Chapter 235

Xu Yi mentioned "Treatise on Febrile Diseases" not just to use the Lizhong Tang and Sini Tang in it.

Although these two prescriptions have had good clinical effects in traditional Chinese medicine throughout the ages. But for Xu Yi, who has gone through the changes of the times, only using the original prescriptions in "Treatise on Febrile Diseases" falls into the category of "knowing it but not knowing why [Note 1]".

After that, Chinese medicine scientists during the Qing Dynasty had been quite effective in researching and treating cholera. In the face of cholera's condition and prevention and treatment methods, it was obvious that the former was in the stage of "there is no medicine".

Xu Yi hoped that he could skip this stage and go directly to the subsequent "prescribing the right medicine", which would require convincing the two people in front of him.

But he can't always say that he has traveled from later generations.

He directly said that he was worried that Wang Laojia and Wang Laizi were suspected of having cholera.

After careful consideration, Xu Yi solemnly said to them: "Although it is good to use Li Zhong Tang, I think it is not enough. We can also use another one to complement each other."

"Oh? Could it be the Sini Tang?" Pang Min raised his eyebrows and thought about it for a moment, " This Sini Decoction has the effect of recuperating yang and relieving adverse events. It can warm the body and dispel cold. It is indeed very useful."

Xu Yi shook his head calmly: "At first glance, the two of them have cold syndrome, but the symptoms can be seen after careful consideration. It has heat syndrome, so it cannot be differentiated between cold and heat."

Yang Xiujin was slightly moved: "If there is no differentiation between cold and heat, there will indeed be disadvantages in using only cold syndrome prescriptions."

Pang Mincai sighed: "If this is the case, it will not work . The Sini decoction should be used to complement each other, but the heat syndrome prescription should be used."

Seeing that their thoughts were gradually brought to the other side, Xu Yi took the opportunity to say: "So I also thought of one side, the Pulsatilla decoction. "

The main medicine of this prescription is Pulsatilla. Also known as Naihe grass, the whole plant has white fluff. When picked, it needs to be washed and moistened, sliced ​​and dried before use.

It can cool blood and stop dysentery, and many doctors will use it to treat dysentery.

According to "Treatise on Febrile Diseases", Pulsatilla Decoction can cure Chibai's diarrhea that has not healed for several months. Later, in the "Ancient and Modern Records" quoted in Volume 25 of "Waitai", this decoction was further modified and some medicinal materials were eliminated. For its dosage, add pomegranate peel, this recipe can treat acute and stagnant cold dysentery. [Note 2]

Regarding cholera, there are cold cholera and hot cholera. The conditions of the two are different and the treatment plans are also different.

If the cold and heat cannot be determined through dialectical analysis, or if there is no conclusion yet, Xu Yi is more inclined to use the "Pulsatilla Soup" that Chen Qiu Hua Zai has written.

Xu Yi thought for a moment, based on the patient's symptoms, recomposed the prescription and wrote it down.

After handing it over to Pang Mincai and Yang Xiujin, they read the prescription carefully, their expressions were full of amazement, and they both agreed convincingly to use this prescription.

"What a prescription!"

"You have to grab the medicine quickly and drink this decoction."

"I brought the medicine in the carriage, just ask A Xu to grab the medicine." After saying that, Xu Yi looked at the two of them.

He expressed his guess: "You should have noticed that this disease is probably contagious."

"Yes, I had doubts when I diagnosed the Wang family. After returning home, I was wondering if this would cause an epidemic. Yang Xiujin nodded worriedly.

Pang Mincai said: "When I get back, I will take off my clothes and use medicine to cleanse my hands."

"Not only that, we also need to take decoction to prevent it." Xu Yi listened and added later.

In this case, it would be difficult for them to go home directly.

...

After staying in Wangjia Village for half a day, several people came out of Wang Lezi's home. They first changed their clothes, smoked their bodies with moxa incense, washed their hands and faces, and then went to visit the head of Wangjia Village.

As mentioned before, the village chief is a kind man. Although Wangjia Village is poor, no one has starved to death throughout the year.

Hearing that a doctor was visiting, a man with a long beard and a black face came out to greet him.

"Do any of the doctors have something to report?" The head of Wangjia Village recognized Yang Xiujin and asked him.

Yang Xiujin took a step forward, cupped his hands and said, "I have something urgent to tell you. I hope the chief will let us go in and talk."

The chief smiled and said, "That's easy. Come in, some of you."

He led them to the bright hall and told the younger members of the family. When the tea was brought, the village chief laughed and said, "Don't dislike the rough tea in a humble room."

Xu Yi got straight to the point and asked, "Does the village chief know that someone in the village is sick?"

The village chief looked at the handsome doctor with an unfamiliar face and said: " I heard a little bit that Lao Wang's family was ill and his brother came back from the city to take care of him."

As he said that, he faced Yang Xiujin next to him and asked, "I wonder if Dr. Yang can cure him?"

