"The look of chronic hepatitis, lack of energy, easy fatigue..."
Yun Heng first described the patient's symptoms. This case was of a patient Yun Heng met when he was at Tanghua Hospital. At that time, Ji Fengwen and a group of students from the training class analyzed the case together.
"How do we treat this disease clinically?"
When everyone heard Yun Heng talking about the specific medical records, they became serious. This was a specific medical record, not just a theory. As long as the theory made sense, some details could be justified occasionally. However, when it came to specific medical records, it had to be treated with caution.
Just now Du Jinming and Jin Shijie said that they hope Yun Heng can analyze the case based on the specific medical records. In fact, they hope that everyone will show their true colors and stop talking. What's the use of talking well if you can't cure the disease?
Medical students are also divided into types, academic and clinical. Clinical doctors are not necessarily good at speaking. Some clinical doctors are good at treating patients but not good at writing papers. This is not uncommon.
Being a good paper writer does not necessarily mean being a good doctor, and being a good doctor does not necessarily mean being a good paper writer. It cannot be said that the two are unrelated, but it is not certain either. Some people simply have no talent in debate and narration, but they know everything in their minds.
Now Yun Heng presented the first medical case, which was also a test for the group of doctors from Tongji University.
Yun Heng can tell about this disease, and he must be clear about dialectical treatment. This is like a fight. This time it is Yun Heng who makes the move, and whether they can take it is crucial.
"If anyone has any further questions, please feel free to ask."
Yun Heng said to everyone.
No one said anything.
When Yun Heng was speaking just now, he had already described the patient's symptoms, facial appearance, pulse condition, etc. in great detail. Someone even wrote down the key points while Yun Heng was speaking just now.
"The patient is a long-term carrier of the hepatitis B virus and has a chronic liver disease symptom. Clinically, he presents with symptoms such as weight loss and fatigue, which are also consistent with the clinical manifestations of chronic liver disease. In this case, the treatment should be to clear away heat, dampness, and detoxify. You can use Centella asiatica and Phyllanthus urinaria..."
The scene was quiet for a while, and then a young doctor in his thirties slowly spoke.
"Well, Doctor Liu is right. The patient's medical history and clinical symptoms are all consistent..."
Some people expressed their approval.
"Any other opinions?"
Yun Heng asked.
"The patient is thin and weak. His stools are loose, which is probably a sign of spleen and stomach weakness. Judging from his symptoms, the disease is in his spleen..."
Seeing that many people agreed, Jin Shijie looked at everyone speechlessly, stood up and said, "We should analyze the symptoms and pulse condition dialectically. Why should we get bogged down in the names of diseases in modern medicine..."
When speaking, Jin Shijie felt a little disappointed. What were these people thinking?
You know, what we are discussing now is the treatment thinking of traditional Chinese medicine.
When Jin Shijie heard Yun Heng talking about this disease just now, he was very cautious. It was precisely because of his caution that he did not speak in a hurry, but analyzed it carefully. He did not expect that someone had made a judgment before him.
What people are talking about now is the dialectical thinking of traditional Chinese medicine. They are like a bunch of pigs, without even thinking about it, and they start to jump to conclusions subconsciously, talking about chronic liver disease and what symptoms meet the criteria for chronic liver disease.
I'm not afraid of god-like opponents, but I'm afraid of pig-like teammates. Now, the handle on me has been handed over to others again.
"ah......."
After Jin Shijie's reminder, the young doctor who had just spoken realized that he had been rash again.
"Doctor Jin is right. The patient is thin, weak, and has loose stools. These are all signs of a weak spleen and stomach."
Yun Heng nodded and said, "But in actual clinical practice, many of our Chinese medicine doctors are influenced by current treatment thinking and disease names. When they encounter patients with liver disease, they think of clearing away heat, dampness and detoxification..."
"In fact, the patient had been treated in several hospitals before, and had taken a lot of medicines similar to those for clearing heat, promoting dampness and detoxification. However, most of these medicines were bitter and cold and damaged the stomach, causing the patient's condition to worsen."
"There are many 'pseudo-TCM practitioners' in our TCM community. They don't understand or master TCM, but they use it to treat illnesses. In the eyes of patients, they are TCM practitioners or even TCM experts. To patients, they can't tell who is a pseudo-TCM practitioner. As long as they take TCM, they think they are a TCM doctor. But what is the reality?"
"Patients don't see doctors based on the person, but on the effectiveness of the treatment."
Zheng Feiping: “…”
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