Rebirth 1977 Great Era

Chapter 682 The unlucky child dug a hole in himself. Medicine can't stop the silver needle.

The bleeding that could not be stopped by p-carboxybenzylamine was stopped by Yunnan Baiyao.

Fangyan thought about the two drugs' methods of stopping bleeding and their usage.

Para-carboxybenzylamine is injected intravenously, while Yunnan Baiyao can be taken orally or applied topically.

There are many reasons for nosebleeds. If the nosebleed is not mainly caused by hyperfibrinolysis, such as bleeding caused by mechanical damage such as nasal mucosal damage and blood vessel rupture, then carboxybenzylamine will find it difficult to achieve the ideal hemostatic effect.

Although Yunnan Baiyao's formula is top-secret, Fangyan knows that it contains a variety of active ingredients.

These ingredients can promote the adhesion, aggregation and release reactions of platelets, accelerate the formation of platelet thrombi, quickly form a relatively firm hemostatic thrombus at the bleeding site, block damaged blood vessels, and thus achieve a hemostatic effect.

On the other hand, Yunnan Baiyao can also affect coagulation factors and enhance the coagulation process, such as increasing the activity of thrombin and promoting blood coagulation, achieving hemostasis through the combined efforts of multiple links.

In general, Yunnan Baiyao's hemostatic ability is stronger than that of p-carboxybenzylamine in this patient.

The medical staff who was responsible for sending the patient over continued to speak in dialect:

"We conducted an internal medicine consultation and found no blood disease or other bleeding medical diseases. Now the patient is bleeding again, causing severe anemia and a sharp drop in hemoglobin. We also transfused 600ml of blood before he came."

Fang Yan nodded and asked:

"Did the patient vomit or anything like that?"

He shook his head and said:

"No, we have ruled out food as a cause of bleeding."

Fangyan thought for a moment and asked again:
"By the way, you said the patient started having nosebleeds half an hour after taking a shower, and took a full hour shower last night?"

The medical staff nodded:
"Yes, the patient went back to his room and took a hot bath for an hour after dinner last night. Half an hour later, he started to bleed from the nose, and his body temperature rose to 40.5 degrees. We now suspect that it was caused by taking a bath for too long."

Fang Yan looked at the patient's face and thought for a moment before answering:

"Well, okay, I see."

At this time, the patient had been sent to the ward and lifted onto the bed.

At this time, Chairman Li from next door heard the noise and ran out to check.

I immediately saw acquaintances from the Chamber of Commerce.

He hurriedly greeted:
"Hey, Dai Bin, what's going on in your family?"

At this time, the patient's family turned around and saw that Li Hongyuan had recovered a lot. For a moment, it was hard to believe that Li Hongyuan, who looked like he was about to die before, could walk after a few days.

After several seconds, he came back to his senses and said:

"Our child has a nosebleed and can't stop it, so he was sent here."

Chairman Li came over with a newspaper in his hand, looked at the bed, and asked:

"Has this ever happened before?"

The patient's family said:
"No, this child has rarely been sick since he was young, and he is very strong."

President Li frowned and said casually:
"I guess it's because of the unfamiliar climate."

The patient's family members shook their heads:

"I've been back for several days. If I was going to be dissatisfied, I would have been dissatisfied a long time ago. I've been playing around and doing nothing these past few days. Now I'm sick after the Chinese New Year."

President Li nodded and asked:
"How old is this year?"

"Sixteen!" said the patient's father.

President Li asked again:
"Is it full?"

The patient's father nodded:

"It's full. It should be seventeen in July."

President Li shook his head and said:

"So this year is seventeen!"

"Yes, yes." The patient's father looked puzzled. He didn't know why Li Hongyuan was talking about age. He was almost dying of anxiety, but he was still talking nonsense with him.

But at this moment, Li Hongyuan muttered:

"If you were born in 1961, you are an ox. The horse corresponds to 'noon' and the ox corresponds to 'ugly'..."

Suddenly he slapped his thigh and said:
"Oh, the Chou and the Wu are in conflict!"

"Ah?" The patient's father looked at Li Hongyuan in confusion.

Chairman Li said to him:
"That's right. I heard from a master that, theoretically, when a person born in the Year of the Ox encounters the Year of the Horse, they may face some challenges in terms of fortune, and may even have some minor health problems. This child was born in the Year of the Ox and encountered the Year of the Horse, and that's the situation."

The patient's father looked at President Li in confusion:
"Ah, there is such a saying?"

Chairman Li said confidently:

"How about you explain to me why this happened right after the New Year? I just heard that it happened after midnight and I took a shower, right?"

After hearing this, the patient’s father didn’t know how to respond.

Finally, he asked President Li:
"Then...what should we do?"

I thought Li Hongyuan was going to talk about some feudal superstition or something, but he pointed at the dialect and said:

"It's okay. Isn't this Doctor Fang? You just need to trust his medical skills. His 100% cure rate is definitely not exaggerated!"

Fangyan, who was examining a patient at the side, was also speechless. He thought that President Li was going to get something after going around for a long time, but he didn't expect that he would go back to him.

Just as they were talking, Fangyan had already done a rough, comprehensive examination of the patient.

Although the patient was listless, he was still able to communicate. He felt cold and had fever. Fangyan found that unlike a normal fever, he did not sweat and he was visibly restless.

After taking the pulse of both hands, it was found that the pulse was stringy and beating rapidly.

When we wanted him to stick out his tongue for examination, we found that his tongue could not extend beyond his teeth because its movement was restricted for unknown reasons.

Fangyan then observed the tongue and found that there was a thin layer of sticky moss-like substance on the surface of the tongue, while the color of the tongue was relatively light.

