Rebirth 1977 Great Era

Chapter 614: The powerful medicine "Zengye Chengqi Decoction", the apprentice inserts a tube into the master (Happy New Year)
When the crowd heard the sound, they immediately made way.

Then I saw a doctor leading the way, followed by a nurse holding a bowl of yellow medicine.

Just smelling the smell, I could feel a bitter taste coming towards me.

When the medicine was brought to Fang Yan and the others, Doctor Liu's apprentice asked Fang Yan:

"What kind of medicine is this? Does it contain Coptis chinensis?"

When Fangyan heard him ask this, he knew that this curious baby wanted him to explain his ideas on medication.

He didn't hide anything and said directly:

"No, this recipe contains rhubarb, so that's why it tastes this way."

"The name of this prescription is Zengye Chengqi Decoction, which comes from the Treatise on Febrile Diseases by Wu Jutong in the Qing Dynasty."

"It contains rhubarb, sodium sulfate, immature bitter orange, Magnolia officinalis, Radix Rehmanniae, Radix Rehmanniae, Radix Rehmanniae, and Radix Ophiopogonis."

After Fang Yan finished speaking, he saw a group of people with blank looks, and he knew he had to say a few more words, so he picked up the medicine and said:
"Rhubarb and Glauber's Salt are the main drugs. Rhubarb is bitter and cold, and can purge heat and relieve constipation, and cleanse the heat accumulation in the stomach and intestines. Glauber's Salt is salty and cold, and can soften and moisten dryness, and can help rhubarb to purge and relieve constipation. The combination of the two has a strong purge effect, and can quickly eliminate the evil heat in the intestines."

"Zhi Shi and Hou Po are assistant drugs. Zhi Shi is bitter, pungent and slightly cold, and can promote qi and eliminate bloating; Hou Po is bitter, pungent and warm, and can promote qi and eliminate fullness. The two drugs can be used together to promote qi and eliminate bloating, and assist rhubarb and mirabilite in pushing stagnant food downward."

"Shengdi, Yuanshen and Maidong are adjuvant drugs. These three drugs are the composition of Zengye Decoction, which has the effect of nourishing yin and increasing fluid. It can replenish intestinal body fluid, moisten the intestines, and facilitate the discharge of waste. At the same time, it can also prevent excessive diarrhea from damaging yin."

"If Doctor Liu's condition had not been critical, I would not have used this prescription. After all, rhubarb is usually regarded as a drug with a relatively strong effect in traditional Chinese medicine, which is often called a "strong medicine". Improper use of this medicine can easily damage the yang energy of the spleen and stomach."

"This is especially true for Glauber's salt, which is generally used in the treatment of critical and severe diseases. For example, in the treatment of Yangming Fu Shi syndrome, it is combined with drugs such as rhubarb to form prescriptions such as Dachengqi Decoction, which is used to treat pathogenic heat and dry stool in the intestines, resulting in symptoms such as high fever, coma, delirium, abdominal distension and pain that refuses to be pressed, and constipation. It can quickly purge dry stool, cleanse the excess heat, and relieve the condition."

As they were talking, Fangyan had already come to Dr. Liu's side. The Chinese medicine doctor from the TCM department was very considerate and immediately came up to help Dr. Liu up.

When Doctor Liu's apprentice saw this, he quickly said:

"I come!"

As he said this, he went over to help the unconscious Dr. Liu sit up.

Fangyan went up and inserted two needles into the buccal cavity, then opened Doctor Liu's mouth with one hand.

"vomit!"

This time it was the dean standing nearby who retched.

The taste is really too strong.

Because Fangyan and the others had already predicted this, they held their breath and tried hard to suppress the urge to vomit.

However, the dean's action made several people around him unable to hold their composure.

"vomit……"

"yue..."

"Oh my god... ugh..."

"Doctor Liu... Ugh... Your mouth stinks worse than a rural toilet... Yue..."

There were retching sounds all around.

