Zhang Xiaogan was shocked when he heard this and exclaimed: "One dose will kill you. Isn't that the same as taking poison!"
Qian Ruhai was also horrified and said, "It shouldn't be that serious, right?"
Lu Zhigao shouted: "This is impossible, you are alarmist, even if the medicine I prescribed has no effect, it is impossible to kill Zhang Biejia!"
But Jinniu was very happy, thinking that what Wang Anran said was too good, and he should scare the Zhang family like this. It would be best to scare Mrs. Zhang and Zhang Xiaogan into unconsciousness, and make the whole family lie on the bed, and he didn't say it himself. Scary, that's even better.
Wang Anran said: "I'm not talking nonsense. Listen to me to prove it."
He pointed at Zhang Congjian and said: "Coma and lukewarm limbs are very obvious symptoms. Qian Zuitang must have noticed it, and so has Dr. Lu, otherwise he wouldn't have prescribed the prescription like this. But you guys Look again, Zhang Biejia is speechless, his face is red, his breathing is heavy, and his throat is like saw phlegm. Haven't you noticed these symptoms?"
Qian Ruhai nodded, but said nothing. Of course he saw it, but he couldn't diagnose it from the symptoms. Lu Zhigao was arrogant. He said, "So what if I saw it? What does it mean?"
Wang Anran snorted at him, lifted the quilt covering Zhang Congjian, and said: "Do you smell it? There is the smell of urine, which means that Zhang Biejia enurethed, and he clenched his hands into fists. These symptoms indicate that he It¡¯s a stroke, and it¡¯s a sign of heat blockage.¡±
After covering Zhang Congjian with the quilt, Wang Anran took back the prescription from Qian Ruhai, shook it at Lu Zhigao, and said: "But the syndrome you made is a syndrome, and you use this to prescribe a syndrome. A syndrome It is characterized by loose hands and open mouth, loose and limp limbs, and low breathing. Therefore, if you take the prescription you prescribed, it will close your mouth and heat it up, which will be life-threatening!"
Lu Zhigao was dumbfounded. What Wang Anran said was that he had only seen relevant descriptions in books, but the descriptions were not complete. They were only rough introductory texts, which could not be used to diagnose the patient. What Wang Anran said was extremely accurate. It is very targeted and very different from what is written in the book. It belongs to a specific situation and has been analyzed in detail.
Qian Ruhai made a sound, nodded and said: "So this is the case. I have never heard of it before. It seems that this disease is not a syndrome, but a stroke! I was hesitant just now, but I heard Teacher Wang say this When I say it, I feel like I can see the sun through the clouds."
As for others, it¡¯s like they¡¯re listening to a book from heaven. They can¡¯t even figure out the difference between what is a syndrome and what is a stroke, let alone how to diagnose and treat it.
Not to mention the Tang Dynasty more than a thousand years ago, even in modern times with advanced medical technology, syncope syndrome and stroke are often confused, resulting in deviations in treatment. Stroke is defined in modern medicine as an acute cerebrovascular disease, including ischemic stroke and hemorrhagic stroke, which is a concept derived from pathological anatomy.
But what kind of disease did Zhang Congjian suffer from and whether it was a cerebrovascular accident? Thousands of years ago, when there was no way to do CT, MRI, or check cerebrospinal fluid, we could only rely on the experience of doctors. Confirmed.
In ancient times, there was not much communication between doctors, and they often relied on masters to guide their apprentices. If the apprentice was not his nephew or nephew, important medical experience was often not passed on. In addition, there were not many medical books. Even if there were medical books, some The writing is not comprehensive, so many doctors are unable to understand more medical knowledge. During clinical diagnosis and treatment, they often do not know how to start, and they will prescribe random prescriptions when they are anxious. This is especially obvious for Lu Zhigao.
In Qian Ruhai's case, the master who taught him the art was not good at treating stroke, and the books he read rarely covered it. Stroke is not a common disease, and it was extremely difficult for him to gain more experience, so he had almost no clinical experience. , was hesitant when making a diagnosis, and wanted to give the patient medicine, which was his shortcoming.
But Wang Anran did not have any of the above conditions. His medical skills were systematically studied, and the clinical reports he read were as detailed as possible, so that he could judge Zhang Congjian's symptoms.
Jinniu said happily: "Now that the diagnosis is confirmed, let's treat him, insert more needles, and use fire to burn him!" His knowledge of medical skills was limited to this.
Mrs. Zhang said angrily: "Prick her with needles and burn her with fire. What on earth do you want to do?"
Taurus said proudly: "I want to save your husband. Do you want to be a widow first so that you can remarry?"
??Tubao suddenly answered: "Are you going to remarry this old Hu man? They are quite matched in age!"
Taurus laughed loudly. He really had the idea of ????accepting Bunny as his daughter. This little girl is so good at talking that she can totally make people laugh. She is indeed very articulate and a hero among women!
After hearing this, Lu Zhigao rolled his eyes, fell down on the spot, and fainted. Qian Ruhai hurriedly stepped forward to treat him.
Zhang ?The man was very angry, pointed at Tu Bao and shouted: "You dare to spread rumors about me, you are so brave, who ordered you!"
But Jinniu shook his head and said: "This is not a rumor. She just told you what is in your heart. Telling the truth, being honest and trustworthy, does not count as a rumor."
The two of them started to fight with each other again.
Wang Anran felt a headache. These two were boring. They had nothing to argue about. They seemed to have a blood feud. He turned around and said to Zhang Xiaogan: "I think you are relatively calm. Being able to remain calm is the most important thing when big things happen. Let me ask you, your father is fat and must have a lot of phlegm. Yes or no?"
Zhang Xiaogan also has a great impression of Wang Anran, and feels that he is more reliable. If his father can really be cured by him, he should work hard to resolve the problems between the two of them and get along well in the future. He nodded and said, "Yes, my father does have a lot of phlegm."
Wang Anran asked again: "What about his diet?"
Zhang Xiaogan said: "My father is addicted to alcohol and likes to eat fatty meat. He is like this every time. Even for breakfast, he has to drink two taels and eat a few pieces of stewed fatty meat."
Wang Anran said: "Your mother thinks that your father and I have enmity and cannot trust me. What about you, can you trust me?"
Zhang Xiaogan glanced at Mrs. Zhang who was arguing, with a look of disgust on her face. Then she looked at his father, who was lying on the bed without anyone treating him so far, with a look of pain on his face. He nodded solemnly, cupped his hands and said, "Teacher Wang, I trust you, please heal my father!"
Wang Anran nodded and breathed a sigh of relief. It would be easier if he could gain the trust of his family members. He asked for paper and pen, and wrote a prescription, which included fangji, ephedra, ginseng, skullcap, licorice, white peony, almond, saposhnikovia and other medicines.
He picked up the prescription and said: "This recipe is called Xiao Xu Ming Decoction. I removed the Guixin and Aconite in it. Because it is a fever, I removed the two hot herbs. You take the medicine and give it to Zhang quickly." Don't obey me."
Zhang Xiaogan took the prescription and was about to go out when Wang Anran said, "Wait a minute, I'll add another penny to make raw rhubarb to relieve heat in the intestines." He took the prescription and added this medicine.
Suddenly, Na Lu Zhigao shouted: "Don't add raw rhubarb, it will kill you." After he was rescued by Qian Ruhai, he heard Wang Anran's words and immediately refuted.
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