……

After the lecture, I went to various departments to practice the operation.It was not easy to invite a great expert here, and there were some intractable diseases, so naturally I had to ask them to find a way to solve them.

The first department is Gastroenterology.

"Hello, Dr. Xu." A 36-year-old doctor came over.

Xu Yang nodded politely to him.

The man's face was a little stiff.

Seeing this, Cao Dehua, the socialite, immediately took out his mobile phone and said, "Hey, Doctor Xu, I have a message here, you have to read it for me."

"What's wrong?" Xu Yang came over.

Cao Dehua suppressed his voice and said: "This person is the first teacher you came to the hospital with. His name is Wan Lin. Have you forgotten?"

Xu Yang looked back at Wan Lin, he really didn't remember, he was fired within a few days in the Chinese medicine hospital.

Cao Dehua frowned. Xu Yang's ups and downs in memory made him a little speechless. He said: "This person is our key target. I talked to him earlier, and he also has some ideas."

Xu Yang nodded slightly, and said to Wan Lin, "Okay, Teacher Wan, let's go to your department first today?"

"Ah?" Wan Lin was obviously stunned for a moment. Xu Yang is notoriously ruthless. Even Dean Yue can pretend not to know him. It's no longer high enough.

Wan Lin hurriedly said, "Don't, you're too polite, I dare not call you a teacher, and I haven't taught you anything."

Seeing that Xu Yang still wanted to say something, Wan Lin said, "You should call me Doctor Wan instead of Teacher, or others will say I'm blind."

Xu Yang smiled wryly and nodded: "That's fine, let's go."

A group of people went to the Department of Gastroenterology.

Now the Chinese medicine community generally believes that Xu Yang has the strength of a national player, and many people even think that he is not inferior to some big national players.So when Xu Yang came to check the house, he had the air and posture of a national player, and a bunch of people followed behind him.

The director and deputy director who usually lead the ward rounds also came here with their notebooks.

However, the director level is not currently their target, and they will most likely not leave.

Wan Lin introduced the patient's condition to Xu Yang, and he said as he walked: "This patient is gastroptosis, 56 years old, and has suffered from gastroptosis for ten years. Because the condition has worsened recently, he came to the hospital for treatment, but the effect has not been good. "

Xu Yang flipped through the medical records.

The syndrome of gastroptosis is a disease for which TCM has the advantages of treatment.

Gastroptosis, as the name suggests, means that the stomach hangs down and descends into the pelvic cavity, which causes a series of digestive tract abnormalities.

For this disease, Western medicine can only focus on prevention at present, and the second is to try to promote gastric peristalsis and gastric motility, digest the food in the stomach as soon as possible, reduce the pressure on the stomach, and relieve the patient's discomfort.

In addition, only part of the stomach is removed, the volume of the stomach is reduced, and the retention of gastric contents is reduced.

Traditional Chinese medicine generally believes that the sagging of internal organs is due to the lack of Qi in the middle, so most of the prescriptions are prescribed with Buzhong Yiqi Decoction.Replenish the Qi and support the organs.

Xu Yang checked the diagnosis and prescription of his previous doctor, and he also used Buzhong Yiqi Decoction.He took a closer look at the compatibility and specific dosage of the prescription, trying to find out if there was any problem with it.

After reading it, Xu Yang closed the medical record book.

Xu Yuan walked to Xu Yang, took the medical records very naturally, and flipped through them.

Several people entered the ward.

"Oh, welcome, welcome, thank you, thank you, thank you, expert Xu Yang, for coming all the way to see us." The patient's wife came to meet us soon, and they had already received the news.

The patient's daughter was also in the ward, and carefully took out her mobile phone, not knowing whether she wanted to secretly take pictures of Xu Yang or take a photo with Xu Yang.

The epidemic has not passed yet, so Xu Yang's popularity is very high, not weaker than those first-line stars at all.It's just that people will continue to be exposed, but Xu Yang doesn't have that much stamina.

Medical workers, after all, are people who devote themselves to learning, and it is only a coincidence that they become popular for a while.

"Hello." Xu Yang nodded slightly and said, "It's better to see a doctor first."

"Okay, okay." The patient's wife hurried to get the stool.

The patient's daughter was secretly taking pictures of Xu Yang.

Xu Yang walked to the hospital bed, took a look at the patient, and found that his lower abdomen was very bulging, as if he was five or six months pregnant. He stretched out his hand to press it, and it was soft and empty.

Xu Yang frowned slightly, this gastroptosis is a bit serious.

Chapter 757

In fact, this patient was already seriously ill with gastroptosis, Xu Yang was not too surprised, if it was a general disease, they would not have invited him here.

Xu Yang stepped forward and said hello: "Hello."

