novel for you Chapter 947: Movement Disorder
Chapter 947: Movement Disorder
After saying hello, Gao Zhengbin began to tell Mo Xinzhi and Chen Yang about the child's situation.
The child started shaking his head and arms half a month ago, with attacks occurring two to three times a day. He would feel upset and nauseous before an attack, but it did not affect his eating.
Afterwards, I started to feel cold, my upper body was shaking, and I couldn't control myself.
When shaking, he is conscious, speaks normally, and has no sense of fear.
Each attack lasts for half an hour or one or two hours. It stops when I say so. After the attack, I don’t feel tired or sleepy, and I can play as usual.
During this period, after joint consultation and treatment by multiple departments including neurology, pediatrics, and neurosurgery at Kyoto Hospital, there was no substantial change, and even the cause of the disease was not very clear.
Two days ago, he suddenly started to have a fever, with the temperature as high as 39.5C. The high fever only subsided yesterday morning, but other symptoms remained. The family then invited Mo Xinzhi to come for treatment.
Gao Zhengbin paused, his tone full of confusion: "We did a head MRI, cerebrospinal fluid test, metabolic disease screening, and even checked the antinuclear antibody spectrum, all of which were negative."
"Two days ago, my fever suddenly reached 39.5 degrees Celsius. I took antipyretics to get it down, but the previous symptoms are still there. I have consulted the neurology department, pediatrics department, and even rheumatology and immunology department, but they couldn't find a clear cause. I could only use some sedatives for the symptoms, but the effect was not ideal."
The young woman is called Su Qing, and she is the child's mother.
At this moment, his eyes were red as he looked at Chen Yang and Mo Xinzhi.
Mo Xinzhi signaled her to stay calm and walked to the bedside to observe carefully.
Lin Xiaoyu, the little boy, was holding a Transformer and playing with it. Mo Xinzhi reached out and touched the child's forehead, then opened his eyelids and took a look, and finally held his hand to check his pulse.
After checking, Mo Xinzhi turned to Chen Yang and said, "Xiao Chen, take a look too."
Chen Yang stepped forward and placed his fingertips on Lin Xiaoyu's wrist.
While checking the patient's pulse, Chen Yang asked, "When did the attack occur?"
"Usually around noon to 2 o'clock." Su Jing said.
Chen Yang looked at the time. It was already half past eleven.
"Have you ever been caught in the rain or taken a bath before the onset of the disease?" Chen Yang asked again.
"I took a shower, and after that I was speechless for about two hours...
After asking a few more questions, Chen Yang said, "Let's take a look at the situation during the outbreak first."
Mo Xinzhi didn't say anything either. It was already very close to twelve o'clock.
At this moment, Lin Xiaoyu has shown obvious symptoms. He has obviously lost his previous interest and seems to be getting depressed and unhappy...
Just after twelve o'clock, Lin Xiaoyu lay prone on the bed, lowered his head under the quilt, raised his hands and kicked his feet...
After observing for about five or six minutes, Chen Yang asked the nurse for alcohol and silver needles, and gave Lin Xiaoyu a few injections. Only then did Lin Xiaoyu return to normal.
"Thank you, Doctor Chen."
Su Jing's eyes lit up when she saw this.
Lin Xiaoyu fell ill these days. Apart from injecting sedatives, the hospital could only wait for the child to stop falling ill naturally. Chen Yang's use of acupuncture to help the child recover can give the patient's family great confidence.
"You're welcome. This is what we doctors should do." Chen Yang smiled.
"Xiao Chen, what do you think?" Mo Xinzhi asked Chen Yang with a smile. He knew that Chen Yang must have figured out the cause of the disease.
Zhong Dongyang guessed correctly. Mo Xinzhi called Chen Yang over just to support Chen Yang, so Mo Xinzhi did not interfere in this treatment at all.
"'Heartache' is a typical symptom of Zhizi Shi Tang syndrome, but it is accompanied by chills, tremors of the chin and limbs, which is more like a mixed syndrome of 'cold evil accumulated in the skin surface, heat evil trapped in the middle burner'."
