Chapter 234
Yang Xiujin didn’t expect that his senior brother would be so optimistic about Xu Yi, so he was a little silent for a while. To solve the problem according to his ideas, the most he could think of was asking the teacher for help. After all, the teacher's level is above them, and with rich experience, at least he won't be as helpless as them.
But Yang Xiujin was very optimistic about his senior brother's ability to know people, not to mention Xu Yi's gentle conversation and a person worth making friends with.
Pang Min then stood up and poured out the medicinal soup in the basin, and said to Yang Xiujin: "The boat will be straight at the bridge. We will stay in the hotel tonight and not go anywhere. I will clean up the rest room in the hotel. You can sleep in the room tomorrow." Let's go find Brother Xu earlier." After saying that, he turned around and raised the curtain and went inside.
*
Clear dew, Xu Yi got up at dawn, practiced boxing in the courtyard for a while, and then returned to the study to sort out medical records.
Ajin and Axu were not idle either. They hung the completed consultation plaque on the wall. They cleared an open space outside the courtyard shed and placed a long desk in front of it, as well as a set of the Four Treasures of the Study Room.
Everything is ready and the patient is waiting for outpatient consultation.
Before the patient came to the door, two guests came first.
Not long after, Xu Yi was surprised to hear Pang Mincai and Yang Xiujin coming to visit in the study, and quickly got up and came out to greet them.
After knowing their purpose of coming, Xu Yi thought for a moment and felt that this was not a good opportunity for experience, so he ordered A Xu to prepare a car and rushed to Wangjia Village with Pang Mincai.
There was already someone waiting at the head of Wangjia Village. It was the Wang family brother who asked someone to invite Yang Xiujin that day.
His father took the medicinal decoction for three days and his dysentery improved, but he still had constant diarrhea and the stench was unbearable.
The Wang family brother only stayed in front of the bed for three days to wait for his illness. He lost weight and his face didn't look good due to all the hard work and worry.
He didn't know if it was because he felt disgusted, but he felt like vomiting from time to time after getting up today. He also felt that it was a cold and warm day, so he wore an extra layer of clothes.
Seeing that one more doctor came today, Wang's brother wiped away the tears from the corners of his eyes, saluted Xu Yi and others, "Please, doctors, please worry more."
"It's just what you can do within your power." Yang Xiujin shook his head. He shook his head and asked him, "How is your father?"
Wang's brother sighed and said, "I was able to get up to eat porridge this morning, but I had diarrhea half an hour later."
Yang Xiujin said, "It's a good thing to be able to get up and eat porridge. "
This time they also invited Xu Yi to accompany them. They just hope that the disease can be solved as soon as possible.
Several people came to Wang's house in parallel. Yang Xiujin went next door first and asked Wang Lezi to come over for consultation.
Xu Yi has been looking around since he got off the car. There is a river in Wangjia Village that surrounds the entire village. The river flows down from the mountain. I wonder if there is a lot of silt accumulated at the bottom of the river because of the spring rain.
When he arrived in front of the Wang family's house, Xu Yi keenly smelled an unpleasant stench.
The stench was not like normal feces, but also mixed with the rancid smell of undigested vomit. It followed the direction of the wind and drifted from the backyard.
Xu Yi asked the Wang brother with a sullen face: "Is this backyard a toilet?"
The Wang brother was stunned, and asked with a subtle expression: "Dr. Xu, do you want to go to the toilet?"
Xu Yi shook his head and said: "Trouble me." I'll take a look."
Not far away, Pang Min noticed what was going on here. When he came over, he was stunned for a moment: "What's so interesting about this toilet?"
Xu Yi looked at him seriously: "Since it is a sign of vomiting, the vomitus and diarrhea must also be checked."
"..." Pang Mincai nodded thoughtfully.
The two of them followed Wang's brother to the back. The toilet he mentioned was just a straw shed supported by a few wooden stakes, surrounded by straw mats woven with reeds. It was hollowed out from top to bottom, and there was a tall toilet in the middle. , with two red clay bricks underneath.
Behind the toilet, there is a clay pot with a wooden lid, which contains plant ash. After using the toilet, you can sprinkle a handful of plant ash and cover the lid to cover up the smell.
