Chapter 661: Dose
"Doctor Fang!
Su Tiehang hurriedly touched it twice, why was Fang Han distracted while he was talking, and everyone else was watching at this moment.
"Ah......h
Fang Han was stunned for a moment, then came back to his senses and asked in a low voice, "Director Su is in trouble?"
Just now, Fang Han was talking to Su Tiehang Jiang Hongbin, and suddenly the prompt sound of the system sounded in Fang Han's mind, Fang Han was distracted, and his consciousness was immersed in the system to check the situation.
As he was talking just now, he suddenly said "ding": "Congratulations to the host, the number of worshippers of the same profession who have exceeded two levels or above has exceeded 1,000, and the host will be rewarded with a random lottery." ”
"Two levels beyond yourself?"
Fang Han entered the system to check at that time.
The division of the system is still based on the current doctor's title, last year Fang Han belonged to the intern, so beyond Fang Han's own level of two levels is the attending doctor, this year Fang Han is already a resident, so beyond Fang Han's own two levels that is the deputy high.
And as Fang Han became a resident doctor, Fang Han also found one thing, the worship point of the resident doctor's contribution to him has become 1, that is, it is the same as the previous intern, the attending doctor has become 10 points, and the deputy high school has become 20 points.
This point was discovered by Fang Han when he participated in the Shanghai meeting, when there were so many deputy high-level and chief physicians, the worship points provided by the chief physician were only 50 points.
That is to say, the system's worship point calculation is calculated according to Fang Han's level, just like playing a game, there is more experience in killing monsters at higher levels, and less experience in killing monsters at lower levels.
This calculation of the system is calculated from the beginning of Fang Han's system, before Fang Han became a resident doctor, beyond the two levels will contain the attending doctor, and after becoming a resident doctor this year, it will not include the attending doctor, and it will be directly counted as a deputy high.
Coupled with the hosts who contributed worship points to Fang Han last year, and counting the vice-high and above, the cumulative number of ministers who contributed worship points to Fang Han reached 10,000.
10,000 people, it's really quite terrifying, Fang Han, as a resident doctor in Jiangzhong Hospital, actually doesn't go out many times, a resident doctor can make 1,000 doctors worship, and the lowest is the attending level up, this is not simple.
Of course, this worship is not a sincere worship, all those who have contributed worship points are counted, among which Fang Han's several live broadcasts and events on the news should be the reason why Fang Han let so many people contribute worship points, and many doctors in the medical affiliated hospital incident have contributed worship points to Fang Han.
The number of people should have been close to tens of thousands before, but this time, with some people on the scene, it can be regarded as completely breaking 10,000.
Fang Han didn't ask the system why this reward suddenly popped up this time this time, this damn system has never introduced itself, and there is no manual, what functions are all Fang Han's own exploration.
"Is there something wrong?"
Su Tiehang was very speechless, Yang Lao and Tang Lao asked you, so many people looked at you, do you ask if there is something, can you be distracted in this situation?
"Doctor Fang, Elder Yang and Elder Tang are asking for your opinion. Su Tiehang hurriedly reminded.
"Oh......"
Fang Han responded, and then said apologetically: "I'm sorry, I was thinking about my condition just now, and I was a little distracted." ”
"Hehe, don't get in the way, if the little junior brother has any opinions, let's discuss them together. Yang Lincheng said with a smile.
There were many voices on the scene, and it was a wave of worship point contributions.
People can't be compared, worthy of being Guo Wenyuan's student, worthy of being Yang Lincheng's little junior brother, this tolerance, if this is replaced by someone else, if it is not good, it will be scolded by Tang Yuquan and Yang Lincheng, and a hat that is not serious is estimated to be buttoned up.
Fang Han organized his language for a while, and then he spoke: "Judging from the symptoms, the child is thirsty and discharged, it should be caused by spleen deficiency and external evil or injury to food, it is now September, the beginning of autumn, the autumn is high and refreshing, plus the child may have an irregular diet that day, and drank a lot of drinks, resulting in digestive disorders, and then the water valley is not divided, drinking too much water, damaging the spleen and stomach, water accumulation in the stomach, and the water that is laxative is the water to drink, so this disease should start from quenching thirst......"
Fang Han's words were interrupted at this point.
Gao Yunshan said: "Xiao Fang, you also read the medical records just now, your statement should be the same as the views of Tang Lao, Xue Lao, Yang Lao and others, according to your statement, Baizhu San should be symptomatic, but why is it still ineffective after the patient takes Baizhu San?"
"Yes, Doctor Fang, if you follow this statement, Baizhu San should be effective. ”
Some people spoke.
Gao Yunshan's understanding is actually different, but Fang Han, Tang Yuquan and others have different understandings, so Tang Yuquan is trying his best to overturn Fang Han's diagnosis.
Fang Han was not in a hurry, waiting for everyone to finish speaking, and then continued: "I just looked at the medical records, most of the treatment of Western medicine is mainly antidiarrheal, and several prescriptions of traditional Chinese medicine are also mainly antidiarrheal, such as Yiyuan San, Wuling San, Lizhong Tang, etc., which are mainly prescriptions for regulating the spleen and stomach and stopping diarrhea......
Speaking of this, Fang Han paused, and saw that no one interrupted, so he continued: "In fact, among several recipes, Tang Lao and Xue Lao's Baizhu San is indeed symptomatic, the child is thirsty, he has to drink water when he is thirsty, and he has to vent after drinking water, if he stops his thirst, he will stop diarrhea, and those who are thirsty and thirsty should be treated with spleen and stomach, Baizhu San is the magic prescription for stopping diarrhea and quenching thirst, and the reason why Tang Lao's prescription did not work is not that the prescription is wrong, but that the amount is wrong." ”
When Fang Han said, Tang Yuquan and Yang Lincheng had been listening very carefully, and when Fang Han finished speaking, Tang Yuquan asked, "Xiao Fang, you said the amount is wrong?"
