Traditional Chinese Medicine Xu Yang

Everyone dared not even speak.

No wonder Xu Yang was angry, he was really angry.

A patient like this really wouldn't be dragged to this point. If he had dared to use the medicine of great pungent and great heat earlier, open the ice to thaw out, open the door to drive away the robbers, and hold out the evil spirits, the patient would have given him ten years ago when he fell ill. cured.

Even if it has been delayed until now, when the patient was hospitalized in the provincial capital seven months ago, he was given a large dose of Wufuzhi medicine, and the ice could be used to thaw it.

Why drag it until now, to this critical condition.

The patient is tortured to death by the disease.

The family members of the patients were also tortured beyond belief.

Isn't this the doctor's responsibility?

Xu Yang was so angry that he couldn't suppress his anger all of a sudden. He looked over one by one with a sullen face.Although Xu Yang's qualifications in reality are very low, his mentality has long since changed from that of a young doctor.

He got angry and didn't care too much. It's not that there are no experts who he scolded face to face before, he stared at everyone and said: "Don't think that this critical illness has nothing to do with Chinese medicine, let me tell you, this is the responsibility of Chinese medicine! "

"Don't think that Western medicine invites you to consult for a formality. You have to take up this responsibility and treat critical and severe diseases. Chinese medicine never lags behind."

"If you dare not take this responsibility, the patient will lie on the hospital bed waiting to die. If you don't dare to take this responsibility, Chinese medicine will always be called a slow doctor and health care medicine!"

"If you don't dare to take this responsibility, the experience of emergency rescue accumulated by the sages and sages who have gone through all kinds of hardships will be completely in vain. If you don't dare to take this responsibility, Chinese medicine will always be half dead like this!"

Xu Yang scolded him.

The whole place was silent.

Cao Dahua and the patient's wife also looked at the young doctor blankly.

Obviously Xu Yang is so young, and obviously this person has very low qualifications, but when he scolded others, everyone felt trembling from the bottom of their hearts, and they didn't dare to argue with him for a while.

Even Professor He was beating his heart. At this moment, he suddenly remembered that when he attended a Chinese medicine seminar many years ago, there was an old Chinese medicine practitioner who cursed people like this.

Accusing the current Chinese medicine practitioners of only caring about their own protection, only knowing how to use medicines in a stable manner, willing to be a slow doctor, so that they have completely lost the field of critical care and become a vassal of Western medicine.

"This is a great shame for three generations of Chinese medicine practitioners!" The old Chinese medicine practitioner scolded severely at the meeting.

"That's right, that old Chinese doctor's name is Li Ke!" Professor He looked at Xu Yang, and seemed to see the old Chinese doctor's shadow covering Xu Yang's body.

At that time, he had the same tone.

At that time, he also looked like this.

At that time, he was also so angry.

……

After a while, there was a weak voice from the crowd: "Is there really nothing wrong?"

Xu Yang said expressionlessly, "After the medicine is cooked, I'll drink it first!"

Everyone present was shocked.

Professor He was also surprised.

Everyone in the audience was speechless.

"It's inappropriate. If you prescribed a prescription and decocted medicine, just give it to him." The patient's wife said.

"Sister-in-law, you..." Cao Dahua was startled for a moment.

"Qingyan, you..." Cao Dehua didn't know what to say.

The patient's wife raised her head and looked at Xu Yang, she said calmly, "I agree to use your prescription."

"Sister-in-law, you have to think clearly." Cao Dahua hastily reminded.

A hint of despair appeared on the dull face of the patient's wife, and she asked, "Is there any other way?"

Everyone was even more blocked.

Xu Yang looked at her and solemnly agreed: "Don't worry, I will do my best."

"Xu Yang!" Professor He scolded again: "No one can guarantee that such a serious illness will be cured, whether it is traditional Chinese medicine or Western medicine. If it is not cured in the end, the Pharmacopoeia is the Codex, and you will be responsible! You forgot Has the 500 million yuan indemnity of Yong'an Hall been resolved?"

As soon as these words came out, the expressions of all Chinese medicine practitioners darkened.

