Chapter 277 Amantadine Analgin
To be honest, as a newly graduated medical student in China, Lin Sanqi has a kind of mindless admiration for Peking Union Medical College Hospital.
In 2013, as the No. 1 hospital in China, Peking Union Medical College Hospital was absolutely the awe-inspiring institution for all medical students in China, without a doubt.
For medical students like Lin Sanqi, let alone having the opportunity to work at Union Hospital, even being able to study there is a great honor and qualification.
Doctors from Peking Union Medical College Hospital are treated like VIPs when they go to local universities or hospitals.
If a patient wants to go to Peking Union Medical College Hospital for treatment, the registration fee for a scalper with a good doctor will start from 5,000 yuan.
Such an awesome hospital, but now when Lin Sanqi comes to see him, the registration fee is only 10 cents...
The doctor from Peking Union Medical College who treated Lin Sanqi was about 30 years old. He was wearing a white coat and a white work hat. His eyes were full of fatigue and indifference under a cloth mask.
Doctor Guo Jianqiao didn't even glance at the patient. When someone came in, he asked directly, "What's wrong?"
Lin Sanqi replied in a humming voice, "Doctor, I have a fever. It's high and won't go away. I still have body aches. I'm coughing, and my nose is running. I..."
Doctor Guo interrupted impatiently:
"Alright, alright, I already know your condition. You have a cold. Here, go get some medicine."
At this time, Dr. Guo had already written the name of the medicine on the prescription paper, tore it off and threw it in front of Lin Sanqi.
Lin Sanqi's mind was full of questions. He thought, "I've just sat down, my butt hasn't even warmed up yet, and I haven't even finished explaining my condition, and you're already done? Isn't that a really easy profit from the 10 cent registration fee?"
"Doctor, no, I still have chest pain..."
Lin Sanqi thought, chest pain can have many causes. A serious heart problem, like myocarditis, can also cause fever and chest pain. A milder case, fever and chest pain, you'd have to suspect pneumonia, right? Or maybe a stomach problem.
It depends on how you check it. Anyway, you should take it more seriously now, right?
Lin Sanqi also wanted to test the level of doctors at Union Hospital in this era, and had the mentality of a little examiner.
After hearing Lin Sanqi's words, Dr. Guo continued without raising his head and said coldly:
"It's okay. Fever, cough, and a little chest pain are normal. Just take some medicine."
Lin Sanqi was now dissatisfied, thinking, "You are really too much of a bluff! At least listen to the heart and lung sounds. How irresponsible!"
"Doctor, I still have a stomachache. Sometimes it hurts in the middle, sometimes on the right side. You have to help take a closer look."
Doctor Guo took a deep breath and said impatiently:
"Stomach pain could be enteritis, intestinal colic, or even appendicitis, colitis, or something like that. This isn't something we in the internal medicine department can treat. You need to see the surgery department. Take the prescription and leave quickly. Next one."
"No, doctor, how can you serve the people like this? You don't even do a basic physical examination. What if my condition is serious?"
Doctor Guo got angry and slammed the table:
"Are you a doctor or am I a doctor? Do you know or do I know? Are you looking for trouble? Security guard~~~"
Lin Sanqi was convinced. Not to mention his medical skills, he dared to slam the table and yell at the patient. If this had been filmed in 2013, he would have been cyber-bullied.
At the same time, the filter he had for Concorde was shattered.
It turns out that Union Hospital was not a god. At least in 1960, it was no different from a small county hospital, lacking professionalism and compassion for patients.
Maybe those who were well-educated in 1949 all went over to the reactionaries...
Lin Sanqi walked out of the clinic, calmed himself down, and took out the prescription. No matter what, the purpose of the undercover visit was achieved, although he was very angry.
Then I saw the tadpole characters above and my head was overwhelmed.
If Lin Sanqi wasn't a medical major, he would have thought that the above was a divine book.
These words are no different from paintings. It is a long string of words written in one stroke. Except for people in the industry, outsiders will definitely not be able to understand it because these words are not Chinese at all, but Latin.
The first medicine: metamizole sodium tablets. Note that the font is very illegible.
Lin Sanqi tried to identify it for a long time and finally confirmed that it was antipyrine methylamine methane. He thought that this was chlorpyrifos, also known as analgin.
Speaking of Analgin, it is a well-known star drug. It is a fever-reducing tablet that almost everyone of older age has taken, but it was later banned in clinical practice.
However, due to its proven efficacy, many people still take it as a miracle drug for reducing fever and relieving pain. The key is that it is cheap, and only a few cents is needed for one pill.
However, analgin can cause gastrointestinal bleeding, allergic reactions, renal damage, blood system toxicity, liver damage, and is even addictive, so it is quite harmful.
Lin Sanqi thought, no wonder the fever-reducing effect of Union Hospital's medicine is better than that of the traditional Chinese medicine in the Chinese Hospital. It turns out that it relies on this non-steroidal anti-inflammatory drug that can reduce fever quickly.
The second pill says amantadine aminum.
This medicine is relatively unpopular. Lin Sanqi spelled out the letters one by one, and after a long time, he translated it uncertainly:
Amantadine?
The main function of the drug amantadine is antiviral, and it can also be used to treat Parkinson's disease, but it was rarely used in clinical practice in 2013.
