"Well, go on."
Yun Heng nodded.
"The patient has seen Western doctors many times, and each time the doctors prescribed diuretics or something like that. The swelling would subside after taking it, but it would recur after stopping the medication."
Ren Xuedong explained the patient's condition and then said, "Teacher Yun, common causes of edema are renal, cardiac, hepatic, malnutrition, or hypothyroidism. However, judging from the patient's condition, all of these can be ruled out. I'm a little confused."
"Do kidney-related and cardiogenic diseases have anything to do with traditional Chinese medicine?"
Yun Heng glanced at Ren Xuedong and said, "You're an old doctor too, why haven't you changed your mind?"
Ren Xuedong was stunned: "Teacher Yun, I..."
Guo Dongping next to him was stunned.
This senior doctor, who looked older, was so respectful in front of Yun Heng, as if he was meeting the department's teaching teacher, just like an elementary school student.
Yun Heng is a student in the same grade as him and a graduate student graduating this year, but he is respected so much by a senior doctor.
"You are a Chinese medicine practitioner. When you are treating a patient, you must first clarify your identity and not bring in any messy things."
Yun Heng said patiently.
Ren Xuedong is a good person, and Yun Heng is willing to teach Ren Xuedong some things. In addition, there is a "Helping Others" task on the panel, which makes Yun Heng even more willing.
Yun Heng himself graduated from a university of traditional Chinese medicine, and specialized in integrated Chinese and Western medicine, so he understood some of the confusions that Ren Xuedong encountered during treatment.
Western medicine clinical practice is relatively easier, but in traditional Chinese medicine clinical practice, some of the things learned in school are very easy to encounter problems in actual clinical application, because when teachers in school are giving lectures, they sometimes like to use some Western medicine disease names as examples in order to make students understand or comprehend.
Moreover, the textbooks in school are all standardized textbooks, and teachers are only responsible for teaching theories and not teaching thinking.
In addition to the influence of modern medicine, many students majoring in traditional Chinese medicine will have the common sense of modern medicine, and will subconsciously bring in some modern medical disease names when seeing a doctor.
Yun Heng also experienced this stage. When he first practiced in the simulated space, he made several such mistakes. As he made more mistakes and the panel kept correcting him, Yun Heng's thinking slowly changed.
Ren Xuedong is actually the same now.
When encountering edema, people subconsciously consider factors such as kidney-related and liver-related factors, but in fact these things do not exist in traditional Chinese medicine.
After reminding Ren Xuedong, Yun Heng looked at the patient again. While motioning for him to put his arm up so he could feel his pulse, he asked, "Is the main symptom swelling on the face?"
"Um."
The patient nodded and said, "Doctor Yun, I've had this illness for a long time. I came here because I heard about your reputation. I didn't know this when I registered just now."
There are no nurses giving instructions next to the registration machine now. Most patients know it. Of course, there are also some patients from other places who are not clear about it, and occasionally they make the wrong registration.
Looking at the patient's symptoms, Yun Heng believed that the patient had indeed made a wrong appointment. He had been suffering from this disease for more than a year and had not been cured anywhere. He must have come here because of the reputation of the hospital.
"Apart from edema, are there any other symptoms, or are there any other changes in edema?" Yun Heng continued to ask.
The patient thought for a moment and said, "It seems to get worse when the weather changes. I feel really cold, my joints ache, and my chest feels stuffy..."
"What about urination and defecation?"
"By the way, when edema is severe, you will urinate less," the patient added hurriedly.
Yun Heng looked at Ren Xuedong: "Did you figure out anything?"
Ren Xuedong hurriedly said, "Teacher Yun, the weather is changing, and the temperature must be dropping. This means that if you encounter wind and cold, the edema will show signs of worsening. It's Feng Shui."
Weather changes. Although weather changes include various climates such as sunny days, cloudy days, and rainy days, when patients usually say that the weather has changed, they are actually referring to changes in the weather, and sunny days are not counted.
So weather changes often mean a drop in temperature, which is fine.
This actually aligns with what Ren Xuedong said about edema getting worse when encountering wind and cold, which is considered feng shui in traditional Chinese medicine.
"Anything else?" Yun Heng asked.
"The patient also has pain in the joints of the limbs and chest tightness, and may also have dampness," Ren Xuedong added.
"Um."
Yun Heng nodded and said, "If you discard your previous thinking and look at it from the perspective of Traditional Chinese Medicine, wouldn't it suddenly become clear and see the light?"
Ren Xuedong nodded hurriedly: "Teacher Yun, I was blinded by one thing and got stuck in a rut."
"This is just a habit of thinking. After all, modern medicine has become deeply ingrained in our lives. Even ordinary people, let alone those of us who study medicine, are still using current medical knowledge when they get sick. However, we are traditional Chinese medicine practitioners. When we treat patients, we must first understand that we are traditional Chinese medicine practitioners and adhere to traditional Chinese medicine thinking. We should not be influenced by other thinking."
Yun Heng smiled and said, "Modern medicine can be used as a reference, but it cannot be used as the main body of traditional Chinese medicine, otherwise your thinking will be limited."
"Okay, I understand." Ren Xuedong nodded.
"So now look at what illness the patient has?" Yun Heng asked.
Ren Xuedong thought for a moment and said, "The patient has facial swelling, but other symptoms, such as body aches and difficulty urinating, suggest it's a case of solar dampness."
Yun Heng nodded and began typing on the computer, saying as he typed, "Judging from the symptoms, the patient is suffering from Taiyang dampness, so the treatment should refer to the treatment of rheumatism. Induce sweating, but only slightly. Ma Huang Jia Shu Tang should be used."
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