Chapter 1835: : Cirrhosis
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Master Doctor in the City
- Fu Chou
- 1330 characters
- 2021-01-30 09:20:48
After Ye Chen showed it to the second patient, Ms. Sakurada, according to the third patient who was drawn, he went to the patient’s ward. He and the Kampo Contest volunteer had already seen a person lying in the ward. Old patients.
The symptoms of this patient seemed to be much more serious than those of the first and second ones. When Ye Chen and the volunteer came to the side, they looked at each other lying on the hospital bed, but it was very difficult to talk.
Regarding this patient's situation, Ye Chen wanted to look at his medical history first.
There is a stack of medical records placed in advance next to the hospital bed. Ye Chen has already read it. This patient has liver cirrhosis and ascites. He has undergone an operation in the Western Hospital. The second operation should have been performed, but because he was afraid that his body would not be able to bear it. , Can only stop, and then prepare to receive Chinese medicine treatment.
From the face of the Japanese old man, at a glance, the other party was sluggish, thin, yellow complexion, big abdomen, typical of liver cirrhosis and liver ascites.
This kind of patient is a symptom of the later stage of hepatitis. Ye Chen has not encountered it before, but the most serious one, Li Feiyi's wife, Zhu Yue.
However, even with Zhu Yue's condition, he was treated for a long time.
In addition, the current situation of the Japanese old man is in the late stage of severe hepatitis. It is very difficult to fully recover.
However, in the short term, he can still ease his pain easily.
Ye Chen cannot guarantee that this patient's disease will be completely cured, but in a short period of time, he can still relieve the pain of the other party.
After Ye Chen checked the Japanese old man carefully, and also knew his name, age, etc., Ye Chen still asked him how he feels now.
The Japanese old man said it several times before the Chinese medicine contest heard it clearly and translated it.
Based on the old man's self-feelings, plus the medical records he just saw, Ye Chen basically knew what the old man was doing now.
When he took the medical record from the desk, he wrote directly on the medical record: "Da He, male, 79 years old. Abdominal distension, lack of diet, fatigue, headache, dizziness, dry mouth, constipation, etc., etc. for more than half a year."
"First visit: The patient has a history of chronic liver disease and vascular headache attacks. Physical and chemical examination at Tokyo Hospital, b-ultrasound showed liver cirrhosis, portal hypertension with portal embolism, splenomegaly, ascites, splenic vein embolism, Western medicine He was diagnosed with liver cirrhosis and liver ascites, and he had an operation in the hospital, but the effect was not obvious. The patient's own tolerance is limited, and he can only be transferred to the Chinese Medicine Hospital for treatment.
"Present symptoms: headache, dizziness, lethargy, thin body, slight speech, yellow complexion, headache in the right side, big abdomen, pain and swelling. Dry lips, anorexia, no bowel movements for a few days, little urine output. Check: Tongue condition: yellow and greasy coating. Pulse condition: fine stringy pulse."
"Chinese medicine dialectics: diagnosed as bulging, headache. Liver stagnation and heat, stagnation of water and dampness, spleen-qi deficiency and exhaustion. Treatment: soothing the liver and invigorating the spleen, replenishing qi and activating blood, clearing heat and draining water."
"Prescription: 30 grams of Astragalus, 15 grams of Codonopsis, 18 grams of Uncaria, 30 grams of Pueraria lobata, 15 grams of Chuanxiong, 10 grams of Bupleurum, 30 grams of keel, 15 grams of Turmeric, 10 grams of Gastrodia, 15 grams of Jiao Jiaozi, 15 grams of Jiang Zhuru Grams, 30 grams of salvia, 15 grams of red and white peony (each), 10 grams of raw land, 10 grams of soil yuan, 30 grams of wax gourd skin, 15 grams of vitex, 15 grams of pot belly. 14 doses, decoction, each 1 dose a day."
After Ye Chen finished writing, he checked it carefully, and then when he went to the medicine cabinet at the big pharmacy to pick up the medicine, he met other contestants. However, because the two sides were in the competition time, there was no communication.
After picking up their own medicinal materials, Ye Chen took the medicine and decocted the medicine, he went back to the ward, and fed the medicine soup to the old patient, Mr. Dahe himself.
In this case, Ye Chen felt that in fact, there was a female nurse who was helping him, and the speed and time of his treatment would be faster.
However, this time for fairness and openness, and even to prevent cheating, no female nurse was involved.
When Ye Chen fed medicated soup to that Mr. Dahe, and let him rest directly, it was regarded as the first consultation for the third patient.
Ye Chen passed the remaining two patients according to the ward of one of the patients. When he arrived in that ward, Ye Chen saw a couple in their thirties and a child in their fives and sixs.
Ye Chen guessed that the patient he was going to visit must be the child.
Seeing Ye Chen and the Kampo Contest volunteer coming in, the couple inside had recognized that Ye Chen was his son's doctor and hurriedly bent over and nodded to say hello.
Especially the couple respected famous doctors, so they greeted Ye Chen from time to time.
After Ye Chen greeted the two of them, he looked at the Japanese child again. Ye Chen looked at his expression. It was normal, not much different from a normal child. After showing him the pulse and tongue, he basically understood that this one Some symptoms in children.
"Dr. Ye, my son has been suffering from nighttime enuresis since he was a child. Even if he was told several times a day, this situation still occurred. The treatment in many pediatric hospitals in Tokyo still had no effect." The mother of the child said.
Ye Chen already knew that there was not much difference between the symptoms of the pulse condition he had just read.
Ye Chen didn’t need to look at the patient’s previous medical records. He directly asked the patient’s name. After his age, he began to write in the medical record: "Xiaoshan, male, 6 years old, had enuresis at night since childhood. ."
"First diagnosis: The child urinated several times at night, restless at night, and took a nap for 2 to 3 hours a day. He was naughty during the day, had little appetite, and had stool 1-2 times a day. Current symptoms: nocturia several times, Sleeping night restlessly, teeth grinding, hyperactivity, sometimes screaming, pale complexion, not sweating much. Tongue: pale red tongue, thin and yellowish coating. Pulse: thin pulse."
"Chinese medicine dialectics: diagnosed as infantile enuresis, liver mucous, spleen and kidney deficiency. Treatment: calming the liver and calming the nerves, tonifying the spleen and kidney.
"Prescription: 6 grams of Bupleurum, 30 grams of calcined keel, 10 grams of Gastrodia, 6 grams of Uncaria, 10 grams of Mulberry leaves, 15 grams of Radix Codonopsis, 9 grams of Codonopsis, 6 grams of Jiaobaizhu, 15 grams of raw malt, 6 grams of dodder, 6 grams of golden cherry seeds, 10 grams of raw astragalus, 3 grams of raw licorice. 14 doses, decocted in water, 1 dose a day."
After Ye Chen finished writing, he checked carefully and confirmed that there were no other problems. Then he picked up medicine for him, and then sent the decoction to the child to drink.
After Ye Chen asked his parents to feed the child, he stayed here because he was still in the game. As for his parents, they stayed here and watched.
After watching four patients in a row, Ye Chen's expression was still so relaxed for the last one. Of course, at the pharmacy and decocting pharmacy just now, Ye Chen saw the other contestants and they all seemed nervous. It was obvious that the patients encountered in this competition were more sick than those patients usually encountered.