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

Qin Dongliang brought a large group of doctors with him, and along the way, many patients and their families looked at him sideways.

When a large department like the Department of Traditional Chinese Medicine of the Medical Affiliated Hospital conducts rounds, not only the group of young doctors are shocked, but also the patients and their families are shocked.

“I didn’t expect so many people.”

Chen Yang and Wu Mengmeng walked behind, talking as they walked.

“In fact, there are quite a lot of people today.”

Wu Mengmeng said: "Usually we can have half as many people as today, but sometimes it depends on the situation."

"Maybe it's because this is my first time in a big hospital like the Medical Affiliated Hospital. The toad at the bottom of the well has never seen the sky." Chen Yang said with a smile.

Wu Mengmeng glanced at Chen Yang and thought to herself, Doctor Chen, you are just pretending.

Wu Mengmeng doesn't think Chen Yang is a low-key person, as he can say "I like to be surrounded by talented people" in front of so many people in the duty room.

"Doctor Chen, are you still in the mood to joke right now?"

Wu Mengmeng smiled and said to Chen Yang: "Today is your first time to follow Director Qin on ward rounds. Director Qin will definitely ask you questions later. Many people in the department are waiting to see you make a fool of yourself."

"I was a little nervous to begin with, and I just made a joke to relax myself. Look at you..."

Chen Yang pretended to take a deep breath: "I'm nervous again."

Originally, Wu Mengmeng and Chen Yang were talking in a low voice. When Chen Yang said this, Wu Mengmeng couldn't help but cover her mouth and laugh, which made many doctors nearby look over.

When Qin Dongliang introduced Wu Mengmeng to Chen Yang on the first day, he said that Wu Mengmeng was the most beautiful girl in their department. Although it was a joke, Wu Mengmeng was indeed very beautiful and still single.

A single, beautiful female doctor is actually quite attractive. Many male doctors in the department have a good impression of Wu Mengmeng. Seeing her talking and laughing with Chen Yang as soon as he arrived, many of them can't help feeling jealous.

Damn, why am I not as good as Chen Yang?

As Qin Dongliang walked into the first ward, the resident doctor in charge of the bed and the attending physician in charge of the patient hurriedly followed in.

"Director Qin, the patient has chronic hepatitis, mild jaundice, and alanine aminotransferase as high as 1570U..."

The attending physician hurriedly described the patient's condition: "The patient currently has mild pain and fullness under the heart. Judging from the pulse and symptoms, this is a typical case of Shaoyang and Yangming combined disease with the Yangming syndrome being more severe."

"Who can tell me about this disease?"

Qin Dongliang asked as he sat beside the bed and took the patient's pulse.

When they heard Qin Dongliang's question, many people subconsciously shrank back. Of course, there were also some more confident people who were eager to show off themselves.

The director’s ward rounds are an opportunity for young doctors to learn and also an opportunity for them to perform.

If a new doctor wants to stand out in the department as soon as possible and get the attention of his leaders as soon as possible, the quickest and most convenient way is to actively perform during ward rounds.

It's like when the teacher asks questions in class, the students who always raise their hands to answer the questions and get the answers right will definitely leave a good impression on the teacher.

There are many doctors in the department and the competition is fierce. If you can perform well in front of the department director, make him remember you and be valued by him, then it will undoubtedly be a good opportunity to stand out.

But the prerequisite is that you have to be able to answer correctly. If you answer incorrectly and still show it, you will most likely be scolded. What's more, Qin Dongliang is the kind of department director who scolds people very harshly.

Xu Guorui, Tang Shaowei and others looked at each other subconsciously, and no one was in a hurry to step forward. Although it was Tang Shaowei who directly confronted Chen Yang, Xu Guorui and Tang Zhijun had been watching from the sidelines, but it did not mean that Xu Guorui and Tang Zhijun did not want to understand Chen Yang.

Today's ward rounds are actually an opportunity to understand Chen Yang. Although we may not understand him completely, we can at least have a basic judgment of Chen Yang's level.

"Xiao Sun, you go ahead."

Seeing that no one said anything, Qin Dongliang glanced around and randomly pointed to someone.

When Sun Tao was called out by Qin Dongliang, he almost cried. He was just a little slow in dodging, but he didn't expect to be noticed by Director Qin.

"The patient... Judging from the pulse and symptoms, the patient has a typical case of Shaoyang and Yangming combined disease, and the Yangming syndrome is severe... Well, Da Chaihu Tang can be used..."

Sun Tao stammered.

"That's it?" Qin Dongliang stood up and asked.

"Director Qin, I..." Sun Tao subconsciously shrank back.

"These are all basics. You've been in the hospital for so long, and you don't understand this?"

Qin Dongliang glanced at Sun Tao and asked, "Who else? There are so many people here, but no one is willing to speak up?"

"Director Qin, let me tell you."

Tang Shaowei took a step forward and said confidently.

"You say it." Qin Dongliang said.

"What Doctor Sun said just now is not comprehensive. From a dialectical point of view, the patient's left pulse is floating and stringy, which is a symptom of Chaihu Decoction, and the right pulse is slippery and large, which is a symptom of Xianxiong Decoction. Therefore, the patient can be treated with a combination of Da Chaihu Decoction and Xiao Xianxiong Decoction." Tang Shaowei said slowly.

Compared to Sun Tao's nervousness, Tang Shaowei seemed very calm.

"Ah."

Qin Dongliang nodded and said, "Da Chaihu Tang is used to treat patients with less Shaoyang syndrome and more Yangming syndrome. It can eliminate the patient's severe chest and rib congestion... When using the medicine, you need to add or subtract according to the specific situation. In addition to Da Chaihu Tang syndrome, the patient also has Xianxiong Tang syndrome. In clinical practice, you must check carefully. Xiao Tang has a good understanding of this point."

The patient has been hospitalized for several days and has been taking medication during these days. During the ward rounds, Qin Dongliang only concealed some things in his questions. For example, the patient's attending physician must know how he treated the patient.

After listening to Qin Dongliang's words, the attending physician and the doctor in charge also breathed a sigh of relief.

Qin Dongliang didn't say much and walked towards the next patient.

"Director Qin, the patient was admitted to the hospital yesterday. He accidentally fell from a height a year ago and suffered a back injury, which led to spermatorrhea. He has been leaking sperm day and night for some time, and was diagnosed with neurogenic spermatorrhea..."

When Qin Dongliang walked to another patient, a deputy director came forward and said that it was obvious that the patient was the deputy director's responsibility.

"Was he just admitted to the hospital yesterday?" Qin Dongliang asked.

"Yes, he was admitted to the hospital yesterday afternoon. He took a dose of herbal medicine last night, but has not used the medicine this morning. I was planning to communicate with you after the ward rounds." said the deputy director.

After hearing the deputy director's words, many people stepped back subconsciously.

Obviously, the patient was admitted to the hospital only yesterday. Currently, the deputy chief physician is not very sure about the disease and needs to consult with Qin Dongliang.

In such a situation, little Karami like them would definitely be in a worse situation. What if Director Qin caught them and asked them a question casually? Wouldn't that be terrible?

"Who can tell me about this spermatorrhea?"

Qin Dongliang asked casually while sitting down and taking the patient's pulse.

This question is not difficult, it is just a concept, but many people are afraid that there will be subsequent questions, so no one dares to answer it easily.

"Where's Xiao Chen?"

Qin Dongliang raised his head and took a look: "Don't hide behind, come forward."

Wu Mengmeng, who was hiding at the back and talking to Chen Yang, was stunned when she heard Qin Dongliang's words, then she pushed Chen Yang and said with a smile: "Doctor Chen, I'm calling you."