Traditional Chinese Medicine Xu Yang

Liu Jingning was taken aback for a moment, then smiled and said, "Of course I'll be straightforward."

Cao Dehua looked at Liu Jingning from the sidelines, why did he feel that Liu Jingning was about to overturn, even the city-level expert Liu Yanfa overturned in front of this kid!

Xu Yang looked at the previous records and said: "The patient reported frequent urination in the past week, burning pain, accompanied by fever and flushed face, food intake is acceptable, and stool as usual. But why is there no record of tongue diagnosis and pulse diagnosis?"

Liu Jingning explained: "Isn't there a urine and blood test report here?"

Xu Yang stared into Liu Jingning's eyes, and his tone became aggressive: "I'm asking why there are no records of tongue diagnosis and pulse diagnosis!"

The atmosphere in the room suddenly became tense.

Liu Jingning's heart skipped a beat, as if he was suddenly called up to answer a question by a rigorous old professor when he was in school.

After he had time to react, Liu Jingning was instantly annoyed. I'm an expert anyway, and I'm willing to communicate with you as an equal.

Liu Jingning frowned, suppressed his dissatisfaction and said, "Because there are symptoms and test results, tongue diagnosis and pulse condition, this kind of thing is not scientific. It's just the pulse, and it has no practical significance. The tongue is the same."

Xu Yang finally knew why the system sent him this task, this man is sick!He asked lightly: "Then what is the basis for Dr. Liu to prescribe the medicine?"

Liu Jingning's attitude was no longer as good as before. He said: "The patient urinates frequently and has a burning sensation and pain. And his face is red and hot, which is obviously a heat syndrome. Looking at his laboratory report, he has inflammation. "

"Comprehensive diagnosis, the patient is hot stranguria, which is what Western medicine calls acute urinary tract infection. So I prescribed two medicines, one is Bazheng San, and the other is the western medicine furantidine."

Xu Yang snorted softly, and said to the patient: "Come on, comrade, stick out your tongue and let me have a look."

The patient looked at Liu Jingning in a daze.

Liu Jingning said, "It's okay, just follow what Dr. Xu said."

The patient sticks out his tongue.

Xu Yang said again: "Okay, let me check your pulse again."

Xu Yang carefully checked the pulse of both hands for the patient, and then took a pen and paper to simply record the diagnosis result.

Liu Jingning glanced at Xu Yang, and asked with some displeasure: "Doctor Xu, what's the result of the diagnosis?"

Xu Yang asked him again: "Speak directly?"

Liu Jingning chuckled, "But it's okay to say."

"If you ask the patient to do another urine and blood routine test, the situation must be worse than last time!" Xu Yang threw the pen in his hand on the table, he was really angry this time.

Chapter 64

Several people in the consulting room were taken aback.

Cao Dehua was also a little surprised, because from the time he knew Xu Yang to now, he always felt that Xu Yang was very polite. Although he might be suspected of engaging in PUA, at least he had a good attitude.

And when he went to Mr. Xie's house, he saved enough face for Liu Yanfa, which proved that Xu Yang is a person with a good temper and a big belly.

But now, why is he angry?

So the atmosphere in the clinic suddenly became depressing.

Liu Jingning's expression froze as well, he didn't expect Xu Yang to say such a thing.

The patient was also stunned. Is he more serious?

Liu Jingning lost his politeness, and asked, "What do you mean?"

Xu Yang said: "I'll know after the inspection. Don't you want him to do urine and blood routines too? Check it out!"

Liu Jingning stared at Xu Yang for a long time, then he said, "Okay, okay, let's check."

Liu Jingning wrote a checklist for the patient. He took out 200 yuan from his pocket and said, "I'll pay for the checkup fee. Let's go. I'll take you to draw blood. I'll let the laboratory do the test quickly."

"Hey, don't be angry, Lao Liu, it's not necessary, it's not necessary." Cao Dehua was busy smoothing things over in the middle.

Liu Jingning said angrily: "I think it is necessary now, but I really want to know what evidence Dr. Xu uses to judge that the patient is getting worse after taking my medicine."

"Let's go." Liu Jingning dragged the patient to pay for the examination.

The patients were stunned.

In the consulting room, only Xu Yang and Cao Dehua were left.

Cao Dehua was a little embarrassed: "This is a big deal, this...don't get so angry, let's have a good chat."

Xu Yang exhaled heavily, he was also a little irritable.

After a long while, Liu Jingning came back with the patient. When he came back, his complexion was a little ugly. He just took the patient's temperature and it was 38 degrees. He had a fever.

