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

"Director Yang, you are looking for me."

Chen Yang knocked on the door of Yang Xiaolei's office, pushed in, and asked politely.

"It's Xiao Chen."

Yang Xiaolei stood up and said with a smile: "Let's go to the ward with me."

As he spoke, Yang Xiaolei took Chen Yang out of the office and to the ward.

The patient was an old lady in her seventies. Yang Xiaolei walked to the bed and sat down. He said to the old lady, "Mom, I have invited a powerful doctor to come over for you."

Chen Yang was somewhat surprised that the sick old lady turned out to be Yang Xiaolei's mother.

"Brother, is this the doctor you invited?"

Sitting next to the hospital bed was a woman in her forties, Yang Xiaolei's sister, Yang Xiaomei.

"Xiaomei, don't underestimate Chen Yang. Although Chen Yang is young, his level is very high. You should also learn from Chen Yang." Yang Xiaolei said to Yang Xiaomei with a smile.

"Director Yang, please don't say that." Chen Yang said modestly.

"My sister, Yang Xiaomei, is a doctor and deputy director of the Hospital of Traditional Chinese Medicine." Yang Xiaolei introduced to Chen Yang.

"Hello, Director Yang." Chen Yang said politely.

"Dr. Chen, you're welcome."

Yang Xiaomei smiled and said: "I was just joking with my brother."

"What Director Yang said, you are the senior, I should learn from Director Yang." Chen Yang said.

"Xiao Chen, please stop nagging her and help my mother find out what's going on first."

Yang Xiaolei said: "My mother started having abdominal pain after dinner last night, and then she couldn't stop vomiting. At that time, Xiaomei took care of her at home and gave her a dose..."

"Jiang Ai soup." Yang Xiaomei said.

"I tried Jiang Ai Decoction, but it made the abdominal pain worse, and I gave it again later..." Yang Xiaohui said, and Yang Xiaomei said from the side: "Shabanlizhong Decoction."

"My mother is usually cold, and she ate some fruit at night. I thought it was caused by deficiency and cold, so I gave her Shabanlizhong Decoction. Unexpectedly, her condition worsened after taking the medicine," Yang Xiaomei said.

Jiang Ai Decoction is not actually a prescription. It is a decoction that most people know and can take. Jiang Ai Decoction mainly contains ginger and mugwort leaves. The mugwort leaves have the effects of dispersing cold, relieving pain and removing dampness. Ginger can reduce the symptoms of nausea and vomiting. Vomiting, resolving phlegm and relieving cough, dispersing cold and relieving superficial symptoms.

If you usually suffer from abdominal pain and vomiting due to cold, you can make some ginger mugwort soup to drink.

Yang Xiaomei initially gave Jiang Ai Decoction to her mother, thinking it might be a minor problem, but she didn't expect that the abdominal pain worsened after taking it, so she tried to diagnose the problem carefully.

Shabanlizhong Decoction warms the heart and dispels cold, and can treat abdominal distension and abdominal pain. It is often used clinically to treat chronic gastritis, peptic ulcer and other cold-coagulated qi stagnation.

Well, when it comes to chronic gastritis and peptic ulcer, it can be seen that this usage is actually the way of applying Western medicine.

After taking the medicine, the patient's condition became more serious. The vomiting remained unchanged and the condition became more serious.

When Chen Yang walked into the ward just now, he noticed that the old lady was tossing and turning on the bed, moaning, her face was pale, her lips were white, her limbs were trembling slightly, and she was mentally exhausted.

When Yang Xiaolei spoke to the patient, the patient only glanced at Chen Yang and did not speak.

"Let me check your pulse first."

As Chen Yang was talking, Yang Xiaomei had already stood up and moved out of the way. Chen Yang sat down on the edge of the hospital bed, stretched out his hand to check for pulse, and listened carefully.

There seemed to be a noise in the patient's belly. Chen Yang lifted the quilt and leaned forward to listen carefully. There seemed to be thunder in the patient's belly...

"How are you doing with your bowel movements?" Chen Yang asked.

