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

Chen Yang and Zeng Yunhui had just walked into the clinic, and before they had time to sit down, the door of the clinic was pushed open.

The person who came in was Yao Xinting. With her came a woman about the same age as Yao Xinting, and a woman about thirty years old, who was with a child about six or seven years old.

"Senior Zeng, Senior Chen."

Yao Xinting and another girl of similar age greeted Chen Yang and Zeng Yunhui at the same time.

"Senior Chen, my name is Jiang Xue. We met yesterday."

The girl who was about the same age as Yao Xinting introduced herself to Chen Yang with a smile.

Chen Yang did find the other person familiar, and he remembered that he had seen her yesterday morning. The girl was Tang Junliang's graduate student.

"Senior Chen Yang, this is my cousin."

The girl then introduced Chen Yang and Zeng Yunhui: "My cousin's child is always coughing and sick. After listening to your class yesterday, I suggested that my cousin bring her child to see you."

"sit down."

Chen Yang greeted politely.

Jiang Xue's cousin didn't say anything, just smiled at Chen Yang and Zeng Yunhui, and then let the child sit on the chair.

When a few people came in just now, Chen Yang and Zeng Yunhui noticed the child, who was coughing intermittently.

"How long have you been coughing?" Chen Yang asked.

"I cough frequently, intermittently, and repeatedly."

Jiang Xue's cousin finally spoke up: "Basically, he has been sick non-stop since he started kindergarten. Every time it was caused by a sore throat, and then he started coughing. It wouldn't get better for a long time, and then it would come back after a few days."

"Besides coughing, are there any other symptoms, such as fatigue and sweating?" Chen Yang asked.

The doctor's questioning should also be guiding. For example, if he thinks a certain situation is possible, he should ask for confirmation, because sometimes there will be omissions in the answers of parents and children.

Many people go to see a doctor with all the right things in mind, but once they see the doctor, they may forget some of the problems on the spot and then remember them again after they come back.

Therefore, as a doctor, one must have enough patience and carefulness, especially when treating children. In this regard, Chen Yang has always done very well.

"In addition to coughing, I also sweat a lot. Every time I cough, I sweat. Not only when I'm playing, but I also sweat when I'm sleeping at night."

"Open your mouth, uncle can see."

Chen Yang stood up, walked to the child, and said to him with a smile.

The child glanced at Chen Yang, subconsciously dodged a little and did not cooperate.

"Open your mouth and listen." Jiang Xue's cousin said to the child, with a scolding tone: "What did I tell you when I came here?"

"fine."

Chen Yang smiled at Jiang Xue's cousin and said, "Don't scold the child, especially when he is seeing a doctor."

Chen Yang smiled and said to the child: "Uncle won't give you an injection, just take a look at your tongue, don't be afraid."

The child then opened his mouth. Chen Yang looked at his tongue. The tongue was thin, light red in color, with the tip of the tongue being darker red, and the tongue coating was thin yellow.

"Come on, put your arms up."

Chen Yang guided the child to put his arm up and took his pulse.

After looking at the tongue coating and taking the pulse, Chen Yang already had some understanding of the child's condition.

"You are all medical students, so tell me why children are prone to getting sick and coughing?"

Because everyone in the ward was familiar, and Yao Xinting and Jiang Xue were also medical students, Chen Yang did not rush to give the answer, but asked Zeng Yunhui and the other two first.

"Children have weak constitutions and incomplete bodies, so they are easily invaded by pathogens," Jiang Xue said.

"Ah."

Yao Xinting also nodded.

Zeng Yunhui didn't say anything, but he agreed with Jiang Xue's statement. As for why children are prone to illness, most people think that it is because children have poor health. Of course, this answer is not wrong, but it is not detailed and accurate enough.

“In fact, many childhood illnesses can be explained by burglary.”

"If the human body is compared to a big house, then the channels through which sweat flows out are the pores, or 'cuticle'."

Chen Yang said slowly: "It's like the windows and doors on a house."

"When a person is healthy, his mind can easily control the closing of doors and windows. When the house is hot, he opens the windows to let in some fresh air. When the house is bright, he closes the windows to keep in the heat and prevent the heat from escaping."

"Relatively speaking, adults are already very well developed physically and mentally, just like adults at home who know when to close windows and doors, but children don't know."

Chen Yang smiled and said, "Children don't know, so they will open the door carelessly. In this way, the disease is like a thief and can easily enter the body."

"Moreover, children's bodies develop rapidly, which also exposes their weaknesses of 'delicate internal organs and insufficient circulation of qi'."

Chen Yang continued, "Qian Yi's pediatric monograph "Xiao Er Yao Zheng Zhi Jue" mentioned that 'the five internal organs and six bowels are formed but not complete...complete but not strong'..."

"Symptoms like children's coughing and sweating are always difficult to cure because the doors and windows of children are never closed tightly, and pathogens enter through the open doors and windows like thieves... For example, the climate is getting cooler, the air conditioner is turned on more, the wind is blowing more, the weather is getting hotter, etc."

"Moreover, the pathogenic factors that sneak in are often latent, so they are often called latent pathogens. They may sneak in during the summer and break out in the winter, or sneak in during the winter and break out in the spring or summer..."

As Chen Yang was talking, Yao Xinting, Jiang Xue and the other two were listening attentively.

After listening to Chen Yang's lecture yesterday, Jiang Xue knew that Chen Yang's level was not low, so she recommended her cousin to bring her child over, and she herself came along for the purpose of learning and practicing.

Jiang Xue was fascinated by Chen Yang's explanation. Chen Yang's words almost explained clearly the reasons why the child was often sick.

"There are cold evils, and new infections can trigger latent evils. They can not only hide in the body, but also find the right opportunity. When the body's positive energy is strong, they will hide. When the body's positive energy is weak, they will hide."

Chen Yang explained: "For example, when children take medicine, the hidden evil will lurk, and after a while it will start to wreak havoc again. Some treatments cannot completely eliminate the hidden evil, especially some current Western medicine treatments for children, which cannot completely expel the evil. This is also the reason why the child's illness recurs."

As he was talking, Chen Yang prescribed Xiaoqinglongjia Gypsum Soup for the child. This prescription is from the "Golden Chamber Synopsis". Ephedra and cinnamon twigs are pungent and warm to relieve the exterior pathogens, which can disperse the cold evil on the body surface. Peony and cinnamon twigs are combined to regulate the Yingwei and the skin, and reduce sweating. Dry ginger, asarum, and pinellia can eliminate the cold in the lungs. Schisandra chinensis can astringe the lung qi and reduce coughing. Gypsum can clear away the stagnant heat...

Chen Yang explained the prescription and handed it to Jiang Xue's cousin: "Go back and take it according to the prescription. Come back if you have any questions."