Inside the ward.
Li Huai'an examined Yu Dehai's condition, took his pulse, and his eyebrows were furrowed so deeply they were almost pressed together.
The pulse doesn't seem to be anything unusual.
However, considering the patient's symptoms, there seems to be a discrepancy between the pulse and the symptoms!
Li Huai'an scratched his head and turned to Dr. Chen beside him, asking:
"Do you have a Western medical diagnosis? Let me see it!"
"Ah...yes...yes..."
Dr. Chen nodded hurriedly in response, and then quickly found Yu Dehai's Western medical diagnosis record and handed it over.
Given Yu Dehai's current symptoms, he must have seen many Western doctors before, but they didn't get better, which is why he switched to the Traditional Chinese Medicine department.
Li Huai'an glanced at it and saw that the Western medical record stated:
[Patient: Yu Dehai, 45 years old. The patient's main symptoms include fever, fatigue, and muscle aches. He also has multiple enlarged lymph nodes in the affected area and is allergic to cephalosporins...]
Looking at the Western medical diagnosis in my hand.
Li Huai'an frowned as he handed the medical record to Su Zhengnan and asked:
"Junior brother, why don't you take a look? I'm a little unsure about this illness!"
"Okay!"
Su Zhengnan nodded, glanced at the patient's medical record, and then stepped forward to take the patient's wrist and feel for his pulse.
Upon taking the pulse, Su Zhengnan immediately sensed that it was deep, thready, wiry, and rapid, indicating deficiency in the liver and kidneys, and a weak and thin heart pulse...
The pulses in the patient's two hands are different!
The pulse in the right hand is deep and thready, while the pulse in the left hand is floating and strong...
Clearly, the patient has contracted some kind of latent virus and is currently in the incubation period.
But which virus's incubation period can cause this pulse pattern?
Allergic to cephalosporins...
Oh, right, I'm allergic to cephalosporins!
Su Zhengnan's expression froze for a moment, and he quickly realized why this pulse pattern had occurred.
If his dialectical reasoning is correct.
The man in front of us, Yu Dehai, is likely infected with syphilis, which is why he is experiencing these symptoms.
Because the other party was allergic to cephalosporins, the Western medicine examination did not test him for syphilis serum, so this point was overlooked.
It's important to know that syphilis is very good at hiding its specific viral type.
If no obvious symptoms appear and no syphilis serological test is performed.
It is generally difficult to realize that syphilis has occurred.
Thinking of this, Su Zhengnan turned to look at his fifth senior brother, Li Huai'an, and said:
"My suggestion is to have the patient undergo a syphilis serological test first, and then see what happens."
"Hmm? Syphilis test?"
Li Huai'an was stunned for a moment, then looked at Su Zhengnan with some disbelief and asked:
Are you sure you want to do this test?
"Yes, I'm sure!"
Su Zhengnan nodded in agreement.
Upon hearing that he needed to be tested for syphilis, Yu Dehai, lying in his hospital bed, immediately became restless and shouted:
"You've got it wrong. How could I possibly have that kind of disease? Even if you're practitioners of traditional Chinese medicine, you can't just order random tests for me!"
Seeing this, Li Huai'an quickly comforted him, saying:
"Mr. Yu, please don't get agitated. This is just a routine check-up so that we can understand your condition more accurately."
Yu Dehai's face turned very ugly, and he shook his head, saying:
"I've never done anything reckless, how could I have contracted such a dirty disease? You doctors can't slander a patient like this!!"
Upon hearing this, Su Zhengnan explained with a serious expression:
"I think you've misunderstood, Mr. Yu. Syphilis is not only transmitted through sexual intercourse, but also through other routes, such as blood and mother-to-child transmission."
"We have only made a preliminary judgment based on your symptoms and pulse; further examination is needed to confirm the diagnosis."
Yu Dehai remained silent for a while, but finally agreed to undergo a syphilis serological test.
However, even if you agree to undergo a syphilis serological test, the results won't be available so quickly.
Because testing for this virus takes time.
According to the testing methods used by Beijing First People's Hospital, the results will not be available until at least 3 p.m.
Afterwards, Li Huai'an led Su Zhengnan out of the ward.
In the hospital corridor.
Li Huai'an turned to Su Zhengnan with some concern and asked:
"Junior brother, are you sure Yu Dehai has syphilis? If it really is syphilis, it will be very troublesome to treat!"
"Senior brother, didn't you notice that Yu Dehai's medical record from Western medicine states that he is allergic to cephalosporins?"
Su Zhengnan said with certainty, "Judging from Yu Dehai's pulse and symptoms, he should be infected with syphilis."
"However, the treatment is not too difficult. As long as the right medicine is prescribed, there is no disease that cannot be cured."
Although syphilis is terrible these days, it is now a curable disease.
However, from the perspective of Western medicine, even after treatment, the virus will continue to be carried, which is still somewhat worrying.
But this may not be the case for traditional Chinese medicine.
With Su Zhengnan's current medical skills, curing this virus should be quite easy.
Upon hearing what Su Zhengnan said...
Li Huai'an nodded and said, "I trust your judgment, junior brother. Let's wait for the results this afternoon. Let's go see the other patients first."
"Okay!"
Su Zhengnan nodded slightly, and then followed Li Huai'an to inspect the inpatient department of the Traditional Chinese Medicine Department.
..............
afternoon.
Around three o'clock!
Su Zhengnan and others then obtained the results of Yu Dehai's syphilis serum test.
As he had expected, Yu Dehai had indeed contracted syphilis.
Li Huai'an looked at the examination report, his brows furrowed, and asked:
"It seems your judgment was correct, junior brother. Do you have any treatment options?"
Su Zhengnan pondered for a moment and replied, "Now that the patient's condition has been confirmed, I think we should treat him primarily with traditional Chinese medicine and secondarily with Western medicine!"
"While using traditional Chinese medicine to regulate the body, we also use Western medicine to eliminate syphilis in the body."
"This approach not only addresses both the symptoms and the root cause, but also helps the patient recover quickly, preventing them from becoming emaciated and bedridden like they are now."
"What prescription should I get?"
Li Huai'an frowned and asked again.
Su Zhengnan thought for a moment, then picked up a pen and paper and wrote down a prescription.
"Atractylodes lancea, Phellodendron chinense, Arctium lappa, Citrus reticulata peel, Glycyrrhiza uralensis, Artemisia annua, Paeonia lactiflora, Rehmannia glutinosa, Akebia trifoliata, Plantago asiatica, Rehmannia glutinosa (raw), Bupleurum chinense, Momordica cochinchinensis, Bombyx mori (raw), Paeonia lactiflora, Ophiopogon japonicus, Gypsum fibrosum, Platycodon grandiflorus, Morus alba root bark..."
"So many kinds of herbs? Are you sure?"
Li Huai'an glanced at the prescription written by Su Zhengnan and said with some concern.
After all, Chinese medicine prescriptions are generally more refined with fewer types of medicinal materials.
The more categories of medicinal materials there are, the more complex the differentiation of the principles of monarch, minister, assistant, and guide will become.
Because there are so many types of medicinal materials, it is difficult to determine whether their properties will conflict with each other, and determining the dosage is also a problem.
Su Zhengnan nodded seriously and said, "This is the prescription. Two doses a day. Let's try it for half a month first!"
Li Huai'an: "......."
............................................
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