Rebirth 1977 Great Era

Chapter 729: There is no coincidence in the world, the prescription of Guangdong's famous doctor of febrile diseases (monthly ticket plus more)

The patient sitting in the wheelchair looked to be a woman in her early thirties.

However, she didn't seem to be sitting in a wheelchair because she had lost her mobility. Looking closely, she was still wearing restraints.

He was fixed to a wheelchair and could not move.

She sometimes experiences milder involuntary muscle contractions and twitches in her limbs.

His face looked pale and bloodless, his body was very thin, his mental state was not good and he looked a little dull and stupid, and his facial expression showed impatience and difficulty in calming down.

It seems that he either has a neurological problem or a mental problem.

Yang Jingxiang, who had just finished cleaning up the garbage, saw this scene and immediately frowned.

As far as he knows, this is a blind spot in the knowledge of most Chinese medicine practitioners.

Only Taoist medicine seems to be good at this.

At this moment, Taoist doctor Old Fan had already gone to give acupuncture to someone.

I don't know if dialect can be used for this purpose?
Turning to look at Fangyan, he found that he had a calm expression. Yang Jingxiang thought, his expression is too calm, could he also have treatment experience?

The man pushing the cart was a middle-aged man in a cadre Zhongshan suit. He looked around the room and his eyes fell on Fang Yan behind the examination table. He then called out to Fang Yan:
"Hello, Doctor Fang! My last name is Sun, and this is my wife. She wants to see a doctor."

Fang Yan greeted him:

"Come here."

As he spoke, he pointed to the side of his examination table.

It is obvious that this kind of patient is unlikely to cooperate with treatment, so we can only ask her to stay by our side for careful observation.

The patient's husband pushed the wheelchair to Fangyan.

At this time, the patient, who was originally in a daze, suddenly began to touch his hair with his hands, which scared Zhang Yanchang and Yang Jingxiang who were standing next to him.

"It's okay. She's like this all the time. She often makes various movements unconsciously, such as stroking her hair with her hands, covering her eyes with her hands, or tilting her head and stretching her hands diagonally upwards, as if someone is dragging her in mid-air."

The two nodded in understanding.

Neither of them had ever come into contact with this type of patient, and today was the first time.

When I turned to look at Fang Yan, he had already taken out a flashlight. He first asked the patient:
"Hello, can you hear me?"

The other party did not answer him.

Then, Fangyan turned on the flashlight and shone it into the other person's eyes.

Then, after shining the light into both eyes, he turned off the flashlight and said:
"Pupil reaction is slow."

Then he stood up, looked around the patient's head, and asked the patient's husband:
"Is this a brain injury?"

The patient's husband shook his head and said:

"It wasn't an external injury. It happened at the end of November last year when we were on a business trip in a county town in Henan. She suddenly developed fever and headache symptoms, and then her body temperature rose sharply and she fell into a coma, and she also had convulsions."

"I was so scared at that time that I sent him to the county hospital that day."

"After being diagnosed at the county hospital, the doctors there determined that she had Japanese encephalitis."

"Then we started treatment. After more than 20 days of combined treatment with Chinese and Western medicine, my wife regained consciousness and her convulsions stopped, but she still had a slight low-grade fever. After another month and a half of treatment, her body temperature finally returned to normal, and she was gradually able to stand up and walk."

"I was still able to speak and eat at that time."

"But a day later, she became anxious and irritable, unable to sit or stand, unable to calm down, and unable to sleep all night. Later, her speech became slurred, and her speech was incoherent and disorganized."

"I knew something was wrong, so I was quickly transferred to a local hospital in Luoyang."

"But after being admitted to the hospital, her condition did not improve. It became worse day by day, and eventually she completely lost her memory and could no longer recognize ordinary words or familiar people."

"Later, the hospital leaders found me and asked me to transfer to a psychiatric hospital."

"They said they couldn't treat this disease, so I had no choice but to listen to them and transfer to another hospital."

"After I was admitted to Luoyang Mental Hospital, the doctors there thought it was a sequela of Japanese encephalitis."

