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71. Integrative Medicine (3)

The two old men secretly scheming in order to reduce blood pressure, but they would not argue too fiercely on the surface. After Zhang Mingyuan stopped, Wang Ting also realized the reality: the patient's blood pressure became more and more stubborn, and the treatment measures he had been using had lost their sensitivity.

If you don’t lower your blood pressure now, it will become more and more difficult to lower it again in the future.

A systolic blood pressure of 300 is ridiculously high even for a body that has long been accustomed to high blood pressure. With just one trigger, it can easily destroy his cerebral blood vessels.

While they were still discussing each other, Qi Jing called Xiaomei to the front: "Go to the pharmacy to get Zhilixuping."

"Resulpin? Is it useful?" Xiaomei felt very strange. "I had one shot in another hospital before the patient came, and it seemed that it didn't work."

"Just take it, I'm useful."

"I'm leaving there again." Xiaomei glanced at him and left the clinic.

Qi Jing's memory of this method was very vague, and he only vaguely remembered to use the Lixue Palm Injection, and he forgot how to operate it. Later, he remembered it when Zhang Mingyuan talked about the Quchi point.

Originally, this was a special antihypertensive method published in the Journal of Integrated Traditional Chinese and Western Medicine, which was very effective in treating refractory hypertension.

However, the authors of the paper repeatedly reminded that it can only be used for refractory hypertension that is not very effective in combination with drugs, otherwise there will be a risk of shock.

Due to the significant side effects, Qi Jing didn't want to use it either.

But now the patient's blood pressure has not been lowered, and he is about to go to 300 again, so he can only try it.

When Wang Tinggang returned to the clinic, he thought Hu Dongsheng was a new intern, so he didn't care much.

But now even if he is full of blood pressure reduction methods, he will be stunned when he sees the "work card" on Hu Dongsheng's chest. There are usually only two college students in the emergency shift of internal medicine, and those two are desperately copying prescriptions in the doctor's lounge. Where did he come out?

Wang Ting was a little confused. After thinking about it, he could do multiple helpers and not break it. After the patient was finished, he would talk to these three guys for a good chat.

"How do you feel now?"

"Slightly dizzy, everything else is fine."

"Don't you have a headache?"

"No."

"Do you see something blurry?"

"fine."

Wang Ting had a simple physical examination and was relieved, at least his body could hold on.

"What other way do traditional Chinese medicine do?" He stood beside the patient and asked Zhang Mingyuan beside him, "If it really doesn't work, I can only add another medicine to him."

"I have to go back and write a prescription first."

"Then you go first, let's try Captopoli here."

"OK."

At this moment, Xiaomei walked in from outside, holding the "elixir" that Qi Jing wanted.

Qi Jing rushed forward from behind Wu Tongshan and Ji Qing and stood in front of the two directors: "I want to try Lixuping again."

"Lixuping? I don't seem to have had any effect before coming here."

"The last reserpent was 2:30 pills at 2:30 pills." Ji Qing flipped through the treatment order he sent, "I have been taking it for more than three hours. Can the patient tolerate the second one?"

"It's not much time left." Qi Jing replied.

"Is there any reason?" Wang Ting looked at him without objection, but instead had an inexplicable expectation, "You won't choose a specific drug for no reason, I need a reason."

Qi Jing explained: "The key is not the medicine itself. I am not choosing the medicine, but the method of intramuscular injection."

Several people were a little confused about what is unusual about a simple intramuscular injection.

Is it the injection location?

Generally, the hip muscle group is used for intramuscular injection, followed by the lateral thigh and upper arm deltoid muscles. Even if you choose other positions, there is nothing special.

Ji Qing, Wu Tongshan and Wang Ting both studied modern medicine, and they could not guess Qi Jing's intention.

Zhang Mingyuan, who was standing aside, understood a little after hearing the intramuscular injection: "Do you want to directly inject the medicine into the acupoints?"

"Yes, there is only one kind of drug administration that can be used to stimulate acupoints at the same time." Qi Jing fiddled with the Lixupine needle in his hand, and seemed a little helpless. "The most effective antihypertensive drug used in the intramuscular injection is the most effective one in clinical practice."

So it was not that Qi Jing deliberately chose Lixuping, but that he had to choose Lixuping.

Qi Jing continued to explain: "The blood pressure reduction acupoints are everywhere, Renying, Hegu, Baihui and Quchi, and the only one suitable for intramuscular injection is Quchi."

Zhang Mingyuan nodded: "Ren Ying is on her neck, her muscles are too thin and her blood vessels are too rich. Hegu is the tiger's mouth, and her muscles are too small. Baihui is even on the top of her head and it is completely useless."

The old man bent his elbow and pressed out the muscles of the brachioradial muscle: "The only thing that can be used is this, Quchi."

There is no good idea now. The two blood remedies only need four hours apart, so there should be no big problem.

"I can only try my luck."

Zhang Mingyuan turned around and called Xiaomei, gave a few instructions, and found a suitable location for injection.

After one injection of blood lipid, the blood pressure began to drop ten minutes later. After half an hour, the systolic blood pressure fell below 250 again. After one hour, the blood pressure stabilized at 200/95.

"The young man has a lot of ideas." Zhang Mingyuan was very satisfied with Qi Jing, "It's much better than some old stubborn ones."

Wang Ting glared at him, then pressed his right hand on Hu Dongsheng's shoulder: "When I and Tongshan and I finish checking the house, you have to explain to me where this little guy came from?"

"Uh, by the way, there's the sign on his chest."

After saying that, the old man picked up the record book and took Wu Tongshan out of the clinic.

......

Looking at the falling blood pressure, Qi Jing finally breathed a sigh of relief.

"That kid has escaped, why don't you leave?" Ji Qing looked at the watch and said, "If you don't leave, the judo hall will be closed."

"Hmm?" Qi Jing realized the time, "Forget it, I won't go today."

"What's wrong?"

"This patient's body temperature is too high, and the infection level is very deep in the entire course of the disease."

Qi Jing put the record of his handwritten disease course on the desktop, which contained various laboratory test data, CT and chest X-ray performance, and drug treatment results.

There are also many curves connected to each other, which looks very complicated.

Ji Qing sighed: "It's really troublesome. The lesion stays in the lungs, but we don't recognize it and have no way of doing it."

"Fungal infections must be eliminated one by one..." Qi Jing looked up at the ceiling.

Now we need to determine the type of pathogenic bacteria as soon as possible. As long as we find its true face, we can solve the problem with the appropriate antibacterial drugs.

Suddenly, Qi Jing thought of a possibility and quickly turned on the original case.

"Why didn't the blood sugar test?"

"Should you have end-of-poor sugar." Ji Qing turned two pages, "It's quite normal."
Chapter completed!
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