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

Traditional Chinese medicine divides the depth of pathogenic invasion into superficial, semi-superficial and semi-interior, and interior. The degree of pathogenic invasion is different, and the treatment methods are also different. If the pathogenic factors are between semi-superficial and semi-interior, Xiao Chaihu Decoction can be effective. If the pathogenic factors are inside, Xiao Chaihu Decoction is unlikely to be effective and Da Chaihu Decoction is needed. Therefore, the effects of Xiao Chaihu Decoction and Da Chaihu Decoction are actually the same, and both are conciliatory agents.

The only difference between the two is that the lesion points of the two decoctions are different.

"Reconciliation!" Qin Dongliang seemed to be thinking about something.

Chen Yang understood a little.

In fact, this disease is not too complicated, but it can puzzle many doctors. Even Qin Dongliang, the department director, is not very sure because of his thinking.

Therefore, Chinese medicine thinking is really important. Qin Dongliang, the director of the Department of Traditional Chinese Medicine, does not have pure thoughts, and some of his ideas have been influenced by modern medicine.

Because in actual clinical practice, Da Chaihu Tang can also be used to treat cholecystitis. Yes, it is used in cholecystitis. The cholecystitis here is not a disease name in traditional Chinese medicine, but a disease name in Western medicine. From this point, we can see that the starting points are different.

The reason why Qin Dongliang was not sure was because of his thinking. He was influenced by the rhubarb in Da Chaihu Decoction. The patient was old and weak, so Qin Dongliang felt that Da Chaihu Decoction might be risky.

Of course, Qin Dongliang’s idea cannot be said to be wrong. After all, the patient’s condition is indeed very difficult. He is old and weak, and cannot undergo surgery. If there is any accident, the patient’s life will be in danger.

Even Zhou Yongtao himself felt that the old man might have reached the end of his life, which was why he said those words to Chen Yunming before.

But precisely because Qin Dongliang has been influenced by modern medicine over the years, his understanding of Da Chaihu Tang is not deep enough.

Chaihu Decoction and Da Chaihu Decoction are definitely classic prescriptions in traditional Chinese medicine. These two prescriptions can be said to be panaceas and can be used for many diseases, but it is not easy to truly understand these two prescriptions.

Sometimes, things that appear simple on the surface are not necessarily the simplest.

Complex questions may only have one or two solutions, but seemingly simple questions may have many solutions. In traditional Chinese medicine, each different cognition corresponds to a different disease.

"The grass is dry in spring, but it will grow well if it rains. In late winter, the branches are dry, but they will not be moistened even if water is poured." Chen Yang said slowly.

"Xiao Chen, what you said is very good."

Qin Dongliang said: "That's right. The treatments are different for different patients. Young people are like grass and trees in spring. Although they may look withered due to a temporary drought, they will be revived as long as there is a rain. Old people are like withered branches. Even with sufficient water for irrigation, it is difficult to save their withered and decayed situation."

"It's like a piece of clothing. If it's new, it won't matter how you wash it even if it's dirty. But if it's a piece of clothing that you've worn for many years, even if you wash it carefully, it may be damaged by accident, because it's been there for too long and has become extremely fragile due to the erosion of time." Qin Dongliang said.

"Director Qin, have you ever seen rural people washing clothes?" Chen Yang suddenly asked.

"Xiao Chen, you are asking this question..."

Qin Dongliang said: "Life was very difficult back then, not only in the countryside, but also in the cities. When I was young, people's living standards were poor, and clothes were often washed and worn again."

"So, for some clothes that have been worn for a long time, don't use a washboard, but carefully scrub them with clean water, and don't even use detergent or liquid. Just remove some easy-to-clean dust on them, and then dry them. Although it can't be said that the stains are completely removed, it can make the clothes wear longer."

Chen Yang said: "It is the same for elderly patients. We don't need to find ways to solve all the problems, but only solve some of the more difficult ones, because aging and physical decline are an irreversible process..."

"Just like modern medicine for some chronic diseases, we know that there is no cure and patients can only live longer with the disease, but we can't just ignore it."

Chen Yang said: "The patient's disaster-eliminating condition is that the evil is accumulated inside. It is difficult to resolve the evil without using a purgative prescription, but purgatives do have risks. Da Chaihu Tang, as a conciliatory agent, also has a purgative effect, so it is the best choice."

"Considering the patient's old age and frailty, and his critical condition, Da Chaihu Tang can be used in a way of increasing the dosage from small to heavy, just like when washing clothes, for some clothes that have been worn for too long, use clean water, add a small amount of washing powder or liquid, and gently apply force, judging the strength based on the feel, and wash as much dirt as possible without damaging the clothes."

"From childhood to adulthood?" Qin Dongliang asked.

"Da Chaihu Tang and Xiao Chaihu Tang are gentle conciliatory agents. In other words, they are like a peacemaker who mediates a quarrel."

Chen Yang said: "Even a small dose can play a certain role. It's like trying to stop a fight. When two people are quarreling, one person is needed to help them to step aside."

"Xiao Chen, I didn't expect that you are not only an excellent doctor, but also know so much about some things in life."

Qin Dongliang couldn't help but ask, "You even know how to wash clothes?"

"When I was in Jiping Town, some of the poor households were really poor. I saw the women washing clothes there, and they were very careful."

Chen Yang smiled and said, "And some principles of medicine and life are actually the same."

"well."

Qin Dongliang said: "What you said makes sense, let's do as you said, use Da Chaihu Tang, add some medicines that replenish qi, nourish yin and strengthen the body, the dosage starts from small and then increases."

Zhou Yongtao, Gao Tiancheng and others were listening on the side. They didn't understand Chinese medicine, but they could understand the debate between Chen Yang and Qin Dongliang.

Gao Tiancheng opened his mouth slightly, a little bit unbelieving. Judging from the symptoms, Chen Yang was indeed explaining the truth to Qin Dongliang.

Of course, Qin Dongliang couldn't say that he didn't understand. Just as Qin Dongliang said before he called Chen Yang to come, more people mean more ideas.

With Qin Dongliang's level of expertise, it's not that he can't use medicine, but the patient's identity is special, he is Zhou Yongtao's father, and he is old and the risk is high. In this case, Qin Dongliang found someone to discuss it just to reduce the risk.

When two people discuss and have the same ideas and can convince each other, the probability of error is much smaller. It is like when a person wants to make a decision but can't make up his mind, he always wants to find someone to discuss it with, even if the other person can't give any constructive opinions. During the discussion, it seems that you are convincing others, but in fact you are convincing yourself.

What's more, Chen Yang's level is not bad, even better than Qin Dongliang.