"First of all, we must make it clear that the patient's condition is not a deficiency syndrome. If it were a Yin deficiency syndrome, the Danggui Liuhuang Decoction just now would be completely appropriate."

Yun Heng patiently explained to Ren Xuedong, "Sweat is the fluid of the heart. Generally speaking, when people sleep and rest, the heart's qi returns to the kidneys. Cold evil lurks in the kidneys, and when the heart's qi enters the kidneys, it is stimulated by the cold evil. That's why patients sweat profusely when they rest."

This disease is actually a bit beyond the standard in terms of Yun Heng's actual level. If Yun Heng had not happened to meet a similar patient in the simulation space, he would actually be a little at a loss.

This disease is also within the third level. In fact, it is equivalent to a math problem, a competition question. Even a top student may not be able to answer it. Yun Heng is naturally not a top student.

But it happened that I had done it before, and there was analysis on the panel, so that was different.

Faced with Ren Xuedong's questioning, Yun Heng was not panicked. This is the benefit of doing more questions. In addition to training people, the simulated space also provides a lot of accumulation for Yun Heng by encountering various patients who appear randomly.

The reason why the old doctor is so experienced is because he has seen so many patients.

For Yun Heng, the existence of the simulation space allows him to accumulate more clinical experience than others.

Moreover, Yun Heng himself is also a very hardworking person. Whenever he encounters a disease that he misdiagnoses in the simulation space, Yun Heng will study it repeatedly according to the panel and integrate the misdiagnosed disease into his understanding.

So when Yun Heng was analyzing this disease, he seemed very adept at it.

“Anyone who wishes to cure an illness must first identify its cause.”

Yun Heng looked at Ren Xuedong and continued, "When a patient suffers from profuse night sweats, the first thing we need to do is to understand why, rather than directly addressing the symptom."

"When a patient has night sweats, the first thing we think about is stopping the sweat and strengthening the exterior. This kind of thinking is wrong in itself. It's like treating the symptoms without addressing the root cause."

When Liang Wanming and Ma Tiequan on the opposite side heard this, their expressions couldn't help but become serious.

When encountering a symptom, ask about the cause first. This is actually the essence of Chinese medicine diagnosis and the most basic thing, but not many people can do it.

Most doctors are influenced by modern medical thinking, and when faced with symptoms, they will subconsciously think about the answers first.

When a patient has a headache, the doctor's first reaction is to find out what prescription can cure the headache. When a patient sweats, the doctor's first reaction is to find out what prescription can stop sweating and strengthen the exterior.

With this kind of thinking, we are often easily influenced by it when we are engaged in dialectics.

Liang Wanming thought carefully about the mistake Ren Xuedong had just made.

Perhaps Ren Xuedong first thought of stopping sweat and strengthening the exterior, and then thought of Danggui Liuhuang Decoction, and then compared the patient's symptoms based on this result. This is equivalent to using a wrong result to reversely infer, so some links in the middle are prone to errors, and Ren Xuedong may even subconsciously ignore some factors.

"Once we understand the cause of the patient's night sweats, the problem becomes simple."

Yun Heng continued, "The kidneys are affected by the cold evil, so the bladder's qi transformation is also affected. The water vapor in the body cannot be discharged through the bladder, so it can only be discharged through the side channels. This is also the reason why the patient has persistent night sweats."

At this point, Yun Heng asked the patient, "How is your urination?"

"The urine is very little, and the amount is not much." The patient said hurriedly.

"Did you see that?"

Yun Heng asked Ren Xuedong.

"Teacher Yun, I understand."

At this moment, Ren Xuedong was convinced.

Xu Bo standing next to him was also stunned.

Many people think that traditional Chinese medicine is magical. When traditional Chinese medicine students read some ancient books and study some medical records in textbooks, they often think that the famous doctors of past dynasties and the protagonists in the medical records are so great.

You can tell the patient's condition at a glance, and guess what's wrong with the patient just by feeling his pulse.

If some scenes were filmed, it would be like a highly respected old Chinese medicine doctor asking confidently: "Do you have a headache, back pain, or poor appetite?"

This kind of question can instantly shock the patient, and then make him sigh, "Oh my god, the old Chinese doctor is really amazing. I didn't even say it, but he knew it."

It's truly amazing.

But when I studied by myself, I didn’t have that feeling, and I couldn’t imagine the magic of it.

This has led to a misunderstanding even among medical students studying traditional Chinese medicine, that great doctors only exist in textbooks and teaching materials, not in reality.

But at this moment, Xu Bo felt as if he understood something.

Just as Yun Heng asked about the patient's urination, in fact, when Yun Heng asked, Yun Heng himself already knew the patient's urination situation. This inquiry was just a confirmation.

If Yun Heng changed the previous question into an affirmative sentence.

"Is your urine very little and not large in volume?"

This is very pretentious, just like the image of a famous artist in a textbook.

But why could Yun Heng come to this conclusion? It was because Yun Heng had figured out the cause of the disease, why the patient was sweating profusely. Now that he knew the cause, it was easy to guess what other symptoms the patient would have.

"Now that we understand the cause of the disease, we can just prescribe the right medicine."

Yun Heng continued, "Since the patient's night sweats are caused by cold evil in the kidneys, then if the cold evil is not removed, the night sweats will not be cured. Although ephedra and asarum are diaphoretic drugs, using cinnamon twig and Korean ginseng to check and balance them is actually not as terrible as imagined."

"Do you understand?"

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