"epilepsy!"
Looking at the patient's information on the big screen, a group of young doctors in the demonstration room looked a little solemn.
The patient is a female with epilepsy...
This patient was the first inpatient admitted to the West Asia Hospital after a bed was available. The patient was discharged and returned home after 20 days of hospitalization at the West Asia Hospital. After returning home, he came for regular follow-up visits, and his epileptic seizures have become less and less severe.
When Yun Heng admitted the patient, the frequency of his epileptic seizures was basically once or even twice a day. After discharge, the West Asia Hospital followed up with him by phone, and the patient also had regular follow-up visits. As of the last follow-up visit, the patient had not had an seizure for two months.
This disease was actually considered a rather difficult disease based on Yun Heng's level of expertise at the time. The reason why Yun Heng was able to treat this patient was because of his carefulness.
We have talked about two erroneous case histories before, so the third case is to prove the importance of combining the four examinations and the importance of Chinese medicine syndrome differentiation, so Yun Heng selected this case.
The patient was plump and didn't say much when he came in, but Yun Heng heard phlegm in his throat at that time.
The menstrual period is delayed, and it lasts for four or five days. The amount of blood is getting less and less, and the menstrual period is very painful.
The tongue is pale and fat, with a white and greasy coating.
When the description of the patient's symptoms appeared on the screen, everyone in the audience watched very carefully.
Epilepsy is a disease that is difficult to treat, whether with traditional Chinese medicine or Western medicine. If it is discovered early and the patient is young, the hope of cure is still quite high. The older the patient is, the lower the hope of cure.
Epilepsy also has many different types.
Any young doctor present would find this kind of disease quite difficult to deal with.
Judging from what was shown on the big screen, after the patient entered the room, the doctor looked, smelled, and palpated the patient's body, and then asked questions carefully.
From the urination and defecation conditions, we learned that the patient had chronic diarrhea for more than ten years. Ten years ago, after giving birth to a child, for some unknown reason, she developed bacillary dysentery and diarrhea. We then concluded that the epilepsy was caused by the patient's long-term diarrhea.
Then, combined with the pulse and symptoms, the diagnosis was spleen deficiency and excessive phlegm. The specific cause of the disease was that the patient's long-term diarrhea damaged the spleen, resulting in dysfunction of transportation and transformation. The spleen was depleted and the transportation and transformation were dysfunctional, resulting in an increasing amount of phlegm, which blocked the meridians and internally blocked the Chong and Ren meridians...
"Everyone, take a look at this medical record."
Yun Heng made a detailed analysis: "The patient is plump and has phlegm in her throat, which indicates spleen deficiency and excessive phlegm. In traditional Chinese medicine, slippery pulse is not only seen in pregnant women, but also in symptoms such as phlegm obstruction, food accumulation, and excess heat."
"Combining the pulse and symptoms, and then considering the patient's long-term history of diarrhea, we can further analyze..."
"Any illness, no matter how complex, relies on TCM's Eight Principles of Syndrome Differentiation. This analysis and identification of the disease's symptoms reveals the comprehensive manifestations of the disordered relationships between the body and the environment, the internal organs, the meridians, and the qi, blood, and body fluids, all under the influence of pathogenic factors and conditions. A clear diagnosis of a particular syndrome reveals the pathological conditions at various stages of the disease, including the cause, location, strength of the struggle between evil and righteousness, and the imbalance of yin and yang."
As Yun Heng spoke, he tore apart and crushed the entire medical record.
"First, when making a diagnosis, we must pay attention to the four diagnostic methods, gather sufficient information, and then use this information to infer the rationality of the symptoms. If it is reasonable, then our diagnosis is accurate. No matter what the symptom is, no matter how complex, as long as the diagnosis is clear, the cause is clear, and the symptoms are consistent, then we can decisively prescribe medication and treat the symptoms accordingly."
"Oh my god, how can such a complicated case sound so simple after all this analysis?"
While listening to Yun Heng's analysis, the young doctors below were also communicating quietly.
This medical record is a complicated one no matter how you look at it, but after Yun Heng broke it apart and analyzed it, everyone felt it was very simple.
"Did you notice that?"
Pang Zhibo whispered to Luo Yahui, "Except for the first case, the styles of the next two cases are very similar to the diagnosis style of the doctors at West Asia Hospital."
"Um."
Luo Yahui nodded. "Although the second case was a misdiagnosis, it's quite remarkable that someone could detect a variant of the condition from the previous treatment. This shows how meticulous they are. Their styles are indeed similar."
"Especially with epilepsy. In my opinion, there aren't many young doctors at West Asia Hospital who can handle it. There are only Yue Shaojiang, Yun Heng, and Jin Shijie. This case, no matter how you look at it, looks like one that Yun Heng treated personally."
Pang Zhibo analyzed.
"Um."
Luo Yahui nodded: "I have always suspected that the group of people from Xiya Hospital were all led by one person. I thought it was Elder Ji or Elder Qu, but now it seems that it should be Yun Heng."
"It must be Yun Heng."
Pang Zhibo said, "I've also studied the medical records of Elder Ji and Elder Qu. Their styles are different from Yun Heng's and the styles of West Asia Hospital. Judging from Yun Heng's lesson, the young doctors at West Asia Hospital should have learned from Yun Heng."
"Didn't we find out earlier that Yun Heng was the only one at Xiya Hospital at first, and the others arrived one after another? This is very telling."
Luo Yahui nodded.
"Doctor Luo, I plan to stay here for a while."
Pang Zhibo whispered to Luo Yahui, "I feel like I've gained a lot from Yun Heng's class. If I could stay here a little longer, I think I would definitely make great progress. The environment here is so pure."
"I had the same idea."
Luo Yahui glanced at Director Zhu and said softly, "I plan to mention this to Director Zhu when I get home today."
While Pang Zhibo and Luo Yahui were communicating, other people were also communicating.
"Oh my god, it would be great if the teachers in our hospital could organize a training class like this one."
"Our hospital does have training, but the level of the teachers is..."
Someone shook his head and said, "I'm a little reluctant to leave. It would be great if I could stay here and attend classes every now and then."
"In the Suwen (Suwen) Treatise on the Four Mistakes of the Mind, it is said that if one diagnoses an illness without asking about its origin, one will worry about whether it is caused by improper eating and drinking, excessive daily activities, or poisonous injuries. If one does not mention these issues first and then just examines the pulse at the Cun pulse, how can one diagnose the disease?"
Yun Heng concluded, "The four diagnostic methods of traditional Chinese medicine, including ginseng, are indispensable. They must be used flexibly during clinical practice and should not be bothered by the hassle."
"In the Difficult Classic, Chapter 61, it is said: 'The Classic says that to know by looking is called divine, to know by hearing is called sage, to know by asking is called skillful, and to know by feeling the pulse is called ingenious.'"
Yun Heng's voice rose considerably: "I hope that all of us can become a sacred and skillful Chinese medicine practitioner."
Yun Heng checked the time and said, "Everyone can take a break for half an hour. We will continue the discussion in half an hour."
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