Rebirth 1977 Great Era

Chapter 666: Treating Gallstones, "Your teeth can grow infinitely???"

Demerol, also known as pethidine, is a synthetic opioid analgesic that has important clinical applications, but it also has certain risks and management requirements for use.

It is often used for analgesia and anesthesia in clinical practice.

It is generally recommended that special groups such as the elderly, children, and those with impaired liver and kidney function should use it with caution.

But when Fang Yan saw Grandpa Gao take out an injection of Demerol, he felt numb all over.

He asked the old man:
"The doctors at the hospital just prescribed it to you?"

Although I know that the rules of military hospitals are different, isn’t it too wild to give it directly to the patient?

The old man said as a matter of course:
"Yes, I used to inject myself on the battlefield. I have experience."

After saying that, he seemed to want to show off his skilled injection skills and was about to tear open the package to demonstrate to Fangyan.

Fangyan hurriedly stopped him and said:
"That's not what I'm talking about."

The old man reacted and said:

"Oh, I know this thing is addictive. If it wasn't so painful that I couldn't bear it, I wouldn't take it."

“……” Fangyan was speechless.

Well, since people have said so, it is his ability to get Du Lengding by the way.

Fangyan started thinking about how to deal with gallbladder stones.

The results of the examination and X-ray cholecystography have made the situation very clear. Now Fangyan needs to find a way to treat him with traditional Chinese medicine.

Traditional Chinese medicine does not have a direct corresponding disease name for "gallstones" and generally classifies it into categories such as "flank pain", "jaundice", "gallbladder distension", and "chest congestion".

Mr. Gao's condition is a disease characterized by pain in one side of the ribs.

Can be associated with rib pain.

Patients with gallstones often suffer from flank pain due to gallstones irritating the gallbladder or bile duct, leading to gallbladder spasm, bile duct obstruction, etc. The pain may be of different natures such as bloating, stabbing, and dull pain, which is consistent with the symptoms of "flank pain" in traditional Chinese medicine.

As early as in the "Yellow Emperor's Internal Classic", it has been clearly recorded that the cause of the symptom of side pain is problems with the liver and gallbladder.

The causes of the disease are nothing more than the following: First, the emotions are not smooth, and one is in a state of depression, anxiety, anger and other negative emotions for a long time.

The second is excessive or unreasonable diet, such as excessive consumption of greasy, spicy, raw and cold foods, or overeating.

Third, there is accumulation of phlegm and blood stasis in the body.

Fourth, the body is weakened due to excessive fatigue, long-term illness, etc.

This disease is actually not very common in this era.

In his previous life, Fangyan had a classmate who worked in the hepatobiliary department. In that era of internal competition, there were really many such people.

The above reasons can cause many changes in the human body such as qi stagnation, blood stasis, dampness and heat, and yin deficiency.

Gallstones are a disease that falls under the category of flank pain. Moreover, it is not caused by a single factor, and the clinical symptoms are mostly complex.

Judging from Mr. Gao's current situation, Fangyan judged that he was old, and the regulating function of his internal organs was not as good as when he was young. Now phlegm and evil spirits were gathering. Because he had been ill since last summer, his mood had not been very good, so he had been in a bad mood.

So Fangyan gave the old man a prescription:
15 grams of soft bupleurum, 10 grams of green pinellia, 10 grams of vinegar green peel, 15 grams of trichosanthes seed, 15 grams of polygonum cuspidatum root, 5 grams of magnolia officinalis, 10 grams of raw aurantium, 10 grams of rhubarb, 5 grams of yuanming powder, 20 grams of sea sand, 20 grams of centipede, and 15 grams of white peony root with wine.

In the old man's case, Fang Yan did not use any traditional Chinese medicine. Instead, he prescribed the right medicine according to his condition. The main reason was that the old man's body could not withstand the torture, and he also took Du Lingding, so Fang Yan had to cure him as soon as possible.

His idea of ​​prescribing medicine was actually based on Da Chaihu Tang.

Ancient doctors liked to use two herbs, Bupleurum and Green Peel, to treat liver and gallbladder diseases.

Both Bupleurum and Citrus aurantium belong to the liver and gallbladder meridians of the human body. They are indeed very good medicines in dispelling pathogenic factors and regulating Qi.

However, if Bupleurum and Qingpi are taken for a long time, there will be concerns about damaging the body's positive energy and yin blood, so when using them, they need to be used in combination with white peony root to assist in harmonization.

The medical saint Zhang Zhongjing was good at using white peony root to treat various spasms, and he created many prescriptions for this purpose.

Many herbal medicine works have also elaborated on the effects of white peony root in detail. It can not only nourish liver blood and soothe the liver, but also clear away liver heat and relieve cramps. Therefore, white peony root is considered by many people to be an excellent medicine for treating liver and gallbladder diseases.

Houttuynia cordata has the effects of clearing away heat, removing dampness, detoxifying and reducing swelling.

The herb is sweet and cold in nature, has a downward-moving property, and can clear away heat and detoxify.

The root of Polygonum cuspidatum can eliminate dampness, promote blood circulation, and also dredge meridians and relieve pain.

These three drugs work together to promote bile excretion and the excretion of stones, which is very effective.

At the same time, choose Pinellia ternata, Trichosanthes seed, Aucklandia lappa, and Citrus aurantium. These medicines can disperse Qi, relax the middle burner, dissipate depression, and eliminate fullness.

