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

Chen Yang took two steps toward the bed, then bent down to check the patient's abdomen and tongue coating.

"The patient had a sharp increase in ascites after gastrointestinal bleeding, peeling tongue, fissures in the tongue, and purple bruises..."

Chen Yang said slowly: "These are all signs of internal injury of Qi and Yin. At the same time, the patient has a thin and stringy pulse, poor appetite and little urine... It is liver and kidney yin deficiency and water and dampness. Overall, the patient's current condition is a mixture of deficiency and excess, and the symptoms are complicated."

"good."

Qin Dongliang said: "The current situation is that if we remove dampness and promote diuresis, it will damage the Qi and Yin, but if we nourish the kidneys and nourish the Yin, it will hinder the evil."

This is where the patient's condition is currently most difficult.

It is a mixture of deficiency and excess, with some deficiency and some excess, which makes it quite difficult to treat.

"Oh my god, why does it sound like Director Qin is discussing something with Chen Yang?"

Some people gradually understood something.

Mainly from the conversation between Qin Dongliang and Chen Yang, they could probably tell that this disease was quite difficult to treat. The young doctors knew that this disease was difficult to treat, after all, it was ascites caused by liver cirrhosis.

But Qin Dongliang always spoke in this tone, which meant that he was also having trouble with this disease.

"Where are the medical records?" Qin Dongliang asked the attending doctor next to him.

"Director Qin."

The attending doctor hurriedly handed the medical record to Qin Dongliang, who then handed it to Chen Yang: "Xiao Chen, take a look. I also considered this problem when using the medicine before, but the treatment effect was not very good."

Qin Dongliang is a relatively strict department director and also a very responsible doctor.

There is a saying that goes, "If the top beam is crooked, the lower beams will be crooked too." Generally speaking, leaders who are responsible for the doctors under them during ward rounds will not have a bad work style, otherwise, there would be no need for Qin Dongliang to be the bad guy.

Learning things in society is different from learning things in school. Doctors who work in hospitals are very clear about this. Sometimes, if you want to learn, you also have to meet a senior doctor who is willing to teach.

Chen Yang took the folder, flipped through it, and said, "The patient's condition is complicated at the moment, so we can only prescribe a prescription and wait and see."

Chen Yang paused and continued, "In the face of the patient's condition, we can start with promoting blood circulation and diuresis to avoid damaging Qi and Yin, and at the same time use other Yin-nourishing and diuretic drugs..."

"Use black beans, paper mulberry seeds, etc. to nourish water and benefit the kidneys, and use zelan and smilax glabra to invigorate blood circulation and promote diuresis..."

Chen Yang said as he pondered.

This disease is indeed quite complicated. With Chen Yang's current level, this disease is not unsolvable for Chen Yang, but he still needs to be cautious.

Chen Yang is a cautious person by nature. He is truly bold and careful. He always thinks twice when diagnosing and prescribing medicine. Once a diagnosis is made, he is very decisive in using the medicine.

For doctors, they need to be bold and careful when facing patients. Careful means making dialectical analysis and avoiding mistakes, while bold means being decisive and not hesitating or missing opportunities.

It is just like leading troops to fight, you have to think over and over again, make plans, avoid making mistakes, and be decisive when it is time to send troops to avoid missing the opportunity.

"Um......"

Listening to Chen Yang's words, Qin Dongliang pondered for a moment and said, "Well, you are right. Let's try it according to your method first."

Qin Dongliang said to the attending doctor beside him: "Director He, please communicate with Xiao Chen about the patient's condition after the ward rounds. Also discuss with Xiao Chen how to treat and use the medicine in the future."

"I understand, Director Qin." He Jiaming nodded.

The patient is taken care of by another deputy chief physician of the department, He Jiaming. Such a patient is definitely not the responsibility of an ordinary attending physician.

"Fuck!"

Someone couldn't help but swear.

In such a short period of time, two deputy chief physicians were beaten by Chen Yang?

Moreover, Qin Dongliang was obviously communicating with Chen Yang in a negotiating tone rather than testing him.

Some people subconsciously looked at Tang Shaowei.

Chen Yang's level is totally incomparable to Tang Shaowei.

Although Tang Shaowei, Tang Zhijun and Xu Guorui are at a level that would allow them to discuss some diseases with several deputy chief physicians, Chen Yang is not communicating with two deputy chief physicians today.

Even Qin Dongliang seemed to be asking for advice.

Xu Guorui looked at Chen Yang, thoughtfully.

Xu Guorui, Tang Zhijun and Tang Shaowei, who are at a higher level, can naturally see more.

Tang Shaowei's face looked quite ugly.

Although today is only the second day that Chen Yang has come to the department, Tang Shaowei has already realized that something is wrong. He seems to have hit a wall.

However, Tang Shaowei still had some hope in his heart. Perhaps Chen Yang was just expressing his own opinions, or perhaps he had just encountered similar symptoms.

At this moment, Tang Shaowei could only maintain his last bit of stubbornness in his heart.

After Qin Dongliang gave his instructions, he stood up and walked towards the next patient.

During the ward rounds, Qin Dongliang spoke to Chen Yang from time to time and did not ask any other questions, which made many people feel relieved.

However, as the ward rounds lasted longer, some people became more certain of their guesses, because in subsequent ward rounds, Qin Dongliang asked Chen Yang for his opinion more than once, and Chen Yang responded naturally and gave some suggestions every time.

If it happens once or twice, it is a coincidence. Then it is not a coincidence if it happens three, four, five, or six times.

"Damn it! There's a monster coming to our department."

"Yes, I have figured it out. Chen Yang is not just a junior doctor. He is a truly talented person who is hiding his true potential."

"No wonder Professor Wu didn't accept any apprentices for so many years, but suddenly he accepted one, and he's so young. It turns out he has met a true genius."

"Yes, if it were me, I would not let go of such an outstanding disciple."

"It seems that Tang Shaowei has really met his match."

"Professor Wu's apprentice is at such a high level. Others may want to die now. How can we compete?"

A group of young doctors hid in the back and talked in twos and threes.

Tang Shaowei, Xu Guorui and the other two were fighting openly and secretly. On the one hand, it was for some current opportunities, and on the other hand, they were aiming for the position of department director in the future. But now here comes Chen Yang, who has a good background and is much better than Tang Shaowei and the other two. How can they compete?

Wu Yaolin is only in his sixties this year, not even seventy. If nothing unexpected happens, he will have no problem living another twenty years. In twenty years, Chen Yang will have firmly become the department director.

"Is not it good?"

Someone joked in a low voice: "Before, the three princes were competing for the throne, but now the crown prince's position has been decided, and we, the little people, don't have to worry about standing in line all day."

"Fuck, that's such a vivid description."