Jin Shijie smiled stiffly.
When a little girl told him that he had extraordinary knowledge, Jin Shijie didn't think it was a compliment.
He is a doctor at Tongji Hospital, and his professional title is attending physician. He is also considered a leader among the young doctors in the Department of Traditional Chinese Medicine of Tongji Hospital and has considerable experience.
That's not really a compliment.
Ignoring the girl, Jin Shijie continued, "The patient's hands are cold, which should be considered a jue syndrome in Traditional Chinese Medicine, but it doesn't meet the basic elements of jue."
In traditional Chinese medicine, there is a very clear explanation of "jue". One is limb jue, which is the so-called cold limbs. There is a detailed description in "Treatise on Febrile Diseases": "All jue is caused by the failure of yin and yang qi to connect smoothly, which is jue. Jue is the coldness of the hands and feet."
Another way to say "jue" is to faint, which means to be unconscious and unable to recognize people.
The symptoms of these two conditions are called Jue Zheng in traditional Chinese medicine.
Jin Shijie continued, "To be honest, this is the first time I've encountered a typical Raynaud's phenomenon like this. I'm a little confused as to where to start."
“Discard appearances and look at the essence.”
Yun Heng smiled and said, "At first glance, the patient's condition does not seem to fit the description of syncope, but upon closer inspection, it does fit the description."
Jin Shijie listened carefully and asked humbly, "Doctor Yun, what do you mean?"
"The Neijing states in its chapter on Jue that limb Jue can be classified into two categories: cold and heat. When Yang Qi declines in the lower body, it is called cold Jue; when Yin Qi declines in the lower body, it is called heat Jue."
Yun Heng gestured for the girl to put her arm up, felt her pulse, and said, "The patient should be suffering from cold syncope..."
As he spoke, Yun Heng carefully felt the girl's pulse. After listening for a while, he said to Jin Shijie, "The pulse is deep and thin, and the radial pulse is weak. This is a sign of cold shock. Doctor Jin should have checked her pulse, right?"
“Yes, I have.”
Yun Heng said, "A deep, thin, and weak pulse is a sign of Yang Qi deficiency and both Qi and blood deficiency. Doesn't that indicate cold syncope?"
"yes!"
Jin Shijie smiled bitterly, "I just ruled out the possibility of the patient's appetite rheumatic immune system disease. Considering that the patient should be suffering from primary Raynaud's phenomenon, I just felt that it didn't match the symptoms of syncope."
Listening to Jin Shijie's explanation, Yun Heng couldn't help but sigh in his heart.
Modern medicine, or more precisely, modern education, has had a tremendous impact on Chinese medicine practitioners.
Jin Shijie was born into a family of traditional Chinese medicine practitioners. He has been exposed to traditional Chinese medicine since he was a child, just like Yue Shaojiang. However, he later focused his main energy on taking exams in order to obtain a diploma. Even so, Jin Shijie has been influenced by modern medical thinking in some aspects.
For example, there is no such thing as Raynaud's phenomenon in traditional Chinese medicine.
Or maybe it could be said that Jin Shijie was being praised a little too highly.
At least in the past ten years, Jin Shijie has had much less clinical practice. As a doctoral student, he entered Tongji University. With such a level, he is naturally considered a leader among the younger generation of Tongji University. Perhaps Jin Shijie himself did not realize that he was actually out of date.
If a pig hangs out with a group of dragons all day, even if it knows it is a pig, it will work hard to narrow the gap between itself and the dragons. If a dragon stays in a pigpen all day, even if it knows it is a dragon, it will be complacent all day long because there is no competition and eventually become the worst dragon.
This is not to say that the level of doctors at Tongji is very poor, but the general environment is like this. As long as you are there, you will be affected to some extent.
This year, Yun Heng met Ren Xuedong, Yue Shaojiang, and Jin Shijie. As he came into contact with these people, Yun Heng felt somewhat fortunate that he did not become involved with the corrupt officials in the Department of Integrated Traditional Chinese and Western Medicine of Xihua Hospital, otherwise, his thoughts would have been assimilated.
Retracting his thoughts, Yun Heng continued to ask the girl: "Are you very afraid of the cold in winter?"
"Well, yes."
The girl nodded. "When winter comes, I feel like an ice cube. Even in summer, I don't dare to eat too much cold drinks."
Hearing this, Jin Shijie slowly said, "For those with cold hands and feet and weak pulses, Danggui Sini Decoction is the main treatment!"
Yun Heng raised his eyes to glance at Jin Shijie and reminded him, "The patient is afraid of the cold in winter and has been cold for a long time."
Jin Shijie was shocked: "If the person has long-term coldness in the body, it is appropriate to treat it with Danggui Si Ni Jia Wu Zhu Yu Jiang Tang..."
"Um!"
Yun Heng stood up and said, "Doctor Jin, please prescribe the medicine."
Jin Shijie nodded and glanced at Yun Heng.
Before, Jin Shijie felt that there was a gap between himself and Yun Heng, but the gap should not be big. But at this moment, Jin Shijie felt that the gap between himself and Yun Heng seemed to be quite big.
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