Chinese medicine: from rural hospitals to top three hospitals in Kyoto

"Director Guan, it's mine."

A thirty-six-year-old attending doctor hurriedly came forward, followed by the resident doctor in charge of the bed.

While the attending doctor was talking, he began to explain the patient's condition to Guan Xiaoyue.

"The patient is 68 years old and has a history of hypertension for more than years. In recent years, he has suffered from numbness and pain in the waist and knee joints, as well as erratic pain and numbness in the muscles and joints of the waist, shoulders, back, legs and other places..."

"Diagnose the disease location and pulse of the Du pulse." Guan Xiaoyue glanced at the resident doctor next to her, the doctor in charge of the patient.

The doctor in charge of the bed had been standing nervously by the side just now, listening and ready at any time.

The director's ward rounds only provide a general understanding of the patient's condition, and it is impossible to understand each patient's specific treatment in detail.

After all, there are so many patients. If we really get to know them carefully, it might be over in one morning, and many doctors in the department still have to attend outpatient clinics.

Basically, the director's rounds last for a little more than an hour in a larger department.

However, during the director's ward rounds, inquiries and questions are inevitable.

When asking questions, we always look for one or two points based on the patient's condition, or extend some relevant knowledge points.

The director's ward rounds are not only an opportunity for new doctors to learn, but also an opportunity for some junior doctors to perform.

In the hospital, you have to express yourself. Hiding yourself will not work in the hospital.

When you are a doctor, you should not be proud, nor be too humble. When it is time to express yourself, you must work hard to express yourself.

After all, doctors are there to treat illnesses and save people. Only when your abilities are up to the mark, or if you show talent, will you be taken seriously. If you are too humble, you will be easily buried.

Because you yourself have no confidence, how can your superior doctors and leaders give you a chance?

"The Du Vein...the Du Vein governs all Yang, and its...diseases are mostly symptoms of loss of essence and blood and the decline of Yang Qi."

The resident doctor stammered: "The Du Vein controls the brain and spinal cord. The Tang Tuo Du Vein is empty, which shows that the spine is malnourished, the marrow sea is insufficient, and the spirit and spirit are weak..."

Guan Xiaoyue nodded and said: "Well, all three parts are floating, and the one that goes straight up and down is the Du Meridian. Keep taking the medicine."

As she spoke, Guan Xiaoyue had already let go of the patient's wrist, stood up and walked to the next patient.

"Director Guan is still very responsible."

Liu Xi stood next to Chen Yang and said softly: "The Traditional Chinese Medicine Department of our hospital is relatively good, and this has a lot to do with Director Guan."

Guan Xiaoyue is Wu Yaolin's apprentice.

In fact, Wu Yaolin, a professor at the Provincial Medical University, is not that pure, and is also influenced by Western medicine to some extent.

But after all, he is a veteran and has a good foundation. Several of Wu Yaolin's apprentices are more or less capable.

As the head of the department, Guan Xiaoyue has a good deed, and the entire department can be brought back to some extent by Guan Xiaoyue.

"Ah."

Chen Yang nodded, and the two of them followed behind.

At this time, in addition to the bedside doctors and attending doctors who were most likely to be questioned, some doctors who felt that they had made great progress also moved forward, hoping that Director Guan would notice them and give themselves a chance to perform.

But Chen Yang always stood at the back.

"Won't you come forward?"

Liu Xi asked Chen Yang, "With your level, you should be able to answer many questions very well. Today's ward round will impress many people."

It has been three or four days since Chen Yang came to Fenghai Central Hospital. However, only Liu Xi knows about Chen Yang's level so far. Others just think that Chen Yang is lucky to be taken care of by Liu Xi.

After seeing the last patient in the ward, Guan Xiaoyue walked out of the ward and went to the next ward.

"The patient's limbs are cold and he lies down tired from the cold..."

Guan Xiaoyue asked.

"Mine, mine."

Liu Xi, who was talking to Chen Yang, hurried forward and began to tell Guan Xiaoyue about the patient's condition.

"Sini Soup?"

Guan Xiaoyue took the folder, looked at the medication, nodded, and asked: "Who can tell me about the clinical application of restoring Yang and rejuvenating the disease?"

As she spoke, Guan Xiaoyue glanced at the crowd: "Chen Yang."

Liu Xi subconsciously looked at Chen Yang, then glanced at Guan Xiaoyue.

This is his patient.

What level of doctors corresponds to what kind of patients? It cannot be said that high-level doctors will definitely treat patients with complex conditions, but the ceiling is high, and some patients' conditions are more complex.

Liu Xi has a high standard and can treat some patients that other doctors cannot.

Therefore, ordinary people really can't handle Liu Xi's patients.

Moreover, the condition of the patient just now was considered relatively complicated. Guan Xiaoyue asked about the clinical application of the method of rejuvenating yang and rescuing the reverse. This issue is also a big problem.

However, Guan Xiaoyue asked Chen Yang, and Liu Xi always felt that Director Guan did it on purpose.

Listening to Guan Xiaoyue calling Chen Yang's name, many people looked at Chen Yang.

"A trainee from Jialin County?"

"Yes, I've been here for two or three days."

Some doctors were still talking in low voices, and some were still waiting to see Chen Yang's jokes.

"What level can someone from a small hospital have?"

"This question is difficult to answer. Did Director Guan do it on purpose?"

"The method of restoring yang and rescuing nihilism is suitable for the treatment of diseases with weak yang and excessive yin and cold."

Chen Yang had already begun to answer: "In clinical symptoms, when the limbs are reversed and the pulse is thin and thready, it is a crisis of Yang Qi failure and Yang destruction. From the analysis of the pathogenesis, Yin is strong and Yang is weak, and Yin is often caused by Yin and cold. It's also full of evil spirits..."

Listening to Chen Yang's answer, some people were a little surprised.

The trainees from this county hospital have a very solid foundation.

"In terms of treatment methods and prescriptions, it is necessary to understand the relationship between yin and yang. "Huangdi Neijing" says, 'Yang is outside, and yin is used; yin is inside, and yang is guarded.' Therefore, 'Yin calms yang secretly, and the spirit is the cure '."

Chen Yang continued: "So yin and yang maintain each other..."

"The most representative method of restoring Yang and rescuing Ni is Sini Decoction."

Chen Yang continued: "Sini Decoction comes from "Treatise on Febrile Diseases" and is composed of aconite, dried ginger, and licorice. It restores yang and saves yang, and is used for Shaoyin disease and Taiyang disease due to excessive sweating and loss of yang..."

"The patient's limbs are cold and he lies down tired from the cold..."

As he spoke, Chen Yang explained the patient's symptoms that Liu Xi just mentioned: "Judging from the pulse syndrome, the patient's pathogenesis should be kidney yang deficiency..."

Many people nearby had their mouths opened.

Director Guan just asked you to talk about applications. How did you start analyzing the condition?

Liu Xi also looked at Chen Yang resentfully.

Ma De, is Chen Yang planning to step on him to get the upper hand?

For a moment, Liu Xi felt that he had fallen into Chen Yang's trap.

Chen Yang was obviously pretending to be a pig to eat the tiger, and deliberately approached him. His heart was to be punished.