Back in 2002 as a doctor

Page 490

"Old Huang!" The nurse "jumped" up immediately after seeing Mr. Huang, and said respectfully.

Her gaze was a little wandering, like a child who made a mistake.

I don't know what Huang Lao's rules are like in 912, and whether he will beat himself up because of this matter.

"Where did you get the decoction?" Mr. Huang walked into the duty room with his arms behind his back.

"We have a secret recipe handed down from our ancestors by an old Chinese doctor." The nurse said, "Old Huang, don't you have any objections to Chinese medicine..."

"No way, I have a good relationship with several old Chinese doctors in China. Do you know that Guang'anmen Hospital of Traditional Chinese Medicine in the imperial capital has a good relationship with me, including the deans and department directors." Huang Lao smiled.

"That's good, that's good." The nurse said in a relieved voice.

"Diffuse non-toxic goiter is more likely." Zhou Congwen said in a low voice.

"It can be seen." Huang Lao walked to the table, looked at the soup and said, "However, as an old man, I would say that it is best not to use traditional Chinese medicine to treat goiter."

"Huh?!" The nurse was taken aback.

Because the Second Hospital of the Medical University is a public hospital and focuses on western medicine, many people told her not to take traditional Chinese medicine.

Unexpectedly, Huang Laogang said that he was very familiar with the doctors in Guang'anmen Hospital of Traditional Chinese Medicine, so he would not allow himself to take traditional Chinese medicine.

The nurse was a little upset, but she didn't dare to say anything more.

"Did you grab the medicine directly or did you grab the prescription yourself?" Huang Lao asked.

"I caught it myself." The nurse said, "The dosage of each medicinal material is different. Every time I have to take a pulse signal to prescribe a prescription, it is very formal and professional."

"Oh, there must be kombu in here."

"..." The little nurse was taken aback. This was the most professional question she had ever heard to persuade her not to take the decoction.

Others were talking nonsense, but Mr. Huang recognized the main medicine in it at a glance.

"Kombu is also called black cabbage, goose palm cabbage, and five palm cabbage. Phaeaceae, Pterophyceae. The spores are large, brown, and leathery. It tastes salty and cold, and is non-toxic."

"..."

The little nurse was completely stunned. Elder Huang's tone sounded like that of an old Chinese doctor, and he blurted out such words as sex and taste without ambiguity at all.

"eliminates phlegm and softens firmness; promotes water to reduce swelling. Mainly treats scrofula; goiter; choking diaphragm; beriberi and edema due to hernia. It is used for goiter, scrofula, and phlegm-retention edema."

"It is recorded in "Modern Practical Chinese Medicine" that kombu cures edema, gonorrhea, and damp beriberi. It also treats goiter, chronic bronchitis, and cough."

"Mr. Ye Juquan compiled this book after the founding of the People's Republic of China. It is recorded in this book. When I was young, I took the old man's class." Huang Lao looked at the decoction and murmured.

Who is Ye Juquan?

Even Deng Ming didn't know about it, only Zhou Congwen remembered it.

"However, for the treatment of goiter, it is best not to eat kelp." Huang Lao changed the subject and said, "Kombu is a traditional Chinese medicine that contains a lot of iodine. Eating too much iodine may also harden the thyroid tissue and cause the disease to prolong. cured, affecting antithyroid drug therapy.

Excessive iodine prolongs the treatment time of hyperthyroidism with antithyroid drugs and reduces the cure rate.

After excessive iodine supplementation, the cure of hyperthyroidism with antithyroid drugs dropped to 20%~35%.After iodine saturation, isotope therapy will also fail in many patients because the thyroid no longer absorbs iodine-131. "

"Uh..." The nurse froze for a moment.

Mr. Huang combined Chinese and Western medicine in this passage, and he said it decently, and he always felt that something was weird.

"There are big data statistics in the department of nail breasts and glands, and many difficult thyroid diseases are induced by kelp." Huang Lao said.

"But that Mr. Ye you mentioned..." the nurse argued.

"Modern Practical Chinese Medicine was compiled after the founding of the People's Republic of China. Do you know the difference between the salt at that time and the salt now?" Mr. Huang asked kindly.

The nurse shook her head.

"The current salt contains iodine, which was revised after the study of Keshan disease." Huang Laodao, "The times are different, and it is always necessary to keep pace with the times and analyze specific situations."

