Chinese medicine doctor Xu Yang

Xu Yang asked: "Who said that just now?"

The young doctor stood up anxiously.

Xu Yang comforted: "Don't be nervous, tell me what you think, why do you think it was Yang Sheng at the beginning?"

The young doctor said nervously: "Isn't this acute cholecystitis? In the medical records I have seen, the prescriptions are basically bitter cold and diarrhea, so it must be Yang Sheng. After all, it is an acute inflammation, and the white blood cells are also It’s obviously increased.”

Xu Yang frowned again unconsciously: "I remember I mentioned this issue several times, and I should have introduced relevant medical cases on the public platform."

The young doctor was a little confused, but he also paid attention to Xu Yang. But Xu Yang’s account is divided into two parts. One is for the public and introduces some interesting Chinese medicine knowledge. The other is boring and difficult to understand professional knowledge and theories.

This young doctor is too lazy to study professional knowledge after get off work. He wants to pay attention to Xu Yang, but also to read the gossip and see who Dr. Xu Yang is fighting with again.

The young doctor suddenly became embarrassed.

Xu Yang scratched his furrowed brows with his hand. He didn't expect that after so long of popularizing science, there were still so many people who couldn't get rid of the shackles of the inspection report.

Taking the path of true traditional Chinese medicine is a simple sentence, but it is too difficult to practice, even the provincial hospital of traditional Chinese medicine, let alone other hospitals?

Xu Yang's breathing was a little heavy, and he felt that it was a very difficult road for all traditional Chinese medicine hospitals all over the world to follow the path of Mingxin Branch.

Seeing that Xu Yang stopped talking, the young Chinese medicine doctor's face turned red, and he didn't know if he had said something wrong. In this silent conference room, he didn't even know why he was here.

After finally surviving the ten seconds of silence, Xu Yang pressed his hands and said, "Sit down."

As if he had received an amnesty, the young Chinese medicine doctor quickly sat down, not even daring to raise his head.

Xu Yang said: "I have always said that we Chinese medicine doctors diagnose diseases. We must have the thinking of Chinese medicine and cannot be interfered by some diagnoses of Western medicine. In ancient times, when there was no Western medicine, gallbladder inflammation could not be detected, and peritonitis could not be found. , can’t this disease be cured?”

"Acute inflammation, increased white blood cells, usually seen when Yang is strong, requires clearing away heat and purging fire. But you also need to listen clearly, this is just a general situation, what if it is abnormal? How do you judge whether it is normal or abnormal? "

The audience fell silent again.

Xu Yang sighed: "As I said before, the diagnosis of Chinese medicine must rely on the Chinese medicine's own thinking. Otherwise, it will be difficult for you to reduce the misdiagnosis rate and improve your cure rate. Take this patient as an example."

"Although there is no diagnostic information from our traditional Chinese medicine doctors at the beginning, you should not be confused by the words acute cholecystitis. If you make a mistake here, there will be no way to treat it later."

"We can infer from the patient's symptoms. First of all, the patient is almost 80 years old, and his kidney qi has declined. At first, he had an aversion to cold, fever, and no sweating. Why is this? This is a deficiency of righteousness and an inability to encourage evil to escape."

"At the same time, I occasionally experienced vomiting and abdominal pain, which gradually spread to the whole body. Ignore other Western medicine diagnoses, just look at traditional Chinese medicine, what is this? This is Shaoyin deficiency and cold, and kidney deficiency and cold are the root cause."

"It is also seen that the cold syndrome on the surface of the sun gradually spreads to the deficiency and cold syndrome in the Taiyin. In this way, the patient's lungs, spleen, and kidneys are all sick. This disease is essentially a cold syndrome, with the same disease on the surface and on the inside. This requires the introduction of the general principle Okay, if the symptoms continue, we should treat the symptoms first."

"It's a pity that the superficial cold has not been resolved, and the superficial qi is blocked, so the cold evil can't get out. At this time, the former doctor used more than 30 doses of bitter cold medicine. Isn't this adding insult to injury? It's nonsense! It caused the patient's triple burner qi all at once. Melting ice.”

