"Who can tell us about diarrhea?"

This time, before Yun Heng could speak, Han Kaiping asked with a smile. Sitting here, he really didn’t feel any sense of participation.

When it comes to analyzing symptoms, Han Kaiping actually understands it. He is a professor after all. But with Yunheng sitting next to him and Wu Jiaming, Han Kaiping, Xie Jiaping, Wu Yalan and others all felt pressured.

Facing the students, Han Kaiping and others can naturally talk eloquently. Even if they make mistakes, few people can hear their mistakes. But there are two famous clinical doctors, Yunheng and Wu Jiaming, beside them. Han Kaiping and others can talk freely.

People should be cautious.

Given their status, it doesn't matter if they are right, but if they are wrong, it would be a bit embarrassing, so to be cautious, it is better to speak less.

I just said that we were all doing clinical teaching together, but kept silent, and it really became a decoration. This feeling is uncomfortable.

Han Kaiping and Xie Jiaping didn't know how many times they scolded Wu Jiaming in their hearts.

Therefore, Han Kaiping could only try his best to make his presence felt in the areas he is good at and ask students to participate. Interaction is the best way. At this moment, Yun Heng has also been asking questions.

Zhang Xueyan stood up hurriedly: "Diarrhea is a common spleen and gastrointestinal disease. It can occur all year round, but it is more common in summer and autumn..."

"Clinically, diarrhea is characterized by an increase in the frequency of bowel movements..."

In the past two days, Yun Heng has been in contact with these students. Among them, Zhang Xueyan, Zhang Mingfei, and Chen Xinghao just now have performed the best, but everyone has their own strengths.

Zhang Xueyan is very good at basic things. She has a good memory and likes reading.

Zhang Mingfei's brain is more lively and he is quick to draw inferences from one instance, while Chen Xinghao's observation is more detailed and his understanding of prescriptions is slightly better.

"About diarrhea, there are relatively clear and detailed descriptions in the "Nei Jing", "Difficult Classic" and "Treatise on Febrile Diseases"..."

"Well, that's a good point."

Han Kaiping nodded and added by the way: "In academic thought, diarrhea emphasizes the stomach-qi-centered approach, emphasizing the adjustment of the ascending, descending, clearing, and turbid functions of the internal organs, and at the same time grasping the mutual constraints and interdependence of yin, yang, and the five elements.

....."

"Professor Han said it very well."

Yun Heng smiled and nodded, then looked at Han Kaiping and motioned for Han Kaiping to continue.

Han Kaiping: "......"

He had finished talking, and when Yun Heng didn't continue to answer, Han Kaiping couldn't continue.

"What are the symptoms besides bowel movements?"

Guan Yalan promptly resolved Han Kaiping's embarrassment and asked the patient.

"And my stomach hurts."

The patient said and pointed to the location.

"Pain in the left abdomen."

Yunheng wrote it down on the note paper in front of him.

"Also, I like to dream, and I always feel a little slow in my reactions."

The patient continued.

"Dreamful, fatigued, inattentive..."

Yunheng continued to write down the patient's symptoms and then diagnosed the patient's pulse.

"Pulse fine..."

After checking the pulse, Yun Heng checked the tongue coating: "The tongue is purple and the coating is greasy..."

After checking, Yun Heng did not ask the students again this time. The situation of this patient is still relatively complicated, and it is not something that these junior students can understand. If you ask some simple questions, it is not necessary if it is too difficult.

Yunheng has been a student himself. He graduated only two years ago, and he understands the mentality of students very well.

Appropriate encouragement and some simple breakthroughs can mobilize students' enthusiasm, but some difficult things will intimidate students.

Just like a normal exam, the questions are simpler, the scores are generally higher, and the overall motivation of the students is also higher.

The exams before college have the purpose of screening, and questions that are too simple are not necessarily a good thing. However, after college, students still mainly focus on learning.

In particular, medical schools must mobilize the enthusiasm of students and make them feel that the threshold is not high...

Yunheng personally thinks so.

While looking at the patient's symptoms, Yun Heng pondered for a moment and asked, "Did you have blood in your stool before or just this time?"

"It happened before, last year, and it was quite serious."

The patient said hurriedly.

Yun Heng nodded, and then said: "From the pulse syndrome just now, we can actually see that the patient's condition is a case of deficiency and coldness of the spleen and stomach, and prolonged ejaculation... As I just said, the medical history,

This must be asked. If during clinical diagnosis, we notice any discrepancy between the pulse syndrome and the patient's symptoms, or feel that the conditions are not enough, then we must try our best to consider whether there are any omissions."

Wu Jiaming nodded repeatedly.

What Yunheng said is very important.

In particular, Yunheng just asked about the patient's blood in the stool. This symptom is also an important reference for doctors when prescribing medication.

"Weak and dreamy for a long time?"

Yunheng asked the patient again.

"Yes." The patient nodded.

At this time, some students' eyes lit up.

Scenes like this where the patient does not tell but the doctor accurately tells the patient's condition has always been a favorite in some Chinese medicine TV dramas and is also a favorite among Chinese medicine students.

But how to achieve this effect is beyond the control of these medical students, but now, they seem to understand something.

"Based on the patient's medical history and pulse syndrome, we can now make a diagnosis. The patient has been suffering from long-term malfunction of the spleen, dampness and heat in the intestines, qi stagnation, resulting in abdominal pain, and diarrhea..."

Yun Heng said with a smile: "When facing diarrhea, we must first understand the general direction of this disease. Just like Professor Han said just now, this disease is mostly based on stomach qi, emphasizing the rise between the overall organs.

Clearness and turbidity are common spleen and gastrointestinal diseases..."

"The patient's disease course is not short, and he also has symptoms of liver qi taking over the spleen. Therefore, during treatment, we must start by regulating qi and strengthening the spleen, using the method of clearing the intestines and reducing dampness..."

"Clinically, for symptoms of spleen and stomach deficiency and cold, persistent diarrhea, Lizhong Decoction is commonly used, which can strengthen the spleen and replenish qi, warm the middle and expel cold. If the liver is strong and the spleen is weak, qi is stagnant and abdominal pain occurs, it can also be used in conjunction with the prescription for painful diarrhea.

To suppress the liver and strengthen the spleen..."

"So when it comes to prescriptions, we can consider Lizhong Decoction and Tongjie Prescription, using Codonopsis pilosula, Atractylodes macrocephala, Zhigancao, Poria, Fried Fangfeng... to make an overall combination."

"Codonopsis, Atractylodes, and licorice together strengthen the spleen, supplemented by Poria to neutralize dampness..."

As he spoke, Yun Heng wrote the prescription at the same time: "The prescriptions of traditional Chinese medicine pay attention to the monarch, ministers and assistants. Specific diseases are mainly based on the main syndrome, and other diseases are supplementary. The properties of various medicinal materials are combined... No matter how complicated the prescription is, it is based on evidence."

Followable.”
Chapter completed!