“What is Chinese medicine thinking?”

Yunheng continued: "Traditional Chinese medicine divides deficiency and excess, cold and heat, and yin and yang. The organs in traditional Chinese medicine are different from those in modern medicine. How can we apply such concepts in actual clinical practice?"

"The patient already has a weak spleen and stomach, and most of the prescriptions used are bitter and cold and can upset the stomach. If such prescriptions continue to be used, they will only worsen the patient's condition. Therefore, we must emphasize the importance of traditional Chinese medicine thinking in actual clinical practice."

"Since you use modern medical thinking to diagnose, then use modern medical methods to treat. Don't use modern medical thinking, and then use traditional Chinese medicine prescriptions. This is extremely irresponsible to the patient."

"Let's talk about the case just now. The patient was emaciated, weak, and had loose stools. This is obviously a symptom of a weak spleen and stomach. At the same time, the patient's left hand Guan pulse is stringy and strong. This is because the liver pulse is found in the spleen position. It is a pulse condition in which the liver is strong and restrains the wood. This is

It’s very basic stuff.”

"But just now, Dr. Jin discovered the problem. Others completely turned a blind eye to these situations and focused entirely on the virus. For liver virus carriers and chronic liver disease, then they need to clear away heat, dampness and detoxification?"

A group of young doctors from Tongji were speechless when asked by Yun Heng. Even Jin Shijie was a little ashamed.

If this disease is diagnosed completely according to the dialectical thinking of traditional Chinese medicine, it is really not difficult. The symptoms are clear and the pulse condition is consistent. There is no need to worry too much, and then a suitable prescription can be formulated according to the patient's symptoms.

At that time in Tang Hua, there were some differences in the prescriptions for this disease, but they were not too big. If the dialectics were accurate, many aspects could be taken into consideration when selecting medicines. But if the dialectics were wrong, the prescriptions would have to be the same.

something went wrong

From the perspective of traditional Chinese medicine, the patient suffers from liver and gallbladder stagnation, weak spleen and stomach, and insufficient yin and blood. From the treatment point of view, it is natural to relieve stagnation of heat in Shaoyang, warm and nourish spleen yang while nourishing yin and latent yang. But if the patient is simply concerned about the hepatitis B virus, what should be used to clear away heat?

Prescriptions for diuresis and detoxification are completely different.

The difference between the two is huge, not just a tiny bit.

"No wonder Mr. Kou mentioned this issue yesterday."

Liao Xiangjun talked softly with Li Zhongqun.

When someone just mentioned a prescription for clearing away heat, diluting dampness and detoxifying, Liao Xiangjun was a little disappointed.

From Liao Xiangjun's perspective, Liao Xiangjun naturally did not want his doctors to be too embarrassed.

From Sun Bocheng's mouth or Qi Jianping's mouth, Liao Xiangjun had some idea of ​​Yun Heng's level. Yun Heng's level should be better than that of Jin Shijie and Du Jinming, but there should be a limit to how strong he can be, right?

Now let’s not talk about Jin Shijie and Du Jinming, the others are far behind.

Liao Xiangjun noticed that there were actually quite a few people who supported the plan of clearing away heat, diluting dampness and detoxifying.

"If the medicine fails to cure the disease, it will inevitably damage the spleen and stomach and affect absorption, which will cause the patient's body to become even more emaciated. Then our doctor said that this is caused by chronic liver disease. Most patients with liver disease lose weight, and then they continue to clear away heat, dampness and detoxification?"

Yun Heng said slowly: "So, in actual clinical practice, correct treatment thinking is very critical..."

After saying that, Yun Heng paused and continued: "I think you need to have enough eyesight and ability to 'watch people and prepare dishes'. At the very least, you must be able to spot the right person before you can prepare the right dish.

Otherwise, it would not be 'looking at others' food', but looking down upon others."

"I'm sorry!"

Zheng Feiping almost went berserk.

That’s too much!

In fact, Yunheng really didn't mean to target Zheng Feiping at this moment, he was just saying it to suit his needs, but Zheng Feiping didn't think so.

This is endless.

If he hadn't been reluctant to work, and if the department director hadn't been right next to him, Zheng Feiping might have exploded on the spot and gone to hell.

"Let's talk about another medical case!"

Yun Heng continued: "The patient, a 43-year-old female, developed symptoms such as fear of cold and high fever after being exposed to the rain. The symptoms became more severe at night. She was irritable, frightened, and sometimes talked nonsense. In severe cases, she even

Will suddenly fall into coma..."

"The patient had already been seen in many hospitals when he was receiving treatment, including doctors of traditional Chinese medicine, and the prescriptions used included..."

This disease was also encountered during the training class at Tanghua Hospital. At that time, Dang Siping, Yue Shaojiang and others subconsciously judged that it was heat entering the blood chamber, and Yun Heng also took out the medical record.

Over the past year, Yunheng has seen many patients. In addition to practicing in the simulation space, there are also patients encountered in reality. There are many representative patients among them. The chronic liver patient just now and this patient are both Yunheng

Medical records considered to be representative.

