"The patient is a 45-year-old male with chronic hepatitis and severe jaundice..."
Jin Shijie began to talk about the patient's condition.
As soon as Jin Shijie opened his mouth, several doctors from the Department of Traditional Chinese Medicine knew which patient he was talking about.
The patient is currently hospitalized in the Department of Traditional Chinese Medicine. He was admitted a few days ago and was from another place. At that time, Jin Shijie and Du Jinming were unable to handle the case. Later, Liao Xiangjun took action personally and gave a relatively detailed explanation to Jin Shijie and Du Jinming.
Such a patient is not a difficult problem for senior doctors and chief physicians like Liao Xiangjun, but it is definitely a difficult problem for young doctors like them.
When Jin Shijie told the patient's condition, many doctors in the Department of Traditional Chinese Medicine became excited.
Just now, Yun Heng had stumped a group of them with two medical records, but the patients were treated by Ji Fengwen, a master of traditional Chinese medicine. What kind of skill was it that he could stump them with the medical records treated by a master of traditional Chinese medicine?
In fact, Yun Heng was involved in both patients, and in the analysis at that time, Yun Heng was also the main force. Ji Fengwen only played the role of a gatekeeper, but Yun Heng did not explain the situation just now.
As a human being, you should be humble when you need to be humble.
Yun Heng's modesty gave the young doctors at Tongji an illusion that the patient was not treated by Yun Heng, but by Ji Fengwen, and Yun Heng simply knew the answer early on.
Now that Jin Shijie had brought out Liao Xiangjun's medical record, he didn't believe Yun Heng could solve it.
If Yun Heng doesn't know how to do it, then it's a draw and no one will laugh at anyone else.
"The patient had a history of hepatitis B. About two weeks ago, he suddenly developed fatigue, vomiting, and jaundice. He was diagnosed with subacute severe hepatitis locally and transferred to our hospital's infectious disease department. He received liver protection, nutritional support, and glucocorticoid treatment. His liver function has since recovered, and his coagulation function has improved..."
"But later, the patient developed elevated bilirubin and mental fatigue, so he was transferred to our Traditional Chinese Medicine Department for treatment..."
Before being transferred to the Department of Traditional Chinese Medicine, the patient had always been receiving Western medicine treatment, so Jin Shijie described the patient's condition in great detail and explained all the Western medicine examination data clearly.
Jin Shijie didn't want to do anything fishy about some details and let Yun Heng find excuses.
"The patient's tongue is large and full of mouth, with a white coating from vomiting, and the tongue texture is almost invisible. B-ultrasound shows ascites in the abdomen and under the liver capsule... The pulse is weak and soft..."
"That's about it. Doctor Yun, do you have any other questions?"
Jin Shijie looked at Yun Heng.
Jin Shijie is the patient's attending physician, and the medical record was also compiled by Jin Shijie, so Jin Shijie is also very clear about the details of the medical record.
While Jin Shijie was speaking, Yun Heng also wrote down some key points with pen and paper, and then looked at them carefully.
After observing for a while, Yun Heng asked, "How's the patient's skin? Is it hot or cold?"
"Damp and cool!"
Jin Shijie said.
"Abdominal distension, loose stools, and scanty urination?"
Yun Heng asked.
"right."
Jin Shijie nodded.
"Um!"
Yun Heng also nodded and said slowly: "I already have a clear understanding of the patient's symptoms, pulse condition, and other aspects."
As he spoke, Yun Heng was still thinking. Yun Heng was a cautious person and would not jump to conclusions easily. However, since today we were talking about thinking patterns, Yun Heng didn't mind talking a little more.
"Based on the patient's pulse and symptoms, it should be jaundice. Modern medicine considers jaundice as an important clinical symptom, but in traditional Chinese medicine, jaundice is an independent disease."
As Yun Heng spoke, he wrote something on paper: "The Yellow Emperor's Classic of Internal Medicine contains many introductions to jaundice. In the Golden Chamber, Zhang Zhongjing even devoted a chapter to analyzing jaundice. There are even some traditional Chinese medicine prescriptions specifically for treating jaundice, such as Yinchenhao Decoction."
"Jaundice can be further divided into different categories based on the cause, including grain jaundice, alcoholic jaundice, female labor jaundice, etc. There's also a distinction between yang jaundice and yin jaundice."
"So before we start to make a diagnosis, we must have the right mindset. We must first confirm the patient's symptoms. Judging from the pulse and symptoms, this condition should be classified as 'acute jaundice'..."
"Let me interrupt!"
Liao Xiangjun couldn't help but speak out.
Yun Heng stopped.
Liao Xiangjun stood up, looked at everyone, and said slowly: "See? This is the correct way of thinking. When you meet a patient, you must first be firm in your position and know where you stand in your treatment."
"What Yun Heng said just now was very good. When it comes to jaundice, there is a serious difference between modern medicine and traditional Chinese medicine. If you don't understand this, it's easy to go astray when treating it."
Liao Xiangjun personally treated this patient, so he was very clear about the patient's condition and a common misunderstanding that can easily occur when treating this patient.
The term jaundice exists in both modern medicine and traditional Chinese medicine, but the two are completely different concepts.
In modern medicine, jaundice is a common symptom and sign. The clinical definition is a clinical manifestation caused by increased serum bilirubin concentration due to bilirubin metabolism disorder. Clinically, it manifests as the sclera, mucous membranes, skin and other tissues being stained yellow.
In traditional Chinese medicine, jaundice is an independent disease.
There is a strict distinction between disease and symptoms.
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