Chapter 512 375: Cardiac Infection and Hemorrhagic Fever

Qin Feng couldn't worry about the strange looks from others; his expression gradually turned serious.

Damage to the heart's conduit, straight to Baihui!

Upon examining the vomiting situation again, his heart sank instantly.

If it's regular vomiting, it might be a gastrointestinal issue, but projectile vomiting is likely caused by a brain infection.

Based on the old man's earlier words, he had already suspected that the patient might be suffering from an infection or inflammation.

However, the initial abdominal pain makes it easy to overlook these issues until the illness reaches a critical point, by which time it's already dangerous.

If it weren't for acupuncture controlling the patient's blood vessels, he wouldn't have been confident even now.

"Ye Ying, give him a check-up."

Qin Feng withdrew his hand and said.

Ye Ying then started measuring the blood pressure and other metrics. Fortunately, they had brought a portable monitor to get some data.

"Director, the patient's blood pressure is very low, heart rate 120, shock state."

"Raise his blood pressure."

Qin Feng immediately arranged.

The patient is in shock; what is the cause of the shock?

Is it infectious shock or cardiogenic shock, or is it caused by hypotension leading to coma?

Considering previous examinations, intracranial infection causing comatose shock can't be ruled out either.

"Old man, did the patient experience convulsions before and after he passed out last night?"

"No." Han Xianchen shook his head upon hearing the question.

"That's good." Qin Feng nodded slightly, knowing that if it were caused by intracranial infection, the patient would likely exhibit involuntary convulsive behavior.

"Conduct a blood test for him."

Qin Feng donned sterile gloves and began a full-body examination.

The small red spots on the patient's body were more numerous than the old man mentioned, densely covering the back and chest, even extending to the thighs and calves, hands and feet.

"Why are there so many small red spots?"

Qin Feng pressed gently and found no blanching symptoms, indicating they were bleeding spots.

The bleeding spots are essentially subcutaneous blood seeping outward, forming small dots that wouldn't subside.

Moreover, the red spots across the patient's body were consistent, meaning they were all subcutaneous hemorrhages.

"Could it be suppurative meningitis?" Qin Feng's mind was flooded with possible diseases causing this condition, and meningitis was among them.

Since suppurative meningitis presents with rash-like hemorrhagic spots and the patient is at risk of intracranial infection, if both points are confirmed, it could very well be suppurative meningitis.

What needs to be done now is to quickly confirm.

"By the way, since the onset of his condition, has there been any change in the patient's lifestyle, such as eating and bowel movements?"

We can't perform a cerebrospinal fluid test now, so we must continue seeking clues.

"Eating seems fine, but going to the bathroom, well, he seems to have hardly urinated in the past couple of days." The woman standing by the door frowned and replied.

Having trouble urinating too?

Kidney problems?

"Ye Ying, give me a urinary catheter."

Qin Feng extended his hand to take the catheter and attached it to the patient.

Soon, orange-yellow urine appeared in the catheter, but in a very small amount.

Kidney problems!

Qin Feng's gaze turned serious as he formed a new diagnosis in his mind.

"Director, look." Ye Ying conducted basic tests on the patient's blood and urine samples and handed over the paper strips.

The markings on the test strips were all off the charts!

"Goodness!"

Qin Feng's mind instantly pinpointed several viral disease possibilities and quickly restructured the patient's complete onset process.

"Has he been in contact with mice, bats, or similar creatures?"

Qin Feng quickly continued to ask.

"Mice? There haven't been any." The woman quickly said.

"Do...doctor, I know about it." At this moment, the villager Er Yong, who had brought them up the mountain, suddenly poked his head in.

"What is it?"

"My brother-in-law caught two fat bamboo rats when he went into the mountains a couple of days ago and secretly handed them to me." Er Yong said hesitantly in a low voice, "He was afraid of my sister scolding him, so he made me promise not to tell."

"Why didn't you say so earlier?!" Upon hearing this, Han Xianchen immediately stood up from the stool and pointed at him angrily.

Qin Feng also understood; all symptoms were pointing in one direction.

Hantavirus!

And the disease caused by this virus is epidemic hemorrhagic fever, also known as renal syndrome hemorrhagic fever.

This virus is generally transmitted through rodents or small rodents.

Thus, those infected with this disease are usually in poor living conditions, residing in environments frequented by rodents or willingly interacting with them, making them susceptible to epidemic hemorrhagic fever.

