What are the symptoms? Fever, chills, and shivering are the symptoms. What is the disease? Disease is the name of the disease.
In Traditional Chinese Medicine, jaundice is classified as a systemic disease rather than a simple symptom.
If jaundice is classified as a symptom, modern medicine has specific jaundice values and special drugs to reduce jaundice. However, from the perspective of traditional Chinese medicine, detailed differentiation and dialectics are required. The difference and gap between the two are really too huge.
Today we were talking about therapeutic thinking. Yun Heng made a very good start on this disease, which moved Liao Xiangjun a little.
When the patient was transferred to their Department of Traditional Chinese Medicine, even the deputy director went astray, but Yun Heng was not misled at all on this point.
Jin Shijie looked at Yun Heng and felt a little admiration in his heart.
Yun Heng had mentioned the chronic liver patient before, and what he wrote about the hepatitis B virus and the chronic liver face. Jin Shijie felt that Yun Heng was actually trying to mislead them. So when talking about the patient's condition, Jin Shijie also deliberately and emphasized the Western medicine diagnosis and examination, which was also intended to mislead Yun Heng.
But Yun Heng was not affected.
“This is something you should learn from.”
Liao Xiangjun said seriously: "As a Chinese medicine doctor, when facing patients, the first thing to do is to understand how to make a dialectical diagnosis and what ideas to use for dialectical diagnosis."
If Liao Xiangjun had hoped that someone on his side could compete with Yun Heng just now, now he was convinced and regarded Yun Heng as a role model for these young people.
"We understand."
A group of people responded.
"Yun Heng, please continue."
Liao Xiangjun sat back.
Yun Heng continued, "Acute jaundice is an independent symptom of jaundice, characterized by rapid onset, rapid progression, severe condition, and poor prognosis. It is somewhat similar to acute severe hepatitis in Western medicine..."
At this point, Yun Heng paused and said, "Actually, in actual clinical practice, we can refer to some diagnoses of modern medicine. These references can help us analyze some conditions and symptoms. For example, for patients with acute severe hepatitis, we can consider whether they have acute jaundice. We can refer to them, but we cannot substitute them..."
"For example, clinically, jaundice associated with acute severe hepatitis and acute liver failure is mostly characterized by Yang jaundice and has obvious characteristics of intense heat and toxicity. But what about this patient?"
"We analyzed the pulse and symptoms. The patient has cold, damp skin, a purple tongue with a white coating, and a weak and slow pulse... This does not indicate yang jaundice. This is the difference."
"A patient's condition is constantly changing, not static."
Yun Heng glanced at Jin Shijie and said, "Doctor Jin just said that when the patient was first transferred to the infectious disease department, his condition improved after treatment, but then other symptoms reappeared. So I think the patient may have initially suffered from acute jaundice, mainly Yang jaundice. However, during the treatment, due to the excessive use of some hormone drugs, the Yang Qi was damaged, resulting in Yang deficiency and cold, and the symptoms eventually turned from Yang to Yin..."
“Oh my god!”
“Awesome!”
For a moment, all the doctors in the demonstration room who were familiar with the patient's condition opened their mouths in amazement.
This is really awesome.
What is the difference between a master of traditional Chinese medicine and an ordinary practitioner of traditional Chinese medicine?
It's here, in some of the details, that the problem can be found.
The patient's condition first improved and then worsened again, and the patient had been treated with Western medicine before. Who the hell could notice this?
But Yunheng noticed it, and not only noticed it, but also considered the possible reasons.
Not only these young doctors, Liao Xiangjun also found it a bit unbelievable when looking at Yun Heng. Is this guy a monster?
When Liao Xiangjun thought of this problem, it was because of various circumstances. You know, Liao Xiangjun was facing the patient directly at the time, while Yun Heng was just listening to the simple narration at this time.
Although Jin Shijie explained it in great detail, there is still some difference between seeing the patient with one's own eyes and hearing from others.
Especially for patients with jaundice, details such as the extent of yellowing and where the yellowing occurs are very important.
Yun Heng did not see the patient, but he put together all the information that Jin Shijie said, not missing any point, and analyzed them all.
This is really quite awesome.
From this point of view alone, the gap between the young doctors at Tongji University and Yun Heng is incredibly large.
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