"Come, let me take your pulse."
After asking, Ren Xuedong asked the patient to put his arm up, placed his fingers on the patient's wrist, and began to take the patient's pulse.
Ren Xuedong didn't say a word while taking the patient's pulse, and even his eyes narrowed slightly.
"I've said before that during clinical diagnosis, if you're not confident in yourself, or to avoid mistakes and interference, don't rush the diagnosis and take it step by step."
In the demonstration classroom, Ji Fengwen slowly said, "Ren Xuedong did a great job on this."
"I know that Ren Xuedong's palpation skills are actually quite good, but this habit of his is very good. Many times, the good habits we develop during clinical practice are very useful and can help avoid many mistakes at critical moments."
"Last year, when Yun Heng and the others were studying in Tangdu, I told them that since ancient times, great doctors rarely boasted about their medical skills. Treating and saving lives is a very rigorous matter and cannot tolerate any carelessness. Each of us has limited talents and different learning abilities, so when treating patients, we must never compare ourselves with others."
"You can compare when studying. If you lack talent, you can make up for it with diligence and hard work. But when diagnosing a patient, don't compare yourself with others. If you think that someone looks more handsome and you look a little short..."
When Ji Fengwen said this, some people couldn't help laughing. It was really down-to-earth for Ji Fengwen to say such words at his age.
After taking the patient's pulse, Ren Xuedong checked the patient's tongue coating, which was pale and thin...
In the demonstration classroom, everyone was looking at Ren Xuedong.
As Ji Fengwen said, frequent bowel movements are indeed a relatively rare symptom in clinical practice, and the patient has been suffering from this condition for more than two years.
The patient had bowel movements more than ten times a day for two years. In this situation, he must have visited the hospital many times and seen many doctors.
Ren Xuedong had just asked about this. The patient had tried many treatments, but basically none of them worked. He came here after seeing the free clinic and knowing about the West Asia Hospital.
Basically, after the free medical consultation activity, many patients from other places came to the West Asia Hospital. Every patient came for Yun Heng, but Yun Heng’s appointments were few. Not to mention few, even if it was not a few, Yun Heng could only see about fifty patients every day. As long as Yun Heng was in attendance, everyone wanted to make an appointment with Yun Heng, but not everyone could get one.
The disease has been difficult to treat for two years, with no cure after seeking medical treatment everywhere.
Just now, when Ren Xuedong was doing the examination, in the demonstration room, some students who thought they were good at it were also thinking based on the pulse and symptoms, but basically they had no idea at this moment.
In the clinic, Ren Xuedong frowned slightly.
The rarity of the disease means that it is almost impossible to find reference medical records in clinical practice. If similar reference medical records cannot be found, it will be more difficult to solve the problem.
"Judging from the pulse and symptoms, it should be insufficient middle qi."
Ren Xuedong pondered for a moment and said, "In the Lingshu Kouwen, it says, 'If the middle qi is insufficient, the urine and stool will change.'"
Then Ren Xuedong asked the patient: "What do you usually do for a living?"
"I used to work in a factory and had to work overtime every day. After I got sick, I stopped working, but I still have to do some housework," the patient replied.
In the demonstration classroom, Ji Fengwen nodded again.
Although the symptoms are rare, they all have the same basic principles. As long as we analyze them based on the pulse and symptoms and do not let them get disturbed by external factors, basically most of the symptoms can be clearly diagnosed.
In actual clinical practice, there are often errors in dialectics or no clue at all, either because the diagnosis is not careful enough, or because of external factors, or because of insufficient storage.
Traditional Chinese Medicine is a medicine that relies heavily on accumulation.
Just like when Tang Hua, Yun Heng and others were training last year, Ren Xuedong said what Yun Heng said, that a doctor treats a disease like an honest official judges a case.
This definitely requires carefulness and meticulousness, but there is another point: you must have sufficient knowledge and understanding of the law, and you must understand all aspects when collecting evidence.
Solving the case is the responsibility of the entire government office, and various departments can collaborate, including specialized forensic doctors and police officers, who perform autopsies and collect evidence.
But when it comes to specific diseases, Chinese medicine is often just one person.
If you don’t have enough accumulation and information, it will be very difficult to analyze.
The most important thing about Ren Xuedong is his diligence. After following Yun Heng, he has become knowledgeable and experienced.
Of course, except for Ren Xuedong, Yun Heng originally studied in the four-bedroom apartment every day, so the others were too lazy to go anywhere else. This was also a very important factor.
In the clinic.
Ren Xuedong turned around and started typing on the computer.
"Frequent overwork damages the spleen and stomach, which is due to spleen and kidney weakness and insufficient vital energy..."
"When the middle qi is insufficient and the illness lasts for a long time, the spleen qi will not rise but fall instead, and will be combined with the stomach qi, so it will sink..."
“This leads to frequent bowel movements…”
In the teaching room, Ji Fengwen slapped the table happily. "Did you see that? Although the symptoms are rare, the pathology is not difficult. As long as we find the right cause and analyze the pulse and symptoms, it is not difficult to diagnose. Li Dongyuan said, 'When the spleen and stomach are in disorder, the lung qi will be exhausted first.' The lungs hold the air in the chest and nourish the spleen. Once the spleen and earth are weak, the lung metal will also be weak. If the earth does not produce metal, the metal qi will be weak. If the metal is weak, it cannot control the wood. The wood qi will prevail over the liver qi. If the liver qi prevails, the earth qi will be weak. If the earth qi is weak, it cannot control the water. If someone does not produce wood, the wood qi will prevail even more. If the wood prevails, the spleen and earth will be restrained and need more. This is also the reason why patients have been ill for a long time..."
In the clinic, Ren Xuedong typed the patient's medical records on the computer, then pondered for a moment, and what he said was exactly the same as what Ji Fengwen said.
"So we should nourish the middle and replenish qi, raise the clear and lower the turbid, and use Buzhong Yiqi Decoction with modifications..."
As he spoke, Ren Xuedong began to write the prescription again. After finishing it, he printed it out and stamped and signed it.
In the classroom, Ji Fengwen continued, "Buzhong Yiqi Decoction, ginseng, tangerine peel, and astragalus root nourish the spleen and stomach qi, combined with cimicifuga and bupleurum to raise the clear yang, and angelica and white peony root to nourish the liver..."
Everyone was listening attentively.
As Ji Fengwen said, although this disease is rare, if you really analyze it, it is caused by fatigue of the spleen and stomach, and insufficient qi in the middle...
But just now, many people first considered looking for references, and then they were at a loss for a long time. On the contrary, Ren Xuedong was calm and analyzed carefully, and finally got to the bottom of the problem.
"It's been less than two years."
Liu Donghai whispered to Liu Feiyu beside him.
"Um."
Liu Feiyu nodded. "No wonder Boss Xu is always showing off in front of us. Ren Xuedong has become so capable in just two years. Even if Boss Xu is a little behind, he is still far ahead of our boss."
"Aren't we catching up?"
Liu Donghai smiled and said that he had no intention of going back this time. West Asia Hospital was short of staff and they were Yun Heng's classmates, so the probability of them staying was very high.
Continue read on readnovelmtl.com