Chapter 703: Aconite
"No effect?"
Du Yuntao's brows furrowed slightly, but he quickly stretched out, and said very easily: "I'll check the pulse again." ”
While diagnosing the pulse, Du Yuntao also asked questions.
Fang Han had already called up Lu Manting's diagnosis and treatment information from the computer, and listened while watching,
The diagnosis and treatment information on the computer is very comprehensive, with the popularization of computers, modern informatization has become the mainstream, electronic medical records also have legal effect, for outpatient clinics, electronic medical records are actually already the mainstream, doctors no longer need to write by hand, when the computer enters the diagnosis, and then archives, the diagnosis and treatment records are always available, and the information on it can also be used as a diagnosis and treatment certificate.
If the doctor misdiagnoses or maliciously asks the patient to do more examinations, etc., this diagnosis and treatment record is evidence, no one checks it, and once someone checks it, it can be checked in detail.
Fang Han can clearly see Du Yuntao's diagnosis of Lu Manting last time from the diagnosis and treatment records.
Lu Manting, 34 years old, female, symptoms are dizziness, insomnia, dry mouth and irritability, has been a medical history for half a year, has seen many doctors, blood pressure fluctuations of 150-188/100-110mmHg.
The tongue is red and dry, the moss is thin and white, and the veins are like strings and slippery.
The diagnosis of Du Yuntao is that the liver and kidney are deficient in yin and hyperactive in the liver, and the treatment is to cultivate yin and latent yang.
There are also prescriptions prescribed by Du Yuntao, 30 grams of white peony, 30 grams of oysters, 30 grams of cassia stone, 25 grams of rehmannia root, 13 grams of wheat winter, 15 grams of chrysanthemum, 15 grams of fungus Chen, 20 grams of Ze Yuan, 30 grams of mulberry parasitism, and water decoction (Note, although the Chinese medicine cases in the book are all adapted from real cases, but the treatment of Chinese medicine pays attention to one person and one party, and the treatment is due to the disease, so the Chinese medicine prescription in the book should not be seated in the right place, and should not be rashly used - Fang Qianjin).
With Fang Han's level, it is easy to understand the entire diagnosis and treatment record, the patient's symptoms, Du Yuntao's dialectic, medication and so on.
At Du Yuntao's level, the probability of the patient's symptoms and pulse errors is not low, and from the perspective of symptoms, Du Yuntao's dialectic is not wrong, the patient is indeed liver and kidney yin deficiency, and liver yang is hyperactive.
It's just that the patient has taken three doses of medicine and it has no effect, what is going on?
Fang Han carefully looked at the prescription prescribed by Du Yuntao, there was nothing wrong with the whole prescription, it was indeed symptomatic, and it belonged to the prescription of cultivating yin and latent yang.
After pondering for a while, Fang Han didn't have a clue, so he simply communicated with the system to exchange two grandmaster-level skills, one for grandmaster-level dialectic, and one for grandmaster-level medicine selection.
Many of Fang Han's skills are now at the intermediate level, and there are many skills at the advanced level, but some skills such as dialectics and drug selection and compatibility are still only at the primary level, and they have not advanced to the intermediate level.
In some treatments, the reason why Fang Han was able to have whimsical ideas, and even solved some of the symptoms that the chief physician was a little blind, was actually mostly because Fang Han's comprehensive strength was good and he knew a lot, and another was that Fang Han had seen a lot of medical cases, and he could often find similar medical cases for reference.
The books in Guo Wenyuan's study are absolutely priceless for Chinese medicine doctors, and the help of reading a wide range of books is definitely quite great for Chinese medicine practitioners, and many of Fang Han's skills can be improved to the primary or even intermediate level by self-study, precisely because he reads a lot of books.
But in the face of this disease, Fang Han really couldn't understand it, without Du Yuntao's level is not bad, the chief physician, professor, Du Yuntao's level can definitely be ranked in the third echelon in the apricot forest world.
Since he couldn't understand it, Fang Han could only use the system, the grandmaster-level skills were instilled into Fang Han's mind by the system, and Fang Han easily saw the problem and figured out the key point.
When Fang Han looked at the diagnosis and treatment records, Du Yuntao had already examined Lu Manting again, checked the pulse, checked the tongue coating, and asked about the symptoms.
After the inspection, Du Yuntao's face was no longer relaxed.
Before, the young man surnamed Pei said that there was no improvement, but Du Yuntao didn't care very much, after all, some symptoms are not based on seeing or feeling, and whether the drug is really effective is not simply from the symptoms.
After checking his hands, Du Yuntao found that after taking three doses of medicine, the patient's condition did not improve much.
"It shouldn't be. ”
Du Yuntao wondered in his heart, he diagnosed this disease quite clearly, and there was nothing wrong with the medication, it was naturally impossible to cure it with three doses of medicine, but how could it be improved after three doses of medicine.
"Doctor Fang, do you see anything?"
When Fang Han looked at the diagnosis and treatment records, Sun Yiyang was also watching from the side, but compared to Fang Han, Sun Yiyang couldn't understand it, whether this prescription was right or not, Sun Yiyang didn't have a clue at all.
Fang Han glanced at Sun Yiyang, did not say anything, but knocked a prescription on the computer, and then pointed to the computer.
