Chapter 152: Small Dose, Big Problem (Fourth Update)

  This matter was just a small episode, Wang Xu didn't expect that the leftover food he left to wash dishes would have this effect. After hearing Bai Nongxin mention it later, he also felt a bit ridiculous.

  But after this incident, the new owner of Xiangxiang Pavilion, Bai Nong, is absolutely no one dares to make trouble in the nearby area, whether it's a public unit or the surrounding thugs, they all know that this restaurant has an incredible boss behind it.

  After the opening of Xiangxiang Pavilion, Wang Xu also had a place to grab food. At noon and in the afternoon, he would often go there with Zhao Kai and Yang Han to grab something to eat and drink. Sometimes when they were busy, Bai Nongxin would instruct the waiters to pack some food and have it delivered over.

  On the third day after Xiangxiang Pavilion opened, Yao Qingping came over with Jin Ping in the morning to check it out. After returning, he rushed back at 2 pm with Jin Ping again.

  "Dr. Wang, the hospital examination today was a bit abnormal. Take a look and see if there's anything wrong?" After entering the door, Yao Qingping took out the hospital test report from his body and handed it to Wang Xu.

  Following Wang Xu's instructions, Yao Qingping took Jin Ping to Fusheng Hall for examination every day and then went to the hospital to check the blood drug concentration. This blood drug concentration is a reference value for detecting anti-rejection drugs in the human body, which Wang Xu has always attached great importance to.

  When Yao Qingping said that the test results were abnormal, Wang Xu was also surprised and quickly took over the test sheet to take a look. During this period of time, Jin Ping's blood drug index had been viewed by him every day, with highs at 4 points and lows at 3.8 or 3.9 points, which wasn't a big difference.

  Jin Ping's condition was originally caused by avascular necrosis of the femoral head due to kidney transplantation, and her kidneys were very sensitive to drug tolerance. This is why surgery was not possible, and it has been a major challenge in her treatment. Once her kidneys could no longer tolerate the side effects of medication, the subsequent situation would be very bad.

  The blood drug concentration was around 4 points, which is basically within the tolerable range of Jin Ping's kidneys. However, today's test result showed that the blood drug concentration directly became 5.8, which is a full 1.8 higher than usual.

  In terms of blood drug concentration, for every order of magnitude increase in blood drug concentration, the damage to the kidneys increases by about 10%. Currently, the blood drug concentration has increased by a factor of 1.8, which means that the damage to the kidneys has increased by about 18%. If this continues, it may lead to irreversible consequences.

  Jin Ping has already undergone a kidney transplant, if this kidney is damaged again, there will be no room for recovery. So far, I haven't heard of anyone taking kidney transplants as easily as eating meals, changing one after another.

  Patients who have undergone kidney transplantation usually need to take immunosuppressive drugs for a long time, the purpose is to control their own immune function and avoid rejection and damage to the transplanted kidney.

  Wang Xu made Yao Qingping's daily blood drug concentration of Kang Puxin, a reference to Jin Ping's immune strength.

  Wang Xu learned traditional Chinese medicine, but he is not rigid and does not reject Western medicine like some Western doctors reject traditional Chinese medicine. On the contrary, there are still some valuable things in Western medicine.

  Traditional Chinese medicine and Western medicine are two different medical concepts. One is based on the human body, emphasizing the overall circulation of the human body. It starts from the body's own defense system and its own resistance to disease, and helps the body recover by regulating the balance of yin and yang. The other is based on the disease itself, starting from microscopic viruses and pathogens, using methods that eliminate individual viruses to solve diseases.

  Fundamentally speaking, traditional Chinese medicine and Western medicine both have their advantages and disadvantages. Traditional Chinese medicine emphasizes a macroscopic approach, grasping the overall situation, but sometimes may not fully understand some minor details, such as specific blood sugar values for high blood sugar or specific blood pressure values for high blood pressure.

  Western medicine starts with the virus, targeting different viruses to treat diseases. Sometimes it overlooks other causes, such as coughing, which is thought to be a lung viral infection, and treatment focuses on the lung viral infection, ignoring the relationship between the body's internal organs, and may even cure the cough but cause problems in the patient's liver or kidneys.

  In fact, Western medicine often treats illnesses that are easy to relapse, and when one illness is cured, another one comes, which can be very frustrating. However, if we trace back to the root cause, everything originated from a cough.

  Wang Xu followed Wang Heyan to learn traditional Chinese medicine from a young age, and later studied at Beijing University of Traditional Chinese Medicine. At the same time, he also came into contact with some Western medical knowledge to make up for his own deficiencies, and sometimes used some Western medical data for reference.

  Luckily, he had Yao Qingping check Jin Ping's blood drug concentration every day. If not, this detail would have been discovered through pulse diagnosis at the earliest a few days later.

  Looking at the blood concentration report in his hand, Wang Xu's eyebrows were tightly furrowed. Generally, an increase in blood concentration means that the body's immune function is enhanced, which is a very serious situation and absolutely cannot be ignored.

  Some people may ask at this point, isn't it a good thing to have high immunity? Why is it bad instead? This is because they don't understand the real reason behind it.

  With our normal thinking, the higher the immunity, the less likely to get sick, it should be a good thing. In fact, it's not. It's a good thing for others, but not for Jinping.

