Lin Sanqi first took the pulse, and ignored the flat pulse, heavy pulse, late pulse, and thin pulse, just pretending to be very sophisticated.
Dean Shen burst out laughing in the crowd.
A layman looks at the excitement, and an expert looks at the doorway. One look at Lin Sanqi's gestures and position for diagnosing the pulse, and you can tell that this guy is a dabbler.
Not to mention the three old men, they saw the problem at a glance, but they didn't say anything.
At this time, Lin Sanqi asked Yang Xiaojie to lie flat on the ground, with his feet bent, the fingers of his right hand pressed together, and the fingertips attached to his belly, and he began to palpate the abdominal pain in a counterclockwise direction.
There was an employee of the Traditional Chinese Medicine Hospital next to me who was a little surprised: "Hey, I've never seen Chief Lin's technique before. Which school is it from?"
The employee next to him whispered back: "I guess this is the Lingnan School method. There is quite a big difference between the north and the south."
Dean Shen complained again: "This is not our traditional Chinese medicine technique. This is clearly Western medicine palpation."
Lin Sanqi had already assumed the role at this time and was conscientiously doing his job as a doctor. He felt a hard lump in Yang Xiaojie's upper abdomen.
It can move with a slight push of your finger.
Lin Sanqi's mind immediately recalled the introduction in the textbook about abdominal masses in children.
Common causes include parasitic infection, gastrointestinal obstruction, intussusception, inguinal hernia, mesenteric lymphadenitis, etc.
Which one specifically? At this time, Lin Sanqi missed the color Doppler ultrasound machine very much. Otherwise, she would just place an order. Once the B-ultrasound was done, it would be clear. No matter how unclear it was, even if she added another CT scan, she would not be able to escape.
Now I can only guess by myself...
After Lin Sanqi checked all five children, Mr. Shi asked:
"Xiaoqi, what problem did you diagnose?"
"Master, I felt a movable mass in the abdomen of several patients. I initially judged that the lesion was in the intestines. Combined with the fact that the patient was acutely ill and had eaten fried flour that was dry and indigestible before the onset of the disease, I decided It is likely to be intestinal obstruction.”
Suddenly Lin Sanqi thought that intestinal obstruction is a term in Western medicine, and quickly changed her words: "Hey, it's intestinal knot..."
Mr. Shi knelt down and checked each child. There was no expression on his face, but he continued to say thoughtfully:
"If it's intestinal colon, how do you think it should be treated?"
Lin Sanqi tried again to recall a phrase from the textbook, counting it out with her hands:
“The first step is to decompress the gastrointestinal tract, which is mainly to extract excess gas and liquid accumulated in the intestinal obstruction area to reduce the tension in the intestine, reduce the symptoms of systemic toxicity in children, and at the same time improve respiratory and circulatory functions.
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The second step is enema treatment. Children with intestinal obstruction should first promote the discharge of feces to avoid irritating the intestines. Enema treatment can be chosen to clear the intestinal area where obstruction occurs.
In the end, if it doesn't work, the only option is to have surgery. Cut open the stomach and intestines, take out the obstruction, and then sew it up layer by layer. ”
After Lin Sanqi finished speaking, she thought about it and realized that there should be nothing she missed. If she answered like this during the exam, she would definitely get full marks.
But the question is, this is the theory and treatment plan of Western medicine. Will it anger the many Chinese medicine doctors present?
Feeling guilty, Lin Sanqi secretly glanced at Mr. Shi, Mr. Xiao and Mr. Han again.
Mr. Xiao was so angry that he blew his beard and glared. Mr. Han kept rolling his eyes. Only Mr. Shi still had the half-smiling expression, which made Lin Sanqi panic.
"Boy, there is no problem with the diagnosis of intestinal colon, which shows that you still have basic medical skills, but you are talking about Western medicine and never mention Chinese medicine. Why, do you think Chinese medicine is ineffective in treating intestinal colon?"
The employees who were watching the hospital looked at Lin Sanqi with stern eyes, as if they were looking at a traitor.
Lin Sanqi swallowed nervously, but based on his analysis based on the knowledge he had learned, he really did not think that Chinese medicine could do anything to treat intestinal obstruction.
Can your Chinese medicine doctor perform surgery? Can I give an enema? Can it be ventilated?
But Lin Sanqi knew that she couldn't say that. She would be a fool if she said it. Do you want to gain a foothold in a traditional Chinese medicine hospital in the future?
"This, this, our Chinese medicine is so great, there must be a way. But Master Shi, you also know that my family specializes in typhoid fever. I treat fever and heatstroke. I really don't have much insight into Chinese medicine surgery, hahaha~~~"
When everyone heard this, they thought about it. Traditional Chinese medicine is also divided into specialties. One treats headaches, brain fever, and treats intestinal colon. Even if you don't understand it, you can understand it.
Mr. Shi chuckled: "Little slicker, since you have no knowledge, today we will let you see if Chinese medicine can work. Western medicine is not the only way to treat intestinal colon. Oh, you said intestinal obstruction. Xiao Song, Xiao Song from the pharmacy , is Song Yanfu here?”
“Here, there, there!”
A middle-aged man in his forties ran out of the crowd: "Doctor Shi, please give me your orders."
