"Where do you feel uncomfortable?"
After entering the ward, Ji Fengwen went straight to the bedside and asked about the patient's condition in a gentle voice.
Ji Fengwen's smile was very warm, giving people a warm and down-to-earth feeling. When the patient heard Ji Fengwen's question, he hurriedly said, "I have a gastric ulcer, vomiting acid for no reason, and stomach pain..."
"Are you experiencing any belching or bloating? How is your diet?"
Ji Fengwen asked while taking the patient's pulse.
"I have belching and bloating, but I can eat well."
"What about urination and defecation?"
"The stool is black, but the urine is not yellow."
"Does this place hurt? Does it hurt when I press it?" Ji Fengwen asked.
"It hurts too."
"Open your mouth so I can see your tongue."
"Pale face, dull lips, pale tongue, thin white coating, slow and weak pulse..."
Ji Fengwen said, and suddenly asked: "Who can tell me what's going on here?"
"Stomach pain and acid reflux are often symptoms of gastric ulcers in modern medicine, which are mostly caused by long-term improper diet or excessive consumption of sweet and sour foods. Judging from the patient's symptoms, it should be due to spleen and stomach deficiency..."
Yue Shaojiang had just been scolded by Ji Fengwen in the conference room, and the position of squad leader was snatched away by Yun Heng. He had been holding a grudge in his heart, and when he heard Ji Fengwen's question, he hurriedly answered.
"The liver is a yin organ, and the stomach is yang earth. If the spleen is too strong, the stomach will be suppressed, resulting in pain and acid reflux. Judging from the patient's pulse and symptoms, it should be due to improper diet, liver qi attacking the stomach, wood suppressing earth, and the liver and stomach fighting each other."
Yue Shaojiang is proud, and he has reason to be proud. His grandfather Yue Anyun is a famous doctor in Zhongzhou. He has been influenced by him since he was a child, and he actually has quite rich clinical experience. Now he analyzes this disease very well.
“Which doctor is responsible for the patient?”
Ji Fengwen did not comment, but stood up and asked.
Ji Fengwen came to make rounds, and Zhang Haihua and the others did not follow him. However, the resident doctor in charge of the patient had already hurried to the ward and was waiting.
"Mr. Ji, it's me."
A young resident hurried forward.
"Is he right?" Ji Fengwen asked.
"This doctor is right. The patient does have a cold spleen and stomach."
"How do you treat it here?" Ji Fengwen asked again.
"It is treated with modified prescriptions such as Jianzhong Decoction combined with Liangfu Pills and Wubei Powder..."
The resident doctor hurriedly opened the folder he was carrying and said, "Mr. Ji, this is the prescription."
"Tell them about it."
Monsoon literature.
The resident nodded hurriedly and said, "Young cinnamon twigs, stir-fried white atractylodes, processed cyperus rotundus, evodia rutaecarpa, Yunfuling, galangal... immature bitter orange, jujube, ginger slices..."
"Who can tell me about this prescription?"
After the resident doctor finished reading, Ji Fengwen asked again.
I have to say that Ji Fengwen’s teaching is indeed different from others.
According to the teachings of other doctors, after Yue Shaojiang described the patient's condition, he should have directly asked how to treat it. However, Ji Fengwen did the opposite. He first asked the doctor on Tang Hua's side to tell him the treatment prescription, and then asked everyone to analyze the prescription.
Obviously, monsoon writing should not only let people know the facts, but also let people know the reasons behind them.
When diagnosing diseases with traditional Chinese medicine, some beginners can actually apply some prescriptions from predecessors such as "Treatise on Febrile Diseases" based on the patient's symptoms. If the symptoms are almost correct and the diagnosis is correct, some classic prescriptions can be used. This is the simplest method.
Moreover, even for the same disease, different people may prescribe different prescriptions.
But Ji Fengwen now did not ask what method was used, but asked why this method was used. This was equivalent to directly limiting the answer to this prescription, and asking everyone to analyze the composition, compatibility, and effects of each medicinal ingredient in this prescription.
This question is much more difficult than the previous one.
When Yue Shaojiang was arguing, he was actually thinking about how to use the prescription. The prescription Yue Shaojiang thought of was actually different from the one Tang Hua had. Yue Shaojiang originally thought that Ji Fengwen would directly ask how to prescribe the prescription. He had already thought it through, but who would have thought that Ji Fengwen would not ask, but directly let everyone analyze Tang Hua's treatment plan...
Yue Shaojiang racked his brains to think, while the others were still analyzing for a while.
"No one said anything?"
Ji Fengwen smiled and said, "Yun Heng, you are the squad leader, you speak first."
Yun Heng nodded. "The recipe uses Jianzhong Decoction to warm the middle and nourish the spleen, harmonize the stomach and relieve urgency. It uses Evodia rutaecarpa and Alpinia officinalis to warm the stomach and dispel cold, harmonize the middle and relieve pain. Poria cocos and Evodia rutaecarpa can also reduce acidity and resolve phlegm..."
"Well, that's a good analysis."
Ji Fengwen nodded in satisfaction. "Any doctor who prescribes medicine must understand its properties, understand the principal, secondary, adjuvant and guiding factors, and know which medicine treats which disease. Only by understanding this can one avoid rote learning and be flexible and adaptable when encountering a disease, and accurately prescribe the right medicine."
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