"Already? After taking the medicinal decoction, I got better." Yang Xiujin answered him, and then told the chief exactly what they had guessed.

The head of the village listened to him in silence, with a suspicious look on his face: "If you eat carrion, will it be transmitted to others?"

Yang Xiujin was stunned.

Xu Yi said: "Not necessarily, but when Lao Wang's family got sick this time, there were already infected people. The family next door to him also got sick and was being treated together."

Hearing this, the village chief was stunned. He didn't expect Wang Lezi to also be infected. Got sick.

Wang Lezi is alone and has a very low sense of presence in the village. In many cases, the villagers will forget his existence.

The only one who noticed him was the village chief. After all, he was responsible for the village's taxation. Every year he would lead the tax collector to beat gongs and drums to collect tax grains, etc.

"How many days have they been sick?" asked the village chief Huoran.

"It's been three days."

"Isn't it cured yet?"

"It's not cured yet. It depends on the effectiveness of the medicine prescribed today. If the effect is not good within three days, it needs to be re-prescribed." Xu Yi replied.

The head of the village cheered up and stared at them solemnly: "Is what you said true? If this disease can infect people, wouldn't it be an epidemic?"

Pang Mincai raised his hands and said: "We haven't decided yet, but there are signs of it, so we still have to be on guard against it. Not so."

Li Chief: "Doctor Pang is right."

But...

he changed the topic and said sharply: "If it wasn't what you said, wouldn't it be known to everyone in the village? In panic?"

Several people were not offended by the questioning and accountability in Mr. Li's words.

If something happens, it could affect the lives of dozens of villagers, and even affect surrounding villages.

Several people thought hard and understood that what Li Chang said was absolutely right. For a moment, the atmosphere in the main room became anxious.

It would also be a mistake if they rashly cause panic before determining the situation.

Yang Xiujin still sighed: "But if we don't take precautions, if there are any consequences, it will be too late."

The director said with emotion: "I know Doctor Yang's good intentions, but this matter is not just a matter of words. How to prepare for it without causing panic?" "The doctors should have a way."

Everyone: "..."

For a while, no one had a good way.

But Xu Yi soon thought of a way to avoid panic.

They provide prevention and treatment prescriptions and medicinal materials, but the village head has to provide part of the money to support the disease.

Thinking of spending money, the chief asked carefully how much money would be used.

Xu Yi and Pang Mincai estimated the cost of the medicinal materials they would need. They would probably spend more than a dozen dollars.

For the chief, a dozen coins are enough to cover his family's monthly expenses. His wife is in charge of the business and cannot easily come up with money, which makes the chief a little embarrassed.

In the evening, when the sunset came over the veil, A Xu came and said that the conditions of the old Wang family and Wang Laizi had improved.

Hearing such good news, the village chief felt sad and said to Xu Yi and the others: "Two days, allow me to give you an answer in two days."

"Okay, we will visit again then."

...

Pang Mincai came out of the village chief's house. He smiled and said, "Brother Xu still has a way to make the village chief compromise."

Xu Yi sighed and shook his head. For some reason, he was still feeling uneasy.

After returning home, Xu Yi told Yan Quyue about the incident. Yan Quyue hadn't finished listening yet, her brows were furrowed and she was worried.

"If it's really an epidemic, are you and Pang Xiao doctor Dr. Yang in danger?" she asked urgently.

Xu Yi said: "Madam, don't be afraid. As long as you take the right medicine, you can prevent and cure this disease."

Yan Quyue relaxed, but still tried to dissuade her: "That's good. Don't be brave. If there is any problem, you still have to rush back. Come back, don't take your own life seriously."

Xu Yi said, "I understand."

Yan Quyue suddenly said, "I'm serious! You must not be alone."

Xu Yi smiled. , squeezed her hand and said, "Okay, I won't let my wife worry."

"That's about the same." After Yan Quyue said that, he asked her how she could help.

Xu Yi thought for a while, and there was indeed something he needed her to help with. The "Pulsatilla Soup" he used was the royal medicine. They didn't have many medicinal materials in stock, so they could only give it to the old Wang family and Wang Lezi.

If everything goes well, they may have to go to Wangjiacun often in the coming days.

He wanted to live temporarily in Wangjiacun and no longer travel to the county town to avoid becoming a mobile source of infection.

At that time, Yan Quyue will be needed to act as a middleman, bringing them medicinal materials and providing information around Qishui City.

...

In just two days, it became painful.

Xu Yi, Pang Mincai and Yang Xiujin rented a room from a wealthy family outside Wangjiacun.

Pang Mincai was meticulous and responsible for observing the recovery of the two patients. Yang Xiujin was a familiar face in the surrounding villages. He was responsible for visiting the surrounding villages to check whether similar illnesses occurred. Xu Yi went to the mountains to check the surrounding water sources.

It is the season when everything revives. The mountains are green and full of life, spring flowers are blooming, and the warm sunshine is intoxicating. If the current situation is not wrong, Xu Yi would like to take a walk.

