Chapter 250 Water-vapor disease



Jealousy is actually an emotion that is often felt by outstanding people, or at least by those who are unwilling to be ordinary.

If someone has always been at the bottom of the class since childhood and is used to being surpassed by others and to the glory of others, such a person will not easily feel jealous.

Yue Shaojiang is an excellent person and has almost always been the center of attention since he was a child, so once someone steals his limelight, he easily becomes jealous.

"Good afternoon, everyone!"

Around two o'clock, Ji Fengwen walked into the consultation room holding a glass of water.

"Good afternoon, Mr. Ji."

Everyone stood up and greeted him.

"Please sit down, everyone."

Ji Fengwen smiled and pressed his hand. After everyone was seated, he said, "While no patients have arrived yet, let's summarize what we've learned this morning."

"To be honest, everyone is much better than I thought."

Ji Fengwen smiled at everyone and said, "Especially Yue Shaojiang, Yun Heng, and Ren Xuedong. To be honest, your performance this morning was a little beyond my expectations."

If someone is not envied by others, he is mediocre. Ji Fengwen is generous in his praise and is not afraid that others will be jealous of Yun Heng and others.

Competition brings motivation!

Yun Heng and Ren Xuedong looked calm, while Yue Shaojiang glanced at Yun Heng and Ren Xuedong. He was not very comfortable with Ji Fengwen praising him, Yun Heng and Ren Xuedong together.

Ji Fengwen had a smile on his face, and his eyes were paying attention to the changes in everyone's expressions. Yue Shaojiang's expression could not be hidden from Ji Fengwen.

"On the first day of class, I'd like to give you a few more words of advice."

Ji Fengwen said slowly, "As a doctor, medical ethics come first, followed by medical skills. Only with a heart that is dedicated to saving the world and the people, and a broad mind that is tolerant of all things, can one's medical skills advance smoothly. If one cannot be a good prime minister, then one must be a good doctor. A prime minister's stomach can hold a boat, and the sea is vast because it can accommodate all rivers. The broader a person's mind is, the greater his career will be. I hope everyone will remember this."

Yue Shaojiang subconsciously glanced at Ji Fengwen. He felt that Ji Fengwen's words were actually directed at him.

But at this time, Yue Shaojiang was like a rebellious child and could not listen to Ji Fengwen's good advice.

Ji Fengwen glanced at Yue Shaojiang and stopped talking.

Ji Fengwen's previous remarks were indeed directed at Yue Shaojiang. Yue Shaojiang was quite talented, but he had been spoiled by everyone since he was a child and had rarely experienced setbacks. Meeting Yun Heng and Ren Xuedong in the teaching class this time was not necessarily a bad thing for Yue Shaojiang.

Ji Fengwen is already over seventy years old this year, and he has walked more bridges than people like Yun Heng have walked roads. With Yue Shaojiang's temperament, if he can't wake up early, it is only a matter of time before he suffers losses. Sometimes it is better to suffer setbacks early than later.

"Mr. Ji."

As he was speaking, a resident doctor knocked on the door and came in to announce, "Mr. Ji, a patient has been transferred from the Internal Medicine Department."

"Okay, thank you."

Ji Fengwen thanked him.

Ji Fengwen is such a big shot, yet he was so polite to him and even thanked him. The resident doctor who came to inform him was so excited that he was a little incoherent.

"No...you're welcome."

Yue Shaojiang looked at Ji Fengwen in surprise, and his heart couldn't help but feel a little disturbed.

"Okay, here comes the patient. Let's go see the patient first."

Ji Fengwen stood up and the others hurried to follow.

The patient has been accommodated in the ward opposite the consultation room. These wards were specially allocated by Tang Hua for use by students in the teaching class. The patients were also transferred from the outpatient clinic or other departments of the Traditional Chinese Medicine Clinic according to Ji Fengwen's instructions.

Inside the ward, the patient had just been settled in, and his family was taking care of him by the bedside.

