"Okay, please sit down."
Yun Heng smiled and asked the student who asked the question to sit down.
If this student's question had been asked by older professors like Han Kaiping and Xie Jiaping, they might not have been able to understand it. However, Yun Heng had just graduated two years ago and was able to understand what this student was asking.
Medical students who have studied Chinese medicine know that how traditional Chinese medicine treats diseases is by the bias of the medicine. Yun Heng explained this in detail at the Dongjiang Provincial Expo.
But medical students who have studied Chinese medicine all know this principle. Why is it that in actual clinical practice, so many students who graduated from Chinese medicine colleges gradually go astray?
You should know that what Chinese medicine relies on and how it treats diseases, this principle and reason are all taught in Chinese medicine schools and are included in the textbooks. This is the most basic thing.
Every Chinese medicine student who enters medical school will learn and understand it, but after graduation, when they enter the hospital, a large number of Chinese medicine students become what Yun Heng just said "doctors who use Chinese medicine" rather than Chinese medicine practitioners.
The reason for this is that Chinese medicine is difficult to diagnose and to dialectically analyze.
Traditional Chinese medicine has a history of thousands of years, with many famous doctors throughout the ages. Every dynasty and every generation has its own famous doctors, and there are also many medical cases handed down from ancient times to the present.
Over the years, we have been blindly copying the treatment methods of our predecessors. Many diseases can be treated. As long as we make a clear dialectical analysis and check medical books, we will most likely not make any big mistakes by following the methods used by our predecessors.
Many medical students who have studied Chinese medicine understand this.
But why are there still so many people who cannot find the way?
It is precisely because of the lack of dialectics that you don’t know what kind of disease it is. Is it a Taiyang disease or a Shaoyang disease, a Shaoyin disease or a Taiyin disease? Is it true or false, or a mixture of true and false?
If you don't understand this, you naturally can't use medicine.
Precisely because the threshold for Chinese medicine dialectics is high, some medical students find it difficult to get started in this area after graduation, so they begin to refer to Western medicine and start learning.
I don't know anything about Shaoyin disease, but I know what respiratory diseases and digestive system diseases are.
Over time, it has become a half-Chinese, half-Western path.
Yun Heng pondered for a moment, then turned around and wrote a few words on the blackboard: look, smell, ask, and feel.
"The student just asked a very profound question: How does Traditional Chinese Medicine treat illnesses? Before answering this question, we must first understand how to differentiate and identify symptoms. Only by understanding the underlying cause of the illness can we know how to treat it and what to rely on."
Yun Heng circled the word "望" (observation) and said, "Everyone knows the diagnostic methods of Traditional Chinese Medicine: observation, smell, questioning, and palpation, with observation being the most important."
"So what is visual diagnosis? To put it simply, it means observing people's words and expressions..."
Yun Heng paused and smiled, "When I first started learning Chinese medicine, I didn't understand diagnosis by observation. Back then, when I was just starting out, I was observing people, and I always felt like my classmates and teachers all looked pretty much the same. Even if someone looked listless, it might be because they didn't sleep well. So, how could I diagnose a condition based on these details?"
"They say red represents the heart, black represents the kidneys, and yellow represents the liver. But when you actually look at someone, it's quite difficult to distinguish them based on their skin color. One moment, the person's face looks a little yellow, then a little black..."
Many students nodded in agreement. Yun Heng's words really touched their hearts.
Some students actually understand this point, but sometimes, as they watch, it is easy to deviate due to psychological suggestion.
Some people say that if your face is yellow, it will appear yellow subconsciously. Some people say that your face is black, and you may not look black at first, but as you look at it, it seems to be getting darker.
“In fact, this is the wrong way.”
Yun Heng smiled and said, "Because from the beginning we've been focusing on the wrong thing. There are so many aspects to diagnose, such as observing someone's words and expressions, but we've always limited ourselves to just looking at their skin color or complexion, and the more we look, the worse it gets."
"If we change our thinking, we are not Chinese medicine practitioners, but psychologists. From the moment a patient appears, we observe every detail about him, how he walks, how he walks, his mental state, whether he has not slept well..."
"The most important point is that the four diagnostic methods of traditional Chinese medicine are not separate. If we don't understand something, we can ask. We shouldn't just look at the patient and ask where he feels uncomfortable or why he didn't sleep well."
As he spoke, Yun Heng drew a circle on Wen and Wen.
"While asking, check for any unusual odors. Also, pay attention to whether the patient is sweating... When a series of things are combined, and you have a certain judgment and idea in mind, you can see more details when you look again.
"For example, if you diagnose a patient with liver problems, you'll be able to notice the difference... You need to gradually transform yourself from an outsider to an insider, gradually simplifying complex things."
"It's like when we take exams in school. When the papers are handed out, we do the easy ones first and leave the difficult ones blank. Because when the first few difficult questions take up too much of our time, we start to get anxious, and towards the end, we find it difficult to do the easy questions."
"Actually, as a beginner, the most common mistake is to get too serious or get stuck in a rut. If something stumps you, you won't let go. You'll have to look at it and understand it thoroughly..."
As he spoke, Yun Heng drew another circle on the palpation mark.
"The four diagnostic methods of Traditional Chinese Medicine (TCM) – inspection, auscultation, inquiry, and palpation – are interdependent yet independent. Everyone has their own talents. Some people are good at observation and are more skilled in inspection. The other three diagnostic methods complement each other, and when all four are combined, they can be accurate. Some people have a good nose but poor observation skills. In such cases, we should not be obsessed with inspection alone, but focus on our strengths..."
"Some people are more sensitive and can clearly feel the changes in their pulse. They can easily get started with palpation, but not with qi reading. Everyone has their strengths and weaknesses. When you first start learning, you must learn to play to your strengths and avoid your weaknesses..."
The students below listened with great interest.
"Oh my god, that's me, that's me, I'm just too persistent."
"I feel the same way. I always feel that I can't distinguish them clearly. Chinese medicine is so difficult to learn. I feel that I am not cut out for it. I am about to give up."
"Yes, yes, but after hearing what Doctor Yun said, it doesn't seem that difficult to me."
The students' emotions were instantly ignited.
"Let's take a look."
Outside the window, Lei Yi turned around and said to Wang Zhiqiang, "Is this class worthwhile?"
"Not a loss, not a loss."
Wang Zhiqiang smiled and said, "With this kind of effect and this level of skill, it wouldn't be a loss to send another Zhou Jiajia."
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