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

"What the eldest and second brothers said is actually correct."

Chen Yang said, "Although the patient's condition is complicated, with many symptoms and old age, the root cause of many of the symptoms is actually caused by high blood pressure and high blood sugar. In traditional Chinese medicine, it is actually spleen and kidney deficiency. At the same time, because the patient is old and weak, the qi cannot absorb blood."

Without waiting for Wen Rongxian to speak or Wen Xiuping to ask, Chen Yang took the initiative to speak.

Although Chen Yang and Wen Rongxian are competing, they still have to keep a balance.

After using the tenth-level upgrade card, Chen Yang knew that his current level was actually higher than Wen Rongxuan's. As for this disease, no matter whether Wen Rongxuan had any clue or not, it would be right for Chen Yang, as a junior, to speak first.

If Wen Rongxuan has no clue for the time being, Chen Yang can speak first to give Wen Rongxuan a hint and avoid embarrassment for Wen Rongxuan.

If Wen Rongxuan already has an idea, Chen Yang can demonstrate his ability by speaking first, letting Wen Rongxuan understand that Chen Yang already knows the condition thoroughly.

Wen Rongxuan must have considered this disease. Even if Chen Yang spoke first, Wen Rongxuan would be able to tell whether he or Chen Yang was stronger.

"Based on the patient's previous treatment, he had been relying on repeated blood transfusions to maintain his health. At the same time, because the patient was old, had renal failure and anemia, he was not suitable for surgery."

Chen Yang continued: "When facing the patient's many symptoms, we must distinguish the primary and secondary symptoms, so that we can prescribe the right medicine."

"The patient had taken Chinese medicine before, such as Guipi Decoction. Although Guipi Decoction can nourish the spleen, it is slightly ineffective for patients with spleen failure to regulate blood. There is also Shiquan Dabu Decoction, which is too warm and can cause blood to flow. Although Buzhong Yiqi Decoction can treat qi deficiency, its focus is on promoting the yang energy of the spleen and stomach..."

As he spoke, Chen Yang also analyzed the patient's previous medications.

For such a long time, the patient had sought treatment from both Western and traditional Chinese medicine and had taken Guipi Decoction, Shiquan Dabu Decoction, and Buzhong Yiqi Decoction, but to no avail.

Moreover, considering the patient's status, the Chinese medicine doctors who had treated the patient before were actually not bad. Wen Rongxian and Wen Xiuping even knew who one or two of them were.

Listening to Chen Yang's analysis at this time, Wen Haoxue subconsciously looked at Wen Haodong again.

"Is this Chen Yang so powerful?" Wen Haoxue asked Wen Haodong with his eyes.

"How should I know?" Wen Haodong responded with his eyes.

Although Wen Haodong knew that Chen Yang was very capable, this disease was indeed a bit beyond the standard, especially since Chen Yang analyzed the reasons why the patient's previous medication was ineffective so clearly that Wen Haodong was a little bit unbelievable.

Wen Rongxian looked at Chen Yang in astonishment. At this moment, Wen Rongxian finally took Chen Yang seriously. No wonder Chen Yang dared to compete with him. It turned out that Chen Yang was really capable.

The fact that Chen Yang was able to analyze the pros and cons of the previous doctor's prescription so clearly at least shows that Chen Yang's level of prescription pharmacology is not low. He not only has a clear understanding of the patient's condition, but also a clear understanding of the effectiveness of the prescription used by the previous doctor.

Wen Xiuping nodded slightly: "Xiao Chen's analysis is good. The previous medication only took one side into consideration and failed to fully consider the cause of the disease, which led to poor results."

"Well, the patient's qi cannot retain blood, and both the spleen and kidney are deficient. He should replenish qi and strengthen the spleen, consolidate the kidney and stop bleeding. The prescription must be considered comprehensively." Wen Rongxian also said.

"In that case, please write out the prescriptions." Wen Xiuping said with a smile.

