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Chapter 866 Consultation
When seeing Dr. Xu who came for consultation, Sun Lien's first reaction was not to start working immediately, but muttered in his heart, "It seems that his attitude is indeed not correct, otherwise why did he come here as soon as he thought about it..." But , I have already started a reflection meeting in my heart, but Sun Lien is still very serious and sincere on the surface, "You are Dr. Xu from the Department of Traditional Chinese Medicine, right?"

"Yes." Dr. Xu nodded, then shook Sun Lien's hand, "Dr. Sun has been a little angry recently, is he too busy with work?"

"In our line of work, there is no time when you are not busy." Sun Li'en inadvertently looked at Versailles, then pointed to the seat beside him and said, "Please sit down, I ask for a consultation. In fact, there are some things I want to ask."

Dr. Xu was eagerly preparing to visit the patient, but before he even saw the patient, he heard Sun Li'en say, "Actually, I have something I want to ask for advice." This feeling of excitement suddenly became... boring.

"Tell me." After all, this is a consultation at the Comprehensive Diagnostic Center, and it doesn't seem too good to be too "lack of interest".Dr. Xu adjusted his emotions, and then said seriously, "As long as I know, then I will answer seriously."

This attitude is very good, and Sun Lien is also very satisfied.He found the cases of Chen Binghui and Lin Guohao from the table beside him and handed them over, and then asked, "Do you know the medicinal material Jiuxiangworm?"

"I know, but I don't use it much." Doctor Xu replied, "This kind of Chinese herbal medicine belongs to the nourishing category. It is effective for chronic deficiency symptoms such as nervous stomach pain, and it needs to be taken together with other strong medicines to be better. We I rarely deal with such patients, and even if there are... I don’t really need to use this kind of medicine to treat them.”

Sun Li'en was slightly disappointed by this answer, but he continued to ask, "Have you heard of any cases of poisoning caused by using Nine Fragrance Insect?"

"I've heard of a few cases." The answer this time made Sun Li'en suddenly refreshed, and Dr. Xu said, "The processing of Jiuxiang worms requires a certain process, and the use of alcohol requires prohibition—not to mention that the medicine is three-point poisonous. If you eat half a catty or even a catty at a time, the probability of poisoning will be even greater."

In addition to the uncertainty of the total amount of food, Sun Lien finally found an important key point-eating Jiuxiang worms to accompany wine.While he was a little surprised by this information, Sun Lien also felt a little confused - it should be a very common behavior in the local area for Jiuxiangworm to drink, but there are not many poisoned patients... It seems that there are not many.

"If you drink alcohol after eating Jiuxiangworm, will you be poisoned?" Sun Lien asked, "These two patients both drank alcohol after eating Jiuxiangworm, and then both developed symptoms of poisoning. But when I asked the family members, they said It is quite common in the local area for Jiuxiang Chong to drink alcohol, and I have never heard of poisoning before."

"Drinking with such an expensive medicine?" After hearing this, Dr. Xu first expressed his surprise, "This medicine is very expensive. Are they really eating the Nine Fragrance Insect?"

"There is a local industry for cultivating Jiuxiang worms. Maybe fresh Jiuxiang worms are cheaper?" Sun Lien showed Dr. Xu the photo sent by Chen Binghui's family - the plate of stir-fried Jiuxiang worms - and said, "These two The two patients are all from the same county, and they bought the Nine Fragrance Worm from the same person. If there is no such eating habit in the local area, it is unlikely that two people will eat this kind of thing at the same time and get sick, right?"

"The nine-scented worms they eat here?" Dr. Xu was surprised again. He frowned and asked after pondering for a while, "The average temperature in Ningyuan is now several degrees below zero, and what they eat should not be fresh nine-scented worms." Fragrant insects... right?"

"Is there any difference?" Sun Lien asked curiously, "Fresh and stale bugs...there is a big difference?"

