Chapter 614: The fierce medicine "Zengye Chengqi Decoction", the apprentice inserts the master (Happy New Year)
When the crowd heard this, they immediately made a way out.
Then I saw a doctor leading the way in front, followed by a nurse holding a bowl of yellow medicine.
The smell just smells like a bitter smell hits my face.
When the medicine was brought to Fang Yan and the others, Dr. Liu's apprentice asked Fang Yan:
"What medicine is this? Is there coptis chinensis?" Fang Yan heard him ask, and knew that the curious baby wanted to explain his ideas for the medication.
He didn't hide it, and said directly: "No, this recipe contains rhubarb, so it tastes like this."
"This recipe The name of Zi is Zengye Chengqi Decoction, which comes from the "Treatment of Warm Diseases" by Wu Jutong in the Qing Dynasty. "
"There are rhubarb, Glauber's salt, Citrus aurantium, Magnolia officinalis, Raw Rehmannia, Yuanshu, Ophiopogon japonicus."
After speaking, Fang Yan saw a group of people showing their blank eyes, he knew that he had to say a few more words. So while picking up the decoction, he said: "Rhubarb and Glauber's salt are the main medicines. Rhubarb is bitter and cold, which can relieve heat and relieve bowel movements, and cleanse the gastrointestinal heat accumulation; Glauber's salty and cold, soft and moisturize dryness, can Helps rhubarb to relieve stool. The two are in harmony, and the power of slurry is quite strong, which can quickly eliminate the evil of intestinal heat. "
"Citrus aurantium and Magnolia officinalis are the medicines, and Citrus aurantium is bitter and spicy. Slightly cold, promote qi and eliminate bloating; Magnolia officinalis is bitter, spicy and warm, promote qi and eliminate fullness, and use the two medicines together to promote qi and eliminate bloating, assisting rhubarb and Glauber's salt to stagnate and go downward. "
"生生生, Yuan, etc. Ginseng and Ophiopogon japonicus are adjuvant medicines. These three medicines are composed of Zengye Decoction. They have the effect of nourishing yin and increasing fluid. They can replenish intestinal fluids and moisten the intestines, which is conducive to the excretion of dregs, and can also prevent diarrhea. Too much lower body will hurt the yin. ”
"If Dr. Liu hadn't been critical in this situation, I wouldn't have used this prescription. After all, rhubarb is usually regarded as a drug with a more severe effect in traditional Chinese medicine, which is often called "strong medicine". If this medicine is used improperly, it is easy to cause damage. The yang energy of the spleen and stomach. "
"Glauber's salt is even more so, and it is generally used in the treatment of critical and severe diseases. For example, when treating the symptom of Yangmingguan, it is combined with drugs such as rhubarb to form Dachengqi Decoction, etc. Prescriptions are used to treat evil heat and dry shit in the intestines, causing symptoms such as high fever, dullness, delirium, abdominal distension and pain, and impaired bowel movements. They can quickly relieve dry shit, cleanse the heat, and relieve the condition. "< br>
While speaking, Fang Yan had already arrived at Dr. Liu. The Chinese medicine doctors who came from the Chinese medicine department were still very sensible, so they came up to help Dr. Liu get up.
Doctor Liu's apprentice saw it and hurriedly said: "I'll do it!"
As he said that, he went up to help the unconscious Dr. Liu sit up.
The two needles on the dialect were placed on the cheek car, and then opened Dr. Liu's mouth with one hand.
"Very!"
This time the dean, who was standing aside, vented his dry retching.
The smell is really too sturdy.
Fang Yan and the others had already made predictions, so they held their breath and tried hard to make the idea of vomiting.
However, the dean made several people around him unable to hold back.
"Vomit..."
"yue..."
"My God...Vomit..."
"My God...Vomit..."
"Doctor Liu... vomits... this mouth is smelly than a rural pit...yue..."
There are dry retards coming one after another.
Fang Yan was also speechless. He endured the discomfort and put the bowl to Dr. Liu's mouth, wanting to pour it into him.