"Yes, the dose is insufficient. Fang Han nodded.
"Patients are thirsty, to quench thirst, although the symptoms of Atractylodes san are symptomatic, but the amount of medicine is insufficient, the dosage of Pueraria lobata can be increased to try the effect. ”
Baizhu San is from "Jin Kui Yaolu", which belongs to the famous party, and at the same time, "The Secret of Outer Taiwan", "Taiping Huimin and the Bureau", "Proofreading Women's Good Prescription" and other records of Baizhu San, and there are some changes.
The Baizhu powder mentioned here is the "Pediatric Medicine Evidence Straight Formula" compiled by Yan Xiaozhong, a disciple of the famous doctor Qian Yi in the Northern Song Dynasty, who collected his clinical experience, and included the seven-flavor Baizhu powder in the "Proofreading Women's Prescription", which is composed of: 8 grams of ginseng, 15 grams of white poria cocos, 15 grams of fried atractylodes, 15 grams of Huoxiang leaves, 15 grams of kudzu root, 6 grams of wood incense, and 3 grams of licorice.
The pueraria that Fang Han said is the dispensing medicine in the atractylodes powder, the kudzu root is sweet, pungent, cool in nature, has the effect of relieving muscle and reducing fever, diaphragm, shengjin quenches thirst, rises yang and stops diarrhea, stomach qi rises, jin liquid rises spontaneously, and diarrhea is naturally cured.
Just now Fang Han said that Tang Yuquan and Xue Zilin were too conservative, precisely because the two of them were too cautious in their prescription dosage.
Speaking of which, I have to talk about the situation of most TCM people now.
Whether it is Tang Yuquan or Xue Zilin, they are only in their sixties this year, and people like Xue Zilin have studied medicine for more than 40 years, and their contact with Chinese medicine should have started in the seventies and eighties, and it may be later to really achieve something.
After the founding of the People's Republic of China, most of the TCM practitioners who came into contact with TCM in the future became more conservative and cautious in prescribing medicines.
After the founding of the People's Republic of China, traditional Chinese medicine began to be formalized after the turmoil, and thus began to be restricted, and the compilation of the medical dictionary has restrictions on the dosage of many medicinal materials of traditional Chinese medicine, which leads to many traditional Chinese medicine people refer to the pharmacopoeia, although they dare not say that they are completely in accordance with the provisions of the pharmacopoeia, but they do not dare to be too outrageous, so that they are too conservative and cautious in terms of prescription.
Some people who know Chinese medicine may be able to find such a phenomenon, such as Guo Wenyuan, Li Ke, Li Lao, Deng Tietao Deng Lao and other old Chinese medicine practitioners in their seventies and eighties, many of their medical cases are very bold in their medications, and they often dare to use some drugs in large doses.
What rhubarb, raw gypsum, even aconite, arsenic, etc.
But the further down, the younger the TCM practitioners, the more cautious they are in their medication, and they are too conservative in their prescriptions, and the dosage is not very large when they use medicines.
I have to say that this is due to the factors of the times.
Being too conservative and cautious in the use of medicines has led to the inability to start some serious diseases, and it also seems that the current generation of Chinese medicine practitioners is not as good as the generation, and the level is declining more and more.
If you study carefully, the more you have gone through some formal TCM education, the more cautious you are in using medicine, but some Yeluzi TCM practitioners are very bold in their medication, so most of the Yeluzi TCM practitioners are from practice, experienced, and not sticking to the form.
This can be seen from Guan Baocheng, Guan Baocheng's level is still there, but he is not as good as Fang Han in terms of medication.
Although Fang Han also graduated from the College of Traditional Chinese Medicine, after having the system, some skills were obtained from the system, and Fang Han read a lot of books in Guo Wenyuan, which also led to Fang Han's style being also not confined to form, and Fang Han was more bold in terms of medicine.
Doctors and family medicine are like soldiers and soldiers, not only to deal with the symptoms, but also to judge the situation, the local army is strong, their own troops are insufficient, it is bound to not be able to destroy the withering and decaying trend, and if it is not good, the army will be defeated and returned.
"Dosage, kudzu. ”
Tang Yuquan and Yang Lincheng pondered softly.
Tang Yuquan's level is not low, but the habits and temperament he has developed over the years have limited his performance, in fact, after the prescription he prescribed has no effect, Tang Yuquan has also considered whether it is a dosage problem.
It's just that after thinking about it, Tang Yuquan is still not sure, and at the same time wondering if it is another reason, now that Fang Han says this, Tang Yuquan is more and more reasonable.
"Not enough dose?"
Gao Yunshan groaned slightly, and asked out loud: "Then Xiaofang, what dosage do you think you should use?"
"The dose of kudzu can be doubled, and the dosage of other drugs can also be slightly increased. Fang Han said.
"Doubled?"
Gao Yunshan smiled: "Xiao Fang, although Pueraria Gen quenches thirst and rises to stop diarrhea, but after all, the medicine is pungent and cold, and the patient is a three-year-old child, who has been sick for so many days, his spleen and stomach have long been weak, and he has been emaciated What have you seen, so this medicine will not cause harm to the child's spleen and stomach?"
"Atractylodes atractylodes powder dosage, dosage is different, the efficacy is also very different, although the child is young, but the disease is obvious, but there is no need to worry about any danger, kudzu is doubled, the dose of other drugs is increased, and the effect can be seen in one dose. ”
"A dose?"
Many people at the scene looked at Fang Han in amazement, Fang Han really dared to say, a dose?
: Two more delivered, today's daughter's birthday, it won't be updated at night, take a break!