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

Gao Mingxuan couldn't resist Si Zhenhua's enthusiasm and was dragged to the office by Si Zhenhua.

Si Zhenhua's enthusiasm was not fake, but a genuine expression of his feelings. On the one hand, Chen Yang's skills were very high, so Chen Yang's master Si Zhenhua naturally did not dare to underestimate him. Even if Gao Mingxuan was unknown, what if he was a hermit master among the people?

Furthermore, Si Zhenhua admires Chen Yang very much, and for this reason, Si Zhenhua cannot neglect Gao Mingxuan.

"Which hospital does Director Gao work in?"

After entering the office, Si Zhenhua made tea for Gao Mingxuan while asking Gao Mingxuan.

"Director Zhenhua, you are too polite. I work at Jialin County Hospital." Gao Mingxuan said, "I had already retired, but was rehired."

"Director Gao was able to train such an outstanding apprentice like Chen Yang, so his level must be beyond doubt, and he deserves to be re-employed." Si Zhenhua did not look down on Gao Mingxuan just because he was a doctor in a county hospital, and he remained very enthusiastic.

"Actually, I didn't teach Yangyang much."

Gao Mingxuan was a little embarrassed: "Last year, I met Yangyang at the Jiping Town Health Hospital. I thought he was good, so I accepted him as my apprentice and brought him to Jialin County Hospital. In less than a year, Yangyang went to Jinjiang City and now comes to Kyoto for further studies."

"Actually, I got the better of it. I got a good disciple for free." Gao Mingxuan said with a smile.

"That's Director Gao's insight into talent, and Director Gao's ability to identify people."

Si Zhenhua was a little envious of Gao Mingxuan's luck after hearing this. Gao Mingxuan really picked up a good apprentice for free. How come he, Si Zhenhua, couldn't encounter such a good thing?

Although it sounds like Gao Mingxuan didn't teach Chen Yang much, the fact that Gao Mingxuan brought Chen Yang from the township hospital to the county hospital was a great favor.

In fact, the hardest step in a person's life is the first step. Once you take it, you may enter a different world. There is only so much space in a township hospital, and even if you have the level, the limitations are still quite large.

Moreover, the profession of doctor places great emphasis on qualifications and background. If it weren't for Gao Mingxuan, perhaps Chen Yang would still be in Jiping Town Hospital.

Gao Mingxuan followed Si Zhenhua to the office, and Chen Yang went to the treatment room. Gao Jingyun told Chen Yang that Wen Manlu had arrived and was treating patients in the treatment room.

It's not even 7:30 yet, and the outpatient department hasn't opened yet. However, the emergency department is always full of patients, and some office workers who can't spare the time sometimes go to the emergency department.

Chen Yang came to the treatment room and saw Wen Manlu examining a male patient who was about 40 years old.

"morning."

Seeing Chen Yang coming in, Wen Manlu greeted Chen Yang with a smile.

"morning."

Chen Yang also greeted her and stood next to Wen Manlu, looking at the information such as the patient's symptoms recorded by Wen Manlu.

The patient's main symptoms are cold limbs, fear of cold, and feeling cold all over the body. It is only the end of September, but the patient is already wearing a thick coat and a thick sweatshirt underneath.

At this moment, Wen Manlu was taking the patient's pulse.

After taking the pulse, Wen Manlu looked at the patient's tongue coating. The tongue was slightly red, with thorns on the tip, and the coating was sparse and greasy.

Looking at this patient, Chen Yang became interested. Judging from the patient's symptoms, the first reaction is often to think that the patient has yang deficiency, but Chen Yang knows that the patient does not have yang deficiency.

Wen Manlu looked at the patient's tongue coating, then reviewed the patient's symptoms, then pondered for a moment before asking, "How is your sleep usually? Do you dream?"

“It’s true that I tend to dream, and I also feel upset,” said the patient.

Wen Manlu's eyes lit up immediately. She was upset, had frequent dreams, and had a red tongue. In addition, there were prickles on the tip of her tongue and her tongue coating was greasy. These were all manifestations of stagnant heat in the heart meridian and fire in her heart.

It’s just that the patient’s fear of cold is too obvious, which seems to disguise the entire disease, making it easy for people to have preconceived ideas.

"Go home and take three doses of this medicine. Come back for a follow-up visit if you have any problems." Wen Manlu prescribed Shengjiang Powder combined with Gardenia Decoction, and added Forsythia suspensa, Saposhnikovia divaricata, Mentha, Phragmites australis, etc., and handed the prescription to the patient.

After seeing the patient off, Wen Manlu looked at Chen Yang with a smile.

"Why are you looking at me like that?" Chen Yang said with a smile.

"If it weren't for you, I might have misdiagnosed it."

Wen Manlu smiled and said, "At first I actually considered yang deficiency, but I didn't think it was stagnant fire."

"Then how did you react?" Chen Yang asked with a smile.

"Because you were standing by, I suddenly remembered your usual habit of diagnosing patients. You always consider everything carefully and rule out all possibilities. In addition, the patient's tongue coating is indeed abnormal."

Wen Manlu smiled and said, "That's why I thought about it from the opposite direction and asked the patient about his sleep. I didn't expect that the fear of cold was really an illusion, but the pent-up heat was causing it."

"Well, that's why you have to be comprehensive when you're doing a medical consultation."

Chen Yang smiled and said, "In clinical practice, many diseases are not simply deficiency or excess. They are a mixture of deficiency and excess, with alternation of heat and cold. Only by asking comprehensive questions can we make an accurate judgment."

"So, when facing a disease, you cannot draw conclusions right away. Even if you are very sure, you still have to think twice and make sure clearly." Wen Manlu said.

"Yeah." Chen Yang nodded.

As they were talking, Chen Yang and Wen Manlu left the treatment room together.

"By the way, I haven't told you yet that my master is here." Chen Yang said to Wen Manlu.

"Teacher Wu is coming to Kyoto?" Wen Manlu asked in surprise.

"It's Teacher Gao." Chen Yang said, "Teacher Gao's granddaughter is sick and came to Kyoto."

Wen Manlu had heard of Gao Mingxuan, but had never seen him.

"Is it serious?" Wen Manlu asked.

"The menstruation is early." Chen Yang said: "Teacher Gao's granddaughter is only nine years old this year."

"A child this old?"

As a girl, Wen Manlu felt her heart clenched instantly: "A lot of food nowadays contains a lot of hormones. It's really... some people are so heartless."

In recent years, situations similar to Gao Ming's selection of granddaughters are not uncommon. Not only girls, but also boys, begin sexual development and precocious puberty at a very young age.

"Where is Teacher Gao?" Wen Manlu asked.

"Director Zhenhua took her to the office. Teacher Gao's granddaughter hasn't arrived yet." Chen Yang said.

As the two were talking, Si Zhenhua and Gao Mingxuan had already come out of the office. Gao Ruiping called Gao Mingxuan and found out that he had arrived.

"Master."

Chen Yang took Gao Yingchu over.

"Wen Manlu, my girlfriend." Chen Yang introduced her to Gao Mingxuan.

"Teacher Gao." Wen Manlu greeted Gao Mingxuan.

"well."

Gao Mingxuan nodded with a smile and complained to Chen Yang: "You didn't even tell me this."

Before Chen Yang had time to say more, Gao Jingyun had already brought Gao Ruiping and his family of three over.

After some polite exchanges, Si Zhenhua and Chen Yang took Gao Ruiping and his family into the clinic.