Practicing business and practicing medicine

Standing on the podium and looking down into the small conference room, the perspective and feeling are completely different.

The seats under the stage are divided into three levels: lower, middle and upper. On the first step, the first row is empty and no one is sitting; in the second row, there are a few young people sitting here and there, in their twenties, men and women. They have everything, laptops, voice recorders, paper notebooks... everything is available. It seems that he should be a disciple of a big shot in medicine and medicine. Further back, there were people of all ages, about two-thirds of the seats were occupied, and there were empty seats.

The second step was almost full, and Wen Boyong was sitting among them, in the middle, a little to the right of the third row. Occasionally, he would wave his hand gently to Bian Mu, showing how close he was to Bian Mu.

What's interesting is that Ouyang Ziye and Lu Shiyuan, a few special old acquaintances, are also sitting on the second step, not far from Wen Boyong. Bian Mu hasn't started speaking yet, and they are chatting happily.

The last staircase was half full, and there were people of all ages, men, women, and children. Bian Mu came relatively infrequently and didn't recognize anyone.

The host, President Yue, and Dr. Yue were not present, so they probably had things on their hands and couldn't make it.

When the time came, the tall young lady just stood at the door and nodded gently to Bian Mu, indicating that he could start.

"Dear senior teachers! Dear colleagues, hello everyone! Today I will briefly talk about some logical contradictions that appear in the treatment process of integrated traditional Chinese and Western medicine. I would like to ask for your advice." Although the words are quite decent. , everyone in Taiwan can feel it, Bian Mu is still a little nervous on the stage.

At this moment, for anyone standing in Bian Mu's position, the advantages, disadvantages, and intellectual errors... are immediately magnified many times, and the good and bad results are all clearly visible. Being on such an occasion for the first time, Bian Mu was still a little panicked.

In any case, there is probably not a single person sitting below who is a good person. If Bian Mu said anything inappropriate, the audience would immediately hear it.

After taking a long breath to stabilize his emotions, Bian Mu spoke: "The perspective I describe below is from the perspective of traditional Chinese medicine, but there are some omissions. I ask colleagues to correct them. As doctors of traditional Chinese medicine, when we When patients bring a bunch of Western medicine test reports, which method should we choose in the diagnosis sequence to be more appropriate? In my opinion, we should first listen to the patient's chief complaint, and then "look", "smell", When it comes to 'asking' and 'cutting', after we have made a relatively mature conclusion about the patient's 'cause, location, nature and severity of the disease', we can then take the pile of physical examination reports that the patient brought with him in detail and carefully. As a reference, when there is some underlying logical contradiction between the two, I believe that the diagnosis of traditional Chinese medicine should prevail."

As soon as he finished speaking, there were a few whispers in the audience. Apparently, some colleagues with a strong background in Western medicine were quite controversial with this conclusion.

At this time, out of the corner of his eye, Bian Mu saw several figures sneaking in from the back door. There were about seven or eight men and women, and one of them seemed familiar.

"Oh! Isn't that Lu Yisi? Why is he here? Usually, he looks down on little doctors like me who run a clinic!" Bian Mu was slightly distracted.

When the audience calmed down again, Bian Mu continued.

"X-ray! CT, MRI, blood test, virus detection, bacterial detection, pathological biopsy report... resolution, imaging degree, detection range... are becoming more accurate year by year. As a supplementary reference for traditional Chinese medicine diagnosis, China The integration of Western medicine and Western medicine is definitely the right path. However, when the underlying logic of the two collides, how we choose is directly related to the development direction, accuracy, and diagnostic independence of contemporary Chinese medicine... Major choices in all aspects, in Here, let me first give you a typical case." Speaking of this, Bian Mu suddenly felt a little tired and fell into a trance. Bian Muqian took a long breath and felt more comfortable.

"The patient, male, is 51 years old. His birthday was only at the end of March this year. He is a cardiologist and works with all of us. The patient's main complaint is mainly coronary heart disease, and is complicated by mild lacunar infarction. His blood sugar is slightly high, and he has not had any symptoms so far. Obvious symptoms of diabetes were seen, hemoglobin was normal, and small plaques had appeared in the right aorta. Test reports such as electrocardiogram and carotid artery CT clearly showed that the patient's main disease was heart disease, and the other lesions were due to long-term ineffective treatment. As for the incidental complications, given that the patient himself is a senior doctor, the overall diagnosis and long-term self-treatment and nursing care should be considered effective." At this point in the speech, Bian Mu suddenly felt that his throat was dry and itchy. Obviously, Bian Mu was still A little nervous.

After hearing Bian Mu cough a few times, the tall lady just now hurriedly went backstage to get some water.

Bian Mu continued: "Some time ago, the patient suddenly felt deeply tired and developed symptoms such as weakness in the legs, loss of appetite, rapid weight loss, severe night sweats, moderate insomnia... etc. At the beginning, it had seriously affected the patient's daily life. He was working normally, but in desperation, the patient consulted many famous Chinese and Western medicine experts. He changed more than 30 kinds of Western medicines and took a lot of Chinese medicines. As a result, his condition worsened and he was unable to go to work normally and had to take sick leave. "

At this time, a few people on the left side of the middle staircase under the stage were chatting lightly. Apparently, they might have guessed the name of the patient Bian Mu mentioned and which hospital he was in. What is your employment situation and current situation...

"Later, this dear friend came to my place. From the perspective of traditional Chinese medicine, I found that the patient's right pulse was deep and thin, floating and hollow, and continuously weak. His tongue was light red, with thick white coating, and there were strong lines in the middle. The base of the tongue was enlarged and had tooth marks. , the spleen and stomach are weak, and the transportation and transformation of the spleen and stomach are quite poor. If he takes the Ying pulse and the Fuyang pulse, the pulse is thin, weak, and weak, showing the old signs of severe damage to the vitality, and if he is asked about his daily life, it is better than ordinary people. It was much more reasonable, and there were no obvious bad habits in life. After repeated dialectics, I finally concluded that he had a stomach problem. From the perspective of traditional Chinese medicine, it is 'stomach qi that is difficult to sustain', and it will become a disease after a long time." At this point, while Mu paused again.

My throat felt obviously uncomfortable.

At this time, the tall lady had already prepared a cup of hot tea for Bian Mu. Bian Mu touched the paper cup and found that it was neither hot nor cold, and the water temperature was just right.

Picking up the cup, Bian Mu took the time to drink a few sips. After a while, Bian Mu felt much better, and the oxygen supply in his brain increased significantly.

Later, Bian Mu analyzed the patient's Western medicine diagnosis in detail, selecting the most authoritative and most mature diagnosis results one by one. On this basis, as long as the logical relationship constituted a dialectical correspondence, Bian Mu would Compare them one by one...

When it comes to key details, Bian Mu gradually becomes more and more confident...