"Cold evil enters through the skin and meridians, going deep layer by layer. As the true yang declines day by day, the bladder cannot be qi-transformed, and water will naturally swell. The spleen is also yang-deficient and cannot transport water and dampness, and the edema will become more severe."

"The water vapor in the lungs caused the patient's heart palpitations, coughing, wheezing, and phlegm. Eventually, the Yin water overflowed, and all the internal organs were trapped by the Yin and cold. The patient was tired and sleepy, and his limbs had gone backwards. He is now discharged from the hospital in critical condition. state!"

Xu Yang shook his head slightly. The previous doctor's treatment was too ridiculous. It was simply a blind treatment. I completely ignored the syndrome differentiation of traditional Chinese medicine and made prescriptions according to the examination reports of western medicine, and finally came up with this result.

After Xu Yang finished speaking, the place was quiet for a while.

Then it rustled again.

The more upright Dr. Wang Li from before raised his hand.

Xu Yang looked at him, stretched out his hand and said, "You can ask if you have any questions."

Wang Li stood up and asked: "Dr. Xu, the patient's tongue symptoms are obvious tongue symptoms of yin deficiency, red tongue without coating, compared with the patient's symptoms..."

Xu Yang nodded: "Okay, sit down. You are right. The patient's tongue is red, uncoated and dry. Various schools of thought treat Yin deficiency. But look, this patient has symptoms of Yin deficiency. ?"

Everyone in the audience showed confusion again.

This is what they don't understand. This patient's various conditions are very strange.

Even several professors looked at Xu Yang.

Xu Yang said: "This patient has a very typical tongue with yin deficiency. The tongue is as red as a persimmon, coated and dry. But his main symptoms do not show yin deficiency. Why is this? Isn't it? What if the tongue doesn’t match the symptoms?”

"We don't have any instruments to help us check. What we believe is that what is inside must be what is outside. But if it is outside, it may be deceptive information. We have to peel away the clouds and fog to find the truth. "

"That's why there are four diagnoses in traditional Chinese medicine. It's because the four diagnoses must be combined to prevent errors. In this patient, we must decisively abandon the tongue and follow the evidence. According to my experience, many cases of qi deficiency and yang deficiency have been found. , even patients who have lost Yang will have a coated tongue."

"Patients with yang deficiency, especially those with yang deficiency, need to use pure yang products that are highly pungent and hot. In other words, to treat uncoated tongue, you need to use drugs such as aconite. Isn't that right? Is it incredible to go up there?”

Everyone in the audience nodded.

Xu Yang said: "But this is a fact. I have treated many patients with coated tongue using this method, and they all used Aconite to induce body fluids. Let's look at the diagnosis and treatment of the former doctors. If the former doctors also discovered this problem, I'm afraid it wouldn't be possible. If you prescribe such a prescription, the patient's condition will not deteriorate to this point."

Xu Yang sighed regretfully and looked at Professor He beside him.

Professor He whispered to him: "The construction of traditional Chinese medicine in their hospital is very poor. They have always required traditional Chinese medicine doctors to have inspection reports as basis for prescribing prescriptions, so they are generally not allowed to get involved in such severe cases. I don't know how they got involved this time. "

Xu Yang frowned. He didn't expect that in such a big hospital, Chinese medicine doctors would be so miserable. He shook his head and started writing a prescription.

Use Ephedra, Aconite and Asarum Decoction to warm the kidneys, help the yang to relieve the external symptoms, open the external organs of the sun, clear the lungs and open the water channels. Then add Zhenwu Decoction to warm yang and purge turbidity, replenish the source of fire and eliminate yin shading, add ginseng to support vitality, and add osmanthus to promote the transformation of burnt qi.

Xu Yang put the prescription on the big screen, and then had someone take the prescription away and give it to the patient.

However, the critical situation of the patients here has not yet been resolved. The next day, the Chinese medicine team from the first province came to the door.