Many people will subconsciously think that the title of Yun Heng's thesis is a bit exaggerated when they see Yun Heng's age. What is the summary of thousands of clinical experiences?

This is simply nonsense. Few doctors who work in hospitals have the experience of treating thousands of cases before they obtain the title of attending physician.

But in fact, even if Yunheng does not count the practice in the simulation space, he has tens of thousands of actual treatment experiences. No matter what kind of patient he is, this experience is definitely real.

Traditional Chinese medicine pays more attention to clinical experience than Western medicine. With so many clinical experiences, coupled with the simulation space, Yunheng's thinking can be trained.

Perhaps in the eyes of Ren Xuedong, Xu Bo and others, Yun Heng has rarely made mistakes since his appointment, and it can be said that he has not made any mistakes. However, in fact, Yun Heng made many mistakes in the simulation space, and he was stabbed to death with two swords.

Do you dare to believe it?

It's just that Yunheng tries his best to put the mistakes that are easy to make in the simulation space, and then compares the treatment plans given by the simulation space to find out why he made the mistakes. The more mistakes he makes in the simulation space, the fewer mistakes Yunheng will make in reality.

Although Chinese medicine emphasizes one person's prescription, in actual clinical practice, some patients still use the same prescription, and there are many similar diseases. Error-prone questions can be done frequently to ensure accuracy during the exam. That's pretty much it.

A truth.

Yunheng explained the patient's situation in detail, and then said: "Does anyone have anything else to ask?"

"Dr. Yun, was the patient menstruating when he was exposed to the rain?"

Du Jinming asked.

"It's my period!"

Yunheng nodded.

"Hot to the blood chamber?"

At the same time, several voices sounded at the scene, and several people spoke in unison.

"Does anyone have any other thoughts?"

Yun Heng asked.

"Afraid of cold, high fever, frightened, and talking nonsense..."

Jin Shijie looked at the patient's symptoms he had written down and analyzed: "It should be due to external evils experienced during menstruation. This is completely consistent with the symptoms of heat entering the blood chamber... But is this disease so simple?"

Du Jinming also pondered slightly.

In terms of symptoms and aspects, this disease is very consistent with the syndrome of heat entering the blood chamber. Doctors with no skills or knowledge may misdiagnose it, but anyone with a little knowledge can think of it immediately.

After all, Tongji is a major hospital ranked in the country. Although the level of people like Zheng Feiping is a little worse than Jin Shijie and Du Jinming, it is still much better than Xu Bo and Ren Xuedong before him.

There were three people who just said in unison that the heat entered the blood room, among them Jin Shijie and Du Jinming had not spoken yet.

Jin Shijie and Du Jinming both felt that this disease was a bit too simple. Is it just that?

But Jin Shijie and Du Jinming thought over and over again, and they felt that it was better to be in the blood chamber.

"It should be that heat enters the blood chamber and the patient feels external evil during menstruation."

Jin Shijie pondered for several minutes before finally confirming.

"It should be so hot that it enters the blood chamber."

Du Jinming also nodded.

"idiot!"

Before Yun Heng opened his mouth, Liao Xiangjun couldn't help but scolded: "Are you half obedient? This is what I taught you?"

"ah......."

Du Jinming was stunned, wrong?

"Isn't it the hot blood room?"

Others are also a little confused. Is it really wrong?

In fact, several people just said in unison that it was after the heat entered the blood chamber. Because of the previous patient’s lesson, some people also realized it. Isn’t it too simple?

But they thought over and over again, comparing the patient's symptoms and disease factors, and found that it was right that the heat would enter the blood chamber?

But Liao Xiangjun cursed, so that must be wrong.

"Did the patient take medication before treatment?"

Liao Xiangjun reminded angrily.

Yun Heng had already mentioned this, and also mentioned what kind of medicine he had used. When Liao Xiangjun reminded him, Jin Shijie immediately understood.

"It's blood-stuck breasts!"

Du Jinming also immediately said: "The patient did have heat entering the blood chamber at first, but he used drugs to regulate qi and blood in the previous treatment, and was misdiagnosed and mistreated, so his condition worsened, tsk..."

As he said this, Du Jinming couldn't help but smack his mouth, wishing he could give himself a slap.

He had been thinking carefully about the patient's symptoms just now, and indeed he had ignored the patient's treatment that Yunheng mentioned later.

"First impression."

Li Zhongqun said slowly: "This is also a kind of wrong thinking. You people, all of you were still unconvinced just now. The two medical cases mentioned by Yun Heng can be said to be two very representative cases. One is a patient who was

The names of diseases in modern medicine are influenced by the patient's symptoms..."

"You guys!"

Li Zhongqun was also a little helpless.

Through these two medical cases, it can be said that they, Tongji, a group of young people, have been completely defeated.

The last case was okay, Jin Shijie was right at least, but this time both Jin Shijie and Du Jinming made mistakes. Everyone was knocked down with one shot. This was a complete annihilation of the entire army.

Is it the case just now that a group of people were pricking this person, that one with such a sinister attitude?

How arrogant this group of people were just now, how embarrassing it would be for them to be wiped out now.

Especially Jin Shijie and Du Jinming were extremely upset.
Chapter completed!