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

"In fact, how to use aconite depends on the specific situation."

As soon as Wen Haoxue finished speaking, someone took over and said, "Fuzi has a strong effect both in traditional Chinese medicine and in modern clinical practice. Moreover, most of the current Fuzi has been processed and has very low toxicity."

"Yes, and aconite is mostly used for emergency treatment. Nowadays, Chinese medicine practitioners rarely use aconite in clinical practice."

"What does Doctor Chen Yang think?"

Xun Jiahong suddenly asked.

When Xun Jiahong asked Chen Yang, many people were stunned for a moment. When Xun Jiahong asked Wen Haoxue and others, everyone could understand. It is said that birds of a feather flock together. There are always differences between people at all times.

Doctors also have circles. Among those present today, the ones who are truly valued by Xun Jiahong are Qu Wenxuan, Gu Yingyin, Zhu Gaoyuan, Wen Haoxue and others. Others are also well aware of this.

Xun Jiahong suddenly asked Chen Yang. Some people were stunned for a moment and whispered to the people next to them: "Who is Chen Yang?"

"Wen Manlu's boyfriend." Someone whispered, and some people subconsciously looked at Chen Yang.

"I heard that Mr. Song had brought Director Xun and Wen Manlu together before. It seems to be true. Director Xun is a little unwilling?" someone whispered.

Xun Jiahong is undoubtedly very outstanding, and Wen Manlu is also very outstanding and beautiful. A gentleman dreams of marrying a beautiful lady, so it is understandable that Xun Jiahong likes Wen Manlu.

"It seems that Xun Jiahong is really here for Chen Yang." Wen Haodong and Wen Haofei sat together and also whispered.

"It's obvious."

Wen Haofei whispered, "Xun Jiahong is already 38 years old this year and still hasn't found a girlfriend. Do you think Lulu is not a factor?"

"The Shennong's Herbal Classic divides medicines into three categories: superior, medium and inferior, according to their different effects. The superior medicines are 120 kinds of monarch medicines, which are mainly used to nourish life and respond to the heaven, and are non-toxic... The medium medicines are 120 kinds of minister medicines, which are mainly used to nourish the nature and respond to people, and some are non-toxic and some are poisonous... The inferior medicines are 125 kinds of assistant medicines, which are mainly used to treat diseases and respond to the earth, and most of them are poisonous..."

Chen Yang slowly said, "But we must understand that Shennong's Herbal Classic was created very early, summarizing the experience of using medicines during the Warring States Period. Chinese medicine is constantly developing. Not to mention now, even in the Tang and Song dynasties, Shennong's Herbal Classic already had many shortcomings."

“So when looking at Chinese medicinal materials, we cannot simply look at them in terms of high, medium, and low quality.”

Chen Yang said: "Moreover, aconite is a holy product for clinical emergency treatment. Mr. Li Ke used 30 grams for the normal dose, 100 grams for the medium dose, and 200 grams for the large dose in the Poge Jiuxin Decoction. The Fire God School also uses a lot of aconite in emergency treatment, and the clinical effect is remarkable."

"As someone just said, most of the current aconite has been processed and its toxicity is very low. Therefore, in clinical practice, aconite below 30 grams does not even need to be decocted first. If it exceeds 30 grams, it can be decocted first. There is no need to be afraid of aconite like a tiger."

.......

After Chen Yang finished speaking, many people seemed to be thinking about something.

In clinical practice of traditional Chinese medicine, whether a doctor can use aconite and other medicines well is definitely a test of his level. Among so many young doctors on the scene, the level of many doctors is not very high. Most of them are at the third level of the system. As for the usage of aconite, how to use it and whether it can be used, many people are actually a little timid.

In the entire conference room, no more than one-third of the young doctors dare to use a dose of more than 30 grams of aconite. This is the current level of Chinese medicine.

Chen Yang talked about Li Ke's special Jiuxin Decoction from the "Shennong Bencao Jing", saying that a large dose of aconite can be used up to 200. Even Xun Jiahong would have to be cautious with such a dosage.

The reason why Wen Haoxue raised this question is that in clinical practice, most doctors try to avoid some drugs such as Aconitum and Aconite.

"Doctor Chen is right."

Xun Jiahong said: "We Chinese medicine practitioners really cannot be bound by formalities. Chinese medicine has been developed for 5,000 years and is constantly improving. Mr. Li can definitely be regarded as a leader in the use of aconite."

Xun Jiahong asked Chen Yang mainly to test Chen Yang's level. Don't think it's just a simple question. Through this question, Xun Jiahong can see Chen Yang's courage and level. Without a certain confidence and level, he would not dare to say such words as confidently as Chen Yang.

For example, what the first few people said were actually avoiding the main point.

Xun Jiahong paused and said, "But I personally believe that doctors with profound skills can often use and are accustomed to using small prescriptions and small doses to cure diseases. Even though Mr. Li Ke has been accustomed to using aconite all his life and often uses aconite in large doses, after all, for most doctors, especially today's Chinese medicine doctors, critically ill patients are still not common, and most of the patients in clinical practice are chronic patients."

"I have previously treated an 80-year-old patient who had been sweating profusely for more than half a year, especially at night..."

Xun Jiahong briefly described the patient's condition: "I used 20 grams of aconite at the time. After taking the medicine, not only did the patient's sweating stop, but the symptoms of shortness of breath also gradually disappeared. After half a year of treatment, the patient has recovered."

The case described by Xun Jiahong did use good medication. The dosage of aconite was not large, only 20 grams, which is also the regular dosage of aconite in clinical practice. Being able to cure the disease with a small dose of aconite is indeed a reflection of the doctor's level.

However, Chen Yang could not completely agree with Xun Jiahong's words.

"Director Xun, Chinese medicine still has great advantages in treating critical and severe illnesses."

Chen Yang couldn't help but say, "The reason why Chinese medicine is facing fewer critically ill patients now is precisely because Chinese medicine is gradually losing its position in critically ill patients. Sitting in the department, it can only face patients with chronic diseases and common diseases all year round, and the level of treating critically ill patients has been lost."

"I personally feel that TCM doctors who cannot handle acute and critical illnesses are often also unable to treat chronic and common diseases, because when faced with many symptoms, doctors cannot act decisively and often miss good opportunities."

"Critical illness is actually a kind of experience for doctors. Only soldiers who have experienced real war can be considered veterans."

Everyone looked at Chen Yang again. They didn't expect that Chen Yang would actually confront Xun Jiahong. In fact, on this kind of topic, everyone has their own opinions. It all depends on who says it. At the scene, everyone would undoubtedly take Xun Jiahong's words seriously.

But Chen Yang is just a young man. Is he planning to debate with Xun Jiahong?

Others think so, but Chen Yang has a different idea. In Chen Yang's eyes, Xun Jiahong is a very capable young doctor. Therefore, Chen Yang hopes that he can help Xun Jiahong and does not want Xun Jiahong to go too far in some aspects. It is not easy to produce a skilled Chinese medicine practitioner in Traditional Chinese Medicine.

Normal debate and communication can also help doctors understand some of their own problems.