Traditional Chinese Medicine Xu Yang

Hearing this, Song Qiang was stunned, I'll go!Liu Jingning also wants to ask Xu Yang for medical advice?

Xu Yang paused, then nodded: "Okay, then let's go."

"Okay." Liu Jingning smiled, and he stretched out his hand, "Please."

Xu Yang went out with Liu Jingning, leaving Song Qiang with a dazed face, why did he feel that Xu Yang was becoming more and more high-end.

Liu Jingning drove Xu Yang to the Xincheng Development Zone, found a nice restaurant, and asked for a private room.

Xu Yang came in, looked here and there, and asked, "Is there any talk here?"

Liu Jingning was taken aback for a moment: "Eh...no, everyone here says that the food is delicious and the environment is good. If I want a private room, I don't want to be bothered."

Xu Yang nodded.

Liu Jingning took the menu and asked Xu Yang, "What would Dr. Xu want to eat? Are there any taboos?"

Xu Yang said: "It's okay, order two casually, I'm not very hungry, I ate something earlier."

"Okay." Liu Jingning responded, ordered a set meal, and asked the waiter to go down.

There were only these two people left in the private room.

Liu Jingning frowned tightly, not knowing what to say for a while.

Xu Yang leaned on the chair and looked out of the window. This window was just facing the outside of the restaurant's gate, but he could see customers coming in to eat.

He said flatly, "Doctor Liu, if you have anything to say, just say it."

Liu Jingning nodded slightly. He looked at the cup of tea in front of him and was lost in memory. He said, "Actually... I used to be a pure Chinese medicine doctor. When I first came to the Chinese medicine hospital, I was a pure Chinese medicine doctor."

"Although I know some knowledge of Western medicine, I am not proficient in it. I was young and inexperienced at that time, and often did not have good curative effects when I was diagnosed and treated."

"Later, there was an opportunity to go to the hospital to study as a postgraduate. There was no place for Chinese medicine, but there was still one for Chinese and Western medicine. The leader asked me if I would like to go, and I went..."

"After I got in touch with it, I realized that the curative effect of western medicine is very good. Their theories are very scientific, well-founded, with detailed data, and they are all supported by evidence-based medicine."

"But our Chinese medicine is all empirical medicine, and there are five-element yin-yang theories that cannot be proven, so I was shaken, so I embarked on the path of Chinese and Western medicine."

"After I came back, I found that my level has improved a lot. I can prescribe both Chinese and Western medicine, and the effect of integrated Chinese and Western medicine is much better than before, so I am more determined to take this path. For the Chinese medicine I also completely discarded those unscientific theories."

"But as I walked along, as my clinical experience became more and more abundant, my mind became more and more confused. Some patients, although there is no problem with my medication, have no curative effect, or even get worse as the treatment progresses."

"Of course I dare not say that I can cure all diseases, but I have taken the medicine correctly, why there is no curative effect, it is not just one or two patients. After so many years, there are actually quite a few."

"Later they transferred to other doctors and treated him with pure Western medicine, and he recovered. Why, I combine Chinese and Western medicine, shouldn't the effect be better? Is there something wrong with the Chinese medicine?"

"However, some patients went to a Chinese medicine doctor, took Chinese medicine, and he recovered without taking Western medicine. Why, I have always been confused. I went to the Chinese medicine doctor in our hospital for verification, and I also looked for Chinese medicine practitioners in other hospitals, but they couldn't find it. Give me the answer."

"Until you showed up, you gave me a big surprise. Really, there was no cure for the patient in the morning with constipation due to postpartum bowel movements, but you used pure Chinese medicine, and healed with just one dose."

"The key is that you followed the theory of pure Chinese medicine, without any elements of western medicine. At that moment, I knew that I had found a real Chinese medicine doctor, so I asked you to verify the doubts in my heart."

Liu Jingning looked up into Xu Yang's eyes, and asked sincerely, "Doctor Xu, can you tell me why?"

Xu Yang looked away from the window, and said: "Because the combination of traditional Chinese and Western medicine is a wrong path, haven't you noticed that you haven't mentioned it much in the past two years? What is mentioned now is mutual learning, mutual complementation, and coordinated development. , give full play to their respective advantages.”

Liu Jingning was slightly taken aback.

Xu Yang said: "Integrating Chinese and Western medicine, how to combine, these are two completely different theories. If you tie a fish to a bird, it cannot fly and dive at the same time."

