Chapter 265 The traditional Chinese medicine nature of Western medicine

After the middle-aged couple left.

Zhang Cheng looked at Huang Su very unnaturally, like a child who made a mistake.

"Zhang Cheng just performed very well. Although there was a mistake in the consultation, he was very good at asking if he didn't understand. This time, his assessment of you is to examine your clinical practice ability and find out what is insufficient. I will give you a reference for your doctor in the future."

"Don't be nervous, just take out your true strength."

Huang Su swept over Qin Liang, Amuer and asked, "Who will you come to the next patient?"

Amur raised his hand and said, "Director, I'll do it first."

Amur thought that he, a student in traditional Chinese medicine clinic, could not be ranked behind the acupuncture major!

The second patient came in with a young man.

Grassland City is already early summer, and it is the time when the temperature is most suitable. People mostly wear long-sleeved thin shirts, or long-sleeved shirts on the outside and short-sleeved shirts on the inside, but men wear short-sleeved shirts on the outside.

After the man sat down, he looked exhausted and speechless.

When the man sat down, Feng Su clearly saw the patient shivering.

Amur did not notice this when he was in the clinic.

I carefully observed that there was redness on both sides of the man's cheekbones.

Amur took a deep breath and asked softly: "This patient, how are you feeling uncomfortable?"

The patient said lazily: "Half a month ago, I felt soreness, my body temperature was hot, my body was chilled, my headache, and I was dizzy all the time. I thought I was catching a cold and I kept taking cold medicine, but my body did not improve and my condition worsened. I started to feel sore throat and cough phlegm these days. This morning, there was blood in my cough phlegm. Didn't I go to the hospital to see the disease? "

Amur recorded the patient's symptoms in detail and continued to ask: "Does your body sweat?"

With Zhang Cheng's past lessons, Amur has become much more calm

The patient replied weakly: "I didn't sweat at first, but after taking several colds and fevers, my body began to sweat, and I had a lot of them. I thought that if I sweat, the cold would get better faster, but I didn't expect it to get worse."

After listening to the patient's explanation of the symptoms, Almu had no idea and looked at Huang Suwen in confusion: "Director, I heard from the patient that he should have had a cold, but the patient's understanding of the surface is more serious?"

"Do you remember what I just said? The true or false symptoms depend on the pulse, and the true or false symptoms depend on the tongue." Fei Su continued: "There is no idea of ​​curing the disease. Look at the patient's tongue coating, the tongue image will always best reflect the patient's condition."

Amur suddenly realized and began to check the patient's tongue.

After the patient's tongue image was examined, Amur said uncertainly: "The patient's tongue is red, the tongue coating is thin, yellow and dry. This is the tongue image of internal heat syndrome. The patient has a cold, how can it be internal heat syndrome?"

Huang Su stepped forward and said, "Look carefully, is the patient's tongue red or crimson."

Amur said hesitantly: "Director, I still can't tell the difference between pale tongue, red tongue, red tongue, and purple tongue."

Huang Su asked casually: "Have you not taken you to the hospital for example to explain it?"

Zhang Cheng interrupted: "Director, you don't know. The professors who taught us have never worked in the hospital, so how could they take us to explain the examples? Every time he reads the text and pictures, and the pictures are already color difference, which makes us even more confused."

In Western medicine, aspirin, ibuprofen, loxoprofen sodium, acetaminophen, etc. are all antipyretic drugs that cause sweating and relieve exterior symptoms.

Acetaminophen is paracetamol.

After listening to Huang Su's explanation, the five people's faces became solemn.

Seeing that the topic went off the wrong path, Huang Su said again: "Amur, did you notice that the patient was shiver when he was treating the patient."

Amur shook his head confusedly: "Director, I really didn't notice this. Is there any problem with this?"

"For this phenomenon, traditional Chinese medicine calls it cold-loving, which is a symptom of chills outside and fever inside. It is mainly caused by the heat evil being hidden inside, the yang energy is blocked, and it cannot reach the surface of the muscle, causing the surface of the muscle to lack yang energy."

Huang Su stared at the three new doctors and emphasized: "Traditional Chinese medicine emphasizes looking, listening, asking and touching. TCM consultation does not start from the patient sitting opposite you, but from the moment the patient walks into the clinic. You must remember to develop the good habit of carefully observing the patient's face, movements, emotions, and body shape. Don't miss any subtle situation of the patient. In the future, you must continue to exercise this ability through continuous clinical practice."

"Director, we remember!"

Qin Liang and the other two nodded together, feeling that their directors were better than the professors in their school and they were useful.

"We talk about the patient, it can be seen that the patient does not have a cold in the wind and cold, but the patient is a symptom of internal heat, but because of the misuse of Western medicine that understands the exterior, the yin fluid is severely damaged, resulting in aggravation of real heat. Therefore, the patient does not have a cold in the wind and cold, but a spring plague."

Zhang Cheng asked in confusion: "Director, how could it be spring plague? It's already summer."

Huang Su said: "The grassland city is located in the extreme north of China. Spring is slower than the south. May and June are the season for spring plague. You will know that in the future, you will know that the inspection tour in May is mainly for wind, colds and spring plague. Today, due to the high rainfall in May, the temperature is low, so the attack of spring plague will naturally be delayed."

