"Hey, that's not right."
Wang Xuemeng exclaimed in surprise, "Doctor Yun, the patient's illness was caused by an external infection. Although the external cause is gone, doesn't he still have symptoms of pharyngeal congestion and enlarged tonsils?"
When Wang Xuemeng was speaking, Zhang Hongfei was watching from the side. Compared with Wang Xuemeng, Zhang Hongfei had no chance to get a word in.
"Look here."
Yun Heng pointed at other parts of the patient's body and said, "Look carefully, do you see anything?"
"Doctor Yun, I understand. The patient's main symptom is skin edema, so it should be edema."
Wang Xuemeng suddenly understood.
"Um."
Yun Heng nodded and said, "The patient has water vapor disease, but there are no cold or heat symptoms, and the main symptom is skin edema, so it should be edema."
"Doctor Yun, since the patient has edema of the skin, and it originated from an external infection, and there is also eyelid swelling, it should be Yang water, right? Should we induce sweating and diuresis?"
Wang Xuemeng asked.
There are three types of water-damp diseases: Fengshui, skin water, regular water, stone water, and yellow sweat. They are also divided into Yin and Yang. When he was in Tang Hua, Dang Siping explained to Tang Hua's cardiac surgeon what Yin water and Yang water were.
Judging from the patient's symptoms, he should indeed have Yang water, which is exactly the opposite of Tang Hua's last patient.
Yun Heng actually became interested in Wang Xuemeng and asked with a smile, "Then, in Doctor Wang's opinion, how should it be treated?"
"The Golden Chamber states that edema is a disease that causes swelling of the limbs and is caused by water vapor trapped in the skin... Fangji Fuling Decoction is the main treatment..."
Wang Xuemeng frowned again as she spoke: "But there's no diaphoretic medicine in Fangji Fuling Decoction, so it doesn't seem appropriate, right?"
"Doctor Wang has memorized the Golden Chamber Essentials very well."
Yun Heng said with a smile.
“I liked reading when I was in school.”
Wang Xuemeng smiled and said, "I've read all of them, including 'Golden Chamber Synopsis', 'Treatise on Cold Damage', and 'Thousand Golden Prescriptions'. The more I read, the more I remember."
"Doctor Wang graduated from the Magic City College of Traditional Chinese Medicine, right?"
Yun Heng asked with a smile.
"Um."
Wang Xuemeng nodded: "I graduated last year with a master's degree."
Yun Heng was a little surprised that this Dr. Wang was from the same class as him. Although they were not from the same school, they graduated at the same time.
Hearing Wang Xuemeng say that she likes reading, Yun Heng couldn't help but think of himself. When he was in school, he also loved reading and spent the whole day in the library.
For a moment, Yun Heng developed a certain liking for Wang Xuemeng.
"Doctor Wang, you can read more classics, but you can't just blindly follow the rules. You still need to treat the disease based on the syndrome differentiation."
Yun Heng smiled and said, "Let's analyze the cause and pathogenesis first."
"Um."
Wang Xuemeng nodded.
"The patient developed the disease after catching an external infection. Judging from the cause, it's likely that the wind evil attacked the lungs, causing the lungs' water passages to malfunction. The lungs govern the skin, so this caused water to overflow into the skin and caused the disease."
"Doctor, do you mean my son's illness is a lung disease?"
The patient's father, who had been listening nearby, couldn't help but interrupt and ask.
His son's whole body is swollen, and everywhere he goes, he's diagnosed with kidney disease. How come he has lung disease now?
"The disease is located in the kidneys, but the cause is in the lungs."
Yun Heng said with a smile.
"The five internal organs of the human body are closely connected, and the five elements interact and restrain each other, and influence each other. In many cases, lung disease can cause kidney disease."
Wang Xuemeng also said something to the patient's father, then looked at Yun Heng and said, "Doctor Yun, since the edema is caused by water evil overflowing into the skin, shouldn't we focus on inducing sweat and promoting diuresis? Recipes like Yuebi Jiashu Tang and Ma Xing Yi Gan Tang are both prescriptions that induce sweat and promote diuresis."
"What about the patient's throat discomfort?"
Yun Heng asked with a smile.
"ah......"
Wang Xuemeng opened her mouth and blushed a little: "Doctor Yun, what prescription should I use?"
"When prescribing a prescription based on syndrome differentiation, every problem of the patient must be taken into consideration. When considering the problem, the main symptoms must also be distinguished. If there are multiple symptoms, the main and secondary symptoms can be distinguished first. If there is a certain relationship between them, they cannot be treated one-sidedly."
Yun Heng smiled and explained to Wang Xuemeng, then said, "Doctor Wang, what do you think of the Ma Huang Lianqian Red Bean Soup?"
"Ephedra, Lianqian, and Red Bean Soup?"
Wang Xuemeng was stunned for a moment, very confused: "Doctor Yun, isn't this a prescription for treating jaundice and external symptoms? The patient has water-dampness disease?"
Not to mention Wang Xuemeng, even Zhang Hongfei next to him was already confused.
Although Chinese medicine and Western medicine are different, jaundice in Chinese medicine is mostly a liver disease, and water-damp disease is mostly a kidney disease. The prescription Yun Heng mentioned is like using a prescription for treating liver disease to treat kidney disease.
Wang Xuemeng was a little confused, let alone Zhang Hongfei. Instead, Lin Xuehong behind Zhang Hongfei's eyes lit up when she heard it.
Yun Heng's level is even higher than she and Director Qi imagined.
Lin Xuehong and Qi Jianping's judgment of Yun Heng's level was mainly based on the condition of the patient Zhao Jindong, but this patient was more complicated than the patient in the morning in all aspects.
Nephrotic syndrome is a very difficult disease for modern medicine.
Today, this patient also came to Shanghai, to Shuguang Hospital, after a month of treatment at a local hospital with little effect.
Lin Xuehong has worked in the inpatient department for so many years, so her vision and knowledge are naturally much better than Wang Xuemeng and others. In their inpatient department, few ordinary attending doctors can diagnose such a disease. Such a disease requires at least the deputy director to participate in the treatment.
But at this moment, Yun Heng had already analyzed the disease thoroughly.
My dear, there is more to this chapter. Please click on the next page to continue reading. It will be even more exciting later!
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