signingbooks Chapter 1247 National Masters and Experts
Chapter 1247 National Masters and Experts
Chen Yang and his group squeezed to the outer perimeter and looked inside.
In the center of the room sat an elderly man in his sixties, with a sallow complexion and a persistent cough; he was clearly one of today's "test subjects."
Two middle-aged men, dressed casually and with very different demeanors, were taking turns taking his pulse.
"The one on the left wearing a gray short jacket is the resident doctor of 'Bai Cao Tang' in the south of the city. His surname is Hu. He comes from a family of internal medicine practitioners and is quite famous in this area."
Dr. Sun introduced in a low voice: "The one on the right wearing glasses and a shirt is the deputy director of the Department of Traditional Chinese Medicine at the Second Municipal Hospital. His surname is Zhao, and he is an expert from the academic school."
"These two have 'sparred' at medical conferences before, with each winning and losing. It seems they're evenly matched again today."
At this moment, Mr. Hu had finished taking the pulse and was writing a prescription while explaining it aloud.
"The patient has been coughing for over a month, with thin, clear white phlegm that worsens in the wind. He also experiences aversion to cold, cold limbs, pale tongue with a white, slippery coating, and a deep, tight pulse."
"This is due to wind-cold binding the lungs, causing phlegm retention. Minor Blue Dragon Decoction should be used to warm the lungs, resolve phlegm, dispel cold, and stop coughing!"
After saying that, he posted the written prescription on a display board next to him.
Many of the onlookers nodded, clearly agreeing with the diagnosis.
Director Zhao frowned slightly. He carefully examined the old man's complexion and tongue coating, and asked several questions in detail, including the timing of his cough, whether there was blood in his sputum, whether he was thirsty, and his bowel movements.
Then he said, "Mr. Hu's diagnosis is reasonable, but not comprehensive enough. Besides feeling cold and having white phlegm, does the elderly person also have fever in the afternoon or at night? Although the phlegm is white, is it sticky and difficult to expectorate? Is the mouth dry, but there is no desire to drink much?"
The old man thought for a moment and nodded: "It seems... I had a slight fever this afternoon, my phlegm is sticky and hard to cough up, my mouth is dry, but I don't want to drink water."
Director Zhao nodded: "That's right."
"This condition is not simply due to wind-cold and phlegm. Observing the sallow complexion, it is definitely not a recent infection; the phlegm is white and sticky, and the dry mouth without thirst indicates that the phlegm and dampness have been stagnant for a long time and have slightly transformed into heat; the low-grade fever in the afternoon is due to dampness suppressing heat. The pathogenesis should be 'cold-dampness stagnating in the lungs, with stagnant heat'."
“Using Xiao Qinglong Tang alone may cause excessive heat due to its warming and drying properties. I suggest using Ling Gan Wu Wei Jiang Xin Tang combined with Xiao Chai Hu Tang, with modifications, to warm and transform cold phlegm and also to relieve stagnant heat.”
Director Zhao also wrote down his prescription and posted it next to him.
The juxtaposition of two different diagnostic methods and prescriptions immediately sparked a heated discussion among the onlookers.
"Mr. Hu is right, it is indeed cold drink!"
"Director Zhao has considered things more thoroughly; there's heat rash!"
"Xiao Qinglong Decoction is potent and works quickly!"
"Linggan Wuwei Jiangxin Decoction is more reliable and won't go wrong!"
Chen Yang and the others watched quietly, observing the other "patients" and eager "doctors" in the room. This "grassroots medical meeting" was indeed quite interesting, even more "raw" and "direct" than the case discussion meetings in the hospital.
It's really rare to see a scene like this these days.
As they watched, Zeng Yunhui, Yu Shiyun, and the others were also thinking rapidly.
This case does indeed present a possibility of a mixture of cold and heat patterns. Both doctors' diagnoses are reasonable, but they emphasize different aspects.
Yu Shiyun said in a low voice, "I think Director Zhao has considered things more thoroughly and grasped the detail of 'heatiness'."
Zhuang Qiwen nodded: "But if the patient really has severe cold, Mr. Hu's use of Xiao Qinglong Decoction may be effective, but we need to closely observe whether it transforms into heat."
Just then, a commotion suddenly broke out in the crowd, and someone shouted, "Old Han is here! Old Han actually came today!"
Chen Yang looked in the direction of the sound and saw an old man with white hair and beard, dressed in a simple gray cloth and holding a bamboo cane, slowly walking into the square with the help of a young man.
The old man had a thin face, but his eyes were gentle and bright. Although his steps were slow, he had a calm and composed demeanor.