"Did you take a bath for a full hour last night?" Fang Yan asked the patient. The patient nodded weakly, then explained to Fang Yan:

"Because it's so cold here in the winter, taking a bath warms my whole body. I felt very comfortable so I soaked for a while."

"Is the water temperature a little high?" Fangyan asked him again.

The patient nodded:

"I always use the highest water temperature, and when it's a little cold, I heat it up, and when it's a little cold, I heat it up again, just like a hot spring."

“……” Fang Yan rubbed his forehead speechlessly.

Now he has basically confirmed that this kid is completely digging his own grave.

Fang Yan asked him again:
"Did you drink last night?"

The patient said:
"My dad asked me to drink it..."

Fangyan asked:

"How much did you drink? What kind of wine did you drink?"

The patient said:
"A small glass of white wine, please."

The dialect asked:
"Did you drink any cold drinks while taking a bath?"

The patient nodded:

"I drank the drinks that the hotel put in the room."

Fangyan nodded and began to write the medical record.

"Doctor Fang, this disease..." the patient's father asked Fang Yan with some concern.

"It can be cured, don't worry." Fangyan replied to him.

President Li said:
"See, I told you that a nosebleed is just a minor problem. Our An Li also had a nosebleed today. Hers... should be more weird than yours anyway."

At the end, President Li seemed to be hesitant to speak.

At this time, the dialect has begun to deduce in my mind:

Although it is not the season when summer heat is prevalent, the dialect analysis of the causes of the patients' illnesses combined with the phenomena and internal mechanisms still believes that summer heat invades the human body from the outside.

The invasion of summer heat usually occurs when one works or is active for too long in a high temperature environment, lives or works in a stuffy and unventilated environment, drinks cold drinks excessively and then feels the heat, or has a weak constitution or lacks vital energy.

Obviously the patient has none of the above symptoms, but seems to have a little bit of all of them.

The patient drank alcohol, took a hot bath for an hour, and then drank cold drinks. Because he had not adapted to the conditions in the north and his body was insufficient in positive energy, he relied on his normal good health and did whatever he wanted, which led to the invasion of summer heat.

Although this situation is not likely to cause the invasion of summer heat, he still managed to achieve it.

His condition was clearly caused by the accumulation of heat and toxins in the lungs and stomach, and damage to the meridians of the hand Taiyin lung meridian and the foot Yangming stomach meridian, leading to the disease.

The reason why the nose bleeds is because the nose is the orifice of the lungs.

As for the treatment of summer heat syndrome, Chinese medicine practitioners of all dynasties have believed that the method of clearing and penetrating should be used to expel the heat evil in the body, so that the evil qi on the body surface can be eliminated.

The patient had a high fever and did not sweat. Although it seemed that sweating should be used to reduce the temperature, the dialect remembered the ancient saying "Those who have lost blood should not sweat", which means that sweating should not be used to treat people who have already lost blood.

So after thinking about it, Fangyan picked up a pen and wrote a prescription.

Yang Jingxiang, who was standing by, took a look and found it familiar. He saw the following words written on it:
30 grams of fresh Rehmannia, 30 grams of fresh Dendrobium candidum (fresh Dendrobium nobile), 90 grams of fresh Imperata rhizome, 1.5 grams of charred Gardenia jasminoides, 15 grams of Ziwei, 15 grams of Morus alba bark, 3 grams of lotus node charcoal, 15 grams of Rubia cordifolia charcoal, 9 grams of rhinoceros horn powder (for washing), 15 grams of Moutan bark, and 15 grams of Ganlu Xiaodu Dan.

In the end, Fangyan chose Rhinoceros Horn and Rehmannia Decoction, which has the effect of cooling the body and clearing away heat, and made adjustments to the dosage of the medicine based on this.

He added fresh Rehmannia, fresh Dendrobium, fresh Imperata root, White Snake, Gardenia and other medicines to achieve the purpose of combining clearing heat with nourishing the body.

Use Ganlu Xiaodu Dan to dissolve the dampness and turbidity in the body and guide the heat evil out of the body.

In addition, the prescription also uses lotus root node charcoal and madder charcoal, two medicines specifically used to stop bleeding.

Fang Yan checked the prescription and handed it to Yang Jingxiang, and said to him:

"Use the Siamese horns that were delivered this morning to make medicine."

"Okay!" Yang Jingxiang nodded.

The patient's father breathed a sigh of relief when he saw Fangyan prescribe the medicine.

From the beginning till now, Fangyan has been very calm, as if everything is under his control, which also gave great spiritual support to the patient's father.

Seeing the medical staff's helpless rescue efforts last night and the obvious panic on their faces almost made him lose his mind.

In the end, even after the bleeding stopped, he still felt uneasy.

Later it turned out that his worries were justified.

Later, bleeding occurred again. Now that Fangyan had prescribed the medicine, although he had not taken the medicine yet, his temperament made him feel that it should be cured in one step. Of course, this was also related to his understanding of Fangyan's battle record.

But just as he was thinking about this, his son on the bed shouted in panic:

"It's coming again! It's flowing again!"

A stream of blood-red blood quickly soaked the cotton stuffing and seeped out. Even because his nose was blocked, blood began to come out of the boy's mouth.

Before he could say a few words, his tongue and teeth were covered in blood.

At this time, Fang Yan had already rolled up his sleeves, took out the silver needle, and said to the boy: "Hold it, don't move!"

Then pierce the hole near the midpoint of the outer edge of the boy's nose, in the nasolabial groove.

Then another needle was placed on the boy's head, one inch directly above the center of his hairline.

This is one needle at the Yingxiang point and one needle at the Shangxing point.

Acupuncture points for epistaxis (nosebleeds) in Traditional Chinese Medicine.

As he shook the silver needle, the young man, who had just been panicking, suddenly froze and said in astonishment:
“Stop…stop?!”

(End of this chapter)