The patient's attending physician from the cardiology department also came over. When he saw Ji Fengwen, he hurriedly greeted him and introduced him to the patient's family.

"This is Mr. Ji Fengwen. Mr. Ji has come here specially to visit the patient."

"Mr. Ji."

The patient's family hurriedly greeted him. Ji Fengwen was a famous doctor in Zhongzhou. When the patient was referred, the attending physician specially introduced Ji Fengwen to the patient's family. The patient's family was very excited to meet a famous Chinese medicine expert like Ji Fengwen.

"You are welcome."

Ji Fengwen smiled and said, "Let's see the patient first."

On the hospital bed, a skinny old man was half lying on the bed, his face was yellowish, he looked listless, his breathing was a little rapid, and he occasionally coughed. Yun Heng and Ren Xuedong, who followed Ji Fengwen into the ward, noticed that the patient's lips were blue and purple, as if he had applied lipstick.

"Is the patient yours?"

Ji Fengwen asked the patient's family.

"It's my dad."

"What's going on?" Ji Fengwen asked gently.

"My father has suffered from coronary heart disease for more than 20 years. Every winter he experiences chest tightness and palpitations. If he catches a cold he also coughs and is short of breath and cannot lie flat. This time it was just an occasional cold. He was previously treated in the cardiology department. His heart function is Class IV. After a period of treatment with anti-inflammatory drugs, cardiotonic drugs, coronary artery dilation, and diuretics, the inflammation has been controlled, but he still has shortness of breath, coughs, and spitting, and his legs are obviously swollen..."

Ji Fengwen walked to the bedside, lifted the quilt and looked at the patient's legs. The swelling of both lower limbs was indeed quite obvious.

The attending cardiologist who came with him also hurriedly introduced: "The patient's blood pressure is currently stable, blood routine, liver and kidney function are basically normal, and the electrocardiogram shows ST segment depression and bidirectional T waves..."

Ji Fengwen, Yun Heng, and the others listened patiently. After listening, Ji Fengwen asked, "What do you think? Does anyone want to examine the patient?"

Yun Heng and the others didn't say much.

Ji Fengwen smiled and said, "Why, no one dares to speak now because of my beating this morning?"

After hearing what Ji Fengwen said, Yue Shaojiang stepped forward and said, "Master Ji, I'll do it."

"Um."

Yue Shaojiang stepped forward and examined the patient, saying, "Judging from the patient's clinical manifestations, it should be 'water-qi disease.' Zhang Zhongjing has a special chapter on this classification in his Golden Chamber Synopsis: 'There are three types of diseases: wind-water disease, skin-water disease, regular water disease, stone-water disease, and yellow sweat disease. Wind-water disease has a floating pulse, and the external symptoms are pain in the joints and aversion to wind. Skin-water disease has a floating pulse, and the external symptoms are swelling that sinks when pressed, but there is no aversion to wind, and the abdomen is like a drum, but there is no thirst. You should induce sweating. Regular water disease has a deep and slow pulse, and the external symptoms are wheezing. Stone-water disease has a deep pulse, and the external symptoms are abdominal distension but no wheezing. Yellow sweat disease has a deep and slow pulse, fever, chest fullness, and swelling of the limbs, head, and face. If it does not heal for a long time, it will inevitably lead to carbuncle and pus.'"

"Fengshui and skin edema are similar to today's nephrogenic edema, mainly with swelling of the eyelids and skin, and may be accompanied by external symptoms; Zhengshui is like the patient's condition, mainly with edema below, similar to cardiogenic edema; lethargy manifests as abdominal swelling, similar to ascites in cirrhosis..."

As he spoke, Yue Shaojiang glanced at Ji Fengwen's expression and said, "Zhang Zhongjing also pointed out in the Golden Chamber that 'for those with water retention, swelling below the waist should be treated with urination, while swelling above the waist should be treated with sweating and continued healing.'"

"Then why is it that we use diuretics but the effect is not obvious?"

The attending physician from the cardiology department asked.

Yue Shaojiang: “…”

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