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

"Let me feel your pulse."

Chen Yang motioned to the young man to put his arm up, and while checking the young man's pulse, he continued to inquire.

After checking the pulse, Chen Yang asked Jiang Dongfei and Li Haofei.

"What do you think?"

"Urticaria is also called rubella. It mainly manifests as wheals. Generally speaking, it is mostly caused by exogenous wind evil. There are also blood deficiency and wind-dry types."

Jiang Dongfei said: "However, due to blood deficiency and wind-dryness, most patients suffer from heart palpitations, insomnia and palpitation, and their lips and tongue are pale..."

Jiang Dongfei paused as he spoke: "So the patient should have rubella caused by wind evil."

"Then tell me why this wheal is itchy?" Chen Yang asked again.

Jiang Dongfei was stunned and couldn't answer for a while.

As a doctoral candidate at the Provincial University of Traditional Chinese Medicine, Jiang Dongfei's theory is still acceptable, but he learns a lot and sometimes forgets a lot, and not everything can be remembered.

The reason why medical students need to combine clinical practice with practice is to put what they learn into use.

Once you have used something you have seen, you will have a deep impression and it will be difficult to forget it. If you have not used it and cannot fully understand it, then over time, if you no longer look at it and review it, you will slowly of loss.

"Itch is the release of wind."

Chen Yang said: "After the wheal is scratched, the qi and blood are unblocked, and the patient feels comfortable. This means that the qi and blood are not flowing smoothly."

"It really is......."

Jiang Dongfei suddenly realized.

"Since it is caused by qi and blood not flowing smoothly, what method should be used?" Chen Yang asked again.

"Then let the local muscle surface qi and blood flow smoothly, the wind evil can be released, and the itching will naturally disappear." Li Haofei said.

Jiang Dongfeixin said, you are talking about loneliness, but if you say it, you haven't said it yet.

"that's right."

Chen Yang said: "Since it is caused by poor qi and blood, let the qi and blood flow smoothly and let the wind evil flow out."

Jiang Dongfei: "..."

Can this be done?

His thoughts just now were complicated again.

It turns out that following the train of thought is the answer?

We have known each other for a long time.

Chen Yang then asked: "Think about it, what medicinal materials or prescriptions can have this effect?"

"Nepeta?"

Jiang Dongfei was not very sure.

"That's right, Nepeta." Chen Yang nodded.

"Schizonepeta has the effects of relieving external symptoms, dispersing wind, clearing up rashes, and eliminating sores."

Chen Yang said: "In women's medicine, Schizonepeta belongs to the blood Qi medicine. It is good at entering the blood and can pull wind Qi out of the body. It is a wind medicine good at regulating blood and wind evils."

"In "Fu Qingzhu Nv Ke", Nepeta is a medicine that is used a lot."

As he spoke, Chen Yang typed the patient's symptoms on the computer and then wrote a prescription.

Print it out and hand it to the young man.

The young man was stunned after receiving the prescription.

Because there is only one medicine in Chen Yang's prescription.

It's Nepeta.

"Dr. Chen, is this just medicine?" the young man asked in surprise.

"besides."

As he spoke, Chen Yang printed out another prescription and handed it to the young man again.

The young man took it and was still stunned.

Because even Chen Yang's second prescription only has two medicinal ingredients: "Schizonepeta and Rehmannia glutinosa."

"Two prescriptions, one for external use and one for internal use."

Chen Yang said: "Schizonepeta powder is applied externally. You can sprinkle it on the affected area, rub it back and forth with your hands, and take the second prescription internally."

"Dr. Chen, this..."

The young people were a little unbelievable.

"You heard it just now. Use it when you go back. If it doesn't work, come back to me." Chen Yang said.

"Thank you, Dr. Chen."

The young man stood up and thanked him: "If my illness can be completely cured, you will be my benefactor from now on, and I will be with you."

Chen Yang and Jiang Dongfei and Li Haofei were asking and answering questions just now. In fact, they had analyzed the disease very thoroughly. The young man was also listening, and he actually understood it very clearly.

Because the pathology of this disease is indeed not difficult and very simple, otherwise Chen Yang would not ask Jiang Dongfei and Li Haofei.

For relatively simple illnesses like this, Chen Yang would often ask Li Haofei, and now Jiang Dongfei was added as well. Such questions and answers can also help students understand.

But the young man was still too surprised, he didn't expect such a small amount of medicine.

The two prescriptions are actually just two herbs, one is Schizonepeta and the other is Rehmannia glutinosa, which is unbelievable.

"Go back and take your medicine properly." Chen Yang said with a smile.

"Chen Yang, why do you want to add rehmannia glutinosa?" Jiang Dongfei asked Chen Yang after the young man left.

"What should we treat first to treat the disease?" Chen Yang asked with a smile.

"Treat the wind first, then learn the science first, and the bloody wind will perish?" Jiang Dongfei asked, a little unsure.

"now it's right."

Chen Yang said with a smile: "Most wheals are related to blood stasis. Wind evil gathers on the surface of the skin. Rehmannia glutinosa is best at nourishing yin and cooling blood, while Jingjing is good at dredging qi and blood and dispelling wind evil. The combination of the two is not enough to supplement."

"Chen Yang, I didn't expect it to be so simple." Jiang Dongfei couldn't help but sigh.

Although this disease was diagnosed and prescribed by Chen Yang, both Jiang Dongfei and Li Haofei felt involved in the whole process with every question and answer.

The most important thing is that the prescriptions have not changed much. Jiang Dongfei mentioned Nepeta, and Chen Yang actually prescribed Nepeta, which means that the medicine is taken internally with the addition of Rehmannia glutinosa.

"Brother Jiang, you have been following Master for a long time, and you will gradually understand."

Li Haofei has been following Chen Yang for a while, so he knows Chen Yang very well. He has benefited a lot from following Chen Yang, and this is why.

Chen Yang is really willing to teach and really patient in teaching, which is something other doctors don't have.

Li Haofei often feels lucky that he met Chen Yang. Otherwise, after the internship, he might have to consider other options.

It is really difficult for medical students to find a job after graduation. Internships like Li Haofei's are only in county-level hospitals. After the internship is over, it will be even harder to enter a hospital after graduation.

Many undergraduates continue to study for graduate school after graduation, so that it will be easier to enter the hospital.

Moreover, most of the current medical universities have been restructured into five plus eight, that is, five years for undergraduates and three years for graduate students. Pure undergraduate medicine has become increasingly rare.

"Actually, sometimes the medical theory of some diseases is very simple. If you follow it step by step, it's actually very easy." Chen Yang said with a smile.

"It's simple because the master is very skilled."

Li Haofei flattered him: "The patient has been suffering from this disease for two years. He must have seen many doctors, but he hasn't gotten any better."

"Li Haofei is right."

Jiang Dongfei nodded.

He felt it was easy now because Chen Yang had analyzed it from beginning to end, otherwise he would not have been able to think so clearly.

Especially when it comes to prescriptions, even though there are only two kinds of medicines, in fact, the simpler the prescription is, the more it tests the doctor's skill. Such prescriptions are not classic prescriptions and have no reference. They rely entirely on the doctor's dialectical understanding to use the medicine.

"Okay, stop flattering me." Chen Yang smiled and started calling the next patient.

Before I knew it, it was another day.

After Jiang Dongfei arrived at the Jialin County Hospital, he felt that his trip was well worth it.

I followed Chen Yang for medical consultation and study every day, and gradually began to understand some of the things I learned.