Traditional Chinese Medicine Xu Yang
Page 435
There was another rustling sound from the audience.
Professor He didn't push too much, because this disease is always complicated and weird.
Xu Yang raised his head, looked at the crowd in the stands, and said: "It is said in the "Neijing" that 'those who are good at diagnosis should check the color and feel the pulse, and first distinguish between Yin and Yang.' As long as Yin and Yang can be distinguished correctly, there will be a correct diagnosis. direction. This disease, the disease belongs to yin and yang?"
"It's dark..."
An uncertain voice sounded from the audience.
Xu Yang Xunsheng looked over.
Another voice said: "At the beginning, the patient had acute cholecystitis and tuberculous peritonitis, so at the beginning, he should be exuberant, and needed to be relieved by bitter cold. Later, he developed ascites, and there should be no problem with diuretic prescriptions, but why? Will it get heavier?"
Xu Yang frowned slightly, and looked at Professor He beside him.
Professor He also showed a bit of embarrassment.
Chapter 762 It's Cold Card!
Xu Yang asked: "Who said that just now?"
The young doctor stood up apprehensively.
Xu Yang said in relief: "Don't be nervous, tell me what you think, why did you think it was Yang Sheng in the first place?"
The young doctor said nervously: "Isn't this acute cholecystitis? In the medical records I have seen, the prescriptions are basically for bitter cold diarrhea, so it must be Yangsheng. After all, it is acute inflammation, and the white blood cells also significantly increased."
Xu Yang frowned again unknowingly: "I remember I mentioned this question a few times, and I should have introduced related medical cases on the public platform."
The young doctor was at a loss, but he also paid attention to Xu Yang.But Xu Yang's account is divided into two parts, one is for the general public, and introduces some interesting knowledge of Chinese medicine.The other is boring and difficult professional knowledge and theory.
This young doctor is too lazy to study professional knowledge after get off work. To pay attention to Xu Yang, he also reads gossip and sees who Dr. Xu Yang is fighting with.
The young doctor suddenly became embarrassed.
Xu Yang scratched the center of his frowning brows with his hands. He never thought that so many people could not get rid of the shackles of the inspection report after popularizing science for so long.
Taking the path of true Chinese medicine is a simple sentence, but it is too difficult to practice, even the provincial Chinese medicine hospital, let alone other hospitals?
Xu Yang's breathing was a little heavy, and he felt that it was a very difficult road for all Chinese medicine hospitals in the world to follow the path of Mingxin Branch.
Seeing that Xu Yang stopped talking, the young Chinese doctor blushed to the point of his ears, and he didn't know if he was wrong.In this silent meeting room, he didn't even know why he was here.
Finally, after more than ten seconds of silence, Xu Yang pressed his hands and said, "Sit."
The young Chinese doctor, as if he had received amnesty, quickly sat down, not even daring to lift his head.
Xu Yangdao: "I have always said that we Chinese medicine sees and diagnoses. We must have the thinking of Chinese medicine, and we must not be disturbed by some diagnoses of Western medicine. In ancient times, when there was no Western medicine, gallbladder inflammation could not be detected, and peritonitis could not be found. , can this disease not be cured?"
"Acute inflammation, the increase of white blood cells is usually seen in Yang Sheng, and it needs to clear away heat and purify fire. But you have to listen clearly, this is just a normal situation, so what if it is not normal? How do you judge whether it is normal or not?"
The audience fell silent again.
Xu Yang sighed: "It's still the same sentence, the diagnosis of Chinese medicine depends on the thinking of Chinese medicine itself. Otherwise, it will be difficult for you to reduce the rate of misdiagnosis, and it will be difficult to improve your cure rate. Take this patient as an example."
"Although there was no diagnostic information from our Chinese medicine at the beginning, you shouldn't be preconceived and confused by the words acute cholecystitis. If you make a mistake here, there will be no way to cure it later."
