Chapter 534
Hong Shuangmin, director of the Department of Integrated Traditional Chinese and Western Medicine at Xihua Hospital, is only a level six in internal medicine, and Feng Xingping and Zhang Gengping, directors of Xihua Third Hospital and the Municipal Hospital of Traditional Chinese Medicine, are only three years old and have a level six level in internal medicine.
Thirteen-year-old Jin Shijie is already at level five, which is definitely the best among his peers.
Jin Shijie, like Yue Shaojiang, has been exposed to Chinese medicine since childhood and was taught by famous experts at home. However, most people will deliberately ignore this premise. In terms of age, Jin Shijie and Yue Shaojiang are both proud of themselves.
Jin Anping naturally knew his grandson's temperament, but when Jin Shijie came back a few days ago, he told him about Yun Heng.
Ji Fengwen and Qu Tongwen's students were younger than Jin Shijie, but their level was not lower than that of Jin Shijie. Even those as arrogant as Jin Shijie still respected Yun Heng highly.
Therefore, even though he has never met Yunheng before, Jin Anyun is not unfamiliar with the name Yunheng, and is even a little curious about Yunheng. What kind of young man can be so respected by his grandson?
.
Jin Anyun could tell from Jin Shijie's tone that Jin Shijie really admired Yun Heng, and true admiration was the most rare thing.
Meeting Yunheng today, Jin Anyun was like most people who met Yunheng for the first time. Yunheng was younger than he thought.
A few people exchanged pleasantries and then got down to business.
"Everyone already knows the patient's condition. Mr. Jin, why don't you explain it to everyone first so that everyone can learn from it."
Zhu Yuzhe said politely to Jin Anping.
"Since it's a consultation, it's natural for everyone to express their opinions."
Jin Anping smiled and said: "Why don't Xiaoyun talk first? Shijie always talks about Xiaoyun to me these days. I am very curious about Xiaoyun."
"Then Xiaoyun, please tell me first."
Zhu Yuzhe understood that Jin Anping wanted to measure Yun Heng. To be precise, he wanted to see Yun Heng's level.
"Then I'll give it a try."
Yun Heng said politely: "What I said is wrong, I hope Mr. Jin can correct me."
"Let's talk, let's communicate with each other."
Jin Anping said with a smile.
Seeing Jin Anping's attitude, Director Tang, Zhu Yuzhe and other Tongji doctors beside him felt a little emotional.
This is the benefit of students Ji Fengwen and Qu Tongwen.
Jin Anping seems to be easy to talk to, has no airs, and is easy to get along with. But as long as he is a normal person, he can figure it out with his mind. Jin Anping, even if he has no airs, will not be with a person.
Young doctors talk about communicating with each other.
A veteran doctor like Jin Anping, no matter how friendly he is, if he gives advice and lectures to his juniors naturally, he is just giving enough face. What kind of communication is he talking about?
Jin Anping's communication was naturally a polite way of speaking, but the reason why Jin Anping was so polite was precisely because of Yun Heng's background.
The thing about family background is really terrible. This kind of influence is unconscious and invisible.
"Stroke can be divided into external stroke and internal stroke. Judging from the patient's symptoms, it is internal stroke, which is also consistent with the judgment of Western medicine in the acute stage of cerebral infarction..."
Yun Heng said slowly: "Judging from the pulse syndrome, the patient's condition is that the stroke started at the beginning, the upper part is too strong and the lower part is weak, he is dizzy, the root of the tongue is hard, and he is unsteady in walking. The upper part is strong, which makes him dizzy, and the lower part is weak, which makes him unstable...
..”
"Since this is the beginning of a stroke, and the upper part is full and the lower part is weak, I think we should use the Zhengan Xifeng Decoction to calm down the Xifeng. At the same time, we can consider adding cinnamon to draw the fire back to the original source, so that the yang energy will not rise with the liver wind."
"The course of the disease is not static. After the liver wind gradually calms down, the phenomenon of upper and lower deficiency is relieved, and when the patient's dizziness is relieved and the patient walks smoothly, then you can consider adding drugs that activate blood circulation and dredge collaterals to activate blood circulation and dredge collaterals, and relieve yang.
bright......."
"Okay, good point."
Jin Anping smiled and said: "No wonder Shijie admires you so much, Xiaoyun. I can see it today."
Although Yun Heng's previous analysis was good, it did not surprise Jin Anping. However, Yun Heng could think of adding cinnamon to Zhengan Xifeng decoction to draw fire back to the origin, which surprised Jin Anping.
Even experienced traditional Chinese medicine practitioners often find it difficult to think things through.
What surprised Jin Anping the most was Yun Heng’s last sentence.
In reality, many people have a simple classification of Chinese medicine. To be precise, Chinese medicine doctors can be divided into the following stages.
The first stage is to follow the textbook. To be precise, it is to compare the symptoms, use the classic prescriptions, and apply them mechanically, just like doing the questions. You can do the questions you have done before and the questions the teacher has taught you. If there are changes, you will not be able to do them.
Got it.
It can be said that most TCM doctors at this stage can do it, even some medical students can do it.
There are many examples of this in reality. Some medical students suddenly found out that a relative or friend's illness was the same as described in the book when they were reading a medical book. Then they used prescriptions to cure the disease.
