The third part of the flower dew girl, ten years later
Intern Accompanying Angel Dream 1
How many times have I followed the path of love into the paradise of dreams and seen the traces of the past: The diary of love was filled with the elegance of rain and dew. The years that flipped under his pen saw her figure again. The wind was gentle, and time left light footprints, rolling up the beauty of the past and growing leisurely. In the last chapter of the night, the sweet fragrance dissipated. Time was like a flash in the pan, and mayflies lived and died. They had their most beautiful moments. Compared to the eternity of all things, a person's life was just a snap of a finger. Just as Bai Juyi lamented: Sick eyes sleep less than the New Year, old heart more feelings and spring. In the blink of an eye, 10 years later, our Miss Yulu was studying in a national "5 3" medical university. (5 years of undergraduate education in clinical medicine 3 years of standardized training for resident doctors) integrated clinical medicine talent training model. The qualified graduates would receive a certificate of medical practitioner, a certificate of standardized training for resident doctors, a master's degree certificate, and a degree certificate. Miss Yulu, like every child who studied medicine, wanted to come into contact with the clinic. This might be her instinct from being born into a family of doctors, or she might have a yearning for the sacred profession of a doctor. She remembered that before she went to university, she had thought about how long five years of university had been for her. She was born into a family of doctors and had studied medicine with her grandfather since she was young. Coupled with her extraordinary natural talent, she had ended her studies early. Gradually, he felt that he hadn't learned anything yet, but it was already halfway through. Sometimes, he would feel that time passed so quickly. He always felt that he still had a lot of things to do, and there were still many things that he hadn't read yet, but he was welcoming a new day. Like most of her classmates, she had also wanted to do an internship, but she always felt that she was not prepared enough. Someone had also asked Miss Yulu, why didn't you intern with a teacher? You only knew that you were studying there, just for the scholarship and the postgraduate entrance examination in the future? First of all, she had to get the scholarship because she did not have money now. If there was something that could bring short-term benefits (scholarship, after all, it was a few thousand yuan) and long-term benefits (including postgraduate entrance examination and future development), such as studying, if it was her, she had to consider it. Miss Yulu had always thought that she was quite confident. After all, she had prepared for a long time. From listening to the fairy tales told by the teacher to receiving the Floral Dew to treat Grandma Wang, to the clinical practice of learning medicine from her grandfather to treat patients, plus two and a half years of university medical theory, there should be a reason. At the end of May last year, the students went to various hospitals for internship. She should find a place to practice and test her own learning results. She contacted the People's Hospital in her hometown. After all, her father, Dr. Han, was also an attending physician in the Orthopedics Department. At the beginning of June, she returned home by car. After a short stay at home, she went to the hospital to report for her internship. He began a year of clinical practice. It was June. Opening the colorful picture album, June's straightforward character, fiery feelings, and heroic spirit were even more obvious. The air of June permeated the city, and the heat swept through the entire city, but Miss Yulu could not feel the existence of the heat. She knew that everyone in the city was busy with their lives, which made the city even more noisy. She arrived at the hospital. Her father was operating on a patient in the operating room that day, so she did not need to disturb him. There were not many patients in the hospital. Director Liu of the Medical Affairs Department: "Oh, you're Dr. Han's daughter. Welcome." "Are you going to your dad's orthopedics department, or to another department?" Director Liu thought for a moment and said,"I'll arrange for you to be in the busiest place in the hospital, the paediatrics clinic. Even though the pediatrics department was not the most important department in the hospital, because the doctor was a famous pediatologist in the Hualu City area, Professor Huang Chen, there were many patients who came to see him all year round. That's it." Miss Yulu was very honored to have such an opportunity. Moreover, Teacher Huang was proficient in both Chinese and Western medicine, so he could guide a student who specialized in integrated Chinese and Western medicine like her.
Due to the large number of patients who came to see me, I had the opportunity to come into contact with various diseases. In addition to the common diseases in children, such as upper respiratory tract infection, pneumonias, diarrhea, asthma, and tunica vaginatum, I also saw some uncommon diseases, such as Nephrotic Syndrome, rickets, Trisomy 21 syndrome, pheochromecytomas, and so on. In addition, he had also come into contact with many infectious diseases such as mumps, rabies, and other diseases that were easily transmitted between children. During this period, she was mainly responsible for measuring body temperature, blood pressure, registering patients, recording their conditions, treatment methods, and medication.
Sometimes, Teacher Huang was too busy, so Miss Yulu would help him write some conventional prescriptions for him to use. Later, when she gradually became familiar with the characteristics and dosage of the medicine, she also took the initiative to write prescriptions for patients who came back for follow-up visits. Then, after Teacher Huang reviewed and signed it, she handed it to the patient. When she encountered a typical case, Ms. Huang would first ask Miss Yulu to look, listen, and touch carefully to observe the condition. Then, she would point out what the disease was and explain in detail the diagnosis criteria and treatment measures.
