National Physician: One Person Supports a Top-Tier Hospital

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?

Chapter 628: Four Diagnoses of Traditional Chinese Medicine (Part 1)

It was only after Yun Heng entered the demonstration room that he noticed Qu Tongwen and others at the back of the room.

Ma Tiequan and Liang Wanming also came.

Today is not the first time that Yun Heng has trained young doctors at West Asia Hospital, but the scene this time is really grand.

In addition to the young doctors from the Department of Traditional Chinese Medicine of West Asia Hospital, there were also members of the inspection team, more than 20 people, plus Ma Tiequan, Qu Tongwen and others, almost 30 people in total.

Yun Heng, who already had experience lecturing at the Provincial University of Traditional Chinese Medicine, was not stage-frightened.

Now there is one class per week at the West Asia Hospital, which is mainly taught by Yun Heng. Occasionally, Qu Tongwen and others will come over, so the lectures cannot be like those at the Provincial University of Traditional Chinese Medicine. It doesn’t matter if you just give one class and talk about some key points, experiences, etc.

In addition, the doctors at West Asia Hospital already have clinical experience, so they need to be systematic when giving lectures.

"Last week we focused on the importance of dialectical thinking in clinical practice. Today, let's talk specifically about the four diagnostic methods of Traditional Chinese Medicine."

Yun Heng walked up to the podium with prepared PPT and slides. While he was speaking, someone beside him followed Yun Heng's rhythm.

"We are all doctors who have clinical experience and outpatient clinic experience. We are familiar with the four diagnostic methods of traditional Chinese medicine. The four diagnostic methods of traditional Chinese medicine are simple: observation, auscultation, inquiry, and palpation."

"But in actual clinical practice, whether or not to use the four diagnostic methods of traditional Chinese medicine effectively is not that simple."

"Traditional Chinese Medicine is an empirical medicine. The process of TCM syndrome differentiation is precisely the process of elimination. By screening and eliminating all possible conditions based on the patient's symptoms, the fewer conditions that can be diagnosed, the lower the probability of error. If, based on all the symptoms, only one condition is ultimately diagnosed, then it can be said to be foolproof."

"But there is a prerequisite, that is, we must ensure that the information we have is correct, and we must ensure that we have more information to screen and investigate. The four diagnostic methods of traditional Chinese medicine: observation, auscultation, inquiry, and palpation are our main means of obtaining patient information. We must integrate the four diagnostic methods: observation, auscultation, inquiry, and palpation, and not neglect any of them. We must not be careless when treating patients."

As Yun Heng spoke, the patient's case information appeared on the display screen.

"Some people might think that since they're an experienced doctor, they don't need to be so cautious. They can use the four diagnostic methods to understand the patient's condition just by feeling their pulse. Why go through so much trouble?"

Yun Heng said slowly, "This kind of thinking is absolutely unacceptable in a doctor. My teacher, Ji Fengwen, once said that the great master, Xie Yunzhang, was a master of diagnoses by observation, yet in actual clinical practice he always combined the four examinations and was never careless. Mr. Xie also said that among the famous doctors throughout history, few were those who only cared about their medical skills."

"A doctor's job is to cure illnesses and save lives. Every step, every action, and every thought of a doctor may have an impact on the patient, so we must not be careless in actual clinical practice."

"Everyone, please look at the big screen."

Yun Heng turned around and pointed to the big screen, saying, "Everyone, please take a look at this case record first. This case record was handled by a senior chief physician. However, due to overconfidence in actual clinical practice, he neglected to combine the four examinations, which almost led to an accident and misdiagnosis."

While Yun Heng was speaking, everyone below had already started looking at the medical records on the screen, and Ma Tiequan, who was sitting in the back with Liang Wanming and Zhang Haihua, had become somewhat unnatural in expression.

MMP, Yun Heng actually took out his medical records, he really doesn't act like a wise man.

Yes, the first medical record Yun Heng took out was the one from Ma Tiequan’s clinic when he went to Xihua Hospital last year. Ma Tiequan was a little careless at the time and almost made a misdiagnosis. It was Yun Heng who reminded him.

As the saying goes, there is no distinction between high and low on stage, but there are rules off stage. The same applies when explaining medical records. As long as it can be inspiring and educational, anyone's medical record can be brought out.

Moreover, Yun Heng did not mention any names, and at the same time, when Yun Heng was preparing, he did not know that Ma Tiequan would come today.

It's already prepared, and it's too late to change the medical records at the last minute.

Moreover, Ma Tiequan's medical record is indeed very telling.

The department director, chief physician, and ninth-level boss of Xihua Hospital all made mistakes due to negligence, not to mention others.

"The patient suffered from dizziness, headache, loss of appetite, poor sleep, and boredom..."

Yun Heng explained to the group, "In actual clinical practice, this expert simply listened to the patient's main complaint, examined the tongue coating, and based on the pulse, concluded that the patient had insufficient Yin Qi and hyperactivity of Liver Yang."

"You have to know that in actual clinical practice, patients' chief complaints are often incomplete. After all, patients are laymen and cannot distinguish between the primary and secondary. When facing doctors, they may be nervous and forget some details. The patient's chief complaint is often just something that he personally feels is more important or something that he feels clearly."

As he spoke, Yun Heng used the cursor to enlarge a part of the page.

"Everyone keep watching."

Yun Heng continued, "In addition to the above complaints, the patient also has a dry and bitter mouth, a constant craving for water, and very loose stools. Upon questioning, it was revealed that the patient has a history of chronic colitis."

"Old Ma, why do you look so ugly?"

Liang Wanming, who was listening, turned around to look at Ma Tiequan and found that Director Ma's face suddenly turned very bad. He hurriedly asked with concern: "Are you feeling unwell?"

"No, I'm too full."

Ma Tiequan glared at Liang Wanming unhappily, thinking that if you were to be used as an example by Yun Heng, your face would not be good either.

Ma Tiequan didn't mind Yun Heng using his own medical records as an example, but the problem was, didn't he, Old Ma, have any face?

This is a bit embarrassing in front of him.

If people knew that the expert Yun Heng was talking about was actually Director Ma Tiequan of the Department of Traditional Chinese Medicine at Xihua Hospital, then this person would be thrown into all corners of the world.

Ma Penzi's wisdom was gone in one day.

Liang Wanming looked at Ma Tiequan and said, "Old Ma, the expert Yun Heng mentioned couldn't be you, Old Ma?"

"How is that possible?"

Ma Tiequan glared at Liang Wanming angrily: "I'm still doubting whether it's you, Old Liang, who can make such a low-level mistake. Are you kidding me?"

"It seems like it's probably you."

Liang Wanming smiled and said, "We are brothers, who doesn't know each other? Seeing your expression and your unconfident tone, it must be you."

"I think you are the thief crying thief, right?"

Ma Tiequancai refuses to admit it, damn, he won’t admit it even if you kill him.

"Lao Ma, please treat me to a meal at the restaurant that Lao Hong treated me to that time. I think the food is pretty good. Please treat me to a meal and I will keep it a secret for you."

Liang Wanming said with a smile.

"If you treat me to a meal, I'll keep it a secret for you."

Ma Tiequan was too lazy to pay attention to Liang Wanming. This Liang guy was so smart that he actually saw through it.

Damn it, I don’t admit it. I don’t believe Yun Heng dares to say it.

You little bastard, you've gone too far.