"Yun Heng, tell me first, what should we pay attention to first when seeing patients?"
Xu Bo chatted for a while in the group, and when Yun Heng entered the study, he also threw down his phone and went into the study to find Yun Heng.
For so many days, Xu Bo and Yun Heng have been in the same clinic. He watches Yun Heng treat patients every day, but he has never actually done the treatment himself.
Just now, when Xu Bo heard Yun Heng say that he planned to start contacting patients tomorrow, he was already feeling excited.
While excited, Xu Bo was also a little nervous. He didn't know if he could do it.
The most important thing is that Yun Heng has to attend this training course, which lasts for one month. Yun Heng will not be around during this month, and he will not even have anyone to discuss with.
Yun Heng was reading a book. Xu Bo came in to ask questions. Yun Heng put down the book and patiently explained to Xu Bo.
"We've learned a lot of basic things in school, so I won't go into detail. In clinical practice, the first thing to pay attention to when making a diagnosis is distinguishing between deficiency and excess, cold and heat, exterior and interior, yin and yang..."
As Yun Heng spoke, he took out a piece of white paper and gave it to Xu Bo to draw on.
"In Chinese medicine, the most important thing in distinguishing between deficiency and excess is to purge the excess and to tonify the deficiency. If you can't distinguish between deficiency and excess, mistakes in medication can easily lead to problems. If the patient has deficiency symptoms and you use purge therapy, that's the exact opposite of the treatment method..."
Xu Bo nodded, he naturally knew this.
Yun Heng continued, "So when making a diagnosis, you must be very careful. Ask more questions about the patient's condition and learn as much as possible. Then, compare and contrast them to determine the true and false. As long as you can clearly distinguish between the true and false, even if there are minor mistakes, at least they won't cause too serious consequences."
No doctor can guarantee that he will not make mistakes while practicing medicine. Yun Heng actually made mistakes during his long time at West Asia Community Hospital. However, when the patient came for a follow-up visit for the second time, Yun Heng noticed that something was wrong and changed the prescription in time, but the patient was not aware of it.
Some people say that Western medicine is a method of elimination, and Chinese medicine is actually the same. Especially when a doctor who is not very experienced treats a disease, the dialectic may not be very accurate. At this time, there may be deviations in the use of medication and prescriptions. If the prescription does not work once, the second time can narrow the scope and make timely changes.
However, during the treatment process, some mistakes are fine, while some mistakes may lead to more serious consequences.
Therefore, in the process of dialectical diagnosis, Chinese medicine must first distinguish between deficiency and excess, and then between cold and heat, and exterior and interior.
"When treating a patient, try to use traditional Chinese medicine and established prescriptions first, and refer to the treatment experience of predecessors. This will reduce errors, but don't be too cautious. Be careful to verify the evidence and use the medicine boldly. Once the diagnosis is clear, act decisively without hesitation. If you are really unsure about a situation, send the patient to a large hospital for treatment. Don't take risks..."
"When making a diagnosis, pay attention to the four diagnostic methods: inspection, auscultation, inquiry, and palpation. Don't be misled by the superficial symptoms of some diseases..."
"Tongue diagnosis, pulse diagnosis, superficial symptoms, and medical history are all important. Don't ignore them just to save trouble. Even if you have already made a judgment, it is beneficial to understand more about the situation. There is no need to rush when you first see a patient..."
As Yun Heng spoke, he drew a picture for Xu Bo.
"How do you judge yin and yang, cold and heat?"
As Xu Bo listened to Yun Heng, he also asked the questions in his mind: "Sometimes some conditions are cold, but sometimes they are hot. This is very difficult."
"Traditional Chinese Medicine's syndrome differentiation and treatment is actually the most relativistic."
Yun Heng patiently explained, "The concepts of yin and yang, deficiency and excess, cold and heat in traditional Chinese medicine are actually relative. When making a diagnosis, we analyze the patient's specific symptoms. Treatment based on syndrome differentiation is based on the dynamic balance of the human body's metabolism and the body's automatic regulation, or self-consistent mechanism..."
As he spoke, Yun Heng drew a circle on the paper and then divided it into two halves with a line.
"In a healthy person, all conditions in the body, whether metabolic dynamics, yin and yang, the functioning of internal organs, blood circulation, and so on, follow their own laws. We can think of this as a state of equilibrium. Once this balance is disrupted, the human system will be damaged..."
Xu Bo nodded.
Yun Heng continued, "And this broken balance is also regional. The balance of yin and yang is also relative. For example, in day and night, things that face the sun, are warm, active, and upward are all in the category of yang, while things that face away from the sun, are cold, still, and downward are all in the category of yin. But specifically in terms of night and day, yin and yang can also be divided. During the day, the places where sunlight can shine are yang, and the places where there are shadows are yin. At night, the places where light can shine are yang, and the places where light cannot shine are yin..."
"Yin and Yang complement each other, but they also restrict each other. Therefore, in a specific dialectic, it is also necessary to determine the location of the disease. A patient may have a headache, but the disease may be located in the internal organs. Based on the specific location of the disease, the theory of relativity can be used to determine the deficiency and excess of Yin and Yang..."
"For example, a patient may appear thin and emaciated, giving the impression of a deficiency syndrome, but may also be energetic and excited, showing signs of excess syndrome. At this point, we must first determine the patient's primary symptoms so that we can differentiate between deficiency and excess syndromes and provide symptomatic treatment..."
Yun Heng spoke very carefully and Xu Bo listened very attentively. Before they knew it, it was already past midnight.
......
The next morning, after arriving at the clinic, Yun Heng asked Xu Bo to sit in his seat, Tian Zengming went to the opposite side, and he sat next to Xu Bo, where Tian Zengming originally sat.
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