Inside ward 302.
Li Huai'an, along with several doctors from the Department of Traditional Chinese Medicine, quickly examined the patient's condition.
However, after this examination, they all frowned, unsure of how to treat the patient.
"The patient's pulse was not abnormal, consistent with our previous diagnosis. How could he suddenly develop an irregular heartbeat?"
"We've already done the routine tests, and no other causes have been found."
"This patient has been hospitalized here for some time. He was initially diagnosed with coronary artery disease, specifically arteriosclerosis and stenosis of the arteries, leading to obstructed blood flow... However, he has already undergone cardiovascular dilation surgery, and his recovery has been excellent..."
"The patient's pulse is deep and forceful, indicating a deep-seated illness, but the cause cannot be found, making it very difficult to diagnose!"
Several doctors from the Traditional Chinese Medicine department were discussing the patient's condition in hushed tones, each one extremely anxious.
Su Zhengnan stood aside without saying a word, walked straight up, grabbed the patient's wrist, and carefully took his pulse.
Then, Su Zhengnan pried open the patient's mouth to look at the tongue coating, and could vaguely see that the base of the tongue was dark purple.
This is clearly a manifestation of pathogenic factors having penetrated deeply into the body and manifesting in the meridians.
Li Huai'an, who was standing to the side, pondered for a moment, then suddenly thought of something and said, "Do you think it might be a problem with the patient's nervous system?"
As he spoke, he quickly flipped through the patient's medical record to check the previous examination reports.
But after looking at it for a long time, I still couldn't figure it out.
"Director Li, even if there's a problem with the nervous system, it wouldn't cause an abnormal pulse!"
One of the doctors couldn't help but raise an eyebrow.
Li Huai'an shook his head and explained, "I once encountered a similar case where the patient suddenly developed arrhythmia under seemingly normal circumstances. It was later discovered that there was abnormal discharge of neurons in the brain. Perhaps we can perform an electroencephalogram (EEG) on the patient."
Clearly, this is the result of someone who has been the head of the Traditional Chinese Medicine department at a large hospital for a long time.
Li Huai'an now sometimes relies on medical equipment to examine patients, forgetting the fundamental principles of traditional Chinese medicine diagnosis.
There's nothing we can do about it.
After all, as the head of a department, Li Huai'an has too many things to do every day, and he simply cannot concentrate on just examining patients.
If this situation continues for a long time, Li Huai'an's medical skills will naturally decline, and he will become more reliant on modern medical equipment.
That's why it's said that authentic traditional Chinese medicine practitioners can't survive in large hospitals!
This is related to the hospital's system and medication use.
Large hospitals have strict regulations regarding procedures and medication. Many skilled traditional Chinese medicine doctors face restrictions when working in these hospitals, even if their prescriptions are clearly effective.
As a result, the pharmacy replaced the medication due to medication regulations, rendering the prescription ineffective.
That is precisely why.
Many traditional Chinese medicine doctors simply cannot stay in hospitals.
This is why when you go to a large hospital to see a traditional Chinese medicine doctor, many of them use Western medical treatments instead of pure traditional Chinese medicine.
Upon hearing Li Huai'an say this...
Su Zhengnan frowned slightly and quickly spoke up to stop him:
“Senior brother, there’s no need. I don’t think this patient needs any EEG test at all. Even if you take him for an EEG, you won’t find any results because the cause of the patient’s illness is not in the nervous system.”
"Um?"
Li Huai'an was taken aback for a moment, then looked at him with surprise and asked:
"What, junior brother, do you have some brilliant ideas?"
Su Zhengnan said with a solemn expression, "In my opinion, the patient's illness is caused by poor blood circulation. Poor blood circulation leads to malnourishment of the mind and spirit. In addition, the patient is still in the postoperative recovery period, so naturally the pulse is somewhat abnormal."
"The patient's pulse is deep and weak at both cun positions, and strong and tight at the guan and chi positions. This condition cannot be diagnosed using conventional dialectical thinking. Instead, it is because the pathogenic factors have penetrated deep into the meridians and the heart and lungs, leading to poor circulation of qi and blood throughout the body."
"The lungs govern all the blood vessels, and the heart is the sovereign organ. Therefore, the treatment should begin with acupuncture to unblock the meridians and blood flow, followed by taking Bazhen Decoction to alleviate the symptoms."
Upon hearing Su Zhengnan say this...
Li Huai'an was taken aback for a moment, and asked with some surprise, "Junior brother, are you sure? Are you confident in this treatment plan?"
Su Zhengnan nodded and said, "Yes!"
Seeing Su Zhengnan's serious expression, Li Huai'an knew that his junior brother was truly confident.
Immediately, Li Huai'an chuckled and nodded, saying, "Alright, since you're confident, then proceed with your treatment plan!"
As he spoke, Li Huai'an reached out and gently patted Su Zhengnan's shoulder, then said:
"Don't worry about the treatment, I'll take responsibility even if something goes wrong."
Su Zhengnan curled his lip and said, "Senior brother, you really don't trust my judgment? Don't worry, nothing will happen!"
After saying that, Su Zhengnan took out the silver needles in his hand and began to sterilize them.
Li Huai'an glanced at it, then turned to the several TCM doctors standing nearby and said, "You guys take a good look and learn a bit, so that you won't be at a loss for how to diagnose and treat every time you encounter a complex pulse."
The doctors from the Traditional Chinese Medicine department looked at each other, all feeling angry but daring not to speak out.
Even you, as the director, didn't notice that?
Are you just standing here talking about us?