"Ingesting a large amount of iodine every day, and eating kelp is good for the condition... It cannot be said that everything is not good, but the condition of most patients will become more complicated and difficult to treat."

"Old Huang, look at my neck." The nurse raised her head.

Zhou Congwen watched helplessly as his boss didn't even eat lunch, so he ran over to tell people about kombu after smelling it.

Zhou Congwen agrees with the boss's words.

Many traditional Chinese medicines need to be analyzed on a case-by-case basis, just like kelp. It was reasonable to use it as a medicine in the past. There was no iodized salt back then.

But boss, can't you have a meal first?

Zhou Congwen was really afraid that the boss would faint from hypoglycemia.

If this kind of thing happens, when I go to 912, when I go to the boss's house, I will be whipped by my teacher with the sole of my shoe.

This is simply too scary to even think about.

Zhou Congwen sighed, and winked at the nurse vigorously, but the nurse acted as if she hadn't seen it, and chatted with Huang Lao foolishly.

Chapter 0842 A Big Circle

"Basically, this is the reason. I have talked with doctors in the imperial capital and Jinmen about this matter, and there must be systematic changes in the usage of kelp." Huang Lao reached out and turned off the induction cooker, "Chinese medicine cannot rely on a few ancestral medicines. The old formula can go all the way."

The nurse looked at Huang Lao blankly.

In her impression, the prescriptions of traditional Chinese medicine are like secret books of martial arts, few people know about them, but they are extremely powerful.

Basically, in folklore, it is how many generations of family, how many years a single lineage and so on.But most of the results are that the medicine will cure the disease, and any disease that cannot be cured by the hospital will be cured immediately by taking traditional Chinese medicine.

Aristocratic family and single biography, these two words have deep connotations, and the common people never tire of it.

"We must change, we must improve, and we must not stick to the old." Huang Lao smiled and looked at the nurse. "Didn't Newton say that he stood on the shoulders of giants?"

"Boss, that's the short stature of Newton Yin Yang Hooker." Zhou Congwen told a joke, so that the boss's words of instilling values ​​are not so blunt.

Mr. Huang naturally understood Zhou Congwen's meaning. He nodded, "What was the average life expectancy in ancient times? How much is it now? How many emperors died for no apparent reason back then. It was the time when young and middle-aged people traveled westward on cranes. Look at the present."

"The times are advancing, and Chinese medicine must also improve. The living environment has changed. In ancient times, there was no iodized salt. What happens to the pulse after eating, and how to adjust the dosage of the old prescription according to the change in the pulse? These are all problems."

"Old Huang, is it really useless?" The nurse was obviously disappointed.

"How long have you been eating?"

"More than three months."

"Go and check a B-ultrasound." Huang Lao said, "Compare it with the previous B-ultrasound to see if there is any improvement. If there is, you can continue to eat; but if it does not improve, the diffuse goiter will still If there is progressive aggravation, then stop."

"..." The nurse was still unwilling.

But Mr. Huang did not deny Chinese medicine, but expressed his views on Chinese medicine and why he could not use kelp.

Although the logic chain was still a little flawed, the nurse couldn't find the problem at all, and only felt that what Huang Lao said made sense.

The belief she had always believed in was also a little shaken.

"Xiao Han is in neurophysiology..."

"Old Huang, who is Xiao Han?" the nurse asked.

"Han Jisheng, academician of the Academy of Sciences." Huang Lao said lightly.

"..." The nurse clicked her tongue.

Academician of the Academy of Sciences, in Huang Lao's terms, became Xiao Han.

"Acupuncture and moxibustion in your opinion is a silver needle piercing down to rejuvenate the hand, right." Huang Lao asked with a smile.

"Yes." The nurse was a little ashamed.

"Xiao Han started to take over the acupuncture anesthesia project around 65. He used an abacus and a slide rule to calculate the results of the system." Huang Lao said.

Abacus, slide rule, these things are very unfamiliar, but the nurse still knows what they are.

But these have nothing to do with acupuncture and moxibustion in her consciousness.

"The analgesic effect after acupuncture does not appear immediately, it takes about 20 to 30 minutes to achieve the best effect, and the anesthetic effect does not disappear immediately after the needle is stopped, but decreases slowly."

"It's the result of a scientific calculation."

Zhou Congwen was very interested in this. In his previous life, he had little contact with Chinese medicine, and the boss never mentioned anything about Academician Han.

"Boss, how did you collect the data?"