However, although Dr. Liu was in a semi-coma state, his consciousness could not control his body at all. After Fang Yan tried it several times, he couldn't let him drink it.
At this time, the dean on the side retching and reminded:
"I think... vomit... use nasal feeding method... vomit, pour it directly into the stomach!" Fang Yan reacted after hearing this, yes, this is the hospital, they all have everything. , much more convenient than inserting a nose tube in other places.
Fang Yan nodded:
"Okay, let's intubate!"
The dean pointed at Dr. Liu's mouth:
"Hait... close it for him!"
After Fang Yan closed Dr. Liu's mouth, the stench around finally faded a lot.
He endured the discomfort and laid Dr. Liu on the bed.
At this time, the person who had just held his breath began to breathe heavily. The dean walked over, patted Dr. Liu's apprentice on the shoulder, and then said: "Xiao Zhou, this is Your emergency doctors’ special skills, please get it! ”
After hearing this, Xiao Zhou was stunned for a moment, then looked at his master, and gritted his teeth and nodded, "Okay, I'll intubate my master!" Then Xiao Zhou started his operation.
He called his medical staff in the emergency department to prepare items for nasal feeding.
After a while, a lot of things were ready.
The efficiency is indeed higher than that of Tongrentang at that time.
Xiao Zhou skillfully placed the treatment plate on the table beside the bed. When he saw that the plate was placed with disinfected gastric tubes, tweezers, gauze, liquid paraffin, curved plates, tape, clips and suitable temperature ( 38-40℃) nasal feed.
Fang Yan frowned slightly. Things in this era are still a little backward, and the process will definitely not be too comfortable. This thing already has special machines in some hospitals in later generations.
Then, Xiao Zhou gently tilted his master's head to one side and put a treatment towel on him to prevent liquid from contaminating clothes and bed during the operation.
Then Xiao Zhou picked up the gastric tube, clamped a little liquid paraffin with tweezers, and applied evenly to the front of the gastric tube to reduce the resistance during intubation.
Then, he took a deep breath, held the gastric tube with gauze in one hand, and clamped the front section of the gastric tube with tweezers in the other hand, and slowly inserted it along one side of Dr. Liu's nostril.
When the gastric tube was inserted to 14-16cm and approaching the throat, Xiao Zhou gently rotated the gastric tube and found that it could not rotate.
He suddenly froze.
I really didn't expect to encounter this problem.
He could only calm himself down and called softly:
"Master! Master! It's me. If you can hear it, cooperate."
Although I was in a coma and could not respond, Xiao Zhou still said, "Master, cooperate when I hear it and do a swallowing action!"
But it was obvious that Dr. Liu did not respond.
Xiao Zhou began to use their Western medicine emergency treatment methods.
He asked Dr. Liu to turn over and then tilt his head slightly forward, which would make the throat passage smoother and facilitate the passage of the gastric tube.
This is a common method, especially for comatose patients. Because of their weakened swallowing and coughing reflexes, leaning forward of the head can help the gastric tube to enter the esophagus more easily and avoid accidentally entering the trachea.
But Comrade Lao Liu seemed to be having a fight with his apprentice today, but it just couldn't do it.
There was no choice but to pull out the gastric tube and apply more liquid paraffin to the front of the gastric tube. He did this to ensure that the surface of the gastric tube was smooth enough to reduce friction during insertion.
Then use a cotton swab to dip it in a small amount of liquid paraffin or normal saline and apply it gently to the patient's nasal cavity to reduce the resistance of the nasal mucosa to the gastric tube and avoid difficulty intubation due to dry nasal cavity and other reasons.
Then he inserted it again as he had just done.
This time I was still stuck in my original position.
No mistakes, one poem, one post, one content, one in 6, one book, one bar, one read!
Xiao Zhou suddenly became in a bad mood.
Fang Yan shook his head when he saw this and said to Xiao Zhou:
"I'll try it!"
Xiao Zhou was a little unwilling to accept it, but he had no choice but to nod and give up his position.
