Rebirth 1977 Great Era

Chapter 608: The Youngest Patient, the Defense-Breaking Trio (Monthly Ticket Plus)

Fangyan handed the written note to the patient.

After seeing it, the patient expressed his gratitude in dialect with satisfaction:
"If Doctor Fang had your note, I wouldn't have been taken to a mental hospital."

At this time, the patient's demand for medical prescriptions is not as high as this note.

He felt that it would be the same whether he took the medicine today or tomorrow, but if he didn't get the note sooner, he might be forcibly sent to a mental hospital this afternoon.

Fangyan waved his hand and said:
"It's okay, go back and get some medicine."

The patient said:
"I have to take the form to the street office first, otherwise they will really ask people from the mental hospital to arrest me. Thank you, Doctor Fang, I'm leaving now!"

After saying this, he bowed to Fangyan.

After the patient left, Yang Jingxiang muttered:

"His logic is clear and he looks quite normal. It's hard to imagine him being ill."

It is not common to encounter patients with mental illnesses. The three of them have no experience in this area, but Fangyan obviously has this kind of experience just now.

He writes prescriptions fluently.

It seems like I have treated many similar patients.

"Next." Fang Yan called to the patient behind him.

At this time, a young couple came up, holding a baby in their arms.

After hearing the voice in dialect, he responded immediately and walked up quickly.

"Here I come! Doctor Fang, please take a look at this child."

As they spoke, the couple had already handed the child in their arms to the dialect diagnosis table.

Fang Yan was stunned. It was the first time he encountered such a young patient.

Looks like it's only a few months old.

Fangyan pointed at the chairs and said:
"Just sit there and hold it yourself and talk about the symptoms."

After hearing Fangyan's words, the wife of the young couple sat down again, held the baby in her arms, and told Fangyan about the situation.

"This child is three months old. He was born in the clinic of our company. His skin and eyes turned yellow and his urine tasted like strong tea. The clinic of our company said they couldn't treat him and asked us to go to a western hospital for hospitalization."

"I was hospitalized in the pediatric department of the hospital for more than a month, and I received intravenous drips and medications, but there was no improvement, so I had to be discharged. After I was discharged, I sought treatment from other Chinese and Western doctors, and also tried some folk remedies, but none of them had any obvious effect."

"We heard that all the experts are here today, so we came here to try our luck."

Fang Yan nodded and stood up from behind the examination table.

He walked around the examination table and came to the child's side and began to observe the condition of the child in the cradle.

"He also knows pediatrics?" Yang Jingxiang lowered his voice and asked the two people beside him.

Zhang Yanchang shook his head and responded:

"do not know."

Xiao Chengzhi was too lazy to answer and just walked away.

Yang Jingxiang looked at Xiao Chengzhi's back, curled his lips, and then said to Zhang Yanchang:
"Go and have a look."

Pediatrics in traditional Chinese medicine is inherently difficult.

There is an even greater difference in the difficulty of pediatric treatment between babies a few months old and children a few years old.

For babies a few months old, their organ systems are not yet fully developed, which puts a greater test on the pediatrician's abilities.

Some medicines are fine for children of a few years old, but may be fatal to babies.

Moreover, children of a few years old are already able to express their symptoms and feelings through words. Although the expressions may be inaccurate or incomplete, it is much better than babies who cannot speak at all.

Therefore, what is tested next is not only his dialectical ability, but also his ability to prescribe medicine.

At this time, Fangyan had already begun to observe the child. The child was thin, listless, had yellow and rough skin, a dull expression, and the whites of his eyes were a very rare yellow-green color.

There was white foam coming out of the corners of the mouth as he breathed. Fangyan reached into the swaddling clothes and touched the baby's belly, and found that it was swollen like a drum and felt like a ball when touched.

Then Fangyan observed the child's mouth and found horse teeth in it.

Horse teeth are a common physiological phenomenon in the mouth of newborns. They refer to the appearance of small yellow-white particles on the gum edge or palate of newborns, which look very similar to newly grown teeth. They are commonly known as "horse teeth" or "moat teeth" and are called epithelial beads in Western medicine.

This is during the embryonic development process, when the oral mucosal epithelial cells continue to proliferate and keratinize on the dental plate to form tooth germs.

When the tooth germ develops to a certain stage, some epithelial cells will be buried under the gums or palate mucosa. After birth, these epithelial cell masses gradually proliferate and keratinize to form ivory teeth. Ivy teeth are a physiological phenomenon and usually fall off on their own within a few weeks after birth without the need for special treatment.

But it hasn't fallen off in three months, which is indeed a bit too long.

Of course, it is still within the normal range.

Then Fangyan looked at the child's tongue coating again.

