Chapter 158 Negotiating Conditions Before Treating
"Silly child, how can you not treat it? It has come to this point, and you don't need any more clothes. Hurry up."
Lin Sanqi silently chanted "May you be blessed with infinite happiness" in his heart, then exposed Zhang Jingjing's groin, and indeed saw two obvious Pa's lines on the inside.
Pareto lines are a specific lesion caused by scarlet fever. They are usually purple lines that appear in certain parts of the body. These purple lines can be caused by skin folds, dense rashes, and friction bleeding.
Mother Zhang also saw it, and the last bit of doubt she had about Lin Sanqi disappeared:
"Doctor Xiaolin, how are these? Are these the lines you mentioned? Can you confirm what's wrong with my daughter now?"
Lin Sanqi nodded: "It's basically confirmed, but I'm still verifying it. I hope the patient can be patient for a while."
Mother Zhang suddenly had a bad premonition and asked cautiously:
"Doctor Kobayashi, how else can I expect my daughter to cooperate?"
Lin Sanqi decided to make it clear in advance to avoid being treated as a hooligan:
"I also need to look around the patient's bar door, mainly to see if there is any shedding of skin around the bar."
"Bar door???"
The old lady felt that she was truly ignorant. This was how the Lingnan School of Medicine treated illnesses? This was too exaggerated, wasn't it?
However, the inspection had already reached this point, and everything that should and shouldn't be seen had been checked. The old lady also decisively helped her daughter to turn over:
"My dear daughter, bear with it for a while, this is the last step for the inspection."
At this time, Zhang Jingjing felt that her body was no longer her own. She was just a corpse without any emotions. So, whatever.
Lin Sanqi did not waste time and found no skin peeling around the patient's body. He felt relieved and the diagnosis was clear.
If there is shedding of the skin, Kawasaki disease should be suspected.
"Aunt Zhang, that's enough. Please help the patient put on his clothes. I already know what the illness is."
Seeing the relaxed expression on the young doctor's face, Zhang's mother immediately asked in surprise, "Doctor Xiaolin, is my daughter saved?"
Lin Sanqi nodded slightly: "It's troublesome, but not hopeless."
Zhang Jingjing was already feeling extremely ashamed and angry, but when she heard that she could still be saved, her eyes immediately lit up and she asked weakly:
"Doctor Lin, do I not have to die?"
Lin Sanqi still felt a little guilty when facing Zhang Jingjing. It was his fault for seeing her naked. She had a good figure, but the rash affected the appearance.
"Don't worry, I will do my best."
Mother Zhang was so happy that tears came to her eyes. "That's great, that's great. Doctor Xiaolin, please help me treat it right away."
Zhang Xingbang was already waiting outside the door anxiously. When he saw Lin Sanqi coming out, he grabbed him and said:
"Doctor Kobayashi, how is it? What's wrong with my daughter?"
Lin Sanqi said with certainty, "Your daughter's illness is called sore throat sha in traditional Chinese medicine and scarlet fever in Western medicine. It's a type of infectious disease."
As soon as this was said, a middle-aged doctor nearby said to his companions, "Look, I said it was sore throat."
Another doctor frowned. "Throat ulcers are a fatal disease, so what if the diagnosis is accurate?"
Infectious diseases, not to mention the shortage of doctors and medicines in the past, even now there is no particularly good treatment.
When Zhang Xingbang heard it was the plague, he burst into tears: "Oh, what shall I do, my poor daughter?"
Huang Liqiang, however, was a bystander and saw things more clearly: "Old Zhang, don't worry. Comrade Lin didn't say it can't be cured. Comrade Lin, look at Zhang Jingjing's condition..."
How could Lin Sanqi so easily claim to be able to cure it? People won't cherish things that come too easily. Favors aren't sold that way.
"By the way, teachers, how were you treating me before?"
A middle-aged doctor replied:
"Comrade Lin, this is what happened. We previously used Lianqiao Shuanghua Yin for treatment, and later used Pien Tze Huang to reduce fever and protect the liver. It was initially effective, but then the rash spread all over the body, and the temperature rose again."
Lin Sanqi asked curiously, "Have you considered antibiotic treatment?"
The preferred drug for treating scarlet fever is penicillin, and Lin Sanqi knew that this drug should be available in this era.
At this time, Huang Liqiang helped to explain: "Comrade Lin, you are talking about penicillin, right?"
Lin Sanqi felt particularly familiar when he heard this name, as if he was watching an anti-Japanese drama. The underground party used gold to exchange for penicillin, and then sacrificed many comrades to bring it to the rear.
"Yes, it's penicillin."
Huang Liqiang was a little embarrassed:
“I don’t know what the situation is like in the capital, but after the founding of New China, foreign countries have imposed a penicillin embargo on my country, so the amount of penicillin flowing into my country each year is not large.
Our hospital only has a small supply, but the province has made it clear that this is a strategic drug and cannot be used unless absolutely necessary. I did my best to get two bottles, but they didn't have much effect.
Lin Sanqi thought that penicillin would definitely be effective, but there were only two bottles, and the antibiotic was gone just as it was taking effect in the human body. It would be strange if it would be effective if the treatment course was not enough.
This gave Lin Sanqi an intuitive impression of medical drugs in the 1950s.
Zhang Xingbang wiped his tears and asked cautiously:
"Doctor Xiaolin, my daughter's illness..."
Lin Sanqi thought that he would definitely save the man. As a medical student, he still had the minimum humanity and medical ethics. However, staying in Fuzhou to save people would delay things. After all, his procurement tasks were quite heavy.
