Chapter 158: Talk about conditions before treating the disease
"Silly boy, how can we not treat this? We are already here, and we don't need a pair of shirts and trousers anymore. Hurry up."
Lin Sanqi silently recited the blessings of the Infinite Heavenly Lord in his heart, and then exposed Zhang Jingjing's groin, and sure enough he saw two obvious Paschal's lines on the inside.
Paschal's lines are a specific lesion during an attack of scarlet fever. They are generally purple lines that appear in certain parts of the body. This purple line can be caused by skin folds, dense rashes, or friction and bleeding.
Zhang's mother also saw it, and the last doubt in her heart about Lin Sanqi disappeared:
"Dr. Xiaolin, how are you? Are these the lines you mentioned? Can you determine what is wrong with my daughter now?"
Lin Sanqi nodded: "It's basically certain, but I'm still verifying it in the end. I hope the patient can endure it a little longer."
Zhang's mother suddenly had a bad premonition and asked cautiously:
"Dr. Xiaolin, how can I ask my daughter to cooperate?"
Lin Sanqi decided to agree in advance to avoid being regarded as a gangster:
"I also need to look around the patient's penis, mainly to see if there is any molting around the penis."
"Gangmen???"
The old lady felt that she was really ignorant. Is this how the Lingnan School treats doctors? Isn't this too exaggerated?
However, the examination has reached this stage, and everything that should be seen and should not be seen has been seen. The old lady was also decisive and helped her daughter start to turn over:
"My dear daughter, please bear with me for a while and check the last step."
At this time, Zhang Jingjing already felt that her body was no longer hers. She was just a corpse without emotions, so whatever.
Lin Sanqi didn't do any ink stains. No molting was found in the patient's body, and he was reassured that the diagnosis was clear.
If there is peeling, Kawasaki disease should be suspected.
"Aunt Zhang, it's okay. You can help the patient get dressed. I already know what the disease is."
Seeing the relaxed expression on the young doctor's face, Zhang's mother immediately asked in surprise: "Doctor Xiao Lin, can my daughter be saved?"
Lin Sanqi nodded slightly: "It's very troublesome, but it's not hopeless."
Zhang Jingjing was already dying of shame and anger, but now that she heard that she could still be saved, her eyes flashed brightly and she asked weakly:
"Doctor Lin, don't I have to die?"
Lin Sanqi still felt a little guilty when facing Zhang Jingjing. Who knew that she had looked at everyone? She had a good figure, but the red rash affected her perception.
"Don't worry, I will do my best."
Mother Zhang was so happy that she shed tears: "That's great, that's great. Dr. Xiao Lin, please help me treat it quickly."
Zhang Xingbang was already waiting impatiently outside the door. When he saw Lin Sanqi coming out, he grabbed him:
"Dr. Xiaolin, how are you? What's wrong with my daughter?"
Lin Sanqi affirmed: "My daughter's disease is called sore throat in Chinese medicine and scarlet fever in Western medicine. It is a type of infectious disease."
As soon as these words came out, a middle-aged doctor next to him said to his companions: "Look, I just said it was rotten throat."
Another doctor frowned a little: "Sore throat, this disease is almost fatal, so what if the diagnosis is clear?"
Infectious diseases, let alone those days when there was a shortage of medical treatment and medicine, there is still no particularly good treatment method even now.
Zhang Xingbang cried anxiously when he heard it was a plague: "Ah, what can I do, my poor daughter?"
Huang Liqiang was a bystander: "Old Zhang, don't worry, Comrade Lin didn't say it couldn't be cured. Comrade Lin, look at Zhang Jingjing's disease..."
How could Lin Sanqi easily say that he could cure it? Others won't cherish things that are too easy to get. That's not how favors are sold.
"By the way, teachers, how were you doing treatment before?"
A middle-aged doctor replied:
"Comrade Lin, it's like this. We used Forsythia Shuanghua Drink for treatment before, and then used Pien Tze Huang to reduce fever and protect the liver. It started to be effective, but then the rash spread all over the body and the body temperature went up again."
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Lin Sanqi asked strangely: "Have you considered antibiotic treatment?"
The first choice drug for treating scarlet fever is penicillin. Lin Sanqi knew that this drug should be available in this era.
At this time, Huang Liqiang helped explain: "Comrade Lin, are you talking about penicillin?"
Lin Sanqi was particularly affectionate when he heard this name, as if he was watching an anti-Japanese drama. The underground party exchanged gold for penicillin, and then sacrificed many comrades before bringing it to the rear.
"Yes, it's penicillin."
Huang Liqiang is a little embarrassed:
"I don't know what the situation is like in the capital, but after the founding of New China, foreign countries have imposed a penicillin embargo on our country, so the amount of penicillin flowing into our country every year is not large.
Our hospital only has a small amount in stock, but the province has made it clear that this is a strategic drug and cannot be used unless absolutely necessary. I also tried my best to get two bottles, but the effect was not very good after using it. ”
Lin Sanqi thought that penicillin must be effective, but it was only two bottles, and the antibiotic was gone just as it was about to take effect in the human body. The course of treatment was not enough, so it would be strange that it would be effective.
This gave Lin Sanqi an intuitive impression of medical drugs in the 1950s.
Zhang Xingbang asked carefully while wiping his tears:
"Dr. Xiaolin, my daughter's disease..."
Lin Sanqi thought that he would definitely be able to save him. As a medical student, he still had some basic humanity and medical ethics, but staying in Fuzhou to save people would delay things. After all, his procurement task was also quite heavy.
