第4章 露一小手
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杜文浩接过,放开床铺上,解开襁褓,腾出婴儿那枯瘦的身子,抬起婴儿小腿,只见小屁股上赫然长着个大脓疮,伸手摸摸,四周已经板结,中间脓肿发白波动。
杜文浩给孩子号脉之后,对雪霏儿和林青黛道:“孩子脓疮是暑疖,乃暑湿热毒蕴蒸肌肤,导致经络阻塞、气血凝滞所致,这脓疮热毒很猛,汤药已经不能治愈,必须切开脓疮把脓引出起来,还要刮掉里面腐烂的肌肤组织,可我的吃饭家伙都被抢了,能借我一柄小刀吗?”
“啊?”二女相互看了一眼,都很惊讶。
这种惊讶是很正常的。古代外科知识相对内科差很远,中医外科只是治疗一些痈疽疔疮,而且一般都采用药物保守治疗,很少开刀引流,主要是因为那时还没有细菌、病菌等微生物知识,不知道该如何防治手术感染,一个小手术往往会引发严重的感染而导致病人死亡,这种情况下,大夫只能选择保守治疗。另外,手术的出血,抗疼痛问题也没有好的办法解决,这些都制约了古代外科手术的发展。所以二女听杜文浩说要开刀,她们两都懂一些药理常识,尤其是林青黛,乃是药铺女掌柜,见多识广,知道不是十分高明的大夫,根本不敢动手术的,这铃医不知有无这个本事,所以都有些迟疑。
这个外科小手术对杜文浩来说却是小菜一碟,他们医科大是中西医结合试点单位,非常注重中西医结合治疗各种常见病症,在针灸麻沸止痛、中西医结合治疗急腹症等课题上都取得了显著地成绩,这些知识在课堂上杜文浩都学过的,加上他本身就有中医学基础,也经过药铺客串大夫的临床实践,治疗这种疔疮那是不在话下的。
杜文浩见她们的神情便知道她们的担心,心想必须腾一手让她们两对自己有信心,才会同意自己给孩子动这个小手术,当下道:“孩子痛得很厉害,我先给他止痛,有金针吗?”
古代针灸用的针当然不可能是不锈钢的银针,一般都是用黄铜制作,所以称为金针。
林青黛忙道:“店里有,我去拿!还需要什么药?我提前准备。”
杜文浩想了想,说道:“苦参、黄柏、大叶桉、蛇床子各五钱,水煎。另外,再用大黄、黄芩、黄柏、栀子、银花,也用水煎,两种汤药都用纱布过滤,把汤水拿来。”
中药消毒剂可以避免西医化学消毒剂的副作用,发挥了中草药抗菌、抗病毒效果好、副作用小的优点,可分别用于外科的患处皮肤消毒和创腔的冲洗消炎。
“好的!”林青黛答应道。
“还有,再用黄连和马钱子各五钱,捣碎,用烧刀子酒浸泡拿来。”
这主要用于手术创腔放置病菌敏感的引流条用。按规定本应用酒精浸泡半个月的,但现在时间来不及了,也没地方找酒精去,只能将就。
林青黛点点头,匆匆走了。
雪霏儿问:“我做什么?”
“请姑娘准备一盆烧开后的温水和一小勺盐,一些干净的纱布和一小团棉花。”
“好!”雪霏儿也匆匆走了,片刻,端了一盆水拿了纱布回来,还有一小筒金针。又过了一会,林青黛也端着一碗药来了:“汤药准备好了。”
杜文浩用苦参汤擦拭了小孩屁股患处和需要刺穴的部位,取过金针,扯下一团棉花沾了药水,轻轻擦拭金针消毒,感觉这黄铜做的金针太软,施展不得劲,他可没本事运内功让软软的金针坚硬起来,只得用夹持法进针。
他用药棉裹住金针前部,对准孩子的督脉第六胸椎棘突处,右手送针快速刺入,然后轻推送入,轻捻片刻,留针。又在孩子后溪合谷处用同样方法进针,得气后留针。
片刻,疔疮的剧痛减缓了,孩子的哭声也就变小了,抽抽噎噎地,咕噜转动着黑亮的眼睛瞧瞧这个,看看那个,显然有了精神。
孩子不哭了,那少妇却激动得吧嗒掉眼泪,感激地望着杜文浩。
雪霏儿和林青黛都舒了一口气,相互看了一眼,瞧着杜文浩的眼神中有了几分赞许。
杜文浩道:“麻烦姑娘准备一柄小刀和几双没用过的新筷子,在开水煮沸备用。再用一些干净的小块纱布在蒸笼里蒸着备用。”
雪霏儿迟疑片刻,低声问:“你真准备开刀啊?”
“这疔疮已经化脓,必须开刀引流,汤药无法治愈的。姑娘放心,医者父母心,我绝不会拿病人的性命当儿戏的。”
雪霏儿和林青黛又相互看了一眼,一时都没主意。
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