Even Xu Yang himself was stunned, because he really forgot.This incident happened just a few years ago, and he remembered it clearly before he went back to study with the teacher, but the time in the system was too long, and he really forgot about it.

Xu Yang was also stunned for a moment.

Other Chinese medicine practitioners lamented that after that incident, everyone in the Chinese medicine profession felt in danger.So what if Zhongjing Jingfang is effective?So what if it continues to be used for thousands of years and saves countless lives?Who the hell would dare to exceed the pharmacopoeia dosage?

Professor He frowned, knocked on the table with his fist, and tried to persuade him: "Xu Yang, don't mess around!"

Xu Yang lowered his head. At this moment, many memories flashed before his eyes...

After a while, he raised his head and smiled reminiscently. He looked at Professor He and said, "Teacher, in fact... I have experienced a lot during this time."

"I have followed many old Chinese doctors, but what I have learned is not only the ability to cure diseases and save lives, but also the medical ethics of going to the rescue without considering personal gains or losses."

"Perhaps everyone thought that I didn't need to save the dying patient with heart failure, just take some quick-acting heart-relief pills, and do my best as a doctor. There is no need to ruin my future. But in fact, teacher, I have never Never regretted it."

Professor He was stunned.

Xu Yang smiled at Professor He: "I may still be stupid. Although everyone thinks that Chinese medicine treats chronic diseases, it is enough to do health care. But I really can't see the patient lying in front of me, but If I don't try my best to save him, I can do more. After all, I... am a doctor."

For a while, all the Chinese medicine practitioners in the audience were moved.

Cao Dahua also looked at Xu Yang in a daze.

The patient's wife also looked at Xu Yang differently.

Even Professor He was speechless for a long while, he sighed, and smiled wryly.More than half a year has passed, and even though he has experienced such a big setback, Xu Yang is still the same Xu Yang.

The director of the ICU, Shi Rentong, frowned and said: "We cannot give patients such decoctions that exceed the prescribed dose. If something goes wrong, it is not you who are responsible, but our hospital."

"I can sign an exemption agreement." The patient's wife spoke at this time.

Xu Yang looked at her with surprise.

Shi Rentong was also taken aback.

The patient's wife looked at Xu Yang and said slowly: "I am not an unreasonable person, and we are not people who are good at making troubles. I am not sure if you can really cure him, but I can feel your Sincerity and medical ethics, this is enough. No matter what the result is, we can only be grateful."

The patient's wife stood up from the chair and bowed to Xu Yang.

This bow moved Xu Yang.

It moved all the doctors on the scene.

Chapter 111 Taking Responsibility For You

Since the discovery of the ancient tomb of the Eastern Han Dynasty in 1981, the real dosage in Zhongjing Jingfang was confirmed. Since then, the debate on the dosage in the Chinese medicine community has never stopped.

In his later years, Mr. Li worked for this for a long time, and many old Chinese doctors also made appeals for it.

Of course, many Chinese medicine practitioners have begun to try new dosages, which have been gradually applied clinically, and all of them have achieved excellent clinical results.But for those poisonous drugs, few people dared to use them.

The reason is simple, the Pharmacopoeia is the Codex.

If something happens within the dose, it is called an individual event, and the Pharmacopoeia will protect the doctor.However, if the dosage is exceeded, the doctor will be held accountable in the event of an accident.

In the 60s, Dong Wei, a famous cardiovascular doctor who had returned from studying abroad at the Imperial College of Medicine in Japan, was sent down to Mr. Li’s middle school in his county as a school doctor. He once witnessed Mr. Li using the Poge Jiuxin Decoction to rescue heart failure patients.

He marveled at Mr. Li's curative effect, and praised that his ability to treat critical heart failure has surpassed modern medicine.But I was also worried that Mr. Li used such a large amount, if something happened, he would be imprisoned.

Mr. Li still didn't care about it, and went to the rescue wholeheartedly, never considering personal gains or losses.Fortunately, Mr. Li met a good leader, and every time the dean signed for him to take responsibility for him.If the dean is away, the local police chief will also sign for him.

