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

"Dr. Chen."

Chen Yang brought Li Haofei, Wu Mengmeng and Yang Xiaohui into the clinic. Ren Yaxin hurriedly stood up and greeted Chen Yang politely.

"Doctor Chen, please sit here."

Ren Yaxin gave up her seat and let Chen Yang sit down.

Yang Xiaohui's eyes widened as he watched. Chen Yang was very impressive when he was at Jialin County Hospital, and he didn't expect that he would be just as impressive at the Affiliated Hospital of Medical University.

When I was at Jialin County Hospital, other doctors would call Chen Yang for help with any difficult or complicated cases, and the same was still true at the Medical University Affiliated Hospital.

Yang Xiaohui and Li Haofei had met Ren Yaxin just now. It was Ren Yaxin they met when they asked for directions. At that time, Yang Xiaohui noticed Ren Yaxin's name tag, attending physician.

The attending physician of the Medical University Affiliated Hospital is not the attending physician of their Jialin County Hospital. The two are not on the same level.

Judging from Ren Yaxin's attitude, this is obviously not the first time she has asked Chen Yang for help.

The patient is an old man in his sixties, and he is accompanied by his children.

After Chen Yang sat down, he noticed the patient's condition. There was a crutch next to the patient.

"Doctor Chen, the patient's main symptom is hemiplegia caused by cerebral infarction."

Ren Yaxin was telling Chen Yang about the patient's condition.

After the patient suffered a cerebral infarction three years ago, he was left with symptoms of right-side hemiplegia, numbness in his right hand, difficulty moving his right leg, and lack of strength to walk. In addition to hemiplegia, the patient also has a history of hypertension. His urine is usually white with a lot of foam, and he is easily afraid of cold.

While listening, Chen Yang also looked at the patient's medical records. Before Chen Yang came, Ren Yaxin had already examined the patient and the records were on the computer.

The patient's tongue is light red, of moderate size, with teeth marks on the edges. The pulse on the right hand is stronger than the left and right pulses. The pulse on the right hand is strong, and is a strong and slippery pulse...

"Hao Fei, come and take a look too."

Chen Yang called Li Haofei, and Li Haofei walked to Chen Yang and looked through the patient's records on the computer.

"What do you think?"

After Li Haofei finished reading, Chen Yang asked Li Haofei with a smile.

Li Haofei's current registration level in internal medicine is level four, and his level in pharmacology is also level four. In terms of level, he is even better than Ren Yaxin. Ren Yaxin's level in internal medicine is only level three. Even so, Ren Yaxin can be considered excellent among doctors of the same age.

With Li Haofei's current level, he is actually about to enter the Qingyun List. After all, the Qingyun List is the top 100 young doctors, and the top 100 in the country. The level of the doctors on the Qingyun List cannot be used to measure most young doctors.

Li Haofei pondered for a moment, then personally checked the patient's pulse and asked some questions before saying, "The patient's illness can be called wind rash in traditional Chinese medicine."

"The Lingshu, Chapter on Fever, says, 'When a patient has a rash, he or she cannot wear anything, his or her limbs cannot be retracted, and his or her mind is not properly cleared.'"

Li Haofei explained: "It is also said in the "Must-Reads of the Medical Sect" that 'Mischief is a sign of disability. Mischief medicine is used to treat those with hemiplegia and deep evil spirits...'"

“So prickly heat is actually the patient’s current condition, hemiplegia caused by stroke.”

"Ah."

Chen Yang nodded.

Li Haofei is very hardworking, which was demonstrated by Li Haofei when Chen Yang was at Jialin County Hospital. The reason why Chen Yang accepted Li Haofei as his apprentice was not only because of Li Haofei's attitude when Chen Yang first went to Jialin County Hospital, but also because of Li Haofei's hard work.

In the past year, Li Haofei has read a lot of books, especially some books that Chen Yang has reminded him of, such as "Huangdi Neijing" and "Treatise on Febrile Diseases". Because of Chen Yang's cheating, Li Haofei's reading efficiency is also quite high. Although he can't remember everything he sees like Chen Yang, his memory has been relatively improved.

"The disease of prickly heat has two main characteristics."

As Li Haofei spoke, he scratched his head and thought for a while: "First of all, prickly heat develops quickly, which is also a manifestation of wind evil. The symptoms of prickly heat are similar to those of stroke, but not exactly the same."

"Stroke is mainly caused by disorder of Qi and blood, which produces wind, fire, phlegm and blood stasis, leading to blockage of brain vessels or blood overflowing outside the brain vessels. The main symptoms are sudden fainting, hemiplegia, numbness of limbs, tongue paralysis, crooked mouth and tongue, and numbness on one side of the body."

"And wind rash is mainly caused by exogenous wind evil or kidney deficiency. Its main symptoms are paralysis and inability to use the limbs, that is, limb weakness and weakness, but generally there are no typical stroke symptoms such as facial paralysis and sudden fainting."

As Li Haofei spoke, Wu Mengmeng and Ren Yaxin beside him couldn't help but be a little surprised.

When Chen Yang asked Li Haofei just now, Wu Mengmeng and Ren Yaxin both thought that Chen Yang was just testing Li Haofei, but they didn't expect that Li Haofei was so capable.

To be honest, although stroke and rash are both disease names in traditional Chinese medicine, it is actually quite difficult to distinguish between the two.

"In the pathogenesis of wind-related prickly heat, wind evil accounts for a large part, and the symptoms of wind-related prickly heat are mainly paralysis of the limbs."

Li Haofei continued, "The spleen and stomach control muscles, so limb weakness is closely related to spleen and stomach weakness and insufficient qi and blood. When qi and blood are weak, the driving force is insufficient, and blood circulates slowly, it will cause blood stasis and wind evil to block the meridians, making it difficult for downstream muscles to be moistened by blood, so the muscles become weak and cannot be used."

After a pause, Li Haofei continued: "The patient has symptoms of numbness in the hands, which is actually a manifestation of blood stasis in the muscle tissue. The patient's urine is white, foamy, and afraid of cold, which is also a manifestation of skin and kidney yang deficiency. Generally, if there is sweat or yang deficiency in the body, the urine color will be white. If there is heat or yin deficiency in the body, the urine color will be yellowish..."

"The patient's left hand pulse is weaker than that of the right hand, and the right hand pulse is strong and slippery. This is because the left hand pulse governs the heart and liver, which are organs with abundant blood supply, while the right hand pulse governs the lungs and spleen, which are organs that control qi..."

Li Haofei smiled awkwardly and said, "Master, I am just analyzing based on the patient's condition and what I have learned. I don't know if it is correct."

It can be seen that Li Haofei's answer was a bit like answering a question, rather than a dialectic. The patient's condition was actually quite complicated, and Li Haofei rarely encountered patients like this. So since Chen Yang asked, he answered based on what he knew.

"Dialectics is to analyze based on what you know and the patient's condition."

Chen Yang smiled and said, "Have confidence in yourself, your analysis is very correct and your thinking is also correct.

Wu Mengmeng and Ren Yaxin both found it hard to believe. Was this Dr. Chen’s apprentice?

Doctor Chen’s apprentices are actually better than them. Isn’t that amazing?

Such a level is found in the county-level hospitals. Are all the county-level hospitals so strong now?

Ren Yaxin never dreamed that a small county-level hospital could produce two capable young doctors like Chen Yang and Li Haofei.