calming the spirit."

Feisu took out a pen and prescription and wrote: 40g of buffalo horn, 20g of Scrophularia ginseng, 20g of Ophiopogon japonicus, 15g of Northern Salvia ginseng, 25g of Raw Rehmannia ginseng, 7.5g of Sichuan Coptis chinensis, 5g of Tianzhu Huang, 15g of Garlica turbidum, 15g of Gastrodia elata, 15g of Angelica sinensis, 15g of Dendrobium, 10g of Red Peony, 10g of Danpi, 10g of Luffa gua, 15g of Licorice, and 10g of Angong Niuhuang Wan. Two pills were taken daily.

Huang Su handed the prescription to Liu Shasha and instructed: "This medicine is also taken in two doses."

Compared with the front, this prescription increases the amount of buffalo horns, Scrophularia ginseng, and the raw rehmannia ginseng, which can cool blood. It can increase the blood-cooling peony bark. Remove red poria cocos, add the dosage of Ophiopogon japonicus, and increase dendrobium to nourish yin and increase fluid. Northern Salvia ginseng nourishes yin and clears the lungs, nourishes the stomach and produces fluid, and clears the heat evil in the upper middle burner. Use Angelica tail instead of Angelica, and then adds loofah collaterals. The former nourishes blood and promotes blood circulation, while the latter clears heat and cools blood and unblocks the meridians.

"You can rest assured and let me know if there is any change in the condition."

Huang Su reminded Zhang Defu again and took Liu Shasha out of their ward. The rounds that were going to work today will be officially over.
Chapter completed!