Inside the ward.
"Doctor, can my dad really be saved?"
Yang Cuiqiao grabbed Su Zhengnan's arm excitedly, her eyes filled with tears as she pressed him for an answer.
Su Zhengnan nodded to her again, then looked at his senior brother and said, "My diagnosis is phlegm-fire disturbing the mind and dampness obstructing the middle jiao. The treatment should focus on removing dampness and clearing phlegm, opening the orifices and awakening the mind."
"Um?"
Upon hearing Su Zhengnan's words, Li Huai'an was taken aback and quickly stepped forward to take the old man's wrist and check his pulse again.
With Su Zhengnan's dialectical reminder.
This time, Li Huai'an finally sensed something different when he took the pulse.
Although the patient's pulse at the cunkou point was weak and thready, his pulse at the taixi point was strong and tight, indicating that he still had a chance to survive.
However, faced with such a weak and feeble pulse, Li Huai'an didn't know what prescription to give, because even the diagnostic approach was suggested by his junior brother, and he had no idea where to begin.
After a while.
Li Huai'an stood up and sighed softly, saying, "Perhaps my junior brother is right, the old man can still be saved, but I don't know what prescription to use for emergency treatment?"
Upon hearing this, He Zhesheng was stunned for a moment, seemingly unable to believe his ears.
No, you just said there was no hope!
Why are you changing your tune now and saying there's hope?
Su Zhengnan said calmly, "The pulse at the cunkou point is weak, while the pulse at the taixi point is tight. There is still some possibility of saving the patient. However, if the stomach qi is exhausted, the condition will be irreversible."
At this point, Su Zhengnan paused for a moment, then continued:
"As for the prescription, just use a modified version of the Three-Kernel Decoction!"
Sanren Tang is a traditional Chinese medicine formula that has the effects of dispelling dampness, promoting qi circulation, and clearing away damp heat.
The prescription is as follows: 15g apricot kernel, 18g talc, 6g white akebia stem, 6g white cardamom, 6g bamboo leaves, 6g magnolia bark, 18g raw coix seed, 15g pinellia tuber, 25g buffalo horn, 8g acorus tatarinowii...
Su Zhengnan wrote out the prescription directly, and He Zhesheng quickly wrote it down.
Sanren Decoction is a commonly used formula for treating the initial stage of damp-heat syndrome, where the pathogenic factor is in the Qi level and dampness is more severe than heat.
The apricot kernel in this formula promotes the flow of lung qi in the upper burner, and as qi flows smoothly, dampness dissipates. White cardamom, with its aromatic properties, dispels dampness, regulates qi, soothes the middle burner, and harmonizes the spleen qi. Job's tears, sweet and bland in nature, are cold in nature and promote diuresis while strengthening the spleen, allowing damp-heat to be eliminated from the lower burner...
When the three herbs are used together, they are distributed and eliminated from the three jiaos (upper, middle, and lower burners), making them the principal herbs.
Talc, Tetrapanax papyriferus, and bamboo leaves are sweet, cold, and mildly diuretic, enhancing the diuretic and heat-clearing effects of the principal ingredient; therefore, they are considered assistant ingredients.
Pinellia ternata and Magnolia officinalis can promote qi circulation, resolve dampness, disperse stagnation, and relieve fullness, thus serving as adjuvant herbs.
He Zhesheng glanced at the prescription he had written down, stepped forward, grabbed the old man's wrist, and took his pulse. The furrowed brows on his face immediately relaxed.
"I see... I see!"
He Zhesheng's face immediately lit up with joy, as if he had grasped the dialectical thinking, and he asked Su Zhengnan with a happy expression:
"Dr. Su, you've prescribed this medicine. I wonder how many doses the patient should take?"
Given Mr. Yang's condition, taking too much medication would obviously be inappropriate.
However, he was unsure how many doses of medicine he should prescribe.
Su Zhengnan pondered for a moment and said, "Let's make three!"
"Three mates? Is that appropriate?"
He Zhesheng looked at Su Zhengnan with some surprise.
Su Zhengnan nodded and said, "That's enough. Go and prepare the medicine for the patient. However, the patient may cough up thick phlegm after taking the medicine. Tell the nurses to pay close attention and make sure the patient doesn't choke on the phlegm."
"In addition, after the patient takes these three doses of medicine, once the patient can breathe properly, the prescription can be changed."
"Then we'll switch to Xiao Chengqi Tang, and give two doses!"
Xiao Chengqi Tang is a traditional Chinese medicine formula from Volume 404 of Puji Fang. It is used to treat stomach weakness that prevents the body from eating properly, a condition known as food convulsions.
"Do we need to change the prescription?"
He Zhesheng was taken aback for a moment, looking somewhat surprised.
Su Zhengnan said with a serious expression, "Yes, and we will have to change it again later. After taking Xiao Chengqi Decoction, the patient should be more or less awake. Then we will continue to take Sanren Decoction with modifications. At this time, the Sanren Decoction will be changed to three doses for six days. After that, the patient's stomach qi will recover, and he can start eating."
He Zhesheng: "......"
Hearing Su Zhengnan change several prescriptions in a row, He Zhesheng stood there stunned for a long time, unable to react.
He had never seen anyone prescribe like that before.
In fact, not only him, but even Li Huai'an was shocked, as if he couldn't believe his ears.
Has my junior brother gone mad?
The patient hasn't even taken the medication yet, and they've already prescribed several more formulas?
Are there any traditional Chinese medicine doctors who prescribe this kind of medicine?
Even his teacher probably couldn't do that, right?
