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

Just after going to work in the afternoon, a mother and son came into the clinic.

A woman in her early 40s and a boy of sixteen or seventeen years old.

"Are you Dr. Chen?"

The woman walked into the consultation room and looked at Chen Yang sitting behind the consultation table and asked.

"I'm Chen Yang, sit down." Chen Yang greeted with a smile.

"Hello, Dr. Chen."

The woman said hello hurriedly, and then sat down with the young man: "Dr. Chen, we heard that you are good at treating difficult and complicated diseases. You came here from the city specifically."

"Toyokai City?"

Jiang Dongfei whispered to Li Haofei: "Has Chen Yang's current fame spread to Fenghai City?"

"Master has been coming to the county hospital for so long, and the patients he has seen have not had any ineffective results." Li Haofei's tone was filled with pride.

Chen Yang has been coming to Jialin County Hospital for several months, and every patient has spoken highly of Chen Yang, which has led to Chen Yang's good reputation.

Although Chen Yang's level is only level five now, because of the system, Chen Yang can judge the treatment based on experience values ​​and make appropriate adjustments, which also reduces the probability of making mistakes.

What's more important is that Chen Yang is a general practitioner, and the basic skill book bonus he received means that Chen Yang has no major shortcomings in all aspects.

Many people know that Chinese medicine should not be divided into too detailed departments, precisely because Chinese medicine is all-encompassing, and the more knowledgeable Chinese medicine doctors are, the higher their level of performance can be.

If the prescription is not enough, you can use acupuncture. If acupuncture is not enough, you can use massage. With the combination of various therapies, there is always a method that suits the patient.

Moreover, all aspects of TCM are based on TCM syndrome differentiation, and are actually closely related. TCM surgery, bone setting, massage, and acupuncture are all based on TCM syndrome differentiation.

When separated, the surface appears narrow.

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

When the woman touched the boy, the boy stretched out his hand.

Seeing the young man's hand, the expressions of Li Haofei and Jiang Dongfei beside them changed.

The boy's hands looked so scary. Except for the thumbs, all the nails on both hands fell off, and even the thumb nails were deformed.

"How long?"

Chen Yang asked while observing.

"It's been two years."

The woman said that it was originally paronychia and onychomycosis, with local suppuration, and later the nails fell off. She was also seen at the dermatology department of Jinjiang Central Hospital and was diagnosed with onychomycosis without onychomycosis. She took medicine and injections, but there was no effect.

The dermatology department of Jinjiang Central Hospital is very famous.

This disease falls within the scope of traditional Chinese medicine surgery.

"Put your arms here."

Chen Yang asked the young man to put his arm on the pulse pillow and continue to observe while diagnosing the pulse.

In addition to being thin, the young man's complexion also looked sallow and dull, and he was very thin.

"How is your bowel movement?" Chen Yang asked, "My bowel movement is not good, I'm always constipated."

"Are you feeling uncomfortable anywhere else?" Chen Yang continued to ask.

"Also, my stomach is bloated."

"Abdominal bloating and difficulty in defecation."

Chen Yang felt for his pulse, which was heavy and stringy.

"How's your appetite?"

"I have been picky about food since I was a child and don't eat well," the woman said.

Chen Yang released his wrist and asked Jiang Dongfei and Li Haofei beside him: "What do you two think?"

"The nutrition of nails comes from the nutrient qi metabolized by the spleen and stomach, and its function is related to the health qi."

Jiang Dongfei was the first to answer: "So there should be a problem with the spleen and stomach."

"The patient looked sallow and emaciated. He was obviously malnourished, which was also related to spleen and stomach metaplasia." Li Haofei added.

Now Li Haofei and Jiang Dongfei have very good ideas about traditional Chinese medicine. When encountering a disease, the first thing they think about is the right idea.

In fact, if you have accumulated enough and your thinking is correct, you will have this way of thinking when facing the disease, and you will have confidence.

Chen Yang now frequently asks Jiang Dongfei and Li Haofei to exercise their thinking.

In fact, the integration of traditional Chinese and Western medicine has a big responsibility for the current situation of traditional Chinese medicine.

It is precisely because of the combination of traditional Chinese and Western medicine, and the large number of Western medicines nowadays, that Chinese medicine doctors are seriously affected by Western medicine, and the first thing they do when encountering a disease is the wrong one.

Regarding this disease, if it were Zhang Dongyun, the starting point might be the onychoatrophy and aonychia previously diagnosed by Jinjiang Central Hospital, as well as paronychia.

Then look for a set of prescriptions, or start directly with reducing swelling and activating blood circulation, clearing away heat and promoting diuresis.

"Ah."

Chen Yang nodded.

"Judging from the pulse syndrome, the patient is indeed weak in the spleen and stomach, and at the same time, dampness and heat are generated internally, blocking the meridians and blocking Qi and blood."

After saying that, Chen Yang asked again: "Then how should we proceed?"

"It can replenish qi and strengthen the spleen, clear away heat and dampness, activate blood circulation and unblock meridians." Li Haofei said.

Chen Yang has already started filling out prescriptions.

This is the advantage of TCM syndrome differentiation. TCM syndrome differentiation can take into account all aspects. The cause of the patient's disease is what Jiang Dongfei said: weak spleen and stomach.

Because in traditional Chinese medicine, the nutrition of nails comes from the nutrient qi metabolized by the spleen and stomach. Atrophy and aonychia are caused by weakness of the spleen and stomach. Therefore, in treatment, the main focus is to replenish qi and strengthen the spleen, while at the same time clearing away heat and dampness, promoting blood circulation and removing blood stasis. .

Jiang Dongfei and Li Haofei looked at the prescription typed out by Chen Yang. Chen Yang also explained: "Atractylodes and gypsum, as well as white fresh peel, smilax smilax, to strengthen the spleen, clear away heat and dehumidify, angelica, zedoary and trigonal prism to activate blood circulation and remove blood stasis, and dredge." Meridians..."

"When taking medicine, the monarch medicine targets the main syndrome, and other medicines are matched with each other..."

After explaining, Chen Yang handed the prescription to the woman: "After returning home, take one dose a day, take the decoction orally, boil the dregs in water, fumigate and wash your fingers, and come back for a follow-up consultation after the medicine is used up."

"Thank you, Dr. Chen."

When the woman walked out of the clinic with the boy, Chen Yang also received a notification from the system that his surgical experience, internal medicine experience, and pharmacological experience had all increased.

Because this patient is a surgical patient, the surgical experience gained a lot. The lactating patient in the morning and the rubella patient in the previous two days also belong to the surgical department.

However, relatively speaking, there are still fewer surgical patients.

Chen Yang checked his surgical experience value. The current surgical experience value is 6523, which is still far behind level five.

During this period of time, Chen Yang's surgical experience could only be increased by reading books, and there were indeed few patients...

Thinking about it, Chen Yang suddenly thought that he might as well sit in the clinic three days a week and go to the emergency department the rest of the time.

The scope of surgery is very broad. In addition to traditional Chinese medicine surgery, trauma surgery is also a category of surgery, which can also increase experience points.

In this case, Chen Yang can quickly upgrade the surgical department to level five, so that the system can meet the conditions for upgrade and open the famous doctor ranking list.

In addition to the famous doctor ranking list, the system upgrade will inevitably have new functions, and Chen Yang is also looking forward to it.

Just as he was thinking about it, the next patient had already entered the door, so Chen Yang had to put his thoughts aside for the time being and think about it after get off work.

Raising his head, Chen Yang was stunned when he looked at the patient coming in.