There are fewer such examples now. After all, people nowadays do not trust others easily. The requirements for doctors are high and there are thresholds for practicing medicine. But in the past, such examples abounded. Some people were not doctors originally, just because they were literate.
, I occasionally got a few medical books and treated people according to the books.
Most of these doctors are quacks. Whether they can treat patients well or not really depends on luck.
The second stage is to learn and apply flexibly, and know how to flexibly add, subtract, and change. At this stage, you can actually become a master. You no longer stick to forms and apply rigid methods. When encountering some diseases, you can flexibly choose classic prescriptions.
By increasing or decreasing the dose, with this level of Chinese medicine, even if some serious diseases cannot be treated, there is basically no problem in treating some common diseases.
The third stage is to adapt to the situation and use medicine according to the symptoms. Not only can you use the classic prescriptions flexibly and understand the addition and subtraction of the prescriptions, but you can also have a rough prediction of the development process of the disease.
At this stage, you can be considered a famous doctor.
If you can adapt to changes and judge the course of the disease, the probability of making mistakes is relatively low, and you can solve even complex diseases.
At this stage, Chinese medicine practitioners can already be regarded as famous experts. No matter what era or place they are in, they can be famous for a while, sit in clinics, and open clinics to teach students.
And Yunheng's last sentence just now is actually a prediction of the patient's condition, what will happen first, what will happen after taking the medicine, and what will happen next.
If the first stage is just following the script, taking the first step, and there are changes in the second step, and you don’t know how to go, then the second stage is to take one step and see one step, and the third stage is to take one step and see three steps.
How do patients need to take medicine in each stage, what changes will occur after taking the medicine, what impact will it have on the next stage, and what will happen in the next stage?
Yunheng is so young, but he is already at such a level, how can he not surprise Jin Anping?
As for the next stage, it is not only necessary to understand the changes in the course of the patient's disease, but also to understand the use of the five movements and six qi in conjunction with the seasons, understand the impact of time and season on the disease, etc., and even be able to judge when a person is sick and when he will recover.
, there are even fewer doctors who can use prescriptions flexibly according to the season.
Just like Zhuge Liang commented on famous generals to Lu Su in The Romance of the Three Kingdoms, you must know how to use the weather, climate, vegetation, and everything to be a soldier. How many people did Zhuge Liang exclude at this stage?
Although in the TV series, this scene is suspected of being pretentious by Zhuge Liang, it can also be seen from this that there are very few famous generals who can reach this stage, and the same is true for Chinese medicine doctors.
Not to mention the fourth stage, even doctors in the third stage are hard to come by.
Jin Anping didn't know the skill division of Yunheng's panel, but according to this division, doctors who can reach the third stage should be above level seven in the skill division of the panel.
"Mr. Jin was so complimentary. I just expressed my superficial opinions. If I'm wrong, I hope Mr. Jin can correct me."
Yunheng said modestly.
"If your opinions are superficial, I really don't know what kind of opinions are not superficial."
Jin Anyun smiled bitterly.
Yunheng doesn't like to communicate with strangers very much, so Yunheng can't be sure when talking to people he doesn't know well. Yunheng is really humble. After all, in front of Jin Anping, Yunheng can't
Go get it.
But Yunheng's analysis just now is really inconsistent with this modesty.
You have told the next step of the patient's situation. This is still superficial. What would it be like if it were not superficial?
"Xiaoyun, I don't understand something. Dizziness means upper body is strong, and unsteady walking means lower body is weak?"
Director Tang asked.
"You can't just say this, it has to be combined with the pulse syndrome."
Yun Heng thought for a while and explained: "Traditional Chinese medicine divides deficiency and reality, up and down, and yin and yang. Many concepts actually have something in common with natural phenomena. As far as traditional Chinese medicine is concerned, Shen, that is, God, refers to a person's spirit.
, clear mind
, active thinking means that there is God, just like the blue sky, the sky is blue and endless, but if the clouds are dense, it means that the mind is unclear and blinding the gods, just like the dark clouds cover the blue sky, we cannot see the sky
.”
"And where do the dark clouds come from? It is naturally the evaporation of water vapor. Why does water vapor evaporate? It is naturally caused by the fire element. The upper burnt fire is greater, that is, the lung fire, the heart fire is greater... This is the upper sheng.
"
"The lower part is actually the same thing. The upper part is the sky and the lower part is the earth. The ground is soft. How can we walk steadily?"
"Okay, good point."
Jin Anping was really surprised: "The pure ones float up and become the sky, and the turbid ones sink and become the earth. Xiaoyun, your explanation is really very appropriate."
Just as Yun Heng explained to Wang Xuemeng and He Yongfei, it is the same principle that the eyes are the sun and the moon, and the sun and the moon are the eyes. When the clear ones float up, they become the sky, and when the turbid ones sink, they become the earth. Does this statement come from humans and heaven and earth?
It is no longer clear that people come from heaven and earth, but this principle is the criterion in traditional Chinese medicine treatment.
Dark clouds cover the sky, blinding the gods, causing unconsciousness and dizziness.
Just like on a cloudy day, people can't help but feel depressed; on a sunny day, people can't help but feel refreshed. This is a very simple truth.
Chapter completed!