"If it is fresh, that is, it has not been processed, and it has just been scalded to death with boiling water, it is relatively heavy. It is not a problem to eat 0.6 to [-] grams at a time." Dr. Xu considered, "But if it is processed, For Jiuxiang worms that have dried up, we usually give one to two grams at a time - this is still the amount of a decoction. If it is made into a honeyed pill, then only about [-] grams. The processed Jiuxiang Insect medicines are very effective, and generally do not need to be given more.”

Sun Lien considered it carefully, "That is to say... what these two patients bought was not the fresh nine-scented worm they used to eat in their hometown, but a processed medicinal material with strong medicinal properties?"

"It can be understood in this way...but I don't know if the specific situation is like this." Dr. Xu said that he was helpless, "I don't know how much they ate."

"If there are symptoms of poisoning, how should I deal with it?" Judging from the current information, the possibility of poisoning caused by the use of Jiuxiang worms by these two patients is about [-]%.Clinically, we are [-]% sure of a certain cause, so it is worth a try. "The clinical symptoms of these two patients are different. One is a bit like an allergy, and the other has signs of liver damage."

"This... I'm not quite sure." Dr. Xu shook his head and said, "Our Chinese medicine says that this kind of patient may have deficiency of kidney yang and fire, and coldness in the middle and lower jiaos. Clinical treatment... I really have no experience."

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After sending Dr. Xu away, Sun Li'en pondered for a while, and then issued a doctor's order for treatment—actually, there was nothing new, it was just symptomatic treatment.Methylprednisolone was used for Chen Binghui, who had signs of allergies, and omeprazole was given to protect the intestinal tract.For Lin Guohao, he focused on adjusting the liver damage part, and used adenosine triphosphate disodium magnesium chloride and polyene phosphatidylcholine injection to protect the liver.At the same time, they were given anisodamine to combat limb tremors, and alanyl glutamine injection was used to supplement the glutamine content in their bodies.

Chinese medicine practitioners know that this drug itself may cause poisoning, so it is used with extreme caution.But this also led to the fact that the Department of Traditional Chinese Medicine of the Fourth Hospital did not know how to treat Jiuxiangworm poisoning.In this case, besides symptomatic treatment, Sun Li'en can't think of many solutions.

Maybe... try contacting a local hospital?After issuing the doctor's order, Sun Li'en fell into thinking again. At present, basically no one in the comprehensive diagnosis center would object to his treatment plan.But this also made Sun Li'en very uncertain-in the process of arguing with each other, he might be able to find more evidence and logic to support his judgment.But when things went smoothly, he felt uncertain.

This is called a cheap bone... Sun Lien laughed at himself, and then called Liu Tangchun.

"Need out-of-hospital consultation?" Liu Tangchun asked in surprise after hearing Sun Lien's request, "Can't you deal with this patient?"

"The type is relatively rare, and it is likely to be a case of overdose poisoning by taking Chinese medicinal materials." Sun Lien said roughly after talking about his own judgment, "The Chinese medicine department in our hospital has already consulted, and the possibility of Jiuxiangworm poisoning is very high. "

"Which hospital should I go for this kind of consultation? Capital Hospital of Traditional Chinese Medicine?" Liu Tangchun gritted his teeth in worry.In fact, the current TCM hospitals mainly focus on Western medicine treatment, but their TCM departments are indeed much stronger.However, the Fourth Hospital really has no connection with the Capital Hospital of Traditional Chinese Medicine, so it has to be discussed whether they agree to such a hasty request for out-of-hospital consultation.

"Go to the local county people's hospital." Sun Lien thought for a while and said, "They should have more experience in dealing with this kind of patients."

　Sanguan moved + installed a computer today, and I was sweating from exhaustion.As a result, my left hand was injured again when installing the machine... so much so that the book friends in the group are mocking Sanguan for "using pigeon blood to bless the machine"

　　The left hand is half disabled, the update is late, I am really sorry.

　　Tomorrow, I... I will try to update on time.

　　
　
(End of this chapter)