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

In the afternoon, there were still speeches.

Han Mingzhi, Mo Xinzhi, Qi Xinghuai and others made detailed analysis and prospects on the current status of traditional Chinese medicine and its future development.

In the evening, several young doctors from Lingnan, including Han Xingwen, Yang Lei, Liu Zhengxu and Li Chengjie, gathered together to eat and chat.

"Today, Mr. Mo analyzed the development of Chinese medicine in the new era. What do you think?" Han Xingwen asked several people.

"As Chinese medicine has developed to this day, it must keep pace with the times."

Yang Lei said: "As far as the current situation is concerned, many high-tech products such as pulse diagnosis instruments and electroacupuncture have begun to be used in clinical practice. Many Chinese patent medicines and Chinese medicine prescriptions have been included in medical insurance and conventional medicines. The proportion of over-the-counter medicines is also increasing, which can greatly reduce the threshold for learning Chinese medicine."

Mo Xinzhi is the leader of the new school of Chinese medicine. In this meeting, Mo Xinzhi's speech was naturally from the perspective of the new school of Chinese medicine.

In fact, Mo Xinzhi's great influence in Lingnan is also related to the gradual growth of the new school of Chinese medicine. Even some Chinese medicine families such as the Han family are constantly innovating.

"Modern technological products, to a certain extent, do need to be more professional, especially the latest artificial intelligence medical care, which we need to pay attention to," Li Chengjie also said.

Artificial intelligence has only just started to develop in the past two years and is not yet very mature, but no one dares to ignore the development of artificial intelligence.

After all, in just over a decade, technological development has been truly rapid.

Fifteen years ago, smartphones were not very mature, but today, to what extent have smartphones developed?

Although artificial intelligence is just getting started, its prospects are foreseeable as time goes by.

Even in the early stages of development, many professions have already experienced panic.

Especially in the writing field and some clerical staff.

As far as the field of writing is concerned, some creators such as poets and short essays are gradually being eliminated. The quality of poems and short essays created by artificial intelligence can definitely be considered top-notch.

Artificial intelligence is still lacking in the story construction and character creation of novels, but even so, many literary workers still feel pressured.

In the medical field, the database allows AI to review various checklists to make diagnoses and confirm cases.

"By the way, what do you think about the discussion session the day after tomorrow?" Han Xingwen asked with a smile.

"From the list, it can be seen that Xun Jiahong from Kyoto did not come this time. Lin Yi from Shen City and Wen Lao's grandson Wen Haohui are worthy of attention." Liu Zhengxu said.

"Lin Yi and Xia Hongliang both respect Chen Yang very much." Yang Lei said with a smile.

"Chen Yang is recognized by the Wen family, so he must have some ability, but he is still young after all."

Han Xingwen said: "In my opinion, Lin Yi and Xia Hongliang pushed Chen Yang to the front, just hoping that we would focus on Chen Yang. Elder Wen's grandson-in-law is indeed worthy of attention."

"We in Lingnan can't lose face in the new Xinglin Discussion Session this time." Yang Lei said with a smile, "We can't win all of the four awards, but we should at least win three, right?"

"That depends on whether the young talents from other places have the ability." Li Chengjie said with a smile.

This time, the exchange will add a session called "Young Doctors Discussing the Dao" with four awards. If there are no doctors from other places winning the awards, the winners will basically be the four people present.

However, Lin Yi from Shen City and Wen Haohui from Kyoto are indeed strong rivals, and Han Xingwen and the other three dare not ignore them.

In a conference of this scale, if you want to win an award, you really need real skills.

After all, in terms of background, Wen Haohui, Wen Manlu and Chen Yang all have good backgrounds. Even Lin Yi has a background.

.......

On the other side, in Wen Haohui and Liu Xi's room, Chen Yang, Wen Manlu, Lin Yi, and Xia Hongliang were also gathered together chatting.

"Chen Yang, what do you think of Mr. Mo's speech today?" Wen Haohui asked Chen Yang.

“I agree with some of the views.”

Chen Yang said: "For Chinese medicine to develop, it must keep pace with the times and cannot remain unchanged. However, I do not agree with some of the views."

"Doctor Chen, tell me about it." Lin Yi asked with a smile, and Xia Hongliang also pricked up his ears.

After having been in contact with Chen Yang for such a long time, Lin Yi and Xia Hongliang had to admit Chen Yang's level and cognition. Some of Chen Yang's views and ideas are worthy of attention.

"In fact, medical history has already clearly told us how Chinese medicine should develop and what we should pay attention to."

Chen Yang said: "In the 5,000-year history of China, although many aspects have been overtaken in modern times, traditional Chinese medicine has never stagnated..."