"I was dragged into an acupuncture anesthesia." Huang Lao said with a smile, "It was said to be a laboratory at the time, but it was actually a dilapidated room with four beds. During the human acupuncture analgesic test, there were four beds. The groups were conducted simultaneously, and each experiment took an hour. From day to night, they took turns."

"Collect data during the day and calculate the results at night. One day Xiaohan came to me excitedly and said that the data he calculated was a smooth exponential curve! Zhou Congwen, do you know what this means?"

"It means acupuncture anesthesia is feasible." Zhou Congwen said affirmatively.

"Yes." Huang Lao said, "The curve shows that under the effect of acupuncture, the pain threshold gradually rises and reaches a high level in about half an hour.

After the injection was stopped, the curve gradually decreased, and the analgesic effect was reduced by half every 16 minutes on average, and returned to the baseline after one hour.

This law of acupuncture anesthesia is very similar to the anesthesia effect of injecting the chemical painkiller morphine. "

Really?

The nurse stared at Huang Lao with round eyes, she couldn't believe it was true.

In the eyes of ordinary people, Chinese medicine should be the experience summed up by the ancestors plus some mysticism, and the combination is beyond doubt.

But Huang Lao actually said that Academician Han calculated a smooth exponential curve.

"It came in handy later." Huang Laodao, "Xiao Han and I were thinking about it together. After learning how to use acupuncture, Xiao Han will change it to electro-acupuncture."

As he said that, Huang Lao took a meaningful look at Zhou Congwen.

Zhou Congwen knew that Mr. Han had to do the same thing as his own boss - lowering the threshold.

Although the effect may be worse, at least it can be popularized.

"There is no relevant equipment in the cowshed, especially the lack of anesthetics. The old horse has appendicitis, and I felt like he was about to perforate it. I just asked a clerk to steal a thread for cutting and disinfecting the bag."

"If you have something, how about anesthesia? It's okay to cut it raw, but isn't there acupuncture anesthesia? An appendicitis can be done in ten minutes, so I use it."

"The operation proved that the effect is not bad."

"You didn't lie to Mr. Ma, did you?" Zhou Congwen guessed the situation at that time, as if he saw it with his own eyes.

"How is it possible! You have to cheat if you should, that stubborn old man." Huang Lao said, "Blindfold his eyes, and I told him to give him local anesthetic before the surgery."

"Hahaha." Zhou Congwen laughed.

This is a way to overcome psychological barriers, and there is no other way.

"Old Huang, is it so amazing?" the nurse asked in surprise.

"It's nothing magical. The foundation of our republic is weak, and the progress of research is slow." Mr. Huang shook his head. "It took almost a generation to calculate the curve from the very beginning to knowing why later."

"why?"

"After 20 years, Xiao Han talked about it with a doctor in the United States and asked for help. Later, he got cholecystokinin samples and antibodies, which proved that the experimental results in 65 years indicated that acupuncture anesthesia stimulated the human body. It secretes cholecystokinin."

"!!!"

"Xiao Han once said that at the level of Tao, Chinese medicine and Western medicine are consistent. I just used scientific methods and language to give a reasonable explanation for the effectiveness and dynamic variability of acupuncture and moxibustion in ancient Chinese medicine."

"Chinese medicine should be more open, like kelp." Mr. Huang talked for a long time, and then asked another academician of the Academy of Sciences to endorse, and then returned to kelp.

"Eat less, and go for a B-ultrasound if you want to eat."

"I know Mr. Huang." The nurse bowed to Mr. Huang.

Chapter 0843 stable as an old dog mentality

Leaving the duty room of the anesthesiology department, Zhou Congwen asked Deng Ming, "How much is the boss in contact with Mr. Han?"

"There are not many contacts now." Deng Mingdao, "It is better to forget each other in Jiang Hai than to stay in love with each other."

"That's true." Zhou Congwen smiled, "Boss, has Academician Han made any progress in acupuncture research?"

"The push is very slow." Huang Lao said lightly while walking to change clothes, with his arms behind his back, "All scientific research requires huge material and financial support."

"In the past, I didn't get beaten or starved, so how could I care about these things. It's hard to get to the present step by step." Huang Lao Youyou said.

Listening to what his boss said, Zhou Congwen nodded.

"But Zi said, three people must have my teacher." Huang Lao just sighed, and then pulled the words back to the rhythm of instilling values ​​that he was familiar with.

Zhou Congwen covered his forehead.

He could guess what his boss was going to say after hearing the word Ziyue.