"We deduced from the patient's symptoms that first of all, the patient is almost [-] years old, and his kidney qi has weakened. At first, he had aversion to cold, fever and no sweat. Why?
"At the same time, I also occasionally experienced vomiting and abdominal pain, and the swelling gradually spread all over the body. Don't worry about other Western medical diagnoses, but from the perspective of Chinese medicine, what is this? It is Shaoyin deficiency and cold, and kidney deficiency and cold are the root."
"I also saw that the surface of the sun is cold and solid, and gradually spread to the deficiency and cold syndrome of the Taiyin, so that the patient's lungs, spleen, and kidneys are all sick. This disease is essentially a cold syndrome, and the exterior and interior are the same disease. This is to quote the big principle. Already, let’s solve the symptoms first.”
"It's a pity that the external cold has not been resolved, the external qi is blocked, and the cold evil can't get out. At this time, the former doctor used more than 30 doses of bitter cold medicine. Isn't this worse? Nonsense! It caused the patient's triple burner to gasify freeze."
"Cold evil enters through the meridians of the skin and hair, and penetrates layer by layer. As the true yang declines day by day, the bladder cannot be qi-gasified, and water will naturally swell. The spleen is also yang-deficient, unable to transport and transform water-dampness, and the edema will be even worse."
"Water qi lingers on the lungs, which causes the patient's palpitations, coughing, wheezing and phlegm, and finally leads to the flood of yin water, and the internal organs are all trapped by heavy yin and cold. The patient is tired and drowsy, and his limbs have already turned against him. He is now in critical condition and discharged from the hospital." state!"
Xu Yang shook his head slightly, the former doctor's treatment was too nonsense, it was just blind treatment.Regardless of the syndrome differentiation of traditional Chinese medicine, the prescription was formulated according to the examination report of western medicine, and finally came up with this result.
After Xu Yang finished speaking, the field fell silent for a while.
Then it rustled again.
The upright Dr. Wang Li raised his hand.
Xu Yang looked at him, stretched out his hand and said, "If you have any questions, you can ask them."
Wang Li stood up and asked: "Doctor Xu, but the patient's tongue is obviously yin-deficiency tongue, red tongue without coating, compared with the patient's symptoms..."
Xu Yang nodded: "Okay, sit down. You are right, the patient's tongue is red, uncoated and dry, and all schools of thought are also based on yin deficiency. But take a look, this patient has symptoms of yin deficiency ?"
Everyone in the audience showed confusion again.
This is also what they don't understand. The various conditions of this patient are very strange.
Even several professors looked at Xu Yang.
Xu Yang said: "This patient has a very typical yin-deficiency tongue. The tongue is as red as a persimmon, without coating and dry. But his main symptom does not show the hot amount of yin deficiency. Why is that? Isn't it? Does the tongue not match the symptoms?"
"We don't have any instruments to help us check. What we believe is that if there is something inside, it must appear outside. But the outside may be deceptive information. We have to peel off the heavy clouds and fog to find the truth. "
"That's why there are four diagnoses in Chinese medicine, because it is necessary to combine the four diagnoses, so that it is not easy to make mistakes. In this patient, we must resolutely follow the syndrome. According to my experience, we have actually found a lot of qi deficiency and yang deficiency. , and even patients who have lost their yang will have a coating-free tongue."
"Yang deficiency, especially for patients with yang deficiency, their treatment requires the use of pure yang products with great pungent and great heat. In other words, to treat the tongue without moss, you need to use aconite and other medicines, is it true? It looks incredible?"
Everyone in the audience nodded.
Xu Yang said: "But this is the fact. I used this method to treat many patients with no coating tongue. They all used aconite to induce body fluid. Let's go to the former doctor for diagnosis and treatment. If the former doctor also found this problem, I'm afraid it won't happen. With such a prescription, the patient’s condition will not deteriorate to such an extent.”
Xu Yang sighed regretfully, and looked at Professor He beside him.
