Chapter 476

Now no one quarrels, but someone looks at Yang Xiaotian in fear.

Yang Xiaotian asked with a smile, "can we talk well now?"

The leader nodded: "yes, yes!"

"Well, I only know a little about what's going on. Do you mean that this kind of medicine was prescribed in the town before, and it doesn't work?" Yang Xiaotian asked.

"Yes, yes!" The man explained quickly.

It turned out that the patient was 41 years old. He was farming at home to take care of his children. Three days ago, he suddenly had a high fever and took medicine at the town hospital.

After taking the antipyretic, it was effective at that time, but after the efficacy, the fever rose again.

Later, he was in the town hospital for two days.

But the temperature is always between 38 and 39 degrees.

So I came to the hospital of traditional Chinese medicine.

But I didn't expect that Zhong Bowen was careless for a moment, and treated it as an ordinary high fever. He prescribed the same hanging water. Naturally, the patient's family members didn't want to.

Maybe some people will question, you are not a hospital of traditional Chinese medicine, how can you still hang water?

In fact, the reason is very simple. The hospital of traditional Chinese medicine also uses the technology of modern medicine. If you have tonsil inflammation, the doctor will give you a prescription for you to take medicine and then take it?

Let's not talk about doctors. Do patients feel trouble themselves?

You say it's against the rules?

What about the general western hospital? Like small bupleurum, Huoxiang Zhengqi water, Jianwei Xiaoshi tablets, fenghan Ganmao granules are not open?

And patients with coronary heart disease know better that their Suxiao Jiuxin pills and Shexiang Baoxin Pills are all proprietary Chinese medicines. Do they have to go to a traditional Chinese medicine hospital to open them?

Isn't it still open in the general western hospital?

Yang Xiaotian said to the leader, "I'm the president of this hospital. I already know my condition. Don't worry. Can I have a look at the patients?"

A few people listen to Yang Xiaotian is Dean, agreed immediately.

Yang Xiaotian went into the consulting room to see the patient.

First, he asked, "what's wrong?"

The patient nodded and replied, "yes, it's hot and uncomfortable! It's been days! "

Yang Xiaotian frowned and thought, and made a record in the medical record.

Zhong Bowen came up and looked at it carefully. He was also learning.

Yang Xiaotian wrote on the medical record that "his voice is loud and bright!"

Zhong Bowen opened his mouth in surprise, thinking that this is indeed the gap. President Yang is just an ordinary question and can make some judgments.

What about yourself? I didn't pay attention to these details at all.

Some people will think that the voice is loud and bright. What's wrong? Everyone's sound quality is different.

Normally, it's nothing.

But now the patient is in the state of fever, imagine, who will have a fever when the voice will be loud, bright? Most people who have a fever have a weak voice.

And with this alone, tonsillitis can be ruled out. There is no need to press the tongue with a tongue depressor to let the patient make a "ah" or "ah" sound and then go to see the throat.

Yang Xiaotian carefully observed, and saw that the patient's eyes around some yellow, mouth around and corner of the mouth some blisters.

Yang Xiaotian asked: "does the blister in the mouth hurt?"

"It hurts. It hurts like a needle!" The patient said immediately.

"Stick out your tongue and I'll see!" Yang Xiaotian said again.

The patient did as he was told.

Yang Xiaotian continued to make records.

The tongue is red and the coating is thin and white.

Feel the pulse immediately.

Then continue to take notes.

The pulse is smooth and slightly tight.

Seeing this, it is different from western medicine.

Because Western medicine like this time, if it is determined that the patient is not tonsillitis, then it must directly say "go to have a blood test". At that time, we will see the blood test results. If the index is high, we will prescribe the right medicine to the case and reduce your index first.

If you can't, you can make another movie or something.

"Do you feel thirsty?" Yang Xiaotian asked

The patient shook his head.

Yang Xiaotian asked: "if you don't drink water and take antipyretic, won't you sweat?"

The patient immediately opened his eyes and said to Yang Xiaotian, "God, how do you know that? I don't drink water. It's no use taking antipyretic drugs! And I'm still sore! "

Yang Xiaotian said to Zhong Bowen: "it's hot now. Although the patient has a high fever for three days, he is in good spirits. He is in pain all over. This kind of high fever is caused by cold and pathogenic factors and qi stagnation. It is said that Yang Qi is depressed and stagnant heat does not understand, so the blisters around the mouth fester, so although the weather is hot, it still needs to be solved! "

Speaking of this, Yang Xiaotian smile: "then I'll test you, what do you think this should open a prescription?"

This set says down, all around the people listen to the dizzy confused.

The head of the patient's family also asked: "Dean, can we prescribe some medicine directly? Or hanging water is OK, change a kind of liquid medicine! "

Yang Xiaotian laughed and said: "Chinese medicine is troublesome to eat, but it's effective! Haven't you tried lifting water before? It worked at that time, but I still have a fever after that. Do you think it works? "

Just this sentence, the patient's family members were asked.

After thinking for a while, Zhong Bowen said: "I think this should be the original prescription of Da Qinglong plus Fuzi decoction, 18 grams of raw ephedra, 40 grams of raw gypsum, 18 grams of cinnamon twigs... Six pieces of ginger and six pieces of jujube are cut as a guide, and three pieces of water are fried..."

The so-called daqinglong Decoction comes from treatise on febrile diseases, which has the effect of pungent warming and relieving exterior symptoms.

