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第745章 夏洪亮的战意(1 / 2)

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老人这个咳嗽已经有很长一段时间了,久治不愈,反反复复,针对老年患者,吴萌萌更是不敢有丝毫的大意。

看着吴萌萌沉吟,陈阳轻声提醒:“你刚才看了这患者的舌象,结合他的症状,有没有觉得熟悉?”

吴萌萌眼睛一亮,说道:“师父,是小青龙汤证。患者长期咳嗽,咯吐清稀痰涎,伴有畏寒肢冷,从舌象来看,舌苔白腻,正符合寒饮内停之象。”

陈阳微笑着点头,小青龙汤出自《伤寒论》,原用于治疗外感风寒,内停水饮之症。这位大爷的情况,虽然看似只是咳嗽,但实际上是体内阳气不足,寒饮内生,又外感邪气诱发。

林毅和夏洪亮听到这里,不禁对视一眼,眼中满是惊讶与钦佩。林毅心想,这陈阳果然名不虚传,能将经典病案与现代临床病例如此巧妙地结合讲解,让年轻医生迅速抓住病症关键。

俗话说窥一斑而知全豹,陈阳虽然只是简单的提醒,却也能看出陈阳的水平,陈阳毕竟也只有三十岁。

前来山州之前,林毅其实对陈阳的水平并不是很相信,天才往往都是自负的,他并不觉得像他这样水平的年轻医生遍大街都是。

四十岁,对医生这个职业来说,绝对算是相当年轻了。

“大爷,您这是体内有寒饮,我给您开几副小青龙汤,温肺化饮,散寒止咳。”

陈阳一番提醒,吴萌萌对老人的病情也有了判断,一边在电脑上打字,一边对老人说着。

林毅和夏洪亮站在边上,能看到吴萌萌在电脑上打的药方:麻黄、芍药、细辛、干姜、甘草、桂枝、五味子、半夏......

陈阳坐在边上看着,并不吭声,吴萌萌见到陈阳没说什么,直接把药方打印了出来,教给陈阳盖章签字。

在一旁看着的林毅突然低声说道:“小青龙汤虽说是经典方剂,但这位患者年纪较大,身体虚弱,直接用原方,会不会有些峻猛?”

吴萌萌下意识的看向林毅。

陈阳笑着解释道:“这个顾虑确实很有道理,对于年老体弱者,用药确实需要谨慎。所以,我们在使用小青龙汤时,会适当调整剂量,减少麻黄、细辛等药物的用量,避免过于发汗伤正。同时,还会嘱咐患者服药期间注意保暖,饮食清淡,避免生冷油腻食物。”

说着陈阳话锋一转:“但是也要考虑实际情况,患者的咳嗽已经大半年了,病程比较长,这么长的时间,病邪不可忽视。”

“再者。”

陈阳继续说道:“老人家年龄大,咳嗽大半年,如果身体虚,情况要比现在更为严重,这说明老人家体质还算不错,原方剂量虽然大一些,却也不是不可以用。”

“明白了,谢谢陈医生解惑。”林毅道了声谢。

虽然只是一个比较简单的病案,但是林毅却能从中看出陈阳的细心。

其实刚才林毅的询问,也有考验陈阳的意思,他就想看看陈阳会怎么回答。

站在林毅的角度,他的年龄比陈阳大,职称也比陈阳高,所以哪怕林毅来之前听说过陈阳,也不可能马上就把陈阳放在和他一样的高度。

陈阳微笑着看了一眼林毅和夏洪亮,接着说道:“其实在中医临床中,每一个病例都是独特的,我们既要遵循经典理论,又要灵活变通。就像这小青龙汤的运用,剂量的调整不仅要考虑患者的年龄、体质,还要结合病症的发展阶段以及地域环境等因素。”

虽然已经知道了林毅和夏洪亮的身份,陈阳也没有点破,林毅刚才的询问有着考验的意思,陈阳也就装着他们真的不懂

目前在山州省医科大附属医院中医科,陈阳绝对是当之无愧的权威。

徐国瑞等人早就熄灭了和陈阳竞争的想法。

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