Physical examination after admission: T: 36.5°C, P: 100 times/min,

R: 20 times/min,

BP: 120/80 mmH g, tired expression, wheelchair pushed into the ward, hypoxic appearance, orthopnea, pupils equal to large and equal circles, sensitive to light reflex, cyanosis of the lip nail bed, red throat, no enlargement of bilateral tonsils, barrel chest, both lungs full of wet rales and wheezing, small heart, uniform heart rhythm, heart rate: 100 beats/min, no murmur, flat abdomen, no tenderness, no rebound tenderness and muscle tension, no edema in both lower limbs.

Ancillary tests: blood glucose immediately after admission: 7.0 mmmol/l, electrocardiogram: sinus tachycardia, moderate ST short depression.

The initial diagnosis is bronchial asthma.

After being transferred to the central hospital, after admission, relevant auxiliary examinations (chest X-ray, blood routine, blood biochemistry, electrocardiogram, etc.) were carried out to further clarify the diagnosis, and the most important differentiator of this disease is the possibility of cardiogenic asthma. Symptomatic supportive treatment such as oxygen inhalation, severe disease, anti-inflammatory, antispasmodic and asthmatic, cough and phlegm, and maintenance of water and electrolyte balance. After giving high doses of antibiotics, hormones (high-dose hydrocortisone, dexamethasone), aminophylline, albuterol spray, loratadine and other drugs, he has been admitted for nearly half a month at this time, and his symptoms are slightly controlled, but he still has asthma attacks at night, and the attack is still the same as when he was admitted to the hospital.

The treatment has been ineffective so many times, so I am ready to use traditional Chinese medicine, and today's arrival of Wang Ming made the other party think of using traditional Chinese medicine for treatment.

"Invite someone over, I'll take a look first. Wang Ming said to Yang Meng.

“haode。 Yang Meng helped the other party over.

Wang Ming looked at the old woman and observed carefully.

Looking at the patient's complexion, he found that his complexion was dull, his lips and nails were blue, and his spirit was poor.

Standing beside the patient, Wang Ming heard the sound of phlegm and panting!

Wang Ming knew the state of the other party's illness after seeing the case, and when he had an attack, he saw that he opened his mouth and raised his shoulders, could not lie flat, coughed, coughed up a large amount of white foamy sputum, and the phlegm could be drawn!

"Open your mouth and I'll take a look. Wang Ming said.

Wang Ming saw that the other party's tongue coating was slippery, and the tongue was purple and dark, and then diagnosed the other party's pulse, and found that the pulse was slippery.

However, there are many kinds of wheezing, and this case is for chills!

"Yang Meng, have you read "Treatise on Typhoid Fever"?" Wang Ming asked Yang Meng.

"Yes, what's wrong? Yang Meng asked a little uncertainly.

"Then do you know the little green dragon soup?" Wang Ming continued to ask.

"Know... Road. "Yang Meng has some impressions now, Xiaoqinglong soup seems to treat typhoid fever, but it can also treat asthma!

"You memorize it for me!" Wang Ming said solemnly.

"Typhoid fever is incomprehensible, there is moisture under the heart, retching, fever and cough, or thirst, or benefit, or choking, or urination is not good, less belly full, or wheezing, Xiaoqinglong soup··· Lord... It. Yang Meng then remembered that he had forgotten what he had learned, although he still remembered it, he would not use it, and there was no difference between forgetting it.

"Then since you remember this, you don't know how to choose the party?" Wang Ming continued to ask.

"I remember, I should choose to shoot dry ephedra soup when I scream!Master, do you want to shoot dry ephedra soup?" Yang Meng said with some excitement.