"Doctor Xu...OK..." The patient was infused with oxygen, but he was still out of breath and gasping for breath.

Xu Yang looked at the other party and asked, "Have you had this disease for ten years?"

The patient's wife helped and said: "The hospital said it was ten years ago, and we didn't even know it."

Wan Lin explained from the side: "This is the conclusion drawn by our internal medicine examination. The patient has always reported that his stomach is not good and his digestive function is not good, but he didn't pay much attention to it. Ten days ago, his stomach suddenly swelled up. I came to the hospital after eating."

Xu Yang nodded slightly, and asked, "Master, what do you do?"

The patient gasped, "Taxi...driver."

Xu Yang looked at the other person's face, and found that he was very haggard and unglamorous. He also saw that the other person was lying on the bed, but he was half bent, rubbing his waist with his hands. He asked, "Why, the waist is uncomfortable?"

The patient's wife said: "People in sports cars are always like this. They are in the car all day long. Either the cervical spine is bad or the waist is bad. Besides, they are getting older."

The patient's daughter interjected cautiously: "My dad always said that his back hurts, especially some time before he was admitted to the hospital. He asked me to massage his waist every day, saying that his waist was about to break. Bending over, not daring to straighten up."

"The body is also a lot worse. If you walk around a little bit, you will start to pant, and your face will heat up, and then you will sweat a lot. After a while, your lower abdomen suddenly swelled up, and then I came to the hospital. Up to now, I still haven’t recovered.”

After Xu Yang heard it, he said, "Stick out your tongue, let me have a look."

The patient sticks out his tongue.

Xu Yang observed, he said: "The tongue is dull."

A group of people behind, taking notes.None of them are laymen, and they know that such a tongue seems to be empty.

Xu Yang diagnosed his pulse again, after a while, he said: "The pulse is weak."

Xu Yang shared his experience. He said: "The pulse condition of this kind of disease is mostly thin and weak, especially in the right inch. On the upper part, you can see shortness of breath, which is difficult to continue, and on the lower part, the lower abdomen is obviously bulging like pregnancy. The void is soft and nothing. Up panting, down protruding, all appear.”

When the patient's family heard this, they suddenly became nervous. Why did they feel that what they said was a bit serious.

Seeing that they were all copying notes, Xu Yang said again: "Also, you should pay attention to one thing, that is the patient's waist. The waist is as tired as it is folded, bent like a shrimp, and when it is moved, it is hot and sweaty. This is the kidney. If the infuriating energy is not solid, there is a risk of going up and down."

The patient's family did not understand.

But the Chinese medicine practitioners here know this professional term. If it really goes up and down, it is a serious disease that is dying.The situation is much more critical than it is now, and it is estimated that it will have to be sent to the ICU for Western medicine to take over.

Xu Yang said: "When we talk about the air in a person's body, where does it come from? The "Neijing" says 'less fire to get angry'. It comes from a little real fire in the kidney, takes root in the kidney, breaks the soil of the spleen and stomach, and comes out, with flourishing branches and leaves. Between the chest and lungs."

"It's like a big tree growing in the body. The kidney is the root, and the soil of the spleen and stomach is the source of nutrition. Because the patient is old, he has been engaged in the business of renting sports cars all year round, and his diet is irregular, and he suffers from internal injuries due to fatigue."

"So much so that it damages the middle yang, causing the middle qi to sink to the yin place and cannot rise up. In addition, the true qi in the kidney is not solid, so it hurts the root. This is the result of syndrome differentiation."

Xu Yang looked at everyone.

Wan Lin said: "Doctor Xu, our previous syndrome differentiation is also the same. The treatment plan we adopted is to invigorate the Qi and kidney qi. Take Buzhong Yiqi Decoction in the morning and Guifu Dihuang Decoction in the evening. But..."

Xu Yang asked: "After taking it, what is the patient's feedback?"

Before Wan Lin could say anything, the patient's wife interjected, "The stomach was already bloated and uncomfortable, but after eating, it became even more bloated and a little painful, making me even more uncomfortable."

Wan Lin looked at Xu Yang helplessly and nodded.

Xu Yang stretched out his hand towards Xu Yuan: "Give me the medical record."

"Oh." Xu Yuan handed over the medical records.

Xu Yang opened it again and asked Xu Yuan: "After watching for a long time, did you see anything?"

Everyone looked at Xu Yuan again.

Xu Yuan smiled and nodded, "Yeah."

Xu Yang looked at Wan Lin, then at Xu Yuan, and said, "Then tell me."

Xu Yuan rubbed his hands together and said, "This is not good..."

But before anyone else could speak, he said, "Then since everyone demands so strongly, I'll make a fool of myself."

