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 780: Doctor Yun's Consultation (Part 2)

The conditions of the patients in the outpatient clinic vary, but they are mainly suffering from common diseases. Yun Heng sits in the clinic and demonstrates the classroom while Ji Fengwen occasionally comments on the condition of each patient.

"In daily diagnosis and treatment, as a Chinese medicine practitioner, we must first have a good mindset. When facing patients, we should not be confused by appearances and should analyze the symptoms based on the patient's pulse and symptoms."

A group of young doctors watched Yun Heng seeing patients while listening to Ji Fengwen's advice.

Although the thirty young doctors all come from Grade A hospitals, it is almost impossible for them to have such learning opportunities in their own hospitals. In the hospital, few senior doctors have such patience.

A person's mentality often changes with his or her own circumstances.

A person's state of mind changes the most when in school and when entering society. After all, school and society are two completely different levels.

When we are in school, we can sit quietly and study with teachers teaching us, but most people have no intention of learning because most people do not bear the pressure of life and do not know the hardships of society.

But once you leave school, it will no longer be so justified to ask your parents for money. You have to bear the burden of life on your own, and your colleagues and leaders at work will not be as simple as your classmates at school.

After experiencing the complete difference between school and society, most people's state of mind will change, and some people will even begin to regret why they did not study hard when they were in school.

Today, the young doctors in the demonstration room are all medical students who have graduated for at least two years. Even several of Yun Heng’s classmates have been in the hospital for quite some time.

Every day they are scolded by senior doctors, reprimanded by leaders, and even have to face the contempt of patients. Now there is another opportunity to learn and improve, and it is such a rare opportunity. Almost everyone is eager to learn.

"Sit down."

In the clinic, Yun Heng asked another patient to sit down.

The patient was an elderly man in his 80s, who was supported by his son.

When he walked in, the old man walked very slowly, looked tired, his face was red, and his lips were dark red and dry.

"What's wrong with you, old man?"

After Yun Heng asked the old man to sit down, he asked gently.

"fever."

The old man said this, and his son added: "My father has had a fever for a while. He has been to the clinic and the Third Hospital, but there has been no effect."

"Come on, put your arms up."

Yun Heng asked the old man to place his arm on the pulse pillow on the examination table. While taking his pulse, he asked, "Do you have a fever? Are you sweating?"

"Sweating."

"Besides the fever, where else do you feel uncomfortable?" Yun Heng asked again.

"My throat is dry, sore, and I have no energy."

"Do you have a cough or a runny nose?" Yun Heng asked again.

"No."

The old man shook his head.

"How's your bowel movement?"

"I'm a little constipated. I don't urinate much, and the color is very yellow."

Yun Heng asked some questions, took the patient's pulse, and then picked up the tongue depressor.

"Come on, open your mouth and let me take a look at your throat."

"The throat is red and swollen, the tongue is dark red with a slight purple tint, the tongue coating is thin and yellow, and the pulse is slightly floating and rapid."

After the examination, Yun Heng entered the old man's symptoms on the computer while talking.

"Old man, this is a febrile disease."

Yun Heng spoke to the patient and his family while typing.

"Doctor Yun, what is febrile disease?" asked the patient's son.

"Spring Qi flows to the liver, and spring diseases occur in the head. This period belongs to the damp-heat season among the six Qi, and is therefore a time when both warm-heat and wind-cold diseases coexist."

Yun Heng explained, "In traditional Chinese medicine, the names of exogenous diseases are determined by the time period of the six qi. Typhoid fever is mainly diagnosed based on the six meridians, while febrile diseases are mainly diagnosed based on the Wei qi, Ying blood, and the triple energizer."

Inside the teaching room, Ji Fengwen slowly said, "This symptom is quite unique. Although it is a symptom of a cold, it must be combined with the Five Elements and Six Qi, taking into account the time periods of the six qi to make a diagnosis."

"Mr. Ji, how do you tell the difference?"

Someone asked in confusion.

"In fact, in actual clinical practice, changes in time, season, and climate have an impact on symptoms."

Ji Fengwen said: "So in actual clinical practice, no matter what disease we are treating, we must take the impact of climate and time into consideration, rather than asking when it should be considered."

"Ye Tianshi's "Exogenous Warm Diseases", Wu Jutong's "Warm Diseases Treatise" and Lei Feng's "Current Diseases Treatise" all have relatively detailed descriptions of warm diseases."

"Why do we need to consider warm and hot pathogens here? Because warm and hot pathogens are most likely to damage Yin. The earlier the treatment, the better the effect. We must avoid bitter and cold medicines that damage Yin."

"The patient had seen Western medicine before, but why didn't it work? Modern medicine often treats this type of condition with antibacterial, anti-inflammatory, or antiviral treatments. However, in actual clinical practice, we should focus on clearing away heat, clearing away heat from the surface, clearing the throat, and nourishing yin and fluids."

As Ji Fengwen was speaking, Yun Heng had already written a prescription in the clinic.

"The prescription is a modified version of Wu Jutong's Yinqiao Powder, Baihu Decoction, and Zengye Decoction."

Yun Heng handed the prescription to the patient and said, "One dose a day, divided into two doses. Come back for a follow-up visit after finishing the medicine."

The patient did not ask what the original prescription was, and Yun Heng usually did not explain. Today's explanation was actually given to the demonstration room.

Inside the teaching room, Ji Fengwen continued, "See? Yun Heng's prescription is very sophisticated. It takes every aspect into consideration. It uses Yinqiao Powder, Baihu Decoction, and Hezengye Decoction with modifications to expel pathogens, clear away heat, and nourish yin and promote fluid production."

"The Five Elements and Six Qi of Traditional Chinese Medicine accurately predict the climate characteristics of each year. In actual clinical practice, we consider the patient's specific symptoms, constitution, and personality, taking all aspects into consideration."

Ji Fengwen gave everyone a detailed analysis.

At this time in the morning, Yun Heng had already seen seven or eight patients. Although none of them were seriously ill, most of them had symptoms such as fever and cough. However, in actual clinical practice, these common diseases were the most telling.

Ji Fengwen was explaining to the students in the clinic. In the clinic, Yun Heng had already called the next patient.

The patient was a woman in her twenties. She was supported by a young man of similar age and followed by a middle-aged woman in her fifties.

It looks like the woman and the young man are a couple, and following behind them is the patient's mother-in-law.

When the female patient walked into the clinic, not only Yun Heng, but also the students in the demonstration room could see that the female patient was a blind person and could not see anything.

When she walked into the clinic, the woman was obviously unable to tell the direction, and she was very cautious when she stepped, and was completely supported and guided by her husband.