"These two completely different theories are combined, how to combine, there must be a compromise! Who compromises? Chinese medicine has compromised, and you have compromised more thoroughly."

"Why are the two patients treated worse and worse by you today? It's because you don't distinguish between deficiency and excess, cold and heat. The four diagnostic methods of traditional Chinese medicine are almost abandoned by you."

"You see the words adenovirus pneumonia, and you see the white blood cells increase. Pneumonia, inflammation, and the word inflammation are two fires. Isn't this a heat syndrome? Of course, Xinliang relieves the appearance."

"You see acute urinary tract infection, and you see elevated white blood cells, burning pain when urinating. Of course it's a heat syndrome, anti-inflammatory drugs plus bitter cold and gunpowder."

"Is this Chinese medicine? You prescribe Chinese medicine completely according to the ideas of Western medicine. You apply it mechanically, and your head is rigid. If you are lucky, it happens to be a heat syndrome, and it will take effect quickly. But if you are unlucky, you will not be able to cure it."

"There is no problem with Chinese medicine, and there is no problem with Western medicine. There is a problem with the combination of Chinese and Western medicine. Chinese medicine and Western medicine can only cooperate with each other, and cannot be combined."

"You study according to the ideas of pure Chinese medicine, dialectics, and use the medicine to treat patients. The effect will be quick, and it will be as effective as a drum. It is not inferior to Western medicine at all, so there is no need to belittle yourself."

Liu Jingning's face was full of confusion, and he said, "But... But there is no evidence to prove the scientific nature of TCM theory, nor can it prove the existence of Yin-Yang and Five Elements."

Xu Yang smiled: "Modern science can't prove it, that's the problem of modern science. Let me tell you, the curative effect is the best proof. I used pure Chinese medicine to cure these two patients who were difficult for Western medicine. Here's the proof!"

Hearing this, Liu Jingning frowned even more, and his face became more confused: "It's the curative effect that makes me confused, because most of the traditional Chinese medicines are not supported by evidence-based medicine."

Chapter 71 Evidence-Based Medicine

What is evidence-based medicine?

It is evidence-based medicine.

What is empirical medicine is the experience passed down from generation to generation.Master used this medicine to treat this disease, and it was effective.He passed this experience on to his disciples, and the disciples will treat them like this in the future.

Evidence-based medicine does not trust this, why?Because you don't have enough evidence to prove it.You only have a single case, and there are not enough objective clinical proofs.

You use this medicine to treat this disease, what is the effective rate?What is the cure rate?How many adverse reactions are there?You don't have a full clinical record, you don't have enough evidence.

Therefore, evidence-based medicine has always believed that empirical medicine is unreliable, because what if the experience you pass down is wrong?Therefore, it is necessary to find sufficient evidence through their clinical demonstration.

This is why so many western medicine research institutes have been able to study traditional Chinese medicine these years.

Inside the room.

Xu Yang smiled slightly: "Evidence-based medicine... huh, so you gave Yiyi Maxing Shigan Decoction and Yinqiao Powder because these two medicines passed the evidence-based medicine?"

Liu Jingning was slightly taken aback, then he nodded: "There are reasons for this, both of these two drugs have very good curative effects, especially in the treatment of influenza A, their effect is even better than oseltamivir, all this It is backed by evidence-based medicine.”

Xu Yang knew what Liu Jingning said.

Influenza A, Influenza A H1N1, parents with children should have the impression that when influenza A was raging a few years ago, everyone was scrambling for a special drug, oseltamivir, commonly known as Tamiflu.At that time, many places were sold out, and the price was fired up to seven or eight hundred boxes.

In fact, what they don't know is that in addition to Tamiflu, a Western medicine with special effects, there are also special effects of traditional Chinese medicine, and it has been made into a Chinese patent medicine and sold on the market. This medicine is called Jinhua Qinggan Granules.

This medicine is made by adding and subtracting Maxing Shigan Decoction and Yinqiao San.

And this medicine is supported by evidence-based medicine.

In 2011, the international authoritative medical journal "Ann intern Med", translated as "Annals of Internal Medicine", people with a background in Western medicine should know how authoritative this journal is.

This is one of the most authoritative medical journals in the world, and in the field of internal medicine, this journal is recognized as the most authoritative "first issue".

In August, it published the clinical research on influenza A treatment conducted by our domestic experts, using the method of evidence-based medicine.They found 8 patients with mild influenza A and randomly divided them into four groups, the control group, the Tamiflu group, the Chinese medicine group, and the Chinese medicine plus Tamiflu group.