He walked through the forest path and came to the place where Lao Wang's family picked up the badger. There was a shallow stream flowing downwards and winding around the mountain. There were traces of animals crawling around and the remains of animal feces.

Xu Yi squatted down to check and suddenly heard footsteps.

Looking up, he saw a woodman going up the mountain to chop wood. Chai Fu is not from Wangjia Village, but from Yangjiazhuang next door.

Yangjiazhuang has a population of more than 100 households, more than three times that of Wangjia Village. There are more people cutting firewood in Wuzhu Mountain over there. There is not enough firewood on the mountain for the villagers to cut, so this woodman came here.

"We don't come here often." Chai Fu was worried that Xu Yi would come and expose him, so he quickly explained, "There is just a shortage of firewood at home. This husband should not talk nonsense."

Xu Yi had to say that he would not expose him. , and asked him: "Have you heard of anyone getting sick recently?"

"..." Chai Fu twitched the corner of his mouth. He had never heard of asking someone like this.

But he thought again, he really heard that someone was sick. Just before he went out this morning, he heard something going on in the house of the salesman next door. When he went to ask, he found out that the salesman had a bad stomach and couldn't even go out to sell food today. The goods have no strength.

When Xu Yi heard this, he couldn't help but asked: "Where is his home? Can the man lead the way?"

"Ah? You want to see him?" Chai Fu was puzzled.

Xu Yi said, "I'm a doctor. If that man is sick, I might be able to cure him."

At noon, Xu Yi followed the chaiman to Yangjiazhuang next door. The shopkeeper's family was having dinner in the courtyard when he saw his neighbor bringing a When the doctor came, his wife quickly took Xu Yi to see the salesman.

"My husband came back yesterday and suddenly had vomiting and diarrhea in the evening. He didn't feel better even after taking the gastrointestinal medicine powder prepared at home." After his wife said this, she opened the curtain of the inner room.

Immediately, Xu Yi smelled a familiar stench.

His wife hurriedly yelled: "Your enemy, why did you vomit again all of a sudden? This, this, this... and so much."

Seeing the salesman vomiting out all the food he had just finished, his wife Feeling anxious and distressed, I hurriedly came out carrying the basin full of vomit.

The others smelled the unpleasant smell and covered their noses.

Xu Yi stared blankly at the salesman lying on the hospital bed gasping for breath, his head buzzing.

"Who is here?" The salesman stood up with strength, and was a little confused when he saw a strange man.

His wife explained to him that the doctor who came here was a doctor named Xu. She heard that he was sick and wanted to treat him.

The salesman said weakly: "I don't have any extra money at home, so I asked you to come here for nothing."

Xu Yi said: " I won't charge you.

" The salesman was stunned: "How can I not charge you?"

"Well, if you listen to me obediently, According to the doctor's advice, the consultation fee and medicine fee will be waived for this treatment." Xu Yi put down the medicine box and looked at him with a request.

The salesman was stunned for a moment and then agreed.

This time, the abdominal pain came violently. He vomited and defecated, and was still slightly feverish. His hands and feet felt cold. At this time, he managed to answer a few questions from Xu Yi, and then went back exhausted.

From the conversation, Xu Yi learned that the salesman had been to Wangjiacun for several days to sell goods. When he was thirsty, he would go to the river to fill water.

Xu Yi was silent for a long time. The first requirement given to him was that he should not drink any raw water and use it separately from his family's tableware.

The second requirement is that the shopkeeper's family is not allowed to have contact with outsiders until they have recovered from the disease. Both his wife and his brothers and sisters must eat cooked food, wash hands and change clothes frequently.

His requirements may seem difficult, but in fact, under the existing conditions, he has already tried hard to take relevant protective measures.

If he hadn't seen that the salesman's house was small, with only two rooms, he would have wanted the salesman and his family to live separately.

But obviously, they couldn't do this.

Xu Yi regretfully gave up the idea and prescribed Pulsatilla soup to the salesman. After supervising him to take it, he gave the salesman's wife the disinfected Ai Xiang he had brought.

The shopkeeper's wife is required to go to her husband's house to wait on him every day, and she must light up the incense to scent the house.

After explaining, Xu Yi looked at the sad-looking young man and his wife: "I'll come back tomorrow, and you must listen to my instructions."

After he left, the young man's wife looked at the young man worriedly: "Husband, we really listen to this doctor. "

If you really don't contact others, what should she and the children do if something happens to the salesman? "

The salesman was halfway leaning on the bed and said in a hoarse voice: "This Doctor Xu doesn't look like a deceitful stick. Let's just listen to him these two days."

What's more, he had only taken the medicinal soup for less than half an hour. I feel my physical discomfort is getting better.

...

At the same time, Xu Yi hurried back to Wangjiacun and told Pang Mincai and Yang Xiujin the news.

Yang Xiujin, who went to check the situation, also brought bad news.

There is another family in Wangjia Village, and all three members have the same disease.

Just then, someone from outside the house came to visit.