Chapter 157 The Girl with Rash All Over Her Body
Pian Zai Huang is a traditional Chinese medicine for clearing away heat and detoxifying, cooling blood and removing blood stasis, and reducing swelling and relieving pain.
The instructions state that it is mainly used for acute and chronic viral hepatitis caused by heat, toxicity and blood stasis, carbuncles, furuncles, unknown swellings, bruises and various inflammations.
Legend has it that an imperial physician in the Ming Dynasty went to Hu Jian to avoid his enemies, and then invented the original version of Pian Zai Huang, which has been developed and promoted since then.
Of course, this kind of legend is just for listening, just like how everything in the Jiangnan region is related to Emperor Qianlong.
By 2013, Pian Zai Huang had another famous nickname, "Moutai among medicines".
It got this nickname because the price of Pien Tze Huang increased from 590 yuan per pill to 1,600 yuan per pill in just one year, and the supply price in overseas markets increased accordingly by about US$35 per pill.
The key point is that, like Moutai liquor, Pian Zai Huang is also hard to come by. Either the purchase is limited or the stock cannot be imported, and the demand far exceeds the supply.
There are actually two reasons why Pian Zai Huang is so awesome.
On the one hand, Pian Zai Huang is a state-level confidential medicine. Its prescription and production process are both state-level top secret and not disclosed, which indirectly shows the preciousness and importance of the medicine.
Only good things need to be hidden by the country.
On the other hand, Pian Zai Yang is not only limited to treatment, but can also be used as a "health product".
For example, liver protection was initially used to treat various types of hepatitis, but later it was discovered that it also had a powerful liver protection effect, so people who drink frequently always have Pian Zai Yang on hand.
There is also another legend that it can fight cancer, which is really awesome.
Rumor has it that a Chinese overseas in the Philippines got cancer and was about to return to his hometown to wait for death, but he miraculously recovered after using Pien Tze Huang. As a result, Pien Tze Huang was once again deified.
Regardless of whether it is capital speculation behind the scenes or this medicine really has magical properties, Pian Zai Huang is extremely popular in southern China.
But later, Pian Zai Yang also encountered the same dilemma as Angong Niuhuang Wan.
Publicly available data suggests that the main ingredients of Pien Tze Huang are approximately 85% Panax notoginseng, 7% snake gallbladder, 5% bezoar, and 3% musk. (These are just estimates; the recipe and process are not publicly available.)
Musk, bezoar and snake gall, which account for the smallest proportion, are the main reasons why Pian Zai Huang is so expensive, because they are all natural and scarce.
The problem is that after the Animal Protection Law was enacted, natural materials were no longer allowed to be used, which also caused the effectiveness of Pian Zai Yang to plummet.
But these problems did not exist in 1959, because there were no restrictions on raw materials in 1959, and Pian Zai Huang used all the pure natural ancient recipes and techniques.
If this type of Pian Zai Yang was sold in 2013, it would have better efficacy and a higher price, and would definitely be a hot commodity.
This is what Lin Sanqi calls "traffic monetization."
In the ward.
Doctor Kobayashi sat beside the bed, pressing the index, middle and ring fingers of his right hand on the patient's Cun, Guan and Chi points, squinting his eyes in thought.
In fact, how could Lin Sanqi know how to take a pulse? At most, he could measure the pulse rate. After all, he studied Western clinical medicine in college.
But now his character is the successor of the Lingnan School and the youngest son of Doctor Lin Kushen, so he has to act more realistically.
On the hospital bed, Zhang Jingjing was lying weakly. Even her pale face could not hide her pretty face. Her sickly beauty made her look like Lin Daiyu, which made people feel pity for her.
This is an 18-year-old girl and Zhang Xingbang's youngest daughter, so she is naturally doted on.
This time, the illness of his youngest daughter was threatening Zhang Xingbang's life. He had to use up almost all the connections in his family, and had spent thousands of yuan on medical expenses and various red envelopes.
Lin Sanqi took the pulse for a long time and wanted to touch his beard to pretend to be an expert, but then he found that his chin was bald.
Zhang Xingbang asked anxiously, "Doctor Xiaolin, how is it?"
Several doctors and nurses from the Provincial First Hospital nearby also looked at the doctor from the capital curiously, wanting to see if he had any good ideas.
Lin Sanqi nodded seriously, but he was actually very panicked inside. If Lin Kucan was present, he would definitely beat to death this little liar who was cheating and discrediting traditional Chinese medicine.
"I have a rough idea of the situation, but further examination is still needed."
After hearing what Lin Sanqi said, Zhang Xingbang didn't dare to ask what the diagnosis was.
Lin Sanqi said to Zhang Jingjing who was lying on the bed, "Come, open your mouth so I can see."
Zhang Jingjing opened her mouth in cooperation: Ah~~~ cough cough cough~~~
Lin Sanqi was originally worried that the high fever might be caused by tonsillitis, but he was pleasantly surprised because he saw that the patient's tongue had an obvious "strawberry tongue".
Strawberry tongue, as the name suggests, is caused by swelling, congestion, and redness of the tongue tip, which looks like the surface of a strawberry.
If you have strawberry tongue, the most likely diseases are glossitis, Kawasaki disease, scarlet fever, and hand, foot and mouth disease.
Lin Sanqi felt relieved and relieved.