What is spring warmth? A warm disease that occurs in spring and occurs when it first starts to see internal heat and yin damage or external and internal diseases is called spring warmth.

Since spring plague is characterized by internal heat symptoms at the beginning, it is different from general warm diseases, so the previous generations attribute it to the scope of subduing evil and warm diseases.

The cause of the disease is generally believed to be that the essence and energy are lost in the winter, and the cold evil is hidden in it, which is depressed for a long time and turns into heat. When the yang energy is opened and discharged in spring, the submerged heat overflows, or the recurrence of new evils, which causes submerged heat.

Clinical clinical practice is often classified by spontaneous and new sensations. Before the onset of the disease, the prodromal symptoms such as limb fatigue, sleep discomfort, dry mouth and throat, short and red urine and hot, or sore waist. After the onset of the disease, fever and headache, restlessness, thirst and red tongue, less yellow or yellow tongue, rapid pulse, etc.; when the onset of the disease, symptoms such as fever and headache, no sweat or less sweating, floating and rapid pulse or cough appear.

Feisu continued to explain: "The symptoms of spring plague are very similar to those of solar stroke and typhoid fever. When you see cold and heat without sweating, many people with poor traditional Chinese medicine knowledge will mistakenly think that typhoid fever has a cold, and will use Guizhi Decoction and Mahuang Decoction to relieve symptoms."

Hearing Feisu's words, Almu slowly lowered his head because he was about to prescribe Mahuang Decoction for the patient.

Prescription Mahuang Decoction is the same as the patient taking antipyretics. It can cause sweating and precipitate and discharge, damage body fluids and consume qi, and lead to a fever.

Amur asked in uncertainty: "Director, should we prescribe a drug to clear heat and detoxify the patient?"

At this time, when Risong was suppose, He Hui also looked at Feisu. The two of them were not sure about the disease that misuses the symptoms and complicated the condition.

Huang Su explained: "The patient is a symptom of warm disease and submerged heat. It turns to extreme heat and damages the yin. The treatment needs to be divided into two steps. First, it is mainly to clear heat, pay attention to protecting body fluids, and then to produce body fluid and nourish yin and remove residual heat."

Qin Liang was very tactful and handed the prescription to Feisu.

Flavin took the prescription and sat down and wrote: 10g of Prince Ginseng, 12g of Raw Rehmannia, 12g of Cooked Rehmannia, 9g of Asparagus, 9g of Ophiopogon japonicus, 6g of Ligustrum, 6g of Ligustrum, 9g of Hanera, 9g of Dendrobium, 9g of Bamboo Leaves, 7g of Coptis chinensis, 15g of Oyster (Part 1), 15g of Turtle Shell.

Fei Su handed the prescription to the patient and told him: "If you go back, take this prescription for half a month. During the prescription, it is best to eat two pears every day, which can clear heat and eliminate phlegm. If you have juice-fighting conditions, it is best to drink pear juice."

Huang Su emphasized: "Don't take antipyretics you took before."

"Thank you, Dr. Huang!"

The patient took the prescription and slowly stood up and bowed, his movements and speech were weak.

In fact, the patient misuses the anti-expression medicine. In fact, the door is already open, sweating is endless, the tongue is red and yellow, coughs, phlegm and blood, and there is a crisis. If the anti-inflammatory medicine is used, it is really dangerous to be critically ill at any time.

After the patient left, Huang Su said to the three of them: "You have also seen the importance of combining the four diagnosis of traditional Chinese medicine. These two patients do not look at the tongue and pulse, and their physical symptoms are almost the same. One is treated with drugs that relieve exterior symptoms by spicy heat, and the other is treated with drugs that clear heat and nourish yin."

Speaking here, Huang Su paused and said seriously: "I don't care what you learned in school before. From today on, you must start with your leading doctor. I will give you a year to master the most basic things in the four diagnosis and ingredient of traditional Chinese medicine."

"After a year, I will conduct an assessment on you. If I can't achieve my goal, I'm sorry, I can only let you leave. As long as I'm in the Chinese medicine department for one day, I will not allow a doctor in the Chinese medicine department to do not know how to take the four diagnosis and treatment. I will only prescribe Western medicine test sheets and prescribe Chinese medicine medicines. Such doctors not only ruin the reputation of Chinese medicine, but also irresponsible for the life and health of patients."

Qin Liang and the other two also replied seriously: "Director, we understand!"

At night, Huang Su sat on the sofa holding a medical book and reading it carefully, and the phone on the coffee table suddenly rang.

Huang Su took the phone and saw that it was Chen Jingshan's call, so he hurriedly answered.

"teacher!"

On his phone, Chen Jingshan asked: "Yellow Su, those three should have gone to your hospital to work when they graduate. How are they doing?"

Huang Su did not answer Chen Jingshan's words, but asked: "Teacher! I have only graduated for more than two years. Why did our Chinese Medicine Department's education fall to this point!"

Why!

Chen Jingshan's helpless sigh came from his phone.

After a long time, Chen Jingshan's voice came from the phone: "Yellow Su! The Department of Traditional Chinese Medicine will not always be like this."
Chapter completed!