The little tongue had a yellow coating, and I don’t know if it was because of the light from the chandelier in the auditorium, but it looked golden.

In his previous life, Fang Yan didn't study Chinese pediatrics much, and he still hasn't had much contact with it in this life. Chinese pediatrics should be one of his weaknesses, and he is currently challenging his own weaknesses.

Fangyan thought and analyzed quickly in his mind, and at the same time began to check the child's palm.

Fingerprint purple stagnation.

Fangyan tried to take the child's pulse and found that the pulse at the Cunkou position was very short.

Even if the "one point and three gates" method of pediatric Chinese medicine is adopted, that is, using the index finger or thumb to press the inch, gate, and chi parts of the baby's pulse at the same time to feel the pulse, it is still difficult to diagnose.

He immediately gave up this method and asked the patient's parents:

"How's the baby's bowel movement?"

The child’s mother responded:

"It's very abnormal. I poop once every five or six days. The shape is similar to sheep dung, and it's granular."

Fang Yan nodded when he heard this, and basically understood the child's current situation.

He returned to his desk, picked up a pen and began to write:
"According to the book "Iron Mirror of Pediatrics" written by Xia Ding, a famous pediatrician in the Qing Dynasty: Yellow tongue coating is caused by the damp heat of the pregnant mother, which is transmitted to the fetus. Therefore, when the child is born, his face and body are all like golden yellow. This is caused by high fever, constipation and red urine."

When Xiao Chengzhi saw Fang Yan write this sentence, he finally smiled.

This is the first time that Fangyan has used ancient books to help with treatment and endorsement. It can be said to be a statement of no responsibility, or it can be said to be to give himself courage.

But he stopped laughing immediately because he had never read the book, but Fangyan could remember all its contents, and his symptoms were so similar to those of the current children.

This shows that although Fangyan was not very confident in treating the sick child, he had found a solution in ancient books.

No? What's wrong with your brain?

Can you remember this?

However, Fangyan didn't realize that his idea of ​​quoting from an ancient book so that he could use it for his apprentice in the future had upset some people.

He quickly sorted out his thoughts in his mind, and then continued writing:

"The reason why the child turned yellow is related to the mother's constitution, fetal heat and dampness. The child is relatively weak, and dampness and heat have accumulated in the body for a long time. The dampness and heat gradually turned into dryness, which in turn damaged the body's body fluids and consumed the vital energy. At the same time, blood stasis appeared in the body, and the dampness and heat continued to accumulate and could not dissipate. Because the vital energy was already weak, it was difficult for the body to return to normal."

Having written this, Fangyan paused again, glanced at the child, and continued writing:
"Therefore, we decided to use Yinchenhao Decoction and Wuling Powder for treatment. These two prescriptions have the effects of clearing away heat evil in the body and promoting the flow of water and dampness. They can also clear the intestines, break up blood stasis, relieve liver depression, soothe emotions, strengthen the spleen and stomach, and dissolve dampness. Ultimately, they can achieve the purpose of supporting the child's own positive energy to expel pathogenic factors."

Then, he began to write down the recipes of Yinchenhao Decoction and Wuling San with modifications.

After finishing writing, Fangyan handed it to the patient's family and asked them to go back and boil it in water to extract the juice and give it to the child slowly.

Then observe the child's stool tonight. If the stool is thin and sugary, it means that the child has been fed too much. If the stool has not changed much, or no stool has come out at all, it means that the child has not been fed enough and more food should be added.

Children with this disease are different from normal adults, and the dosage of medication they take needs to be tested.

Hearing the dialect, the child's parents nodded repeatedly.

He said he would pick up the medicine immediately and feed it to the child.

They had no doubts about the medicine prescribed by Fang Yan, because they had just witnessed Fang Yan's medical skills in the newspaper. They immediately took the prescription written by Fang Yan as if it were a treasure, bowed to express their gratitude, and then hurried to pick up the medicine.

On the other side, Yang Jingxiang was looking at the prescription written by Fangyan and put himself into Fangyan's role. He felt that he could not prescribe as fast as Fangyan.

For a moment, I fell into self-doubt.

When Zhang Yanchang saw that Fangyan had passed such a difficult pediatric test, he felt his head buzzing. He thought that he should be the one with the worst medical skills among the three people.

The more I read about using dialects to treat illnesses, the more I feel like I’m looking up to a mountain.

It’s really hard to imagine that this guy actually wants to be my classmate?
And it lasted for five years.

After Xiao Chengzhi broke through the defense, he regained his cool look.

He saw the next patient and decided to speak out the dialectical plan in dialect later to show his presence!
PS: I got 100 more monthly tickets, so after updating this chapter I still owe you 90000 words.

There will be more in the afternoon

(End of this chapter)