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

"Doctor Fang, is my mother's disease difficult to treat?"

Seeing Chen Yang finish the examination, Qiao Lan's son couldn't help but ask.

"It is definitely difficult to treat."

Chen Yang smiled and said, "If it was easy to treat, it wouldn't have been uncurable for so many years. What do you think?"

A great Chinese medicine doctor is absolutely comprehensive. When treating a disease, he not only targets the symptoms, but also needs to understand the thoughts of the patient and his family. A truly great doctor never simply prescribes medicine to treat a disease.

In fact, Chen Yang really likes the idea proposed by Sun Simiao, which is to value people and put people first.

The "Qian Jin Yao Fang" and "Qian Jin Yi Fang" left by the demon king Sun Simiao are named "Qian Jin" because it means that people are worth a thousand gold. The "thousand gold" refers to people, and it also encourages doctors in later generations to put people first and value people.

Qiao Lan has had this disease for twenty years. She is a long-term chronic disease patient. This type of patients often lack sufficient trust in doctors, so communication with patients and their families is also a very important part of treatment.

Regardless of whether the disease is difficult to treat or not, Chen Yang will say it is difficult to treat. After all, it has been 20 years. If you say it is easy to treat, the patients and their families will find it hard to believe.

"I learned about it from Teacher Zhang yesterday."

Chen Yang said: "Mr. Qiao's biggest problem at the moment is difficulty urinating."

"Yeah." Qiao Lan nodded.

"Since we want to treat the disease, we must first understand the disease itself and what causes the difficulty in urinating. Only by understanding the cause can we prescribe the right medicine."

Chen Yang said patiently: "This is just like a repairman repairing something. Only by understanding the crux of the problem can we solve it."

Chen Yang paused and said, "I know a friend whose air conditioner broke down and wouldn't start. It was a central air conditioner, which was quite troublesome. The main unit was inside the wall. His home was on the 26th floor, which was a high-rise building. It was quite troublesome and dangerous to check the main unit."

"It was summer vacation and very hot. My friend called a mechanic online. If a mechanic can't fix the problem, they will only pay a little money for travel expenses, not repair fees. The first mechanic came and climbed out the window. He worked for 40 minutes in the air, sweating profusely, but still couldn't fix the problem. Seeing how hard he worked, my friend gave him 10 more dollars for travel expenses, and gave him 40 dollars."

Chen Yang smiled and said, "Since it's not fixed, my friend must continue to fix it, so he found another repairman. The second repairman came and didn't even leave the room. He just checked it and said he knew the problem and wanted four hundred."

"My friend thought it was a hot day and it would be difficult to do without air conditioning, so he agreed. It turned out to be a wiring problem. The repairman just replaced a section of wire and it took only a few minutes. He easily earned 400 yuan..."

After listening to Chen Yang's words, Qiao Lan's son couldn't help but laugh: "Although the second repairman's price is a bit high, he makes money by his skills, so there's nothing to say."

"This is actually the crux of the problem. If you find the right cause, it will be easy to solve. If you don't find the wrong cause, you may spend a lot of time and still not be able to solve the problem."

Chen Yang smiled and said, "Difficulty in urination is caused by the blockage of the outlets of countless rivers in the human body."

"The huge river channel in the human body must have an outlet to discharge the waste fluid in the human body. Once the outlet valve fails, it will cause incomplete urination and difficulty in urination."

"Generally speaking, there are two reasons why valve switches fail. One is that the power supply is reduced and there is not enough power to control the valve switch. The second is that the gears are blocked by rust and dirt and cannot operate normally."

"In the human body, the energy is insufficient, which means physical weakness, and the valves are blocked by dirt and the like, which means damp heat."

Chen Yang explained: "In the Treatise on the Origin and Symptoms of Various Diseases, the location and pathogenesis of gonorrhea are summarized as follows: 'All gonorrhea is caused by kidney deficiency and bladder heat.'"

When Chen Yang was speaking, everyone was listening. Chen Yang's explanation was not only for the patient's family, but also for Wen Haodong and Wen Haoxue. Chen Yang roughly guessed why his elder brother came here today. Since his elder brother was present, Chen Yang would definitely show off.

While conquering your future father-in-law is important, conquering your brother-in-law is also necessary.

"Then what caused Mr. Qiao's leucorrhea?"

Chen Yang said: "Teacher Chen was suspected of having kidney disease before, and his urine was turbid and he had difficulty urinating, which is related to kidney disease. In addition, women have short urethras, and their physical condition is getting worse with age..."

"From the pulse, Mr. Qiao's pulse is deep and weak. Deep pulses are related to bones, and weak pulses are related to tendons. Deep pulses are related to kidneys, and weak pulses are related to liver deficiency..."

Chen Yang continued: "Teacher Qiao's tongue is red and thin. Red means there is excess heat in the body, or yin deficiency. Red means that the body is deficient in qi and blood, or yin deficiency and excessive fire..."

Chen Yang analyzed it bit by bit: "So to sum up, the key point of Teacher Qiao's illness is liver and kidney yin deficiency and hyperactivity of fire."

Qiao Lan's condition is actually quite complicated. The reason why some previous doctors' medications were ineffective and the condition could not be cured after a long period of treatment was because they were unable to diagnose the condition clearly.

Chen Yang, on the other hand, took apart the entire pathogenesis, analyzing it bit by bit, unravelling it into pieces.

It is said that a doctor's treatment is like a judge's judgment, which requires unraveling various clues, step by step, to find the truth.

Chen Yang looked at Qiao Lan's previous medical records. Some of the traditional Chinese medicine medications used before were unable to distinguish between deficiency and excess. For patients with stranguria, urine is a very important reference. Clear urine is mostly a deficiency syndrome, while thick and white urine is mostly an excess syndrome. However, some patients have a mixture of deficiency and excess.

Even if the real and the fake are mixed together, we must clearly distinguish which comes first, the fake or the real...

After that, Chen Yang wrote a prescription and handed it to Qiao Lan. Qiao Lan's son took it, looked at it, and asked uncertainly: "Doctor Chen, is this Liuwei Dihuang Pills?"

"To be precise, it is Liuwei Dihuang Decoction with modifications," Chen Yang explained.

"My mother has also taken Liuwei Dihuang Pills, but it didn't work." Qiao Lan's son was a little disappointed.

"A Chinese medicine practitioner who knows how to use medicine will break down the prescription."

Before Chen Yang could speak, Wen Haoxue said, "Sometimes, even if only one or two herbs are changed, the effect can be very different."

"This is Director Wen Hao Xuewen of the Kyoto Traditional Chinese Medicine Hospital."

Chen Yang introduced Qiao Lan's son, "Director Wen is the grandson of Mr. Wen Xiuping."

"Director Wen, don't get me wrong. I'm just asking. It's said that a person becomes a doctor after a long illness. My mother has been ill for a long time, and I've seen more prescriptions." Upon hearing that Wen Haoxue was Wen Xiuping's grandson, Qiao Lan's son's attitude obviously changed.

A person's reputation is like the shadow of a tree. The three words "Wen Xiuping" are a golden signboard in the medical world. As long as you are related to Wen Xiuping, most people will have a different attitude towards you.