The control group did not use medication, and their fever time was 26 hours; the Tamiflu group was 20 hours; the Chinese medicine group was 16 hours; and the Chinese medicine plus Tamiflu group was 15 hours.

The traditional Chinese medicine here is the addition and subtraction of Maxing Shigan Decoction and Yinqiao San.Its curative effect is much stronger than that of Tamiflu, and its advantages are very obvious.Therefore, the domestic production was immediately approved, which is the Chinese patent medicine Jinhua Qinggan Granules.

So to grab Tamiflu, it is better to grab this.

This is evidence-based medicine, which is very scientific, supported by sufficient clinical experiments, with comparisons, experimental data, and theoretical guidance. This result is recognized by Western medicine.

So this incident has a great impact internationally, because the "Annals of Internal Medicine" is too authoritative, but few people in China know about it, or even know about the existence of this medicine.

Chinese medicine is very good at diagnosing and treating respiratory diseases, especially respiratory epidemics.There are still people who say that Chinese medicine's anti-epidemic is adding to the chaos. You really don't know anything about power!

……

Xu Yang said to Liu Jingning: "I know about this. Once this happened, the enthusiasm for research on traditional Chinese medicine in China became even higher. A lot of money was spent, but there are not many Chinese medicines that can pass the demonstration of evidence-based medicine." .”

Liu Jingning nodded: "Actually, this is what confuses me the most."

Xu Yangdao: "I have no opinion on evidence-based medicine. It is necessary to question experience. We should find enough evidence to prove the curative effect. This idea is very correct."

Liu Jingning was taken aback for a moment, he didn't expect Xu Yang to respect evidence-based medicine so much, he thought he would denigrate it.

Xu Yang said: "Don't be so surprised. Evidence-based medicine is a good thing, and Chinese medicine should also use it, but it has gone wrong in Chinese medicine."

Liu Jingning was taken aback again: "What deviation?"

Xu Yang said: "Then do you know why Maxing Shigan Decoction and Yinqiao Powder can treat influenza A?"

Liu Jingning replied: "Experiments have shown that it can effectively inhibit virus replication, and from the perspective of Chinese medicine, it can effectively clear away heat and detoxify, clear the lungs and eliminate evil."

"wrong."

Liu Jingning was startled.

Xu Yang said: "It's because influenza A is a syndrome of wind-heat offending the exterior, which is a syndrome of heat. If you use Xinliang to relieve the exterior, of course it will be effective! You use this medicine to treat Yiyi, why didn't it cure, because she has an exterior syndrome due to wind-cold. "

"I cured Yiyi. She has adenovirus pneumonia. Is it going to be effective soon? According to the idea of ​​evidence-based medicine, we should find a bunch of patients with adenovirus pneumonia, randomly classify them, and divide them into several groups. One group used the medicine I prescribed earlier."

"I can tell you that few people are effective. Why? Because you can't guarantee that all patients are in the same condition as Yiyi. I'm talking about the dialectical pathogenesis of traditional Chinese medicine, not adenovirus pneumonia."

"I don't know how to treat adenovirus pneumonia. I treat a disease based on the dialectical pattern of traditional Chinese medicine. She has wind-cold bundle surface, has the syndrome of Guizhi Decoction, and has asthma, so I use Guizhi and Magnolia Apricot Decoction. You have to find a medicine that meets this condition." Conditions come."

Liu Jingning was a little dazed and a little dazed.

Xu Yang continued: "Let me give you another simple example. Some time ago, I cured a patient with oral ulcers all the year round. He had a deficiency of the spleen and stomach, and the soil could not contain the fire. I used Lizhong Decoction, and the effect was very fast. Later, I prescribed Fuzi Lizhong Pills for strengthening."

"According to the theory, I used Lizhong Decoction to cure oral ulcers. If we want to prove that Lizhong Decoction is effective for aphthous ulcers, do we have to find a large number of patients with aphthous ulcers to use this medicine to verify the clinical effect?"

"Let me tell you, it won't work. Why, Chinese medicine treats syndromes, not symptoms. You can't treat Lizhong Decoction with oral ulcers. There are too many situations that cause oral ulcers."

"Lizhong Decoction is used to treat deficiency and coldness of the spleen and stomach. If you want to prove that it is effective, you should find a group of patients with deficiency and coldness in the spleen and stomach to do clinical trials."

