Chapter 1108: : Gluteal carbuncle

Ye Chen looked at the pulse and tongue of this Mr. Tao. Judging from the information he just learned, he probably already knew the situation of the other party.
However, Ye Chen got up from his seat and let him see the condition of Mr. Tao's left calf.
He found that the opponent not only had obvious swelling in his left calf, but also had erythema on the back of his feet, and the edge of the erythema was protruding.
Ye Chen could already confirm that Mr. Tao's illness also belonged to erysipelas. However, his illness was much more serious than that of Pan, the old Vietnamese woman.
Mr. Tao had this condition because of a cold half a month ago, and he has not recovered until now. Moreover, the more serious it is, after taking antibiotics, he just started to get better, and then it got worse.
This situation, in fact, is very similar to the treatment of this type of disease by Western doctors in many major domestic hospitals.
It can be said that Mr. Tao’s situation was caused by heat, poison, damp and evil, and it was difficult to recover from repeated delays when handled carelessly.
Heat toxin enters the blood, which is the basic pathogenesis of the onset of erysipelas. According to the theory of three-burner treatment of surgical sores in "Ulcer Experience Collection" by the famous Qing dynasty Gao Jinting: and also."
Therefore, the treatment of this disease is generally based on clearing away heat and cooling.
Ye Chen picked up the blank paper in front of him and wrote on the blank paper: "Ruan Mou, male, 40 years old. First visit on November 18, 2009. The patient's left calf was red and swollen and painful for half a month, accompanied by chills and body heat. "
"First visit: After the patient caught a cold half a month ago, his left calf developed redness, swelling and pain, aversion to cold and body heat, and his body temperature was as high as 39 degrees Celsius. After antibiotic treatment in a hospital, his condition improved slightly, but his condition has improved a bit these days. Repeatedly increase."
"On examination: one-third of the patient's left calf still has redness, swelling and pain, burning pain, and a body temperature of 38 degrees Celsius. Finger-sized erythema appears on the back of the foot, the edges are not clear and raised. Tongue appearance: red tongue, yellow coating. Pulse condition: slippery pulse condition."
"Chinese medicine dialectics: Diagnosis of erysipelas, damp-heat betting syndrome. Treatment: clearing away heat and cooling blood, removing dampness and detoxification."
"Prescription: 12 grams of raw rehmannia, 10 grams of paeonol, 10 grams of red peony root, 12 grams of skullcap, 20 grams of honeysuckle vine, 15 grams of raw coix seed, 9 grams of Alisma, 10 grams of Ermiao pills, 30 grams of Liuyi powder, large 9 grams of green leaves, 9 grams of honeysuckle, 5 grams of licorice. 7 doses, decocted in water, 1 dose a day."
After Ye Chen finished writing, he checked it and found that there were no other problems, and then handed it to the middle-aged Vietnamese man.
In fact, he now saw two cases of erysipelas before and after. However, the time spent before and after did not exceed ten minutes. So, after visiting the Vietnamese man, let the third patient come and sit down.
In the preliminary round, I visited a patient with boils, and in the race I visited two patients with furunculosis. Now in the finals, there are three patients.
The first two, Ye Chen had just finished reading, all belonged to erysipelas, one was hand erysipelas, and the other was flow fire.
Now when the third patient came in a hurry, Ye Chen had just started, thinking that the other party had also got erysipelas. However, seeing the other party also seemed very painful, almost half of his stuck to the chair, and when he didn't dare to sit down, Ye Chen knew that his disease was in the ass.
"Sir, what is your name and how old is this year?" Ye Chen asked.
The man in his thirties hurriedly said his name and age, and also missed the man named Ruan. However, his situation seems to be more serious than that of the Vietnamese middle-aged man who just visited.
"Is your uncomfortable?" Ye Chen asked.
After the man surnamed Ruan nodded, Ye Chen asked him to untie his pants and show him the diseased area.
Without hesitation or embarrassment, the Vietnamese man hurriedly unbuttoned his pants, and after pulling down his briefs, Ye Chen saw that his left buttocks had been scratched by him, and that part was red and swollen.
After Ye Chen finished reading, the other Vietnamese medical students also finished reading. After Ye Chen asked him to put on his pants, he naturally asked him to sit down and explain clearly what was going on.
"Mr. Ruan, when did your situation appear? When it appeared, what were the specific symptoms? Have you ever seen a doctor? Have you ever taken any drugs?" Ye Chen asked.
Wu Yu asked the man surnamed Nguyen with a Vietnamese translator. This Vietnamese man still remembered clearly, so after he said it, Wu Yu translated it again.
"Mr. Ye, he said that last week, his left hip developed itching, and two days later he also developed swelling and pain. He took western medicine at a nearby hospital, but it didn’t work. Later, he took some southern medicine himself until this It became more serious in two days. When I was going to a big hospital in Hanoi for treatment, I was taken here and told me that I could see the doctor for free." Wu Yu said simply.
If so, Ye Chen already knows the situation of Mr. Ruan. Of course, he still asked first: "Have you not been to the before, is there any discomfort?"
Like Ye Chen's visit to the first Vietnamese patient who had board sores before, it was caused by sitting on the grass for a long time and fishing in the summer.
Moreover, Ye Chen felt that no one would get sick for no reason, there must be other reasons.
After hearing this, Mr. Ruan recalled Ye Chen's question. He quickly remembered that he had a round, soft lump the size of a soybean on his left hip two years ago, but it had been painless and itchy for the past two years, and he didn't care about it.
When Ye Chen heard it, it was obvious that the other party had this condition. It was caused by the pink tumor two years ago, and the other party has always ignored this pink tumor. On the basis of this pink tumor, he has contracted buttock carbuncle. Western medicine treatment, it certainly cannot be cured so easily.
Therefore, after Ye Chen checked the pulse and tongue for Mr. Ruan, he said:
This disease is called gluteal carbuncle in Chinese medicine. In Western medicine, it is difficult to treat it simply by taking western medicine.