After returning to the consulting room, Liu Jingning didn't let the patient go anywhere else, but let him stay in the consulting room.

Both Liu Jingning and Xu Yang had serious expressions on their faces.

The patient is also very confused, what's the situation?

Cao Dehua even ran over to check the patient's pulse. After the diagnosis, he was also a little puzzled.

After returning, Cao Dehua didn't dare to ask, and the atmosphere here became even more embarrassing.

The patient wanted to smoke a cigarette, but he took it out, felt a little embarrassed, and stuffed it back.

With Liu Jingning's instructions, the inspection report came back very quickly, and Liu Jingning received it on his computer very quickly.

Liu Jingning quickly clicked to check it, Cao Dehua hurried over to take a look, but Xu Yang didn't even want to look at it.

When Liu Jingning saw it, his face became even uglier.

Cao Dehua was also a little speechless.

The white blood cells and pus cells in the urine routine are higher than before; the white blood cells in the blood routine are also higher than before; the neutrophils are 91%, which is also higher than before.

Lymphocytes dropped to 9%, lower than before.Coupled with his body temperature of 38 degrees, his condition is really worse than before!

"How could it be?" Liu Jingning was flustered and unbelievable for a moment.

Cao Dehua also looked at Liu Jingning worriedly.

Xu Yang shook his head slightly.

Liu Jingning murmured: "It shouldn't be, I used anti-inflammatory and bactericidal antibiotics. I also took Bazheng San, which is a traditional Chinese medicine for clearing away heat and treating stranguria. Urinary tract infection, that’s right, burning urine and body heat, it shouldn’t be.”

When Cao Dehua saw Liu Jingning's appearance, he also sighed.According to the regulations of their hospital, if the patients don't get better this time, they can no longer be treated with Chinese medicine, and they will be transferred to Western medicine.

Therefore, Western medicine often complains in private, saying that they are wiping the ass of Chinese medicine all day long.It's no wonder that people look down on traditional Chinese medicine. If you can't cure it, you still have to rely on them!

"Why?" Liu Jingning turned to ask Xu Yang.

Xu Yang asked again: "Speak directly?"

Cao Dehua hurriedly interjected: "Well... this gentleman, why don't you go outside and wait for a while, let's have a consultation first."

"No, just listen here!" Liu Jingning stopped Cao Dehua.

Cao Dehua was choked up enough, why is this person so stubborn?

Xu Yang asked: "Where is the pathogenesis of the patient, what is the deficiency and excess on the outside and inside of the yin and yang, and which category does the disease belong to?"

Liu Jingning paused, and then said: "The patient has burning and pain in frequent urination, of course it is heat in the lower jiao, which is a syndrome of hot stranguria, of course it is a syndrome of damp heat, so I use Bazheng San to clear away heat and fire, dispel dampness and relieve stranguria. .”

"Furthermore, according to modern pharmacological studies, Bazheng San does have a very effective anti-inflammatory and antibacterial effect on the urinary system, so it is usually used to treat urinary tract infections, cystitis and other diseases. Is there a problem?"

Cao Dehua also asked suspiciously: "From the patient's symptoms, it is indeed a bet on damp heat, isn't that right?"

Xu Yang said: "That's right, it is indeed a bet on damp heat, but why would he bet on damp heat?"

When this question was asked, both of them were taken aback.

There was a trace of bewilderment in Liu Jingning's eyes.

Xu Yang said again: "It's still the same sentence. Chinese medicine never sees the disease and treats the disease. Chinese medicine needs syndrome differentiation and treatment. What is dialectical treatment?"

"There are twelve words handed down by the medical sage Zhongjing, 'Observe the pulse and syndrome, know what is wrong, and treat it according to the syndrome.' You neither observe the pulse and syndrome, nor inquire about what is wrong. You only take the western medical examination report as the standard .”

"What kind of Chinese medicine do you study, wouldn't it be better for you to study Western medicine? If you only use Western medicine, you may already be cured."

What Xu Yang said made him angry!

Liu Jingning's expression turned ugly for a moment.

"Hey, what you said is serious, serious." Cao Dehua hurriedly smoothed things over.

Liu Jingning stared at Xu Yang and asked, "Then why do you think he was sick?"

Xu Yang said: "You didn't listen to what he said. When you cough, you will urinate, and your whole body is weak. If you watch him say a few words, you will have a few breaths. This is obviously shortness of breath when you move. Isn't this a sign of qi deficiency?" ?"