Fangyan was also speechless. He endured the discomfort, held the bowl to Dr. Liu's mouth, and wanted to pour it into his mouth.

However, although Dr. Liu was in a semi-comatose state, his consciousness was completely unable to control his body. After Fang Yan tried several times, he was unable to get him to drink it.

At this time, the dean beside him retched and reminded:

"I think... uh... use nasogastric feeding... uh, pour it directly into the stomach!"

After hearing this, Fangyan reacted and said, yes, this is a hospital, they have all the equipment, and it is much more convenient to insert a nasal tube than in other places.

Dialect nod:

"Okay, let's insert the tube!"

The dean pointed at Dr. Liu's mouth:
"Ugh...turn it off quickly!"

After Fangyan closed Dr. Liu's mouth, the stench around him finally faded a lot.

He suppressed his discomfort and laid Dr. Liu down on the bed.

At this time, the person who had been holding his breath just now began to breathe heavily. The dean came over, patted Dr. Liu's apprentice on the shoulder, and said:
"Xiao Zhou, this is your specialty as an emergency doctor, go for it!"

After hearing this, Xiao Zhou was stunned for a moment, then looked at his master, and finally gritted his teeth and nodded:
"Okay, I'll intubate my master!"

Then Xiao Zhou started his operation.

He called his medical staff from the emergency department and asked them to prepare items for nasogastric feeding.

In a short while, a lot of things were ready.

The efficiency is indeed higher than that of Tong Ren Tang at that time.

Xiao Zhou skillfully placed the treatment tray on the bedside table. Fangyan saw a sterilized gastric tube, tweezers, gauze, liquid paraffin, a curved tray, adhesive tape, clamps, and nasogastric feeding fluid at an appropriate temperature (38 - 40°C) on the tray.

Fangyan frowned slightly. The things of that era were still a little backward and the process would definitely not be very comfortable. Some hospitals in later generations already had special machines for this thing.

Then, Xiao Zhou gently tilted his master's head to one side and covered him with a treatment towel to prevent the liquid from contaminating his clothes and bed during the operation.

Xiao Zhou then picked up the gastric tube, picked up a small amount of liquid paraffin with tweezers, and evenly applied it to the front end of the gastric tube to reduce resistance during insertion.

Then he took a deep breath, held the gastric tube with gauze in one hand, clamped the front part of the gastric tube with tweezers in the other hand, and slowly inserted it through one of Dr. Liu's nostrils.

When the gastric tube was inserted to 14 - 16 cm and close to the throat, Xiao Zhou gently turned the gastric tube and found that it could not be turned.

His face suddenly froze.

I really didn't expect to encounter this problem.

He could only calm himself down and called out softly:

"Master! Master! It's me. If you can hear me, please cooperate."

Although he was unconscious and unable to respond, Xiao Zhou still said, "Master, please cooperate and make a swallowing motion!"

But it was obvious that Dr. Liu did not respond.

Xiao Zhou began to use their Western medicine emergency treatment methods.

He had someone turn Dr. Liu over and then ask him to tilt his head slightly forward, which would make the throat passage smoother and facilitate the passage of the gastric tube.

This is a commonly used method, especially for comatose patients. Because their swallowing reflex and cough reflex are weakened, tilting the head forward can help the gastric tube enter the esophagus more easily and avoid entering the trachea by mistake.

But Comrade Lao Liu seemed to be arguing with his apprentice today, and it just didn't work.

Xiao Zhou had no choice but to pull out the gastric tube and then apply more liquid paraffin on the front end 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 a small amount of liquid paraffin or saline and gently apply it to the patient's nasal cavity to reduce the resistance of the nasal mucosa to the gastric tube and avoid difficulties in intubation due to dry nasal cavity and other reasons.

Then he inserted it again in the same way as before.

This time it was still stuck in the original position.

Suddenly Xiao Zhou felt unwell.

Fang Yan shook his head and said to Xiao Zhou:

"I'll try!"

Xiao Zhou was somewhat unwilling, but had no choice but to nod and give up his seat.

