Chinese medicine: from rural hospitals to top three hospitals in Kyoto

The next patient who came in made Chen Yang stunned for a moment.

"Jiang Dongfei?"

Chen Yang almost thought he had admitted his mistake.

"Chen Yang?"

Jiang Dongfei was also stunned: "Is it you?"

"Isn't it me?"

Chen Yang asked Jiang Dongfei to sit down and asked with a smile: "Why did you come to Jialin County?"

"A classmate is getting married and came over for a wedding banquet."

Jiang Dongfei said: "I didn't even notice when I registered just now. It was you, Chen Yang."

Chen Yang's outpatient number is an ordinary number. Most people don't pay attention to who the doctor is when they call the ordinary number, and many hospitals' ordinary numbers do not display the doctor's name.

Like some large hospitals, there are several clinics in the ordinary number, which are randomly assigned and there is no fixed doctor.

There are only a few Chinese medicine doctors in Jialin County Hospital, but Jiang Dongfei really didn't pay attention when he registered. He thought it was a minor problem, and he didn't want to call an expert. Just an ordinary number would be enough.

"Where do you feel uncomfortable?" Chen Yang asked.

"Actually, I had a cold before I came here."

The doctor was Chen Yang, and Jiang Dongfei seemed relatively relaxed and told Chen Yang what happened.

He caught a cold a few days ago. Although he studied Chinese medicine, most people take Western medicine for colds as soon as they catch a cold. Jiang Dongfei is no exception. After he caught a cold, he also took Western medicine for colds. After all, it is not easy to take Chinese medicine. convenient.

After taking the cold medicine, the cold symptoms were relieved, his body was no longer heavy, his head was no longer dizzy, and his nose was no longer runny. However, Jiang Dongfei felt that his chest was a little stuffy and swollen, and then his ribs became swollen.

After all, he has studied Chinese medicine for several years, and now he is also studying for a doctorate. He is a doctoral candidate, so he is thinking about prescribing some medicine for himself?

Because of chest tightness and swollen ribs, Jiang Dongfei thought he might have liver qi stagnation. He had a lot of study tasks during this period, and he happened to be having trouble with his girlfriend. They were in harmony with each other in all aspects, so he prescribed Xiaobuihu Decoction for himself.

Xiaochaihu Decoction comes from "Treatise on Febrile Diseases" and is a soothing agent. It has the effect of relieving Shaoyang, and is mainly used to treat typhoid and Shaoyang syndrome, which is characterized by alternating cold and heat, bitterness and fullness in the chest and flanks, silent inability to eat, upset, vomiting, and bitter taste in the mouth.

At the same time, according to modern clinical research, Xiaobuihu decoction also has liver-protective, choleretic, antipyretic, anti-inflammatory and anti-pathogenic microorganism effects.

"Is it because of this factor?" Chen Yang asked Jiang Dongfei's heart in one sentence.

"There are reasons for this, and stagnation of liver qi can easily lead to disharmony between the spleen and stomach, liver and stomach, and liver and wood. Xiaobupleurum is a reconciliation agent and is specially designed to treat various disharmony."

Jiang Dongfei said: "It's just that I took it for two days and had no reaction at all. I came to Jialin County last night. I felt uncomfortable after breakfast and wanted to come over and have a look..."

Jiang Dongfei said and smiled again: "At the same time, I also want to come here to see you secretly. In a small local hospital, the doctors may not be of high quality. I am not optimistic about it myself. I want to see what other doctors say."

Chen Yang:"......."

Jiang Dongfei is really a clever little guy.

Maybe he wanted to compare with ordinary doctors in the county hospital?

"To tell you the truth, after taking two doses of medicine, it didn't work. I have lost confidence in Chinese medicine." Jiang Dongfei said.

"You never thought it was your fault?"

As Chen Yang spoke, he asked Jiang Dongfei to stretch out his arm, checked Jiang Dongfei's pulse, and checked the tongue coating.

"It's not that Chinese medicine is not good, it's that you are not good at it." Chen Yang said with a smile.

"Then what medicine do you want to take?" Jiang Dongfei asked.

"Take some ephedra soup and it will be effective in one dose." Chen Yang said.

Jiang Dongfei opened his mouth slightly: "Why should I take Ephedra Decoction? My cold has been cured. I have no headache, no body aches, no runny nose and fever, and all symptoms are gone. Why should I take Ephedra Decoction?"

"Have you been in a bad mood these past two days, and you look bitter?" Chen Yang asked.

"Yes, I feel uncomfortable." Jiang Dongfei said.

"All qi that are depressed belong to the lungs..." Chen Yang reminded with a smile.

What Chen Yang said is a sentence in the "Huangdi Neijing" that discusses the pathogenesis.

"The Yellow Emperor's Inner Canon" is a must-read for Chinese medicine students. Medical students have learned many of the articles in it and may have forgotten them afterwards, but when Chen Yang reminded them, Jiang Dongfei remembered them.

"What I have is not liver stagnation. Xiaochao Hutang can treat bitter mouth, dry throat, fullness of chest and ribs..." Jiang Dongfei said puzzled.

"You only learn a little bit about something."

Chen Yang smiled and said: "Since you have learned Xiaobuihu Decoction, don't you know the disease areas that Xiaobuihu Decoction targets?"

Jiang Dongfei suddenly slapped his forehead.

Xiao Chai Hu Decoction targets the disease between half the surface and half the interior, which means that the efficacy of the medicine can only go up to this point. Therefore, when targeting the internal syndrome, there is another prescription called Da Chai Hu Decoction.