This illness can lead to hemorrhagic shock, kidney damage, and even gastrointestinal symptoms, such as abdominal pain.

All the symptoms match.

"Ye Ying, no need for more tests." Qin Feng took off his gloves, "Focus on stabilizing blood pressure, give him oxygen, and diuretics, and avoid contact with outsiders as much as possible."

Currently, there is no specific cure for this disease in medicine; the approach is to first ensure the patient's vital signs, then proceed with targeted treatment.

At least there is no immediate risk to the patient's life now.

Fortunately, they arrived promptly; if they had delayed a day or two, it might have been too late.

Epidemic hemorrhagic fever is generally not very severe, with a mortality rate of about 1%, but if severely aggravated with rapid disease progression, its mortality rate can still be high.

Among the medicines he brought this time, there happened to be something specifically for treating viral infections, which should be able to cure the patient.

Undoubtedly, the patient's survival is largely thanks to one person.

Han Xianchen!

If it weren't for his acupuncture protecting the heart's conduit and administering a dose of Qing Wen Bai Du San, greatly delaying disease progression, this patient would be difficult to treat, possibly unable to keep his life.

It seems this old gentleman truly possesses some skills!

"Doctor, how is my husband?" The woman anxiously asked as he walked out of the room.

"Don't worry, he'll be fine, just needs a few more days to recover." Qin Feng said with a nod and smile.

"Thank you, doctor, thank you!" The woman was overwhelmed by emotion and burst into tears, sitting down on the ground and covering her face.

She had been extremely worried these past days; if her husband were to pass, the family's pillar would be gone, raising uncertainties about their ability to continue living.

"Don't thank me, thank this old gentleman instead." Qin Feng helped her up onto a stool, pointing to Han Xianchen beside him, "If it wasn't for the old gentleman's acupuncture and that dose of medicinal broth, we'd likely have faced grave danger even upon arrival."

"Mr. Han, thank you, thank you!" Upon hearing this, the woman fell to her knees with a thump before the elderly man.

"Sanqiang's wife, what are you doing, quickly get up." Upon seeing this, Han Xianchen helplessly stood up and helped the woman to her feet.

"Doctors, I appreciate your efforts climbing the mountain in such heavy rain; I regret that my old bones' medical skills were insufficient, alas."

Han Xianchen smiled wryly at Qin Feng and said.

"Old sir, you're humble; without that great efficacy Qing Wen Bai Du Tang, even at a hospital down the mountain, it wouldn't have sufficed." Qin Feng replied, realizing he had sensed this while checking the pulse.

Although the patient's pulse was chaotic, directly affecting the heart, while listening to the heart rhythm, he found the heart damage was much less severe than expected.

Moreover, observing the elder's needle placements and the formula in his mind, managing to contain the infection within the blood vessels, significantly delaying heart infection progression, it was either pure herbs or triple or quadruple the dosage.

This powder combines "Bai Hu Tang," "Huang Lian Jie Du Tang," and "Xi Jiao Di Huang Tang," modified to clear heat, purge fire, cool blood, and detoxify.

The crucial factor is the extensive use of gypsum, primarily targeting severe febrile illness, affecting Qi and blood divisions. It is undoubtedly a perfect symptomatic medicine.

Now, the best treatment for the patient is administering two more doses of this medicine, supplemented with a bit of Western medicine, and he will be fine.

The challenge is the typical costliness of this medicine, with all 14 ingredients being quite expensive, even including some currently banned substances, which are scarce.

"Doctor, climbing the mountain in pouring rain, we genuinely don't know how to thank you; you haven't eaten, right? I'll go make some food." The woman wiped her tears and hurried into the kitchen.

"No need, no need." Qin Feng was about to stop her, but Han Xianchen waved his hand with a smile, "Let her go; in such heavy rain, you can't leave now, and you probably haven't had a meal after rushing; take a bite without disdain."

"Alright then." Seeing everyone clutching their stomachs, realizing they had trekked for two or three hours without a morsel, he agreed, "My name is Qin Feng, and I'm here for medical aid in our town; may I know how you address the old gentleman?"

"Haha, I'm Han, Han Xianchen, the local herbalist for several nearby villages." Han Xianchen smiled and said.

"Greetings, Mr. Han." Qin Feng quickly stood up with his fists cupped and slightly bowed.

Having inherited three branches of Chinese medicine, naturally, he's part of the traditional medical lineage, so it's appropriate to pay respect to a senior.