NovelBonte Chapter 198
Chapter 198
Chapter 198
Although the medicine in the medicine jar has been decocted, it has long lost its original appearance.
But for Xiao Bufan, it is still very simple to identify these drugs.
After all, his "Materia Medica Specialization" has been upgraded to the proficient level, and he can basically identify all Chinese herbal medicines.
Vice President Tang and Zhang Fengyan, a master of traditional Chinese medicine, and others on the side couldn't help staring at Xiao Bufan distinguishing Chinese herbal medicines with wide eyes, all in disbelief.
Could it be that Dean Xiao is already proficient in medicine at such a young age?
impossible?
Tang Boqing's expression was a little unbelievable, after all, there are not many people who can become proficient in medicine these days.
Especially for a Chinese medicine doctor as young as Xiao Bufan.
You must know that the current college education is for those who study medicine to study medicine, and those who study medicine to study medicine. Only in this way can a group of doctors or pharmacists be trained as quickly as Western medicine education.
The idea that medicine should not be separated has been completely disintegrated in modern medical teaching, and no one is willing to spend too much energy on learning medical science and pharmacology at the same time.
Therefore, although many doctors of traditional Chinese medicine can dialectically prescribe prescriptions, they also know the effect of each medicine.
But if you really bring the Chinese herbal medicine in front of him.
Nowadays, many doctors of traditional Chinese medicine do not necessarily recognize these herbs, and they may even not be able to tell the difference between ginseng and salvia miltiorrhiza.
So now there is a saying called 'Chinese medicine died in Chinese medicine'.
This is not only to say that the current Chinese medicine is not the same as the traditional Chinese medicine in the past, even the doctor is a little unclear about the true face of the Chinese medicine.
Therefore, Xiao Bufan can be proficient in medicine.
Whether it was Tang Boqing or Zhang Fengyan, a master of traditional Chinese medicine, they were all shocked!
Even Zhang Fengyan, known as the master of traditional Chinese medicine, although he can recognize most of the herbs, but that is only when they have not been decocted.
If this medicinal material had been decocted, then both its appearance and its taste would be different from before!
It would have been impossible to achieve this without being proficient in the identification of Chinese herbal medicines.
"Tribulus."
"Huh? Isn't this Tribulus?"
Xiao Bufan picked up the medicine dregs in the medicine pot and checked them one by one. Suddenly, he couldn't help being slightly stunned, staring at the piece of medicine dregs in his hand in a daze!
Tribulus terrestris is a medicine that calms the liver and quenches the wind. It has the effects of calming the liver and relieving stagnation, promoting blood circulation and dispelling wind, improving eyesight and relieving itching.
But the dregs in Xiao Bufan's hands are obviously not Tribulus terrestris.
Because the rhizome of Tribulus terrestris is small, the leaves are also very small, so it will be completely shrunk up after being boiled, and it is not clear what it is.
However, really good Chinese medicine practitioners can still tell whether the medicinal material in front of them is Tribulus terrestris through the taste of Tribulus terrestris and the medicinal properties of the medicine.
"Blah blah blah blah"
Xiao Bufan didn't think much about it, he picked up the dregs of the medicine in his hand and stuffed it into his mouth to taste it lightly.
"vomit"
Just tasted the medicine dregs in his hand, Xiao Bufan felt the taste was astringent and bitter, which instantly made him feel like vomiting.
Is this an emetic?
Xiao Bufan's face couldn't help being slightly startled, and he immediately recognized that it wasn't terrestris, but tribulus!
Veratrum is also a kind of rhizome Chinese herbal medicine, and it is also a medicine for vomiting, which has the effects of vomiting wind phlegm, killing insects and treating ringworm.
"Who did this? He turned the thorn into a weed. Did he want the patient to die?"
Xiao Bufan's expression changed, and he turned around and questioned the resident physician Wang Zangshan beside him.
In fact, it is nothing serious to mistake Tribulus Terrestris for Veratrum, at most it has no medicinal effect.
But Wang Zangshan's prescription itself contains salvia miltiorrhiza.
You know, the most taboo in the compatibility of traditional Chinese medicine is 'Eighteen Anti'.
The so-called "eighteen anti" refers to the use of two drugs together, and then severe toxic reactions or side effects will occur.
This condition is known as the opposite of the drug.
The medicinal effect of veratrum is against ginseng, salvia miltiorrhiza, sand ginseng, sophora flavescens, crocus crocodile, asarum, peony and so on.
There are 15g of Salvia miltiorrhiza and 30g of Tribulus terrestris in the prescription in front of me.
Now it has become 30g of veratrum and 15g of salvia miltiorrhiza.
Once these two drugs have the opposite effect, it will be a ghost if the patient does not have a tachycardia.
"Ah? You said this is not a terrestris?"
Wang Zangshan couldn't help being stunned for a moment, as if he couldn't believe his ears.
How could this not be Tribulus terrestris?
If it is not Tribulus terrestris, then what kind of medicinal material is it?
Xiao Bufan looked at Wang Zangshan and the others, and said angrily: "This is veratrum, do you understand it? It will form a veratrum with the opposite medicinal effect of salvia miltiorrhiza!"
