N-M Chapter 903 Wang Laogen's Crisis
Chapter 903 Wang Laogen's Crisis
It was already nine o'clock in the evening, and the incandescent lights in the inpatient department of Jialin County Hospital cast a cold light in the corridor.
In the ward, the smell of disinfectant mixed with a faint smell of traditional Chinese medicine hit her face. Wang Ya's mother stood in front of Chen Yang, her hands crossed, her fingertips white from exerting force.
At this moment, Wang Ya's mother showed humility in front of Chen Yang, with pleading in her eyes.
As the saying goes, like father, like son, like mother, like daughter, there is some truth to this.
Wang Laogen is an honest man who doesn't talk much and doesn't bother much, but Wang Ya's mother is not someone who is easy to get along with.
When Chen Yang was in Jiping Town, Wang Ya's mother often criticized Chen Yang and said in front of Wang Ya that Chen Yang was a loser...
Wang Ya and Chen Yang's divorce was more or less due to the contribution of Wang Ya's mother.
"Let me take a look at the situation first."
Chen Yang said this and walked to the bedside.
Wang Laogen, who was lying on the bed, had his eyes slightly open, his eyeballs were cloudy, his mouth was crooked, and saliva dripped down his jaw onto the pillowcase. When he saw Chen Yang, his throat made a "ho ho" sound, and he raised his skinny right hand with difficulty, as if he wanted to grab something.
"Don't move."
Chen Yang grabbed Wang Laogen's wrist and gently let it go. His tone was calm but filled with unquestionable strength.
Then Chen Yang bent down and first observed Wang Laogen's complexion - dull and sallow, with blue veins visible on the corners of his forehead; then he looked at his tongue coating - the tongue was dark purple, with thick and greasy white coating.
Wen Manlu stood quietly beside Chen Yang, her eyes scanning the ECG monitor: heart rate 86 beats/minute, blood pressure 150/95 mmHg, blood oxygen saturation 94%.
At the same time, Wen Manlu also noticed that Wang Ya was standing on the other side of the bed, her nails digging deeply into her palms, her eyes fell on Chen Yang with complicated eyes, and then quickly moved away.
"Haofei, give me the inspection report." Chen Yang stretched out his hand.
Li Haofei immediately handed over a stack of documents.
Chen Yang took it and looked at it carefully. The CT film showed: a low-density shadow in the left basal ganglia, indicating cerebral infarction; the routine blood test showed a high platelet count, and blood rheology indicated increased blood viscosity; among the four blood lipid items, triglycerides and low-density lipoprotein cholesterol were both beyond the normal range.
"A typical stroke precursor has developed into the middle meridian."
Li Haofei stood by and whispered, "It should be that the wind and phlegm blocked the meridians, the blood circulation was not smooth, and the brain meridians were blocked."
"Stroke?" Wang Ya's mother Liu Guifen's legs went weak and she almost collapsed to the ground. Wang Ya hurriedly supported her mother.
"Mom, don't panic, Chen...Chen Yang is here."
Wang Ya's voice was trembling, but she tried to remain calm.
She looked at Chen Yang: "My dad... can he be saved?"
Chen Yang did not answer immediately, but stretched out three fingers and placed them on Wang Laogen's pulse.
The pulse is stringy, slippery and strong, but slightly weaker when pressed hard. Stringy pulse indicates wind, slippery pulse indicates phlegm, strong pulse indicates evil force, while weak pulse when pressed hard indicates deficiency.
Afterwards, Chen Yang changed to the other hand and the situation was similar.
"The evil is the main thing, and the original deficiency is secondary."
Chen Yang pondered and said, "Wind, phlegm, blood stasis and stagnation block the brain meridians. The treatment should be to extinguish the wind and resolve the phlegm, and to activate blood circulation and dredge the meridians. However, the patient is over sixty years old, and the root of liver and kidney yin deficiency is obvious, so we need to take into account strengthening the body's body."
"Master." Li Haofei asked in a low voice, "Have you considered using Tianma Gou Teng Drink with some modifications?"
“Yes, but it needs to be flavored.”
Chen Yang said slowly: "Gastrodia elata, Uncaria rhynchophylla, and Semen Cassiae can calm the liver and quench wind; Scutellaria baicalensis and Gardenia jasminoides can clear away heat and purge fire; Achyranthes bidentata can guide blood downward; Eucommia ulmoides and Viscum album can nourish the liver and kidney. However, the patient has obvious phlegm and blood stasis, so we need to add Arisaema consanguineum and Rhizoma Cibotii to clear phlegm and open the orifices, and Prunus persica, Safflower, and Rhizoma Chuanxiong to promote blood circulation and remove blood stasis."
After a pause, Chen Yang added: "Add astragalus to the recipe of Buyang Huanwu Decoction. When qi flows, blood flows. But the dosage should not be too large to prevent heat and wind."
