Why do experts and directors from various top-tier hospitals frequently appear at a community clinic? Why do nationally renowned experts and professors often visit a township-level health center?
After entering the ward, Yun Heng paid attention to the patient. He was in his fifties, thin, pale, and looked quite weak, but his mind was still clear. When he saw Yun Heng and his group coming in, he raised his eyelids and took a look, but he seemed a little weak.
Yun Heng walked to the bedside and reached out to feel the patient's pulse. There was a large group of doctors around. Although Yun Heng was young, the patient and his family did not say anything and let Yun Heng examine the patient.
After taking the patient's pulse and checking the tongue coating, Yun Heng and his team left the ward and returned to the original clinic.
"Squad leader!"
Lin Yonggang couldn't wait to look at Yun Heng.
"The patient's pulse is stringy and fine, and he is sweating profusely. Just as Director Zhang said, it is because after the onset of the disease, the defensive Qi is not solid, the body fluids are severely damaged, and the Shen Qi is exhausted. This leads to difficulty urinating, and the blood cannot nourish the tendons, so the limbs are stiff. Yang deficiency causes water vapor to flow upward, causing shaking and dizziness..."
Yun Heng said slowly.
Yun Heng spoke very slowly. Although he was speaking to others, he was actually speaking to himself, just like he was reviewing a question. He was reviewing the question, judging, thinking, and considering the rationality of it.
Every cause has its effect.
The purpose of Chinese medicine diagnosis is to infer the cause of the disease from the symptoms, and to determine what kind of cause may lead to what kind of result.
When Chinese medicine doctors are facing patients, what they see through the four methods of looking, smelling, asking and palpating are actually all results. The pulse condition, the complexion and the symptoms are all objective and indicate that the disease has already occurred.
The patient is sweating profusely, why is the sweating profuse? The patient has difficulty urinating, why is it difficult to urinate? The patient is dizzy, why is it dizzy...
A single symptom can lead to many causes. However, by combining multiple symptoms, adding pulse and complexion, we can find the connections among them, eliminate some irrelevant things, and gradually screen them, then there will be fewer and fewer intersections.
Therefore, Chinese medicine doctors must be extremely meticulous when treating patients. The more symptoms the doctor discovers, the more accurate the truth he can get by working back on it.
"Teacher Yun, does that mean the patient is suffering from a severe case of Mercury retrograde?"
Ren Xuedong listened to Yun Heng's analysis and interrupted.
"Um!"
Yun Heng nodded: "Judging from the pulse, it should be."
At this moment, Yun Heng is still considering it and is not completely sure.
"Doctor Yun, is it possible to try Guizhi Jia Fuzi Decoction?"
Zhang Gengping interrupted and asked.
Yun Heng didn't rush to answer, but thought carefully, and whispered: "Return to Yang?"
As he spoke, Yun Heng shook his head again, feeling that something was not right.
"I see."
Yue Shaojiang suddenly interrupted, "The patient has severe water retention and yang deficiency. Guizhi Jia Fuzi Decoction can restore yang and induce sweating, but it cannot suppress water retention."
Yun Heng looked at Yue Shaojiang in astonishment, then nodded: "Yes, that's exactly the point. Guizhi Jia Fuzi Decoction can restore Yang but cannot suppress water."
"What about Ling Gui Shu Gan Tang?" Fang Zhengxiang interrupted.
"Ling Gui Zhu Gan Tang can calm the water but cannot restore the Yang."
This time it was Ren Xuedong who interrupted.
Yun Heng nodded again: "Ren Xuedong is right. Considering the patient's symptoms, we need to restore Yang and calm the water. From this perspective, Zhenwu Decoction is the most appropriate."
"Zhenwu Decoction?"
Yue Shaojiang pondered it carefully, and then his eyes lit up: "Yun Heng is right. Considering the patient's condition, Zhenwu Decoction is indeed the most appropriate."
Yue Shaojiang glanced at Yun Heng and said sincerely, "Yun Heng's analysis is very accurate."
"Yes, Teacher Yun's analysis is quite thorough. Zhenwu Decoction is indeed the most suitable."
Yun Heng opened his mouth and thought, you are here again?
Just now, Yun Heng just felt that something was wrong and was still trying to figure out the reason when Yue Shaojiang said that Huiyang could not suppress water.
Fang Zhengxiang mentioned Ling Gui Zhu Gan Tang, and Ren Xuedong said that it can suppress water but cannot restore yang.
Since we need to restore Yang and suppress water, isn’t Zhenwu Decoction the most suitable?
As the saying goes, one person's plan is short, but many people's plan is long. Three cobblers are better than Zhuge Liang. It is obviously everyone's credit, okay?
Today's designated simulation has been used, so Yun Heng was quite cautious in his dialectical analysis, pondering it step by step. If Ren Xuedong and Yue Shaojiang hadn't interrupted him, Yun Heng might still be wondering, how can this be considered a thorough analysis?
Yun Heng was quite speechless.
You guys playing like this makes him feel a little confused.
"Zhenwu Decoction?"
Zhang Gengping also pondered it carefully, then nodded: "Yes, Zhenwu Decoction is indeed very suitable."
Fang Zhengxiang also hurriedly said, "Yes, the patient suffers from Yang deficiency and water retention. We must treat them with both Yang-replenishing and water-suppressing methods. Uncle Yun's analysis is indeed very thorough. Zhenwu Decoction has the effect of warming Yang and promoting diuresis, and is the most suitable treatment for Yang deficiency and water retention."
Although Fang Zhengxiang's words seemed to be flattery, he sincerely admired Yun Heng at this moment.
In the morning, Fang Zhengxiang was taught a lesson by Yun Heng. After seeing Yun Heng's level, Fang Zhengxiang was really convinced after hearing Yun Heng's analysis of the disease.
My uncle is a little young, but his level is really amazing.
The higher the level Yun Heng performs, the less pressure Fang Zhengxiang will feel in recognizing him as his uncle.
"Did you understand everything?"
Zhang Gengping said to the other doctors in the consultation room, "Look at you all. You just came up with this idea, that idea, but you can't even come up with a single recipe like Guizhi Jia Fuzi Decoction or Linggui Zhugan Decoction."
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