Li Huai'an stared at Su Zhengnan in shock and couldn't help but ask, "Junior brother, are you sure there's nothing wrong with the prescription you've written? I'm having trouble keeping up with your reasoning."
Indeed, the patient hasn't even taken the medication yet!
Without confirming that the patient has taken the medication, who can determine the subsequent medication prescription?
Even the medical sage Zhang Zhongjing probably couldn't do that, right?
However, the truth is that the medical sage Zhang Zhongjing could indeed achieve such a level.
Su Zhengnan was able to anticipate the subsequent development of the disease after diagnosing the patient's condition because he had an extremely rich understanding of traditional Chinese medicine theories, and thus prescribe the appropriate treatment.
It's important to understand that the differences between different traditional Chinese medicine practitioners can sometimes be this significant.
Even doctors who have learned from the same teacher may have varying levels of understanding of traditional Chinese medicine theory and dialectics, and it is not uncommon for the student to surpass the teacher.
Su Zhengnan smiled slightly and said, "Just take the medicine according to the prescription I gave you. If the patient's condition is different from what I said a few days later, Director He, you can call me and I will come over again."
"Ah, this..."
He Zhesheng stood there stunned for a long time without saying anything; he didn't know what to say.
Judging from the prescription given by Su Zhengnan alone, the gap between him and the other party is not small, so he naturally cannot understand Su Zhengnan's subsequent dialectical thinking.
Su Zhengnan was very confident in the prescription he had written, and said with a smile, "Don't worry, if you take this prescription, Old Yang will definitely be able to recover."
"Well... alright, I trust Dr. Su's diagnosis, then let's proceed with the treatment according to your prescription!"
He Zhesheng turned and gave Li Huai'an a deep look, but ultimately chose to believe Su Zhengnan's dialectical prescription and immediately asked the nurse to decoct the medicine according to the prescription.
The patient's condition is critical and cannot be delayed.
Yang Cuiqiao, a family member standing nearby, couldn't understand whether Su Zhengnan's prescription was effective or not, since she wasn't a student of traditional Chinese medicine.
However, seeing that Director He had already agreed to take the prescription, I realized that...
She naturally wouldn't have any objections.
More than half an hour later.
The nurse prepared the first dose of medicine and then fed it to Old Yang.
Less than ten minutes after Yang took the medicine, just as Su Zhengnan had just said, he began to cough up phlegm, and his whole body subconsciously started coughing violently.
"Cough cough cough..."
Listen to the coughing coming from the hospital bed!
He Zhesheng quickly instructed the nurse, "Quickly, go and get the suction device."
"Yes, sir!"
The nurse nodded in response and then quickly found a suction device to remove the thick phlegm from Mr. Yang's throat.
Su Zhengnan and his senior brother Li Huai'an stood aside and watched for a while. Su Zhengnan couldn't help but ask, "Senior brother, can we leave now? The patient will be fine as long as he takes the prescription I just gave him. It doesn't seem like there's anything wrong with us staying here any longer!"
Upon hearing that Su Zhengnan was leaving, He Zhesheng quickly pulled him back, saying:
"Wait a minute, why are you two in such a hurry to leave? I'll organize a get-together later, let's all have a meal and chat. Dr. Su, please don't be in such a rush to leave!"
"ah?"
Su Zhengnan was taken aback for a moment, then turned to look at himself and said, "Isn't this a bit inappropriate?"
He Zhesheng said with a smile, "What's there to be inappropriate about? Come on, come on, I'll take you to eat right now. You two don't have to be polite with me."
After giving the nurse some instructions, He Zhesheng led Su Zhengnan and Li Huai'an to the hospital cafeteria.
The food in the canteen of the military hospital is definitely very good, no worse than that of a big hotel outside.
After all, no one here dares to cut corners, and no one dares to use gutter oil to cook.
The three of them sat together eating, but did not drink alcohol.
He Zhesheng poured a cup of tea for Su Zhengnan and the other man, saying, "I never imagined that Dr. Su, who looks so young, would have such amazing medical skills, even more so than me. We really owe a debt of gratitude to you this time, Dr. Su!"
Based on the patient's reaction after taking the medication, He Zhesheng can basically conclude that Su Zhengnan's diagnosis was correct.
This even matches the patient's reaction after taking the medication, how could it be wrong?
"Come, come, let me offer you a cup of tea instead of wine!"
As he spoke, He Zhesheng tilted his head back and finished the tea in his hand.
Su Zhengnan smiled slightly and said, "Director He, you are too kind. Actually, I just came with my senior brother to broaden my horizons. I believe that even if my senior brother and I hadn't come, the military hospital would definitely have experts who could cure this patient."
This is the Beijing Military Region Hospital!
Su Zhengnan believed that they must have even more accomplished masters of traditional Chinese medicine available for consultation, but for some reason they hadn't called them over.
He Zhesheng chuckled and shook his head, saying, "Dr. Su is right, but our military hospital has just too many patients, and even more with strong connections, so sometimes we simply can't keep up."
Clearly, although the military hospital has several renowned traditional Chinese medicine masters providing consultations, it is not a good place for them.
But they are all getting on in years, and their consultation time is limited each day, while each patient here has a connection to someone else.
In that case...
Some patients with weaker relationships simply don't get to come for a consultation.
The principles of interpersonal relationships and social etiquette also apply here.
However, the main issue is that the several renowned traditional Chinese medicine masters at the military hospital are too old, and their own bodies are showing signs of aging, so they rarely come to the hospital to make house calls.
This is the tragedy of the discontinuity in traditional Chinese medicine.
The older ones are too old to move around much, and there aren't enough replacements to keep up.
This is something that cannot be changed by one person alone.
.........................................
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