Ji Fengwen paused again and said, "However, when treating patients, we must be flexible. The patient's condition is quite serious. In order to achieve a quicker effect, we can also consider using traditional Chinese medicine injections. We can use intravenous infusion of ginseng and aconite injection to better enhance the effect of replenishing qi and warming yang."
Yun Heng listened with great interest.
Ji Fengwen is worthy of being a master of traditional Chinese medicine. When explaining clinical cases, not only did he make thorough analyses and involve everyone in them, but he also gave everyone some common sense where appropriate, such as the theory of good and evil just now.
When treating patients, Ji Fengwen was not old-fashioned. He even used new Chinese medicines, such as some injections, which many old-fashioned Chinese medicine practitioners were reluctant to use. This is actually being conservative.
The use of Chinese medicine should not be restricted by form. Whether it is an injection, a pure Chinese medicine preparation, a decoction, or a pill, it can be used as long as the diagnosis is clear and it is suitable for the symptoms.
Traditional Chinese medicine has a long history. When Chinese medicine was first used to treat diseases, it was not in the form of decoctions, but was taken raw. Decoctions and pills have been improved in the continuous development. The form of Chinese medicine can change with the development of the times. What's wrong with pills, powders, ointments, and injections?
We cannot completely abandon injections just because they are the product of modern medical research.
"Does anyone still have any questions?" Ji Fengwen asked with a smile.
"Mr. Ji, there is a record in "Treatise on Febrile Diseases" that if a patient with Shaoyin disease persists for two or three days, and on the fourth or fifth day, he or she will have abdominal pain, difficulty urinating, heavy and painful limbs... or those with easy urination, diarrhea, or vomiting, Zhenwu Decoction is the main treatment. But the patient does not seem to meet the main symptoms of Zhenwu Decoction?" Lin Yonggang asked.
"When choosing a prescription for a specific condition, it's important to carefully analyze the situation and learn to identify the patient's main symptoms, or 'syndrome'. If the prescription matches the symptoms, it's more likely to be effective."
Ji Fengwen explained, "Don't just blindly apply the prescriptions in the Treatise on Febrile Diseases to your symptoms. Zhenwu Decoction warms the yang and promotes diuresis, and is primarily used to treat yang deficiency and water retention syndrome... This itself is consistent with the prescription and the symptoms. At the same time, when we use it in clinical practice, we must pay special attention to patients with a history of Western medicine treatment, as the combination of various drugs can affect or mask some clinical symptoms. When making a clinical diagnosis, don't be too rigid about the symptoms; choose the prescription and medication directly based on the pathogenesis."
"You beginners, you must start by understanding the facts and then the reasons behind them. While you should certainly refer to the Treatise on Febrile Diseases, you must also apply it flexibly. Besides, the Treatise on Febrile Diseases has been around for thousands of years. How many situations are there that haven't been recorded in it? If there aren't any, then you won't be able to do it?"
"I understand, Mr. Ji." Lin Yonggang said hurriedly.
"Now that the syndrome differentiation is clear, we can use the prescription according to the clinical condition."
Ji Fengwen smiled, glanced at everyone, and said, "Since Xiaoyue was the one who initially examined and analyzed the patient, then Xiaoyue will be responsible for the patient."
"Um."
Yue Shaojiang nodded.
"Okay, take a 20-minute break. If you want to go to the bathroom, go. If you want to go out for a smoke, go ahead. We'll gather in the consultation room in 20 minutes to analyze this case again."
As he spoke, Ji Fengwen watched Yue Shaojiang write a prescription, then left. Yun Heng and others followed him out of the ward.
"Mr. Ji is really amazing."
"Yes, it's really interesting to study with Mr. Ji."
"Well, I also feel that I have gained a lot today."
A group of people were walking and discussing.
Among the ten students in the teaching class, except Yue Shaojiang, who has a grandfather who is a famous doctor and may have enjoyed such treatment, the others, even Yun Heng, have never enjoyed such treatment.
A master of traditional Chinese medicine personally teaches, and analyzes in detail. Such teaching is rare, even for people like Dang Siping who are highly respected in the hospital.
As a resident, how could the attending physician be so patient as to explain things to you in this way? He will just give you a brief explanation. If you understand, you understand. If you don’t understand, you have to bear it even if he calls you a fool.
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