“What is Traditional Chinese Medicine Thinking?”
Yun Heng continued, "Traditional Chinese Medicine distinguishes between deficiency and excess, cold and heat, and yin and yang. The internal organs in traditional Chinese medicine are different from those in modern medicine. How can we apply these concepts blindly in actual clinical practice?"
"The patient already has a weak spleen and stomach, and the prescriptions they use are mostly bitter and cold, which can damage the stomach. Using such prescriptions will only worsen the patient's condition, so we must emphasize the importance of traditional Chinese medicine thinking in actual clinical practice."
"Since you're using modern medical thinking to diagnose the disease, then you should use modern medical methods to treat it. Don't use modern medical thinking and then use traditional Chinese medicine prescriptions. This is extremely irresponsible to the patients."
"Take this case for example. The patient was emaciated, weak, and had loose stools, which are clearly signs of spleen and stomach weakness. At the same time, the patient's left hand pulse was stringy and strong, which is also the liver pulse seen in the spleen position. This is a pulse sign of liver excess overcoming wood. This is very basic knowledge."
"But just now, only Doctor Jin discovered the problem. Everyone else completely ignored these conditions and focused entirely on the virus. Hepatitis virus carriers and chronic liver disease patients, then they need to clear away heat, dampness and detoxify?"
A group of young doctors from Tongji University were speechless after being asked by Yun Heng, and even Jin Shijie felt a little embarrassed.
This disease is not difficult to diagnose completely according to the dialectical thinking of traditional Chinese medicine. The symptoms are clear and the pulse is consistent. You don't even need to worry too much about it. You can just prescribe the right medicine according to the patient's symptoms.
At that time, at Tanghua, there were some differences in the prescription for this disease, but they were not too big. If the dialectic is accurate, many aspects can be considered in the selection of medicine. However, if the dialectic is wrong, there will definitely be problems with the prescription.
From the perspective of traditional Chinese medicine, the patient suffers from liver and gallbladder stagnation, spleen and stomach weakness, and insufficient yin and blood. The treatment should naturally relieve the Shaoyang heat, warm and tonify the spleen yang, and nourish yin and suppress yang. However, if one simply considers the patient's hepatitis B virus and uses prescriptions for clearing heat, promoting dampness, and detoxifying, then that would be going in the wrong direction.
The difference between the two is huge, not a little bit.
"No wonder Mr. Kou mentioned this issue yesterday."
Liao Xiangjun spoke softly to Li Zhongqun.
When someone mentioned using a prescription for clearing heat, removing dampness and detoxifying, Liao Xiangjun was a little disappointed.
From Liao Xiangjun's perspective, Liao Xiangjun naturally does not want the doctors under his command to be too embarrassing.
From Sun Bocheng and Qi Jianping, Liao Xiangjun had some idea of Yun Heng's level. Yun Heng's level should be better than Jin Shijie and Du Jinming, but the level should be limited, right?
Let’s not talk about Jin Shijie and Du Jinming for now, the others are far behind.
Liao Xiangjun noticed that there were actually quite a few people who supported the plan of clearing heat, promoting dampness and detoxifying.
"If the medicine doesn't work for the disease, it will inevitably damage the spleen and stomach, affecting absorption, which will cause the patient to become even thinner. Then our doctor said it was caused by chronic liver disease. Most patients with liver disease are thin. Then he continued to clear away heat, dampness and detoxify?"
Yun Heng said slowly: "So, in actual clinical practice, correct treatment thinking is quite critical..."
Yun Heng paused and continued, "I think that 'serving the right dish to the right person' requires sufficient vision and ability. At the very least, you have to be able to judge the person accurately before serving the right dish. Otherwise, it's not 'serving the right dish to the right person', but rather looking down on the person."
"Fuck you!"
Zheng Feiping almost went berserk.
That’s too much!
In fact, Yun Heng didn't really mean to target Zheng Feiping at this moment. He just said it casually. It's just that Zheng Feiping didn't think so.
This shit never ends.
If Zheng Feiping hadn't been reluctant to leave his job, and if the department director hadn't been right next to him, he really might have exploded on the spot. Damn it.
"Tell me another case!"
Yun Heng continued, "The patient is a 43-year-old female. She developed chills and a high fever after being caught in the rain. The symptoms became more severe at night, causing her to become irritable, panicky, and sometimes even talk nonsense. In severe cases, she may even suddenly fall into a coma..."
"When the patient was receiving treatment, he had visited many hospitals, including some Chinese medicine doctors, and the prescriptions used included..."
This disease was also encountered during the training class at Tanghua Hospital. At that time, Dang Siping, Yue Shaojiang and others subconsciously judged it to be heat entering the blood chamber, and Yun Heng also took out this medical record.
Over the past year, Yun Heng has seen many patients, including those he practiced with in the simulation space and those he encountered in reality. There are quite a few representative patients among them. The chronic liver patient just now and this patient are both considered representative cases by Yun Heng.
Many people, seeing the title of Yun Heng's paper and then seeing Yun Heng's age, would subconsciously think that the title of Yun Heng's paper was a bit exaggerated. What summary of thousands of clinical experiences?
This is complete nonsense. Among doctors working in hospitals, very few have the experience of seeing thousands of patients before obtaining the title of attending physician.
But in fact, even if Yun Heng does not count the practice in the simulation space, his actual patient experience has reached tens of thousands. No matter what kind of patient it is, this experience is absolutely real.
Traditional Chinese medicine places more emphasis on clinical experience than Western medicine. With so many clinical experiences and a simulation space as a foundation, Yun Heng's thinking can be trained.
Perhaps in the eyes of Ren Xuedong, Xu Bo and others, Yun Heng has made very few mistakes since he started seeing patients, or it can be said that he has never made a mistake. But in fact, Yun Heng has made many mistakes in the simulation space. He even stabbed a patient to death with two knives. Can you believe it?
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