"Then, a medicine was prescribed for my wife to take."

"Look, this is it. I have the box with me." The patient's husband took out a medicine box from his pocket.

A look at the dialect:
"Chlorpromazine."

Chlorpromazine is a classic antipsychotic drug, mainly used to control symptoms such as excitement, agitation, hallucinations, delusions, etc. in schizophrenia or other mental illnesses.

Chlorpromazine also has some adverse reactions, the most common of which are drowsiness, sleepiness, fatigue, dry mouth, constipation, blurred vision, etc.

Long-term and excessive use may lead to extrapyramidal reactions such as tremor, movement disorders, and akathisia.

It may also cause endocrine disorders.

The patient’s husband said:

"I took several boxes and it had some effect at the beginning."

"She regained some consciousness and was able to walk."

"But she became restless, kept walking around, spoke slurred words, and answered questions incoherently. When I asked her something, she would speak nonsense in several languages ​​at me."

"And in the middle of the night, she would sit up in bed and cry out the window. It was so creepy."

"When I asked her why she was crying, she either shook her head or gave me a bunch of random answers like before."

"She then developed insomnia and panic symptoms."

"She would tremble with fear even when I turned on the tap. Later, she refused to eat anything and had to be force-fed by her family. Every day, we had to tie her to a wheelchair before we could feed her."

Fang Yan frowned slightly and asked:
“How much can you eat every day?”

The patient's husband thought for a moment and said, "Three to four ounces of food, only liquid food that is easy to swallow, millet porridge, rice porridge, or minced meat soup, egg drop soup, etc., and she doesn't want to drink water even though her mouth is dry and cracked. I don't know what she is thinking... Anyway, it's really hard for our family."

"Later, she started to have these unconscious movements that wouldn't stop. Sometimes she would run around the house, so we had to restrain her."

"I felt that the medicine also had side effects, so I had to stop taking it."

"But after she stopped, she started to become dazed. She would be dazed from time to time, but her expression was as if something was urgent. She kept frowning, her body seemed to be twitching, and she looked restless."

"In the end, we really had no other choice. Suddenly one day we saw your news, so we asked someone to find out about it. We finally got an appointment and wanted you to take a look."

Fangyan nodded and said to the patient's husband:
"Well, okay, don't worry, I'll take a look at her condition."

As he spoke, Fangyan held the patient's unconsciously moving hand in his hand.

Then he held her down forcefully and began to take the patient's pulse by placing his hands on her Cun, Guan, and Chi points.

After a few minutes, he released his hand and started taking the pulse of the other hand.

After the patient was controlled, he became a little impatient. He opened his mouth and screamed "Ah! Ah!" softly. Saliva was flowing out of his mouth. His husband hurriedly wiped it clean with a handkerchief he carried with him.

Fangyan took advantage of this time to shine the flashlight into her mouth and saw the shape of her tongue.

The patient has a pale complexion, emaciated body, dull mental state, irritable expression, thin yellow tongue coating with little moisture, pale and dark tongue, enlarged tongue, and a thin, smooth and rapid pulse.

Japanese encephalitis belongs to the category of "heaty summer" diseases in traditional Chinese medicine.

Clinical observation shows that the pathology of this disease includes heat, dampness and accumulation of dampness and heat.

Among them, the damp type is most likely to have sequelae.

Fangyan once read a document that a certain hospital treated 132 cases of type B encephalitis, 17 of which were of the wet type, and 15 of them had sequelae of varying degrees.

According to Chinese medicine, dampness is sticky and can easily block the meridians, making it difficult to cure the disease quickly.

This patient had a slippery pulse, a pale and fat tongue, a dry mouth and no desire to drink or eat, which was clearly a case of dampness.

Therefore, the dialect diagnosis is that the heat and dampness toxins have not been cleared, the refined liquid becomes phlegm, the phlegm and blood stasis block the collaterals and obscure the clear orifices; the excessive heat damages the yin, the liver and kidney are deficient, and the tendons and veins are not nourished.

This is the post-febrile mania in traditional Chinese medicine.

