Normally, patients have the right to privacy, and doctors should not disclose the patient's condition to outsiders or make the patient's condition public at will.
However, such situations often involve some privacy or special conditions, such as infectious diseases, and patients are unwilling to disclose their lives when their lives are in danger.
The situation of the female singer and the prince of Eagle Country is not related to this aspect, and the patients have recovered. There is nothing that cannot be told to outsiders about the symptoms they had when they were sick.
Moreover, in clinical teaching, medical records are also derived from reality, but the patient's information is often not disclosed, and the Eagle Country female singer and prince have no way to conceal the information.
At the same time, Yun Heng said that there were indeed certain reasons for these two medical cases.
"Please see, the patient developed a fever, cough, and hoarseness that night because he was caught in the rain. Judging from the course of the disease, it is a typical case of cold evil rising from below and blocking the Taiyin lung qi..."
"Judging from the patient's pulse and other aspects, the patient's constitution is yang deficiency, which is one of the reasons for the various symptoms after being caught in the rain."
"It is precisely because the patient's body is already yang-deficient that, after being infected by the cold pathogen, the lung qi becomes stagnant, the ascending and descending functions become abnormal, and the qi transformation becomes impaired..."
At this point, Yun Heng changed the subject: "At that time, Western medicine treatment was to relieve cough and reduce fever. After the treatment, the patient's cough stopped and the fever subsided, but his voice became hoarse and almost lost. This is a case of sudden muteness."
When Yun Heng said this, he paused and gave the students a chance to think.
After a minute's pause, Yun Heng continued, "Western medicine then used a variety of treatments, but none of them were effective. This situation is not uncommon in Western medicine clinics."
"Those who are familiar with Western medicine should all know that Western medicine is very effective in treating localized symptoms. Because the divisions are too detailed, relatively specialized doctors are highly skilled in their own fields. However, once multiple factors are involved, they are often powerless."
As he spoke, Yun Heng continued to write some information on the blackboard.
"The patient also underwent a variety of tests, including tests on the vocal cords, lungs, and respiratory system. Basically, everything related to voice production was checked, but the exact cause could not be found."
"Why is that?"
"Students familiar with the history of Western medicine should know that the development of Western culture was marked by the Renaissance. Before the Renaissance, the most common treatments in Western medicine were bloodletting, vomiting, purgation, dieting, and medication. Furthermore, medication was scarce at the time. To be precise, the level of modern medicine at that time was far behind that of Traditional Chinese Medicine, and it only provided a small fraction of Traditional Chinese Medicine's treatment methods."
"After the Renaissance, with the development of Western culture and a greater understanding of many things, Western medicine began to develop rapidly. Therefore, Western medicine should be evidence-based medicine."
Many students in the audience nodded, and many teachers also nodded.
Western medicine should indeed be evidence-based medicine, which means that any judgment of Western medicine must be based on accurate evidence, with corresponding data and corresponding findings, so that a diagnosis can be made.
"Evidence-based medicine is actually limited in many areas, because your evidence must be based on current medical standards. In other words, you can only solve problems based on the evidence that current medical standards can uncover. What cannot be discovered is a blind spot for Western medicine."
Many students nodded again.
Yes, evidence-based medicine emphasizes evidence, and evidence must be discovered. If it cannot be discovered, it is a blind spot. It is very accurate.
"Traditional Chinese Medicine is dialectical medicine. A diagnosis requires only accurate reasoning. The ability to deduce the cause from the pulse and symptoms is sufficient. As long as the entire logic is sound, there's no need to forcefully prove the existence of something. As long as I believe it exists and it makes sense, then it exists."
Yun Heng wrote a few more words on the blackboard and continued, "As far as loss of voice is concerned, modern medicine can identify several factors, which are what I just mentioned: vocal cords, functional loss of voice, throat tumors, etc. This is also the reason why subsequent treatments are often ineffective."
“Let’s look at it from the perspective of traditional Chinese medicine.”
Yun Heng said, "We are actually very clear about the patient's condition. He has yang deficiency and has been infected by cold pathogens, which has led to the lung qi being prepared and unable to ascend or descend properly. This has caused dampness to stagnate and hinder his voice."
"In Traditional Chinese Medicine, kidney qi is the root of voice, and the lungs are the gateway to voice. Based on this foundation, combined with the patient's symptoms, the patient's condition becomes clear at a glance."
"Because of the cold evil, it blocks the kidney qi below and the lung qi above. The root of the voice is blocked, and the gate is closed. So it is very reasonable that the patient cannot speak."
"In this case, our TCM treatment is very simple. Based on the patient's symptoms, we use the classic prescription Ma Huang Fu Zi Xi Xin Tang to invigorate the lungs and warm the kidneys, treating both the exterior and the interior. The patient will recover quickly."
"In actual treatment, patients see results after two doses and are cured after three doses."
"Doctor Yun's explanation was great!"
“That’s really the case.”
"At the time, I was wondering what kind of illness could have left so many famous doctors helpless. It turned out to be so simple."
"We think it's simple because we're using a traditional Chinese medicine perspective. If we were to use a Western medicine perspective, we might not be able to find the cause."
Some students and teachers were discussing quietly.
Yun Heng paused for a moment and continued, "Many students may have previously speculated that the patient had encountered a very difficult disease, but they didn't expect it to be so simple. In fact, this is the difference between Chinese and Western medicine."
"Sometimes, what Chinese medicine considers a difficult disease may be easily treated by Western medicine. Similarly, sometimes what Western medicine considers a difficult problem may be easily treated by Chinese medicine."
Yun Heng smiled and said, "That's why I said I was just a little luckier and achieved a small success. If you study Chinese medicine well, you might encounter the situation I encountered this time, and you might also make patients grateful, and you might also make others think you are amazing."
"Traditional Chinese medicine has its advantages, and Western medicine also has its advantages. When studying Chinese medicine, don't make comparisons. Learn to be yourself. In clinical practice, you will definitely encounter situations similar to mine this time."
"Even if we don't meet famous singers, but just ordinary patients, we can relieve their pain and cure many diseases that Western medicine experts can't cure. This is a meritorious deed and gives us a sense of accomplishment."
For a moment, many students were drawn into the conversation by Yun Heng's words.
The medical record that Yun Heng explained this time was a very real example.
Is it difficult?
It is very difficult, and even many internationally renowned doctors are helpless.
Is it simple?
It is also very simple. As long as you have a solid knowledge of traditional Chinese medicine, many people can be treated by traditional Chinese medicine doctors, which is just a dose of Ma Huang Fu Zi Xixin Decoction.
To put it in terms of survivorship bias, the more things happen around us, the more impact they can have on some people. This is also the purpose of Yun Heng's explanation of this case.
"Mr. Kou still understands."
Tang Hewen said to Kou Zhengfan with a smile that it was only after he heard it that he understood the purpose of Yun Heng's explanation of the medical record.
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