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

The patient was a trembling old man who looked to be in his eighties. When he walked in, he was hunched over and breathing very heavily.

Seeing this, Li Haofei hurriedly stepped forward to help the old man and let him sit down on the chair.

"Cough cough cough..."

As he sat down, the old man coughed violently.

"Old man, come on!"

Jiang Dongfei also hurriedly took the trash can next to him and asked the old man to spit the thick phlegm into the trash can.

Chen Yang, who was beside him, noticed that the phlegm the old man spit out was not thick phlegm, but mouthfuls of clean water with a little foam. He couldn't spit it out completely, and he spit it out several times.

"thanks, thanks."

After spitting, the old man thanked him and his eyes were a little moist.

After so many years, it is rare for the elderly to feel the warmth in the clinic.

Whether it was Li Haofei helping him or Jiang Dongfei holding the trash can, the old man couldn't help but feel warm in his heart.

Chen Yang couldn't help but feel a little distressed when he looked at the old man's wrinkled face and his slightly moist eyes.

Maybe this is the difference between Chen Yang and other doctors.

Because he has been in Jiping Town for several years, Chen Yang himself has climbed out of the trough. Because of the system, Chen Yang actually has a kind of detachment in his mentality. In fact, it is precisely because of this kind of detachment that Chen Yang is faced with There is less indignation when working together, and there is more tolerance when facing patients.

If I have to explain it more vividly, other people who diagnose diseases and become doctors have actually regarded the profession of doctor as a way to support their families.

As time goes by, seeing more patients and seeing more things, most doctors may have become a little impatient, or they may have gradually become a little indifferent.

As for Chen Yang, Chen Yang had a different mood. Others were working, but Chen Yang was doing the questions, so he had to be patient when facing each question.

Li Haofei was somewhat influenced by Chen Yang, and Jiang Dongfei was almost the same.

Different environments lead to different reactions.

"Uncle, drink some water."

Chen Yang also got a glass of warm water for the old man, let him drink a few sips, and then asked, "What's wrong with you? Is it coughing or wheezing?"

"Coughing, chest tightness, and wheezing when walking faster."

The old man said slowly.

"Here, let me feel your pulse."

Chen Yang asked the old man to put his arm up, and while checking his pulse, he asked: "Why are you here alone, without any family members to accompany you?"

"It's just me."

The old man smiled and said: "When my children grow up, they all have their own things to do. I am the only one who lives my life, living one day at a time..."

As he spoke, the old man said to Chen Yang: "Doctor, just give me some medicine to relieve the pain. I don't have much money. If I couldn't bear it, I wouldn't have come."

"Is the cough worse during the day or at night?" Chen Yang continued to ask.

"It's terrible at night. The cough is very uncomfortable and I can't sleep well at night," the old man said.

Chen Yang had already seen the old man's phlegm just now, so he didn't ask what the phlegm looked like.

"Do you usually drink?" Chen Yang felt for his pulse and asked again.

"I used to like to drink something when I was working, especially when I had a cold. I would drink a few taels and get better without taking medicine." The old man sighed: "Now that I am older, I don't dare to drink anymore."

"This is the problem you have left over from drinking before. Although drinking can dispel the wind and cold, the dampness and turbidity of the wine remains in the body." Chen Yang said.

The old man nodded and didn't take it seriously.

At his age now, it's too late to say anything, that is, if he's too uncomfortable, he should come to the doctor to prescribe some medicine.

After touching his right hand, Chen Yang switched to his left hand and touched both hands again.

"The Pun pulse is slow and the Shuangcun pulse is insufficient. Which organ is the disease?"

Chen Yang asked Jiang Dongfei and Li Haofei beside him.

"Master, the Yang Qi in the heart and lungs is insufficient, and the spleen and stomach are heavy in phlegm and dampness," Li Haofei said.

"What's the nature of the disease?" Chen Yang asked again.

"The water in all diseases is clear and cold, and they all belong to cold..."

Jiang Dongfei said: "The patient's phlegm is clear and thin, with a lot of water. It is cold phlegm that remains in the drink. This is because the function of the spleen and stomach in transporting water and grains is reduced, and Han yin is produced, which affects the heart and shoots into the lungs, so the chest is full and coughs."

"good."

Chen Yang smiled and nodded.

Li Haofei and Jiang Dongfei had been following Chen Yang for several days, and their dialectical thinking had gradually developed. When Chen Yang asked, they could also find the entry point.

In fact, Chinese medicine is not as difficult to learn as imagined. Many medical students today can actually understand many things in Chinese medicine if they have not wasted their time in school for a few years.

Some articles, medical theories, and some memorized things, what I have learned in five or even eight years is actually a very huge amount.

The reason why after entering the clinic, I always feel that I am not able to do what I want, and I feel like a tiger has no place to catch the whole thing. It is that when facing the disease, I can't figure out my thinking.

Syndrome differentiation in traditional Chinese medicine is actually a process of reasoning, just like the proof questions and inference questions you do during exams. As long as you find the right entry point and go step by step, it is easy to clarify your ideas.

But this entry point, this idea, is indeed the most difficult place for many people.

Chen Yang took Jiang Dongfei and Li Haofei with him and actually taught them step by step.

"Now that we know the location and nature of the patient's disease, how should we treat it?" Chen Yang asked.

"Master, the phlegm-reducing drink should have a spicy ginger taste." Li Haofei said.

"Ginger's pungent flavor can remove phlegm and treat the symptoms, but it's still not enough to cure phlegm." Jiang Dongfei said.

"good."

Chen Yang smiled, becoming more and more satisfied with the two of them.

At the same time, Chen Yang also started printing prescriptions, while Jiang Dongfei and Li Haofei were watching.

"Liujunzi soup with dried ginger, asarum, and schisandra chinensis?"

Jiang Dongfei looked at it and tasted it: "Ah, Liujunzi soup is flavored with ginger. Why didn't I think of that?"

Just as he was talking, Jiang Dongfei saw the dosage of the prescription prescribed by Chen Yang and felt a little strange: "Chen Yang, didn't you say that asarum is not expensive? Why did you use 9 grams?"

9 grams, converted according to weight, is almost 3 yuan.

As the saying goes, asarum is worth more than money, but money and life are connected. Not only people who study medicine have heard this sentence, but also some people who have not studied medicine.

This proverb, like some songs, doesn't know where it came from, but many proverbs circulated among the people did not come out of thin air.

The reason why there is a saying that asarum is not worth money, and money and life are connected, it is because asarum is a plant under the Aristolochiaceae family, which is poisonous. Asarum has thin roots and a pungent taste, so it is named.

If you taste asarum, you will feel your tongue numb, which is actually a sign of poisoning. A slight toxin can cause paralysis, and in severe cases, breathing may be completely paralyzed.

Therefore, clinically, the dosage of asarum is also very limited, generally no more than 3 grams. As the saying goes, asarum is not worth money, but money will lead to life.