"Xiaoyun!"
When Yun Heng arrived at the emergency department with a group of people from the teaching class, Liu Kexiang was waiting for Zhang Haihua.
The resident doctor first notified Yun Heng and others, then called back and notified Zhang Haihua. After being busy for a while, Zhang Haihua had not arrived yet when Yun Heng and his group arrived.
Liu Kexiang saw Yun Heng and greeted him with a smile: "Why, Master Ji is not here, are you sure?"
“We’re here to learn.”
Yun Heng said very politely, "Let's not disturb your treatment. If we do, we will just stand by and watch without interrupting."
"It's okay. Since you're here, it's better to understand the situation first."
Liu Kexiang was still thinking about Yun Heng, and he liked Yun Heng very much. He smiled and said, "The patient has actually been in our emergency department for three days and hasn't gotten better, so we thought of asking a Chinese medicine doctor to take a look. Lao Zhang hasn't arrived yet, so you guys should get to know him first. Maybe he has some ideas."
"Thank you, Director Liu."
Yun Heng thanked him politely.
"Xiao Xiang, tell Dr. Yun and the others about the patient's condition."
Liu Kexiang said to Xingye.
"Doctor Yun, let me first tell you about the patient's condition."
Xiang Xingye politely told Yun Heng and the others, "The patient was admitted to the hospital three days ago. He became unconscious after an argument with his family, with deep and slow breathing and a fever. He was then sent to our emergency department..."
As he spoke, Xiang Xingye handed the patient's examination to Yun Heng and said, "The patient's temperature is 39.1°C, heart rate is 96 beats per minute, respiratory rate is 15 breaths per minute, and blood pressure is 210/120 Pa... The brain CT scan shows bleeding in the right internal capsule and ventricle. The diagnosis is cerebral hemorrhage and critical hypertension..."
"After the patient was brought in, we treated him with dehydration, blood pressure reduction, and craniotomy. His blood pressure and breathing remained stable, but his fever persisted, especially in the afternoon. He also had fever, restlessness, and delirious speech. His mental state did not improve significantly..."
After Xiang Xingye finished explaining the situation, Liu Kexiang smiled and said to Yun Heng and his group, "If you want to check it out, you can."
Zhong Chaoping walked to the bedside and asked, "Hey, why are the patient's hands so cold?"
"If the cold is severe, the heat is also severe; if the cold is mild, the heat is also mild."
Yue Shaojiang said, "Zhong Chaoping, this is the original text from the Treatise on Febrile Diseases. It seems your basic knowledge is not up to par."
Ever since Yun Heng completed the task of convincing others, Yue Shaojiang has changed a lot. From this morning till now, Yue Shaojiang always finds opportunities to say a few words from time to time. Compared with before when he didn't say a word, this is a great improvement.
Yun Heng also remembered Ji Fengwen's instructions. Since Yue Shaojiang wanted to participate, he tried to ease the situation as much as possible. So he said, "Yue Shaojiang is right. What this sentence means is that the patient's high fever is directly proportional to the degree of coldness in their limbs."
"The degree of coldness in the patient's limbs is directly proportional to the degree of fever?"
Liu Kexiang smiled and asked, "What does this mean?"
After listening to the analysis and dialectics of Yun Heng and a group of people with Zhang Haihua at the door yesterday, Liu Kexiang became interested in some of the theories of traditional Chinese medicine.
It is common for the emergency department to notify specialist departments for consultation when encountering patients. However, generally speaking, in many hospitals across the country, the emergency department rarely notifies traditional Chinese medicine departments for consultation.
The status of traditional Chinese medicine is not high in many hospitals, even in Tanghua and Xihua Hospitals.
The patient in front of him had been in the emergency department for three days, and Ji Fengwen had already arrived at Tanghua, but Liu Kexiang still had not notified Ji Fengwen, but only notified him today. In fact, some problems can be seen.
Yun Heng told Liu Kexiang, "From a Traditional Chinese Medicine perspective, when a patient has excess heat in their body, the heat will stagnate the Qi, preventing Yang Qi from reaching the extremities. This results in cold hands and feet. Zhang Zhongjing's Treatise on Febrile Diseases also states, 'All coldness is caused by the lack of smooth connection between Yin and Yang Qi. Coldness is caused by the reversed coldness of the hands and feet.'"
As he spoke, Yun Heng also came to the bedside. He reached out to check the patient's abdomen and said, "To determine whether the patient's cold hands and feet are caused by cold or heat, we need to conduct a full-body examination of the patient..."
While speaking, Yun Heng's hand was already on the patient's abdomen. He felt that the patient's abdomen was very hot, even a little burning. When he pressed it lightly, he felt a resistance. Yun Heng felt carefully and it seemed that there was a hard lump in the patient's lower left abdomen.
Liu Kexiang said, "The patient has a slight burning sensation on his abdominal skin, and there is a lump in his lower left abdomen that feels like a cord...but the examination showed nothing amiss."
Before Yun Heng came, Liu Kexiang had already conducted a comprehensive examination on the patient. Without relying on equipment, some examination methods of Western medicine are actually no different from those of traditional Chinese medicine. They observe the qi, press, and judge the patient's conditions through touch and the patient's pain, so as to screen out the disease, determine the approximate scope of the patient's illness, and then conduct a final examination to confirm.
From this perspective, Western medicine has actually borrowed some things from traditional Chinese medicine.
It can also be said that before they were refined, Chinese and Western medicine were consistent in some aspects, but when they went deeper, they went in different directions.
"Director Liu, how is the patient's bowel movement?" Dang Siping asked.
A lump was felt in the lower left abdomen, but nothing was found during the examination. Dang Siping concluded that it might be food accumulation or dirt such as feces.
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