Chinese medicine doctor Xu Yang

At night, Xu Yang and Professor He did not go out. They were in the courtyard of the Traditional Chinese Medicine Hospital, sitting on the edge of the flower bed.

Professor He opened a pack of newly purchased cigarettes and touched his body, only to realize that he did not buy a lighter.

Xu Yang asked: "Teacher, don't you not smoke?"

Professor He nodded and said, "Yes, I have never smoked. I just wanted to smoke for no reason today. I bought cigarettes, but I forgot to buy a lighter."

Professor He shook his head, simply stopped caring about the lighter, took out a cigarette, put it in his mouth, and held it like that.

The two masters and disciples just sat like this, silent.

It was getting darker and darker, and the street lights were all on.

Xu Yang slowly lowered his head and said softly: "Teacher, I'm sorry for making you worry."

Professor He looked up at the stars in the sky with a somewhat distant gaze. He replied lightly: "I can't say that I'm worried. I just think you are too good now."

Xu Yang asked: "Isn't this bad?"

Professor He shook his head: "Not good."

Xu Yang showed a puzzled expression.

Professor He bit the cigarette in his mouth and said: "Although I have always considered you to be my most proud student, although I have always thought that you will improve very quickly after entering clinical practice, and you will even be able to stand alone in a few years." one side."

"But I think I still underestimated you. Your medical skills have improved too fast. I don't know who you are studying with during this time. Are there really a group of great experts taking turns teaching you?"

Xu Yang didn't know how to answer for a while.

Professor He said: "But even if a group of powerful countries take turns teaching you, you will not progress so fast. Maybe you are really a genius. Now I actually feel that your medical skills are no worse than mine."

"I am your teacher. In fact, you are better than your predecessor. This is the happiest thing for me, but now I can't laugh at all." Professor He turned to look at Xu Yang.

He said: "I can see the shadow of the old Chinese doctor Li Ke from your words and deeds, your medication style, and your academic thoughts. You are as good as him, and you have the same anger as him. During this period, you are following Has Mr. Li’s apprentice learned?”

Xu Yang lowered his head and didn't answer.

Professor He looked at Xu Yang for a while, and when he saw that he refused to answer, he stopped asking. He just said: "But you and Mr. Li are different after all. Mr. Li has become famous. He can be angry, but you can't Yes. You have medical skills, but no status. If something happens to you, no one will protect you."

Xu Yang was a little confused for a moment.

Professor He took off the cigarette from his mouth, stuffed it into the cigarette case and put it away. He said: "The current medical environment is actually very poor for traditional Chinese medicine. There are pharmacopoeias at the top to strictly guard against it, and judicial appraisals at the bottom to pursue and block it. It is difficult for traditional Chinese medicine to practice medicine."

"It is more difficult to treat critical and severe diseases. To treat these diseases, traditional Chinese medicine has to take risks. You know that Yongantang lost 5 million for 40g of pinellia ternata, right?"

Xu Yang nodded.

Professor He said: "I know that you admire Mr. Li's academic thoughts. You should know that Mr. Li uses pinellia, all of which are raw, and the dosage is up to forty or fifty grams."

"In fact, not many people dare to use raw pinellia in clinical practice, although everyone knows that Zhongjing uses raw pinellia. Although Mr. Li has proved the effect of raw pinellia with his curative effect, and added an equal amount of fresh ginger. As far as the experience of monitoring its toxicity is concerned, even though Zhu Liangchun, the master of traditional Chinese medicine, also uses raw pinellia."

"But no one dared to use it, and no one dared to overdose. Everyone was afraid. After the Yongantang incident, all pharmacies in traditional Chinese medicine hospitals and private clinics could only take medicines in strict accordance with the pharmacopoeia regulations. Violation."

Professor He said to Xu Yang: "Xu Yang, I know you are very angry. You are angry that so many provincial experts did not dare to use the dose of aconite in the prescription when facing this patient, so that they could not open ice to thaw, but dragged the patient away. It has become a serious illness."

"Actually, we all know the true dosage in the prescription, but no one dares to use it. You have seen that the former doctor Wu Fudu used several times the standard dosage. Of course you feel that he did not do enough, but you know that he wants to prescribe the medicine. Do you need to bear much pressure to come out?"

Xu Yang was startled.

