Chinese medicine doctor Xu Yang

He said: "Our hospital has now achieved integrated real-time updates of information. When we discuss the condition, all patient data are visible."

"As for this patient, we have already mentioned it before. He is 33 years old, married and has children. He has pain on both sides of his lower abdomen and refuses to press it. He has a yellow discharge and a foul odor. Gynecological examination of the anterior uterus. Laboratory test: white blood cells 19500, neutral 80, diagnosed as chronic pelvic inflammatory disease and acute infection, other information is also on it."

"Traditional Chinese medicine gynecology is the dominant discipline of our hospital, so many gynecology patients who have been diagnosed by Western medicine are still willing to transfer to us for treatment. Okay, without further ado, let's invite everyone to cooperate. Let’s have a consultation and discuss the condition!”

Everyone looked at Xu Yang and Shen Yuyan.

The teacher leading the team said: "Let's do this. You two write down the diagnosis conclusion and the prescription to be prescribed on paper and give it to me, and then you can discuss it."

Shen Yuyan and Xu Yang wrote it as instructed and handed it over to the leading teacher.

Everyone's eyes brightened, the show was about to begin.

Shen Yuyan looked at Xu Yang with questioning eyes.

Xu Yang nodded slightly to him very humbly.

Shen Yuyan said: "Then let me talk about my diagnosis first. Everyone knows the physical condition. According to the diagnosis of traditional Chinese medicine, the patient's pulse is slow and thin, with a pulse of 58 beats/min."

Xu Yang nodded slightly, Shen Yuyan's pulse diagnosis was very correct.

Although Shen Yuyan is young, she comes from a family of Chinese medicine practitioners and has studied Chinese medicine since she was a child. Her medical skills have always been better than those of her peers, so over time, she has developed a sense of confidence and pride.

Shen Yuyan raised her head slightly, her tone was gentle and her expression was calm, as if she was dealing with a very easy condition. She said: "The patient's tongue seems to be pale, fat and watery. His stomach is sour and rotten, he is vomiting, his waist is tired and his knees are cold. She feels tired and sleepy, and her complexion is red."

"One breath and three pulses is a slow pulse. Late pulses with many symptoms are associated with cold syndrome, while thin pulses may be associated with dampness or deficiency. A pale tongue is also a cold syndrome, especially if the tongue is fat and slippery, it shows the characteristics of cold-dampness and spleen deficiency."

"Although the patient has been diagnosed with acute pelvic inflammatory infection, and although the blood count is very high, the disease is by no means a heat syndrome, and heat-clearing and dampness-clearing agents must not be administered."

Xu Yang nodded again.

Even the director of gynecology on the stage kept nodding.

If nothing else, this analysis alone is very impressive. How many Chinese medicine doctors, when they see inflammation or high blood count, just give cold medicine without thinking. Isn't this a sin?

Shen Yuyan said loudly: "The transformation of Gao Liang into Ying Wei is over, and the body of Quinoa is poor in Qi and blood. In clinical practice, we must not ignore the syndrome differentiation and treat the disease based on the diagnosis, especially now that the patient's face is as red as make-up."

"In addition, his waist is trapped and his knees are cold. This is obviously true cold below and false heat above. This is a critical situation where the floating fire is forced up and becomes a Dai Yang syndrome. If you dare to throw yourself into the cold at this time, then The separation of yin and yang is just around the corner, and I'm afraid the patient will be admitted to the ICU in the afternoon."

After speaking, Shen Yuyan glanced at Xu Yang again.

The young people nearby were all surprised.

The director of the Department of Traditional Chinese Medicine and Gynecology once again looked at Shen Yuyan with admiration. She really deserves to be from a family of traditional Chinese medicine that has been passed down from the Ming Dynasty to the present. It is really rare for such a young girl to have this ability.

Xu Yang also nodded and praised: "The analysis is very good."

Shen Yuyan rolled her eyes, "I'm so damn proud of you."

Xu Yang knew in his heart that based on this analysis and diagnosis level alone, Shen Yuyan was definitely much better than the TCM gynecologist in Wenxian County, and he would be able to take the leading role when he arrived in Wenxian County.

If the level of medication is acceptable, you can go to the city's traditional Chinese medicine hospital and become an expert. Xu Yang's eyes suddenly became warm, what a talent!

Seeing Xu Yang's disgusting look, Shen Yuyan curled her lips and held back the dissatisfaction in her heart. She continued: "So even though the patient has acute pelvic inflammatory disease, it is a rare cold syndrome."

"So to treat this disease, cold medicines must not be used, but hot medicines must be used. This is the Sini Decoction syndrome of Shaoyin disease, so Sini Decoction must be used to warm the body and dispel the cold."