On this day, a typical patient, Dai Mou, male, 6 years old, came. The child had a fever for 4 days. He had been treated with western medicine, but he still could not understand it. He came to our clinic for treatment. Body temperature 39.5 degrees Celsius, lethargy, body heat, no sweat, headache, nasal obstruction, runny nose, cough, lack of appetite, bitter taste, nausea, loose stool, once or twice a day, thick and greasy tongue coating, moist and rapid pulse. The diagnosis is that the pathogenic wind moistens the body, and the pathogenic wind blocks the body and turns into heat. He had been treated with antibiotics for one week, but three types of antibiotics were still ineffective. The symptoms are blue face, irritability, cough, and phlegm in the throat. The chest X-ray showed that the markings on both lungs were rough and messy, and there was a shadow in the right lung. Blood routine: white blood cell count: 16.1×109/L, red blood cell count: 3.8×1012/L, hemoglobin-level: 98g/L, and neutrophil-level: 7.8×109/L. Traditional Chinese medicine syndrome was diagnosed as pneumonia-wheezing cough, phlegm heat and lung disease. The patient was given expectant treatment. Cough, fever and wheezing symptoms were improved, and the patient could eat well. Dr. Huang's analysis: 1. What are the common characteristics of children's pneumonias in traditional Chinese medicine? Infantile pneumonias were caused by a variety of pathogenic factors, the most common being bacteria and viruses. Clinically, it was often difficult to diagnose the cause of the disease. The abuse of antibiotics caused the disease to repeat, which brought economic burden to the family. Traditional Chinese medicine classified childhood pneumonias "cough" and "pneumonic wheezing cough". It believed that "wind-heat in the breast, wheezing and breathing on the shoulder" and "fire-heat wheezing". No matter whether it is wind-cold or wind-heat, wind is the forerunner. Wind is yang evil, so it transforms heat the fastest. Wind-cold cough is mostly short-lived. Due to the transformation of heat, there will be signs of phlegm and heat in the lung, causing the lung to lose its purgation, burning body fluid and refining phlegm, producing phlegm and wheezing, resulting in cough, wheezing, fever, hoarseness, phlegm ringing in the throat and other symptoms. Children with pneumonias would have a temporary decrease in digestive function. If they did not eat properly, it would cause indigestion and diarrhea. Children with high fever should be given liquid-based food, such as rice soup, fruit juice, milk, etc. After the body temperature drops or returns to normal, they can be changed to semi-liquid food, such as porridge, steamed eggs, steamed fish, etc. During the whole period of pneumonias, they should be provided with sufficient water and vitamins. Paying close attention to the changes in the child's condition was an important part of nursing care. After the child's condition was relieved, his fever would gradually decrease, his spirit would begin to improve, his breathing would become stable, his appetite would also begin to increase, his cough symptoms would reduce, and his complexion would obviously improve. These signs indicated that the pneumonias were improving. If you suddenly have a violent cough, short breath, purple around the mouth, dispirited expression, high fever, irritability, indicating that the condition has worsened, you need to report to the doctor in time. As the child's condition changed quickly and the symptoms were not obvious, special attention should be paid. Children with pneumonias who had poor diet, low cries, and rapid breathing were all signs that their condition had worsened and should be sent to the hospital immediately for treatment. Doctor Huang was thinking about what prescription to use. Miss Yulu said,"Teacher Huang, can we use Wang Chuanji's 'New Vital Energy Soup' with 10 grams of perilla leaves, 10 grams of agastache rugosa, 15 grams of weeping sythia, 5 grams of mint, 10 grams of Angelica dahurica, 10 grams of Chuanlian, 10 grams of scutellaria baicalica, and 5 grams of licorice?" My grandfather used to use this prescription to treat children with high fever and pneumonias.”She said in one breath,
Usage: Take it with water, 1 dose per day, 150ml in water, 20ml once for 1 year old, 30ml for 2 years old, 40ml for 3 years old, once every 2 hours, 4 times a day, 150ml for 3 years old and above, 3 times oral.
[Effect] Relieve exterior syndrome and eliminate dampness, clear heat and harmonize the middle. (indication) Children with exterior syndrome, wind evil mixed with dampness, obstruction and heat. [Usage] Take it with water decoction, 1 dose per day, about 150 ml of water decoction. Take 20ml once for those under 1 year old, 30ml for those under 2 years old and 40ml for those under 93 years old, once every 2 hours, and four times a day. 150 ml for children over 3 years old, 3 times a day.
Add and subtract: This prescription is suitable for exterior symptoms such as fever, little sweat, headache, heavy body, drowsiness, poor appetite, loose stool, chest tightness, nausea, vomiting, abdominal distension, nasal obstruction, runny nose, mild cough, thirst without drinking much, white or slippery tongue, floating and rapid pulse, etc. Cough can be added with 10 grams of Peucedani and 5 grams of almonds; For nausea and vomiting, 10 grams of Pinellas ternata and 5 grams of dried orange peel were added; 12 grams of phlegm for diarrhea and 10 grams of fried coix seed. (Note) This prescription is based on the addition and reduction of Huoxiang Zhengqi Powder in Heji Bureau Fang. Use this recipe and add 10 grams of Banlangen. "Hehe, girl, you're really good! As expected of Grandpa Han's granddaughter!" Teacher Huang nodded in approval. "Just drive it for me." On the first day, the patient took one dose and her body temperature dropped to 36.8. C: The rest of the evidence is reduced. His appetite was still poor. Add 5 grams of dried orange peel on the top, and then take 1 dose to recover.
Teacher Huang commented: The exterior syndrome of children with external pathogenic factors seen in clinical practice is more common in the form of wind and dampness evil, obstruction and heat. The efficacy of this prescription is better and the effect is rapid. In the prescription, agastache rugosa is mainly used to transform dampness, regulate qi and harmonize the interior, so as to relieve exterior syndrome; With perilla leaves, dahurica and mint, the four herbs can relieve exterior syndrome and eliminate dampness. Coptis root, scutellaria root, Forsythia capsule and licorice root are used to clear away heat and detoxify. Looking at the whole prescription, it has the effect of relieving exterior syndrome, eliminating dampness, clearing heat and regulating the middle.
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