Sun Yiyang was not a fool, so he naturally understood what Fang Han meant, hurriedly walked to Du Yuntao's side, and clicked twice on Du Yuntao's computer.
Fang Han and Du Yuntao are sitting facing each other, although the two people use different computers, they can use the same system, and the two computers are connected.
After Sun Yiyang clicked twice, Du Yuntao saw what Fang Han had entered.
Fang Han entered a prescription.
At first glance, Du Yuntao saw that this recipe was no different from the prescription he had prescribed before, and the medicinal materials and dosage were almost the same.
But Sun Yiyang would never be bored to come over and show himself exactly the same recipe, so Du Yuntao took a closer look, and after a closer look, Du Yuntao found that it was different, Fang Han added a taste of medicinal materials to his original prescription.
5 grams of aconite.
This is the medicinal herb that Fang Han added, and Fang Han added a taste of aconite to Du Yuntao's original prescription.
Seeing Fang Han's aconite, Du Yuntao's face did not change much, and his brows wrinkled a little deeper.
Aconite: spicy, sweet, hot, return to the heart, kidney, spleen meridian.
Efficacy: Restore yang and help adversity, replenish fire and help yang, dissipate cold and relieve pain. It is used for the collapse of dead yang, cold limbs and slight pulse, lack of heart yang, chest paralysis and heartache, deficiency and cold, vomiting and diarrhea, cold pain in the abdomen and abdomen, kidney yang deficiency, impotence and cold palace cold, yin cold edema, yang deficiency and external sensation, etc.
As the chief physician and a professor-level Chinese medicine master, Du Yuntao is naturally very aware of the efficacy of aconite.
Aconite is poisonous, spicy, sweet, and hot.
The flavor of aconite Chinese medicine can be said to be a considerable number of medicinal materials in the past dynasties, and there are not many prescriptions containing aconite in the prescriptions, such as aconite Lizhong soup, four reverse soup, ephedra aconite licorice soup, licorice aconite soup, Zhenwu soup and so on.
There are many effects of aconite, the effect is powerful, it is used in traditional Chinese medicine, but this flavor medicine is the most difficult to use, because aconite is toxic, you must be cautious when using it, and the flavor medicine of aconite can be said to be non-doctorable.
Among the ordinary Taipinglang, there are really not many people who dare to use aconite casually.
Du Yuntao is naturally not an ordinary TCM doctor, nor is he a quack, as the chief physician of the TCM Department of Yanjing Hospital, a professor-level TCM expert, he has used aconite a lot of times.
But in this condition, Fang Han added a blind aconite to the prescription, but Du Yuntao was a little puzzled.
In addition to the fact that aconite is toxic, the fact that aconite is hot alone is not suitable for this disease.
The patient is yin deficiency and yang hyperactivity, how can such a disease use drugs to help yang, you must know that the biggest role of aconite is to restore yang and save adversity.
This effect is very powerful, and the reason why the flavor medicine of aconite is praised is that it is the effect of his return to yang and rejuvenation.
What is Huiyang and Rescue Reversal, you can see one or two from the literal meaning alone, patients are critically ill, and patients with acute illnesses often reverse the situation with a dose of aconite, so that patients can turn the crisis into safety, which shows the role of aconite.
But in this disease, it is necessary to cultivate yin and latent yang, that is to say, to enhance yin and inhibit yang, in this case, the aconite that returns to yang and saves adversity is obviously not usable.
can't use Fang Han but added such a medicine, this is what makes Du Yuntao wonder.
What is Fang Han's level?
Although he had only a short contact with Fang Han, Du Yuntao knew that Fang Han's level was definitely not low, whether it was in Mei Lao's illness, or Quan Lao's illness, or Su Yingyun's illness just now, Fang Han's level was not bad.
Moreover, Fang Han also saw several patients in the clinic today, and from the situation of several patients that Fang Han saw today, Du Yuntao could also see Fang Han's level.
If this aconite was added by Sun Yiyang, Du Yuntao wouldn't think much about it at all, but this aconite was added by Fang Han, so Du Yuntao had to think about it carefully.
"White peony, oyster ......"
While pondering, Du Yuntao carefully read his recipe twice.
Suddenly, Du Yuntao's brows stretched, and he couldn't help but give Fang Han a thumbs up in his heart.
This little party, how did his brain grow, he could think of this, he was really a genius, a demon.
Thinking about the key, Du Yuntao then printed out the recipe written by Fang Han, stamped it and signed it, and then handed it to the young man surnamed Pei.
"Mr. Pei, go back and take three more doses of this prescription, and come back for a follow-up visit next Monday after eating, and I will ask the nurse to leave a number for you." ”
The young man surnamed Pei took the prescription and looked at it, and said, "Director Du, this prescription ......"
The young man surnamed Pei actually wanted to ask, it had no effect before, this recipe can have an effect, but halfway through the words, he felt that it was inappropriate to ask this question, and he didn't give Du Yuntao face.
Du Yuntao knew the thoughts of the young man surnamed Pei, and said with a smile: "I was not thoughtful before, and there were some omissions, I have already modified this recipe, go back and take three doses, and come back to me if it has no effect." ”
"Thank you, Director Du. ”
The young man surnamed Pei smiled and thanked him, then helped Lu Manting to say goodbye to Du Yuntao, and the two walked towards the outside of the clinic.