Wang Ya suddenly spoke in a hoarse voice: "Chen Yang, my dad... He said he felt stuffy in his chest a few days ago, and I thought he was tired and didn't take it seriously..."
Wang Ya hesitated for a moment and said, "Is it because of me..."
Ever since the news of Chen Yang's marriage spread to the town and the village, Wang Laogen has been silent all day, sitting in a corner smoking.
In fact, the less talkative a person is, the more likely he or she is to keep his or her thoughts to himself or herself, not sharing them with others and carrying them all by himself or herself.
In fact, among Wang Ya's family of three, the one Chen Yang sympathized with the most and could not bear the most was Wang Laogen.
The old man is a nice person, he has only one daughter and no son. He has taken care of his granddaughter for more than two years, but now it is difficult to even see her...
Chen Yang interrupted Wang Ya: "The cause of a stroke is mostly related to physical constitution, diet, and emotions. Uncle Wang doesn't talk much, smokes and drinks too much, which causes phlegm and turbidity in the body. He is also often angry, which causes hyperactivity of liver yang. In addition, as he ages, his liver and kidney yin are deficient, and his qi and blood are gradually declining, which eventually causes wind, phlegm, blood stasis and stagnation to block the brain meridians."
Chen Yang's tone was objective and calm, without any emotion, as if he was analyzing an ordinary case. Wang Ya could feel the distance that Chen Yang deliberately maintained from his tone.
"Master... when can we start taking the medicine?" Li Haofei asked Chen Yang.
"Decoction the medicine immediately."
Chen Yang looked at Li Haofei, "Go to the pharmacy to get the medicine yourself, and ask the pharmacist to boil the stone cassia seed for 30 minutes first, then add the gastrodia elata and the Uncaria rhynchophylla, and boil it over low heat for 40 minutes. After the first dose of medicine is boiled, feed 100 ml first, observe for half an hour, and if there is no vomiting or discomfort, feed another 100 ml."
"Yes, Master." Li Hao left quickly.
The ward fell into a brief silence. Wang Laogen's breathing was heavy, and the sound of phlegm in his throat was clearly audible.
"Chen Yang......"
Wang Ya bit her lip, took a breath, and mustered up her courage: "Thank you..."
This was the first time that Wang Ya saw Chen Yang treating a patient with her own eyes. Chen Yang's calmness and temperament were completely different from before.
Li Haofei is a very famous doctor in Jialin County, but he is so polite and respectful to Chen Yang.
Chen Yang replied calmly: "It is the doctor's duty to save the dying and the wounded."
Having said that, Chen Yang looked at Wen Manlu and said, "Let's go to the duty room first and see the effect after taking the medicine."
Then Chen Yang whispered to Wang Laogen, "Uncle Wang, don't worry and don't think too much."
Wang Laogen's cloudy eyes seemed to brighten and he uttered vague syllables from his throat.
At this moment, Wang Laogen's breathing suddenly became rapid, his blood oxygen saturation quickly dropped to 88%, and the ECG monitor issued a shrill alarm!
"Not good!" Chen Yang's pupils shrank: "Phlegm is blocking the airway!"
As he said that, Chen Yang quickly unbuttoned Wang Laogen's collar and tilted his head to one side.
Wang Laogen's face was blue and purple, his teeth were clenched, and the sound of phlegm in his throat was like a saw.
"Prepare the suction device!" Chen Yang said to the nurse, and at the same time reached out and pinched Wang Laogen's Ren Zhong point, pressing it hard.
However, Wang Laogen's teeth were clenched so tightly that the suction tube could not be inserted.
Seeing this, Wen Manlu immediately took out a tongue depressor from the first aid tray and handed it to Chen Yang. Chen Yang took the tongue depressor and carefully pried open Wang Laogen's teeth. The nurse took the opportunity to insert the suction tube and sucked out a large amount of yellow and thick sputum.
The blood oxygen saturation slowly returned to 92% and the alarm stopped.
"That was a close call." The nurse wiped the sweat from her forehead.
Chen Yang frowned: "With such a lot of phlegm, I'm afraid it's not just a stroke."
As he spoke, Chen Yang took Wang Laogen's pulse again. It was smoother and more rapid than before, and his radial pulse was deep and fine.
"The pulse is deep and thin..."
Chen Yang muttered to himself: "Kidney yin deficiency, virtual fire rising, refining liquid into phlegm? But the patient's tongue coating is thick and white, not a sign of virtual fire..."
Chen Yang was stunned, and suddenly lifted Wang Laogen's quilt, revealing his ankle. He saw that his ankle was slightly swollen and did not dent when pressed.
"Edema?" Wen Manlu asked in surprise.
"Yes, edema."
Chen Yang nodded: "Stroke combined with edema, the disease is located in the brain, involving the liver, spleen, and kidneys."
Chen Yang was a little annoyed for a moment. It is said that doctors should not be emotional, but he was emotional, so the previous examination was not thorough enough...