Da Bui Hu Tang is actually based on Xiao Bui Hu Tang, one big and one small.

Chen Yang continued: "Xiao Chaihu Decoction treats the disease between half the surface and half the inside, so it can be used by patients with liver stagnation in the middle Jiao. However, the disease treated by Mahuang Decoction is in the upper Jiao, not the surface, so it can be used by patients with symptoms such as exogenous wind-cold and cough." If the syndrome is stagnation of lung qi and qi organs, and the pulse is floating, you can use Ephedra Decoction."

"Your pathogenesis is in the upper burner, which is due to stagnation of lung qi, not liver qi stagnation. Ephedra decoction is not just for dispersing wind and cold. If used properly, it can relieve lung qi stagnation and relieve lung qi."

Chen Yang explained: "The lung qi mechanism is blocked, just like the window is closed, and the internal and external qi mechanisms are not flowing, so you feel stuffy. Only by opening the window and allowing the air to circulate can you feel comfortable."

"Also, you feel the wind and cold in front of you, and your Qi is blocked and depressed. After taking cold medicine, your lung Qi is not completely opened, which will leave the sequelae of chest tightness and rib tightness."

Jiang Dongfei was stunned for a moment.

"I'll go, Chen Yang, you... Now I understand why Professor Wu asked you to study with him in graduate school. You are much better than me."

Jiang Dongfei said: "I have been studying in school in the past few years, and I have not made rapid progress in the hospital like you. I feel like I am going to be depressed."

Chen Yang:"......"

Chen Yangxin said, "I failed sometimes, but if I didn't, I definitely wouldn't have made such great progress."

"I won't prescribe medicine for you. You go back and grab some ephedra soup for yourself." Chen Yang said to Jiang Dongfei: "I'm still sitting in the clinic, so I won't say more to you. If you don't leave tonight, I Please have a meal."

"I'm not in a hurry, can you sit on the edge and watch for a while?" Jiang Dongfei asked.

"Yes." Chen Yang nodded.

When Jiang Dongfei raised his head, he noticed the two beauties. He had just entered the clinic and saw Chen Yang, and then started chatting without noticing Zhang Wanping and Gao Limei beside them.

Zhang Wanping and Gao Limei didn't really understand the last medical case, but they felt that Chen Yang was very serious. But about Jiang Dongfei's disease, Chen Yang and Jiang Dongfei explained it very simply, but the two reporters understood it and listened with gusto. .

Jiang Dongfei didn't know the identities of Zhang Wanping and Gao Limei, but he also noticed that one of them took two photos from time to time, and the other took a small notebook and took notes from time to time.

Subconsciously, Jiang Dongfei regarded Zhang Wanping and Gao Limei as doctors who came to study, even though they did not wear white coats.

There is also Li Haofei standing next to him. Li Haofei is wearing a white coat and has a serious expression.

Because Chen Yang got rid of Li Haofei, after Li Haofei clearly noticed his progress, now is the time to be full of motivation.

People say that one can become a better person by enduring hardships, and others say that one can work hard and strive for the best.

Now these words to encourage people to make progress have long been misinterpreted by various anchors on the Internet. The biggest deception is that one has to endure hardships to become a better person, and people are divided into different classes.

In short, all kinds of inspiration have become poisonous chicken soup.

The reason for this current situation is not that everyone doesn’t know about inspiration, nor does it mean that everyone doesn’t know about struggle, but that if hard work and hardship can’t bring hope in the end, then you can only lie down, and inspiration becomes a joke.

This is like a child who studies hard and has limited talent. No matter how hard he works, he only gets a poor result. So why bother working hard?

I am not that material.

Medical students are also doctors, and most medical students are very diligent in the beginning. The reason why some become tactful and others turn into fritters is actually due to the pressure of life.

If they can see hope and gain from hard work, most people are actually willing to work hard.

Li Haofei is now at a time when his popularity is very high.

Jiang Dongfei glanced at Li Haofei, then at Zhang Wanping and Gao Limei, then at Chen Yang, and he admired Chen Yang more and more in his heart.

Chen Yang is really not simple at Jialin County Hospital. If it were simple, how could so many people follow him?

Most of the doctors who can take interns during consultations are of good quality, not to mention that Chen Yang also takes "three".

And it seems that Chen Yang doesn’t have the title of attending physician yet, right?

Just as a doctor, he is qualified to sit in the clinic.

Chen Yang ignored the people next to him and continued to call the number. The next patient came in, and Chen Yang began to inquire, diagnose pulse, diagnose, and prescribe prescriptions...

Chen Yang is very serious about every patient and is not careless in the slightest.

At first, Chen Yang occasionally glanced at Jiang Dongfei, but gradually, Chen Yang almost forgot about Jiang Dongfei's existence, and only paid serious attention to his diagnosis.

Li Haofei stood aside and asked occasionally, and Chen Yang also explained patiently.

Unconsciously, time passed quietly. Chen Yang, the patient in the morning, had almost seen it. Jiang Dongfei almost forgot the time and was awakened by the ringing of the phone.

The caller was Jiang Dongfei's friend, urging Jiang Dongfei that it was time to go to dinner.

"Chen Yang, I'm leaving first. I won't leave in the afternoon. I'll come find you then."

Jiang Dongfei said hello to Chen Yang and left in a hurry.

"Well, it's almost eleven o'clock."

Chen Yang looked at the time and couldn't help but stretch. It took too long. Chen Yang also felt a little uncomfortable in his waist. In fact, if Jiang Dongfei hadn't interrupted him, Chen Yang, who was so busy, wouldn't have noticed. of.