In fact, for so many years, people in the field of traditional Chinese medicine have been promoting the reform of the Pharmacopoeia.There is no Chinese medicine doctor who does not criticize the pharmacopoeia, but unfortunately, the effect is very little. In fact, the pharmacopoeia of Chinese medicine has long been the final decision of Chinese medicine.

……

Xu Yang sat down to write the prescription, he said: "The patient's disease syndrome is very obvious, it is yang deficiency and cold condensation, severe cold and cold, stasis blockage, so that the body is trapped by yin and cold, resulting in heartache and gangrene. "

"Because stasis is obstructed, and cold coagulates blood stasis, it is necessary to promote blood circulation and remove stasis. And because qi is the commander of blood, and when qi moves, blood flows, so astragalus should be used as the monarch drug, and it must be reused. It can promote blood circulation."

"Shengqi is best at detoxifying and discharging pus, suppressing sores and promoting granulation. It is the key medicine for carbuncle and the first choice for treating gangrene. However, because of its mild medicinal properties, it is difficult to be effective unless it is reused. Therefore, reusing Shengqi 240g."

The little Chinese doctors looked at each other without much hesitation, and all began to take notes again.What Xu Yang told them was the principle of treatment and the strategy of medication, these are all the most valuable clinical experience.

Xu Yang said again: "The patient's body is trapped by yin and cold, and the cold evil lies deep in the meridians and penetrates into the blood, causing pain in the heart and cold limbs. Therefore, Danggui Sini Decoction is used to restore the yang and save the adversity."

"Danggui Sini, nourishes blood and unblocks the veins. It is mainly used to treat cold hands and feet, and the pulse is thready. It fits the patient's symptoms. The patient's dorsalis pedis artery has disappeared, and the Cunkou pulse is also deep, thin and slow. Both aconite and angelica should be used up to 60g.

"The patient's hands and feet are numb, the cold enters the meridians, and the legs have severe pain like electric shocks. Evodia rutaecarpa is best at relieving spasms. It is combined with angelica Sini to restore the yang and rescue the reverse, so as to relieve the patient's pain and relieve the numbness and spasm of the hands and feet. .”

"Finally, the patient's course of disease was too long. Not only was the blood deficient and stagnant, but the coldness in his body was as cold as ice. At this time, the non-traveling twelve meridians, inside and outside, and the aconitum decoction with big pungent heat could not overcome the enemy and dispel the cold. "

"Therefore, the Aconiti Decoction should be combined, and the usage should be respectful. The amount of Zhigancao should be twice that of Chuanwu. For 30g of Chuanwu, 60g of Zhigancao should be used. This amount of Zhigancao is enough to control the poison of aconite.

"In addition, add 30g of black bean and fangfeng. These two are the key medicines to restrain black and poisonous. Although there are no these two medicines in Zhongjing Wutou soup."

"But when I taste Fuzi and Chuanwu, I often use this soup to detoxify. There are also related herbal treatises on these two, which record that they can detoxify Wufu. I also used this soup to save Zhongchuan Wudu. people."

"Adding these two is more secure, and can ensure that Fuzi and Chuanwu will not be harmful. Now it is difficult for pharmacies to get raw Chuanwu. You can't learn Zhongjing's method of cooking Chuanwu, but you can add 150g of honey to the soup. , is the same."

"These are all the experience of senior Chinese medicine practitioners in applying Wufu. Only by learning how to control this kind of fierce general can Chinese medicine have weapons to defeat the enemy when treating critical illnesses."

"Everyone must keep in mind that the use of these poisonous drugs that you think is an exception is not random, but you must be cautious. Only after you have tasted it will you know it. I also suggest that you try Chuanwu after get off work. And aconite, try the feeling of detoxification after being poisoned."

A group of small Chinese doctors present gasped.

Xu Yang said: "Many disciples of old Chinese medicine practitioners will be forced to taste Wufu and other medicines, but they dare not use them themselves? How dare they use them for patients?"

Everyone looked at each other in blank dismay.

Several Western doctors looked at each other, very disapproving.Xu Yang's so-called caution was too rough for them.

