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Chapter 787 Hemostasis

The experts from the Shanan Provincial Human Resources Hospital at the scene were not in a hurry to speak. Zeng Yi's explanation was very clear. Coagulant bleeding was originally a very contradictory proposition. While coagulation was desperately coagulated, he was bleeding. This kind of thing was somewhat incredible to ordinary people.

Not only ordinary people, but Western medicine has gradually understood the mechanism of coagulation in the past twenty or thirty years. Especially after understanding the coagulation characteristics of platelets, it was discovered that coagulation is not only a physiological way to stop bleeding, but also causes bleeding. This is why anticoagulation treatments emerge.

Wang Qinghe asked Zeng Yi, "Can heparin be used?" Heparin is a commonly used anticoagulant preparation in Western medicine.

Zeng Yi asked Wang Qinghe, saying: "The patient's platelets are much lower than those of ordinary people, and they have internal bleeding. Is it too risky to use heparin in this case?"

Wang Qinghe coughed twice. Last night, the experts consulted and believed that Lu Xiangrou might have diffuse intravascular coagulation, but no one dared to recommend using heparin. Because the anticoagulation effect of heparin is very obvious, it is very cautious in use, mainly used for external anticoagulation. Using heparin for diffuse intravascular coagulation treatment is also something that has only begun in recent years. How to ensure that patients do not bleed and can prevent coagulation is very difficult to grasp.

At present, the patient is only experiencing continuous bleeding. The reason why the amount is not large and the situation can be controlled is large. A large part of the credit is that the patient's coagulation function is extraordinary. However, once heparin is used and the patient's coagulation function is lost, the probability of major bleeding is very high.

This is not an unreasonable speculation. The number of platelets in patients is far lower than that of ordinary people. According to reason, it should have been a long time ago that heavy bleeding is expected to occur, so even if the light dose of heparin is used, the probability of major bleeding is very high. Moreover, heparin can easily induce thrombocytopenia, which will make the situation worse.

Shanan Province has the leading level of women and infants in the country, and experts are definitely not a waste of time. In addition, Lu Xiangrou is the daughter-in-law of the provincial party secretary, so she is not sure, so who dares to try it easily?

The expert who raised doubts before did not say anything anymore. In just a few words, he had basically understood Zeng Yi's level. He was an expert who was both Chinese and Western. His understanding of Western medicine alone was no less than himself.

Wang Qinghe thought for a while and said, "Junior Brother Zeng, let's talk about your treatment plan!"

"The prescription for Angelica Buxue Decoction is very simple, with only two medicines, Angelica and Astragalus. Astragalus is used to nourish Qi and replenish the middle. The dosage is heavy, which can quickly improve the patient's physical function and have a heart-strengthening effect; Angelica replenishes blood and promotes blood circulation, and the dosage is small, which can achieve the effect of promoting blood circulation without bleeding. In addition, Astragalus and Angelica have strong effects of contractile semen*. Once the medicine takes effect, the patient's child contracts and the bleeding situation will improve immediately. In addition, the effect will be better if the calcined dragon bone is solidified, stops bleeding and generates muscles. Zeng Yi explained it briefly. He was all Western medicine doctors on the scene, and probably couldn't understand it. Zeng Yi mainly told Mr. Wu and Wu Baoyu. If the effect of this medicine is clearly explained, they would definitely not dare to let the patient take it.

Wang Qinghe did not understand traditional Chinese medicine, but after Zeng Yi explained this, he suddenly felt that the combination of traditional Chinese medicine prescriptions was so scientific. The simple three medicines included the effects of boosting qi and strengthening the heart, replenishing blood circulation, stopping bleeding and muscle production, and it can be said that it has achieved comprehensive results.

The most terrifying thing is that even the treatment process is so clear. There are thousands of Chinese medicines, among which there are many medicines that replenish blood and promote blood circulation. There are definitely more than just Angelica. However, in the case of Lu Xiangrou, the reason why Zeng Yi used Angelica is because of another effect of Angelica, which prompts the strong contraction of the seeds.

If the child contracts, the bleeding will be relieved. Before replenishing blood and promoting blood circulation, the disease has been cured by more than half.

The most difficult thing to cure this disease is probably here!

Wang Qinghe couldn't help but sigh. No wonder he was able to serve as the assistant director of the Beijing Hospital at a young age. This level is really not well-organized, and comprehensive. The key is that he has methods and means to treat diseases, and unlike these doctors in his own hospital, he may be very sure what the problem is, but there is no good solution.

Does anyone dare to use Heparin? Even if someone dares to use it, Wang Qinghe will not allow it to use it!

After hearing Zeng Yi's explanation, Wu Baoyu's expression did not change, but his eyebrows tightened slightly. Zeng Yi's words sounded very reasonable, but who can guarantee the effect!

"Doctor Zeng!" Hou Biyuan couldn't help but ask, "How confident are you to use this medicine?"

Zeng Yi didn't say anything, but said, "I have encountered twenty or thirty cases of patients in the moment before. It is definitely true that using this medicine method is. I am sure of this."

Hou Biyuan turned around and looked at Wu Baoyu. Wu Baoyu finally had to make a decision on such a big thing.

Wu Baoyu looked at his father, Mr. Wu, and he could make a decision, but this was a family matter after all, and everyone could express his opinion.

Seeing Zeng Yi's calm expression, Mr. Wu seemed to be very sure, so he nodded slightly to Wu Baoyu, which was giving an attitude.

