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

"Wetness is sticky and blocks the clear yang..."

Chen Yang continued, "As a result, the already weak Yang Qi in the patient's body is even more difficult to resist the external evil Qi, and the symptoms are lingering and difficult to cure. The patient's Yang Qi is weak and is invaded by the dampness and heat. The Yang Qi is suppressed, resulting in a relatively insufficient function of Yang Qi to invigorate the body, which leads to the symptoms of drowsiness..."

After a pause, Chen Yang continued, "This is just like when we steam buns. The patient's spleen and stomach are weak, and the yang energy is insufficient, just like the flame is very small, and the external dampness and heat are like a layer of oil covering the water in the pot."

"The flame is small, so it's hard for the water to boil, and the steam is very small. There's a layer of oil on the water surface, so it's even harder for the water to boil, and it's even harder for the steam to rise. The steamed buns on top are naturally cold, without any heat..."

“That’s such a vivid description.”

"Yes, if the Yang Qi does not rise, it will be like a long dark night, and one will naturally be sleepy and unable to wake up."

The other doctors discussed in low voices.

“I didn’t expect that Mr. Wen’s grandson-in-law is so amazing, and he’s only thirty years old.”

Chen Yang's explanation was equivalent to unraveling the entire disease and analyzing it very clearly. No matter whether people had a clue before or not, they now understood it very clearly.

Song Luojun also looked at Chen Yang. From Chen Yang's analysis, Song Luojun could see that Chen Yang's logic and thinking ability were even better than his grandson's.

"Doctor Chen's analysis is very good."

Xun Jiahong said: "The fever symptoms of the child are just as Dr. Chen said, which is the pathological manifestation of the invasion of external evil. The child's spleen and stomach are already weak and cold, and the damp heat evil has blocked the rise of the clear yang, which has caused the child to be drowsy and unable to wake up."

"From this perspective, in treatment, we need to remove dampness and heat on the one hand, and on the other hand, we need to invigorate the patient's yang energy, encourage the positive energy to resist evil, and increase its excitability."

Chen Yang has already analyzed the symptoms, and Xun Jiahong no longer asked questions. He just talked about the treatment ideas, which could be regarded as a summary speech.

"Ye Tianshi, a famous doctor in the Qing Dynasty and the founder of the Warm Disease School, has extensive experience in removing dampness and clearing heat."

Xun Jiahong said slowly: "From ancient times to the present, warm and hot evil has always been a headache for doctors of all generations. Wu Jutong, a famous doctor in the Qing Dynasty, talked about the tricky aspects of damp-heat evil in "Treatise on Warm Diseases"."

"If you only clear away the heat, the dampness will not go away; if you only remove the dampness, the heat will become more intense."

Xun Jiahong said: "What it means is that if you want to clear away heat, you must use cold medicines. But if you use cold medicines, it will cause the spleen and stomach yang deficiency to become more serious. Yang deficiency leads to excess dampness, which is more difficult to remove."

"If you want to remove dampness, you have to use hot medicines, but if you use hot medicines, it will cause the heat evil in the patient's body to become more intense. This is why dampness and heat evil are so troublesome."

"Ye Tianshi has made a more systematic summary of the treatment of damp-heat disease in his Treatise on Warm and Heat Diseases. If dampness seeps into the lower part of the heat and does not fight against the heat, it will inevitably be isolated."

"To target dampness, two groups of medicines can be used. One group is aromatic and can dissipate dampness, including Patchouli, White Butterfly, and Acorus calamus, which can dissipate dampness by lifting the dampness and dissipating it. The second group is heat-clearing and dampness-relieving, including Talc, Artemisia capillaris, and Akebia, which can sink the dampness and discharge it through urination..."

Just now, Chen Yang conducted a detailed analysis and dialectic of the symptoms, and now Xun Jiahong gave a detailed explanation of the treatment.

Xun Jiahong is worthy of being the number one young doctor in Kyoto. Although some of his previous words show that Xun Jiahong's character is lacking, his level is unquestionable.

With a level 7 internal medicine level and a level 7 pharmacology level, no one on the scene can compare to Xun Jiahong except Song Luojun and Chen Yang.

"For this disease, we can follow the formula idea of ​​Ye Tianshi's Ganlu Xiaodu Dan, and basically follow the original prescription. Use calamus, white cardamom, and apricot kernel to rise and dissipate dampness, use talcum powder, Yinchen, Akebia, and Coix seeds to clear heat and remove dampness, use astragalus, forsythia, and Fritillaria to clear the upper part of the body, and use talcum powder, capillaries, and Akebia to clear heat and guide downward."

After Xun Jiahong finished speaking, he asked Chen Yang in a gentle voice: "What do you think, Doctor Chen?"

"Director Xun's prescription is very effective. The treatment ideas of the Warm Disease School are indeed unique for this type of disease." Chen Yang nodded.

Although Chen Yang had a debate with Xun Jiahong yesterday and Chen Yang did not agree with some of Xun Jiahong's statements, it is undeniable that Xun Jiahong is definitely the first and most capable new generation Chinese medicine practitioner Chen Yang has met so far.

Although Xun Jiahong is already 38 years old, this age is definitely considered a new generation in the medical profession.

"As for invigorating Yang Qi, you can use Ma Huang Fu Zi Xi Xin Tang, a famous prescription from Treatise on Febrile Diseases."

Xun Jiahong smiled and nodded to Chen Yang, and continued: "For the human body, nourishing the kidney and spleen is the basis of nourishing Wei Qi, helping the lungs to spread Wei Qi and nourishing Wei Qi. Aconite can strengthen the fire in the kidney, and Asarum can help Ephedra to relieve the symptoms, and can also help Aconite to warm the Yang."

Since it is a clinical communication, it is natural to analyze the symptoms clearly, explain how to use the medicine, and why to use it in this way, so that everyone can understand.

A group of young doctors nodded as they listened.

"I didn't expect that this exchange meeting would become a solo show for Xun Jiahong and Chen Yang." Someone whispered.

"Director Xun, I need not say that Chen Yang is indeed surprising."

The people beside him nodded: "But Director Zhu and others should also want to see Chen Yang's level."

"As Wen Manlu's boyfriend and Mr. Wen's future grandson-in-law, this identity is destined to make Chen Yang the focus in Kyoto."

If it was an ordinary doctor from outside the city, this group of young doctors in Kyoto would not pay much attention to him, but his identity as Wen Xiuping's grandson-in-law and Wen Manlu's boyfriend was different.

Xun Jiahong wrote a prescription and handed it to the child's parents. The child's parents took the patient out of the meeting room, and then the next patient was brought in.

The patient was a male in his fifties, accompanied by his daughter.

The patient has a thin and long body, a large abdomen, and his face looks a little flushed, but his overall complexion is darker and dull. When the patient walked in, he looked tired and short of breath, wheezing, and weak. His forehead was sweating and he was coughing.

After the patient sat down, his daughter told everyone about the patient's condition.

The patient has had rheumatic heart disease for many years and has been hospitalized many times due to heart failure. His symptoms often recurred one or two months after discharge, and he was hospitalized again. This time his condition was more serious than usual, and he was short of breath and could not lie flat.

After the patient sat down just now, the staff took a pillow and placed it behind the patient so that the patient could lean on it to feel more comfortable.

“This patient is a patient at our hospital.”

After the patient's daughter finished explaining the patient's condition, Zhu Gaoyuan stood up and said, "This is a patient I am responsible for. This time, I hope everyone can help me come up with some ideas."

Zhu Gaoyuan then talked about what happened after she took over the treatment.