"But they will tell you, I'm sorry, modern medicine does not recognize the concept of spleen and stomach deficiency, what kind of deficiency, can't be found, can't be proved."

"You have denied my theory, and then how do you want me to prove it? I said that Lizhong Decoction can cure spleen and stomach deficiency. You tell me that spleen and stomach deficiency does not exist in this world. Please prove it otherwise."

"What do you want me to do? This is the most typical useless medicine test, completely negate the theory of Chinese medicine, and then test the medicine according to the Western medicine. Can the test get the result?"

"Even if we spend our own money to study the relationship between spleen and stomach deficiency and Lizhong decoction, well, the result is out. They will not approve it, and authoritative medical journals will not accept it. Let me tell you, it is good luck to encounter influenza A , because the family has a single disease syndrome, all of which are heat syndromes."

"So it's not that traditional Chinese medicine is ineffective. You don't know how to use traditional Chinese medicine? You want to practice a set of peerless swordsmanship, but you say that the sword manual is unscientific, but you are full of shooting skills with machine guns. What's the matter, you plan to use a long sword Waving two dots and one line burst fire?"

Liu Jingning was stunned, unable to speak for a while.

Xu Yang sighed slightly. He looked at Liu Jingning and said, "Machine gun shooting theory cannot guide swordsmanship. The more you read pharmacology reports, and the more modern theories explain Chinese medicine, the less you can use Chinese medicine to treat it." sick."

"Mr. Zhang Xiaotong, do you know? He opened a pure Chinese medicine clinic in Beijing, and the Chinese medicine doctors here are very powerful."

"He said that his clinic would perform miracles in the history of medicine every now and then. There were many diseases that could not be cured by Western medicine, but were cured by them."

"However, even if you are cured, Western medicine will not recognize it. Because a single cured case is not supported by evidence-based medicine, the reason is the same."

"But we don't care, it's all about curing diseases and saving people. But if you want to use Chinese medicine to save people, you must have a TCM mindset. If you want to use Western medicine to save people, you must be a serious Western medicine."

"Western medicine is of course very powerful. They can also cure many diseases that our traditional Chinese medicine cannot. The world is wonderful because of differences, and your forced combination is not stronger, but worse. Are you Eliminate traditional Chinese medicine, and eliminate this advantage arising from differences."

"I won't advise you to do anything, but you must know what to do. I can only say this. I will not force you to practice pure Chinese medicine, although it is very beneficial to me."

Xu Yang nodded, and he said: "That's all I have to say, I will stop eating, and I will leave, Doctor Liu."

After speaking, Xu Yang took his bag, turned around and went out the door.

Liu Jingning, on the other hand, sat on the chair in a daze, feeling completely bewildered.

Xu Yang went outside, took a few deep breaths, and then let it out long.Although he really wants systematic rewards, he can't change his principles of life.

Chapter 72 Farewell

Xu Yang graduated from a formal university of Chinese medicine. Nearly one-third of all Chinese medicine majors in Chinese medicine universities are Western medicine.

All Xu Yang also has the problem of Westernization, but during those years in the system, the more clinical Xu Yang is, the more he can discover the advantages of pure Chinese medicine, especially his master Qian Lao has been helping him to organize, and Qian Lao is also a true doctor of several generations. traditional Chinese medicine.

So both Xu Yang and Liu Mingda embarked on the path of pure Chinese medicine, and the more they walk, the better they become.During those years in the system, both men became experts.Even the current Professor Liu Mingda has become a famous national player all over the world.

So Xu Yang never wavered in his belief, and the more he walked, the more determined he became.

After returning, Xu Yang read a book for a while, then fell asleep exhausted.This day, he was too tired.

……

At dawn the next day, I got up and went to work.

When he arrived at Mingxintang, Xu Yang saw Zhang Ke. Xu Yang's nose was as big as Zhou Jie's. He really wanted to scold Zhang Ke, what the hell did this woman do!

Zhang Ke showed a flattering smile: "Hey, look!"

Zhang Ke took out his mobile phone as if offering a treasure, and held it in front of Xu Yang.

"What?" Xu Yang looked at it with a frown, it was almost forced to APP, which was full of scolding battles between Zhang Ke and Chinese medicine doctor Hei.Xu Yang took it and turned a few pages. The battle was very tragic.

At a glance, there are thousands of them.

"You..." Xu Yang was startled for a moment.

Zhang Ke rubbed her eyes that she was able to date relatives with pandas, and yawned again, she said, "Isn't this something you told me to do, let's see how I've done it?"