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

In the consultation room of Department I, department director Ge Huaqun, deputy director Ying Gaoping, chief physician Bao Bo and several other experts gathered together for a consultation.

Zeng Yunhui and Chen Yang arrived at the consultation room, went in through the back door, and stood at the back listening.

At this moment, there were not only Chen Yang and Zeng Yunhui listening in the consultation room, but also three young doctors.

This kind of consultation in the department is generally not opposed to doctors from the hospital attending. Attending the experts' consultation is also a way for young doctors to learn and improve themselves.

The patient's condition is displayed on the display screen in the consultation room.

The patient was a 20-year-old male. He developed facial edema three months ago, which then spread to the whole body. He was treated at a local hospital and was diagnosed with acute nephritis with renal failure. He was treated with antibiotics and diuretics for two months, but there was no effect. He then took Chinese medicine and changed the prescription many times, but the effect was still poor and the edema remained the same, so he was transferred to Kyoto University of Chinese Medicine Hospital.

"The patient in bed 18?"

Zeng Yunhui asked the doctor next to him.

"Yeah." Next to him was a doctor in his thirties.

"Bed 18?"

No wonder Chen Yangjue’s patient’s condition seemed somewhat familiar.

The patient in bed 18 was not transferred here today, but has been here for four days. In the past few days, Chen Yang and Zeng Yunhui have been walking around the inpatient department every day, so they have some understanding of the patients in the department.

Zeng Yunhui had discussed the patient in bed 18 with Chen Yang before, but the patient in bed 18 was not Zeng Yunhui's patient. Chen Yang and Zeng Yunhui were just discussing it and did not interfere with other doctors' treatment.

But today, the patient has a new condition. He has been infected by external evil, which is called a cold in Western medicine.

In addition to the previous severe edema, the patient also had symptoms such as dizziness, nasal congestion, sore throat, and cough.

Although a cold is just a minor illness, for normal people, you don’t even need to go to the hospital if you have a cold. You can get better by taking some medicine. The cold is now a very common disease.

However, for some patients, colds are not a small problem. For patients with mild nephritis, colds are not a big problem, but for patients with severe edema, acute nephritis accompanied by renal failure, and new exogenous pathogens, it cannot be ignored.

You know, the patient previously had shortness of breath and inability to lie flat, poor diet, thirst and preference for hot water, etc., and now has coughing and sore throat. If it is not taken seriously, it is very likely to be dangerous.

"The patient's condition is that the kidney yang is insufficient, the bladder qi transformation is abnormal, and the triple burner is powerless, which leads to the flooding of water and dampness, which rises to the lungs. This time's cough and sore throat should also fall into this category."

Ying Gaoping said: "In my opinion, we can try the method of warming the yang and promoting the flow of water, descending and promoting lung qi."

"The patient still has edema, so we still need to use the method of clearing the lungs and promoting diuresis to prevent the edema from getting worse."

Yi Gaobo said: "The patient has just been infected with an external pathogen and has been drinking more water than before. If the edema is severe and causes difficulty breathing, what should we do?"

“And we’ve tried the warming yang method before, but it didn’t have any effect,” said another deputy chief physician.

Ge Huaqun listened to the analysis of several directors, pondered, and saw Chen Yang and Zeng Yunhui: "Xiao Zeng, what do you think?"

"I think judging from the patient's symptoms, it is correct to use the warming yang method because the patient is suffering from kidney yang deficiency," said Zeng Yunhui.

Zeng Yunhui and Chen Yang had discussed this before.

"The patient had used the warming yang method before coming to our hospital, why was there no effect?" Yi Gaobo asked Zeng Yunhui.

"'Benefit the source of fire to dispel darkness'."

Zeng Yunhui said: "The reason why the patient's edema does not subside may be that the dosage of warming yang medicine is insufficient, or the prescription is adhered to for too short a time, and the lung qi is blocked and not released."

"What Xiao Zeng said does make some sense." Ying Gaoping said.

Ying Gaoping has always supported the warming yang method, but the patient had used the warming yang method before and it didn't have any effect, so after being transferred to this hospital, the warming yang method was ruled out first.

Some of the treatments used by the previous doctor are just references and lessons for the later doctor. If the methods used by the previous doctor have no effect, the later doctor will subconsciously exclude them.

"Um......"

Ge Huaqun pondered for a moment and said, "Xiao Zeng's statement does make some sense."

"I have discussed this patient with Chen Yang before. These are Chen Yang's opinions, and I agree with them," said Zeng Yunhui.

Warming Yang is correct. It may be that the dosage is insufficient or the prescription is adhered to for a short time, or it may be that the lung qi is blocked and not released. Yi Gaobo and Ying Gaoping did not see it before, and Zeng Yunhui naturally did not see it either. This must be Chen Yang's analysis.

Chen Yang had explained it to Zeng Yunhui, and Zeng Yunhui just told him the analysis he and Chen Yang had made before, but he did not forget to mention Chen Yang.

"Then let Xiao Chen say something too." Ge Huaqun looked at Chen Yang.

Ge Huaqun has not heard about some rumors in the department these days. As the director of the department, Ge Huaqun is very busy and has a high level of competence, so some gossips below are unlikely to reach his ears.

After Wen Xiuping praised Chen Yang last time, Ge Huaqun had always wanted to see Chen Yang's level, but he never had the chance.

"Well, the patient is short of breath and cannot lie flat, which is also a sign of lung qi obstruction and failure to vent."

Chen Yang said: "And according to the patient's medical records, the patient had previously used warming yang and selecting illegal methods. Although it failed to eliminate the edema, it also laid a foundation. Otherwise, the patient's condition might have become more serious."

"Ah."

Several people nodded slightly, and Yi Gaobo kept looking at Chen Yang.

Although Yi Gaobo didn't like Tang Shaowei very much, Tang Shaowei made Yi Gaobo pay more attention to Chen Yang.

Now it seems that Chen Yang is indeed many times better than Tang Shaowei.

"So according to you, we should continue to use the method of warming yang and promoting lung function?" Yi Gaobo asked.

"In an emergency, treat the symptoms; in a slow manner, treat the root cause."

Chen Yang said: "At present, the patient is suffering from wind-heat, so a pungent and cool medicine can be used."

"Use a pungent, cool and neutral medicine?" Ge Huaqun asked.

"The patient belongs to the category of 'feng shui' and 'yang water'. The previous method of warming yang and promoting lung function has actually laid the foundation. Now the patient has symptoms of external infection. Using pungent, cool and neutral drugs to relieve and promote edema will surely quickly subside..."

Chen Yang explained it in detail.

You know, Chen Yang is still within the validity period of the level 10 upgrade card, and his level is still at the full level 10. Although this patient's condition is no less complicated than the patient's condition in the previous competition with Wen Rongxian, it is still not too complicated in Chen Yang's eyes.

Following Chen Yang's analysis, Ge Huaqun and others couldn't help but be stunned.

If Chen Yang was just giving them some suggestions and opinions, they would be able to accept it, but now Chen Yang was actually explaining the disease to them, and it was not as simple as just giving them suggestions and opinions.

For a moment, everyone in the consultation room was listening to what Chen Yang was saying. The scene was quite strange.

(Not fully recovered yet. I feel sleepy after taking the medicine. Don’t even mention looking for Chen Yang. I still feel sleepy after taking the heavy Chinese medicine…)