"How confident are you about the recipe just now?"

After the patient left, Zhu Senqiang asked Yun Heng.

"Not very sure."

Yun Heng said, "Judging from the pulse symptoms, the cause is actually difficult to determine. I initially suspected it was the spleen, but then I considered that Mufangji Decoction had already been used, and ruled out the spleen. Skin, flesh, meridians, collaterals, tendons, bones, qi, and blood are all possible."

It is said that the difficulty in treating diseases with traditional Chinese medicine lies in the use of medicine. It is certainly difficult to use medicine, but it is even more difficult to make a diagnosis. Without a clear diagnosis, it is impossible to use the right medicine.

For most diseases, clues can be found in the pulse and symptoms, but for some diseases, the pulse and symptoms do not match, or are even contrary to each other.

Even some diseases are difficult to diagnose through pulse examination, so many great doctors have warned that when diagnosing a disease, it is necessary to combine the four examinations and verify multiple times, so as to minimize errors.

"I've never encountered this situation before. I can only judge it based on some other details. Since the spleen has been ruled out, then I'm considering whether the liver controls the tendons and meridians."

"yes."

Zhu Senqiang said, "It's indeed difficult to diagnose, but you were able to judge from chatting with the patient that the problem was the liver. You are indeed very attentive."

Zhu Senqiang knew very well that this disease was difficult to cure.

There are diseases whose causes cannot be found in Western medicine, and there are also diseases whose causes cannot be clearly diagnosed in traditional Chinese medicine. The only difference is that traditional Chinese medicine is more dependent on the person. It is possible that what works for one person may work for another.

Therefore, Chinese medicine pays more attention to breadth.

The more knowledgeable you are, the more you understand, and the more you master, the higher your level will be in clinical practice.

"Judging from the patient's condition, if this situation cannot be controlled, the frequency of pain will become more and more frequent, and he may die from the severe pain." Yun Heng said.

"That's why I called him. I hope your prescription will be effective."

Zhu Senqiang said this and started calling the next patient.

Zhu Senqiang knew Yun Heng was a capable person when he was at West Asia Hospital. This time, he was able to get a glimpse of the whole picture. Apart from anything else, Yun Heng's patience and meticulousness are definitely worth promoting.

After returning from West Asia Hospital, Zhu Senqiang actually recognized and envied the model of West Asia Hospital, and also wanted to promote it in Kyoto Hospital, but he was only the deputy director after all.

Especially after Chen Fanming left, Wei Zhengshuo was in a bad mood, and Zhu Senqiang didn't dare to say many things.

In fact, it would be great if Director Wei could also go to West Asia Hospital for a checkup.

......

Kyoto University of Chinese Medicine Hospital.

Today is also Qi Yaping's second day here.

Qi Yaping is not from the clinical department. She came here mainly to learn about the management and other aspects of the hospital, so she is in the Medical Department of the University of Traditional Chinese Medicine.

Dean Qi has only been here for two days, and he can only sit in the duty room of the medical department in a daze, unable to do anything.

The hospital's medical department is a very powerful and critical administrative department. It is responsible for the evaluation, promotion, selection, training, etc. of doctors internally, and for the hospital's publicity, communication and handling of doctor-patient conflicts externally. It also formulates policies, organizes management, inspections, supervision, etc.

Qu Tongwen arranged for Qi Yaping to come to the Medical Department of Kyoto University of Chinese Medicine, which was a very suitable position.

The Medical Department is the so-called powerful administrative department of the hospital, which is generally directly governed by a powerful vice president. Some hospitals are even directly managed by the president. Here, Qi Yaping can also understand how other large hospitals arrange activities, organize medical treatment, etc.

However, Qu Tongwen obviously ignored the arrogance of the big hospital.

The Kyoto University of Chinese Medicine Affiliated Hospital is a Class A tertiary comprehensive hospital with many departments. It ranks among the top Chinese medicine schools in the country. The hospital's medical department is a large department with a large number of staff.

However, the hospital in Kyoto is really not like the one in Xihua City. Although Qi Yaping is the director of Xiya Hospital, he is considered a small figure here.

On the day of reporting, the director of the medical department spoke briefly to Qi Yaping and then asked her to work in the duty room.

It's work, but nothing is arranged.

Working in the medical education department is not as good as clinical work. In clinical work, even if there is no one to guide you, you still have the opportunity to get started when patients come. You can also watch, listen and learn from the side.

But in the Medical Education Department, there is no one to lead me, so I can only stay in the duty room.

There were several people in the duty room, some of whom were gathered together talking, but no one paid any attention to Qi Yaping.

The director of a Class-C second-level hospital in Xihua City is also considered a director in Kyoto?

Any attending physician from the Kyoto University of Chinese Medicine Hospital who goes to a hospital in Xihua City will be treated as an expert.

Now that the end of the year is approaching, the Medical Department is actually quite busy as it is responsible for the hospital's year-end evaluation and selection, but no one has told Qi Yaping about this.

Outsiders like Qi Yaping are not considered to be members of the hospital at all.

Qi Yaping sat in her seat in a daze, wondering how to fit in.

Since the West Asia Hospital was transformed from a community health center into the West Asia Hospital, Qi Yaping has rarely been neglected like this, either within the hospital or externally.

Even when I went to the bureau for a meeting, the people I met were all fawning and flattering me. It was a little hard to adapt to this when I came to the Kyoto University of Chinese Medicine Hospital.

Before I knew it, it was time for lunch.

Qi Yaping stood up and walked towards the cafeteria alone, while the others were in groups of three or five.

"Sister Qi!"

As Qi Yaping sat down, a woman in her forties, two years younger than her, came over with a tray of food and sat opposite her.

“There’s no room anywhere else.”

The woman smiled at Qi Yaping: "Sister Qi, are you used to it?"

"fine."

Qi Yaping forced a smile.

The woman's name is Wu Xueling. She is an officer in the Medical Education Department. Wu Xueling is also the person who talks to Qi Yaping the most since she came here.

"I just don't know what to do." Qi Yaping said with a wry smile.

"That's how it is in the Medical Education Department. We're usually busy for a while."

Wu Xueling smiled and kindly reminded: "Sister Qi, you are the dean. You must want to learn something here. In fact, you should still find Director Gan."

"Thanks."

Qi Yaping thanked him.

The director of the Medical Education Department was Gan Pingchuan, who was in his fifties. Qi Yaping had only met him twice and he was not an easy person to talk to.

However, Qi Yaping is in her forties after all, and she was the director of a community health center before, so she understands the ways of the world.

Does Wu Xueling mean to imply that she should give Director Gan some benefits?

In fact, Qi Yaping has been considering these past two days whether to give Director Gan a gift or something. It is indeed not easy to be without any sense of belonging when you are away from home.

The Medical Department is no different from other departments. You have no chance to show yourself. Like Yun Heng, no matter where he goes, as long as he has the slightest opportunity, he can impress people and make a difference.

I don’t know what’s happening with Yun Heng in Kyoto Hospital?