Professor He whispered to him: "The construction of TCM in their hospital is very poor, and TCM has always been required to have inspection reports as the basis for prescribing prescriptions, so they are generally not allowed to get involved in such serious diseases, and I don't know how they got involved this time. "
Xu Yang frowned. He didn't expect that in such a big hospital, Chinese medicine practitioners would suffer so badly. He shook his head and started writing the prescription.
Use Ephedra Fuzi Xixin Decoction to warm the kidney, help yang and relieve the exterior, open the exterior of the sun, open the lungs and close the water passages.Combined with Zhenwu Decoction to warm the Yang and purify turbidity, benefit the source of fire to eliminate yin and gloom, add ginseng to help the vitality, add osmanthus to stimulate the gasification of the lower coke.
Xu Yang projected the prescription on the big screen, and then asked someone to take the prescription away and give it to the patient.
It's just that the critical situation of patients here has not been resolved. The next day, the Chinese medicine team from Provincial One came to the door.
Chapter 763
The reason for this is also very simple.
In today's society, there are no secrets at all.Not to mention, Xu Yang still said in front of so many people that the previous hospital made a mistake in treatment.
So soon, the news reached the ears of the patient's family members.
The family members of the patient quit working at that time, and rushed to the province to make a big fuss, which alarmed the medical department, and the Chinese medicine department was also in a state of chaos for a while, making it very ugly.
After inquiring, I found out that the provincial Chinese medicine doctor ordered them, and this group of people immediately became furious, and Wu Yangyang ran over to ask for an explanation.
The leader's surname is Qi, Qi old Chinese medicine doctor, a famous Chinese medicine doctor in their province.He also nodded his head before continuing to make the patient's prescription, so he was the one who was most angry this time.
The leaders of the Provincial Hospital of Traditional Chinese Medicine also had a headache, so they quickly pushed Professor He out and asked him to solve this problem.
Professor He is also quite broken. What does this matter have to do with him? Why let him solve it?
They spread their hands and said, who made Xu Yang your student.
Professor He was speechless at the time. Yesterday he was unrestrained and arrogant, and he received a whole basket of envious eyes from others.Well, the world report came so fast, today he was confused.
Seeing that the other party sprayed out all the spit, Professor He couldn't help but wiped his face, and could only pretend not to hear.
At this moment, Professor He thought of his students. When he was lecturing, there were always a few people who were out of their minds.Even if he was looking at the podium, his gaze was lacking, and his thoughts drifted away, so naturally he couldn't hear any sound in his ears.
Professor He used to be annoyed by such students, but at this moment, he was a little envious of such skills.
Xu was tired from spraying, and the old Chinese doctor Qi was breathing heavily.
Professor He gave the teacup forward and said, "Would you like to have a sip?"
The old Chinese doctor Qi picked it up and poured it into his mouth, thumped down a big cup, and then cursed: "Give me a full drink, and I will have the strength to scold you again."
The corner of Professor He's mouth twitched, and he cursed secretly, if he knew it, he would have made this old man die of thirst.
The old Chinese doctor Qi still felt that he was not enjoying himself, and scolded again: "What's the matter, are you dumb? Why don't you talk?"
Professor He said helplessly: "You give me space to interject. You haven't stopped since you came in. You have no chance."
The old Chinese doctor Qi sat on the sofa next to him, maybe he was tired from spraying, and he said: "Then why do you say that we prescribed the wrong prescription? You must be right? As for ordering us? This is obvious. You are very capable, right?"
Professor He choked, and there was a series of babbles, he couldn't get in a word.
At this moment, the door of the office was suddenly opened.
"Why do you say that your prescription is wrong? I explained it at the meeting yesterday. If it didn't reach your ears, then I don't mind saying it again in front of you."
"Xu Yang..." Professor He was stunned, didn't he have someone call Xu Yang away on purpose?He knew that Xu Yang had a hot temper, so he was afraid that Xu Yang would come over and intensify the conflict, so why did he bring him over?