Chen Yang and Wen Rongxian both picked up their pens and wrote prescriptions, then handed them to Wen Xiuping.

With Wen Rongxuan's level, he can still diagnose this disease clearly, but it is definitely not as easy as Chen Yang's. Diagnosis is one aspect, and medication is another.

Wen Xiuping took the prescriptions from the two people and took a look at them, then handed Chen Yang's prescription to Wen Rongxian. Wen Rongxian took it and looked at it, his expression changed slightly.

"Damn, it looks like Dad lost." Wen Haoxue couldn't help but whisper to Wen Haodong.

"Seems to be."

Wen Haodong nodded.

"I lost."

After a long while, Wen Rongxian finally let out a long sigh.

Wen Haodong and Wen Haoxue were both stunned. Their father actually lost. He lost to Chen Yang?

Wen Haoxue hurried forward, and Wen Rongxian handed the prescription in his hand to Wen Haoxue. Wen Haodong also took the prescription from Wen Xiuping's hand, and the two stood together to compare.

The difference between the two prescriptions is not that big. Both prescriptions are Du Shen Tang, which replenishes qi, consolidates the body and nourishes the five internal organs. At the same time, it is supplemented with Codonopsis, Astragalus, Chinese Yam and other ingredients to strengthen the spleen.......

It's just that Wen Rongxuan used ginseng, while Chen Yang used Korean ginseng...

In addition, the dosage of the medicine is slightly different. Wen Rongxuan used 60 grams of Chinese yam in the prescription, while Chen Yang used 80 grams.......

"Did you notice any difference?" Wen Xiuping asked Wen Haoxue and Wen Haodong with a smile.

Wen Haoxue and Wen Haodong are not bad in level and are among the best among their peers. Now that they are holding the prescriptions, and Wen Rongxian said that he lost, it means that they already know which one is the correct answer. With the answer in hand, they can still see the problem.

"Ginseng is more protective than moving, while Korean ginseng is warm in nature and is mainly used for tonic purposes," Wen Haoxue said.

"Ah."

Wen Xiuping nodded.

"The patient is old and has had diabetes and hypertension for many years. His spleen and kidney have been weak for a long time. Chinese yam tastes sweet and mild, and it enters the spleen, lung, and kidney meridians. It is an important tonic medicine that nourishes the kidneys, strengthens the stomach and resolves phlegm, and replenishes the middle and replenishes qi..."

Wen Haodong said: "Ginseng is the main medicine, and Chinese yam is the auxiliary medicine. Using more Chinese yam can enhance the efficacy and the effect will be better."

"good."

Wen Xiuping nodded, glanced at his son, and then looked at Chen Yang.

Chen Yang's performance really surprised Wen Rongxian.

Although there are only slight differences between Chen Yang's prescription and Wen Rongxian's prescription, for such critically ill patients, this subtle difference is the key to treatment.

Compared with the previous doctor, although Wen Rongxian's prescription took into account all aspects of the patient's condition, he was not as flexible as Chen Yang in using the prescription.

Wen Rongxian also looked at Chen Yang with complicated eyes. Wen Rongxian had reminded him before that Chen Yang's level was not bad, but he didn't take it seriously. Now he has seen that although Chen Yang is young, he is indeed very experienced in the use of medicine.

You should know that changes in prescriptions sometimes rely not only on insight, but also on sufficient experience. The reason why some old Chinese medicine practitioners can use the medicine flexibly and changeably when appropriate is mostly due to the experience they have summarized in clinical practice.

Although Chen Yang is young, he has a lot of insights into pharmacology.

"You win this round."

Wen Rongxuan looked at Chen Yang and said slowly: "But since it's an agreed matter, the next two games will depend on your ability."

"Thank you, Uncle Wen." Chen Yang said hurriedly.

"Don't thank me, I didn't let you." Wen Rongxuan really felt ashamed.