In the emergency department of Kyoto Hospital, the department director Ren Xinwei was leading the department's doctors to examine a 70-year-old man.
When Wei Zhengshuo arrived at the emergency department with Zhu Senqiang and Ye Yiyu, the chief experts from the gastroenterology, respiratory, hepatobiliary and other departments who had been notified also arrived.
Mr. Ren suddenly became seriously ill, and Kyoto Hospital did not dare to be negligent. Based on the situation, the emergency department immediately notified the relevant departments to come for consultation.
"Bloating, shortness of breath, and now I can't even drink water."
Ren Xinwei, director of the emergency department, explained the situation to everyone.
"Mr. Ren is currently undergoing a corresponding examination, and the specific details still need to wait for the results to come out."
Ren Xinwei said, and then introduced to everyone: "Mr. He was previously responsible for treating Mr. Ren. Let Mr. He tell us more about the details."
Next to Ren Xinwei stood an old man in his sixties or sixties, who was the Mr. He that Ren Xinwei mentioned.
"Mr. He."
Everyone greeted him.
Mr. Ren also lived in a sanatorium after retirement. Mr. He was a Chinese medicine expert in the sanatorium. Although he was not a master of national medicine, he was also an old Chinese medicine doctor with superb medical skills. In terms of status, he should be similar to Yue Anyun and Jin Anping.
Moreover, he is in Kyoto, in a sanatorium, and his status is higher than that of famous Chinese medicine experts in places like Yue Anyun and Jin Anping.
"Mr. Ren had vomiting and diarrhea before, and his pulse and symptoms suggested excessive stomach heat, so I used a heat-clearing and detoxifying method. Unexpectedly, the symptoms worsened after taking the medicine..."
Mr. He explained the situation to everyone in detail.
In clinical practice, common vomiting and diarrhea can be roughly divided into four situations.
The cold-damp type is more common in summer when people overeat raw and cold food. Symptoms include nausea and vomiting, abdominal pain and intestinal rumbling, diarrhea with clear and thin stools that are not very foul-smelling, chest tightness and stuffiness, or aversion to cold, dispelling cold and dampness, and clearing turbidity with fragrance.
Summer-heat and dampness type, symptoms include frequent vomiting and diarrhea, abdominal distension and nausea, diarrhea with abdominal pain, burning sensation in the anus, sour, rancid and foul smell in vomiting and diarrhea, yellow-brown urine, short and dark urine, irritability and thirst, which may be accompanied by fever, yellow and tender tongue coating, and slippery and rapid pulse.
The stagnation type is mostly caused by overeating, with symptoms including vomiting of sour and rotten food, belching and fullness, abdominal pain and diarrhea, foul-smelling stool, pain relieved after diarrhea, abdominal distension and loss of appetite, thick and greasy tongue coating, and a wiry and slippery pulse.
The deficiency-cold type is more common in people with weak spleen and stomach. Symptoms include frequent vomiting and diarrhea, abdominal pain that is easier to press, pale complexion, sweating and cold limbs, no thirst, pale tongue with a dark coating, and a slow or thin pulse.
Of course, in addition to these, there are also the internal accumulation of dampness and heat type, the evil-excess and yin-depletion type, the yin-exhaustion and yang-loss type, etc.
Previously, Mr. Ren's main symptoms were severe vomiting and diarrhea, with no other symptoms. This type of condition is mostly diagnosed as a gastroenteritis-like disease in Western medicine. Mr. He judged that it was internal heat and toxins, which led to stomach dysfunction and severe vomiting and diarrhea, so he used a prescription for clearing heat and detoxifying.
Unexpectedly, after taking the medicine, Mr. Ren's condition worsened, and he developed symptoms of chest and abdominal distension, shortness of breath, and he couldn't even drink water.
"Besides the distended chest and abdomen, what other symptoms does Mr. Ren have now?"
Wei Zhengshuo asked.
"Dry mouth, no fever."
Mr. He said.
"Bloating and dry mouth?"