  Having a high immune system means that the human body is less likely to get sick, but having a high immune system also means that the human body is fighting against viruses. The reason why the immune system has improved is because the human body has been harmed.

  If it were an ordinary person, this would be no big deal. They would have immunity and could resist the virus, which would be a great thing. But Jinping was different. His kidneys couldn't withstand it. As his immunity increased, it meant that his kidneys were suffering even greater damage.

  Wang Xu gave Jin Ping a blood drug concentration index of around 4.5, within this range, Jin Ping's immune function is normal and will not cause damage to the kidneys. Now that this index has risen directly to 5.8, it means that Jin Ping's transplanted kidney is suffering from rejection.

  Where exactly is the problem, Wang Xu thought back carefully, recalling the prescription he had given to Jin Ping. Given Jin Ping's situation, it should be that there was an immunoenhancing drug in the prescription he had written.

  "Doctor Wang, how is it? Is it serious?" Yao Qingping asked anxiously as he saw Wang Xu remaining silent for a long time.

  "Luckily, it was discovered early, so it's not a big deal for now, but the previous prescription can't be used anymore. I need to think carefully." Wang Xu waved his hand and said softly, then walked back and forth.

  Wang Xu's prescription at the time was a combination of Linggui Zhengqi Decoction and Taohong Siwu Decoction, totaling over a dozen herbs. The problem lies in which part, and it must be carefully analyzed.

  After pacing back and forth for a few steps, Wang Xu suddenly slapped his forehead and finally found the problem. The problem lies in the Linggui Tugan decoction, where the Poria cocos not only has diuretic effect but also tonifying spleen function, which means there is also a nourishing component in it.

  After repeated consideration, Wang Xu felt that the probability of the problem with Wolfiporia was the largest. Wolfiporia can invigorate the spleen and remove dampness, help digestion, and also contains a component called Polysaccharides from Poria cocos, which has the effect of enhancing immunity.

  Since Reishi mushroom and Jin Ping kidney transplant have conflicting immune requirements, this medicine cannot be used. However, the same problem arises again.

  Kidney transplant patients should not have too high an immune system, but it's also not good if it's too low. If the immune system is too low, people are prone to illness, catch colds easily, and it's not conducive to physical health and Jinpeng's own recovery.

  It has to be said that this is a very entangled problem, too high is not good, too low is also not good, the use of medicine must be cautious and careful, considering this issue, the Chinese herb Fu Ling cannot be simply cancelled.

  Wolfiporia extensa can't be obtained, the blood drug concentration of golden osmanthus under the eyes is too high, what to do, after repeated consideration, Wang Xu decided to reduce the dosage of Wolfiporia extensa from 9g to 6g.

  After reducing the amount of tuckahoe, Wang Xu was still a bit worried and walked to the table, wrote down the entire prescription, carefully considered it step by step, and then increased the amount of safflower from 10 grams to 12 grams.

  Red flower is a medicinal herb that promotes blood circulation and removes stasis, reducing the dosage of immunoenhancing drugs while increasing the dosage of blood-activating and stasis-resolving drugs, thus balancing the current issue.

  The prescription has been revised. Wang Xu still hesitated, and after some deliberation, he walked up to Yao Qingping and handed over the prescription, saying: "Don't use the old prescription anymore, from now on, brew medicine according to this one. As for the medicine you brought back earlier, return it to me and I'll re-measure the dosage."

  "Alright, thank you, Doctor Wang." Yao Qingping hastily expressed his gratitude. He didn't understand medicine, so he naturally didn't know the severity of the situation. In his opinion, the changes in the data just now were not significant, but Wang Xu was being extremely cautious, constantly thinking and being very meticulous, which moved Yao Qingping deeply.

  "Director Yao was being polite, but Aunt Jin's condition can't be taken lightly. After returning, we still need to check her blood medication levels at all times. If the data recovers, I'll give Aunt Jin acupuncture treatment again to help her recover as soon as possible. Taking too much medicine is ultimately bad for the body." Wang Xu waved his hand and said.

  "I've taken note of it, Doctor Wang. You're busy, I won't trouble you anymore." Yao Qingping expressed his sincere gratitude before leaving Fusheng Hall with Jinping.

  Seeing Yao Qingping and Jin Ping leave, Wang Xucai walked back to the clinic, his heart couldn't help but feel a little sigh of relief. Fortunately, he had previously reminded Yao Qingping to check Jin Ping's blood drug concentration every day, and it was indeed not in vain, being careful is better than making mistakes.

  On the other hand, Wang Xu also felt a little moved. Some things in Western medicine are indeed not to be underestimated. They can detect subtle differences and find problems early on, which is better for patients and more conducive to treatment.

  "Master, I just looked at the prescription you changed. If I'm not mistaken, it's not much different from before?" Wang Xu was stunned, and Zhao Kai walked over to ask, the first time Yao Qingping let someone come over to grab medicine, he personally grabbed it, didn't expect him to remember so clearly.

  "The difference is not big, but the dosage of two medicinal materials has been changed. Although the change is small, the significance is great." Wang Xu smiled and explained the meaning, then said: "Therefore, when treating diseases and saving people, one must be careful. Sometimes every detail must be paid attention to, sometimes one needs to let go. The underlying principle requires careful consideration."