Everyone else squinted at him.

Xu Yuan has an acting personality, so he stretched his neck: "Mr. Xu Yang just talked about this dialectical problem, and he explained it very thoroughly..."

Xu Yang interrupted: "Don't talk nonsense, just tell the conclusion."

"Oh." Xu Yuan choked suddenly, and could only honestly say: "The main reason is that this prescription needs to be adjusted."

This patient was taken over by Wan Lin, and he asked, "Which one?"

Xu Yuan said: "Bu Zhong Yi Qi Decoction."

"Huh?" Wan Lin showed doubts.

Xu Yuan said: "The reason why the patient's stomach sags is because of the sinking of the middle Qi, so we need to lift it to supplement the middle Qi. There is no problem with prescriptions for nourishing the middle and Qi, but you have to consider the actual physical condition of the patient."

People don't understand.

Xu Yuan said again: "To treat this kind of disease, we must not be trapped by the thinking of Western medicine. We must not see the patient's stomach distended and then go to relieve the swelling, let alone the cold and cold, or the digestion is broken, otherwise the situation will be severe. It's going to be very serious."

Wan Lin frowned and said, "We have taken this into consideration. We didn't use anything that disperses Qi to reduce swelling, let alone anything that is cold."

"Yes." Xu Yuan smiled and pointed at Fang Zi: "Chen Pi!"

"Huh?" Everyone was startled.

At that time, everyone wanted to refute, but seeing that Xu Yang didn't speak, they didn't dare to open their mouths. After all, there were too many people who had been slapped in the face by Xu Yang, and they didn't want to join in.

Wan Lin couldn't avoid it. He asked, "Isn't it okay to use tangerine peel? This is the original recipe of Buzhong Yiqi Decoction."

Xu Yuan said: "If it is an ordinary patient with gastroptosis, it is naturally not too important. But this patient is in a serious condition, already a serious illness, and his qi is much weaker than ordinary patients, so even the strength of dispersing qi like tangerine peel is enough for him. It's unbearable."

"Oh..." Wan Lin slowly responded.

So why do you need to worship a famous teacher to learn Chinese medicine? This is the experience of a famous teacher. The so-called true teaching is just like this.Without this sentence, Wan Lin would still be walking outside the door.

"I see." Wan Lin nodded.

Xu Yuan said again: "Ah no, it's more than that."

"Huh?" Wan Lin frowned.

Xu Yuan said again: "There is still a blind medicine, and you are not using it right."

Wan Lin's face was a little ugly: "Which flavor?"

Xu Yuan said, "Red ginseng."

Wan Lin was puzzled and said, "What's wrong with red ginseng? Red ginseng has a stronger tonic power, and a better qi tonic effect."

Xu Yuandao: "That's right, but you made a mistake in the method of use, you put it into a decoction. The medicinal properties of the decoction are released very well, so it will take effect quickly after taking it, but the Qi in the spleen and stomach needs to be slowly raised of."

"Especially this patient's qi is too weak. Not only will it not be able to replenish qi in time, but it will make the patient feel more bloated. Therefore, red ginseng should be broken into small pieces, swallowed, and slowly digested to make the sunken The air slowly rises."

Wan Lin looked at Xu Yang, and then turned to look at the proud Xu Yuan.

This is again a talk from experience, this kind of experience will not be summed up on such a young man, it must be taught by senior Chinese medicine.

"A word from the truth..." The corner of Wan Lin's mouth turned bitter suddenly, and it was because of this sentence that he suffered the most.

If it was Xu Yang who pointed out these disadvantages at this time, he would not feel uncomfortable, after all, he had already lost sight of Xu Yang's back.But the young man in front of him can also say such a method of experience, which makes him a little aggrieved.

He looked at the expert directors in their hospital who followed him, and felt bitter. If they also had experts like the Mingxin branch, how could they let such a kid show off today?

Chapter 758 Have you made up your mind?

Xu Yang also understood the reason why Du Yueming sent Xu Yuan. This kid came here to cause trouble and hatred.

If it wasn't for the inadequacy of our own hospital, how could such a brat be allowed to show his power here?Many people present felt tired and dissatisfied with their own hospital.

The last prescription for the gastroptosis patient was drafted by Xu Yang.

He used Buzhong Yiqi Decoction, but removed the tangerine peel, and added 4 pieces of cornus, psoralen, and walnuts.

He said to the people behind him: "Dr. Xu Yuan from our hospital said two things just now. One is that the tangerine peel is divergent, and the other is that the red ginseng is chopped into pieces, and you can raise your breath slowly. But there is one more thing he didn't say, that is Your method of raising middle qi and tonifying kidney qi is problematic."

Everyone else looked at Xu Yang.

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