"What? Is this hellebore?"
Wang Zangshan's face couldn't help being slightly startled, and his heart skipped a beat all of a sudden. This could already be regarded as a major medical accident.
Xiao Bufan also knew that taking the wrong medicine should be a matter of the pharmacy, and it had nothing to do with Wang Zangshan, a resident doctor.
Even so, he was still very angry!
Why did I ignore the importance of the pharmacy?
Thinking of this, Xiao Bufan said to Wang Zangshan with a sullen face: "Go to the pharmacy and check who made the medicine, and see where the problem is. I will give him emergency treatment first."
"Oh, okay, I'll go right now."
Wang Zangshan nodded, then immediately turned around and walked towards the pharmacy.
Xiao Bufan prescribed a prescription to give first aid to the patient in front of him, mainly to neutralize the opposite effect of veratrum and salvia miltiorrhiza.
Soon, the nurse took the medicine Xiao Bufan re-prescribed and fed the patient to drink it.
"Gudoo. Gudoo"
After the patient drank the medicine.
It didn't take long for the patient's body to stop shaking, as if the pause button had been pressed all of a sudden.
After taking a look, Xiao Bufan turned to Tang Boqing and said, "The patient's condition still needs to be observed, and there may be some vomiting in the future. Don't worry about it, as long as the patient doesn't have heart tremors."
"Okay, I see." Tang Boqing nodded quickly in response.
Zhang Fengyan, a master of traditional Chinese medicine at the side, was already shocked by Xiao Bufan's dialectics and knowledge of medicine, and it took him a long time to come back to his senses.
"I didn't expect Dean Xiao's medical skills to be so powerful. It seems that I am really old. I didn't realize it before. I hope Dean Xiao is not to blame!"
For Chinese medicine, it has always been the first to achieve.
This is similar to the world of martial arts. After all, there is no separation of families in medicine and martial arts, and some Chinese medicine families really know a little martial arts.
It's just that with the development of modern science and technology, whether it is the separation of medicine and military or the separation of medicine, it has been forgotten by many people.
Hearing Zhang Fengyan's flattery, Xiao Bufan couldn't help but smiled slightly and said: "Mr. Zhang, you are overrated. My medical skills are actually just mediocre."
"Hey, Dean Xiao, you are being modest now."
Zhang Fengyan smiled and waved his hands and said: "Although I think my medical skills are good and I have dabbled in traditional Chinese medicine, but like you, Dean Xiao, who can distinguish medicine from medicine dregs, I really can't do it."
"Ha ha."
Xiao Bufan smiled and didn't answer, because he couldn't answer these words.
Tatata! ! !
It was at this time.
Wang Zangshan ran in from the outside in a hurry, panting and said to Xiao Bufan: "Dean, I have already found out that the new pharmacist who came to the pharmacy picked up the wrong medicine. Dean, how do you think about this matter?"
"The new pharmacist picked up the wrong medicine?"
Xiao Bufan's face turned cold, and he said lightly: "Since this matter is the responsibility of the pharmacy, let the people in the pharmacy bear it. They want to throw the responsibility on a pharmacist who has woken up. I don't agree with this matter."
After speaking, Xiao Bufan turned his head and said to Tang Boqing who was beside him: "The pharmacy must deal with this matter strictly to ensure that this situation will not happen again next time."
"Okay, okay, I know the principal." Tang Boqing nodded repeatedly.
Xiao Bufan frowned and thought for a while, and then said: "Let's organize a meeting for everyone later, how long has it been since there were two medical accidents in our hospital, how should we explain to the patient's family?"
"Yes, yes, I will organize a meeting for them and criticize them severely."
Tang Boqing kept nodding his head obediently.
Facing Xiao Bufan's anger, Tang Boqing knew that it was not terrible, what was terrible was the family members of the patients who were going to face him next.
Xiao Bufan sighed helplessly and said, "Actually, I am also responsible for the problem of the pharmacy. I have neglected the importance of the pharmacy."
Speaking of this, Xiao Bufan couldn't help thinking for a moment, and then continued to Tang Boqing:
"How about this, tell the people in the pharmacy that after the inspection this time, I will take the time to teach them how to identify Chinese herbal medicines. If they fail the assessment, I will ask them to pack up and leave."
After finishing speaking, Xiao Bufan turned and left here with an angry face.
As for the rest of the matter, there will naturally be people from the medical department to solve it, otherwise why do they need them?
Xiao Bufan is also a dean after all, he does not need to handle many things in the hospital himself, he only needs to control the specific direction.
Since the prescription of a traditional Chinese medicine hospital can still make the wrong medicine!
While this incident made Xiao Bufan feel angry, it was more helpless, helpless for modern Chinese medicine.
After leaving the inpatient department.
Xiao Bufan glanced at the time, turned around and came to the outpatient department to go out.
It just so happens that the time for work in the afternoon is almost here!
After Xiao Bufan turned around and came to his outpatient room, he sat down and waited for the patients to come to the door. At the same time, he thought for a while about how to deal with the problems in the pharmacy.