Wu Baoyu said: "If the expert group has no other treatment plan, then use Dr. Zeng's plan!"

Wang Qinghe nodded repeatedly, and actually felt relieved. Lu Xiangrou had bleeding after giving birth. Although the Shanan Provincial Hospital did not stop the bleeding and did not come up with a good solution, it did not make the matter so serious that it could not be recovered. Now that Zeng Yi takes over, the pressure on him is much less!

The provincial party secretary expressed his opinion, and the president Wang Qinghe did not object, so other experts naturally no longer questioned and opposed it. Everyone waited quietly at the door of the operating room to see if Zeng Yi's medicine was really effective after it was gone.

Twenty minutes later, the assistant trotted back with the decocted medicine, sweating on his forehead, and looked in and looked at Wang Qinghe, then brought the medicine to Zeng Yi.

Zeng Yi did not delay, picked up the medicine bowl and walked in.

Wang Qinghe did not hesitate and followed Zeng Yi closely. If Zeng Yi's medicine was not effective, he had to arrange and handle the subsequent matters by himself!

After entering the operating room, Zeng Yi directly said to Director Cen who was standing in front of the hospital bed: "Please take out all the gauze that is filled in the patient's body."

Director Cen was stunned when she heard this. The patient was bleeding now. If the landfill gauze was taken out, the bleeding would be even more serious. She did not rush to take action, but looked at Wang Qinghe.

Wang Qinghe said: "Now that this case is taken over by Dr. Zeng. Everyone follows Dr. Zeng's arrangement and take out the gauze!"

Director Cen then took action, but his expression was still half-believing and half-doubted. Without the consent of the provincial party secretary, Zeng Yi would definitely not be able to take over. Even if he doubted it now, it would be useless. People would just treat it as much as possible!

Director Cen immediately put on sterile gloves, picked up tweezers and started to operate. After taking out the gauze, he checked the quantity himself and confirmed it. He nodded to Zeng Yi and said, "The gauze has been taken out."

Zeng Yi felt the temperature of the medicine soup and felt that it was enough to drink it. So he went over and gently lifted Lu Xiangrou's head up a little, and fed the other party to take the medicine soup.

After drinking the medicine, Lu Xiangrou was placed, Zeng Yi put the medicine bowl on the head of the bed, stood there and observed for a while, and then said to Director Cen: "I'm waiting outside. If there is any change in the patient's condition, I'll inform me immediately."

Wang Qinghe accompanied Zeng Yi out of the operating room again. There were not many people in it, and the medicine had been taken, so the rest was waiting for the result.

Back at the door of the operating room, Wang Qinghe reported to Wu Baoyu about Lu Xiangrou's medication, and then everyone stood at the door and waited. The door of the operating room was so quiet that no one dared to gasp loudly, even if his feet were standing numb, they didn't dare to move at all.

Zeng Yi stood beside Mr. Wu, his face was extremely calm. He had treated many cases such as this and had rich experience in this area. As long as the symptoms were accurate and the most suitable combination of medicinal materials and prescriptions would not be too big. Moreover, Lu Xiangrou's condition was not at the worst.

Today's case still touched Zeng Yi. If he hadn't been proficient in traditional Chinese and Western medicine, it might have been difficult to explain the idea of ​​curing the disease so clearly.

Traditional Chinese medicine calls this kind of bleeding situation "blood from the meridians". There are precedents in how to treat it and what prescription to use, and the effect is very reliable. However, the reason for why it is treated like this and why this medicinal herb is used in this case. The reason is that many Chinese medicine practitioners themselves cannot understand.

The rapid development of modern Western medicine has actually promoted the re-understanding of itself by traditional Chinese medicine. After Western medicine fully unravels the human coagulation mechanism, the question of why blood circulation can stop bleeding can be considered as an answer. Many Chinese medicines have been corrected for this. Take the famous donkey-hide gelatin as an example. In the pharmacopoeia, the effect of donkey-hide gelatin is clearly written as "replenishing blood and stopping bleeding". This is like Angelica, and the effect of the medicine looks very inconsistent. If written on the instruction manual, it looks like a universal health medicine.

In fact, this is also a difference between traditional Chinese medicine and Western medicine. Many traditional Chinese medicines have a two-way regulation effect. For example, Angelica sinensis has a two-way effect of excitation and inhibitor* smooth muscle. Its function is like the pancreas. When blood sugar is high, it will drop, and when blood sugar is low, it will rise again. It can achieve two-way regulation. The initial combination of prescriptions in traditional Chinese medicine is also the purpose. The effects of Western medicine are generally one-way, so the effect is more direct and faster.

This special effect of Angelica on specific organs of the human body was confirmed only after the development of modern medicine.

After Zeng Yi came into contact with Western medicine, he often sent prescriptions to apply medicine, which became more calm, more targeted and easy to use. Zeng Yi established Nanyun Medical College and attached great importance to the construction of the pharmacological laboratory because of his own experience.

Zeng Yi had no idea about traditional Chinese and Western medicine. As for why he prefers to use traditional Chinese medicine, one is that there are more methods of traditional Chinese medicine and have a high selectivity, and the other is that it needs to treat both symptoms and root causes. Western medicine has too little selectivity in this regard. With the help of various high-tech means and tools, Western medicine can check and discover many diseases, but few can be treated.
Chapter completed!
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