Wei Zhengshuo said: "Judging from the symptoms, it does fit the syndrome of damp-heat in the spleen and stomach. It is not wrong to use the method of clearing away heat and detoxifying."
"It's just that Mr. Ren's condition worsened after taking the medicine. I can't be sure now."
Mr. He said slowly.
When treating senior leaders, doctors have a heavier burden and greater pressure, and any change during the treatment process can make doctors hesitate.
Mr. He is also a famous doctor in the medical field. After Mr. Ren took the medicine once, his condition worsened, and Mr. He felt burdened.
"The results are out."
As he was speaking, the test results came out.
Ren Weixin took a look at the result and handed it to the others: "Viral infectious acute gastroenteritis."
Everyone else took it and looked at it.
"If it's viral acute gastroenteritis, Dr. He's method of clearing heat and detoxifying is not wrong in traditional Chinese medicine."
Lu Zhiwen, director of the Department of Gastroenterology, said.
"Mr. Ren is currently suffering from severe dehydration, but he cannot drink water and can only rely on intravenous drips, which in turn aggravates his abdominal distension."
He Laodao: "So the current situation is still quite tricky."
Mr. Ren was sent here from a sanatorium and had received treatment before. The current situation cannot be delayed too much, and Kyoto Hospital must come up with a treatment plan as soon as possible.
"From the test results, it seems to be food poisoning."
Lu Zhiwen took another closer look and asked, "Is there anything wrong with Mr. Ren's usual diet?"
"Mr. Ren's diet is fine."
He Laodao said: "Mr. Ren doesn't drink much, nor does he eat spicy food. He can also control greasy food. In the sanatorium, his diet can still be guaranteed."
Lu Zhiwen stopped talking.
There are dedicated people responsible for the diet of the old leaders in the sanatorium. Even some old leaders who are addicted to alcohol and like greasy food have someone specifically in charge.
After looking at the examination list, a group of people went to the ward again, examined Mr. Ren, and then went to the consultation room.
"Tell us all."
Ren Xinwei said, "What kind of treatment should we use now? I think the most important thing right now is to resolve Elder Ren's vomiting and abdominal distension. Otherwise, the old man won't be able to eat or drink, and he won't be able to hold on."
Mr. Ren is in his seventies and suffers from severe vomiting and abdominal distension, which is a very serious condition for an elderly man of his age.
In traditional Chinese medicine, elderly patients, children, and women are also special patient groups. Elderly patients are old, weak, and have many geriatric diseases. For elderly patients, it is not only serious diseases such as cancer that are fatal. Sometimes some minor diseases can also be quite troublesome.
"Director Ren is right."
Lu Zhiwen said: "These two problems must be solved as soon as possible. Should we use traditional Chinese medicine or Western medicine now?"
"Mr. He used this prescription before, but the condition got worse."
Wei Zhengshuo said, "From what I can see so far, I personally think that Mr. He's judgment is not far off. How about trying Western medicine first?"
"Then use conventional treatment?"
Ren Xinwei asked.
"It's acute viral gastroenteritis. Let's get treatment first."
Wei Zhengshuo nodded.
Mr. He’s medical skills are quite good, but his condition worsened after taking the medicine. From this point of view, the doctors on the scene are temporarily considering Western medicine first.
We must be cautious when treating leaders. If Western medicine has been ineffective, try Chinese medicine. If Chinese medicine has not been effective, try Western medicine. This is our consistent policy.
The predecessor of Kyoto Hospital was originally a sanatorium responsible for treating leaders, and it has rich experience. When treating leaders, the first thing to do is to be quick and resolve the pain without prolonging it.
Let the leader suffer all the time. Even if the disease is finally cured, it will not end well for him.
"Okay, let's use the conventional plan first."
Ren Xinwei asked, "Will Mr. Ren be assigned to the gastroenterology department?"
"Can."
Lu Zhiwen nodded. He couldn't shirk this matter. He couldn't let his old leader stay in the emergency department.
(I was too busy and the update was a little late...)
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