"Although doctors did not have a high status in the past, there were famous Chinese medicine experts in every dynasty, and Chinese medicine has been developing all the time. It was just limited by the social environment at that time, and the development of surgery was slow."

Listening to Chen Yang's words, Lin Yi and others nodded. This was undeniable.

In addition to surgery, Chinese medicine's internal medicine has indeed been developing and its theories have been constantly improved, with famous experts in every dynasty making additions.

Many people have a misunderstanding about Chinese medicine, thinking that the older it is, the better. In fact, this is wrong.

Even famous doctors such as the Medical Saint Zhang Zhongjing and the Miraculous Doctor Hua Tuo, if they were in modern times, would not necessarily be better than Wen Xiuping, Chu Yiyun and others.

Traditional Chinese Medicine is an empirical medicine. The more diseases a doctor sees, the more case histories he studies, and the more theories he masters, the higher his level will be. How many new diseases and theories were discovered after Zhang Zhongjing?

People respect Zhang Zhongjing mainly because of his contribution to traditional Chinese medicine. "Treatise on Febrile Diseases and Miscellaneous Diseases" has a very important position in the history of traditional Chinese medicine.

"In fact, I personally agree with Sun Simiao's medical philosophy of 'putting people first'."

Chen Yang said: "Traditional Chinese medicine is a kind of medicine with warmth. Although modern technology is constantly developing and artificial intelligence is beginning to be used in medicine, it still has its limitations, especially in traditional Chinese medicine."

"The reason why many famous Chinese medicine experts are able to turn the tide is not only because of their excellent medical skills, but more importantly, they have a kind heart. When treating patients, the best plan is not determined by a cold machine."

Chen Yang said slowly: "Just like Chinese medicine practitioners, they have always been disgusted with the one-size-fits-all approach of modern medicine, but in reality, sometimes a one-size-fits-all approach may not be the best solution."

"for example......."

Chen Yang pondered for a moment and continued, "A migrant worker is losing his legs. There are currently two options. One is amputation, which will definitely save his life. The other option is to take a risk. There is a 30% chance of saving his legs, but a 70% chance of putting the patient's life in danger. What will the artificial intelligence choose at this time?"

"It must be amputation." Mo Haobo said.

"But once amputation occurs, what will be the consequences? Sometimes living is more painful than death!" said Chen Yang.

Everyone was silent.

This choice is a very difficult one. If it were the people present, they would not know how to choose. The example Chen Yang gave was just to tell everyone a truth.

Medical treatment should not be cold!

"It's just like when we prescribe medication in clinical practice."

Chen Yang continued, "We can use different prescriptions for different patients. If the patient's family is well-off, we can choose more expensive herbs to shorten the patient's recovery period. But if the patient's family is poor, we can choose cheaper herbs to reduce the patient's burden..."

"But if AI is allowed to choose, it will not consider the actual situation of the patient and will only choose the best treatment plan."

Chen Yang continued, "As for the pulse diagnosis instrument, it has been around for several years, but how effective is it in actual clinical use?"

"The patient's age, physical condition, diet and even emotions will affect treatment. Modern technology has advantages, but it is still lacking in some aspects."

"In fact, in my opinion, modern medicine has its own model, and traditional Chinese medicine has its own model. Each treatment has its own characteristics. There is no need for traditional Chinese medicine to compare with modern medicine."

"In terms of extensive treatment, modern medicine has enough advantages. If traditional Chinese medicine is the same as modern medicine, is it necessary to distinguish between traditional Chinese medicine and Western medicine?"

"In grassroots hospitals, I have seen too many problems that machines cannot solve."

Chen Yang said slowly: "When I was at Jialin County Hospital, I met an old man who had stubborn hiccups. Western medicine said it was diaphragmatic spasm, and all kinds of antispasmodics were useless. When I went to check his pulse, I found that his pulse was stringy and thin, and his tongue was covered with a thin white coating. After asking him, I learned that his son had just had an accident at the construction site. The old man couldn't sleep all night, and the more he thought about it, the more he held his breath, and the hiccups came."

"Emotions cause illness." Wen Manlu continued softly, "The Yellow Emperor's Classic of Internal Medicine states that 'anger causes the qi to rise, joy causes the qi to slow down, and sadness causes the qi to disappear.'

At this time, even if the most advanced AI is used for diagnosis, it will not be able to find out the emotional causes behind the condition. What is needed is more detailed observation.

"That's right." Chen Yang nodded. "I prescribed Sini San combined with Banxia Houpu Tang for him. While using the medicine to relieve liver and depression, I chatted with him for two hours. The old man said that after his son left, he didn't even have anyone to talk to. He didn't expect that a young doctor like me would be willing to listen to his nagging about these 'useless' things."

