Chapter 666 Treatment of gallstones, "Can your teeth grow infinitely??"
Dolendine, also known as petidine, is an artificially synthesized opioid analgesic and has important clinical importance However, there are certain usage risks and management requirements.
It is often used in clinical practice for analgesic anesthesia.
Generally recommended that special groups such as the elderly, children, liver and renal insufficiency should be used with caution.
But when Fang Yan saw Mr. Gao take out a needle of Du Lengding, he felt numb.
He asked the old man: "The hospital doctors will give you the instructions directly?" Although he knows that the rules of the military hospital are different, he gives it to the patients directly. Is it true that it is not Too wild?
The old man said for granted:
"Yes, I used to be injected by myself on the battlefield, and I have experience."
After saying that, he seemed to show off his skillful injection methods, and he wanted to tear the packaging and demonstrate it to the dialect.
Fang Yan hurriedly stopped him and said, "I'm not talking about this."
The old man reacted and said, "Oh, I know this thing." It will be addictive. If I hadn't been in such pain, I wouldn't have hit it."
"..." Fang Yan was speechless.
Okay, since everyone has said that, it is his ability to get Du Lengding by the way.
Fangyan started to think about how to get this gallbladder stone.
The results of the examination and X-ray cholecystography are already very clear. Now, Fangdian needs to find a way to treat him in traditional Chinese medicine.
Traditional Chinese medicine does not have a direct corresponding disease name for "gallstones", and it is generally classified as "flank pain", "jaundice", "gallary swelling", and "chest congestion".
Mr. Gao's condition is a condition that the rib pain in one side of the flank is the main manifestation.
It can be associated with rib pain.
Patients with gallstones often irritate the gallbladder or bile duct due to stones, resulting in gallbladder spasm, bile duct obstruction, etc., causing pain in the flank ribs. The pain can be different from the traditional Chinese medicine "flank pain". "The symptoms match.
As early as in the "Huangdi Neijing", there was a clear record that the cause of the disease of flank pain is liver and gallbladder problems.
The causes of this are nothing more than the following: First, the emotions are not smooth, and they are in bad moods such as depression, anxiety, and anger for a long time.
Second, the diet is uncontrollable or unreasonable, such as excessive consumption of greasy, spicy, raw and cold foods, or overeating.
The third is that there is accumulation of phlegm and blood stasis in the body.
Fourth, the body is damaged due to excessive fatigue and long-term illness.
In this era, there are not many diseases.
In my previous life, there was a classmate in the dialect department who was from hepatobiliary, and in that in the intra-copy era, there were really many.
The above reasons can cause many changes in the human body such as qi stagnation, blood stasis, dampness and heat, and yin deficiency.
The disease gallstones belong to the category covered by flank pain, and it is not caused by a single factor, and most of the symptoms shown in clinical practice are very complicated.
The situation in front of Mr. Gao is judged in dialect that he is older and his internal organ conditioning function is not as good as when he was young. Now he is phlegm evil. Because he has been sick since last summer, he has not been in a good mood, so he has always been Bad emotions.
So the dialect prescribed the old man:
15 grams of soft Bupleurum, 10 grams of green Pinellia ternata, 10 grams of vinegar and green skin, 15 grams of Trichosanthes kernel, 15 grams of poxamuria root, 5 grams of Guangmuxiang, 10 grams of Citrus aurantium, 10 grams of rhubarb, 5 grams of Yuanming powder, 20 grams of sea gold sand, 20 grams of moth grass, and 15 grams of wine and white peony.
In the case of the old man, Fangyan did not use classic prescriptions, but prescribed the right medicine for his situation, mainly because the elderly cannot bear the trouble. In addition, he also called Du Lengding, so Fangyan must treat him as soon as possible. good.
His idea of prescription medicine is actually based on "Da Chaihu Decoction".
In ancient times, doctors liked to use the two medicines, Chaihu and Qingpi.
Baihu and Qingpi are both included in the human body's liver and gallbladder meridians. They are indeed very good medicines in dispelling disease evils and combing the qi.
However, if you take the two medicines, Chaihu and Qingpi, you will worry about losing the body's positive energy and yin blood. Therefore, when using it, you need to use it to help harmonize.
Medical Saint Zhang Zhongjing was good at using white peony to treat various cramps, so he created many prescriptions.
Many herbal works also elaborate on the effects of white peony. It can not only nourish the liver blood, soften the liver, but also clear the liver heat and relieve the urgency. Therefore, white peony is considered by many people to treat Excellent medicine for liver and gallbladder diseases.
The big moth has the effects of clearing heat, eliminating dampness, and detoxifying and reducing swelling.
Haijinsha tastes sweet and cold in nature, and the medicinal properties are downward, which can clear heat and detoxify.
The root of the skull can relieve dampness, promote blood circulation, and also unblock the meridians and relieve pain.
These three drugs are combined with each other and have very good results in promoting bile excretion and expelling stones.
At the same time, use Pinellia qili qi, Trichosanthes kirilowii, Muxiang, and Citrus aurantium. These drugs can dissipate the qi mechanism, broaden the middle burner, dissipate depression and eliminate fullness.
