第九章 重用赤芍退急黄
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第九章重用赤芍退急黄
畅书评再一次看了王志一眼,这廉鸿鸣可就有些诧异了,要说第一次是无意识的,这第二次可就蹊跷了,因此廉鸿鸣轻轻一笑,看向王志道:“这位小伙是?”
“啊,这位是王志,算是我的忘年之交,也是个中医大夫,刚才您老来之前刚刚给我诊断完毕,正准备开方子呢。龙腾小说网ltxs520.com《》网.com”畅书评见廉鸿鸣问向王志,就知道自己刚才不经意的动作引起了廉鸿鸣的注意,急忙解释道。
“畅先生您这不是胡闹嘛,这治病岂可儿戏,这么年轻的中医大夫能有什么可信度。”这廉鸿鸣还没说话,费明可不干了,急忙对畅书评抱怨道,要不是畅书评说王志是他的忘年交,这费明估计就要赶人了。
“小费啊,话可不能这么说,学无先后,达者为先,你怎么能以貌取人呢。”廉鸿鸣倒是没有生气,很是平和的说道:“不知道小伙子是怎么个看法?”
“我的诊断和您老一样,也认为是急黄之症。”王志轻笑道。
“哦!,那可曾拟好药方?”廉鸿鸣也是有些惊讶,他看的出王志没有说谎,而且从畅书评刚才的表现来看,王志的诊断应该和他一样,甚至还有什么举动赢得了畅书评的信赖,要不然畅书评也不会一直隐晦的看完王志了。
“是有一方,要是廉老不介意还请指正。”王志笑道。
“那不妨写出来看看。”廉鸿鸣笑道:“小费啊,给小伙子拿纸和笔。”
费明虽然心中很不高兴,但是廉老说的他也不好违逆,只好给王志拿来了纸笔。
王志也不客气,接过纸笔,直接写下一方,交给了廉鸿鸣。
廉鸿鸣接过药方,看到王志的字就是一阵赞许,脸上带着笑容,微微颔首,接着看了下去。
王志所用的方子是三味汤药的组合,分别是小柴胡汤,菌陈蒿汤和郁金汤。《》网.com
这三种汤剂倒是开的中规中矩,如今畅书评的病症从治疗上讲就应该活血,化瘀,利湿,清热解毒。
小柴胡汤是清热解毒的,针对畅书评体内的热毒,菌陈蒿汤是清热利湿的,针对畅书评体内的湿热,郁金汤则可以活血止痛,疏肝利胆,也算是对症,和廉鸿鸣自己的想法倒是不谋而合,可是这王志方子的最后一味药却是让廉鸿鸣有些诧异,倒不是这一味药开的不对,而是这剂量太过大了些。
王志方子的最后一味药是赤芍,赤芍有清热凉血,散瘀止痛的功效,也不是不可以用,只是王志这剂量是足足900克,超过一斤半的剂量。
“小伙子,你这最后一味药是不是剂量大了些。”看完药方,廉鸿鸣轻声向王志问道。
“不大,我觉的还保守了些。”王志轻声说道。
就在廉鸿鸣和王志对话的时候,边上的费明也是轻轻的探过头去看了一眼王志所开的药方,眼睛瞬间睁得圆大,900克,这哪里是大了些,简直是太大了。
费明虽然不是中医大夫,但是也知道这赤芍为何物,这小子到底有没有医学常识啊,如此大剂量的用赤芍,难道就不怕患者多脏器出血或者弥漫性血管凝血。
在费明的记忆中,这中药一般15克30克就已经很多了,大多数药方所有的药加起来都超不过900克,这一味药就这么大剂量,莫不是这畅书评和这小伙有仇吧。
如今畅书评的病在西医中就是重症肝炎,氨基转氨酶正常值是0~40.此时的畅书评已经到了2100了,整整超出了50倍。
人体之中,氨基转氨酶是分解食物的一种催化剂,由肝脏产生并且存储在肝脏,胆囊和小肠里。
如今畅九天文学.com)因为胆红素是黄色的,所以血液中胆红素超标就会出现小便发黄等症状,也就是王志所说的急黄。
这种情况要是继续拖延下去就会出现肝性脑病或者肝坏死,对于这种情况,目前的西医疗法就是使用大剂量的激素进行冲击治疗,但是这种疗法很可能会引发股骨头坏死或者伤害其他脏器,如今畅书评的身份特殊,费明不敢贸然进行治疗,因此才去请了中医协会的廉鸿鸣过来。
赤芍是中医的肝病要药,早有医家就说过赤芍“味苦能泄,带酸入肝,专泻肝火”。王志之所以用如此大剂量的赤芍,是和现在畅书评的病情有关,畅书评此症属于急黄,猝然发病,命在顷刻,用西医的话来说谷氨酸氨基转氨酶已经超过了正常值的50倍,说明肝细胞坏死的速度非常快,要是按照常规剂量用药,这绝对收不到立竿见影的效果,也就是说治疗的速度没有病变的速度快,即便用药也无济于事。
“还是让畅先生自己拿主意吧,我个人不赞成这么大剂量用这个药。”
听到王志的话,廉鸿鸣倒是没有生气,也没有辩驳,而是将药方交给畅书评道:“药方我基本上认同,不过最后一味药的剂量有些太大,你自己决定。”
“那您的意思是用多少剂量?”畅书评不懂中医,自然不知道这剂量的多少,而是问廉鸿鸣道。
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