Glauber's salt and rhubarb are used to enhance the medicinal effect of sea sand in promoting downward movement.

The use of all the above medicines together is the dialect's medication idea.

After writing the prescription, Fang Yan gave it directly to Mr. Gao and said to him:
"You pick up the medicine in this way. You need to drink it every morning, noon and night. In about seven days, your symptoms will be alleviated. Then you will feel a water sound under the ribs on the right side of your chest when you take it again. Don't be afraid, this is normal. Then you will have hiccups. When you stop hiccuping, your bloating and pain will disappear."

"During this period, if you can avoid using pethidine, do not use it. Also, stop eating soy products, eggs, and dairy products."

Mr. Gao took the prescription and nodded. His son beside him asked Fang Yan:

"How long will it take for it to be completely pain-free?"

"About half a month." Fang Yan replied. Then he added:
"Then you can go to the hospital and get an X-ray cholecystogram to see if you still have gallstones."

Fang Yan knew that after taking his prescription, they would definitely go back to the military region for treatment, so he was just prescribing a prescription for them.

Naturally they will have to go for a physical examination to verify it at that time, so you might as well just say it yourself first.

Hearing Fangyan say this, Lao Gao immediately said:
"Okay, Old Xie came to you for treatment, and I believe in you."

After saying this, he stood up and said, without further ado,
"Let's go back and get some medicine. I'm feeling a little uncomfortable right now. I won't be taking the pethidine injection today. Let's see if I can feel a little better after taking the medicine."

After saying this, he waved to Fangyan:
"Doctor Fang, thank you so much. I'll come back to thank you in the first month of the year when I'm cured!"

Fang Yan smiled and nodded:
"Take care, old man!"

The old man nodded and walked out the door, and his children followed him immediately.

After Fangyan finished writing the medical case, Zhang Yanchang just came back.

After he entered the room, he reported in dialect:

"Brother Fang, everything has been arranged. The medicine is being boiled now."

Fangyan nodded and pointed outside:
"Okay, go call the next one in."

Upon hearing this, Zhang Yanchang immediately stepped out and shouted:

"Next person!"

Then the next patient came in, a middle-aged man in his fifties.

The first thing Fangyan noticed was that the left side of his face was a little swollen.

He was accompanied this time by his wife, and two people, a man and a woman in their twenties and thirties.

They should be the children of the family.

The whole family is tall and strong, except for the patient's wife who is a little shorter, everyone is about 1.9 meters tall.

You can tell at first glance that he is not an ordinary person.

Now whenever Fang Yan sees a tall person, he can’t help but think of Shan Haoran.

After calming down a little, Fangyan asked about the patient's basic condition.

Then the patient began to introduce himself with a big tongue:
55 years old, surnamed Zhang, a technical backbone of a branch of Capital Steel Plant.

After introducing himself, he began to talk about how he became ill:

When winter came last year, I felt so hot after work that I took off my clothes to cool down.

Since he has always been in very good health, this is not the first time he has done this.

I thought I would be fine as I was in good health, but unexpectedly I caught a serious cold.

I was sick for about half a month.

After the patient recovered from the illness, a horizontal tooth suddenly grew out in the left lower molar area of ​​his jaw. The tooth was as sharp as a blade and inserted straight into the bottom of his tongue, causing his mouth and tongue to swell, making eating very difficult.

The patient sought treatment from the dentist many times, and the tooth was broken many times, but it grew back as it did before within ten days.

Zhang Yanchang, who was standing by, was stunned when he heard the symptom.

He couldn't help but ask:

"Wait...you're saying that your molars can grow infinitely?"

The patient was talking at the moment, but was interrupted by Zhang Yanchang. He opened his mouth and asked him to check:
"Come, come, take a look."

Zhang Yanchang took a look at the patient's open mouth. Although he couldn't see clearly, he saw a white tooth on the left side growing horizontally towards the tongue in the mouth. It had indeed grown very long.

Now, Zhang Yanchang felt that his medical knowledge was greatly challenged.

Although their family treats rheumatism, they still know the basic structure of the human body. Molars are located at the back of the mouth, behind the canines and premolars.

Human molars are divided into maxillary molars and mandibular molars.

In the deciduous dentition, there are 2 deciduous molars on each side of the upper and lower jaws; in the permanent dentition, there are usually 3 molars on each side of the upper and lower jaws, which are called the first molars, second molars and third molars from front to back. The third molars are also called wisdom teeth.

Now the position of the patient's wisdom teeth has begun to grow infinitely after catching a cold?

Zhang Yanchang felt this was too absurd.

However, Fangyan remained calm and continued to speak to the patient:
"You go on."

The patient said:
"Because it keeps recurring and affecting my life, I went to a famous dental clinic in Beijing some time ago. The doctor there said that it might be because I took those medicines after catching a cold, which caused changes in my body's hormones and induced gingival tumors, so I need to prepare for surgery."

Hearing this, Zhang Yanchang was stunned and showed an expression of sudden enlightenment.

The patient then continued:

"But just before the operation, the doctor learned that I had a brother who was an official in the city, and suddenly said that he was worried that the operation would fail, so he dared not perform the operation, and could only ask me to find another doctor with better medical skills."

(End of this chapter)