Chapter 252 Clinical Prescription
Dr. Feng sighed with emotion and glanced at Yun Heng in surprise.
Is this young man the Teacher Yun that the other person mentioned just now?
No matter how you look at it, Yun Heng seems to be younger than Ren Xuedong, right?
Of course, Dr. Feng didn't ask any more questions, and still smiled and said: "Today I have a new understanding of traditional Chinese medicine. I didn't understand yin and yang before, and I always felt that there was no logic in treating diseases with traditional Chinese medicine.
, I finally understand today that although the foundations of Chinese and Western medicine are different, some principles are the same."
Ji Fengwen was very happy: "Yes, Xiaoyun's statement is very tenable. Nowadays, many people have misunderstandings about traditional Chinese medicine. We don't even know how to refute it. I think what Xiaoyun said is completely wrong."
Can you use it as a refutation?"
Yun Heng smiled and said nothing.
Ji Feng Wenyan returned to the topic and said with a smile: "Just now, Xiaoyue, Xiaodang, Xiaoren and Xiaoyun all analyzed it very well."
"The patient has been suffering from this disease for more than 20 years. He is a chronic disease patient and is very old. Therefore, the patient not only suffers from water evil, but also has an obvious lack of righteousness..."
As he spoke, Ji Fengwen glanced at everyone with a smile, and then continued: "So what is righteousness and what is evil? Many people don't understand the yin, yang and five elements of traditional Chinese medicine, nor do they understand the righteous and evil qi of traditional Chinese medicine. In fact, it's quite straightforward.
Simple, all the factors that are beneficial to human health are righteous qi, and all the factors that are harmful to human health are evil qi. This qi is not necessarily a specific gas. It can be a kind of energy, a kind of
Operation is a pattern..."
"Just say that people have to eat, and what they eat replenishes what the human body needs, so it can be said that what is replenished is actually righteousness. If it is poison and is harmful to the human body, then it can be said to be evil. It does not necessarily have to be taken away.
Determining what it specifically refers to is a very broad concept.”
"If we divide it in more detail, righteousness can be divided into inner and outer. What is inner? We can understand the inner as the resistance of the human body itself. People themselves have immunity and resistance. This is the inner righteousness. Then
What is external righteousness? Diet, medicine, exercise, and a good environment are all external righteousness."
"Good qi is divided into internal and external, and evil qi can also be divided in this way. What is internal evil qi? The human body is normal in birth, aging, illness and death. As a person ages, the resistance will decrease, and the coordination between various organs will weaken.
, this is a manifestation of the internal evil in the human body. The external evil is external injuries, unhealthy food, bad environment and habits. Everything that is harmful to the human body is external evil."
"Heaven and earth are divided into yin and yang, and qi is divided into good and evil. There can never be only yin or yang in the human body, nor can there be only righteousness or evil. Therefore, when righteousness prevails over evil, people are healthy, and when evil prevails
Righteous energy means that people are sick. At this time, we must use external righteousness to overcome the suppression of evil energy in the human body and restore the human body to a state where righteousness prevails over evil energy. When this state cannot be maintained, it will be natural death.
.....”
Ji Fengwen said with a smile: "So, to use the simplest way to understand Chinese medicine, it is so straightforward. We Chinese medicine practitioners use various methods to treat diseases, such as diet therapy, drug therapy, acupuncture or
Massage, etc. can be done through external
Righteous Qi cures diseases by defeating evil Qi in people's bodies. What we have been doing is not targeting specific bacteria or cells. Our goal has always been only one, and that is evil Qi. To eliminate harmful things, people naturally
He regained his health."
When Ji Fengwen was explaining, Yunheng had already hurriedly took out his mobile phone and started recording. Ji Fengwen talked too much, so Yunheng was afraid that he wouldn't be able to remember, so he simply recorded it. Ji Fengwen didn't say anything after seeing it, and the others also hurriedly
Learn from others.
"I don't have any objection to your recording. Don't upload it to the Internet. I don't want to be an Internet celebrity." Ji Fengwen also joked with a smile.
"Mr. Ji, what you said is so straightforward."
Dr. Feng said with a smile: "When you talked about it today, I felt like I instantly understood Chinese medicine."
"It's good to know more. Even if you don't need it, it's good to understand. Without understanding, you have no right to speak."
Ji Fengwen said with a smile: "You understand here. In the future, when you meet some patients and feel that Chinese medicine is suitable, you can recommend them to see Chinese medicine instead of waiting for the patient to be saved before asking him to try Chinese medicine."
Try, Chinese medicine is not a fairy."
Dr. Feng laughed dryly.
What Ji Fengwen said can be said to be the norm. No doctor will easily recommend the patient to see a traditional Chinese medicine doctor if the patient can be saved a little bit. Only when there is really no other way can the patient see a traditional Chinese medicine doctor. As a result, some people now hear that
The doctor recommended that I see a Chinese medicine doctor, and I was immediately frightened to the point of peeing.
"Okay, let's get back to business and return to the patient."
Ji Fengwen smiled and then returned to the main topic: "Xiaoyue and others have just analyzed that the patient has yin water, which is related to spleen and kidney yang deficiency. So how should we treat the patient based on his condition?"