It was none other than Han Jimin, a leading figure in the field of traditional Chinese medicine in Jiangdong Province and a master of traditional Chinese medicine!
Upon seeing Han Jimin, Chen Yang understood somewhat. He guessed that the Caoze Medical Association's activities had been able to continue for so long largely because of Han Jimin.
Han Jimin's appearance instantly quieted the previously noisy square, which then erupted into even more enthusiastic discussions and greetings.
"Old Han!"
"Hello, Mr. Han!"
"What brings you here today, sir?"
Many people voluntarily made way for him, their eyes filled with respect.
Mr. Hu and Director Zhao, who were arguing fiercely in the room, also stopped their debate and quickly stood up to bow.
Han Jimin smiled and nodded to those around him, his voice not loud but clear: "I heard there are some interesting cases today, so this old man has come to join in the fun and hear everyone's opinions."
With the help of the young man, Han Jimin sat down on a rattan chair that had been specially brought over to the side of the room, his gaze calmly sweeping over the patients and the prescriptions written by the two doctors.
With Mr. Han in charge, the atmosphere became more solemn, but also more enthusiastic.
Everyone wanted to demonstrate their skills in front of the masters.
The debate between Mr. Hu and Director Zhao about the coughing old man was naturally left to Mr. Han for judgment.
Han Jimin did not immediately express his opinion, but gently beckoned to the coughing old man: "Brother, come closer, let me take another look at you."
The old man was somewhat flattered and quickly walked up to Old Han.
Han Jimin carefully examined his complexion and tongue coating, took his pulse personally, and asked a few seemingly ordinary but crucial questions: "When you cough, does your throat itch first, or does your chest feel tight first? When you cough up phlegm, do you feel any relief in your chest? Which side do you lie on when you sleep at night to make your cough less severe?"
The old man answered each question in turn: "First, your throat will itch; then your chest will feel relieved after you cough up the phlegm; and lying on your right side will make the coughing less severe."
After listening, Han Jimin nodded slightly, then looked at Hu and Zhao and said slowly, "Both of you have insightful diagnoses. Mr. Hu grasped the 'fear of cold and white phlegm' and diagnosed it as cold phlegm, which is correct; Director Zhao noticed the 'sticky phlegm, dry mouth and low-grade fever' and considered the stagnation of heat, which is also meticulous."
"but,"
Han Jimin then changed the subject: "This guy's problem probably has more to do with this."
Everyone immediately perked up their ears.
"An itchy throat indicates the disease is located in the upper or superficial part of the body; expectoration of phlegm relieves chest discomfort, indicating that phlegm is obstructing the flow of qi; relief when lying on the right side suggests the disease is on the left side or involves liver qi."
Han Jimin analyzed in detail: "Considering the wiry and slippery pulse, and the white and greasy tongue coating with a yellow root, does the elderly person also have symptoms of distension and discomfort in the hypochondrium, or emotional distress?"
The old man exclaimed in surprise, "Yes, yes, yes! I always feel a bloating in my left rib area. I've had a lot of troubles at home these past few months and I'm always getting angry."
Han Jimin nodded: "That's right."
"The cause of this disease is external wind-cold, but it is persistent. In addition to the underlying phlegm and dampness, the key reason is emotional distress and stagnation of liver qi. The liver qi rebels and attacks the lungs, and the lung qi fails to descend, which is the core of the persistent and difficult-to-cure cough."
"Therefore, this condition should be diagnosed as 'liver qi stagnation affecting the lungs, with cold dampness and stagnant heat.' Treatment should focus on soothing the liver and regulating qi, supplemented by clearing the lungs and resolving phlegm, warming and transforming cold phlegm, and clearing stagnant heat."
As he spoke, Han Jimin dictated a prescription: "Chaihu Shugan San combined with Zhike San, Linggan Wuwei Jiangxin Tang, with a little Gardenia and fermented soybean to clear heat. Chaihu, Baishao, Zhike, and Xiangfu soothe the liver and regulate qi; Jiegeng, Baiqian, Ziwan, and Baibu promote lung function and stop cough; Fuling, Gancao, Ganjiang, Xixin, and Wuweizi warm and transform cold phlegm; Gardenia and fermented soybean lightly clear stagnant heat."
Upon hearing this prescription, both Mr. Hu and Director Zhao showed expressions of sudden realization and admiration.
Yu Shiyun and others nodded in agreement. Old Han's diagnosis was indeed more profound, grasping the key pathogenesis of "liver qi invading the lungs," and the prescription also took into account all aspects, with a clear distinction between primary and secondary aspects.