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

Song Luojun opened his mouth, and Xun Jiahong's words were instantly choked back.

Everyone's attention was attracted to Song Luojun, and they all looked at Song Luojun.

Song Luojun's words were tantamount to the final word, confirming Chen Yang's statement.

"Many of us who practice traditional Chinese medicine have actually developed a very bad habit, which is to use the names of modern medical diseases to measure the severity of a patient's illness."

Seeing everyone looking at him, Song Luojun continued, "Cancer, heart disease, coronary heart disease, etc. are definitely serious diseases. For these diseases, many doctors will subconsciously use strong drugs, large prescriptions, and large doses, always thinking that small doses are difficult to be effective..."

"When we encounter common colds, vomiting, and loss of appetite, we often think that they are minor illnesses and we dare not use large prescriptions or strong medicines. We always think that the symptoms are minor and not serious, and we are afraid that using strong medicines will have an immeasurable impact on the patient, causing the patient to have various problems and worsening the condition..."

After Song Luojun finished speaking, Xun Jiahong subconsciously glanced at his grandfather and remained silent.

Obviously, Xun Jiahong was thinking the same thing just now. Not only Xun Jiahong, but many doctors at the scene actually had similar thoughts.

Rheumatic heart disease sounds like a serious illness, but Chen Yang suggested using such a small prescription for such a serious illness. Subconsciously, people feel that it is a bit unreliable.

"We have always said that Chinese medicine practitioners cannot bring Western medical thinking into Chinese medicine, but must learn to combine Chinese and Western medicine."

Song Luojun continued: "But many people don't have an accurate concept of this standard. Some people think that they are combining Chinese and Western medicine and don't care at all. Others think that as long as they don't use Western medicine standards when treating and using drugs, it's fine..."

"Both of these are actually incorrect. Combining Chinese and Western medicine is just to draw on some Western medical standards when making a big dialectical analysis. The purpose is also for dialectical analysis, not to let Western medical standards affect your own judgment. Now the serious illness of medicine affects you, making you think that this disease is serious and needs strong medicine. This has actually seriously deviated from the essence of Chinese medicine."

Chen Yang nodded slightly. Song Luojun was indeed a famous doctor. What he said was very good. Many people felt that this kind of influence was not a big deal, or they subconsciously ignored this influence. This was more terrifying.

Take Xun Jiahong for example. As Song Luojun's nephew, his solid foundation in traditional Chinese medicine is needless to say. When using drugs clinically, he will not lack accurate dialectics like many traditional Chinese medicine practitioners in hospitals, but will rely on Western medical thinking. However, because he has been in the hospital for so many years, or living in the current environment, he has been affected to a certain extent.

"It's like a person who has been hungry for many days and is now too hungry to walk and is about to starve to death."

Song Luojun continued, "In this situation, we subconsciously think that he should be fed. He is so hungry, but you gave him a bowl of porridge. Obviously, it can't stop his hunger and it's inappropriate. But think about it carefully. He has been hungry for so many days, and his spleen and stomach are already quite weak. Only by using porridge to nourish and warm him up, and let him recover a little, can he eat other food. If you give him all kinds of food from the beginning, big fish and meat, steamed buns, noodles, and white rice, will he be unable to bear it and digest it?"

Xun Jiahong felt as if a bolt of thunder had exploded in his mind, and Song Luojun's words made Xun Jiahong wake up instantly.

Yes, he just considered that rheumatic heart disease is a serious disease, and the prescription Chen Yang mentioned is a small prescription, but he ignored the problem raised by Song Luojun. He did not think much about it and subconsciously questioned Chen Yang.

"We who study Chinese medicine often hear that the secret of Chinese medicine lies in dosage."

Song Luojun continued: "The same medicine, in different doses, can have different effects. Take the prescriptions in Treatise on Febrile Diseases for example. Many prescriptions are modified by adding or subtracting ingredients. When the dosage is increased or decreased, the effects are different."

"Under what circumstances should a strong medicine and a large dose be used, and under what circumstances should a small prescription and a small dose be used? This is what really tests a doctor's ability."

Song Luojun looked at everyone and said, "In fact, if you read more medical records and study more famous doctors, you will find that even the Fire God School, which focuses on strong drugs, does not always use large doses of drugs. Even the Yin-nourishing School, which focuses on nourishing Yin and warming Yang, does not prescribe large doses."

"In fact, many famous masters of the Fire God School, such as Zhang Shigao, Lu Huangqi, and Zhu Fuzi, seem to have a common characteristic in their use of medicine, which is that they use large dosages. But in fact, you can find out from the names that outsiders give them that their characteristic is not that they use large dosages, but that they are good at using certain medicines."

Song Luojun said: "Zhang Shigao, you can tell they are good at using gypsum, Zhu Fuzi, you can tell they are good at using Fuzi, it's just because they understand the medicinal properties of these medicines very well and have mastered them thoroughly, so they dare to use large doses. The reason why outsiders think they like to use large doses is because large doses of prescriptions seem strange, and it is this strangeness that makes people remember them, and the small doses they use are just not noticed by anyone, so people think they don't use small doses."

"Perhaps in their lifetime medication use, small doses actually account for a larger proportion than large doses, but no one knows it."

"If a cautious person occasionally makes a bold decision, people will talk about it with great relish; if a bold person occasionally backs down, people will often criticize him."

Song Luojun said: "This is actually human nature. We are always used to measuring and criticizing things based on what we see, but rarely truly understand them in depth."

"In clinical practice, whether to use strong drugs or small prescriptions is a great test of the doctor's level. We should measure it based on the patient's actual situation, rather than the severity of the patient's symptoms."

Song Luojun said: "First of all, we must understand that all drugs enter the stomach first after entering the body. The spleen and stomach are the first barrier. Secondly, the purpose of our medication is to cure the disease. Cure is the purpose, so when taking medicine, whether the spleen and stomach can bear it and whether the dosage can cure the disease are the key points..."

Everyone was fascinated by Song Luojun's words. The explanation of the national master and famous expert had a depth that was definitely not something that ordinary people could have. Even Chen Yang listened with gusto, but Xun Jiahong did not hear a word he said, as his mind was full of all kinds of random thoughts.

"Mr. Song is indeed Mr. Song."

Wen Haodong whispered to Wen Haofei: "This is a great statement."

"Yes, these problems seem simple, but we always ignore them. This is the difference between famous doctors and ordinary doctors." Wen Haofei nodded.