"The urine is long and clear, and the stool is okay." Yang Xiaomei said. After all, she is a doctor, and Yang Xiaomei answered very professionally.

After feeling for the pulse, Chen Yang checked the tongue coating. The tongue was white and fat, and the pulse was heavy and tight...

"The old lady's abdominal pain and vomiting are indeed caused by the rush of cold air in the abdomen. It attacks the chest and ribs, stops water in the stomach, and causes vomiting. This is a time when yin is strong and yang is weak. Use Shabanlizhong Decoction to confirm It’s not right.” Chen Yang said.

"Then tell me."

Yang Xiaomei was not angry at all. After taking the medicine, her mother's condition worsened. She was sent to the gastroenterology department of the hospital for treatment all morning, but her condition still did not improve. There is no need to elaborate on the prescription she prescribed.

"In Synopsis of the Golden Chamber, it is said that 'cold air in the abdomen, thunder and vomiting, aconite stem rice soup can cure it'." Chen Yang said.

Yang Xiaomei: "......"

It's that simple?

Chen Yang indeed only said one sentence, a very simple sentence, but Yang Xiaomei was stunned, opened her mouth, and was speechless.

Because just such a sentence completely hit the mark on her mother's illness.

There was thunder and severe pain in her mother's belly, which was exactly what Chen Yanggang said in the original text of "The Synopsis of the Golden Chamber". There was coldness in the abdomen, thunder and pain, and there was a cure.

In other words, although Chen Yang only said one sentence, what he said was the standard answer.

"How about it? I said Xiao Chen's level is very high. You need to learn from others, right?" Yang Xiaolei said to Yang Xiaomei.

"Dr. Chen is really amazing."

Yang Xiaomei was still a little unwilling.

What Chen Yang was talking about was the original text in "Synopsis of the Golden Chamber", but she didn't even remember it.

"Director Yang, use two doses of this prescription first."

Chen Yang opened the prescription and handed it to Yang Xiaolei. Yang Xiaomei took it from the side and asked, "Why did you add dried ginger and Poria cocos?"

Aconite root rice soup is composed of four medicinal herbs: aconite, pinellia, japonica rice and licorice.

"The turbid and yin energy in the lower burner cannot be particularly strong in the yin area, and it goes against the flow of yang. If the center is weak, beware of withdrawal."

Chen Yang continued: "So Aconite is needed to replenish yang and remove yin, and Pinellia ternata is needed to reduce the adverse effects and stop vomiting."

"Japonica rice and licorice can make the soil thicker and thus converge Yin Qi, as for dried ginger."

Chen Yang paused and said, "I was afraid that the prescription soup was too weak, so I added dried ginger and Poria cocos to warm the body and promote diuresis."

"Dr. Chen is great."

This time Yang Xiaomei gave Chen Yang a sincere thumbs up.

If what Chen Yang was talking about before was the original text in "Synopsis of the Golden Chamber", and Chen Yang happened to remember it and used it when encountering the same situation, then Chen Yang's change in the prescription was not because he happened to remember it.

Rather, they have a thorough understanding of the condition, a clear diagnosis, and appropriate medication.

"Xiao Chen has treated many difficult and complicated diseases in our hospital during this period. Now he is a hot topic that many departments in the hospital are competing for."

Yang Xiaolei glanced at his sister, spoke, and then handed the prescription to the attending doctor who came after hearing the news.

"Dr. Chen, please visit our hospital when you have time." Yang Xiaomei said to Chen Yang with a smile.

"You weren't convinced just now, and now you're poaching people?" Yang Xiaolei said.

"What does it mean to be unconvinced? Dr. Chen and I are just communicating and learning. I'm not convinced at all."

Yang Xiaomei retorted, then smiled and said to Chen Yang: "The atmosphere of the Municipal Traditional Chinese Medicine Hospital is definitely better than that of the Central Hospital."

"Stop dreaming. Xiao Chen is a famous person in the hospital now." Yang Xiaolei said angrily.

Now besides Ma Qiang, there are many people who are thinking about Chen Yang.