"I won't write a doctor's order anymore. Just remember it yourself. You should immediately prepare two sets of medicine. The first set of medicine is 5 pounds of raw white radish and 4 taels of Glauber's salt. Fry over high heat for a quarter of an hour. Divide into five equal portions and take them immediately. < br>
For the second medicine, prepare 2 liang of ocher powder; 3 qian for Inula; 1 liang each of raw Pinellia ternata and Magnolia officinalis; 3 qian each of Citrus aurantium, costus, agarwood, and licorice; 1 liang fresh ginger; simmer for two seconds. After a few minutes, add a cup of ginger juice to the medicinal soup.
In addition, three qian of red ginseng is fried and added separately. Do you remember what I said? Song Yanfu nodded repeatedly: "Don't worry, Doctor Shi, I have remembered everything." ”
Song Yanfu is also an old man in the traditional Chinese medicine room. He has worked as an apprentice in a medicine shop since he was a child. He is known as "a handful" by people in the world. He does not need to weigh the medicinal materials when he grasps them. His hands are like scales.
After saying that, Song Yanfu rushed to cook the medicine. Although the branch of the Traditional Chinese Medicine Hospital has not yet opened, the medicinal materials are all ready and can be taken at any time.
After filling out the prescription, Mr. Shi was just about to get up. Lin Sanqi was a little anxious:
"No, old man, these five children are still in pain. How long will it take for the medicine to take effect? Is there any other way to relieve them?"
At this time, Mr. Han came over with a wooden box under his arm:
"It's not easy to stop the pain. Get out of the way and look at me."
Mr. Han opened the wooden box, took out the silver needle inside, and casually inserted three needles into the child's three acupuncture points: epigastrium, Qihai, and Hegu. His movements were smooth and effortless.
Lin Sanqi was still in a daze, but Mr. Han had already finished his work.
"No, Master Han, is this good?"
"Okay, ask them if they still hurt now?"
Lin Sanqi was stunned, turned around and asked: "Does it still hurt?"
Several children immediately showed joy: "It's still uncomfortable, but it doesn't hurt that much anymore. Thank you grandpa."
Lin Sanqi said sincerely: "Wow, this acupuncture is amazing."
An employee of the traditional Chinese medicine hospital next to him sighed:
"That's Mr. Han's Seventy-two Taiyin Needles. That's the real miracle. Unfortunately, Mr. Han rarely does it now. If we can learn a few tricks, we can also become famous doctors."
Lin Sanqi blinked, thinking that Mr. Han's acupuncture experience and the set of acupuncture made of meteorites were all in his hands. Should he go and look through them when he went back?
Mr. Shi had already arrived at Pan Ye's side and asked with a smile:
"Xiao Yezi, how did you diagnose this patient?"
"Master, I have already asked. The patient started vomiting half an hour after eating scallion pancakes, and eventually developed into severe hiccups. Now his voice is high, his face is as red as makeup, his tongue is watery and slippery, his six pulses are heavy and thready, and he is in excruciating pain.
Judging from the pulse condition, the patient usually suffers from fatigue and internal injuries. The kidney Yuan has been deficient for a long time, and the fire does not return to its position, resulting in bitter cold and Yang damage. It can't be cured. ”
After saying that, Pan Ye's face turned red again. This time he felt ashamed that his medical skills were not good enough and he was unable to save her.
Lin Sanqi was stunned for a moment while listening, thinking that this was the case. He knew every word individually, but why didn't he understand what they meant when put together?
Mr. Shi knelt down, checked the patient's pulse, and nodded approvingly to Pan Ye.
"Xiao Yezi is good. Your diagnosis is basically correct. The patient is indeed in a critical condition. If he hadn't been delivered in time tonight, I'm afraid he would have been dead by tomorrow."
The old lady was still retching. She had actually vomited all her bile and had nothing to vomit. However, the feeling of vomiting was still there. It was very painful and she shouted weakly:
"Doctor, help me, help me..."
Who wants to die? Old men and women usually talk about death, but when they are really about to die, they all have a strong desire to survive.
When the family members heard this, they knelt down and begged the doctor for help.
At this time, Mr. Shi saw the confused Lin Sanqi and ordered with a straight face:
"What are you doing so stupidly? Hurry up and find a pair of scissors. Prepare an empty bowl and some disinfectant alcohol. Be quick."
When Lin Sanqi heard this strange "prescription", her mind was filled with questions. She really couldn't figure out what the relationship between vomiting and scissors was. Does it mean that if you want to cure a disease first, you must first commit suicide? But the patient is a woman.
Complaints are complaints, Lin Sanqi's hands and feet are still very nimble, not to mention that the bungalow dormitory area is not far away, and the scissors were brought soon.
"Old man, here are the scissors."
"What are you doing for me? Go and cut the patient's fingernails. Pay attention to collecting all the fingernails and put them in the bowl."
Lin Sanqi was stunned again, thinking that she was going to guest star as a "manicurist"?
The problem is, manicurists are always paid by Haidilaomen to pass the time for women waiting in line. Now is the critical moment to save people, why do you still have time to cut your nails elegantly? Do you want to paint your nails Barbie Death Pink?
Not to mention Lin Sanqi didn't understand, even Dean Shen, Pan Ye, and the staff of the traditional Chinese medicine hospital who were watching were full of questions.
Everyone knows that Mr. Shi Jinmo must have his own reasons for wanting nails, but no one has ever heard that nails can be used as medicine.
Now is not the time to question. As a lower-level doctor, Lin Sanqi will of course follow the orders given by the superior doctor to the letter, so he obediently picked up the scissors and cut the old lady's nails. (End of chapter)