"We can save you!"
Zhang Xingbang, Huang Liqiang and several local doctors nearby were all a little excited.
“But there are several difficulties:
The first difficulty, as Section Chief Huang knows, is that I was sent out by my unit to purchase medicinal materials, and they're still waiting for my medicine. If I stay in Fuzhou now, treatment will take at least 7-10 days. Such a delay will disrupt the clinical medication schedule at the Capital Hospital of Traditional Chinese Medicine..."
Zhang Xingbang patted his chest and said, "Doctor Xiaolin, don't worry. I dare not say anything big about other provinces, but as long as we have it in Hujian Province, I will take care of it. What you want is..."
"Andrographis, two tons."
"Two tons of Andrographis, right? Leave it to me. I'll find someone to buy it for you in Zhangpu today, and then deliver it to Xiamen Railway Station as quickly as possible and ship it directly to the capital."
Lin Sanqi thought that it was indeed easier to get things done if you had connections in the local area, it was just a matter of a word from them.
Huang Liqiang was also there to help his friend speak well of him:
"Also, Doctor Xiaolin, regarding the Pien Tze Huang you're interested in, just give me a number and Lao Zhang and I will work together to help you find a solution."
Although Pian Zai Huang is not too precious now, its production is limited due to the scarcity of raw materials, and it is difficult for people without connections to get it.
Lin Sanqi was delighted and prepared to implement it immediately:
"It's like this. I'm buying Pien Tze Huang for other friends in the capital. The more the better. The first batch needs 5,000 pills. I wonder if Director Zhang and Section Chief Huang can..."
"able!"
Director Zhang said firmly, "Five thousand pills is not a small number. I will place an order now in the name of the supply and marketing cooperative and have the Zhangzhou Pharmaceutical Factory start production immediately."
Lin Sanqi was more concerned about the price: "How much is this per pill?"
He thought to himself, if the medicine is expensive and he only has 10,000 yuan, he has to find a way.
Zhang Xingbang said with some embarrassment:
"Doctor Xiaolin, the answer is this. I can have Zhangzhou Pharmaceutical Factory deliver the quantity you want, but I can't offer a discount. Their factory price is usually 1 yuan per pill, and I can issue a formal invoice."
Lin Sanqi breathed a sigh of relief. One yuan per pill was enough for him.
As of 2013, those Pian Zai Huang pills made of synthetic materials could be sold for 1,600 yuan per pill. But mine is made of authentic natural materials, so it must be sold for over 10,000 yuan per pill.
"Director Zhang, I don't need a discount on the price. Everything should be done according to the rules. If there is a chance in the future, I would like to buy more Pien Tze Huang."
Zhang Xingbang patted his chest again and said, "Leave this to me from now on, no problem."
Lin Sanqi was satisfied. Since the other party was loyal, he couldn't be stingy either.
"Okay, Director Zhang, prepare for me right now: Isatis root, bamboo leaves, red peony root, moutan bark, reed root, raw rehmannia root, honeysuckle, black forsythia root, cinnamon bark, and burdock fruit. Seven wild ginseng roots over 50 years old, as well as dendrobium officinale, saffron, dragon's blood, and ice ball fruit. The higher the grade, the better."
Lin Sanqi is just making up stories. How could he possibly know anything about Chinese medicine prescriptions?
The reason why he quoted many precious Chinese patent medicines was because Lin Sanqi didn't want the Zhang family to think that saving people was easy. Otherwise, how could he show his level as the successor of the Lingnan School?
Zhang Xingbang didn't know anything about medicine and looked at Huang Liqiang next to him.
Huang Liqiang discussed with several doctors nearby and nodded emphatically:
"Comrade Lin, no problem. We have all these herbs in stock in our medicine warehouse. We will definitely get the best ones."
Lin Sanqi pretended to be mysterious and said:
"Then please prepare a room for me, a stove, and some medicine pots. The medicines I prepare are all secret recipes passed down from our family and cannot be known to outsiders. I hope you can forgive me."
Huang Liqiang understood instantly. No wonder Dr. Kobayashi wanted so many medicinal herbs. His real purpose was probably to confuse people and make it difficult for outsiders to guess the real prescription.
But this is exactly in line with the prejudices of traditional Chinese medicine families.
With Section Chief Huang's guarantee, Lin Sanqi's request was quickly met, and all the medicinal materials and decoction tools were ready.
Lin Sanqi hid in an empty room and began to prepare the medicinal soup in a mysterious way.
In fact, he knows nothing, and he is afraid that the wrong combination of drugs will produce toxic side effects, which will harm people instead of saving them.
So he picked the safest licorice and started to boil the medicine on the stove.
Licorice is found in almost all Chinese medicine prescriptions and is very versatile. But from another perspective, it can be seen that this medicine has low toxicity and little effect, and will not kill people.
After boiling for half an hour, when it was almost done, Lin Sanqi poured out the medicinal juice, added a loxoprofen capsule into it, opened it and stirred it evenly.
Loxoprofen is a phenylpropionic acid non-steroidal anti-inflammatory drug with excellent analgesic and antipyretic effects, although from the perspective of traditional Chinese medicine, it is only a temporary solution and not a cure.
But if Lin Sanqi wants the Zhang family to see hope in the shortest possible time, he must use Western medicine to reduce fever.
Besides, the patient is about to die from a fever, so why are you still talking about symptoms and signs? That's bullshit.
When it comes to emergency medication, the most important thing is to reduce the fever and save lives.
(End of this chapter)
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