In addition to the conditions mentioned by Chu Gaopeng earlier, the patient's medical records also include his previous history of Western medical diagnosis.
Cirrhosis with ascites, splenomegaly...abnormal platelet, hemoglobin, red blood cell and other data, abnormal liver function, etc.
According to the medical records, Chu Gaopeng diagnosed the patient with liver damage caused by alcohol and food, liver disease and spleen disease, spleen dysfunction, internal accumulation of dampness and heat, water retention and swelling, and cough caused by water invading the lungs. The treatment was to clear heat, strengthen the spleen and promote diuresis.
Just as Yun Heng was checking the patient's medical records, two people walked in at the door of the ward. One was Wang Yuren, a famous Chinese medicine expert from Nanjiang Province, and the other was Du Yuanchen, a life-long professor at Huizhou University of Traditional Chinese Medicine, a famous Chinese medicine expert, and a national medical master.
During the summit forum, Ji Fengwen and Qu Tongwen specially introduced two people to Yun Heng.
"What kind of complicated disease is this?"
Du Yuanchen walked in and asked with a smile.
"The patient has been taking medication for a while and feels that it has little effect. He wants to see Dr. Yun."
Chu Gaopeng hurriedly greeted the two elderly people.
"Mr. Du, Mr. Wang."
Yun Heng also hurriedly greeted the two elderly people.
"You're welcome. Let us listen too."
Wang Yuren said with a smile.
Wang Yuren and the others had heard a lot about Yun Heng, but they had never seen him with their own eyes. Even a few days ago, when Yun Heng was setting Wei Kang's bones, they didn't see him either.
"Mr. Wang and Mr. Du, please take a look."
Yun Heng handed the patient's medical records to Wang Yuren, and the two of them looked at it together, while Chu Gaopeng also explained the situation on the side.
The two of them just understood the condition and did not express their opinions.
Yun Heng personally examined the patient and asked some questions.
"Director Chu has already used twenty doses of the heat-clearing, spleen-strengthening and diuretic prescription, with minimal success, simply because the pathology hasn't been fully diagnosed."
Yun Heng said to Chu Gaopeng.
"Doctor Yun, please speak."
Chu Gaopeng said hurriedly.
When he was in Kyoto, Chu Gaopeng knew that Yun Heng's level was higher than his. After coming to West Asia Hospital, Chu Gaopeng saw and heard a lot.
Chu Gaopeng is the director of pediatrics at West Asia Hospital and is more proficient in pediatrics. However, the current situation of West Asia Hospital is that it still lacks top-level experts in traditional Chinese medicine.
People like Yue Shaojiang, Jin Shijie and others can handle things on their own, but when they encounter particularly difficult patients, they still have to rely on Chu Gaopeng and Chen Fanming. Even Hu Xuezhong is a little inferior.
Like the patient in front of us, Western medicine diagnosed him with ascites due to cirrhosis, splenomegaly, etc., which are already quite difficult diseases.
"The patient's abdominal distension, poor appetite, and chest and rib pain are caused by liver qi stagnation, which turns into fire over time, affecting the kidneys and causing qi dysfunction. It is not caused by alcohol or food damaging the liver..."
Yun Heng said, "Because of liver depression turning into fire, blood is forced to flow abnormally, which can cause bleeding from the teeth and nose..."
Bleeding from the gums is called bleeding gums, and bleeding from the nose is called nosebleeds.
"Also, there is dry mouth and red tongue."
Yun Heng said to Chu Gaopeng, "Director Chu only saw that the patient was admitted because of excessive drinking, but he didn't consider the real cause of the disease."
"Liver Qi stagnation?"
Chu Gaopeng was stunned for a moment.
"The patient has a five-year history of hepatitis, yet he drinks excessively. We need to ask why."
Yun Heng then said to the patient, "How dare you drink alcohol when you have hepatitis?"
Yun Heng and Chu Gaopeng were talking, and the patient was listening nearby. Hearing Yun Heng's words, the patient gave a wry smile and said, "There's nothing I can do. What can I do if I don't drink? My job requires me to socialize. At this age, isn't it just trading my life for money?"
It just so happened that the patient's wife was not around, perhaps because she had gone out temporarily. The patient started talking and seemed to have vented a little.
"At my age, I have elderly parents and young children."
The patient then told Yun Heng and the others, "I was diagnosed with hepatitis five years ago, but my employer didn't know about it. If they weren't afraid of infecting my family, they would have kept it a secret. But I always told them it was nothing serious..."
"My job is like this. I have to socialize and drink. Competition is fierce these days. If I don't work hard, I could be laid off at any time. If I lose my job at this age, how will my family support myself?"
The patient said: "Sometimes I feel depressed, not necessarily because of work, but because I'm busy outside, or because my family doesn't understand. I just want to drink a little, and then I can just drink it and close my eyes and not worry about anything."
"Are you going to die?"
The patient's wife came in at some point and suddenly screamed, tears streaming down her cheeks.
Just as the patient said, at the age of forty, a man of this age dare not get sick even if he is sick. He has to bear it and cannot drink. For the sake of work, he has to endure it every day. It is really not an exaggeration to exchange his life for money.
Sometimes I think about taking it easy, but when I open my eyes, I see expenses. I have elderly parents and young children to support, as well as the family’s living expenses, mortgage, children’s tuition, etc. If I’m sick, I can still grit my teeth and continue to work, but if I have no money, I can’t even hold on.
Judging from the patient's daily routine, the cause of the disease seems to be liver damage caused by alcohol and food. This is only one factor. The patient's long-term depression, inner distress, and various pressures also lead to liver qi stagnation, which turns into fire over time.
"When did you come back?"
The patient saw his wife and gave another bitter smile.
"We can handle everything together. You don't have to do it alone. If you fall, what will happen to our family?"
The patient's wife was in tears, and she felt a little regretful that she sometimes lost her temper with her husband.
Cirrhosis, ascites, and splenomegaly are now very troublesome diseases for men.
"No matter what the situation, health is the most important thing. Only when you are healthy can everything be possible. As long as you have the green mountains, you will never worry about having no firewood to burn."
Yun Heng comforted.
"That's what I said, but..."
The man sighed.
"There's nothing we can do about it at work. We need to pay more attention to our daily lives, communicate more with each other, and be in a better mood. Even if we have a heavy burden, we still need to be optimistic."
Wang Yuren said, "Change your mindset. If you become more optimistic and have a better attitude, you'll suffer less pain and go to the hospital less often, which is like making money in disguise."
"Mr. Wang's opinion is good. That's how we should think about it," Du Yuanchen also said.
"Well, try to be more open-minded next time." The man nodded.
"Since it's liver qi stagnation, we need to identify the root cause of qi stagnation and not neglect soothing the liver and regulating qi. We can add angelica, red and white peony root, and Magnolia officinalis to the original formula to soothe the liver and regulate qi, and add Scutellaria baicalensis to help liver function..."
Yun Heng said.
"Okay, Xiaoyun, this prescription has been revised well. Clinical dialectics still requires more meticulousness and accurate grasp of the symptoms. No details can be overlooked."
Du Yuanchen said, "Xiao Chu, you are also an experienced doctor. You must not be fooled by the patient's appearance."
Chu Gaopeng's overall dialectical analysis was very clear. He seemed to have the correct reasons for the cough, bloating, etc. However, he initially ignored the liver depression and instead started with the patient's drinking, which was biased. Twenty doses of medicine had little effect because he had no clear analysis.
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