Traditional Chinese Medicine Xu Yang

The others were also taken aback.

Professor He put the prescription on the table, then took out a pen, and wrote his name on the prescription.

"Teacher...you..." Xu Yang was shocked.

Professor He shook his head, smiled wryly, and said, "I can't persuade you, so I have to help you take responsibility."

Chapter 112 I Will Take Responsibility

After Professor He signed, he looked at the prescription carefully.

Although Xu Yang's medication was really bold, he didn't act recklessly.Nowadays, there are many folks advocating Vulcanism, but many of them do it indiscriminately, increasing the dosage indiscriminately, not paying attention to the compatibility, and not paying attention to the patient's condition.

For Xu Yang's prescription, his doses are all based on the real doses in Zhongjing's prescriptions, such as Chuanwu, aconite, ephedra, and especially asarum.

Now the Pharmacopoeia stipulates that Asarum is not worth money, only 1-3g.This rule is the same as Li Shizhen's "Compendium of Materia Medica", which says that Asarum is not worth money, so this is why many people in the Chinese medicine field scold Li Shizhen.

After the excavation of ancient tombs in the Eastern Han Dynasty, it also proved the true dose of Asarum in Zhongjing Jingfang.Calculated according to one tael in the Han Dynasty and today's 16g.

经方中用到细辛的汤剂16方中，有8方的剂量用到了3两；有5方的剂量是2两；真武汤则是用了1两。在丸剂里面，乌梅丸，仲景足足用了6两。只有侯氏黑散中的细辛只用3分。

Therefore, many doctors of later generations speculated that people in the Song Dynasty were used to taking powders. Maybe Asarum was in the powders, which was very toxic and had never been decomposed by high temperature, so they could only use very low doses.

Of course, some people say that Chen Cheng, a man of the Song Dynasty, wrote "Materia Medica Don't Talk" because he heard that some prisoners died suddenly, and it was suspected that he had taken traditional Chinese medicine containing asarum powder, so he did not check the truth, and simply believed If Asarum is used alone, it should not be spent on money.

Then Li Shizhen simply quoted Chen Cheng's point of view without careful verification, regardless of the records in "Shen Nong's Materia Medica", and regardless of the dosage of Zhongjing Jing's prescription, and entered Asarum but Qian into "Compendium of Materia Medica" middle.

So far, Asarum has been wronged for hundreds of years, and even now...

However, among the people, there are also many people who respect Zhongjing Jingfang.After all, "Shen Nong's Materia Medica" also classified Asarum as a top-grade non-toxic.

It's just that when it's used as a powder, it can't be used too much, after all, Zhongjing only used three parts in the powder.It is only used as a decoction. Under high temperature decoction, a little more dosage can keep you safe.

Even Mr. Liu Peiran, a famous doctor in Hebei, used 120g of asarum when he used it the most, which was more than seven liang in the Han Dynasty. Compared with the 3g in the Pharmacopoeia, it is naturally too different.However, Mr. Liu became famous because of this, and he did not miss it.

"Materia Medica Justice" also summarizes Asarum as follows: "Asarum is the strongest in fragrance, so it is good at opening up qi, venting stagnation, and can reach the top, benefit the eyes and ears, and reach all the bones, in every possible way. The internal Xuan collaterals And to dredge the hundred joints, the outside goes through the pores and penetrates directly into the skin."

In fact, Asarum is a great general in the hands of Chinese medicine practitioners. For some deep-cold chronic diseases that lie deep in the three yin, and chronic illnesses that cannot be cured for a long time, it can effectively drive evil out and have the effect of overturning the cup and healing.

However, it has been wronged for hundreds of years, and no one dares to use it so far.

But this time, Xu Yang did not use a particularly large dose, he used 15g just like Ephedra Guizhi.

Looking at the whole prescription, according to the pharmacopoeia, Xu Yang definitely exceeded the dose, and even had to bear the risk of medical accidents.

But if it is based on the actual measurement of Zhongjing's prescription, Xu Yang did not use it out of the ordinary, he was sticking to the actual measurement and compatibility of the prescription.

From the point of view of Chinese medicine practitioners, Xu Yang has no fault at all.But judging by the judicial appraisal, he is estimated to face a big lawsuit.So Professor He could only sign his own name to help him take responsibility.

Professor He took the prescription and said to everyone in the room: "This prescription... I prescribed it..."

Everyone in the room was startled.

Xu Yang was very moved. He didn't expect Professor He to take all the responsibility.

The Chinese medicine practitioners present were also moved by the emotion of the teachers and students.

Professor He is an old Chinese doctor with a reputation and status. The more he is a Chinese medicine doctor, the more he will cherish his feathers, but Professor He is willing to bear all this for Xu Yang.

Everyone was very touched.

Xu Yang looked at Professor He, and said, "Teacher, you really don't have to do this. I am the one who prescribes the medicine like this."

Professor He smiled gently, looked at Xu Yang and said, "You are a doctor, and so am I."

"Teacher..." Many words were stuck in Xu Yang's chest for a while.

