OBS Chapter 289: Doctor Yun, what is appendicitis?
Chapter 289: Doctor Yun, what is appendicitis?
Doctor Yun, Imperial Physician, please come and take a look. Little Quanzi has fainted from the pain again.
The sound from the small table in the inner room was heard again. Xiao Quanzi suppressed the pain and dared not cry out. He had no choice but to endure the pain. Finally, he couldn't bear the pain anymore and fainted.
Yunhai and the two doctors hurried into the inner room. Doctor Liu felt Xiao Quanzi's pulse and shook his head at Doctor Shi. Doctor Shi had the same expression after taking Xiao Quanzi's pulse. The emperor and eunuch Lai Fu who followed him looked at the two doctors. They looked at each other and Doctor Liu said, "Your Majesty, Xiao Quanzi has "intestinal abscess" and is suffering from abdominal swelling, pain, fainting, and chills. I am powerless to help him.
"I think so too." Doctor Shi echoed.
Imperial doctors tend to be conservative in their diagnosis and treatment. They will not help patients who are not sure of the disease. If they kill the patient, it will damage their reputation. What's more, he is just an insignificant eunuch.
Everyone in the room looked at Yun Hai who was silent.
Yunhai looked at the people in the room. He didn't understand why the emperor cared so much about a little eunuch. The emperor looked at him as if he was testing him, and also expecting him. Didn't he understand what the emperor expected? But after all, there was a young life in front of him. He couldn't just watch it die without saving it just to hide his incompetence.
"Doctor, can you lend me the silver needles?" Yun Hai narrowed his eyes slightly, his gaze fell on the medicine box in the doctor's hand. He secretly guessed that the prince should be able to do acupuncture. There should be tools like silver needles in the medicine box.
The two doctors were stunned at first, but then Doctor Shi reacted quickly, with a hint of surprise on his face. He carefully opened the medicine box he carried with him and took out a set of silver needles. These silver needles were the treasures that he had been proud of for many years of practicing medicine.
Doctor Shi held the silver needle in both hands and handed it to Yun Hai respectfully. His eyes were full of anticipation and excitement, and his voice trembled slightly: "Doctor Yun, are you going to give Xiao Quanzi acupuncture to relieve the pain? I dare to make an unwelcome request. I wonder if I can have the honor to watch from the side?"
After saying that, his face turned red. He nervously watched Yun Hai's expression change, fearing that his abruptness would make him unhappy. You know, the doctors here who know acupuncture are all inherited from their families, not everyone can learn it. Even when he gives acupuncture to others, he does it behind their backs. He was ready to accept being rejected for the sake of his reputation.
You know, in this huge Imperial Medical Bureau, apart from the director, only Doctor Shi knows something or two.
However, today he saw that Yun Hai was able to wake up the unconscious Xiao Quanzi and temporarily stop the pain with just an ordinary embroidery needle. The exquisiteness of his needlework was really beyond his reach.
Therefore, although he felt a little embarrassed, he still shamelessly spoke out his inner thoughts.
Yun Hai was concentrating on Xiao Quanzi's condition and was unaware of Doctor Shi's inner thoughts: "Okay, but don't make any noise to disturb me."
"Thank you, Doctor Yun."
"Doctor Shi, lend me your assistant for a while."
He saw a boy of about fifteen or sixteen following behind Doctor Shi, and he thought that should be Doctor Shi's assistant?
Doctor Shi was stunned and didn't understand what he meant by assistant.
Yun Hai realized that this was not the right place to call an assistant, so he pointed at the young man behind Doctor Shi and said, "Lend me your paper and pen. I'll write a prescription and boil the medicine and let Xiao Quanzi drink it."
Doctor Shi said to the young man behind him: "Shi Yan, listen to Doctor Yun's instructions."
"Yes, grandpa! Doctor Yun, you said that I should write for you." The young man who followed Doctor Shi took out paper and pen.
Yunhai glanced at the young man next to Doctor Shi, who was about fifteen or sixteen years old and was wearing the uniform of the Imperial Medical Bureau. He didn't expect that the young man was Doctor Shi's grandson, but he felt relieved after thinking about it. In this era, medical skills were inherited from family.
At this time, he thought of Yunxiang, who he had left in Cheng's house. He left Yunxiang in Cheng's house because he was afraid of danger when he entered the palace, and he would have a grandson to inherit his legacy in the future.
Yunhai took the silver needle but didn't rush to do the acupuncture. He used strong liquor to disinfect the silver needle while reciting: "Three parts of rhubarb, winter melon seeds, and sodium sulfate. Add six liters of water to the above five herbs, boil one liter, remove the residue, add sodium sulfate, boil again, and drink it all at once. Have someone boil the medicine, and bring it back immediately after it's done."
"Yes, Doctor Yun, Shi Yan will have someone boil the medicine right away." Shi Yan ran to the outside of the Cining Palace and handed the prescription to the medicine boy waiting outside the door, asking him to boil it according to the instructions written on it and send it back immediately. Then he ran back.
He walked lightly and bowed to the emperor who was sitting on the chair, then walked to his grandfather to watch Yun Hai give acupuncture to little Quanzi.
