"Doctor Yun, could you tell me about the prescription you just gave me?"
After Zhang Zechen and his two brothers left, He Yongfei went to Yun Heng to ask for advice.
He Yongfei had followed Yun Heng in Shuguang Hospital for almost fifty days and knew Yun Heng's temper. Being able to follow Yun Heng on duty was a good opportunity for him to learn.
"Have you examined the patient's condition?"
Yun Heng asked.
"I've just sorted it out."
He Yongfei nodded.
He Yongfei wrote down everything Yun Heng said in the ward and gave instructions when prescribing the medicine, and he had entered it into the electronic medical record. So he was naturally clear about the patient's condition.
"The patient has gallstones, right?"
Yun Heng knew that He Yongfei also understood Western medicine, so he tried his best to explain it to He Yongfei in a way that He Yongfei could understand.
"Um!"
He Yongfei nodded.
"Generally speaking, in clinical TCM, I don't recommend associating some disease names with modern medicine. However, sometimes some modern medical examination results are still valuable for reference and can help us make a diagnosis."
Yun Heng emphasized: "Remember, this is just a reference. The treatment thinking should still adhere to the traditional Chinese medicine thinking."
"Um!"
He Yongfei nodded and said, "Teacher Yun, I have read your paper several times."
"Um!"
Yun Heng nodded and patiently explained to He Yongfei, "Clinically, there are many factors that can trigger gallstones, including emotional distress. In Traditional Chinese Medicine, gallstones fall under the category of rib pain, and emotional distress is also a factor in rib pain. The patient's gallstones are an established fact. So, considering the patient's pulse and symptoms, and the modern medical name for gallstones, can we conclude that depression is causing the bile to boil over, leading to the stones?"
"yes!"
He Yongfei was stunned.
Damn it, is it still possible to refer to it like this?
Where do the two overlap?
He Yongfei couldn't understand what was wrong with Yun Heng's brain.
The disease of kidney stones has a long history and is not a new phenomenon.
In traditional Chinese medicine, there is no such thing as stones, nor are there terms like gallstones or kidney stones. The classification of diseases in traditional Chinese medicine is different from that in modern medicine, but the lack of such a term as stones does not mean that people in the past did not have stones.
On the contrary, people in the past had a higher probability of suffering from kidney stones.
There is no concept of stones in traditional Chinese medicine, but there is a disease called "stone stranguria". If urination is painful and difficult, and sand and stones are excreted in the urine, it is called stone stranguria, also known as sand stranguria or sand and stone stranguria. The cause of the disease is mostly due to heat accumulation in the lower part of the body and the decoction of water.
The Treatise on the Origin and Symptoms of Various Diseases states: "Stone stranguria is stranguria with stones. The kidney governs water, and when water condenses, it turns into stones. Therefore, the kidneys can be invaded by sand and stones. Kidney deficiency is overcome by heat, and heat causes stranguria. Symptoms include pain in the penis during urination, inability to urinate, pain radiating to the lower abdomen, urgency in the bladder, and the passage of sand and stones from the urinary tract. In severe cases, there may be pain and suffocation."
Stone stranguria is actually urinary tract stones.
If there are urinary stones, there are naturally gallstones, kidney stones, and other stones.
As for gallstones, traditional Chinese medicine classifies this disease as rib pain, rather than separating it out separately, so there is no such thing as gallstones in traditional Chinese medicine.
The cause of rib pain is mostly due to emotional distress, overeating of fatty and greasy foods, etc., which lead to liver qi disharmony.
The patient was diagnosed with gallstones and also had symptoms of liver qi stagnation. The stones are visible and can be said to be an established result. The stones have already formed, and there are also factors such as emotional distress. These factors confirm each other, and the depressed mood turns into fire and boils the bile, which further confirms the patient's condition.
At this point, the diagnosis can almost be confirmed.
Gallstones are the result, and depression that turns into fire and boils up bile is the cause. It is true that such a cause will lead to such a result, so the probability of mistakes is much smaller, almost non-existent.
Yun Heng continued to explain to He Yongfei: "The patient is in a bad mood, and the liver qi is stagnant. The liver and gallbladder attack the stomach, causing the qi to rise, which in turn causes bloating and pain. The liver qi is rising, which is not good for the gallbladder qi. The wood qi is weak and attacks the spleen and earth. Once the spleen and earth are weak, the qi is disordered, the qi rises, and the qi movement is abnormal. The metal qi is weak and cannot overcome the wood and water, and the liver and wood are not nourished..."
As he spoke, Yun Heng looked at He Yongfei: "So how should this situation be treated?"
"It should naturally soothe the liver and regulate qi, benefit the gallbladder and soothe the stomach, lower qi and calm the adverse reactions, and moisten the intestines and promote bowel movements."
Yun Heng has analyzed it so thoroughly. If He Yongfei still doesn't know what to do, then his time would be in vain.
This is equivalent to a difficult problem. The teacher has explained and analyzed the problem in detail, but has not told you the answer. If you can't do it, you are really stupid.
"good."
Yun Heng nodded and said with a smile, "Do you understand now?"
"Understood!"
He Yongfei nodded repeatedly. He really didn't expect that such a complicated disease could be analyzed so thoroughly by Yun Heng.
"Doctor Yun, what about the previous patient?"
While Yun Heng was fine, He Yongfei hurriedly consulted the previous patient.
The reason why He Yongfei and Wang Xuemeng came to Xihua City from Shanghai was precisely because Yun Heng never kept anything to himself when teaching, and he was very skilled in medical record analysis, allowing them to understand everything clearly.
There are many good horses, but there are few good horse trainers.
Similarly, geniuses are common, but good teachers are rare.
Good teachers are often hard to come by. When you are in school, if you meet a good teacher, it can really affect your life, and a bad teacher can also affect your life.
......
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