A young couple came in again. When the young couple came in, they were followed by a young man in his twenties.
The young man was wearing a white coat and should be a doctor in the clinic.
After entering the door, the young man took the lead and greeted Chu Gaopeng and Ye Yiyu.
"Master, uncle!"
After greeting, the young man hurriedly leaned over to Chu Gaopeng's ear and whispered a few words. Chu Gaopeng's face changed: "Speak louder."
Then, Chu Gaopeng said to Yun Heng: "My student, Jiang Chenfei."
Jiang Chenfei subconsciously looked at Yun Heng.
"Doctor Yun Hengyun from West Asia Hospital."
Chu Gaopeng said to Jiang Chenfei, "Speak up. If you're wrong, you must admit it and correct it."
Jiang Chenfei glanced at Yun Heng again before beginning to speak.
The young couple who came in were also holding a little girl about one year old in their arms. Jiang Chenfei had shown the little girl to them before.
The child came to the clinic because of fever and cough. Jiang Chenfei thought it was a cold and prescribed Guizhi Decoction. Unexpectedly, after taking the medicine, the child developed fever and became irritable. Jiang Chenfei thought it was residual heat and prescribed Shaoyao Gancao Decoction with Ophiopogon japonicus.
After taking the medicine, the child's fever subsided, but he became short of breath again, did not want to breastfeed, had an urgent pulse, and his condition had obviously worsened.
After checking the child's condition, Jiang Chenfei knew that something had gone wrong. He hurriedly asked the child to come over and he followed behind.
However, most doctors would feel embarrassed about this kind of misdiagnosis and wrong treatment. Jiang Chenfei hoped that his master could help him, but he didn't want to let the patient's family know that it was his fault, so he secretly told Chu Gaopeng about the situation.
Just as Jiang Chenfei was speaking, Yun Heng had already started observing the child, and so did Ye Yiyu.
After Jiang Chenfei finished speaking, Yun Heng said, "The faint rash spots on the face should be measles."
"Yes, the pulse is rapid and the breathing is short. It is indeed measles. You can't take cold medicine anymore."
Ye Yiyun said: "If we can't find a way to release the measles as soon as possible, it will be dangerous."
Jiang Chenfei's face had turned a little pale.
Apart from the fact that he himself didn't understand the situation clearly before and was a bit arrogant, Jiang Chenfei also knew some of the things going on between his master and his uncle. If something happened on his side again and the patient's family came to the clinic to cause trouble, Chu Gaopeng would be in an even more passive position.
It means that he, as a disciple, has caused trouble for his master.
Measles is one of the most common acute respiratory infectious diseases in children. It is highly contagious. Before the widespread use of vaccines, this disease was a very common childhood disease with high infection rates, high complications, and a high mortality rate.
After the introduction of the vaccine, this disease has become less common clinically and the incidence rate has been significantly reduced.
So Jiang Chenfei hadn't considered this aspect before and didn't expect it to be measles.
Jiang Chenfei had already explained the situation, and now was not the time to scold or pursue the matter. Chu Gaopeng asked Jiang Chenfei to speak in public so that Jiang Chenfei would know the problem and Yun Heng and Ye Yiyu would understand the situation.
Yun Heng moved closer to the child, looked at him and asked, "Does the child get sick often?"
"Yes, the doctor said the baby has a weak constitution. We go to the hospital frequently, and the baby does get sick all the time."
The child's mother said: "Originally, our baby should have received the measles vaccine when he was eight months old, but he was sick on and off, so he was delayed and never got the vaccine."
If the child has a fever or is sick within a week, the vaccination should be postponed. If the child continues to be sick, the vaccination will inevitably be delayed.
Jirentang is quite famous in the neighborhood, but even so, there are two types of patients who come to Jirentang for treatment. One is the old patients who really trust the hospital, and the other is those who have sought medical treatment from many places, or have suffered from recurrent illnesses and have not been cured for a long time, and have come here to find out.
The child belongs to the second type.
