After everyone had read the patient's medical records, they were passed to Ji Fengwen. Ji Fengwen also read them in detail and specifically picked out the several lists that Yun Heng mentioned.
"Does anyone have any opinions?"
Ji Fengwen looked at everyone.
"Master Ji, Yun Heng has some truth in what he said. We have neglected it."
Dang Siping glanced at Yun Heng, then said to Ji Fengwen.
This time, Dang Siping was completely convinced by Yun Heng.
Judging from the patient's symptoms and the time of onset, it can be said that from all aspects, the patient meets the symptoms of "heat entering the blood chamber". Just now, everyone said the same thing, and basically confirmed that the patient had "heat entering the blood chamber".
But even in the situation just now, Yun Heng still did not jump to conclusions, but instead carefully examined the patient's medical records.
Yun Heng's level is higher than his own, and he knows more than his own. Even so, Dang Siping was not impressed by Yun Heng. He acknowledged that Yun Heng was better than him, and also admitted that he was not as good as Yun Heng, but he was not convinced.
It's just like when I was in school, even if some people had better grades and higher rankings than me, it was still impossible to convince everyone in the class.
You are good at studying, and I am good at fighting.
You are a good student, but my family is rich.
Being good at studying is only one aspect.
Yun Heng is highly skilled, but talent is innate, just like appearance and background, there is no choice.
However, Yun Heng was more skilled but more cautious than them, which forced Dang Siping to admit defeat.
Yue Shaojiang didn't say anything, and also glanced at Yun Heng, with similar thoughts in his mind as Dang Siping.
Being in a high position does not necessarily mean being respected.
But if you can treat others with respect while holding a high position, you will definitely win the respect of some people.
Being knowledgeable does not necessarily mean being recognized by others.
But if you are knowledgeable and willing to learn from others, you will definitely be recognized by some people.
After these few days, Yue Shaojiang had some idea of Yun Heng's performance and personality. Yun Heng's level was not worse than his, but Yun Heng did not act arrogantly.
Yun Heng's level is no worse than theirs, but when facing patients, Yun Heng never jumps to conclusions, and always seeks verification repeatedly.
This is what Dang Siping and Yue Shaojiang reflected on.
Ji Fengwen looked at everyone and said slowly, "The liver stores blood. Blood and liver are inseparable. The liver meridian runs through the chest and under the breasts. When pathogenic factors invade the 'blood chamber', they invade the liver meridian, which is called 'chest congestion'..."
"'Heat entering the blood chamber' is clearly described in the Treatise on Febrile Diseases. It is mostly caused by exposure to pathogenic toxins during menstruation. It refers to a disease in which women experience fever and chills during or before and after menstruation, with symptoms similar to malaria, fullness and distension in the chest, ribs, and lower abdomen, or high fever, delirium, or abnormal menstrual flow as the main symptoms..."
After that, Ji Fengwen slowly asked, "Who can tell me about chest congestion?"
Dang Siping said: "Chest congestion usually refers to the feeling of fullness, pain, and hardness in the chest and ribs after a fever. In severe cases, there is a high fever, delirium, and even coma..."
Ji Fengwen nodded. "Well, Dang Siping is right. Judging from the symptoms, heat entering the blood chamber and chest congestion have similarities, but they are also different. Why didn't anyone else notice anything unusual besides Yun Heng?"
"Preconceived notions."
Ren Xuedong said softly.
"Xiao Ren is right."
Ji Fengwen nodded appreciatively and said, "It is this preconceived notion that has led all of you into a misunderstanding. Therefore, from the very beginning, you have ignored the differences between the two and only focused on their similarities."
"Just now, Dang Siping asked if she was caught in the rain during her period, and based on this, all of you preconceived the diagnosis that the patient had 'heat entering the blood chamber.' With this preconceived notion, whether in diagnosis or examination, all of you relied on this result. This is equivalent to using a preconceived, wrong answer and then looking for evidence to prove that this answer is correct. You were wrong from the beginning, and no matter how you later argued or examined, you will only go further and further in the wrong."
Ji Fengwen spoke earnestly, "Remember when we first started the class, I taught you all that a doctor's diagnosis is like an honest judge's judgment. When judging a case, the most taboo thing is preconceived ideas. Similarly, we should also avoid preconceived ideas when diagnosing. If we didn't have this preconceived notion, Xiao Yue wouldn't have overlooked the patient's hardness when he was examining him just now, right?"
Yue Shaojiang nodded.
He did find some abnormalities when he examined her just now, but as Ji Fengwen said, he had preconceived notions and had already thought that the patient had heat entering the blood chamber, so he didn't think much about it at the time.
The patient's symptoms, such as high fever, chest and rib fullness, incoherent speech, and coma, all conform to the characteristics of heat entering the blood chamber. Furthermore, the most typical characteristic of heat entering the blood chamber is the exposure to external pathogens during menstruation.
With these, everyone has reached a conclusion on the patient's condition. Even if there are some minor abnormalities at this time, in Yue Shaojiang's view, they are just differences manifested by different individuals.
"Yun Heng, tell me, why didn't you just conclude that the patient had heat entering the blood chamber, but instead thought that the patient might have blood in the chest?"
Ji Fengwen asked Yun Heng.
Yun Heng said matter-of-factly, "In the beginning, I also thought the patient had heat entering the blood chamber. However, as you just said, a doctor's diagnosis is like an honest judge's judgment. Even if the patient's symptoms are consistent with heat entering the blood chamber, I still have this understanding. Before a conclusion is made, I still have to be skeptical. So when I learned about the patient's symptoms in detail and reviewed the patient's medical history and past medical records, I also held this in mind..."
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