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第195章 白前降气止咳逆(1 / 1)

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(小寒·百日咳综合征)

小寒深夜,儿科急诊室的灯光在寒风中显得格外刺眼。5岁的朵朵蜷缩在妈妈怀里,小脸憋得通红,一阵剧烈的痉挛性咳嗽后,发出像小鸡啄米般的鸡鸣样回声,吓得妈妈李女士眼泪直掉:“苏医生,喝了三天‘白前止咳糖浆’,咳得更厉害了,孩子嘴唇都紫了!”

正在值班的苏怀瑾快步迎上来,看见朵朵睫毛上挂着泪珠,小手紧紧揪住妈妈的衣领。她伸手摸了摸孩子的额头,不烫,但双寸脉跳得飞快,像小鼓在敲,舌质红,苔薄黄,典型的风热犯肺、肺气上逆。“先做血常规和百日咳抗体检测!”她翻开糖浆说明书,成分栏赫然写着“白前提取物”,却没注明产地。

“张护士,取点糖浆做显微鉴别。”苏怀瑾一边安抚朵朵,一边观察孩子咳嗽时的体征——每次咳嗽都像要把肺咳出来,咳完后弯腰吸气,发出“鸡鸣”声,这是典型的百日咳综合征。当显微镜下显示出细长的茎纤维时,她心头一沉:“糟了,这是白薇!”

李女士愣住了:“白前白薇不是一样的吗?药店说这是止咳特效药……”苏怀瑾摇摇头,从抽屉里拿出正品白前和白薇饮片:“你看,白前根茎短,簇生细根,气微味甜;白薇茎长而细,味苦,《本草便读》早说了‘白前治咳,白薇治热’,完全是两码事!”

治疗室里,苏怀瑾亲自调配中药:白前10g、百部12g、杏仁6g打粉,小火慢煎。“白前能降气化痰,专门治这种肺实咳嗽,”她对着雾化机倒入煎液,“TS集团用白薇充白前,相当于拿退烧药治咳嗽,根本不对症!”

凌晨一点,检测报告出来了:百日咳抗体阳性,血常规白细胞升高,糖浆里检测不到白前特有的β-谷甾醇,反而有白薇的强心苷成分。苏怀瑾捏着报告,想起上个月在中药鉴定会上强调的“基原鉴别是第一关”,TS集团为了省钱,居然连江南白前和河北白薇都敢混淆。

“朵朵别怕,阿姨给你做推拿。”苏怀瑾轻轻揉着孩子的膻中穴,手指在清肺经上慢慢推按,“咱们一边喝白前汤,一边做雾化,把肺里的痰热赶跑,就不咳了。”朵朵虽然难受,却乖乖地点头,让苏怀瑾想起自己女儿小时候咳嗽的样子,心里一阵发酸。

清晨的儿科病例讨论会上,苏怀瑾对着投影上的真假饮片,声音里带着少见的严厉:“白前和白薇,一个降气,一个清热,基原错了,药效全失!《神农本草经》说‘药物辨伪,首重基原’,TS集团这种行为,就是在拿孩子的命开玩笑!”

三天后,朵朵的咳嗽频率减少了一半,鸡鸣样回声也轻了。李女士捧着苏怀瑾给的白前雪梨水,感激地说:“苏医生,您给的药喝着甜甜的,不像那糖浆,苦得孩子直皱眉。”苏怀瑾笑了:“正品白前微甜,白薇味苦,孩子喝着抗拒,自然不肯喝,这也是辨别的小窍门。”

药检报告再次让苏怀瑾震怒:TS集团从河北采购廉价白薇,二氧化硫残留超标2倍,所谓的“白前糖浆”根本就是挂羊头卖狗肉。她立刻联系中科院的老同学:“老张,白前的DNA条形码鉴别试剂盒进展如何?这次基原混淆差点耽误孩子病情,咱们得加快进度了。”

小寒的第五天,朵朵已经能在病房里跑跳了,咳嗽声变得清脆,不再有鸡鸣音。苏怀瑾看着复查报告,百日咳抗体滴度下降,心里的石头终于落地。她摸着孩子的头说:“以后吃药前,让妈妈先看看药材,白前的根像小马尾,白薇的根像细铁丝,记住啦?”

深夜,苏怀瑾在办公室整理白前的鉴别资料,手机突然震动,是药监局陈科长发来的消息:“TS集团的原料供应商招了,他们知道白前贵,故意用白薇替代,还加了镇咳西药掩盖无效。”她盯着屏幕,想起朵朵咳嗽到窒息的样子,指甲深深掐进掌心——这些人连孩子的药都敢造假,还有什么底线不能突破?

凌晨,中药房的老药工发来视频:“苏医生,新到的白前我筛了三遍,根须干净,没混白薇。”视频里,老人戴着老花镜,用镊子仔细挑拣药材,每一根白前都短粗饱满,没有细长的白薇混在其中。苏怀瑾看着视频,突然觉得,这才是中药该有的样子,带着手作的温度和对生命的敬畏。

朵朵出院当天,苏怀瑾送她一个小布袋,里面装着晒干的白前和百部:“回家让妈妈煮水喝,甜甜的,还能预防咳嗽。”孩子接过袋子,奶声奶气地说:“苏阿姨,你比糖浆甜多了。”这句话让在场的医护人员都笑了,却让苏怀瑾红了眼眶——她见过太多因假药受苦的患者,而孩子的笑容,就是她坚持下去的动力。

窗外,小寒的雪停了,月光照在中药园的白前植株上,短粗的根茎在雪地里默默生长。苏怀瑾知道,中科院团队的DNA条形码鉴别试剂盒即将完成,以后白薇再也无法冒充白前,TS集团的基原造假终将无所遁形。

当苏怀瑾收到第一份“白前DNA条形码鉴别试剂盒”样品时,发现TS集团的问题糖浆里不仅有白薇,还非法添加了可待因。她盯着检测报告上“儿童禁用”的警示,突然意识到,这场基原打假的背后,可能隐藏着更严重的西药非法添加网络,而朵朵的病例,只是冰山一角……

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