Yunhai is used to teaching students, and when there are people studying around him, he likes to explain while doing it.
When Shiyan arrived, he heard Yunhai explain in detail the function of each acupoint.
"Da Huang Mu Dan Tang, in which rhubarb, peony bark and other drugs have the effects of clearing away heat and purging fire, promoting blood circulation and removing blood stasis, helps patients clear away heat, detoxify, remove blood stasis, discharge pus and relieve inflammation through drugs.
However, acupuncture treatment is generally used as an auxiliary means to relieve the patient's pain."
Yunhai inserted a silver needle into the upper front part of Xiao Quanzi's calf and whispered, "This is the 'Appendix Point'. It is an important acupuncture point for treating appendicitis."
The two old doctors were puzzled but did not dare to ask aloud. Shi Yan, who had just returned, asked in confusion: "Doctor Yun, what is appendicitis?"
Yun Hai felt like he had said something wrong and quickly corrected himself: "Uh! The appendicitis I was talking about is actually intestinal abscess."
After explaining, he continued: "Stimulating this acupoint can effectively improve the blood stasis around the appendix."
The second Yunhai needle is inserted in the abdomen, horizontally at the center of the navel, 2 inches lateral to the anterior midline.
"This is the Tianshu point, which is mainly used to regulate gastrointestinal qi and is helpful in improving abdominal pain, bloating and other gastrointestinal dysfunction symptoms caused by appendicitis." He wanted to give the ancients a real rib and use the appendix instead of the appendix. The ancients should be able to understand it.
He inserted another needle into the outer side of the calf: "Shangjuxu is the lower He point of the large intestine. It can regulate the large intestine's internal qi, make the intestinal qi flow smoothly, and relieve appendicitis."
He inserted a few more needles into other acupuncture points: "During treatment, we will also use acupuncture points such as Zusanli and Quchi according to the patient's specific symptoms for comprehensive treatment. However, acupuncture treatment is generally used as an auxiliary means. Severe intestinal abscesses may still require medication or surgery."
After he finished the acupuncture, the two imperial doctors beside him asked impatiently: "Excuse me, Doctor Yun, what is surgical treatment?"
Yunhai, since he has already revealed his medical skills in front of the emperor and them, there is nothing to hide. If the medicine and acupuncture cannot cure the disease, then he may need surgery.
However, the surgery still requires the opinions of the patient and his family. But he thought that this little powerful man might not have the right to decide, and the final decision would have to be made by the emperor. Judging from the emperor's positive attitude, if the medicine could not improve the condition, an operation would be unavoidable.
"Intestinal abscess, commonly known as appendicitis. Inside the human body, there is a section of intestine that seems useless, but when it has problems, the consequences can be quite serious.
Once this section of intestine becomes diseased and lurks in the body, if timely measures are not taken to remove it through surgery, the damaged area will continue to expand, thus having an adverse effect on other surrounding intestinal tissues.
These originally healthy intestinal organs may be damaged due to involvement, and may even put the patient's life in danger.
Therefore, for diseases like intestinal abscess, it is important to detect and treat them early, and decisively remove the lesions through surgery to avoid further deterioration of the disease and irreversible consequences. "
Everyone understood that this meant surgery was needed to remove the bad intestines.
"If Doctor Yun's intestines were cut out, would he still be able to survive?" Shi Yan boldly asked the question that everyone was thinking.
"If it is properly treated, your life will be safe, but you must be careful not to let bacteria infect the wound. Once the infection causes a high fever, it will be fatal."
So he looked at the emperor and said, "Your Majesty, please send someone to get my medicine box."
Jun Jingli nodded and looked at Lai Fu. Lai Fu understood and went out to give instructions.
At this time, a young eunuch came in and reported: "Your Majesty, the medicine has been boiled."
"Bring it in!"
"Yes."
Jun Jingli asked Yun Hai: "Doctor Yun, can you give it to Xiao Quanzi now?"
"Xiao Quanzi has woken up, let him drink the medicine first! Observe the situation first. If it works, you can continue to take the medicine and combine it with acupuncture. He will be fine within seven days without pain." Yunhai reminded.
The emperor asked Yun Hai: "Doctor Yun, how do you determine whether surgery is needed?"
"Your Majesty. If the pain is gone tonight, conservative treatment can be given. If the pain is severe tonight, surgery will be required tomorrow, but there is only a 50% chance of success." Yun Hai was 100% sure about the appendicitis surgery, but he couldn't be too sure.
"Acupuncture has suppressed the pain, and the patient has taken the medicine. He will be observed for a day. If surgery is required, it will require your Majesty's decision."
Jun Jingli said: "Doctor Yun, please make the decision. Doctor Yun will stay in the palace for now!"
"I obey your command." Yun Hai saw that he couldn't leave the palace today, so he decided to make the best of it!
At this time, a young eunuch whispered a few words into Lai Fu's ear, "Your Majesty, someone from the Cheng residence has sent a medicine box to Doctor Yun."
Jun Jingli glanced at Yun Hai and told Lai Fu, "Let him in!"
Cheng Zhiyuan and Yunhai were also wondering why someone had to deliver the medicine box to them, since the medicine box was not taken from the palace.