How a Western medicine is used clinically is to go through a very complicated drug testing process, verification again and again, pharmacological research, animal experiments, human body taking experiments in multiple batches, again and again, after going through very complicated procedures, Dare to be used clinically.

Do you dare to use it on a patient just by taking two sips yourself?

Is this too messy?

There is no safety or security at all.

Several directors of western medicine shook their heads one after another. They all had opinions in their hearts, but they didn't say anything.

Even Zhong Hua and Cao Dehua frowned.

……

Xu Yang sighed slightly, and said: "I know that you all think it's unscientific to determine the dose based on your own experience in taking medicine, because after all, you are not sick, and the patient is dying, so naturally it cannot be the same."

A group of small Chinese doctors nodded one after another.

Xu Yang said helplessly: "It is correct to maintain necessary doubts about the previous drug experience. Let you taste Fuzi and Chuanwu, let yourself be poisoned, and then use medicine to detoxify, just to prove that these medicines can restrain the poison of Wufu. As for using it on patients, it won’t do any harm.”

"We have to be more cautious than anyone else when using this kind of medicine. I also hope that some medical research institutions can come up with reliable conclusions, but few of those institutions that study Chinese medicine understand Chinese medicine."

"Medicine is a science that focuses on practice. We must not advocate empty talk and despise clinical practice. The pharmacological research of the Institute of Medicine does not fully represent traditional Chinese medicine. We can only rely on ourselves to test poison and medicine."

"After you really try it, you will find that Zhongjing is right. Zhongjing's prescriptions have been used for more than 800 years of clinical experience. Isn't it more reliable than medical research institutes? Isn't it to prove its safety and efficacy?"

The little Chinese doctors looked at each other and wanted to take notes, but they didn't know how to write.

Professor He also sighed slightly.

Xu Yang looked at them and said, "I am very opposed to you daring to use large doses of Wufu medicine, because it is irresponsible to the patients."

"I suggest that you learn from old Chinese medicine practitioners with sufficient experience. Only when you have seen enough, learned enough, and tasted enough can you use it in clinical practice. Because we are saving people, not harming them."

"However, you can boldly use the real dosage and compatibility of Zhongjing Jingfang after you have relevant clinical experience and on the basis of dialectical correctness, because Zhongjing can't make mistakes."

Zhong Hua and Cao Dehua looked at each other and smiled wryly.Zhongjing is right, but the pharmacy also has to be willing to give medicine.Zhong Jing is right, after the patient makes trouble, the doctor who prescribes the prescription should be held accountable.

Xu Yang continued to write the prescription, he said: "The patient's cold evil enters from the outside, and from the outside enters the inside, and has subdued the evil for many years. The more deficient the patient's righteous energy, the deeper the cold evil has penetrated. Now it has entered the blood system and has become a critical illness. .”

"Since the disease enters from the outside, it should be solved from the outside. The way the evil comes from is the way out. Chinese medicine treatment has never been to kill the disease, but to strengthen the body and drive away the evil."

"Support the righteousness and expel the evil. Therefore, you should first remove the appearance and ask the evil to go out. If there is no way to strengthen the righteousness and exorcise the evil, you can use Wufu and other high-heat medicine to drive away the cold evil."

"There is no way out for cold evil. It is necessary to open the door to drive away the robbers, otherwise it will be difficult to cure. Therefore, ephedra and cinnamon sticks and other pungent and warm medicines should be added.

"Asarum is the great general who strengthens the body and supports the penetration. It can release the deep cold and coldness hidden in the three yin meridians from the inside out to the outside. When using the basic dosage described in the Treatise on Febrile Diseases, you must not learn from Song Dynasty. Cheng or Li Shizhen's asarum is nothing more than money."

"Add a few insect medicines, unblock the collaterals and calm the pain, and this is the whole prescription." After Xu Yang finished writing the prescription, he looked at the crowd with a calm expression, and said, "I will bear all the consequences."

The hearts of all the Chinese medicine practitioners present trembled.

Xu Yang picked up the paper, but the paper in his hand was snatched away by Professor He.

Xu Yang was startled for a moment.