"It can be saved!" Zhang Xingbang, Huang Liqiang and several local doctors nearby were a little excited.
"But there are several difficulties:
The first difficulty, Section Chief Huang also knows, is that I was sent by my unit to purchase medicinal materials, and our unit is still waiting for my medicine. If I stay in Fuzhou now, the treatment will take at least 7 to 10 days. Delaying so many days will disrupt the clinical medication of our Capital Hospital of Traditional Chinese Medicine..."
Zhang Xingbang slapped his chest: "Doctor Xiaolin, don't worry, I don't dare to speak big words in other provinces, but as long as we have what we have in Hu Jian Province, I will cover it, and what you want is..."
"Andrographis paniculata, two tons."
"Two tons of Andrographis paniculata, right? I'll take care of this. I'll find someone to help you buy it in Zhangpu today, and deliver it to Xiamen Railway Station as quickly as possible for shipment directly to the capital."
Lin Sanqi thought to herself that there was indeed someone there who was easy to handle, and it was just a matter of words.
Huang Liqiang was also there to help his friend say good things:
"In addition, Dr. Xiaolin, you are interested in Pien Tze Huang. Please give me a number, and Lao Zhang and I will help you find a solution."
Although Pien Tze Huang is not too precious now, production is limited due to the scarcity of raw materials, and it is difficult for people without connections to get the goods for a while.
Lin Sanqi was happy and ready to implement it quickly:
"It's like this. I bought Pien Tze Huang for other friends in the capital. The more the better. The first batch requires 5,000 pills. I wonder if Director Zhang and Section Chief Huang can..."
"Yes!"
Director Zhang said categorically: "Five thousand pills is not a small amount. I will order it now in the name of the supply and marketing cooperative and ask Zhangzhou Pharmaceutical Factory to work overtime for production immediately."
Lin Sanqi is more concerned about the price: "How much does this cost per pill?"
He thought to himself, if the medicine is expensive and he only has 10,000 yuan, he has to find a way.
Zhang Xingbang said a little embarrassed:
"Dr. Xiaolin, it's like this. I can ask Zhangzhou Pharmaceutical Factory to ship the goods in the quantity you want, but the price cannot be discounted. Generally, their ex-factory price is 1 yuan per pill, and you can issue formal invoices."
Lin Sanqi breathed a sigh of relief. One yuan a pill was enough for him.
By 2023, those Pien Tze Huang pills made of synthetic materials will be sold for 1,600 yuan each. This one is made of authentic natural materials, so it will not cost tens of thousands of yuan per pill.
"Director Zhang, I don't need to give discounts on prices. Everything follows the rules. If there is a chance in the future, I would like to buy more Pien Tze Huang."
Zhang Xingbang patted his chest again: "This matter will be taken care of by me from now on, no problem."
Lin Sanqi was satisfied. The other party was loyal, so he couldn't be stingy:
"Okay, Director Zhang, you can prepare isatis root, bamboo leaves, red peony root, paeoniae root, reed root, raw land, silver flower, black soybean, chaigui, and burdock for me immediately. 7 wild ginseng branches over 50 years old, In addition, the higher the level of Dendrobium officinale, saffron, blood root, and ice ball, the better.”
Lin Sanqi is just retaliating. He doesn't know any Chinese medicine prescriptions.
The reason why he applied for many valuable Chinese patent medicines was because Lin Sanqi didn't want the Zhang family to think that saving people was easy. Otherwise, how could he show his level as a successor of the Lingnan School?
Zhang Xingbang didn't understand medicine and looked at Huang Liqiang next to him.
Huang Liqiang discussed with several doctors next to him, nodded heavily and said:
"Comrade Lin, no problem. We have all these medicinal materials in our medicine storehouse. We will definitely bring out the best ones."
Lin Sanqi pretended to be mysterious and said:
"Then prepare another room for me, a stove and a medicine jar. The medicines I prepare are all secret recipes passed down from our family and cannot be known to outsiders. I hope everyone will forgive me."
Huang Liqiang understood instantly. No wonder Dr. Xiaolin wanted so many medicinal materials. I'm afraid the real purpose was to confuse the public and make it difficult for outsiders to guess the real prescription.
But this is in line with the views of a family of traditional Chinese medicine.
With Section Chief Huang as a guarantee, Lin Sanqi's request was quickly met, and all medicinal materials and decoction tools were ready.
Lin Sanqi hid in an empty room and began to prepare the medicinal soup in a mysterious manner.
In fact, he didn't know much about it, and he was afraid that random combinations would produce toxic side effects and harm people first instead of saving them.
So he picked the safest licorice and started decoction on the stove.
Licorice is found in almost all Chinese medicine prescriptions and is very versatile. However, from another aspect, it can be seen that this medicine has little toxicity and little effect, and it will not kill anyone.
After cooking for half an hour and seeing that it was almost done, Lin Sanqi poured out the concoction, mixed a loxoprofen capsule into it, opened it and stirred evenly.
Loxoprofen is a phenylpropionic acid non-steroidal anti-inflammatory drug and has very good analgesic and antipyretic effects, although from the perspective of traditional Chinese medicine, it treats the symptoms rather than the root cause.
But if Lin Sanqi wants to give the Zhang family hope in the shortest possible time, she must use Western antipyretics.
Besides, the patient is burning to death, so what are you talking about? This is nonsense.
When using first aid medicine, the most important thing is to reduce the fever first and save your life.
(End of chapter)