But who can blame him when Li Huai'an is the director!
Therefore, the attending physicians of the Traditional Chinese Medicine department dared not speak at all, and could only nod in agreement, while keeping a close eye on Su Zhengnan as he inserted the needles.
Swoosh! Swoosh! Swoosh!
Su Zhengnan inserted the needles very quickly and was extremely accurate in selecting acupoints, moving the needles with lightning speed.
The doctors of traditional Chinese medicine standing nearby were all taken aback, not quite understanding Su Zhengnan's choice of acupoints.
Su Zhengnan didn't offer much explanation.
After inserting the needles into the patient, he did not remove them immediately. Instead, he circled the needles around several times before finally removing them.
Then, Su Zhengnan turned to Li Huai'an and said:
"Prescribe a prescription for Bazhen Tang and have someone fill it up. Don't use too much, since the patient is still in the postoperative recovery period."
"Okay, I got it."
Li Huai'an responded and then quickly arranged for someone to get the medicine according to the prescription.
Fortunately, this is the First People's Hospital of Beijing.
The pharmacies here are faster than regular hospitals, both in terms of dispensing and decocting medicine.
More than twenty minutes later.
The medicine is ready.
A nurse carried a bottle of decocted medicine into the ward.
Su Zhengnan quickly instructed her to feed the patient the drink, and then closely monitored the patient's condition.
The people around them waited anxiously.
Time passed second by second.
I don't know how much time has passed.
Finally, the patient's breathing gradually stabilized, and his complexion began to regain its rosy hue.
Beep beep beep.....
Listen to the heart rate gradually stabilizing on the heart rate monitor.
A huge weight was lifted from Li Huai'an's heart. He patted Su Zhengnan on the shoulder and laughed, "Junior brother, your medical skills really do surpass mine. It seems I'm not a qualified senior brother at all!"
"Senior brother, you're joking. It was just a coincidence."
Su Zhengnan smiled modestly.
Li Huai'an waved his hand and said, "Alright, stop being so modest in front of me."
At this point, Li Huai'an paused for a moment, then turned to the several traditional Chinese medicine doctors standing beside him and said:
"Record the treatment plan we just discussed and write it clearly in the patient's medical record. Also, you guys should review the knowledge of traditional Chinese medicine theory when you get back, and don't always rely on instrument examinations."
"Our traditional Chinese medicine ultimately emphasizes observation, listening, questioning, and palpation. If we abandon these, what kind of traditional Chinese medicine is it?"
His gaze swept over everyone, making it impossible for anyone to look away.
The doctors from the Traditional Chinese Medicine department looked at each other, unsure how to respond.
I don't know who said they wanted to do an EEG for the patient.
After a moment of silence.
Finally, one doctor cautiously spoke up: "Director Li, you're right. We should indeed pay more attention to the application of traditional Chinese medicine techniques..."
"Ah, yes, yes, Director Li, you're right!"
Others echoed this sentiment, expressing their commitment to improving their TCM expertise.
Li Huai'an looked at everyone, seemingly forgetting his flustered appearance just now, and nodded with satisfaction, saying:
"In the future, when you encounter difficult or complicated illnesses, don't panic. Think more and use dialectical methods. Never act like you did today, understand?"
"Ah, yes, yes, we understand."
Several doctors from the Traditional Chinese Medicine department nodded in unison.
Su Zhengnan stood aside, pursed his lips, and didn't say anything. He seriously suspected that his fifth senior brother was showing off.
Moreover, he used his success to show off.
Li Huai'an smiled and glanced at Su Zhengnan. After confirming that the patient's condition had completely stabilized, he tugged at him and said:
"Let's go, let's continue our rounds. There are a few more patients with complex and rare diseases ahead of us. I'll take you to see them."
"Okay!"
Su Zhengnan came to his senses, nodded, and followed his fifth senior brother, Li Huai'an, out of the ward.
They walked through the long corridor and came to the wards at the back.
With a creak!
Li Huai'an pushed open the door to the ward, and a faint smell of medicine wafted into his nostrils.
"The conditions of the next few patients are more complicated."
Li Huai'an said softly, a hint of worry in his eyes.
He led Su Zhengnan into the room and introduced the condition of each patient one by one.
These patients all had different symptoms, but each was extremely unique.
Some suffer from chronic illness and are physically weak; others have unpredictable illnesses that leave them helpless.
Even when diagnosed by traditional Chinese medicine practitioners, these cases are considered unsolvable mysteries, extremely difficult to treat, and the direction of treatment is elusive, let alone finding a cure.
Su Zhengnan carefully took the pulse of each patient and meticulously reviewed their medical records.
He frowned and fell into deep thought.
These conditions are indeed complex and difficult to treat, requiring more time and effort to study.
Li Huai'an noticed Su Zhengnan's expression, smiled at him, and gently patted his shoulder, saying:
“Junior brother, don’t be too anxious. These patients have been in our hospital for quite some time now. There’s no need to rush to find a suitable treatment plan. We can take it slowly and discuss it together.”
Su Zhengnan nodded to indicate that he understood.
Afterwards, Li Huai'an led him out of the ward and back to his office, where the two discussed the patients' medical records.
After all, they were from the same school.
Although Li Huai'an's medical skills are now far inferior to Su Zheng'an's.
However, when the two discussed the patient's condition, they still shared many similar ideas.
This made Li Huai'an feel somewhat gratified.
Otherwise, he would always feel that his medical skills were inferior to those of his junior brother, and he would still feel a little unhappy about it.
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