Inside the ward.
Upon seeing Li Huai'an, Zheng Nanqing, the head of the obstetrics department, immediately began to describe the patient's condition:
"Director Li, the patient's condition is very complicated. She is only four months pregnant with twins and has been bleeding for three consecutive days. If this continues, I'm afraid she won't be able to save the babies."
"We had previously administered progesterone, allyl estradiol, human immunoglobulin, and aspirin to the mother to help maintain the pregnancy, but the bleeding did not stop."
"The mother has no fever, but she experiences abdominal pain 2-3 times a day, and the bleeding increases with each episode of pain."
"......."
Listening to the description of the patient's condition by Zheng Nanqing, the director of obstetrics.
For a moment, both Li Huai'an and Su Zhengnan felt that the mother's condition was somewhat troublesome.
If this is indeed the case for the patient, it is very likely that the fetus has already died in utero.
Of course, this is just speculation.
Fortunately, this situation has only lasted for three days. If the treatment is appropriate, there is still a chance to save the fetus.
Li Huai'an casually took the medical record from Zheng Nanqing and glanced at it. His expression changed slightly, and then he handed the medical record to Su Zhengnan behind him, saying:
"Let me take the mother's pulse first!"
As he spoke, Li Huai'an stepped forward, grabbed the woman's wrist, and began to carefully take her pulse.
Just as Li Huai'an was taking his pulse...
Yang Zhenan, who was standing to the side, walked up to Su Zhengnan and said softly, "The fetus in the mother's body still has a heartbeat, so it can be confirmed that it has not lost its vital signs. However, there is a large amount of blood clots in the mother's abdomen. If surgery is performed, it will inevitably cause uncontrollable damage."
"Our emergency department's advice is to terminate the pregnancy immediately, otherwise the mother's life will be threatened, and then it won't be as simple as just losing the baby."
"Terminate the pregnancy?"
Su Zhengnan was taken aback for a moment, then turned to Yang Zhenan and asked softly:
"If the pregnancy is terminated, does the mother consent? What do her family members say?"
Yang Zhenan sighed and said, "It's because the pregnant woman and her family don't agree to terminate the pregnancy that things are in such trouble now!"
"Because the mother's physical condition no longer allows her to get pregnant again, if this pregnancy is not saved, it may be very difficult for her to get pregnant again in the future."
Director Zheng of the Obstetrics and Gynecology Department couldn't understand why Director Yang was talking so much with a strange young doctor. She felt like she had never seen Su Zhengnan before, but then she remembered that he had come in with Li Huai'an.
She couldn't help but interject, "That's why I called you all here for a consultation—to ensure the safety of both mother and child. Although the mother's condition is very complicated, fortunately, we still have time to come up with a solution."
The bleeding lasted only three days.
Fortunately, the bleeding was not too heavy, and the fetus in her womb still showed vital signs.
Therefore, the most urgent task now is to find a way to provide emergency care, rather than thinking about terminating the pregnancy.
By this time, Li Huai'an had finished taking the pulse.
But his brows were always furrowed, as if his two eyebrows were almost pressed together!
“The patient’s pulse was weak and thready, and her blood and qi circulation was not smooth, with obstruction and stagnation. In this situation, I could at most stop the bleeding for the mother, but I was afraid it would be difficult to save the fetus.”
Traditional Chinese medicine believes that during pregnancy, the mother's qi and blood gather to nourish the fetus. Once the flow of qi and blood becomes sluggish, or there are signs of obstruction and stagnation, these are all manifestations of excessive internal pathogenic factors.
In this situation, the probability of miscarriage is very high.
Moreover, the mother was carrying twins, and her nutrition was already somewhat inadequate, making the situation even more complicated.
Upon hearing this, Zheng Nanqing raised an eyebrow slightly and said, "What, Director Li, even your traditional Chinese medicine practitioners don't have any way to save the fetus?"
Li Huai'an couldn't help but sigh and said, "The mother's condition is too complicated. Her pulse at the cunkou point is wiry and large, showing signs of a leather pulse."
Is it a leather vein?
This is not a good pulse sign!
Su Zhengnan's expression froze. Although he had already seen through observation that the pregnant woman's condition was not good, he did not expect that it would be a leather pulse.
It should be noted that although the Leather Vein is not as severe as the Seven Deadly Veins, it is still quite difficult to treat.
The Pulse Classic states: "The pulse changes in the three regions; a prolonged illness leads to death, while a sudden illness leads to life."
The "Binhu Pulse Study" also states: "The leather pulse is shaped like pressing a drum skin. When the hollow and wiry pulses are combined, the pulse is cold and weak. In women, it indicates miscarriage or metrorrhagia. In men, it indicates deficiency of vital energy or nocturnal emission."
Half-term delivery and subsequent uterine bleeding!
This is the current situation of the woman who has just given birth.
If the fetus dies in utero, it will inevitably lead to the stagnation of Qi and blood in the mother, which will not only affect the mother's physical condition but also damage the uterus.
Fortunately, the fetus is still breathing.
Is there still hope?
Su Zhengnan thought seriously for a moment, then squeezed through the crowd to the woman in labor, grabbed her wrist and began to take her pulse.
Watching Su Zhengnan suddenly take the pulse of the woman in labor.
Zheng Nanqing, the head of the obstetrics department, raised an eyebrow slightly. He wanted to say something, but after seeing that neither Director Li nor Director Yang spoke, he refrained from reprimanding them.
Su Zhengnan held the woman's wrist and carefully sensed her pulse.
I could only sense that there were two kinds of weak and cold pulses intertwined in his pulse, which was indeed a sign of a leather pulse.
For a moment, Su Zhengnan's mind began to race, frantically trying to figure out how to deal with this pulse pattern and the mother's condition.
Fortunately, Su Zhengnan had plenty of clinical experience in traditional Chinese medicine.
Only half a cup of tea's time had passed.
Su Zhengnan then came up with a feasible plan that might actually save both the fetus and the mother.
This tests a traditional Chinese medicine doctor's ability to diagnose and treat diseases.
When a traditional Chinese medicine doctor's skills reach a certain level, he can observe possible changes in symptoms and possible reactions after taking medicine through diagnosis.
This is equivalent to listing the patient's symptoms into a formula.
Then, the patient's own prescription is inserted into the treatment to verify the patient's reaction and changes after taking the medication.
If the change becomes unfavorable, immediately change the formula and resubmit it, repeating this process until a truly feasible formula and result are determined.
All of this needs to be completed instantly in the doctor's mind.
Because sometimes patients may not be able to wait that long.
Of course, this kind of observation and verification tests more on the TCM doctor's own understanding of pharmacology and pathology.
Under normal circumstances, very few traditional Chinese medicine doctors can do this.
However, with the help of a system, Su Zhengnan's understanding of traditional Chinese medicine theory and pathology has long surpassed that of ordinary masters of traditional Chinese medicine, so he can naturally reach this level as well.
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