"I used to be very busy at work and I always got off work late, often working overtime until late at night."
The patient replied.
"He's timid, no doubt!"
A young doctor from the inspection team nearby made a conclusion.
"Working overtime, I'm exhausted, my body is weak, my vital energy is insufficient, and I get off work late at night, which makes me feel the effects of external pathogens..."
Timidity and timidity are terms in traditional Chinese medicine, generally referring to a symptom of emptiness in the heart and susceptibility to fear, which is mostly caused by insufficient blood in the heart and weak heart qi.
If the heart blood is insufficient, the heart qi is weak, and the vital energy is insufficient, it is easy to be affected by external evil, which will invade the mind.
Some concepts of traditional Chinese medicine are also progressing with the continuous progress of the times.
In the past, people often said that weak qi and blood, and insufficient heart blood, would easily lead to being possessed by evil spirits, resulting in nightmares. Now, the principle is the same, but the wording has changed.
If the heart qi and blood are insufficient, it is easy to become confused. After being affected by external evil, it is easy to have hallucinations and symptoms such as panic and heart palpitations.
Judging from the patient's account, before the onset of various symptoms, the patient was physically tired and often got off work at midnight. He must have been physically tired and weak, which made sense as a result of the series of symptoms he developed.
At this moment, many people were certain that the patient must be timid and cowardly.
Yue Shaojiang was also a little skeptical.
However, after following Yun Heng for so long, everyone at Xiya Hospital has developed an advantage, which is that they cannot easily draw conclusions when faced with any illness.
At Tanghua Hospital, Yue Shaojiang had suffered from preconceived notions and was even used as a negative example by Ji Fengwen. How could Yue Shaojiang not take this as a warning?
After feeling the patient's pulse, Yue Shaojiang released the patient's wrist and said to him, "Open your mouth so I can see your tongue coating!"
"ah......"
The man opened his mouth.
"Greasy yellow fur!"
Yue Shaojiang frowned and asked, "Do you smoke or drink?"
"Smoke and drink too!"
The man nodded.
"Are you a heavy smoker?"
Yue Shaojiang asked again.
"Yeah, it's pretty bad. I smoke about two packs of cigarettes a day and I drink a lot."
The man nodded.
At this moment, those who were still discussing what was happening around them were now silent.
"Accumulated dampness turns into phlegm, and phlegm blocks the heart's qi. You have phlegm-heat disturbing your heart."
Yue Shaojiang came to a conclusion.
Many young doctors nearby felt a little embarrassed.
Some people had already determined in their hearts that the patient was timid, so they spoke loudly when communicating later, and Yue Shaojiang, Hong Shuangmin and others could hear it.
At this moment, Yue Shaojiang diagnosed it as phlegm-heat disturbing the heart, which made some people feel embarrassed.
When Yue Shaojiang asked the patient whether he smoked and drank, and whether smoking and drinking were serious, some people had actually thought of it. After all, there were no mediocre people in the clinic at that moment. Not to mention the few experts, the young doctors who came with them were also very good.
This is also because Yun Heng is not here at the moment. If Yun Heng were here, he would have just sent out a probe and found that the level of Traditional Chinese Medicine internal medicine of this group of young doctors is basically level four or five, and there are one or two at level six.
So when Yue Shaojiang confirmed and questioned again, some people understood that the patient might not be suffering from a weak heart and gallbladder, but from phlegm and heat disturbing the heart.
Although both are heart palpitations, the treatments for heart and gallbladder deficiency and phlegm-heat disturbing the heart are completely different. One is a deficiency syndrome and the other is an excess syndrome. There is an essential difference between them.
If the patient is timid and weak in heart and gallbladder, then we need to use methods to calm the mind and soothe the nerves. In this way, the patient's symptoms will inevitably worsen. But if the patient has phlegm and heat disturbing the heart, then we need to use methods to clear away heat and resolve phlegm, soothe the liver and stomach, and promote blood circulation and soothe the nerves.
"As expected of Master Yue's grandson, he is extremely meticulous in dialectics."
Zhu Senqiang praised generously.
As for this disease itself, it is indeed easy to be misdiagnosed and mistreated. If this disease is a question, then this question is an easy-to-get-wrong question. If you are a little careless, or are misled by the patient's symptoms and descriptions, it is easy to make mistakes and thus misdiagnose.
It is really surprising that Yue Shaojiang was able to continue to verify the diagnosis after the patient said so much, carefully confirm the diagnosis, and finally confirm the diagnosis through four combined examinations.
Generally speaking, those who have this mentality and thinking are often experienced old doctors. Young people are most likely to make some preconceived mistakes.
“It’s truly amazing!”
Lin Xuehai nodded.
You have to accept it.
Although what Ma Tiequan and Liang Wanming said to his face did seem to boost others' morale and undermine their own prestige, Yue Shaojiang's level was indeed impressive, and they could not go against their conscience.
Exchanges and learning, inspections and research, competition and comparison are all fine, as are exchanges and comparisons. There is nothing wrong with trying to compete and gain face, but if you go against your conscience, then what is the point of this inspection and research?
The experts in this inspection team are still very upright.
Everyone has little flaws, just like Ma Tiequan, who likes to criticize others, is very concerned about his reputation, likes to brag, and can criticize others so badly that they can't stand it. But can you say that Director Ma is not a good doctor?
"Xiao Yue has made great progress in recent times."
Ma Tiequan said with a smile.
"Here, I have indeed learned a lot from Yun Heng."
Yue Shaojiang said modestly that Ma Tiequan was his former leader after all.
"Yun Heng?"
Everyone on the inspection team was stunned.
Many people were shocked.
Yun Heng?
Oh my god.
Until now, they seem to have not met the real owner yet?
Before, whether in Xihua Hospital or Provincial Hospital of Traditional Chinese Medicine, the name these people heard most was Yun Heng, and this time they came to Xihua Hospital, it was indeed because of Yun Heng.
Everyone is curious about this one being praised and that one being praised.
But after coming to West Asia Hospital, first came Tian Zengming, then Xu Bo, Ren Xuedong, and Yue Shaojiang.
The young doctors here are all better than each other, so much so that they actually forgot about Yun Heng.
There is no doubt that Yun Heng's level must be the highest among the young doctors in the Department of Traditional Chinese Medicine of Xiya Hospital, but at this moment, Yue Shaojiang's level can already beat many of these young talents.
Judging from Yue Shaojiang's performance, his level can at least be ranked among the top three among these young doctors.
However, they haven't seen the most powerful one yet.
The most powerful person didn't show up, so they were already 80% defeated. What would the scene be like if the most powerful person showed up?
Judging from Yue Shaojiang's tone, he obviously admires Yun Heng very much.
I have learned a lot from Yun Heng, so the gap should be quite big, right?
"Ha ha!"
Ma Tiequan smiled and said, "Study hard and don't bring shame to our Xihua Hospital."
Ma Tiequan smiled and said to Qian Zhongzhong, "Director Qian, Xiao Yue was previously at our Xihua Hospital and only came here in June this year."
Hong Shuangmin glanced at Ma Tiequan and thought to himself that Ma Tiequan dared to pretend to be anything.
Yue Shaojiang did come to West Asia Hospital in June, but he only arrived at Xihua Hospital in April, and he studied at Tanghua for a month in May.
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