Professor He shook his head slightly at Xu Yang, he smiled and said in relief: "It's okay, actually the teacher knows that you are right, and Zhong Jing is also right. But you have to know that this patient is the teacher's patient, and the responsibility is of course the teacher's responsibility." .”

The eyes of the other Chinese medicine practitioners present were sore.

……

Director Shi Rentong of the ICU frowned, and said, "It's just such a prescription, the pharmacy can't prescribe it."

Cao Dehua lowered his head and let out a long breath. He raised his head and walked up. His eyes slowly became firm. He took the prescription from the table and wrote his name on it.

Both Professor He and Xu Yang were a little taken aback.

Cao Dehua looked at them, smiled casually, and said: "I have been chasing fame and fortune all these years, and I almost forgot that I am also a doctor. Professor He, what you said is not completely right, this patient is not only your patient, He is also a patient of our Chinese medicine department."

"I'll go to Dean Du to sign it. I'll prescribe this prescription today. I don't believe that Zhongjing's prescription will be wrong. We will save this patient. I will bear the responsibility!"

Everyone was surprised.

Even Cao Dahua was startled, he never thought that his elder brother, who spends his days trying to gain connections, would have such a bloody side.

The eyes of the patient's wife were red again.

Director Qi and Director Shi Rentong of the ICU also looked at Cao Dehua in astonishment.

Zhong Hua took a few steps forward, walked up to Cao Dehua, took the prescription in his hand, and wrote his name on it, he said: "Old Cao, why are you so big? You are talking like who is not a doctor? "

"Old Zhong, you..." Cao Dehua was also very surprised.

Zhong Hua sighed slightly, looked at the prescription, and then said with some shame: "Actually, I also know the real dosage of Zhongjing Jingfang, but when I use it, I have never dared to use it, even for serious illnesses. time, I dare not."

"I don't suspect that Zhongjing Jingfang was wrong, but I was afraid that I would take the responsibility. Now that I think about it, I am ashamed. The sincere articles of the great doctor are engraved on the wall of the hospital, but I can't do it wholeheartedly. Think about good and bad."

"We little doctors are soft-spoken, and we can't change things at the top. But when facing a patient, we should try our best to save him. This is the doctor's responsibility, isn't it? So, this responsibility belongs to me. This patient, we The Department of Traditional Chinese Medicine has saved me today!"

Xu Yang looked at the two in a daze.

Professor He's expression was also a little dull.

Director Qi and Director Shi Rentong were also stunned.

Xu Yuan also stood up: "Actually, my master abandoned everything and went to Beijing to start from scratch, because he is a real doctor. As an apprentice, I can't fall behind. So... If you don't dislike it, I also want to sign me. name."

Cao Dehua and Zhong Hua were also taken aback.

"Count me in." Another little Chinese doctor stood up.

"Count me in, I don't believe that Zhongjing can be wrong, and I don't believe that the clinical experience of thousands of years can be wrong!" Another little Chinese doctor stood up.

"Count me in."

"Me too."

……

Everyone was stunned, and no one could have imagined that such a scene would appear in the hospital of traditional Chinese medicine.

Obviously this is an illegal operation, but at this moment all Chinese medicine practitioners are willing to take responsibility for it.

The patient's wife cried, and she covered her face and wept. This time, she was not crying in despair like a puppet, but was moved to tears.

Both Xu Yang and Professor He's eyes were red.

Xu Yang thought of what Mr. Li told him before he died, what would the common people do if the doctor couldn't get a doctor.

At this moment, Xu Yang seemed to really see the great doctor and the hope of Chinese medicine.

This time, the Chinese medicine practitioners at the County Hospital of Traditional Chinese Medicine seemed to be insane, and they were unusually paranoid about this dangerous prescription.

Finally, Dean Du, who is in charge of traditional Chinese medicine, signed it.

The patient also signed a waiver agreement.

A group of Chinese doctors rushed downstairs to find a pharmacy to prescribe medicine.

Finally, the medicine was prescribed, and they followed Xu Yang's decoction method.Add 2500ml of cold water, boil to 500ml, then add 500ml rice wine.

According to the dosage of one day, three nights and one day, Xu Yang followed Zhongjing's decoction method.Each dose of medicine is decocted only once, and then taken several times to ensure the same efficacy.

After a dose of medicine is used up, everyone is paying attention to the patient's condition.

It was already night, but all the Chinese medicine practitioners were reluctant to go off work, and they all stayed in the hospital and at the gate of the ICU. They were all doing their duty as a doctor.

The sick don't escape, they don't leave.

In the evening, the medical staff in the ICU came to report that after taking a dose of medicine, the patient's symptoms subsided and he fell asleep peacefully.

The patient has never been as comfortable as he is today in the seven months since he was hospitalized.

Xu Yang's medicine worked!

At this moment, the whole hospital of traditional Chinese medicine resounded with the cheers of Chinese medicine practitioners.

Cao Dehua and Zhong Hua also laughed heartily.

Cao Dahua looked at his brother with sincere respect in his eyes for the first time.