Please use Glauber's salt and rhubarb to enhance the medicinal power of Haijin Sands to clear downwards.
All the above drugs are used together, which is the dialect idea of using medicine.
After prescribing, Fang Yan gave it to Mr. Gao directly and said to him:
"You just pick up medicine in this way. You need to drink it every morning, noon and evening. It will be about seven days before your symptoms will be relieved, and then you will appear after taking it. There is a sound of water on the lower ribs on the right chest. Don't be afraid. , This is a normal phenomenon, and you will also experience hiccups. When you don’t hiccup, your swelling and pain will disappear. "
"Don’t do it during this period if you can use dulingtin. Don't eat soy products, eggs, and dairy products."
Old Mr. Gao took the prescription and nodded. His son beside him asked Fang Yan:
"It doesn't hurt at all, how long will it take?"
"About half a month." Fang Yan responded. Then he added:
"At that time, you can go to the hospital for an X-ray gallbladder angiography and see if there are any gallbladder stones." Fang Yan knew that they had taken their own prescription, so they must have also Those who will go back to the military district for treatment, so I just prescribe a prescription for them.
At that time, they will naturally have to go for a physical examination and verification, so they can simply tell it out first.
Hearing Fangyan said this, Lao Gao immediately said:
"Okay, I'll ask you to cure it, and I believe you."
After saying that, she stood up, and did not talk to her son and others, and said:
"Let's hurry up I went back to get the medicine. I felt a little uncomfortable now. I won’t be able to take Du Lengding today to see if it will be a little better after taking the medicine.”
After speaking, I waved to Fang Yan: "Doctor Fang, thank you. I will come to the door to thank you when I am cured in the first month of the year!"
Fang Yan nodded with a smile: "You always go slowly!"
The old man nodded and went out, and his children immediately followed.
After Fang dialect wrote the medical case, Zhang Yanchang happened to come back.
After entering the door, he reported to Fangyan:
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"Brother Fang, the matter has been arranged, and the medicine is being boiled now."
Fang Yan nodded and pointed to the outside:
"Okay, go and call me One came in."
Zhang Yanchang heard this and immediately withdrew and shouted:
"Next!"
Then the next patient came in, a middle-aged man in his fifties.
Fang Yan saw at first sight that his left face was a little swollen.
This time he was accompanied by his wife, and two men and women in their twenties and thirties.
It should be the children of the family.
The whole family is tall and big, except for the patient's wife, who are slightly shorter, they are all over 1.9 meters tall.
At first glance, he was not an ordinary person.
Now, whenever you see a tall man, Fang Yan can’t help but think of Shan Haoran.
After calming down a little, Fang Yan asked about the patient's basic situation.
Then the patient began to introduce himself with his tongue wide:
55 years old, surnamed Zhang, a technical backbone of a branch of the Capital Steel Plant.
After introducing his identity, he began to talk about his illness again:
After winter last year, he took off his clothes and felt cooler because he felt hot after working.
Because he has always been very healthy, this is not the first time he has done this.
I thought I would be fine if I was in good health, but I didn't expect to have a serious cold.
I've been sick for about half a month.
After recovering, a transverse tooth suddenly grew on the molar of the patient's left jaw. The teeth were sharp like a knife and inserted straight into the bottom of the tongue, causing the mouth and tongue to swell and eat It becomes very difficult.
The patient asked the dentist for treatment many times, and the tooth was broken many times, but it grew like it was in less than ten days.
This disease was stunned by Zhang Yanchang on the side.
He couldn't help asking:
"Wait...you mean, your molars can grow infinitely?"
The patient was talking now, and when Zhang Yanchang was interrupted, he opened his mouth and asked him to check:
< br>"Come on, look."
Zhang Yanchang glanced at the patient's pried open mouth. Although he couldn't see it clearly, he saw a white tooth on the left, facing the tongue in the mouth. Growing in direction has indeed grown for a long time.
Now, Zhang Yanchang felt that his medical knowledge was under great challenges.
Although their family treats rheumatism, the basic structure of the human body is still known. The molars are located at the back of the oral cavity, behind the acupoints and premolars.
Human molars are divided into maxillary molars and mandibular molars.
In the deciduous dentition, there are 2 lactated molars on each upper and lower jaws on each side; in the permanent dentition, there are usually 3 molars on each side, which are called the first molar and the second molar from the front to the back. and the third molar, which is also called wisdom teeth.
The patient's wisdom teeth are now on the spot, and after a cold, it begins to grow infinitely?
Zhang Yanchang felt that this was too absurd.
However, Fang Yan was very calm, and he continued to say to the patient:
"You continue to say."
The patient said:
"Because the recurrence has been affecting life, I Some time ago, I went to a more famous dental department in Beijing for treatment. The doctor there said that it may be because after catching a cold, I took those medicines to change the hormones in the body, which induces gum tumors, so I need to prepare for surgery. "
Hearing this, Zhang Yanchang was stunned and showed an expression of sudden enlightenment.
Then the patient continued: "But just as the operation was about to be performed, the doctor learned that I had a city official, and suddenly said that he was worried that the operation would fail and dared not perform the operation, so he could only tell me. Find another doctor with excellent medical skills."
(The end of this chapter)