Many people think that when it's hot, even if it's a fever or a cold, it's mainly for relieving summer heat, such as using Huoxiang Zhengqi liquid.

But there is a saying in the Internal Classic: Changxia is good at discharging cold in the sick cave.

That is to say, in summer, Yang Qi outstretched, coupled with greed for cool, typhoid fever may appear.

These people go out also inconvenient decocting, immediately Yang Xiaotian let the traditional Chinese medicine room to decoct a pair of medicine out.

After taking it, the patient was sweating all over for a moment, and the fever subsided completely.

After another half day's observation in the hospital, although the fever has been repeated, the temperature is much lower, and the highest temperature is 38 degrees, which is much better than the previous hovering between 38 and 39 degrees.

This time, the patient's family was completely convinced. Thanks again and again, they left happily with the medicine for the remaining days.

Yang Xiaotian said to Zhongbo Wen: "you should remember that this prescription depends on people to use it! The reason why I want to feel my pulse and listen to her voice is to see her spirit! Good physique, sweating, it doesn't matter, no harm with it! But if the physique is poor, it's not good to sweat like this! Even if the pulse is weak, and then big green dragon this strong medicine, there will be life-threatening, absolutely can not use! In addition, once the patient sweating, do not drink medicine, timely rehydration, sweat stopped, you can continue to drink medicine! That is to say, a dose of medicine can be drunk many times in a day! "

Zhong Bowen wrote it down seriously and worshipped deeply: "I remember it!"

This incident is only a small episode, but let Yang Xiaotian have an idea.

After returning to the office, he thought about it and called Bao Yongfu.

Two minutes later, Bao Yongfu arrived at the office, nodded and said, "Dean, are you looking for me?"

Yang Xiaotian nodded and motioned Bao Yongfu to sit down.

Bao Yongfu sat down next to the sofa and looked at Yang Xiaotian.

Yang Xiaotian asked: "I have an idea, I want to go to the surrounding villages and towns to do free clinic. Have we ever done this in our hospital before?"

Bao Yongfu was stunned, obviously did not keep up with Yang Xiaotian.

A moment later, he said, "don't mention our hospital. Even the city hospital has never been to the countryside for free clinic. People from the countryside have always come to our city to see a doctor. When did a doctor from the city go to the countryside for free clinic?"

Yang Xiaotian thought about it and said, "I think we do medical work not all for making money! Let's talk about it. Every year, the government allocates funds. If it's all for making money, why does the government allocate funds to us? I think we should give back to the society! So I have the idea of free clinic. Do you think this idea is feasible? "

Bao Yongfu thought about it and said with a embarrassed face: "if it's feasible, I think it's really feasible! But there's no precedent for this before. I'm afraid we'll have to take it step by step! "

"It doesn't matter to slow down, just do it well!" After thinking about it, Yang Xiaotian said to Bao Yongfu, "it's up to you. Can you finish the task?"

Bao Yongfu immediately did not want to say: "guarantee to complete the task!"

I'm joking. People like him are not afraid that things are difficult. They are afraid that the leaders will not give them something to do. That's the real panic.

Bao Yongfu started the plan of free clinic.

I don't know how to stay there. Song Renhao knows.

Song Renhao's life in Guang'an City is flourishing.

He went directly to Yang Xiaotian's office and introduced himself: "my name is song Renhao. I'm the pharmaceutical representative of the pharmaceutical company. I supply a lot of medicines in our hospital!"

Then song Renhao handed his business card to Yang Xiaotian.

Although I hate medical representatives, I can't get around them in the industry. Otherwise, where do you get the medicine in your hospital?

Yang Xiaotian looked at his business card and asked song Renhao, "what can I do for you?"

Song Renhao said with a smile: "the main thing is to get to know you! But there is one thing

"You say it

"I heard that our hospital wants to go to the countryside for free clinic?"

Yang Xiaotian laughs: "you are quite well informed. There is such a thing. Why? Do you want to do something? "

"Yes, you are right!" Song Renhao patted his thigh and said, "I'm thinking, let's go to the countryside for free medical treatment. Can't we have tables, chairs, awnings and other equipment? You'd better make a rest room with an Iveco or something? Otherwise, on such a hot day, the doctors at noon can't stand it, and there are logistical support, mineral water, biscuits and so on, can't they? I can pay for all these! "

Although these things don't sound like big things, the crux is trivial. All of these things add up, none of them is worth ten or twenty thousand.

But that's not the end.

Song Renhao continued: "doctors and nurses show their love and high moral integrity. We medicine practitioners can't say that we are nothing! In addition to the logistical work, I can also give each doctor a subsidy of 1000 yuan a day. It's a consolation to them for their hard work! "

According to Yang Xiaotian's idea, if there is a free clinic, there should be at least ten nurses and four or five doctors. There will be fourteen or five people, and each one will be 1000 yuan. That will be more than 10000 yuan.

All in all, we have to spend at least 30000 yuan.

Yang Xiaotian squinted at Song Renhao: "we don't just go to one place and turn down all the towns in Guang'an. We can't finish it in ten days and a half months! You have 30000 yuan a day, and you have to spend at least 300000 yuan in ten days! "

Song Renhao nodded: "no problem, offer love, it should be!"

"Ha ha, if you talk like this, then I have the right to be your love! Don't come to me for help with this in the future! " Yang Xiaotian said with a smile.

"Ha ha!" Song Renhao said with a smile, "Dean Yang, you are a pleasant person, so I'll speak openly. I really want you to help me with something! Actually, it's a win-win situation! "