"No! I'm telling you now, you have to read the things in the book, but you have to be able to remember it, you have to be able to use it. As soon as I remind you, you can think of this, what if I don't remind you? Also, the treatment should not be completely selected according to the textbook, and the first choice in the textbook is to shoot dry ephedra soup, but not all the diseases in the world are originally sick according to the records in the book, and now this patient should consider his phlegm and drinking to the lungs, and drinking evil is worse! Do you understand what I said?" Wang Ming said to Yang Meng, from the very beginning, we must let them develop the habit of thinking more, which is more than teaching them things. …,

"Master, I understand, should I use Xiaoqinglong soup to add flavor to treatment? Please teach me!" Yang Meng asked for advice sincerely, he already understood what Wang Ming meant, and he didn't want to be unclear in the future.

"What you just said about the "Treatise on Typhoid Fever" Xiaoqinglong Soup, then this article discusses the treatment of solar typhoid fever and internal cessation of water drinking. Use Xiaoqinglong soup to warm and relieve the surface, warm water drink, ephedra sweating and asthma in Fangzhong, with cinnamon branches to enhance the function of Tongyang Xuan lungs, peony and cinnamon branches match, reconcile Yingwei, dry ginger, fine pungent cold drink, schisandra lungs and cough, and make dry ginger, fine pungent not to rise and disperse too much, half summer to reduce the inversion of the drink, boil licorice and the middle and harmonize the medicines, and then add Poria cocos, almonds, shoot dry, aster, winter flowers and other drugs to enhance the effect of dispersing cold and drinking, cough and phlegm. The combination of various medicines can make up the work of warming and dissolving the surface and warming the water and drinking. After that, shoot dry ephedra soup to add flavor to the aftermath. It's not one of them, but Xiaoqinglong Tangjiawei is really right!"

Wang Ming said to Yang Meng, although it was only to Yang Meng alone, but Wang Ming's words reached the ears of several other people.

"You write the recipe here!" Wang Ming said to Yang Meng, since Yang Meng explained it, let him write down the recipe, and it will not be wrong to look at it by himself when the time comes.

"Yes, teacher!" Yang Meng lowered his head and began to write.

"The diagnosis is asthma, the syndrome differentiation is cold and wheezing, and the treatment is given Xiaoqinglong Tang with flavor, and the prescription is: 10 grams of ephedra, 10 grams of cinnamon branches, 5 grams of fine spice, 10 grams of dried ginger, 10 grams of schisandra, 15 grams of white peony, 15 grams of shoot dry, 15 grams of banxia, 15 grams of aster, 15 grams of winter flowers, 18 grams of poria cocos, 8 grams of almonds, 6 grams of boiled licorice, and 5 pairs of medicine to observe the curative effect. In addition: after the symptoms appear obvious to haode effect, the treatment is treated with ephedra decoction and flavor, the prescription is: 15 grams of ephedra, 10 grams of ephedra, 15 grams of aster, 15 grams of winter flowers, 5 grams of fine spice, 15 grams of banxia, 12 grams of schisandra, 10 grams of Sichuan fritillary, 15 grams of melon shells, 15 grams of Suzi, 12 grams of almonds, 6 grams of boiled licorice, check after taking five pairs of medicine, and see that the effect continues to consolidate and take!"

Yang Meng took it over and showed it to Wang Ming.

Wang Ming looked at the two recipes and nodded, although Yang Meng was a little too dogmatic, but his own literacy was still good, these recipes were also written down according to what he said just now, after Wang Ming looked at it, he only changed the almonds in the Xiaoqinglong soup to ten grams, and the others were not changed.

Wang Ming knew in his heart that Yang Meng had less experience after all, and he didn't dare to put more medicines, so Wang Ming understood that it was good to be cautious after all.

"A few of you should remember that to be a doctor, you must read more books and turn the knowledge in the book into your own, which is called thinking after reading, and then applying it to clinical practice on this basis, which is called applying it to the world. Just as Confucius said: "If you learn without thinking, you will be reckless, and if you think without learning, you will die." ”

"After you go back, sort out today's case and hand it over to me, remember to think more, and make it useful to the world!" After Wang Ming finished speaking, he started to get busy again, and only a few remaining disciples muttered:

"Useful to the world!" Ask for a recommendation vote~~~