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

"Director Qin."

Chen Yang walked through the crowd and came to the bedside.

"Let's talk about nocturnal emission." Qin Dongliang said.

"The theory of spermatorrhea was first mentioned in the Neijing (Inner Canon of Medicine), and many other books have detailed discussions on this disease since then."

Chen Yang said: "The chapter on spermatorrhea in the Complete Works of Jingyue says: 'At the beginning of spermatorrhea, all diseases are caused by the heart... When you are sick and want to seek treatment, you should first focus on the heart, and then adjust the treatment according to the symptoms, and you will be cured. Those who do not know how to find the root cause, but only take medicine and hope for success...'"

"The Clinical Guide also says, 'The symptom of nocturnal emission...although there are many variations, it does not exceed the scope of dreaming, no dreaming, and dampness and heat.'"

Chen Yang continued: "From these three factors, we can also judge the pathogenesis of spermatorrhea. Dreaming is a heart disease, no dreaming is a kidney disease, and damp heat is a small intestine and bladder disease."

"Well said."

Qin Dongliang had already checked the patient's pulse and stood up and said, "Although it was just a few short sentences, Xiao Chen has analyzed the pathogenesis of spermatorrhea very clearly."

Qin Dongliang continued, "Having dreams indicates heart disease, having no dreams indicates kidney disease, and dampness and heat indicate small intestine and bladder disease. The patient has spermatorrhea caused by trauma, no dreams, and five dampness and heat. So the condition is obvious, it is kidney disease."

"As expected of Professor Wu's disciple, he is truly amazing."

"Yes, although Chen Yang did not specifically target the patient, this answer can be applied to all such diseases."

Many people were talking in low voices.

Chen Yang's answer is equivalent to telling everyone that if they encounter a patient with nocturnal emission in the future, they can clearly judge from these three aspects.

Although judging from these three directions, it is only a large range, but it has reduced the difficulty a lot.

"Xiao Chen, tell me what you think about the current illness." Qin Dongliang asked Chen Yang with a smile.

Listening to Qin Dongliang continue to ask questions, many people exclaimed in their hearts, as expected, Chen Yang had already answered the question just now very well, but Director Qin continued to ask, they knew this would happen.

"The patient was injured. Judging from the pulse and symptoms, the injury damaged the kidney, causing bad blood to remain inside the body, resulting in the kidney's failure to seal and store..."

Chen Yang did not hesitate and answered directly.

The deputy director in charge of the patient has just described the patient's symptoms. Qin Dongliang has examined the patient's pulse and described the pulse condition. Chen Yang was also there when he checked the tongue coating.

Therefore, Chen Yang basically knew the patient's condition very well and there was no need to ask any more questions.

"What do you think of the medicine used by Director Lin?" Qin Dongliang asked again.

"Wori..."

Someone subconsciously swore.

Qin Dongliang asked this question: What is your intention?

Many people were stunned by Qin Dongliang's question. Could young doctors like them answer such a question?

Although Chen Yang is Wu Yaolin's apprentice, he is just an attending physician.

Although it is normal to discuss medication and patients' symptoms during ward rounds, Qin Dongliang's question in front of so many people asking Chen Yang what he thought of Director Lin's medication was too sharp.

Director Lin, whom Qin Dongliang mentioned, was standing right next to him. He was the attending physician of the patient and the deputy chief physician of the department. His name was Lin Rui and he was 45 years old.

How should Chen Yang answer this question in front of Lin Rui? If Lin Rui used the medicine correctly, it would be fine. But if Lin Rui used the medicine incorrectly, wouldn't Chen Yang be exposing his shortcomings in front of him?

After all, judging from Lin Rui's attitude just now, Lin Rui was not very sure, so he said something like he wanted to communicate with Qin Dongliang.

"There is no big problem with Director Lin's medication. The patient was just admitted to the hospital yesterday, so there is no need to be too strict in the initial diagnosis. However, you can try to change the prescription today to specifically replenish the kidney's yang, or to consolidate the essence. If the bad blood is not removed, it will accumulate and turn into heat..." said Chen Yang.

"grass!"

Although Chen Yang answered very tactfully and chose his words carefully, everyone could hear that Lin Rui's prescription yesterday was not suitable for the condition, at least that was what Chen Yang thought.

"What does Director Lin think?" Qin Dongliang asked Lin Rui.

"Xiao Chen is right. I really didn't consider this aspect before. Simply replenishing the kidney's yang cannot remove the bad blood."

Lin Rui didn't look angry, but immediately said: "I didn't expect Xiao Chen to be so knowledgeable in this area. It seems that I have to learn a lot from Xiao Chen in the future."

Although Lin Rui was not angry, some people seemed to hear tension in his words. An associate chief physician said that he wanted to learn from the attending physician. Isn't there tension in his words?

Tang Shaowei, Xu Guorui and others were looking at Chen Yang, with different thoughts in their minds.

From Chen Yang's brief words just now, several people could see that Chen Yang was not simple, especially Tang Shaowei, who even had a hint of gloom in his eyes.

The more skilled Chen Yang is, the worse it is for Tang Shaowei, because he has already targeted Chen Yang. If Chen Yang's skill is high but he cannot suppress Chen Yang, then he, Tang Shaowei, will be the clown in the end.

"Xiao Chen, please continue." Qin Dongliang said to Chen Yang again.

"The key to this disease is to remove the bad blood. You can start by unblocking the meridians, clearing away stagnant heat, and consolidating the essence chamber." Chen Yang said.

"Well, Xiao Chen's analysis is correct. It hits the nail on the head."

Qin Dongliang nodded and said to Lin Rui: "Let's follow Xiao Chen's treatment plan today."

Qin Dongliang said and walked towards the next patient.

"What does Director Qin mean?"

"Is this obviously creating another enemy for Chen Yang?"

Many people were confused by Qin Dongliang's operation.

If you say that Qin Dongliang does not value Chen Yang, then Qin Dongliang gave Chen Yang a chance this morning. Just this medical record has allowed Chen Yang to gain a foothold, and many people no longer dare to underestimate Chen Yang.

But if you say that he respects Chen Yang, Qin Dongliang asked Chen Yang the following questions in front of Lin Rui. Wouldn't this make Lin Rui dislike Chen Yang?

Unless Lin Rui is a very generous person who doesn't care, in the eyes of most people, it is a very embarrassing thing for an associate professor to be corrected by the attending physician.

Qin Dongliang ignored other people's thoughts and went to the next patient.

In fact, it was not that Qin Dongliang wanted to deliberately target Chen Yang, or to embarrass Lin Rui, but...

Qin Dongliang's previous views on this disease were consistent with Lin Rui's, but it was Chen Yang's words that gave Qin Dongliang a new perspective.

In other words, Director Qin originally didn't know the answer to this question, and since Chen Yang knew it, Director Qin could only let Chen Yang continue to speak, analyze, and explain.

What else can Director Qin do?

He couldn't say that he didn't know how to do it either.

Before the patient was hospitalized yesterday, he had been treated in other hospitals for quite some time, and had tried many treatments including Chinese medicine and acupuncture. The disease did not seem serious at first glance, but in fact it was not easy to cure.