Someone already knew how to treat it and was about to speak, but Ji Fengwen did not give him a chance, but continued: "From the performance point of view, the patient's symptoms are consistent with Shaoyin's disease, with a fine pulse but the main symptom of sleepiness. At the same time, Corporal
Edema and clear and long urine are consistent with the symptoms of Shaoyin disease. Those with white urine are symptoms of Shaoyin cold syndrome such as lower Jiao deficiency and coldness and inability to control water..."
"In this way, the symptoms will be clear. If the symptoms are clear, we can treat the patient's symptoms according to the symptoms. Zhenwu Decoction has the effect of warming yang and diluting water. It is mainly used to treat yang deficiency and water syndrome, fear of cold, limb syncope, and difficulty in urination.
..."
Ji Fengwen paused again as he spoke: "However, in clinical cases, we need to know how to adapt. The patient's condition is relatively serious. In order to achieve results as soon as possible, clinical injections of traditional Chinese medicine can also be considered, such as intravenous infusion of Shenfu injection, etc.
It has a good strengthening effect of replenishing Qi and Yang.”
Yun Heng listened with great interest.
Ji Fengwen is worthy of being a master of traditional Chinese medicine. When explaining clinical symptoms, he not only analyzed it well, everyone participated in it, but also popularized some common sense in appropriate places, such as the theory of good and evil just now.
During the clinical trial, Ji Fengwen was not old-fashioned. He actually used new types of traditional Chinese medicine, such as some injections of traditional Chinese medicine, which many old-time traditional Chinese medicine doctors were averse to using. This was actually a sign of being stuck in their ways.
TCM medicines should not stick to formalities. Whether it is injections, pure TCM preparations, decoctions, or pills, they can be used as long as the diagnosis is clear and consistent with the symptoms.
Traditional Chinese medicine has a long history. In the beginning, traditional Chinese medicine was not in the form of decoctions, but was eaten raw. Decoctions and pills were all improved through continuous development. The form of traditional Chinese medicine can continue to change according to the development of the times.
, what’s wrong with pills, powders, ointments, and injections?
Just because injections are the result of modern medical research, we cannot abandon them completely.
"Does anyone still have doubts?" Ji Fengwen asked with a smile.
"Ji Lao, "Treatise on Febrile Diseases" records that Shaoyin disease lasts for two to three days, and on the fourth or fifth day, abdominal pain, difficulty in urination, and heavy pain in the limbs...or urination, diarrhea, or vomiting.
, Zhenwu Decoction treats it, but the patient doesn’t seem to meet the main symptoms of Zhenwu Decoction?” Lin Yonggang asked.
"The prescriptions used in clinical syndromes should be based on the actual situation. During dialectical analysis, we should analyze carefully. During clinical practice, we should learn to grasp some of the patient's main syndromes, that is, the 'syndrome'. If the prescriptions and syndromes are consistent, it will be easy to achieve results.
"
Ji Fengwen explained: "Don't read too much. When you encounter symptoms, just use the articles in "Treatise on Febrile Diseases" to deal with them. Zhenwu Decoction has the effect of warming yang and diluting water, and is mainly used to treat yang deficiency and water syndrome... This itself
The prescription and syndrome are already consistent. At the same time, when we are in clinical practice, if the patient has a history of Western medicine treatment before, special attention should be paid to it, because the combined use of various drugs will affect or cover up some clinical symptoms. Do not use it during clinical dialectics.
Pay close attention to the symptoms and choose medication directly according to the pathogenesis.”
"You beginners must start from knowing what is happening to thinking, and then to knowing why it is happening. Of course you need to refer to "Treatise on Febrile Diseases", but you also need to use it flexibly. Besides, "Treatise on Febrile Diseases" has been around for thousands of years.
How many situations have there been in the past thousands of years that are not recorded in the Treatise on Febrile Diseases? If not, wouldn't you know how to do it?"
"I know, Mr. Ji." Lin Yonggang said hurriedly.
"Now that the dialectic is clear, let's use the prescription based on the evidence."
Ji Fengwen smiled, glanced at everyone, and said: "Since Xiaoyue initially examined and analyzed the patient, Xiaoyue will be responsible for the patient."
"Um."
Yue Shaojiang nodded.
"Okay, let's rest for twenty minutes. If you want to go to the bathroom, go out and smoke. If you want to go out to smoke, we will gather in the consultation room in twenty minutes and analyze the case again."
As he spoke, Ji Fengwen watched Yue Shaojiang prescribe the prescription, and then left first, followed by Yunheng and others out of the ward.
"Lao Ji is really amazing."
"Yeah, it's really interesting to study with Mr. Ji."
"Well, I also feel that I gained a lot today."
A group of people were walking and discussing.
The ten students leading the class, except for Yue Shaojiang, who has a famous doctor grandfather, may have enjoyed such treatment. Others, not even Yun Heng, have not enjoyed such treatment.
A master of traditional Chinese medicine personally teaches, and analyzes in detail. Such teaching is rare, even if Dang Siping is relatively well regarded in the hospital.
Chapter completed!