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

"Nothing has changed."

The patient frowned: "I've been taking the medicine for three days, but I still feel the same."

"This disease is inherently troublesome."

Bai Jinbo said: "The gastroenterology department should have told you about this."

Irritable bowel syndrome is a group of intestinal functional disorders characterized by continuous or intermittent attacks, clinical manifestations of abdominal pain, bloating, changes in defecation habits or stool properties, and lack of structural and biochemical abnormalities of the gastrointestinal tract.

This disease is a type of functional bowel disease. The patients are mainly young and middle-aged people. The age of onset is more common in 20 to 50 years old, and there are more women. It is often clinically associated with other gastrointestinal disorders such as functional dyspepsia. There are many types of co-occurrences.

Clinically, the cause and pathogenesis of irritable bowel syndrome are not very clear, but it is believed to be the result of a combination of factors such as abnormal gastrointestinal motility, abnormal visceral sensation, abnormal brain and intestinal regulation, inflammation, and mental and psychological factors.

From this point we can see that this disease is not easy to treat and it often depends on luck.

Generally speaking, when encountering this type of patients, Western medicine treatment is not effective, and most people attribute the cause to abnormal market regulation or mental and psychological factors. In this way, it is not a question of the doctor's level.

"I said it, but it's not always the case."

The patient's daughter said from the side: "Dr. Bai, can't this disease be cured?"

"You can't say that, just be patient."

Bai Jinbo said: "There are differences between Chinese medicine and Western medicine..."

As he spoke, Bai Jinbo looked at Chen Yang: "What does Dr. Chen think?"

"The patient's main symptoms were pain and discomfort in the left lower abdomen, rumbling in the abdomen, and pain that made him want to have diarrhea. The pain was relieved after diarrhea."

Chen Yang said: "The main symptoms are pale tongue, fat tongue, tooth marks on the edges, white and greasy coating, and stringy pulse..."

"Judging from the pulse syndrome, the patient has a sign of excessive dampness. Excessive dampness will cause diarrhea, and excessive wind will cause movement. It should be that the clear yang is not rising due to excessive dampness, and the wind is moving and the qi is out of balance..."

Chen Yang had learned about this patient in detail yesterday. When Bai Jinbo came over just now, Chen Yang was learning about it in detail again. Chen Yang knew the patient's condition like the back of his hand.

In fact, if Bai Jinbo hadn't come to ask just now, Chen Yang would also have planned to find Gao Mingxuan and talk to Gao Mingxuan about the patient's condition.

Although Gao Mingxuan warned Chen Yang not to interfere, but Chen Yang really wanted to discover some problems, he couldn't really pretend that he didn't see them. If he turned a blind eye to the treatment of patients, then Chen Yang would Don't be a doctor anymore.

But you have to pay attention to the method of doing things.

Chen Yang himself had just arrived and had no professional title, so he could not intervene casually, but he could tell Gao Mingxuan that Gao Mingxuan was the deputy director after all, and Gao Mingxuan could intervene in the entire department's patients.

Regarding some of the problems discovered, Chen Yang also needs to deal with them according to different problems. Some are slow to achieve results, but they are in the right direction, so Chen Yang does not need to pay attention to them. Some are in the wrong direction, and Chen Yang cannot sit idly by.

When Bai Jinbo came over just now, Chen Yang was a little confused about Bai Jinbo's attitude. Now Chen Yang looked at Bai Jinbo as if he really wanted to communicate with him, so Chen Yang expressed his opinion.

"Xiao Chen, do you mean that my method of replenishing the vital energy, soothing the liver, warming the kidneys and relieving astringency is wrong?" Bai Jinbo asked.

Because Bai Jinbo really wanted to know Chen Yang's level, he was not angry. After listening to Chen Yang's words, Bai Jinbo humbly asked for advice.

"I read the prescription you prescribed, Dr. Bai. From the perspective of Western medicine, the patient does have diarrhea-predominant irritable bowel syndrome. The main symptoms are diarrhea and abdominal pain, but the pathogenesis is dampness and wind... .”

Chen Yang nodded.

With that said, Bai Jinbo asked Chen Yang a few more questions, and Chen Yang answered them one by one.

This disease is relatively complicated. Chen Yang has been thinking about it for a day. Before he was sure, Chen Yang did not dare to rush to Gao Ming.

Being able to confirm it means that Chen Yang has understood the disease, and Chen Yang can naturally answer Bai Jinbo's questions.

"Tsk, Xiao Chen, you weren't willing to talk about it just now."

Bai Jinbo said: "Let's go, I'll let you see the patient's medical records again, and let's discuss it further."

After all, the two of them were right next to the patient's bedside, and some words were inappropriate to say. Bai Jinbo wanted to go out and talk to Chen Yang. Although he wanted to test Chen Yang, Bai Jinbo also wanted to lose face.

Now it has been proven that his dialectic was wrong, but the two are still discussing the performance of the patient. If they continue to talk, it will be confirmed that he is wrong.

"Okay, let's talk. I also have questions to ask Dr. Bai." Chen Yang nodded.

The two people came to the duty room and got together. Bai Jinbo didn't care about anything now: "Xiao Chen, please prescribe the prescription and let me take a look."

Chen Yang opened the prescription, Bai Jinbo read it once, and then thought about it in detail.

"Tsk, I did think in the wrong direction before. Fortunately, the patient only took the medicine for three days and it didn't have any impact."

Bai Jinbo was convinced. Chen Yang's level was indeed not bad. At this level, Bai Jinbo didn't believe it if he said his family had no background.

"Little Li."

Bai Jinbo waved to Li Haofei, who was watching from a distance.

"Doctor Bai."

"Place an order according to this prescription and deliver the medicine as soon as possible. Stop using the previous medicine. You can write a withdrawal form and I will sign it." Bai Jinbo said to Li Haofei.

"Okay Doctor Bai."

Li Haofei took the prescription form, glanced at Chen Yang subconsciously, and then left the duty room to carry out Bai Jinbo's doctor's orders.

Just now, Li Haofei watched what Bai Jinbo and Chen Yang were discussing. He had been guessing. Now it seemed that Chen Yang and Bai Jinbo were discussing their illness.

After taking a look at the patient's name on the prescription, I saw that the patient's previous prescription, Bai Jinbo, had been prescribed for a week, which meant that there was no need to change it for a week, but now it has only been three days, and Bai Jinbo has changed the prescription.

Moreover, the above medication was completely different from before. Although Li Haofei couldn't understand the function of the entire prescription, he also knew what such a big gap meant.

In other words, Chen Yang discovered the problem and then convinced Bai Jinbo?

It was obvious how high Chen Yang's level was when a newly arrived junior doctor, who did not have an intermediate professional title yet, convinced Bai Jinbo, a senior attending physician, to change the prescription.

First he was the little boy before, and now he is Bai Jinbo's patient. Li Haofei was thinking about it as he walked.

Brother Chen's background is not simple. Director Gao said that he met him at the township health center. Is he giving everyone ecstasy soup?

At Chen Yang's age, to be able to achieve this level, [-]% of his family members are doctors. This is possible only if he has been exposed to it since childhood. Otherwise, he would be too genius. Traditional Chinese medicine is much more difficult to learn than Western medicine.