Professor He looked at Liu Jie who was standing next to Xu Yang, and gave her a questioning look.
Senior Sister Liu Jie shrugged quietly.
"You are Xu Yang?" The old Chinese doctor Qi looked at him extremely unkindly.
Several Chinese doctors behind the old doctor Qi also looked at Xu Yang.
Xu Yang nodded slightly: "Yes, I am Xu Yang."
"Hmph, Xu Yang's expert is so famous!" Qi old Chinese medicine doctor looked Xu Yang up and down.
Xu Yang retorted secretly: "To cure a disease, one does not rely on fame or age. It is ability to cure a disease."
Hearing this, old doctor Qi's face was very stinky, and he said, "You were the one talking nonsense yesterday?"
Xu Yang said: "I don't know if it's a big talk or not. I only know that some people used more than 30 doses of medicine, which forced the patient to die."
"You!" The old Chinese doctor Qi got up in a flash, and the Chinese doctors who followed him also got up, staring at Xu Yang one by one.
Professor He hurriedly jumped out, saying what Circus said, and stopped two groups of people.He was afraid that Xu Yang would come and intensify the conflict, look, it really is!
Xu Yang also had a bad temper, so he directly pushed back: "What are you, isn't what I said the truth? Or do you dare not even admit the truth?"
The old Chinese doctor Qi said angrily: "What fact? Our medication is not wrong at all. If you have ascites, shouldn't you diuretic?"
Xu Yang said: "Then why did you put the person to death?"
"You!" The old Chinese doctor Qi almost didn't come up in one breath.
"Old Qi, old Qi." A group of people behind hurried up to support old doctor Qi, for fear that the old man would get angry.
Professor He's heart was suddenly suspended. This old man is so old, what should he do if he gets angry?
Senior sister Liu Jie standing beside Xu Yang quietly asked Xu Yang: "Hey, Xu Yang, if this old man dies later, are you sure you can rescue him?"
Xu Yang also choked.
When Senior Sister Liu Jie saw Xu Yang like this, she immediately reminded: "Then you have to take it easy."
Xu Yang nodded.
After a while, the old Chinese doctor Qi came to his senses. He pointed to Xu Yang, and he was really out of breath. He tried his best to calmly say: "I don't quarrel with you. I know with a little medical knowledge that it is not necessary for a patient to become critically ill. It's not necessarily the wrong medicine, it may also be that the disease has indeed developed to that stage, and the medicine is hopeless."
Xu Yang wanted to say something more, but after thinking about it, he decided to forget it.
The old Chinese doctor Qi asked again: "Besides, you said that we prescribed the wrong prescription, are you right? The patient has no mossy tongue, why do you add Zhenwu Decoction to Kaimafuxixin Decoction?"
Xu Yang said: "It's because he has no moss on his tongue, that's why I opened it like this. Aconite produces body fluid, and it's hard to moisten it."
As soon as these words came out, several people behind the old Chinese doctor Qi laughed.
The old Chinese doctor Qi also shook his head again and again: "This is the first time I've heard that you are not afraid of robbery, but use aconite to produce body fluid. It's a fantasy."
Xu Yang said: "You can see the curative effect."
The old Chinese doctor Qi said: "Then I don't know how the expert Xu Yang is treating him now?"
Before Xu Yang could answer, another young man entered the door.
"How's it going, Xiao Zhang?" A middle-aged man standing behind Qi old doctor asked.
The young man said, "I went to see him. Not only did the ascites not go away, but he also developed jaundice."
"Hey, it turns out that this is a famous doctor, and he also said that we made a mistake in the treatment. Some people who co-authored it were jaundice. What kind of novel treatment is this?" Cynical up.
The old Chinese doctor Qi also frowned at Xu Yang.
Professor He also hurriedly looked at Xu Yang, he hadn't had time to see the patient's condition yet.
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