The patient's wife was also in tears, and she finally cried out, and she also cried out hope and emotion.

The sincere articles of great doctors carved on the walls of the Hospital of Traditional Chinese Medicine seem to be shining brightly tonight.

Chapter 113 This is the reality we face

At night, Xu Yang and Professor He didn't go out, they were sitting in the courtyard of the Chinese Medicine Hospital, sitting on the edge of the flower bed.

Professor He opened a pack of newly purchased cigarettes, touched his body, and realized that he did not buy a lighter.

Xu Yang asked: "Teacher, aren't you a non-smoker?"

Professor He nodded and said, "Yes, I haven't smoked all the time, but today I want to smoke for no reason. I bought cigarettes, but forgot to buy a lighter."

Professor He shook his head, simply ignored the lighter, took out a cigarette, put it in his mouth, and held it like this.

The two masters and apprentices sat like this, and remained silent like this.

It was getting darker and the street lights were all on.

Xu Yang lowered his head slowly, and said in a low voice, "Teacher, I'm sorry for making you worry."

Professor He looked up at the stars in the sky, his eyes were a little far away, and he replied flatly: "I can't say I'm worried, I just think you are too good now."

Xu Yang asked: "Is this not good?"

Professor He shook his head: "Not good."

Xu Yang showed a puzzled expression.

Professor He bit the cigarette in his mouth, and he said: "Although I always think you are my most proud student, although I always think that you will improve very quickly after entering the clinic, and you will even be able to stand alone in a few years." one side."

"But I think I still underestimated you. Your medical skills are improving too fast. I don't know who you have been studying with during this period of time. Is it true that there are a group of big players taking turns teaching you?"

Xu Yang didn't know how to answer for a while.

Professor He said: "But even if a group of big countries take turns to teach you, you will not improve so fast. Maybe you are really a genius. Now I have a vague feeling that your medical skills are no worse than mine."

"I'm your teacher. In fact, you are the happiest thing about you. But now I can't laugh at all." Professor He turned to look at Xu Yang.

He said: "I can see the shadow of Li Ke, an old Chinese doctor, from your words and deeds, your medication style, and your academic thinking. You are as good as him, and you also have the same anger as him. During this time, are you following? Has Mr. Li's apprentice studied?"

Xu Yang lowered his head and did not answer.

Professor He looked at Xu Yang for a while, and saw that he refused to answer, so he stopped asking. He just said: "But you are different from Mr. Li. Mr. Li has already achieved fame. He can be angry, but you don't Yes. You have medical skills, but you have no status. If something happens to you, no one will protect you."

Xu Yang was momentarily at a loss.

Professor He took off the cigarette from his mouth and stuffed it into a cigarette case. He said: "The current medical environment is actually very bad for Chinese medicine. There are pharmacopoeias to strictly guard against it, and there are judicial appraisals to chase and block it. It is difficult for Chinese medicine to practice medicine."

"It's even more difficult to treat critical illnesses. To treat these diseases, Chinese medicine has to take risks. You know that the 40g pinellia from Yong'antang cost 500 million yuan, right?"

Xu Yang nodded.

Professor He said: "I know you admire Mr. Li's academic thinking very much. You should know that Mr. Li uses pinellia, all raw, and the dosage is [-] to [-] grams."

"In fact, not many people dare to use raw pinellia clinically, although everyone knows that Zhongjing uses raw pinellia. Although Mr. Li has already proved the effect of raw pinellia with his curative effect, and adding the same amount of fresh ginger As far as the experience of supervising its toxicity is concerned, even Zhu Liangchun, the master of traditional Chinese medicine, also uses raw Pinellia."

"But still no one dares to use it, and no one dares to overdosage. Everyone is afraid. After the incident at Yong'an Hall, all pharmacies in traditional Chinese medicine hospitals and private clinics can only take medicines in strict accordance with the Pharmacopoeia regulations. Violation."

Professor He said to Xu Yang: "Xu Yang, I know you are very angry. You are so angry that so many provincial experts dare not use the dose of Wufu in the prescription when facing this patient, so that they cannot prescribe ice to thaw, but drag the patient away. become critically ill.”

"In fact, we all know the real dosage in the prescription, but no one dares to use it. You saw that the former doctor Wufu reused the standard several times. Of course, you think he did not do enough, but you know that he will write the prescription. Come out, how much pressure do you need to bear?"

Xu Yang was taken aback.

Professor He said: "He needs to explain to others over and over again why he uses such a poisonous drug. He needs to go to a lot of signatures before the pharmacy can prescribe the medicine. He needs to ask the patient to sign the waiver, and he has to sign it himself. agreement. That’s it, the hospitals are still very reluctant because they don’t want to take the responsibility.”

"I know you have always had the spirit of a great doctor. You are dedicated to saving people, regardless of personal gains or losses. But have you taken the consequences? You don't have a wife and children, but you have parents. Who can afford the huge compensation? You What will your parents do if their license is revoked, or even jailed?"

Xu Yang's lips trembled a few times.