"Director Qian!"
Back in the consultation room, Qian Zhikuan was still waiting. Liu Xizhong and Dr. Hu from the Department of Integrated Traditional Chinese and Western Medicine came only to participate in the consultation. Qian Zhikuan was still the patient's attending physician.
"Have you examined the patient's condition?"
Qian Zhikuan was drinking water from a cup. When he saw everyone coming back, he put down the cup and asked with a smile.
"I've learned all about it."
Liu Xizhong and Dr. Hu both nodded.
"Then tell me what you think."
Qian Zhikuan said.
Liu Xizhong and Doctor Hu exchanged a glance, and Doctor Hu said, "Then I'll start by throwing out some ideas."
It was Doctor Hu who examined the patient just now. Now that Doctor Hu spoke first, it could be considered an unspoken rule.
"Um!"
Qian Zhikuan nodded: "Then let Dr. Hu talk first."
"The Neijing says, 'Swelling above is caused by wind, swelling below is caused by water.' The patient's head, face, and chest are more swollen. Although he has no external symptoms, his pulse is deep and rapid, not a floating pulse. This suggests wind and water..."
Listening to Dr. Hu's analysis, Liu Xizhong subconsciously glanced at Yun Heng. If he had not communicated with Yun Heng in advance, Liu Xizhong's judgment would actually be the same as Dr. Hu's.
Fengshui is a distinct edema disorder. Modern medicine often lumps it with nephrogenic edema. Three criteria are often used to diagnose Fengshui edema: first, recent onset of external infection with a short course; second, the presence of external symptoms; and third, the presence of pulmonary symptoms. Edema that meets any of these criteria is considered Fengshui.
Of course, in actual clinical practice, it needs to be more detailed.
As for the patient's condition, the edema in the upper part is severe and that in the lower part is mild. Although there are no external symptoms, there are symptoms such as cough and chest tightness. The pulse is deep and stringy, not floating, which is indeed very similar to Feng Shui edema.
But after listening to Yun Heng's statement just now, Liu Xizhong thought about it carefully for a while and noticed something unusual.
"What does Dr. Liu think?"
After Dr. Hu finished speaking, he looked at Liu Xizhong.
"Doctor Yun?"
Liu Xizhong did not answer, but looked at Yun Heng. He did have some judgment at this moment, but he had not figured it out yet. Since Yun Heng had an opinion, he decided to listen to Yun Heng's opinion first.
A multi-department consultation is originally a discussion about a disease. Because no one has a good solution, it depends on who has a more accurate judgment and a better method.
Hearing Dr. Liu ask Yun Heng again, Dr. Hu and Qian Zhikuan both looked at Yun Heng.
"Doctor Liu, who is this?"
Dr. Hu couldn't help but ask.
It is obvious that Yun Heng is not an ordinary resident doctor, otherwise Liu Xizhong would not have asked him again and again.
"Director Qian, Doctor Hu, let me introduce you."
Liu Xizhong smiled and said, "This is Doctor Yun Hengyun, who came from Xihua City a few days ago. Doctor Yun is quite skilled. Yesterday, he treated a patient with water-qi disease in our department and prescribed medication with great care. That's why I specifically called Doctor Yun when I came."
"Doctor in training?"
Qian Zhikuan and Dr. Hu were stunned for a moment, but their faces remained expressionless.
Since he is a trainee doctor and Liu Xizhong praises him so much, could he have a background?
There are not many young people who can work at the level of attending physician or deputy director in a hospital.
Although the hospital is mainly an academic place, doctors gain seniority and learn things step by step after arriving at the hospital. In addition, they have to deal with patients and their families. Even if they are young and inexperienced, their edges will be smoothed out long ago.
Except for those who are quite capable and have a smooth career after entering the hospital, most doctors have high emotional intelligence and are very shrewd.
At this moment, Qian Zhikuan and Dr. Hu were both guessing in their hearts.
"Then Dr. Yun, please tell us your opinion first."
Qian Zhikuan smiled.
Most people will not easily make enemies when they don't understand the other party's origins.
"Doctor Hu just mentioned a lot, but in addition to the symptoms mentioned above, the patient also has chest tightness and fever, and cannot lie flat. From this, we can see that the patient must have started with fullness and stuffiness in the Zhongwan area, which gradually turned into chest discomfort, shortness of breath, and cough. All these swellings and dampness belong to the spleen. Therefore, the root of the patient's disease is in the Zhongjiao..."
Yun Heng said slowly.
Doctor Hu frowned slightly.
It's not that he hadn't considered this just now, but the patient's pulse was deep and dizzy, and the upper part was severely swollen. These were relatively obvious symptoms, and the pulse and symptoms were consistent. But after Yun Heng's words, it seemed that this was indeed the case.
Although Qian Zhikuan is the deputy director of the Nephrology Department, as an associate chief physician of Shuguang Hospital, Qian Zhikuan also understands Chinese medicine, but he is more knowledgeable in kidney disease.
Say what you want to say. Once Chinese medicine leans towards a certain part of the body, it has actually gone astray.
The divisions of TCM are similar to the pediatrics and gynecology mentioned earlier. In fact, it is harmless. Women and children have their own characteristics in some aspects, but doctors still treat patients as a whole. If they make local distinctions, it is not in line with the concept of TCM.
But no matter what, Qian Zhikuan is not a simple layman. He was also thinking while Yun Heng was speaking.
"Doctor Yun, please continue."
Qian Zhikuan said to Yun Heng.
Although Yun Heng's analysis was simple, Qian Zhikuan could see that this young man was not simple and that ordinary people did not have such insight.
"Fengshui is a type of edema, but in actual clinical practice, there is still a big difference."
Yun Heng continued speaking.
During this period, Yun Heng has actually treated quite a few patients with edema. After treating so many patients at Tanghua, Jiaoping County Hospital, and Shuguang, Yun Heng has a deeper understanding of this disease.
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