Ye Chen took a blank sheet of paper and said: "Ruan, male, 33 years old. First visit on November 18, 2009. His left hip was swollen and painful for a week."
"First visit: 1 week ago, the patient had itchy skin on the left buttocks, and swelling and pain after 2 days. He was treated in a nearby hospital and took unknown western medicine, but the effect was not obvious. The heat and pain in the left buttocks became worse in the past two days. I was restless."
"Two years ago, the patient discovered that there was a round, soft lump the size of a soybean on his left buttocks, which was painless and non-itchy. On examination: the patient’s left buttocks were red and swollen about the size of the palm, with burning sensation, obvious tenderness, and hard texture. Tongue appearance: The tongue is reddish and the coating is thin and greasy. Pulse condition: pulse number."
"Chinese medicine dialectics: Diagnosis of hip carbuncle, bladder meridian damp-heat and fire-toxin accumulation syndrome, it is exacerbation-heat syndrome. Treatment method: clearing away heat and detoxification, and resolving dampness."
"Prescription: 15 grams of violet, 10 grams of red peony root, 10 grams of safflower, 20 grams of dandelion, 15 grams of honeysuckle, 10 grams of cork, 10 grams of saponins, 6 grams of , 6 grams of myrrh. Decoction in water , 1 dose, 3 doses a day."
"External use: 15 grams of wild chrysanthemum, 10 grams of cork, 8 grams of mint, 10 grams of Glauber's salt, 10 grams of licorice. Decoction for topical application with damp heat. 1 dose per day, 7 doses in total.

After Ye Chen finished writing, thinking of the patient’s situation and his own situation, he wrote an extra prescription to the other party. Naturally, after he drank the prescription for the first diagnosis, if he didn’t get well, he could only pass it during the follow-up visit. Cut the abscess, drain, drain, and drain the nucleus of the pulmonary tumor in order to fully recover.
However, when is that time, it will take at least a week. In this case, Ye Chen has already taken a plane back to Shanghai, how could he treat him again?
!!