The patient's husband looked at Fangyan expectantly and asked:
"Doctor Fang, how is it? Is there any way to treat it?"

Fang Yan nodded and said:
"No problem. A few days ago, I happened to see the medical case notes brought by a disciple of a famous doctor in Guangdong. There was a similar case in it."

Hearing this, Yang Jingxiang and Zhang Yanchang were stunned.

No, there really are medical cases that we can learn from?
Yang Jingxiang then frowned.

A disciple of a famous doctor in Guangdong?
Why does it sound so much like those two awesome guys Xiao Chengzhi or Deng Nanxing?
At this time, Zhang Yanchang secretly admired Fang Yan even more. Brother Fang really has a lot of tricks!
The prescriptions of famous doctors of Guangdong Warm Disease School were also shared by his disciples.

Look at this network of people! From all over the world!
Then he had another question:

After school starts, can those teachers really be as good as my brother Fang?

On the other hand, the patient’s husband breathed a sigh of relief when he heard this.

A famous doctor from Guangdong! A famous doctor from Beijing with dialect!

There's a good chance that my wife can be saved!

He spoke to the dialect:

"Doctor Fang, I knew I made the right choice by coming to you!"

"Who would have thought that you have all the prescriptions from famous doctors in Guangdong?"

"Isn't this a coincidence?"

Fangyan smiled and nodded.

That book was given to me by Xiao Chengzhi, and it contained the treatment plan of the Warm Disease School.

"Treatise on Febrile Diseases" says: "For patients with prolonged heatstroke, Qi and Yin are damaged, pathogenic heat is trapped inside, and phlegm covers the pericardium, the treatment should be to clear the heart and open the orifices, nourish Yin and extinguish wind."

meaning is:

If the evil of summer heat stays in the body for a long time, causing damage to the body's Qi and Yin fluid, and at the same time the evil heat sinks inward and the phlegm obscures the pericardium, in this case, the treatment method should be adopted to clear the heart heat, open the heart orifices, nourish the Yin fluid, and calm the internal wind.

It also says: "If the heat evil has been lingering for a long time, sucking away the true yin, or due to the wrong treatment of the exterior, or due to the reckless attack, the patient will be tired and convulsed, with weak pulse and qi, red tongue with little coating, and will be about to fall out from time to time. Da Ding Feng Zhu is the main treatment."

Translated it means:

Warm-heat pathogens stay in the body for a long time, constantly consuming and burning the body's true yin fluid, or because of the incorrect use of antipyretics, or indiscriminate attacking treatments, resulting in mental fatigue, convulsions in the hands and feet, weak pulse, dark red tongue with sparse tongue coating, and the body is always in a state of losing yin fluid and losing vital energy. This disease can be treated with Da Ding Feng Zhu.

The principles of treatment should be:
In an emergency, treat the symptoms: clear away phlegm and open the orifices, calm the liver and extinguish wind.

Slow down and cure the root cause: replenish qi and nourish yin, strengthen the spleen and eliminate dampness.

At the same time, it dredges the meridians and refreshes the mind: it dredges the brain meridians and restores consciousness.

The specific treatment plan is also written in it, which is Acorus calamus and turmeric decoction combined with Da Ding Feng Zhu with modifications.

Then Fangyan began to write the prescription. Zhang Yanchang and Yang Jingxiang hurried over to look at it:
石菖蒲12g、郁金10g、胆南星9g、竹沥30ml（冲服）、羚羊角粉1g（冲服）、钩藤15g（后下）、天麻10g、西洋参6g（另煎）、麦冬15g、生地黄20g、玉竹12g、茯苓15g、白术12g、薏苡仁30g、地龙10g、丹参15g。

Decoction method:
Concentrate 200ml and feed slowly in 4 doses. Add bamboo juice and antelope horn powder into the warm medicinal liquid.

Take it with millet porridge to enhance the absorption of the medicine.

PS: I got 100 more monthly tickets, so after updating this chapter, I still owe you 86000 words.

No more today. Please come early tomorrow.

Lao Feng is working hard on coding for tomorrow.

(End of this chapter)