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第76章 脉因饮食动消积导滞(1 / 2)

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第七十六章 脉因饮食动消积导滞

凌晨两点的仁济堂中医馆浸在墨色里,二楼诊室的灯光像枚泛黄的杏核嵌在青砖墙上。苏怀瑾指尖划过键盘,最后一行随访记录落在“张小雨,胃脘痛缓解,继服香砂六君子汤三剂”,屏幕右下角的时间跳成02:03。她捏了捏山根,腕间银镯撞在木质桌面上,发出细碎的响——这是师傅临终前送的,刻着《大医精诚》的小楷,边角早已磨得发亮。

楼道传来“咚咚”的脚步声时,她正起身去续菊花茶。白大褂下摆扫过椅脚的瞬间,楼下传来撕裂般的哭喊:“医生!快救救我儿子啊!”声音带着豫北口音,尾音发颤,像根绷紧的棉线随时会断。苏怀瑾快步走到楼梯口,只见穿浅蓝睡衣的中年妇女半架着个年轻人,后者苍白的脸搁在妇人肩上,腹部鼓得像扣了口铁锅,右手还攥着袋撕开的“亲嘴烧”,红油顺着指缝滴在水磨石台阶上。

“杨辰妈妈别急,先到诊室。”苏怀瑾扶住杨辰另一只胳膊,触手滚烫。年轻人足有一米八,此刻却软得像滩泥,眼皮半阖着,喉间发出含混的呻吟。诊室顶灯亮起时,护士小林已经推着抢救车候在门口,病历夹上“急性胃扩张”的诊断用红笔圈着,格外刺眼。

“小林,测体温、血压,先开通静脉通道。”苏怀瑾翻开病历,首页写着“杨辰,22岁,网络主播”,既往史里“反复呕吐三月”“长期服用泻药”的记录让她眉心一跳。抬头时正撞见杨辰母亲抹泪,中年妇女眼角的皱纹里还沾着夜露,左手无名指有道浅红勒痕——那是长期戴橡胶手套留下的,苏怀瑾在急诊科见多了这样的印记,通常属于超市收银员或饭店服务员。

“体温37.8℃,血压110/70mmHg,血氧95%。”小林报完数据,递上舌苔照片。苏怀瑾凑近看,舌质红得像熟透的番茄,苔黄厚腻得能挂住筷子,右关脉搭上去,指腹被顶得直颤,数了数,每分钟92次。“每天直播多久?”她按住杨辰胃脘部,指尖触到硬邦邦的抵抗感,年轻人疼得吸气,腹部肌肉绷得像块铁板。

“四、四个小时...”杨辰说话带着气音,从运动裤口袋摸出手机,相册里全是摆满帝王蟹、波士顿龙虾的直播截图,最新一张停在三小时前:不锈钢餐盘堆着小山似的小龙虾壳,配文“今晚挑战8斤蒜蓉虾,老铁们刷波666”。苏怀瑾看着屏幕上那张化着浓妆的脸,想起上周科里讨论的病例——某吃播主播因急性胰腺炎抢救,最后切了半个胰腺。

舌象分析仪的蓝光在杨辰脸上晃了晃,打印机吐出的报告显示舌苔厚度2.3mm,腐腻度85%。苏怀瑾翻开《黄帝内经》,书页在“饮食自倍,肠胃乃伤”处做过泛黄的笔记,旁边贴着张便签:“现代医学证实,胃容量过度扩张可致胃壁缺血坏死”。抬眼时,程野推着胃肠镜设备进来,显示器上胃黏膜红肿得像团烂番茄,皱襞间还卡着未消化的小龙虾壳。

“西医诊断急性胃扩张,建议立即胃肠减压。”程野调出脉象图,指尖划过滑数的波形,“《景岳全书》说食滞脉‘滑而实大’,这例右关脉幅达到0.8mV,比正常高了一倍。”他说话时,杨辰母亲突然抓住苏怀瑾的手腕,掌心的老茧蹭得她生疼:“大夫,他三个月前开始吃播,每天夜里躲卫生间吐,开塞露用了二十多支...上个月平台说粉丝破百万加薪,他就...”

话没说完就哽咽起来,杨辰偏过头,盯着天花板上的石膏线,喉结滚动着。苏怀瑾抽出纸巾递过去,注意到年轻人手腕内侧有三道浅红抓痕——那是催吐时手指抠嗓子留下的。“您看他舌苔黄腻成这样,胃气完全堵在中焦了。”她指着诊脉图,“右关属脾胃,脉滑得像滚珠,说明食积化热,胃气不降反逆。”

杨辰突然撑起半个身子,床头灯在他眼下投出青黑的影:“医生,能不能开点快药?明天晚上和‘大胃王阿虎’PK,输了要赔五十万违约金...”话没说完就剧烈干呕,小林赶紧递上弯盘,吐出来的全是酸臭的黏液,夹杂着未消化的辣椒皮。苏怀瑾按住他冰凉的手,触到腕骨处突出的骨节——这双手本该弹吉他,此刻却因为暴饮暴食肿得发亮。

“必须停播!”她抽出处方笺,笔尖在纸上沙沙作响,“保和丸加减,山楂15g、神曲12g、莱菔子10g,先消积导滞。”转头对小林说:“去药房拿免煎颗粒,山楂用北山楂,查一下HPLC检测报告,有机酸含量要达标。”程野贴电极片时,杨辰盯着仪器上的显示屏:“这东西怎么用?比洗胃好受不?”

“洗胃是用管子把胃里东西抽出来,你现在胃黏膜水肿,容易损伤。”苏怀瑾解释着,看着程野将电极片贴在中脘、天枢穴,“中药先软化积食,仪器用低频脉冲模拟胃蠕动,每分钟12次,帮你把食物往下推。”说话间,药房老周抱着山楂饮片进来,深红色的切片在瓷盘里码得整齐:“苏医生,这批山东山楂是新到的,红外光谱测过农残,有机酸5.8%,比药典规定的高1.8个点。”

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