At this time, he found that other people looked at him strangely.

He wanted to explain that this was a special case, but it seemed futile.

At this moment, he saw Fangyan take over, take out a silver needle, and insert the needle into the upper third of the patient's nasolabial groove, which is the Ren Zhong point.

"Doctor Liu, can you control your body to swallow now?" Fang Yan asked the semi-conscious Doctor Liu.

The latter did not respond.

Fangyan immediately inserted two more needles on the patient's left and right hands, on the Neiguan acupoints located two inches above the transverse wrist crease on the inner side of the forearms.

Then he asked:
"Doctor Liu, can you control your body to swallow now?"

At this time, everyone saw Dr. Liu's throat move.

Fangyan took advantage of this opportunity to quickly and gently push the gastric tube in to the predetermined depth of 45 - 55 cm.

Then Fang Yan took out the three silver needles gracefully and said to Xiao Zhou:

"Okay, come on!"

Xiao Zhou opened his mouth and wanted to say something, but nothing came out. In the end, he could only nod and walk over to take over the current situation.

Fangyan had completed all the preparations, and Xiao Zhou took over and started nasogastric feeding.

He first used a syringe to draw a small amount of warm water and slowly injected it into the gastric tube to moisten the inner wall of the gastric tube and prevent the nasogastric feeding fluid from sticking.

Then, he connected the syringe to the gastric tube, slowly pushed the syringe piston, and injected Fangyan's bowl of Zengye Chengqi Decoction into the stomach at a uniform speed.

During the injection process, he kept a close eye on the patient's reaction while controlling the injection speed to avoid causing discomfort to his master.

But this time it was okay, the master was still more considerate.

After the nasogastric feeding was completed, he drew a small amount of warm boiled water again and injected it into the gastric tube to flush out the yellow Chinese medicine liquid remaining in the gastric tube to prevent blockage of the gastric tube.

Finally, he clamped the end of the gastric tube and secured it securely, which would be used again later.

Fang Yan said to the people in the Traditional Chinese Medicine Department:

"Go back and continue to boil the medicine. Bring it back in twenty minutes."

The latter nodded and immediately left with his men.

Today we have Doctor Fang from the Traditional Chinese Medicine Emergency Department and Director Liu from the Western Medicine Emergency Department. It sounds interesting, and it would be even more interesting if the patient could really be saved.

At this time Fang Yan said to Xiao Zhou:

"After you drink this medicine, Dr. Liu will have diarrhea. It will be a very, very messy scene. I suggest you prepare yourself."

After hearing Fangyan's reminder, Xiao Zhou and his friends immediately took action.

At this time, the medical staff around were called by the dean to go other places, leaving only him and Fang Yan to take charge.

On the other side, the younger brother and the little boy Zhengyi also came over. Fangyan left in a hurry and left the two of them in Mr. Shen's ward. It was not convenient for them to leave immediately, so they could only sit for a while before asking around.

As soon as I entered the room, I smelled a foul odor, but I still came to Fangyan and asked curiously what was going on.

After Fangyan briefly explained the situation, the two finally understood.

Little Zhao Zhengyi was still very excited. He had never participated in first aid, but now he could see a ready-made one.

He even ran over to see Doctor Liu, but was sent back by the stinker within a few minutes.

I don’t know why, but after taking Fangyan’s medicine, every time Doctor Liu breathes, he smells a foul smell.

If you get a little closer, you'll feel nauseous from the smell.

Even professionally trained medical staff are like this, not to mention children whose sense of smell is more sensitive.

Fangyan told them that the patient would have his period soon and it would be even more smelly, so they should leave quickly if they couldn't stand it now.

If Fangyan hadn't said this, they might not have stayed here, but after he said it, their curiosity was aroused, so they decided not to leave and just wait and see what would happen.

While they were talking, 20 minutes passed and the second bowl of medicine was brought over.

PS: I know everyone is staying up all night to celebrate the New Year, so I’m posting this now.

(End of this chapter)