Chen Yang analyzed clearly: "When the child is shivering, he likes cold drinks, has red spots on the tip of his tongue, and his tonsils are red and swollen, which are all clear evidence of internal heat; and the floating and tight pulse, greasy white tongue coating, cold shivers and no sweating indicate that the exogenous cold evil has not dissipated."
He pointed to the lymph nodes behind the child's neck and said, "These nodules are not painful when pressed and have good mobility. Combined with the greasy tongue coating, it should be caused by phlegm and dampness. When the cold pathogen binds the surface, the heat cannot be dissipated, phlegm and dampness accumulate inside, and the qi is disordered, this kind of paroxysmal tremor will occur."
"Based on the pulse and symptoms, the child's condition is still caused by phlegm and fluid."
Gao Zhengbin listened carefully and couldn't help but interrupt: "Doctor Chen, what you mean is... this is not an organic disease of the nervous system?"
"The possibility of organic disease is not high..."
Chen Yang said, "It's because the child was not treated properly after contracting an external infection, and the cold, heat, phlegm and dampness were intertwined, causing the qi to rise and fall abnormally. Traditional Chinese medicine says that 'all wind-induced dizziness and vertigo are related to the liver', but the root cause of this child's tremor is not the liver, but the spleen and stomach disorder, and the disharmony between the exterior and the interior."
Mo Xinzhi stroked his beard and nodded in agreement: "Well, what Xiao Chen said makes sense. When the cold evil binds the surface, the Ying and Wei are out of harmony. When the heat is trapped in the middle burner, phlegm and dampness are generated internally. The Qi is blocked and cannot reach the limbs, which will cause this paradoxical symptom of 'chills and internal heat'."
"The child caught a cold while bathing, which led to all the symptoms afterwards. This is consistent with the cause of the disease."
Gao Zhengbin thought thoughtfully: "Then according to the thinking of traditional Chinese medicine, how should it be treated?"
Although he did not understand Chinese medicine diagnosis, he had to be convinced by the interconnected analyses of Chen Yang and Mo Xinzhi.
Of course, Gao Zhengbin could not question the identities of Chen Yang and Mo Xinzhi.
Mo Xinzhi looked at Chen Yang: "Xiao Chen, what prescription do you think should be used?"
Chen Yang pondered for a moment and said, "First, use Guizhi Decoction to relieve the exterior symptoms, add Guizhi to reduce the adverse effects, use Wuzhuyu to warm the liver and stomach, use Xieze Decoction, Xiaobanxia Decoction and Fuling Decoction to remove the phlegm and fluid caused by fullness, vomiting and dizziness..."
As he spoke, Chen Yang wrote out a prescription.
10g cinnamon twig, 5g oil cinnamon (added later), 10g white peony root.......
"Use two doses first, and I will come for a follow-up visit the day after tomorrow morning." Chen Yang wrote the prescription and handed it to Mo Xinzhi first, and said to Su Qing at the same time.
"Thank you, Dr. Chen." Su Qing hurriedly thanked him.
Coming out of the ward, Mo Xinzhi smiled and said to Chen Yang, "The patient is Elder Lin's great-grandson. You should pay more attention to him."
"I understand. Thank you, Mr. Mo." Chen Yang thanked him.
After being in Kyoto for a few days, Chen Yang had some understanding of some of the old and powerful leaders in Kyoto. Chen Yang had already guessed who the surname was Lin and who could gain the attention of Mo Xinzhi.
On the other hand, after Wilson's surgery date was set, not only major hospitals in Kyoto, but many hospitals across the country were paying attention.
For this operation, Kyoto Hospital also used the latest equipment, and it was an open operation to the public. On the day of the operation, all major hospitals could follow the operation through the equipment.
On the day of the operation, the equipment in the operating area had already begun to be debugged at around seven in the morning, and major hospitals had also tried to connect to Kyoto Hospital's equipment in preparation for watching the operation.