Chapter 4049 [138] will be laughed
What is a pustule.
Before explaining this problem, we must talk about pus. Where does pus come from without pus?
How did the pus come from?
Pus is the "stuff" that forms during inflammation of the body's tissues.
This "stuff" is a thick or watery mixture that we can see with the naked eye, basically in a liquid state.
The specific ingredients contained in it are mainly pus cells.
Pus cells are sacrificed white blood cells that the human body and bacteria fought fiercely.
In addition to pus cells, there is a large number of bacteria, and necrotic tissue fragments and exudates.
From the above descriptive text, it can be concluded that it is produced in the inflammatory process of the human body, but it is not inevitable.
Inflammation must produce pus? uncertain.
Corresponding to Western medicine and Chinese medicine, in the case of inflammation without pus or pustules, it is of course anti-inflammatory.
Especially in TCM and surgery, it is clearly stated that elimination method is suitable for this stage.
Another question is coming, if pus and pustules are produced, will it not be able to reduce the inflammation?
That is also ridiculously wrong.
If it is still difficult to understand the above statement, you can cite a common disease that is almost well-known to the people: acne on the face.
Pustular acne is the most common form of pustule.
We know that pustules and acne will break when they grow to a certain stage.
Regardless of whether the pustules are broken by themselves, the doctor will usually prescribe you an antibiotic ointment or even oral antibiotics. It shows that it is right to use antibiotics in the process of human inflammation from beginning to end.
So is it wrong for Dr. Ma to prescribe anti-inflammatory injections? That's right.
Use this example to compare another point we all know. It is often reported in the news that some people have unbroken pustules and acne and need to go to the hospital for surgery to cut them off.
This shows that if the pustule does not break by itself, if it is ignored and only anti-inflammatory, it is useless, and in the end it will need surgery to leave a large scar.
That is to say, if the pustule reaches a certain stage, if it does not break by itself, surgical intervention is required. Whether it is Western medicine or Chinese medicine, it can be said that there is a very clear research result: incision and drainage.
Do you think Dr. Ma doesn’t understand the above statement? Absolutely can not say do not understand.
According to the most critical question, how to judge the current stage of pustules.
Being looked at by Dr. Xie and Dr. Wen waiting, as if being watched by a teacher in class, Dr. Ma recalled the classroom knowledge and suddenly realized that he had made a rudimentary mistake.
Is just looking with a medical flashlight enough to judge?
Medical examination, in this case, the most important thing is actually palpation. So it can be understood why the gold standard of physical examination for appendicitis is the McBurney's point in palpation.
If you have appendicitis, if you don’t have a physical examination, it’s not impossible to rely on more advanced medical equipment such as a CT machine instead of your doctor’s physical examination.
How about you go for a CT scan for a small pustule like this? Will be laughed at by everyone clinically. It will appear that your surgical diagnostic skills are super incompetent. Because such pustules grow outside unlike appendicitis, your doctor's hands can be judged by touching them at any time.
If you really can’t, it’s just like the common people ridiculed. With the machine, your doctor won’t be able to see a doctor.
In summary, Dr. Ma should have worn gloves to palpate the abscess. Optical examination cannot identify carefully, you need to touch the fluctuating sensation of pustules and see the specific pain condition of the patient before making a judgment.
(end of this chapter)