At this time, he found that the other people's eyes looked at him were a little weird.
He wanted to explain that this was a special situation, but it seemed to be a little futile.
At this moment, he had already seen Fang Yan take over, take out a silver needle, and stab it into the upper third of the patient's nasolabial fold. This is the Renzhong point.
"Can Dr. Liu control his body to swallow now?" Fang Yan asked Dr. Liu, who was half unconscious.
The latter did not respond.
The dialect immediately had two more needles, which fell on the Neiguan point on the inner side of the patient's left and right hands, located on the inner side of the forearm and two inches on the horizontal line of the wrist.
Then asked again: "Doctor Liu, can you control your body to swallow now?"
At this time, everyone saw Dr. Liu's throat move.
Diantian took this opportunity to quickly and gently push the gastric tube into it, and then until the predetermined depth of 45-55cm.
Then Fang Yan directly pulled away the three silver needles frivolously and said to Xiao Zhou: "Okay, come on!"
Xiao Zhou opened his mouth , wanted to say something, but didn't say it out, and finally he could nod and walked over to take over the current situation.
The dialect will be ready, and Xiao Zhou will take over and start nasal feeding.
He first used a syringe to extract a small amount of warm boiled water and slowly injected it into the gastric tube to moisturize the inner wall of the gastric tube and prevent nasofetal fluid from sticking to it.
Then, he connected the syringe to the gastric tube, slowly pushed the syringe piston, and injected Fangyan's bowl of Zengli Chengqi Decoction into the stomach at a constant speed.
During the injection process, he always pays attention to the patient's reaction, while controlling the injection speed to avoid causing discomfort from the master too fast.
But this time it was fine, and the master was more proud of his face.
After nasal feeding, he took a small amount of warm boiled water again and injected it into the gastric tube, rinsing the remaining yellow Chinese medicine liquid in the gastric tube to prevent the gastric tube from being blocked.
Finally, he clamped the end of the gastric tube with a clip and fixed it properly, so he had to continue using it later.
Fang Yan said to the person in the traditional Chinese medicine department:
"Go back and continue to decoct medicine, and send it in twenty minutes."
The latter nodded and immediately took the person with him. Leaving.
Today, Dr. Fang from the Department of Traditional Chinese Medicine Emergency and Director Liu from the Department of Emergency Western Medicine Emergency today, this matter sounds fun. If it can be really saved by someone, it would be even more interesting.
At this time, Fang Yan said to Xiao Zhou: "After you drink this medicine, Dr. Liu will take it later. The scene will be very messy. I suggest you prepare it."
After hearing Fangyan’s reminder, Xiao Zhou and the others immediately took action.
The medical staff around were called by the director to go to other places at this time, and only he and Fangyan were left to stay.
On the other hand, the little brother came over with the righteous child. Fang Yan left in a hurry just now and left them in the ward of Mr. Shen. They were not able to leave immediately just now, so they could only sit for a while before inquiring.
As soon as I entered the room, I smelled a stinking smell, but I still came to Fangyan and asked curiously what was going on.
Fang Yan briefly said the matter, and then the two of them understood.
Children Zhao Zhengyi was still very excited. He had never participated in the first aid, and now he can see it ready-made.
He also ran over to see Dr. Liu, but he was smelly in a few minutes.
Now, for some reason, after drinking the dialect medicine, Dr. Liu was smelly every time he breathed.
A little closer, you will be fumigated and will be almost disgusted.
The medical staff who have been trained in professionally are like this, let alone children with a more sensitive sense of smell.
The dialect tells them that the patient will be older in a while and that the patient will be even worse, so that if they can't stand it, they will leave quickly.
If Fangyan didn't say this, they wouldn't have stayed here, but after saying it, the curiosity between the two was aroused, and they would not leave no matter what they said. See what happens.
After 20 minutes of talking, the second bowl of medicine was brought over again.
PS: I know everyone is staying up with the New Year, so I will send it out now.
(This chapter ends)