Not only that, the manure sprinkled with plant ash is not thrown away casually, but straw and other materials are added to it to make fertilizer.
The villagers in Wangjia Village store feces and fertilizer in this way, and Lao Wang's family is no exception.
But this time the feces smelled so bad that Wang's brother was considering whether to throw away the feces.
Xu Yi and others did not stay in the toilet for long. At this time, Yang Xiujin came with Wang Lezi's support and weakly sat down on the wooden bench in the room.
Pang Mincai shouted: "Brother Xu, please check your pulse first."
"Okay." Xu Yi looked at Wang Laizi's yellow face and did not shirk.
He put down the medicine box, took out the pulse pillow and put it on the table, motioning to Wang Lezi opposite to reach out.
The skinny and waxy wrist appeared in front of his eyes. Xu Yi raised his eyelids slightly and carefully looked at Wang Lezi in front of him.
The skinny bones are sharp, the eye sockets are sunken, and the exposed forehead is covered with mottled old yellow ringworm.
It looks like wet and sticky grains.
Wang Laizi didn't have a name at first, but everyone in the village called him that, and he got a name after they were called.
He was ugly and uneducated, and he never found a wife in his life.
Fortunately, the head of Wangjia Village was a kind person and did not want his house to leak and get exposed to the rain. When he was building the house, he repaired the roof so that he could have a place to rely on.
Of course, although Wang Lezi has such an unpleasant name, he is quite honest and honest. He guards an acre of land at home and lives in poverty, but he will not starve to death.
However, there was no money at home, and Yang Xiujin had not paid a penny for the consultation and medicine after two days of treatment.
Several people kept silent about this and silently diagnosed his pulse.
After a while, Xu Yi seemed to have thought of something. He took back his hand slightly and looked at Wang Lezi solemnly: "Are you thirsty in the past two days? Are your hands and feet cold?"
"This doctor is..." Wang Lezi was startled. , looked at Yang Xiujin nervously.
Yang Xiujin patiently explained his doubts and said: "This is Dr. Xu. He came from Sichuan. He traveled and talked about Taoism. His medical skills are not inferior to those of my senior brother and me. He is the dialectic helper we invited."
"Oh, so it turns out that his medical skills are not inferior to those of my senior brother and me." It's Dr. Xu." Wang Lezi wanted to get up in fear, but he had been vomiting for several days, and his limbs were weak and cold, and he had no strength.
Before he could stand up, Xu Yi gently pushed him back.
"Tell me, what I just said is probably true." Xu Yi looked at him honestly.
Wang Laizi felt a little uncomfortable when he looked at him. In all these years, no one had dared to stare at him so directly, mainly because he was afraid of the yellow ringworm on his head.
He said in a low voice: "What Doctor Xu said is true."
Pang Mincai asked Xu Yi with a slight surprise: "Brother Xu, what did you see?"
"Look, his tongue coating has turned white and greasy, his muscles are spasming, and when he takes his pulse, , pulse is very rapid..." Xu Yi explained the diagnosis, his eyebrows were slightly twisted, and his expression did not look as relaxed as he said.
Even Wang Lezi and the Wang family's father and son, who did not know medical skills, held their breaths and did not dare to gasp loudly.
Xu Yi glanced around, took a deep breath and said: "It is indeed what you said, this is the filth that disturbs the stomach and intestines."
"But I didn't eat anything." Wang Laizi looked up in panic, "That day... that day I I just ate some shrimps and crabs from the river."
Xu Yi glanced at the Wang family and his son and asked, "What did you eat on the mountain that day?"
"I..." The old Wang family stood up and sat on the edge of the bed, hesitant. .
Later, it was his son who urged him to tell the truth quickly, so he hesitated and spoke out.
It turned out that that day he went up the mountain to cut firewood and picked up a dead badger on the way. Seeing that the badger was not yet putrid, he was reluctant to throw it away, so he skinned it, cooked it and ate it.
Lao Wang was shy and wiped his tears remorsefully: "I, I went to the toilet twice that day. I thought I was fine. I never thought it would be so terrible." He almost lost his life.
Hearing this, Yang Xiujin pointed at him angrily and said, "Nonsense, how can you eat this kind of carrion?"