Jiang Chenfei was indeed a little too confident before and didn't ask questions carefully enough. If he had paid more attention, he would have known that he might not be able to solve the problem himself and would not have been delayed.
Just as Yun Heng was asking about the examination, the child's nostrils were flaring frequently and he was coughing, and his symptoms were obviously getting worse.
Yun Heng did not waste any time and quickly wrote the prescription and handed it to Chu Gaopeng.
Chu Gaopeng took the prescription, 300 grams of white aconite root and licorice.
Looking at the prescription, Chu Gaopeng was stunned for a moment.
Baifu Pian (White Fist Pian) is also aconite root, but it's prepared differently. It's prepared by peeling and slicing the root, then rinsing it in water until it turns milky white. It's then steamed, sun-dried, or fumigated with sulfur. It's a highly warming herb that has the effects of restoring yang, warming the kidneys, and dispelling cold and relieving pain.
Since it is aconite, whether it is white aconite slices or processed aconite, it is toxic.
Jirentang is a private clinic. Relatively speaking, most private Chinese medicine clinics are more bold in using medicines than hospitals, because the normal pharmacopoeia dosage is really difficult to cure.
Just as Yun Heng said at the Dongjiang Provincial Expo, if Chinese medicinal materials are tools, then traditional Chinese medicine is the instruction manual for using the tools. If you limit the tools, it will definitely be difficult to achieve the goal.
The reason why some Chinese medicine practitioners in some private Chinese medicine clinics appear to be of high level is not only due to their own reasons, but also has something to do with the medication they use.
Chu Gaopeng was not a conservative doctor, but even so, he was stunned by the dosage of 300 grams of white aconite prescribed by Yun Heng. As for Jiang Chenfei next to him, he was even more stunned.
Chu Gaopeng is more skilled, so it's okay. He himself has used large doses of drugs. But Jiang Chenfei is different.
Yun Heng was obviously around the same age as him, at most a year or two older, yet this medication...
"The child has measles. The previous treatment was inappropriate, with the misuse of bitter and cold tonics, which caused the Yang syndrome to turn into Yin. Now the child is already showing signs of losing his vital energy. We must act immediately to restore Yang and save the patient."
Seeing Chu Gaopeng in a daze, Yun Heng guessed that Chu Gaopeng was a little hesitant after looking at the dosage, and explained.
Upon hearing this, Ye Yiyun took the prescription, looked at it, and pondered for a few seconds: "Use it. Xiaoyun's character is more cautious."
Jiang Chenfei: "......"
A cautious person uses such a large dose of Baifu Pian. If you are not cautious, how much should you use?
Without mentioning Jiang Chenfei's thoughts, Ye Yiyu spoke, and Chu Gaopeng did not hesitate any more. He signed and asked Jiang Chenfei to go to the pharmacy to get the medicine in person.
When Jiang Chenfei arrived at the pharmacy, the doctor had just dispensed medicine for the previous patient. Seeing Jiang Chenfei coming over with the prescription, the doctor was also stunned.
"Doctor Jiang, what's going on with Director Chu today? He prescribed three prescriptions for the last patient, and this time the dosage is so high?"
The doctor in the pharmacy is a specialized pharmacist. He not only dispenses medicine according to prescriptions, but also has to check the quality of the medicine. Controversial prescriptions need to be confirmed to avoid mistakes.
It can be said that the pharmacy is actually the last checkpoint to avoid mistakes.
The pharmacist was a little surprised by the three different prescriptions in a row. Fortunately, there was nothing extravagant about the three prescriptions, so she didn't ask too much. This time, the dose of Baifu Pian was so large.
"My master, Master Ye from Kyoto Hospital, and Doctor Yun from West Asia Hospital are all here. The prescription was written by Doctor Yun, and Master Ye approved it." Jiang Chenfei explained.
After hearing what Jiang Chenfei said, the doctor at the pharmacy called Chu Gaopeng to confirm before prescribing the medicine.
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