"Teacher Yun."
Ren Xuedong hurriedly greeted Yun Heng and asked, somewhat unconvinced, "Teacher Yun, are you saying that my prescription is wrong?"
Ren Xuedong asked himself if he had considered this patient very seriously and carefully, and considering that the patient did not have obvious heat, he deliberately replaced Coptis chinensis with Anemarrhena asphodeloides instead of directly using the original formula of Danggui Liuhuang Decoction.
Even Director Ma and Director Liang seemed to agree with it. Yun Heng just came in and said that his prescription was wrong?
Ren Xuedong has been following Yun Heng for more than a month and has learned a lot from him. He respects Yun Heng very much, but he still feels a little dissatisfied when Yun Heng denies him like this.
It’s like a child who works very hard and thought his efforts would be praised by his parents, but instead he gets criticized.
"Danggui Liuhuang Decoction has the effects of clearing away heat, nourishing yin and purging fire, strengthening the exterior and stopping sweating. It is mainly used to treat night sweats caused by yin deficiency and excessive fire."
Yun Heng walked over and sat down behind the consultation table. He continued, "But fever and night sweats usually have symptoms like flushed face, irritability, dry mouth and lips, dry and hard stools, dark yellow urine, red tongue with yellow coating, and a rapid pulse. It seems your patient doesn't have any of these symptoms, right?"
Ren Xuedong was stunned and defended himself: "So I think the real fire is not obvious."
"It's not that it's not obvious, it's that it's not obvious at all."
As Yun Heng spoke, he gestured to the patient to put his arm up and stretched out his hand to feel the patient's pulse.
When Yun Heng went to the bathroom just now, he actually saw the patient. He had just left when the patient came in. They just passed each other and had already left. Yun Heng did not turn back, but he also observed the patient.
The man was skinny and listless, looking like a sixty-year-old man. He could be blown down by a gust of wind. He was supported by his wife when he entered the house. Patients with yin deficiency and hyperactivity of fire often suffer from irritability and palpitations, but Yun Heng did not find these symptoms in the patient.
"The pulse on the radial side is tight..."
After feeling the patient's pulse, Yun Heng was able to make a diagnosis.
Coincidentally, a few days ago, Yun Heng happened to treat a similar patient in the simulation space, and the situation was similar.
When he entered the room just now, Yun Heng denied Ren Xuedong's opinion, saying that the patient did not have symptoms of yin deficiency and hyperactivity of fire, and that Danggui Liuhuang Decoction was not appropriate. Now he can confirm that not only is it not appropriate, but the patient's symptoms may even worsen after taking this medicine.
Across from them, Ma Tiequan and Liang Wanming looked at each other, both with embarrassment on their faces.
Did these two department heads of a tertiary-level A hospital capsize in the gutter?
Liang Wanming and Ma Tiequan were sitting with their backs to the door, so they didn't actually see clearly when the patient came in. Later, when Ren Xuedong asked questions and checked, the two of them just listened.
The patient's thin physique is indeed consistent with the characteristics of Yin deficiency. In addition, the patient reported that he had constant night sweats. Danggui Liuhuang Decoction does have the effect of stopping sweat and strengthening the exterior, especially since Ren Xuedong replaced Coptis chinensis with Anemarrhena asphodeloides. This simple change of one herb is indeed quite sophisticated.
Liang Wanming was still somewhat relieved and felt that Ren Xuedong had made great progress.
But now after listening to Yun Heng's analysis, the two of them looked at the patient carefully again. It seemed that the patient really did not have many symptoms of Yin deficiency and hyperactivity of fire. He was just emaciated, which was consistent with the characteristics of Yin deficiency, and other symptoms were not obvious.
"Come, let me feel your pulse."
Liang Wanming moved his stool forward and also moved the pulse pillow used by Ren Xuedong, and motioned the patient to put his arm up.
Xu Bo just introduced it all, and the patient and his wife also knew that he was the department director of the Provincial Hospital of Traditional Chinese Medicine, so they had no objection.
"The pulse is tight!"
Liang Wanming felt Ren Xuedong's pulse, looked up at him, and asked, "What are the pulse characteristics of Yin deficiency and excessive fire?"
"A fine pulse!"
Ren Xuedong replied with a guilty conscience.
"A tight and stringy pulse on the radial side is often seen in cases of liver depression and cold."
Ma Tiequan said from the side, "How can this pulse be judged as yin deficiency and excessive fire?"
Liang Wanming couldn't help but glare at Ren Xuedong. This half-baked guy had misunderstood him.
Liang Wanming and Ma Tiequan did not feel the patient's pulse just now, and Ren Xuedong was not like Yun Heng, who was used to talking softly, so Liang Wanming and Ma Tiequan did not know the patient's pulse condition. Ren Xuedong prescribed Danggui Liuhuang Decoction, and the two subconsciously thought it was a weak pulse, and did not check it, but kept praising him.
This person is in big trouble.
"Director Liang, I..."
Ren Xuedong felt more and more guilty.
Before, Ren Xuedong thought his judgment was correct, but now Yun Heng and Liang Wanming were talking one after another. Ren Xuedong thought about it carefully and became more and more scared.
He was a little anxious to show off.
"The pulse is tight
Liang Wanming also felt that he was a little harsh, and said comfortingly: "You thought of replacing Coptis chinensis with Anemarrhena asphodeloides, which is a great improvement. However, in clinical dialectics, you still need to be cautious and consider all factors. Learn more from Yun Heng."
"Director Liang, I understand." Ren Xuedong breathed a sigh of relief.
"Yun Heng, go on and teach this kid a good lesson." Liang Wanming moved the stool back and said to Yun Heng.
"Okay, stop using Xiao Ren to cover up your embarrassment."
As soon as Liang Wanming sat back down, Ma Tiequan came over and teased him softly.
"I'm embarrassed, but it makes you seem not embarrassed."
Liang Wanming glared at Ma Tiequan unhappily and said, "We are the same. Big brother, don't make fun of the second brother."
Although there were reasons for the incident, if the patient really wanted the two of them to do it themselves, something like what happened to Ren Xuedong would not have happened. However, it was embarrassing enough that the two chief physicians sat by and didn't see anything wrong.
My dear, there is more to this chapter. Please click on the next page to continue reading. It will be even more exciting later!
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