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

At two o'clock in the afternoon, Chen Yang and Qin Dongliang walked into the demonstration room together.

After entering the demonstration room, Qin Dongliang also sat down in the front row, and Chen Yang went up to the podium.

"Director Qin is here."

"Two deputy chief physicians are here."

You should know that Qin Dongliang is usually not present when there are medical record sharing sessions. In the past, the lectures were either given by associate chief physicians or attending physicians like Tang Shaowei. Chief physicians rarely have time.

Of course, Chen Yang, who shared the medical records today, was only the attending physician, and a new one at that, but two deputy directors of the department came, and the department director Qin Dongliang was also present in person.

Jiang Yanliang and another director were not present, not because they did not want to come, but because they had something else to do. There was another deputy director sitting in the outpatient clinic today, and Jiang Yanliang was unable to leave because of something else.

If it weren't for this reason, the department's two chief physicians and three deputy chief physicians might all be present today.

This kind of medical record sharing session is mainly for attending physicians and those below the level of attending physicians. There is no mandatory requirement for associate senior physicians and above. The fact that so many associate senior physicians can attend today shows something. It shows that several associate senior physicians are very interested in the medical records shared by Chen Yang.

"Good afternoon, colleagues."

Chen Yang had experience in lecturing at a medical university, so he was not nervous in the face of such a situation and behaved very naturally.

"I am very grateful to Director Qin for giving me this opportunity to discuss and learn with you all. Today I will share two case histories and discuss with you all. If there is anything I say wrong, I hope you can forgive me."

As he spoke, Chen Yang tapped on his notebook, and the information of the first medical record appeared on the screen of the demonstration room. The first medical record Chen Yang shared was the obstetrics case.

.......

"We all know that Chinese medicine pays great attention to the changes of the four seasons. For normal people, the four seasons may just be the alternation of hot and cold, but in Chinese medicine, it is completely different. The difference lies in qi."

Chen Yang roughly described the patient's condition, and then began to explain the key points: "In the four seasons of the year, spring brings life, summer brings growth, autumn brings harvest, and winter brings storage. So in spring, everything comes back to life and is full of vitality. The energy of spring is upward, full of vitality, and full of vigor...

“Summer is the time when everything grows. At the same time, it is hot in summer, and heat expands and cold contracts, so the air in summer is the air of growth and expansion. In autumn, everything withers, so the air in autumn is downward and is the air of killing…”

Chen Yang said slowly: "I don't know if any of us like to fly kites. There is wind in both spring and autumn, but there are relatively fewer people flying kites in autumn, while there are more people flying kites in spring. It is also more difficult to fly kites in autumn, because the air in autumn is downward..."

“Winter is cold and everything withers, so in winter everything will collect their energy and reduce consumption, so the characteristic of winter is hiding.”

Chen Yang continued, "Many of us have probably eaten pork. In the past, pigs were basically slaughtered once a year during the Spring Festival. The pork at that time was very delicious. Nowadays, many pigs are basically ripened and can be released in three months, but the meat is not delicious."

"This is partly because pigs were previously fed with grains, and partly because a lot of their essence is stored inside during the winter. This is in line with the law, and breaking the law often affects the balance."

"Giving birth is actually like harvest in autumn, so when we use medicine, we can take advantage of the austerity of autumn to enhance the efficacy of the medicine."

Chen Yang said: "Using sycamore leaves as a medicine is to enhance the efficacy of the medicine. In the usual prescriptions, many medicinal materials must be combined with the changes of the four seasons. The qi of the four seasons is different, and the dosage of some medicines must be changed accordingly, or even reduced..."

Many doctors listened with great interest, while others discussed in low voices.

In fact, many doctors understand the principles that Chen Yang talked about. It is impossible that no one who studies Chinese medicine has been exposed to these things. However, if one can truly apply these principles in actual clinical practice, that is extremely impressive.

It is good enough for an ordinary doctor to be able to make accurate diagnosis and prescribe old-fashioned medicine. But a doctor who can take into account the changes of the four seasons and adapt to circumstances is already a very good doctor.

Just like the conversation between Zhuge Liang and Lu Su in Romance of the Three Kingdoms, Zhuge Liang told Lu Su what a general is, saying that a powerful general must not only know how to deploy troops, but also be able to take advantage of the weather, water, fire, and fog. In the hands of a powerful general, everything can be used as a soldier.

In fact, the same applies to medical practice.

Traditional Chinese medicine makes use of the four properties and five flavors of drugs. Among Chinese medicinal materials, eighty to ninety percent are herbal and animal materials. The characteristics of this type of medicinal materials are affected by the changes of the four seasons.

"amazing."

At the back of the demonstration classroom, two elderly men in their sixties appeared. They were Wu Yaolin and Zeng Anfeng.

Wu Yaolin and Zeng Anfeng entered the demonstration room at 2:10. At that time, Chen Yang had just begun to explain the first case and had just come to the key points. Zeng Anfeng was attracted after listening to just two sentences.

When Chen Yang finished speaking, Zeng Anfeng couldn't help but admire him.

"Haha."

Wu Yaolin chuckled twice and asked, "Lao Zeng, how is it? Is your speech okay?"

Zeng Anfeng glanced at Wu Yaolin. Although he didn't want to admit it, he had to admit, "It's more than just okay. To be able to have such a level and to be able to use it so freely in clinical practice, this level is already as good as that of a famous expert."

The difference between so-called famous Chinese medicine doctors and ordinary doctors is the difference between prescribing medicine according to the rules and using flexible changes. Chen Yang's use of medicine has reached this level.

“This sycamore leaf is really useful.”

Wu Yaolin said with a smile. In fact, Wu Yaolin himself was a little surprised. The reason why Wu Yaolin pulled Zeng Anfeng here today was mainly for Wei Jingwen's medical records, but he did not expect that Chen Yang would share such a medical record.

In fact, in Wu Yaolin's opinion, the level of Chen Yang's medical record is no worse than Wei Jingwen's. The main feature of Wei Jingwen's medical record is "strange", that is, the treatment method is relatively unique. But in this medical record, Chen Yang was able to pay attention to the qi of the four seasons and seek the same qi, which is not easy.

"Here is the second case..."

Chen Yang tapped on the computer, and Wei Jingwen's medical record appeared on the big screen. Although everyone knew that this medical record was Wei Jingwen's, the patient's name and identity must be hidden during the explanation, and only the patient was used instead.

Zeng Anfeng just took a look at the patient's condition and frowned. Is this Wei Jingwen?