Xia Hongliang thought thoughtfully: "Is this the human touch of traditional Chinese medicine?"

The room was silent for a moment, and Mo Haobo suddenly spoke up: "But now the tertiary hospitals see hundreds of patients every day, and doctors simply don't have time to talk to each patient for two hours. This is when the efficiency advantage of AI is reflected."

He paused and added, "Moreover, the pulse diagnosis instrument can standardize the pulse and reduce human errors. Isn't this a good thing for the inheritance of traditional Chinese medicine?"

Lin Yi nodded after thinking for a moment: "You are right. Now many Chinese medicine schools are promoting the use of pulse diagnosis instruments. Students no longer have to rely on the oral and mental teaching method of 'master teaching apprentices' to learn pulse diagnosis."

Chen Yang smiled and said, "But the pulse diagnosis instrument measures 'diseases', not 'people'."

"Look, when Ye Gui treated cough, both were caused by insufficient lung yin, he used Adenophora and Radix Ophiopogonis Decoction for scholars, while he added Radix Astragali and Atractylodes Macrocephala for craftsmen. The former suffered from prolonged sitting, which damaged the Qi, while the latter suffered from overwork, which damaged the spleen. The same disease, different people, had very different treatments."

"Then how do you think traditional Chinese medicine should be combined with modern technology?" Xia Hongliang asked, "We can't just reject it, right?"

“Of course not.”

Chen Yang took out his mobile phone from his bag, turned on the artificial intelligence, and entered a few commands.

"The prescriptions in Treatise on Febrile Diseases and Synopsis of the Golden Chamber are classified according to constitution, symptoms, tongue coating and pulse condition. When primary care doctors encounter difficult diseases, they can quickly search for similar medical records, which can help us find gaps and fill in the gaps. However, the doctor is still the one who makes the dialectical analysis."

Chen Yang said: "So I agree with part of what Master Mo said. Chinese medicine practitioners cannot be complacent, but they must stick to the bottom line and stick to the theory of Chinese medicine."

Xia Hongliang seemed to be lost in thought. He remembered the three taboos that Xia Wenyao had told him as a doctor: avoid mechanical diagnosis, avoid ignoring human relations, and avoid blindly believing in authority.

At this moment, Xia Hongliang suddenly understood why Chen Yang could win the heart of a gifted girl like Wen Manlu - because he was not curing the disease, but the sick person.

"so......"

Chen Yang concluded: "The development of traditional Chinese medicine should not be the opposition between technology and humanity, but should be 'holding the tool of technology in the left hand and the light of benevolence in the right hand'. Just like acupuncture, we can use electroacupuncture instruments to enhance the efficacy, but the feel of the needle when inserting the needle and the communication between doctors and patients when getting the qi can never be replaced by machines."

Listening to Chen Yang's words, everyone couldn't help but think of what Mo Xinzhi said in the morning: "Use 'efficacy' as a yardstick, and 'benevolence' as a scale. Don't be trapped by false reputation, and don't be confused by superficial profits."

Although some of Mo Xinzhi's ideas differ from Chen Yang's views, both of them have a compassionate heart as a doctor.

It is normal to have academic differences, but one must have a righteous heart.

As he spoke, Chen Yang thought of Meng Xulin and said with a smile: "In fact, treating illness is sometimes like cooking. When cooking vegetables, you need to use less oil and salt for the elderly, but you need to stir-fry them more vigorously for athletes..."

"We can think of modern medicine as running a restaurant, which requires a uniform taste, but Chinese medicine is more like a private chef, which requires a fixed amount of food based on each person's taste."

"What Dr. Chen said is very good."

Lin Yi said: "After listening to Doctor Chen's analysis, I suddenly understood."

"Brother Chen really said it very well."

Mo Haobo said: "I think it's better than what my grandfather said."

Chen Yang smiled and said, "I am just expressing my personal opinion. The characteristic of Chinese medicine is that every doctor has his or her own characteristics. You can learn from them, but you cannot lose your original character."

"The doctor's demeanor and tone of voice are medicine in themselves."

Wen Haohui said slowly: "Now I understand a little bit what my grandfather said."

"good."

Lin Yi nodded, and he couldn't help but recall that when he and Xia Hongliang went to the Affiliated Hospital of Shanzhou Medical University, he saw Chen Yang and Wu Mengmeng treating a female patient in the outpatient clinic.

At that time, the female patient talked a lot, but Wu Mengmeng and Chen Yang listened patiently.

Chen Yang is not just talking, but doing, truly achieving consistency between words and deeds, and unity of knowledge and action.