"You see, her tongue is pale, fat and slippery, and her stomach is sour and rotten, causing vomiting. This is because the middle and upper qi has no power. The aconite in Sini Decoction can burn the real fire of life and warm the cauldron of the spleen and stomach. The spleen and stomach are healthy and the natural qi transformation is normal. , the symptoms can be relieved. Moreover, Sini Decoction can warm the inside and dispel cold, and can relieve the danger of real cold in the lower Jiao and false heat in the upper Jiao."

"In addition, combined with Shaofu Zhuyu Decoction, this prescription can also warm up the cold in the lower Jiao and help relieve the danger of Dai Yang. At the same time, its effect of removing the stasis in the lower Jiao is also beneficial to patients with pelvic inflammatory disease."

"The patient has always been overworked, so the rare acute pelvic inflammatory disease caused by cold syndrome occurs due to physical weakness and weak righteousness. Therefore, he also needs to use medicine to strengthen the body. I add Codonopsis pilosula to replenish qi and strengthen the body. Poria cocos strengthens the spleen, promotes the gasification of the middle burner, and protects the spleen and stomach. Add a small amount of cockscomb to stop bleeding and yellow bands, and that’s my complete recipe.”

After finishing speaking, Shen Yuyan looked at Xu Yang and smiled.

Others were also impressed.

awesome!

Not only is the diagnosis well-founded and extremely accurate, the formulation is also extremely clever and very accurate. He was not deceived by the patient's illusion at all. It was an extraordinary skill!

Everyone looked at Shen Yuyan differently. He was indeed a family of traditional Chinese medicine that has been passed down for hundreds of years. It was incredible!

The director of the Department of Traditional Chinese Medicine and Gynecology at the top also nodded solemnly, looking at Shen Yuyan with a slightly fiery look in his eyes. Even he was thinking of poaching Shen Yuyan.

Shen Yuyan raised her chin towards Xu Yang and teased: "Doctor Xu, it's your turn."

Xu Yang said, "You have finished speaking. I have nothing more to say."

Shen Yuyan said amusedly: "Are you giving up now? Ha, then you have to prepare mops and rags quickly."

Xu Yang turned to look at the teacher leading the team and smiled: "Admit defeat? That's not true."

The teacher leading the team had also been looking at the paper written by the two. He spread it out and said: "The diagnostic conclusions of the two are completely consistent."

Shen Yuyan's expression was slightly condensed.

The teacher leading the team added: "The prescription is also Shaofu Zhuyu Decoction combined with Sini Decoction plus flavor."

Shen Yuyan suddenly frowned, why are you using the Sharingan?

The teacher leading the team said again: "There are some deviations in the dosage and details of several medicines. Director Zhou, please take a look."

The leading teacher took the paper and handed it to the director of gynecology.

The director of the gynecology department took over and looked at it with a frown. After a while, his brows suddenly twitched and he couldn't help but look up at Xu Yang with a look of surprise.

Director Zhou's actions aroused everyone's curiosity.

Shen Yuyan couldn't help it anymore and said, "Director Zhou, can you let me take a look?"

Director Zhou did not refuse, and directly took the piece of paper from Xu Yang to Shen Yuyan. Everyone else came over, and what they saw was the beautiful handwriting.

Shen Yuyan found that Xu Yang's prescription was very similar to hers, but there was a difference in dosage and several medicines.

"Alismatis?" Shen Yuyan raised her head and asked Xu Yang.

Xu Yang said: "Wenli dispels the cold, and after the righteousness returns, the pelvic inflammatory disease due to deficiency and cold will turn into a heat syndrome. If there is heat and diarrhea in the first prescription, you must remove the silt and help it go away. , so using Alisma is more effective and is also beneficial to the change after the condition becomes milder."

Shen Yuyan nodded slightly when he heard this: "Cockscomb, you also used 30g?"

Xu Yang said: "The patient has yellow discharge. You won't be able to get the effect with a small dose. Don't worry too much. Each of these two medicines uses 30g of cold and cooling properties. I added 15g of aconite. It is controlled by the hot medicine, so there will be no problem." of."

Shen Yuyan frowned again: "What about this Yougui?"

Xu Yang smiled: "The Guangui in Yi Shaofu Zhuyu Decoction is Guigui, which is used to draw the floating fire downwards. This is the medicine that guides dragons into the sea. Although the amount is small, only 3g, its effect is very obvious. "

"This is based on experience. Next time you encounter floating fire rising up, you can add 3g less osmanthus oil to the recipe and swallow it with rice pills. It will lead the dragon into the sea. The effect will be very fast."

Shen Yuyan's expression suddenly condensed.

Xu Yang added: "Actually, your diagnosis is very correct, and there is no problem in prescribing and using the medicine. It's just that your sophistication in using the medicine is slightly lacking. Your prescription can also cure her, but I get the effect faster and the effect is better than yours." OK, that’s it.”

Shen Yuyan's face suddenly stiffened.

Xu Yang smiled kindly and said gently: "Go home and pack your things. Remember to bring more clothes. We don't have heating over there. It's cold..."