Professor He said: "He needs to explain to others over and over again why he uses highly poisonous medicine in this way. He needs to sign many times before the pharmacy can prescribe the medicine. He needs to ask the patient to sign a waiver, and he also has to sign it himself. Agreement. That’s it, the hospital is still very reluctant because they don’t want to take on this responsibility.”

"I know that you have always had the spirit of a great doctor and are dedicated to saving people without considering personal gains and losses. But can you bear the consequences? You don't have a wife and children, but you have parents. Who can bear the huge compensation? You What will your parents do if their license is revoked or even jailed?”

Xu Yang's lips trembled a few times.

Professor He's mouth showed a hint of helplessness, and he said: "The same goes for those experts, some old at the top and young at the bottom. They wholeheartedly went to save them, but who will protect them? In fact... we really shouldn't treat doctors like this. We shouldn’t pass all the risks to doctors.”

Xu Yang sighed and lowered his head, his eyes showing confusion for the first time.

Professor He shook his head and said: "Let me tell you another story. Two years ago, I treated a patient who had suffered from liver cirrhosis for 7 years and was hospitalized several times. Later, he went to a private Chinese medicine clinic in the provincial capital for treatment. The Chinese medicine doctor took his examination report and prescribed the right medicine."

"When it hardens, add soft and hard things such as tortoise shells and turtle shells. If you see that the transaminase is high, use Schisandra chinensis or Pseudostellariae heterophylla. Because modern pharmacological tests have found that the schizandrol in Schisandra chinensis can effectively reduce transaminase, and the schisandrin in Pseudostellariae heterophylla is effective. The ingredients also have this effect.”

"When he saw the patient's urine was yellow, he used isatis root to promote gallbladder and reduce jaundice; when he saw the patient's hemoglobin was low, he added ginseng, stilbene, gui, and rehmannia. Then he emphasized a diet of three low and one high, treating the disease according to the disease, treating the disease according to the disease, and completely Treat patients according to pharmacological tests.”

Xu Yang shook his head: "Idiot!"

Professor He said: "Yes, he is an idiot. The patient took his medicine and felt uncomfortable all over. Later, he ate carelessly and suffered esophageal venous bleeding. After rescue, the bleeding stopped."

"Later, the patient was introduced to me for treatment. I found that his five internal organs were exhausted and dangerous, so I hurriedly rescued the stomach qi and protected the five internal organs. I used Lizhong Decoction combined with Shenling Baizhu Powder. After taking it for a while , his symptoms improved."

"He also learned from my mouth the harm done by this quack doctor. He was also very angry, so he took this quack doctor to court and asked him to take responsibility."

Xu Yang asked: "What was the result?"

Professor He shook his head: "The patient lost the lawsuit."

Xu Yang's expression also darkened.

Professor He's tone became calmer: "The dosages prescribed by this quack doctor are all in compliance with the pharmacopoeia regulations. As long as the patient is not cured within the regulations, it is due to individual reasons and not the doctor's responsibility."

"As for his compatibility. Traditional Chinese medicine has the right to draw up its own prescriptions. He does not understand dialectics and simply uses pharmacological reports to treat diseases. Treat the symptoms according to the symptoms, and treat the diseases according to the symptoms. In our opinion, this is a big mistake, and quack doctors are harming people. .”

"But the judicial appraisal agency, after very scientific pharmacological testing, proved that Schisandra chinensis does contain effective substances that can reduce transaminase. The effective substances in Shenqi can indeed replenish blood. Isatis root does have anti-endotoxin effects."

"So his medication was not at fault. As for the diet of three low and one high, it is even more correct. In fact, the right to interpret traditional Chinese medicine has not been owned by traditional Chinese medicine long ago."

Xu Yang's breathing suddenly became heavy.

Professor He sighed and said: "After this incident, I also paid attention to this quack doctor. He has been sued in court several times, but every time he escaped unscathed."

"Huh... He has been doing a lot of marketing and various publicity on the Internet these years. Many patients from other places also come here because of his reputation, so his first diagnosis rate is very high, but the follow-up diagnosis rate is very low. The patients who have been delayed by him these years I don’t know how many there are.”

"It is said that he has bought three houses in the provincial capital. Is it very successful?" Professor He said with a lot of helplessness on his face, "Xu Yang, this is the reality we face."

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