The reason for its seldom use is that the side effects are quite obvious, such as hallucinations, mental confusion, dysuria, etc. The second reason is that the efficacy is really not very good, especially in terms of anti-toxic diseases.
The premise of this poor efficacy is that it is used selectively and adamantane is not often used.
However, in 1960, adamantane became a miracle new antiviral drug. At least the combination of adamantane and acetaminophen was indeed more effective than traditional Chinese medicines for clearing heat and detoxifying.
So it was not unfair for the Chinese medicine hospital to lose in the first round.
Bungalow dormitory of Chinese Medicine Hospital:
Dean Shen looked at the two pills on the table, his mouth tilted with dissatisfaction.
"Is this the secret weapon of Union Hospital?"
Lin Sanqi nodded. "Yes, they also gave me three days' supply of these two medicines, which cost me three yuan."
"Oh, 3 yuan, that's not a low fee. Xiao Qi, you know a lot about Western medicine, so what do you think of the effects of these two medicines?"
Facing Dean Shen's question, Lin Sanqi decided to tell the truth:
"The efficacy of amantadine + analgin is definitely better than our Baihu Decoction, Xiaoqinglong Decoction, Chaige Jieji Decoction, etc. This is undeniable. Our traditional Chinese medicine takes too long to take effect.
However, the side effects of these two Western medicines, amantadine and analgin, are quite significant. The problem is that now is the time to treat patients and save lives, so these side effects can actually be ignored. We can't interfere with how Union Hospital uses the drugs, right? "
Dean Shen frowned even more tightly after hearing this:
"Then do we have any targeted traditional Chinese medicine that's more effective than this An Jingang stuff?"
Lin Sanqi blurted out without thinking:
"Yes, that old man Xiao Longyou contributed a secret recipe called Qingxin Zhengfeng Pills, which is a sister medicine of Angong Niuhuang Pills. It is very effective in reducing fever. I think one pill can solve the problem.
There is also the secret recipe Babao Pills contributed by Mr. Ding Zhongying, which is the same origin of Pian Zai Yang and is also said to have good anti-inflammatory and analgesic effects.
If these two medicines were used, their efficacy would definitely be better than the two Western medicines from Union Hospital. However, there is a huge problem: the raw materials for these two medicines are too precious, with retail prices starting at 20 to 30 yuan, which is unaffordable for ordinary people.
Samples of Qingxin Zhengfeng Pills, Babao Pills, Duanxueliu Pills and Aoaojiao Pills have already been produced, but because the raw materials are relatively precious, the Changping branch has not yet started large-scale production.
After all, it is spring plowing season now, and the plague has hit, so research and development work has come to a halt.
Dean Shen was shocked when he heard this.
"Oh, it's so expensive. The patient can't afford it, and we can't provide it for free. Besides these few medicines, is there any other way? Are you still hiding something from me? Where are your ibuprofen and amoxicillin recipes?
I've known you've been secretly supplying medication all day today. Wang Lingshu from the billing department told me about it, saying it's unreasonable for you to pay for the medication alone and accusing our public institution of taking advantage of you."
Lin Sanqi chuckled:
"I just want to try it out today, and then wait for the results of your hospital's discussion."
Exchanging medicine for medicine was what Lin Sanqi had agreed with Dean Shen before. There was no official attitude yet, so the two of them didn't dare to make a deal.
Everyone in the Chinese Hospital knows about the close relationship between Dean Shen and Lin Sanqi. Now that the godfather is exchanging public medicinal materials with Lin Sanqi privately, doesn't it give people the feeling that there is something fishy going on? That's like yellow mud falling from your pants, it's shit at least.
There isn't much else in the hospital, but there are a lot of smiling tigers who will report you anonymously at any time.
Dean Shen sighed. This matter was quite controversial within the hospital.
A key point of controversy is that many people believe that if Lin Sanqi has a secret recipe, he should donate it to the state.
Then, based on this secret recipe, drugs will be developed and put into clinical practice. This is in line with organizational procedures, the nature of socialism, and everything will be public.
If the Chinese medicine hospital gave the medicinal materials to Lin Sanqi, and then Lin Sanqi gave the finished medicine to the Chinese medicine hospital, who knows how much medicinal materials Lin Sanqi embezzled?
Moreover, this is a capitalist form of processing imported materials, which is exploitation and the loss is national assets.
Although some leaders of the Chinese Medicine Hospital were defeated by Lin Sanqi's sugar-coated bullets, they did not dare to nod their heads easily when it came to these principled issues and behaviors that might violate the red line of political governance. This group of people could only fight with the wind.
When Lin Sanqi heard the hospital's concerns, he shrugged on the surface to show that it didn't matter, but he was still very anxious in his heart.
He had 12 million worth of flu medicine on the line, so how could he really just let it go? He also wanted to use these 12 million worth of Western medicine to exchange for 1.2 billion worth of traditional Chinese medicine.
The key point is that influenza is seasonal and generally does not last more than 2 months. Once the influenza subsides, who will we sell so many Lin Sanqi medicinal materials to?
Thinking of this, both Lin Sanqi and Dean Shen felt a little depressed.
(End of this chapter)
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