"The patient hasn't had a bowel movement in the past few days. We gave him an enema yesterday, which also expelled some foul-smelling black liquid." Xiang Xingye said.
When Yun Heng spoke to Xingye, he was already taking the patient's pulse.
"The floating pulse is weak, the sinking pulse is strong and firm, and the pulse is sluggish and not smooth..."
Yun Heng felt the patient's pulse and described the pulse condition he felt.
There are ten people in the training class, and it is impossible for everyone to come up and take the pulse. After Yun Heng took the pulse, he told others about it so that others could have a reference. If anyone has other ideas, they can check again. If not, there is no need to take the pulse again and again.
Xiang Xingye was told about the patient's symptoms and previous conditions. Yun Heng and Zhong Chaoping then examined the patient again. Now the patient's pulse, symptoms, and everything else were clear.
This means that everyone has already understood the whole topic. So what kind of disease is this and how should it be treated?
For a moment, no one in the ward spoke, and everyone was thinking.
Two minutes later, Yun Heng slowly said, "The patient's pulse is weak when felt superficially, but strong and firm when felt deep, and its flow is sluggish and sluggish. Combined with the hot flashes, delirium, cold limbs, and the fact that the patient hasn't had a bowel movement for several days, do you think this is a case of Yangming Fu Shi syndrome?"
"Yangming Fu Shi syndrome?"
Yue Shaojiang thought for a moment and said, "But the patient had an enema and didn't have dry stool, which seems to rule out Yangming Fu Shi syndrome. Why do you think the patient might have Yangming Fu Shi syndrome?"
"Yes, what Yue Shaojiang said makes sense." Ye Yingyun nodded in agreement.
"No."
Ren Xuedong interrupted, "Do you remember the lump that Teacher Yun felt when he examined the patient's abdomen just now? It was cord-like..."
"You're saying that the string-like mass might be a collection of powder in the patient's colorectum?"
Yue Shaojiang asked.
"Um."
Ren Xuedong nodded and said, "If the patient's feces have already clumped together during the enema, especially if the Shaoyin meridian has been damaged, it may not be easily discharged. There will be some black liquid. The place where Teacher Yun just touched should be the fecal mass."
"Yes, what Ren Xuedong said is exactly what I meant."
Yun Heng nodded. "Mr. Ji has been teaching us these past few days that we can't overlook any details. Since we've found a mass in the patient's lower left abdomen, we still need to find out where this mass came from. Even if it's not feces, we still need to find out what it is."
Dang Siping looked a little embarrassed.
When Yun Heng felt the lump just now, he immediately thought about whether it was a fecal mass. He even specifically asked Liu Kexiang whether the patient had defecated, but Liu Kexiang's answer dispelled his guess.
Now that he thinks about it, he still didn't think enough. He just thought that if nothing came out of the enema, it wasn't a fecal mass.
"If the mass the squad leader felt just now is indeed a fecal mass, then the patient must be suffering from Yangming Fu Shi syndrome."
Lin Yonggang smiled and said, "Oh my god, brothers, we are amazing. Even though Master Ji is not here, we have managed to take care of this patient."
At this moment, Wang Jibo, Ye Yingyun and others were somewhat excited.
The patient is now in Tanghua's emergency department. If Liu Kexiang can ask someone to come for consultation, it means that there is definitely no other way. As far as the patient's condition is concerned, it is indeed a rather difficult symptom.
Cerebral hemorrhage, high fever persists after craniotomy and decompression. Some secondary hospitals may not be able to cope with this situation. On Tang Hua's side, even the emergency department felt it was a bit tricky.
As a result, even though Ji Fengwen didn't come, a group of students took care of the patient's condition.
If Ji Fengwen comes back in the afternoon, I will praise them a lot.
"What do you mean we took care of it? It was obviously Yun Heng, okay?" Dang Siping said unhappily.
"You can't say that."
Yun Heng smiled and said, "Everyone has spoken and made their own judgments just now. If I were alone, I would definitely not be very sure and confident."
Yun Heng's words were not modesty.
It is much better to discuss with a group of people than to figure it out alone, especially since Ren Xuedong and Yue Shaojiang are both very capable and their judgments can provide Yun Heng with good reference value.
Take the judgment just now for example. When Yun Heng said that the patient might have Yangming Fu Shi syndrome, he used an uncertain tone. This shows that Yun Heng only had this judgment at the time, but was not sure.
Yun Heng was not sure whether the lump he pressed was a piece of feces.
Yue Shaojiang's questioning, Ren Xuedong's explanation, and other people's supplements all helped Yun Heng confirm this judgment in other aspects.
"Looks like you guys have figured it out?"
Liu Kexiang said with a smile.
"What's cleared up?"
Zhang Haihua walked in and said with a smile, "It seems I'm a step late."
"Aren't you just the policeman in the police and gangster movies, always one step late?" Liu Kexiang joked with a smile.
"go."
Zhang Haihua glared at Liu Kexiang unhappily and asked with a smile, "Yun Heng, have you been diagnosed?"
"Well, I've basically made a diagnosis. It should be a Yangming Fu Shi syndrome."
Yun Heng nodded.
"Who can tell me about the situation?"
Zhang Haihua said with a smile.
Xiang Xingye hurriedly told Zhang Haihua about the patient's symptoms.
Before Xiang Xingye could finish, Zhang Haihua had already begun examining the patient and touched his hand. "Are your limbs cold?"
After feeling the patient's hand, Zhang Haihua checked the patient's complexion and tongue coating, then reached out to touch the patient's abdomen: "It's so hot... and there's a lump..."
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