The subject of medicine is complex. After all, there are tens of millions of diseases. It is very difficult to find the answers like a detective. Both strength and luck are indispensable.
It is very simple. As long as you identify a specific symptom and follow the clues to find the cause, the answer will appear immediately.
Just like now, if it is "glossitis", the patient will not have a high fever for a week.
If it is "hand, foot and mouth disease", Lin Sanqi has observed that no red blisters are seen in the patient's mouth, hands or soles of feet.
So the most likely diseases now are Kawasaki disease and scarlet fever.
Because both diseases cause high fever, rash with swollen lymph nodes, and strawberry tongue, they have so many similarities.
The matter is life-threatening, and in 1959 there was a lack of corresponding auxiliary examinations, so the only way to make a differential diagnosis was to do a full physical examination.
Lin Sanqi looked at Zhang Xingbang a little embarrassedly:
"Director Zhang, I have two answers to your daughter's question. I need to do a full-body examination to determine the specific disease."
Hujian Provincial First People's Hospital is a comprehensive hospital that mainly focuses on Western medicine.
Hearing what Lin Sanqi said, several doctors nodded secretly, thinking that the fact that this kid wanted to have a physical examination meant that he was not doing anything reckless. Western medicine attaches great importance to the scale of diagnosis and treatment, and diagnosis requires evidence, not subjective conjecture.
Zhang Xingbang said without hesitation: "Doctor Xiaolin, please check it quickly."
Lin Sanqi was a little embarrassed: "This full-body examination requires checking the patient's entire body for rashes, as well as some special areas..."
Zhang Xingbang understood that this meant that his daughter had to take off all her clothes, which made him feel a little embarrassed.
But when I think about my daughter's innocence versus her life, this multiple-choice question doesn't seem difficult to answer, so I gritted my teeth and nodded.
"Okay, Dr. Kobayashi, follow your lead and don't worry."
Lin Sanqi breathed a sigh of relief. He was afraid of running into an old feudalist who forbade touching this or looking at that. If that happened, his illness would be incurable.
When the family members and medical staff in the ward heard that they needed a full-body examination, they all tactfully left the ward, leaving Zhang Xingbang's wife to supervise.
Zhang Jingjing's face was already red at this time, and she was grabbing her collar and was about to cry.
It is too shameful for an 18-year-old girl to be seen naked by a strange man.
On the contrary, her mother was more open-minded:
"Jingjing, Doctor Xiaolin is a great doctor from the capital. He's here to treat you. Don't be afraid. Mom's here, so you can be braver."
Lin Sanqi thought that this mother was also understanding and polite, which was good.
"Besides, you see, Doctor Xiaolin is handsome. Mom asked, and he's still single. If you two are attracted to each other and want to date, your father and I won't stop you from marrying far away..."
Lin Sanqi almost fell down after hearing this.
After some persuasion, Zhang Jingjing gave up resistance, thinking, "Let the world end, let it be." Of course, the bigger reason was that she was too uncomfortable and in too much pain.
Who wants to die when you can live?
Who wants to live in darkness when you can be healthy?
Zhang Jingjing closed her eyes and slowly began to take off her hospital gown, first her top and then her pants, but she refused to take off her shirt and pants.
Lin Sanqi watched quietly, but in fact he was secretly taking a breath in his heart. After all, the lady in front of him had a really good figure... ahem... he couldn't be a beast.
Lin Sanqi now moved closer to observe the rash on Zhang Jingjing's body and found that the rashes were all needle-cap-sized, densely and evenly distributed, dot-shaped, congested red rashes.
Smelling Zhang Jingjing's faint body fragrance, Lin Xiahui calmly asked softly:
"When did your rash start? Where did it first appear?"
Zhang Jingjing was too embarrassed to speak, so her mother answered on her behalf:
"I remember it started the day after I had a fever. It started on my neck, then on my body, face, arms and thighs."
Lin Sanqi gestured: "I want to touch it, is that okay?"
Zhang's mother hesitated for a moment, then said firmly, "Okay!"
Lin Sanqi was not polite either. He put his entire right hand on Zhang Jingjing's skin and stroked it up and down. To put it nicely, the action was sacred, but to put it bluntly, it was a bit obscene.
After all, I'm a grown-up girl, and being gently touched all over my body by a man... uh, hehe...
Anyway, Zhang Jingjing got goosebumps all over her body at this moment.
Lin Sanqi didn't feel any erotic feeling, that was true, because what he touched was not the delicate white skin of a girl, but a rough feeling similar to sandpaper.
Coupled with the red rash all over the patient's body, someone with trypophobia would feel dizzy at this time.
"Take off your shirt and pants too..."
"Ah? You have to take off your clothes too?" Zhang's mother found it hard to accept.
Lin Sanqi knew that the parents would definitely have doubts, so he made an agreement in advance:
"I mainly look at a few skin folds, such as the armpits, elbows, and groin, to see if there are dense, line-like rashes. These are called Pareto lines, and they are very important for diagnosing the disease."
Lin Sanqi pointed at a red line on Zhang Jingjing's armpit and elbow and said.
When Zhang's mother saw that the doctor could make sense, she knew that he was not going to molest her daughter, so she had no choice but to agree.
Zhang Jingjing was already crying: "Mom, I don't want treatment anymore."
(End of this chapter)
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