"The middle qi is weak, unable to control and elevate, so when you cough, you will urinate. The middle qi is the qi of the spleen and stomach, and the spleen and stomach are the source of qi and blood biochemistry. When the spleen and stomach are deficient, the whole body will naturally be weak. If the middle qi is weak, it will naturally move and cause shortness of breath. "

"You can see that he is hot and flushed. You can see that he is hot and hot when he urinates frequently, so he can be sure that it is a syndrome of excess heat? He is too weak in Qi and lacks vitality, so the yin fire is high, so he is hot and flushed."

"It's still too weak in the middle Qi, unable to control it, so damp heat is the bet. The symptoms of unsatisfactory food, nausea and wanting to vomit are also spleen and stomach deficiency! And the last spleen and stomach deficiency is caused by you!"

"He already had a deficiency of spleen and stomach, and his middle qi was too weak to sink. You still used bitter cold medicine. The power of Bazheng Dispersing Bitter Cold hurts the spleen and stomach. If the spleen and stomach are injured again, the middle qi will be even more deficient, and the symptoms will naturally be more serious!"

Liu Jingning was dumbfounded.

Cao Dehua bared his teeth when he heard this, Xu Yang's aura is so scary!

Xu Yang became more and more angry: "So many symptoms are placed in front of you, why don't you go to study, what laboratory report? You can see if there is dampness and heat by looking at his tongue, forget it, you won't either. look."

"The seniors of the Chinese and Western Huitong School, at any rate, are interested in the Chinese and the Western, but you are lucky, and you have directly participated in the Western Medicine! Then why do you practice Chinese medicine? Wouldn't it be better to be a Western medicine? It can also cure diseases and save lives!"

What the system gave the task is not the task, why not pull him to learn Chinese medicine again.

Shit!

Xu Yang is very angry!

The task is gone!

Chapter 65 This is Traditional Chinese Medicine

Xu Yang was really angry.

To be honest, he has a really good temper and rarely gets angry, but this time he was really angry, and when he got angry, he didn't save Liu Jingning any face.

He can tolerate people like Cao Dehua who are not skilled in medicine, because you can't ask every Chinese medicine doctor to have the level of a provincial expert, or all of them are national experts.

Every industry has its own level. Faced with such a relatively low level, Xu Yang can teach him patiently and share his valuable experience with him.

Because Cao Dehua was not wrong fundamentally, he can at least be regarded as a mature Chinese medicine practitioner.Xu Yang can help him grow a little bit, Xu Yang is not so stingy.

The key is Liu Jingning, he can't bear it.

If you practice Chinese medicine, you don’t need a little Chinese medicine thinking.I know to read pharmacological reports every day, ask patients to do various examinations all day long, and then prescribe prescriptions according to the laboratory reports.Completely disregarding the dialectical thinking of Chinese medicine, forgetting the four diagnosis and eight principles, and prescribing medicine indiscriminately!

The reason for the exacerbation of this patient's condition is to take traditional Chinese medicine!

If he was not cured, wouldn’t it be the Chinese medicine practitioners who scolded him in the end?But are you a Chinese medicine doctor?

Xu Yang kept telling himself to be emotionally stable and angry to hurt his liver, but he couldn't take it anymore.

The atmosphere in the consulting room suddenly dropped to freezing point.

Cao Dehua was the most embarrassing. It's not that he has never seen doctors quarreling, but in front of patients, it's... this is too embarrassing.

One is his old friend, and the other is the new friend he invited!

This is a mess.

The patient was also a little confused, and he seemed to understand a little bit.The doctor prescribed the wrong medicine for him before, so after he finished taking it, not only did it not work, but it even got worse.

At this time, he should be angry, after all, he was the one who got hurt.But just now, this young doctor has already started the anger, and he is holding back here now, and it doesn't matter whether he gets it or not.

He is also very uncomfortable.

Liu Jingning's complexion was extremely ugly. He really wanted to say that he was right, but the patient's symptoms really got worse.He looked at Xu Yang and asked, "Then what prescription do you want to prescribe?"

Xu Yang also lost his good face: "Is there still a need to ask? If you are suffering from a deficiency of Qi, you should naturally nourish your Qi, and you should use the Buzhong Yiqi Decoction."

Cao Dehua was taken aback for a moment, it was Buzhongyiqi Decoction again, didn't he use it just now.

But Liu Jingning's expression froze.

Xu Yang looked at the other person's face and asked, "Do you think it's incredible that you can use tonic to deal with dampness and heat?"

Liu Jingning also nodded, and said, "Please prescribe."

Xu Yang sat down to write the prescription.

Cao Dehua said from the side: "Why don't you open the prescription, let's discuss it."