"Dang Siping, do you think this recipe is inappropriate?"
Ji Fengwen said with a smile.
Dang Siping nodded. "Treatise on Febrile Diseases," Article 147, states, "After five or six days of typhoid fever, after sweating and then purgation, the patient develops fullness and slight tightness in the chest and flanks, difficulty urinating, thirst without vomiting, but sweating on the head, alternating chills and fever, and restlessness. This indicates the disease has not been resolved. Chaihu Guizhi Ganjiang Decoction is the main treatment." However, this patient's symptoms don't seem to fit the criteria for Chaihu Guizhi Ganjiang Decoction.
"Does anyone else have a different opinion?"
Ji Fengwen asked with a smile.
Several people were silent for a moment. In fact, many people felt that Yun Heng's prescription was somewhat inappropriate, but Yun Heng's performance from yesterday to today had been quite good, so everyone could make some judgments.
Among the ten students in the class, Yue Shaojiang and Yun Heng should be the highest, followed by Ren Xuedong and Dang Siping. The others are actually not much different and are all at the same level.
Now that Dang Siping has raised doubts, others don't want to express their opinions rashly and can only listen.
"If anyone has a different opinion, please speak up directly and don't be shy."
Ji Fengwen smiled and said, "Do you remember what we talked about on the first day? When you encounter a problem, solve it. Only if you ask the questions in your heart can I understand and help you solve it. If you pretend to know when you don't, or if you have a question but don't ask, the question will only stay with you forever. But once it is solved, it will be yours."
Wang Jibo hesitated for a moment and said, "Mr. Ji, I also feel that Chaihu Guizhi Ganjiang Decoction seems a bit inappropriate."
Ye Yingyun also nodded: "Yes, I have the same doubts as Dang Siping and Wang Jibo."
For a moment, except for Ren Xuedong and Yue Shaojiang who remained silent, the others all questioned Yun Heng's prescription.
Yue Shaojiang watched coldly, thinking to himself, Yun Heng has really lost face this time, right?
Even though these people are close to you, they are just a bunch of fence-sitters. At the critical moment, they will not give you face, right?
Just as Ji Fengwen analyzed, Yue Shaojiang's jealousy and his arrogant and conceited nature have caused his emotions to affect his mentality over the past two days. While others are analyzing and thinking about the patient's condition based on the facts, Yue Shaojiang's mind is a mess.
"Yun Heng, you're considering using Bupleurum Cassia Twig and Dry Ginger Decoction. What are your thoughts?"
Seeing that everyone else had expressed their opinions, Ji Fengwen smiled and asked Yun Heng.
"What Dang Siping said just now is correct. The Treatise on Febrile Diseases does clearly state, 'If a patient has suffered from typhoid fever for five or six days, has been sweating and then given a purgative, and still has a slight fullness and knot in the chest and ribs, difficulty urinating, thirst without vomiting, but sweating on the head, alternating chills and fever, and restlessness, then the disease has not been resolved. Chaihu Guizhi Ganjiang Decoction is the main treatment.' But you said yesterday that the Treatise on Febrile Diseases is over a thousand years old. Over such a long period of time, famous scholars from all dynasties have annotated and supplemented it. When we treat patients, we cannot just follow the original text of the Treatise on Febrile Diseases, but must apply it flexibly."
Yun Heng first quoted Ji Fengwen's statement yesterday, then continued, "In contemporary times, there are still many famous scholars who have elaborated on certain articles in the Treatise on Febrile Diseases. For example, Liu Duzhou, a great scholar of the Treatise on Febrile Diseases, proposed in his research on Shaoyang disease that Shaoyang disease is not only the key to the spread of disease from the exterior to the interior, but also the key to the spread of disease from the three yang diseases to the three yin diseases. Therefore, Shaoyang disease involves the interior. It can present with symptoms of Da Chaihu Decoction, Chaihu Jia Mangxiao Decoction, and also with symptoms of internal deficiency and cold."
The reason why Yun Heng made rapid progress in the past six months and his level of Chinese medicine internal medicine has been raised to level five in just over half a year is not only due to the simulation space, but also due to Yun Heng's long-term accumulation.
There is no useless work in this world, everything you learn will be useful.
During the eight years in medical school, Yun Heng spent every day in the library and studied every evening without interruption. He read quite a lot of books.
Perhaps when Yun Heng was reading the book at that time, he did not fully understand some of the article analysis in the book, but the more he read and remembered, the more these things remained in his mind. Now that he has been in the clinic, he has slowly begun to digest some of the things he has seen and read before.
People say that one regrets not having read enough books when they need them. Yun Heng has read so many books that when he needs them, he can find some clauses or analyses that he has read before and then use them to prove his ideas.
There were some things that I didn’t quite understand before, but as I continued to progress and combined practice with theory, I gradually began to understand them and they became my own.
The simulation space only provides Yun Heng with an additional training platform, and the many books and materials that Yun Heng read during his eight years in medical school are the foundation of Yun Heng's success.
Reading may not necessarily change your destiny, but it can definitely change your thinking. After reading so many books, Yun Heng's thinking mode is much stronger than most people. When encountering a disease, he must have more ways to solve the problem than others.
Yun Heng continued, "In his Fourteen Lectures on Treatise on Febrile Diseases, Dr. Liu said, 'Bupleurum, Cinnamon Twig, and Dry Ginger Decoction harmonizes the Shaoyang meridian and treats spleen cold. This complements the effect of Da Chaihu Decoction, which harmonizes the Shaoyang meridian and treats stomach fullness. This shows that when Shaoyang disease affects the spleen and stomach, it needs to be treated according to the different cold, heat, deficiency, and excess.' In Bupleurum, Cinnamon Twig and Dry Ginger Decoction, Bupleurum and Scutellaria are used together to harmonize the Shaoyang meridian's stagnant heat, dried ginger and roasted licorice warm and nourish the spleen's yang, cinnamon twig harmonizes the cold and heat, yin and yang, and oyster nourishes yin and suppresses yang. It can also soften and disperse nodules, which perfectly fits the patient's pathogenesis of liver depression and spleen cold evil accumulation."
"Well said."
Ji Fengwen was really surprised by Yun Heng's analysis.
Yun Heng is not yet 30 years old, graduated just last year, and has only half a year of clinical experience, but he can say such words.
This chapter is not finished yet, please click on the next page to continue reading the exciting content!
Continue read on readnovelmtl.com
