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

"In fact, dialectics is like this. First, we need to understand the scope of the patient's symptoms and what range they belong to. Then, we need to analyze them specifically based on the characteristics of the symptoms and the patient's condition."

Chen Yang said: "For example, in the case of the patient, we must first distinguish between wind rash and stroke. Generally speaking, wind rash is characterized by sudden onset, and the wind evil spreads very quickly, unlike dampness evil which is like mud and sinks slowly. Of course, stroke also develops very quickly..."

"Because of the characteristics of wind evil, in traditional Chinese medicine, any disease with the word 'wind' in it often develops very quickly and the symptoms are more varied."

Chen Yang continued, "The second characteristic of wind rash is atrophy, which means the limbs suddenly become paralyzed. However, the patient's consciousness is usually fine, and it does not affect the patient's IQ. For example, in clinical practice, many hemiplegia symptoms after cerebral infarction fall into the category of wind rash."

"Third, although the patient's limbs are paralyzed, the symptoms are different from hemiplegia caused by trauma such as fractures. The patient cannot feel any pain in the body..."

"Once the patient's symptoms are determined, and then analyzed based on the characteristics of the rash and the specific circumstances of the patient's symptoms, there will basically not be too many mistakes."

Chen Yang smiled and said, "Hao Fei's analysis just now is very correct."

"I didn't expect Dr. Li to be so amazing."

Wu Mengmeng said: "It is true that a good teacher produces excellent students. Doctor Chen, you are not only good yourself, but also good at teaching your students."

"Doctor Li is better than me." Ren Yaxin nodded bitterly.

As a doctor at the Medical University Affiliated Hospital, Ren Yaxin did feel superior to Li Haofei and Yang Xiaohui, two doctors from county-level hospitals. Unexpectedly, she was not as good as them.

"Now that we know the pathogenesis, how should we use the medicine?" Chen Yang asked Li Haofei.

"Master, I am also very rigid in analyzing the pathogenesis of the disease, and I have no idea about the use of medicine." Li Haofei said a little embarrassedly.

"You still need to practice more."

Chen Yang said: "Since we know the pathogenesis, we should prescribe medicines according to the pathogenesis. First, we should select medicines to treat the root causes of spleen and kidney deficiency and insufficient qi and blood. For spleen and stomach deficiency, we should mainly use some sweet and warm medicines, such as ginseng, roasted licorice, stir-fried white atractylodes, etc."

"For patients with qi and blood deficiency, we can add some blood-tonifying drugs, such as angelica and white peony root, on top of the drugs that strengthen the spleen and replenish qi, such as ginseng and dried vegetables; for patients with kidney deficiency, we can choose some mild drugs, such as Eucommia ulmoides and Cyathula capitata..."

Chen Yang said as he typed a prescription on the computer: "After roughly determining the range of drugs, we can select and match them according to their properties and status. If there is a suitable classical prescription, we will give priority to it and make changes."

"At the same time, the most critical point is that we cannot ignore the patient's wind evil. To eliminate the wind evil, we need to use pungent and warm drugs to disperse the wind evil and expel it from the pores. You can use ephedra, cinnamon twig, almond and dried ginger. Saposhnikovia divaricata has the function of protecting the surface and resisting external evil. You can also add blood stasis, which requires blood-activating drugs. Chuanxiong and Achyranthes bidentata both have a strong blood-activating effect..."

As he spoke, Chen Yang had already printed out the prescription and handed it to Li Haofei first: "Take a look."

"Master, I understand."

Li Haofei took a look at the prescription written by Chen Yang. It looked very simple indeed. It was just about selecting drugs and combining them according to the pathogenesis of the disease.

For traditional Chinese medicine, dialectics is the first difficulty, and medicine selection is the second difficulty. Especially for modern traditional Chinese medicine, there are some thresholds in medicine selection.

Even Li Haofei was not that confident when choosing medicine.

“We still need to learn more and think more about pharmacology.”

Chen Yang said: "In fact, county-level hospitals can be more flexible than in provincial capitals."

"I understand. Thank you, Master." Li Haofei nodded.

"You guys take a look too."

Chen Yang asked Li Haofei to pass the prescription to Wu Mengmeng, Ren Yaxin and others, and let the three of them take turns to look at it before passing it to the patient's family.

"This disease is a sequela of cerebral infarction, which is a relatively special disease with a long course of illness, so you should be mentally prepared. I prescribed more medicine this time, a 21-day supply. Come back for a follow-up visit after you finish taking it."

Chen Yang explained to the patient’s family.

"Well, thank you, Dr. Chen."

The patient's family took the prescription, said thank you, and then helped the old man out of the clinic.

Chen Yang looks young, but when he was diagnosing the patient just now, he first asked Li Haofei and then explained it to everyone. In addition, Ren Yaxin and Li Haofei's attitude towards Chen Yang also made the patient's family have some expectations for Chen Yang.

Doctor Chen already has an apprentice, so his level must be good.

After seeing the patient off, Chen Yang did not leave the clinic, but continued to stay in the clinic. The next patient came in, and Chen Yang gave up his seat to let Li Haofei come to treat the patient.

I was busy until almost lunch time when I finally saw the last patient of the morning.

This was mainly because Chen Yang would explain a few words in the middle, which wasted some time.

"I'll take you to the cafeteria for dinner. You have something to do in the afternoon, and we'll go home in the evening."

Walking out of the clinic, Chen Yang said to Li Haofei and Yang Xiaohui.

"Okay, Master." Li Haofei nodded.

Wu Mengmeng and Ren Yaxin were walking at the back. As they walked, Wu Mengmeng whispered to Ren Yaxin, "Sister Yaxin, Director Qin asked Dr. Chen to take two doctors. I told Dr. Chen about you. Are you interested?"

"I'm definitely interested."

Ren Yaxin secretly glanced at Chen Yang in front of her, then reached out and pinched Wu Mengmeng's waist: "Mengmeng, thank you."

"Don't make trouble."

Wu Mengmeng opened Ren Yaxin's hand, secretly glanced at Chen Yang, and whispered: "Sister Yaxin, I also want to take Dr. Chen as my teacher. What do you think I should do?"

"I want to too." Ren Yaxin said.

"Then let's go together?" Wu Mengmeng said with a smile.

"Okay, let's do it together." Ren Yaxin said with a smile, "Let's discuss together how to take down Doctor Chen."

"Doctor Chen already has an apprentice, so he will definitely not be that resistant. As long as we treat Doctor Chen well, we will definitely be able to impress him." Wu Mengmeng said seriously.

"What Dr. Chen values ​​most is character and emotion. We should start from this aspect," said Ren Yaxin.

The two girls were whispering in the back, secretly glancing at Chen Yang as they spoke.

The hospital cafeteria does not restrict entry to others. In addition to doctors, there are also patients and their families. However, doctors have a special dining area and special meal cards, which are relatively cheaper.

After Chen Yang invited Li Haofei and Yang Xiaohui to have lunch, Li Haofei and Yang Xiaohui went to do their work, while Chen Yang returned to the duty room with Wu Mengmeng and Ren Yaxin.