"I once read in a book that people who eat this carrion will develop worms in their stomachs at the least, and there will be no cure for the most serious cases. ." Pang Mincai looked meaningfully at Lao Wang and his son, who were already panicking.
"Don't be greedy and lose your life."
At this time, Wang's brother also noticed something was wrong and quickly asked: "But my father ate the rotten meat, but Wang...Uncle Wang didn't eat it. How come he got this disease?"
Yang Xiujin said coldly: "That day he was washing clothes in the river, and he happened to come across a place and brought back the dirty river water."
The brother of the Wang family was stunned and looked at the pale-faced Wang Laizi with a guilty conscience.
However, Wang Lezi did not look at him. He sat on the wooden bench with a sad look on his face, his heart already feeling cold.
At this moment, Xu Yi and Pang Mincai were discussing the recipe.
Pang Mincai moved his eyes inquiringly and asked the two of them: "Brother Xu, Junior Brother Yang, do you have any life-saving prescriptions?"
Yang Xiujin thought about it for a moment and said slowly: "It is caused by eating rotten meat. I think we can use Qianhu decoction with cinnamon." "Heart."
The Qianhu Decoction he mentioned is a prescription for treating vomiting, distension and thirst, and adding Gui Xin to treat the five internal pathogenic heats.
After he finished speaking, he couldn't wait to write down the recipe he thought of.
Pang Mincai looked at his prescription, thought about it, and added another medicinal ingredient: "I think we can also add some Polyporus cocos. This Polyporus cocos can relieve heat and thirst, cure malaria and diarrhea, and can complement this medicine."
"Senior brother is very good at what he said . Yes." Yang Xiujin's eyes lit up and he couldn't wait to add Polyporus to the prescription.
He thought about it over and over again and felt that this recipe was much better than the one he had prescribed before.
However, Pang Mincai and Yang Xiujin did not forget that Xu Yi was still there, and came to ask for his opinion with the prescription.
Xu Yi's thoughts were not as optimistic as theirs.
When he diagnosed the disease, all he thought about was "cholera".
Although according to the discussion in "Introduction to Cholera", cholera was introduced into the country from Jiaqing Gengchen (1820). [Note 1]
However, some medical historians believe that Wang Tao of the Tang Dynasty recorded similar diseases and syndromes in "Waitai Mi Yao". [Note 2]
In the long history, there are countless historical facts that have been buried in the loess. In the absence of precise instruments, it is difficult to judge that this is the severe infectious disease cholera simply based on the condition of these two people.
Xu Yi didn't dare to make a conclusion about this, or even think about it in detail.
You know, among the plagues recorded in history, medical reports on cholera show that the number of deaths in a single prefecture in the hardest-hit areas can reach tens of thousands.
If this is true, then he and others are now potential sources of infection.
As Xu Yi remained silent, the joy on the faces of Pang Mincai and Yang Xiujin gradually returned to thinking.
"Brother Xu has something to say, but it doesn't hurt to say it." Pang Mincai asked.
"Yes, could it be that the prescription we prescribed was wrong?" Yang Xiujin stared at Xu Yi closely. Xu Yi thought about it
and said: "Did you know that there is a disease syndrome in "Treatise on Febrile Diseases" that is very similar to the symptoms of these two people. They both have abdominal pain, rice-like stools, and aversion to cold in the hands and feet." "It seems to have an impression.
." Pang Min thought about it for a while, but couldn't remember the specific prescription.
Then I came to ask Xu Yi if he knew.
Xu Yi nodded: "The ones used in the book are Lizhong Decoction and Sini Decoction."
As for the medicinal materials used in the Lizhong Decoction and Sini Decoction, Xu Yiming does not need to explain.
The air was quiet for a moment.
Pang Mincai's eyes gradually lit up as he was lost in thought: "In that case, it would be more appropriate to use Li Zhong Tang!"
"Yes, why didn't I think of this recipe just now." Yang Xiujin was deeply annoyed and clapped his palms involuntarily.
I wish I could write down the prescription for this Li Zhong Tang on the spot.
Seeing them like this, Xu Yi smiled bitterly: "Don't worry, I have something else to say."