Squeak!
Soon, the door of the outpatient room was pushed open.
The first patient in the afternoon came in. It was a young woman with a five or six-year-old child. The child's nostrils were still stuffed with two rolls of toilet paper, and it looked like he was bleeding from the nose.
As soon as the young woman walked in with her child, she handed over the registration form in her hand and said anxiously to Xiao Bufan:
"Doctor, please help me to find out what's wrong with my child. The nosebleeds started suddenly at ten o'clock in the morning and have not been stopped until now. I went to the small clinic to deal with them before, but I still can't stop the nosebleeds from flowing out."
"Can't the nosebleed stop? Let me see!"
Xiao Bufan glanced at the registration form handed over by the other party, and then checked it for the little guy in front of him.
Due to the young age of the patient, it is not easy to take the pulse on the wrist, so Xiao Bufan had to use a designated method, pressing on the child's neck to give him the pulse.
The pulse of the child on this number, Xiao Bufan couldn't help but frowned slightly, and instantly felt that the child's pulse was a little rough, which was a symptom of Qi deficiency and blood deficiency.
After thinking for a while, Xiao Bufan said to the child: "Come on, open your mouth, big brother has a look at your tongue."
"what"
The little boy immediately opened his mouth.
Xiao Bufan took a look, only to see that his tongue coating was dark purple, and there were some bruises near the tongue.
There is a saying in "The Beginning of All Diseases in the Lingshu": "When the yang collaterals are injured, it will overflow, and if the blood overflows, it will cause epistaxis. If the epistaxis does not stop, it is also called nasal flood. If there is too much nosebleed, it overflows into the mouth, and the mouth and nose bleed. It is called cerebral bleed."
Obviously, the child in front of him must be suffering from stagnation of qi and blood stasis in his body, which caused more than one nosebleed.
Xiao Bufan frowned and withdrew his left hand, and asked the child's mother, "Has the child been injured before? For example, was it bruised, fell, or was hit over the head by something?"
"Oh, doctor, how do you know?"
The child's mother couldn't help flashing a look of surprise on her face, she looked very shocked and said: "Our family Yun Yun rolled down the stairs on the fourth floor when he was three years old. At that time, he hurt the back of his head and bleed a lot. It was only after a period of rescue that he recovered his life."
Hear what the other party said.
Xiao Bufan couldn't help but nodded and said: "Okay, I know about the problem of the child's nosebleed. This must be treated with acupuncture and medicine at the same time to have a chance of recovery."
With that said, Xiao Bufan took out a disposable medical silver needle and began to sterilize it.
"Ah, you need acupuncture?"
The child's mother looked at Xiao Bufan hesitantly and asked.
Xiao Bufan could tell what the other party was hesitating at a glance, and said with a smile: "Don't worry, acupuncture won't hurt, and the child will be fine."
"Okay, then I will trouble you, doctor."
When the child's mother heard that acupuncture would not hurt, she nodded and agreed to Xiao Bufan's treatment plan.
Xiao Bufan came to the child with the silver needle in his hand, and said with a smile: "Don't be afraid, this needle is used by big brother to treat your illness, and it doesn't hurt at all when it is stuck on the body."
In fact, a powerful acupuncture master will not make the patient feel a little pain when the acupuncture is given. At most, you can feel a little soreness, numbness and swelling.
Whoosh!Whoosh!Whoosh!
While speaking, the silver needle in Xiao Bufan's hand has been quickly pierced on the child's body.
Yingxiang, Yongquan, Inner Court.
These acupuncture points have a very good effect on stopping nosebleeds.
Just the blink of an eye.
A few silver needles were stuck on the child's body, shaking brightly on him, but the child didn't feel any pain, so naturally he wouldn't cry.
The child's mother felt a little relieved after watching Xiao Bufan give the needle, but her child did not cry.
Then, leave the needle for 1 minute.
After Xiao Bufan took off the silver needle, he said to the child's mother, "Okay, you can remove the toilet paper from the child's nose, and there should be no more nosebleeds now."
"Oh, alright."
The child's mother nodded, and then carefully removed the toilet paper from the child's nose, and sure enough, she found that the child had no more nosebleeds.
Suddenly, the child's mother couldn't help showing a gleam of joy, and looked at Xiao Bufan gratefully and said:
"It's really no nosebleed, doctor, you are really amazing!"
"It's okay, the effect is better than I expected."
Xiao Bufan said with a smile, then pressed the computer in front of him and crackled out a prescription, handed it to the child's mother and said:
"You take the prescription and payment slip to the front registration office to pay, and then go to the Chinese pharmacy to pick up the medicine. Just remember to give the child the medicine on time."
"Okay, okay, I see, thank you doctor."
The child's mother nodded repeatedly, then got up and left the outpatient room with a grateful face.
Xiao Bufan waved his hand with a smile, and shouted to the door:
"Okay, the next patient comes in!"
PS: Begging for a wave of recommendation tickets, monthly tickets, and rewards to hit the list! ! !
(End of this chapter)