第106章 虚劳血枯
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文浩见他神情有几分怪异，微微有些奇怪，坐下来又望了望舌象，心头不由一沉，又伸手翻看了他的眼睑，正要说话，龚铭轻轻咳嗽了两声：“杜老弟，这天寒地冻的，老哥我这老胳膊老腿可经不起，长话短说，反正他这病也没什么大不了的，说完咱们就回去，也让蒲兄弟好好歇息。龙腾小说ltxs520.com”
杜文浩若有所悟，点点头：“嗯……，这病是……是伤寒发热……，没关系，吃两副药就好了……”
钱不收点点头：“老朽也这样认为的。既然两位都诊察过来，那咱们先回去吧。——蒲老汉，我这代了清热解表的药，你给孩子服下，记住，微微发汗便停止服药，切不可大汗！等我们回去会诊之后，明日一早，你叫你儿媳妇来我堂里重新拣药。我们走了！”
几人起身出门，杜文浩走到门口，又站住了，想了想，从怀里掏出几块碎银子，放在炕上，对蒲老汉道：“这钱拿去买些米面，葛根就不要再吃了，尤其是不要再给病人吃。他……他证属血枯，时常流血不止，而葛根可以增快血脉流速，会进一步加剧出血，他现在要尽可能避免流血，否则……，嗯……这个，其实也没什么，就是不要再吃葛根就行了。”
“多谢大夫！多谢了！”蒲老汉拿着那几块碎银，感激地连连点头：“上回钱神医就说了别吃葛根了，可这也是没法子，家里穷，今年收成不好秋后打下的粮食省着吃也不够吃的，还得留一些过年，所以只能吃葛根将就了。”
庞雨琴也摸出块碎银，大概有一两多重塞在蒲老汉手心里：“喏这也有点碎银，拿去买米面。杜先生的话要记住了。”
“这……，这真么好啊！”
钱不收、憨头和龚铭也给银钱，唯独雪霏儿，涨红着脸讪讪道：“我爹不让我带钱……”
杜文浩拍了她的肩膀：“有份心就行了。咱们走吧。”
出了院子上了马车，等出了村口雨琴这才问杜文浩道：“先生，他的病很重吗？”
雪儿插话道：“肯定是地了。瞧他们吞吞吐吐故作轻松那样就知道。”
杜文浩点点头：“非常重。已属症。随便一个伤风咳嗽都有可能要他地命！”
“那严重啊？那怎么不马上下方开药抢救呢？”
杜文浩和钱不收、龚铭相互看了一眼。都苦笑摇头。铭道：“唉！这虚劳要是好治。钱神医早就治好了怎么会来找我们两呢？只是。病重如斯们两……。至少我是没辙地了看杜老弟你了。”
杜文浩苦笑道：“你们两位都没办法。我更没辙！”
庞雨琴道：“那就是说患地是不治之症了？这虚劳血枯到底是什么病啊？”
虚劳血枯就是西医的再生障碍性贫血，是人体骨髓造血干细胞及造血微环境受损，导致造血功能衰竭的一种综合症，按区分标准不同，可分急性和慢性，重型和中型、轻型。
杜文浩当然不可能用西医角度来解释，想了想，道：“虚劳血枯是某种原因导致病人的心肝脾肾受损，从而导致精血无法滋生，《黄帝内经》就说了：‘精气内夺则积虚成损，积损成劳。’特别是脾肾两脏受损所致虚劳最为严重，因为肾主骨生髓，肾藏精，而血为精所化。另外，脾也生血，所谓血者水谷之精也，生化于脾。所以肾精亏损，精髓就不充，而髓虚的话，精血也就不能再生。一旦人的肾阳不足，就不能温阳其他脏腑，所以，只要肾出了毛病，滋生精血的功能受损，心肝脾都会受损而成虚劳。脾脏受损也是这个道理。”
雪霏儿和庞雨琴听得云里雾里的，问道：“那会死吗？”
“当然会！心主血，肝藏血，脾统血，这三脏受损，就会出现血虚、出血和血瘀。气血不能摄血，阴虚内热，以及外感发热，热伤血络，或迫血妄行，皆可引起出血。所以他才会鼻口经常出血和便血，而失血过多导致严重的贫血又会使他时常头昏甚至昏厥。三脏受损导致气血两虚，精气内夺，容易招致感染，因为虚劳使人的抵抗疾病的能力大幅下降，轻易一个受凉伤风，都会引起肺部等的严重感染，这种并发感染是虚劳血枯患者死亡的主要原因。”
二女还是听得似懂非懂，庞雨琴道：“那……，还有救吗？”
杜文浩摇摇头：“很难，他病得很重了，已经并发肺部感染，对一般人来说，咳嗽不算什么，很容易治，但对重症虚劳血枯患者，咳嗽就能要他的命，而且，他出血很严重，失血太多，身体极度贫血，时常昏厥，一旦出现休克，必死无。
刚才我查看他眼睑，发现颜面皮下出血、
血，这是即将颅内出血的先兆，一旦颅内出血，也那么多可能导致他死亡的原因存在，如何解救？”
庞雨琴急了：“杜先生，你一定有办法的！想想办法啊！他们好可怜的，尤其是那两个孩子，他要死了，这一家人可怎么活啊？你好好想想办法，你会华佗神技，据说华佗就能劈开脑袋给人治病，治好了又缝上，人照样好好的，你一定也会这神技，他就算颅内出血，你也能治好，对吗？”
杜文浩苦笑：“你真把我当华佗了？他这病没办法用华佗开颅疗伤术治疗的，因为不仅是颅内出血，什么地方的出血太多了都可能会死的。你别着急，我和两位大夫好好琢磨一下，看看还有没有办法。”
庞雨琴和雪)儿立即安静下来，免得打扰他们会诊。
捋了捋白胡须，瞧向钱不收：“钱大夫，你怎么看？”
钱不收随着牛的前行而晃荡着身子，也捋着胡子慢慢说道：“这病患老朽治疗大约两月有余，最初辨证为肝肾阴亏、虚火内生。方用八珍汤，补气补血。但是，没什么效果，尤其是壮热不退，出血不止，很是让人头痛！”
正说到这里，忽听着外面声嘈杂，还有人疾呼道：“喂！前面牛车让让路，我们赶着进城救命呢！”
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