"Who can tell us about diarrhea?"
This time, without waiting for Yun Heng to speak, Han Kaiping smiled and asked, "Sitting here, I really don't feel like I'm participating at all."
When it comes to analyzing the symptoms, Han Kaiping actually understands it, after all, he is a professor. But with Yun Heng sitting next to him and Wu Jiaming's words, Han Kaiping, Xie Jiaping, Wu Yalan and others all feel pressured.
When facing students, Han Kaiping and others can naturally talk freely. Even if they make mistakes, few people can hear their mistakes. However, with two famous clinical doctors, Yun Heng and Wu Jiaming, around, Han Kaiping and others have to be cautious.
Given their status, it doesn't matter if they say the right thing, but if they say the wrong thing, it would be a bit embarrassing, so to be cautious, it is better to speak less.
I just told you that we were doing clinical teaching together, but I kept silent, and then I really became a decoration. It doesn't feel good.
Han Kaiping and Xie Jiaping didn't know how many times they had cursed Wu Jiaming in their hearts.
Therefore, Han Kaiping could only try his best to make his presence felt in the areas he was good at and asked the students to participate. Interaction was the best way. Yun Heng was also asking questions at this moment.
Zhang Xueyan stood up quickly. "Diarrhea is a common gastrointestinal disease. It can occur all year round, but it's more common in summer and autumn..."
"Clinically, diarrhea is characterized by increased frequency of bowel movements..."
In the past two days, Yun Heng has been in contact with these students. Among them, Zhang Xueyan, Zhang Mingfei and Chen Xinghao mentioned earlier performed the best, but everyone has their own strengths.
Zhang Xueyan is very good at basic things. She has a good memory and likes reading.
Zhang Mingfei has a quick mind and is good at drawing inferences from one instance, while Chen Xinghao is more observant and has a slightly better understanding of prescriptions.
"Regarding diarrhea, there are relatively clear and detailed descriptions in the Neijing, the Difficult Classic, and the Treatise on Febrile Diseases..."
"Well, that's a good point."
Han Kaiping nodded and added, "In academic thought, the theory of diarrhea emphasizes the importance of stomach qi as the foundation of human beings, emphasizing the adjustment of the ascending and descending functions of the internal organs, and at the same time grasping the mutual restraint and interdependence of yin and yang and the five elements..."
"Professor Han said it very well."
Yun Heng smiled and nodded, then looked at Han Kaiping and motioned Han Kaiping to continue.
Han Kaiping: “…”
He had already finished speaking, and Yun Heng didn't continue, which made it difficult for Han Kaiping to continue.
"Any other symptoms besides bowel movements?"
Guan Yalan resolved Han Kaiping's embarrassment in time and asked the patient.
"And a stomachache."
The patient pointed to the location as he spoke.
"Pain in the left side of the abdomen."
Yun Heng wrote it down on the note paper in front of him.
"Also, I like to dream, and I always feel that my reactions are a bit slow."
The patient continued.
“Frequent dreams, fatigue, poor appetite…”
Yun Heng continued to write down the patient's symptoms and then took the patient's pulse.
"Weak pulse..."
After taking the pulse, Yun Heng checked the tongue coating: "The tongue is purple and greasy..."
After checking, Yun Heng did not ask the students any more questions this time. The condition of this patient was relatively complicated and not something these third-year students could understand. He asked some simple questions and did not need to ask too difficult ones. Yun Heng himself was a student and had graduated only two years ago, so he knew the students' mentality very well.
Appropriate encouragement and some simple breakthroughs can motivate students. However, something too difficult will scare students away.
Just like a normal exam, the questions are simpler, the scores are generally higher, and the overall enthusiasm of students is also higher.
The purpose of exams before college is to screen students, and questions that are too simple are not necessarily a good thing. However, after college, students still focus on learning.
Medical schools, in particular, need to motivate students and make them feel that the barriers to entry are low...
Yun Heng personally thinks so.
While observing the patient's symptoms, Yun Heng pondered for a moment and asked, "Have you had blood in your stool before, or is this a new occurrence?"
"It happened before, last year, and it was quite serious."
The patient said hurriedly.
Yun Heng nodded, then said, "From the pulse and symptoms just now, we can actually tell that the patient's condition is one of spleen and stomach deficiency and cold, and prolonged diarrhea... As I said earlier, the medical history is something that must be asked. If, during clinical diagnosis, we notice any discrepancies between the pulse and symptoms, or feel that the conditions are insufficient, we must try our best to consider whether there are any omissions."
Wu Jiaming nodded repeatedly.
What Yun Heng said is very important.
In particular, Yun Heng just asked about the patient's bloody stool. This symptom is also an important reference for doctors when prescribing medication.
"Have you been feeling weak and having frequent dreams for quite some time?"
Yun Heng asked the patient again.
"Yes." The patient nodded.
This made some students' eyes light up.
Scenes like this, where the patient doesn't say anything but the doctor accurately describes the patient's condition, have always been popular in some Chinese medicine TV dramas and are also the favorite of Chinese medicine students.
But how to achieve this effect is not something these medical students can grasp, but now, they seem to understand something.
"Combining the patient's medical history and pulse, we can now diagnose that the patient has long suffered from spleen dysfunction, severe damp heat in the intestines, and qi stagnation, which has led to abdominal pain, and diarrhea..."
Yun Heng smiled and said, "When dealing with diarrhea, we must first understand the general direction of the disease. Just like Professor Han said just now, this disease is mostly based on stomach qi, emphasizing the overall function of the internal organs, raising the clear and lowering the turbid. It is a common spleen and stomach disease..."
"The patient's illness has been going on for quite some time, and there are signs of liver qi invading the spleen. Therefore, when treating him, we must start by regulating qi and strengthening the spleen, using methods such as clearing the intestines and removing dampness..."
"In clinical practice, for symptoms of spleen and stomach deficiency and cold, and persistent diarrhea, Lizhong Decoction is often used to strengthen the spleen and replenish qi, warm the middle and dispel cold. If the liver is strong and the spleen is weak, and there is abdominal pain due to qi stagnation, it can be combined with Tongxie Yaofang to suppress the liver and strengthen the spleen..."
"So, in terms of prescription, we can consider Lizhong Decoction and Tongxie Yaofang, using Codonopsis pilosula, Atractylodes macrocephala, roasted licorice root, Poria cocos, stir-fried Saposhnikovia divaricata, etc. to form a comprehensive combination."
"Dangshen, Baizhu and Gancao work together to strengthen the spleen, while Poria cocos is used to harmonize the middle and eliminate dampness..."
As Yun Heng spoke, he wrote down the prescription: "Chinese medicine prescriptions emphasize the principle of monarch, minister, assistant and guiding. Specific symptoms are based on the main symptom, with other symptoms as supplementary. The properties of various herbs are matched... No matter how complex the prescription is, there is a basis to follow."
The students present at the scene had their eyes lit up as they listened. Many of them even shouted in their hearts, "Doctor Yun, please talk more, talk more." They were reluctant to leave and wanted to stay and listen forever.
Continue read on readnovelmtl.com
