signingbooks Chapter 1008 It works
Chapter 1008 It works
Chen Yang looked at Yao Xinting and said with a smile: "Senior Zeng has been very busy at the medical center recently and may not have seen your message in time. If you really care about him, you might as well go to him directly."
Yao Xinting's cheeks flushed slightly. She nodded gently and said softly, "Brother Chen, I understand. Actually, I'm just a little worried that he might think I'm too abrupt."
"how could be?"
Chen Yang smiled and said, "I understand Lao Zeng. He's just sometimes too focused on work and a little slow to react when it comes to relationships. You're such an outstanding person, there's nothing wrong with being more proactive."
Chen Yang and Yao Xinting have known each other for quite some time. Yao Xinting is a good girl and is very affectionate towards Zeng Yunhui. Chen Yang really wants to bring Yao Xinting and Zeng Yunhui together.
The main thing is to not let Zeng Yunhui always think about his wife, right?
The two chatted for a few more minutes, and then Chen Yang walked towards the classroom.
When Chen Yang walked into the classroom, the students were already seated full.
In the lecture hall of Kyoto University of Chinese Medicine, hundreds of pairs of eyes looked over at the university, all filled with admiration.
Of course, all the students know about the patients that Chen Yang has treated recently. Wilson and Ye Guoliang, two difficult patients, were both solved by Chen Yang.
Chen Yang is not much older than them, but he has already reached the top of the medical circle, which makes the students even more envious.
"Hello, Teacher Chen!" When Chen Yang walked up to the podium, the students stood up and greeted him in clear and loud voices.
"Hello everyone." Chen Yang nodded with a smile and walked up to the podium.
He wore a simple white shirt today, with the cuffs rolled up to his forearms, revealing his strong wrists. He looked less fierce than in the operating room and more gentle.
"Okay, let's start the class."
Chen Yang smiled and said, "My class is still the same as usual. I will chat with you guys casually before the class starts."
“There are no shortcuts to medicine, and there is no magic.”
Chen Yang smiled and said, "I don't want to talk about any earth-shattering cases today. I just want to talk to you about 'clinical thinking' - how should we implement Traditional Chinese Medicine's 'holistic view' and 'differentiation and treatment' when we face a complex case."
He opened the courseware, and what appeared on the screen was not obscure theory, but a photo of Ye Guoliang's tongue and pulse before the operation. "Let's take a look at this patient first. What conclusions can we draw?"
The students immediately became absorbed, discussing the situation in whispers. Some mentioned "damp-heat and stasis," others "vital energy deficiency," each offering a coherent and well-reasoned analysis.
Chen Yang listened quietly, and when the discussion died down, he slowly spoke:
“Everyone is right, but not complete.”
"Treating a patient in Traditional Chinese Medicine is like untangling a chain lock; you can't just focus on one link."
"This patient has both the 'excess' of damp-heat and stasis, and the 'deficiency' of both Qi, blood, yin and yang deficiency. Furthermore, he has suffered from 30 years of chronic hepatitis B cirrhosis. When we prescribe medication, we must clear away dampness and heat, strengthen the body's resistance, and also address the 'stasis' of cirrhosis – this is the difficulty of 'attacking and supplementing at the same time.'"
Chen Yang combined Ye Guoliang's treatment plan and started with the preoperative conditioning Yinchen Shufu Decoction. His explanation was clear and easy to understand.
The originally abstract concept of "differential diagnosis and treatment" becomes vivid and tangible through specific cases and medication adjustments.
"Isn't this what you call not talking about some earth-shattering case?"
In the last row of the classroom, Su Yunxue and Wen Haodong stood together, listening to Chen Yang's lecture.
It’s hard to say about other people when Chen Yang gives lectures these times, but Su Yunxue comes almost every time, so naturally the second brother has to accompany her.
Of course, Su Yunxue did not ask her second brother to accompany her at first, but she did have her second brother to accompany her these two times, which also shows that the relationship between her second brother and Su Yunxue is getting closer and closer.
Listening to Chen Yang's medical history, Su Yunxue knew at the first moment that it was Ye Guoliang's medical history.
In this kind of class, talking about Ye Guoliang's illness, isn't that earth-shattering?
That is, the students are unaware of this, otherwise...
"Used to it."
Wen Haodong smiled and said, "Being able to break down such a complicated medical record step by step and explain it so thoroughly, this is Chen Yang's ability."
"When encountering critical illness, Chinese medicine cannot wait, and even less can it panic."
Chen Yang's eyes swept across the entire room: "Just like this patient..."
“No matter how complicated a disease is, if you analyze it step by step, it’s actually not that complicated…”
Before they knew it, the bell rang and Chen Yang walked out of the classroom. Su Yunxue and Wen Haodong did not come forward to greet Chen Yang, but went to the school's training room together.
During this period, Wen Haodong still practiced in the training room whenever he was free, but there was an additional person, Su Yunxue, by his side.
Su Yunxue followed Wen Haodong and watched her second brother train and study up close. She was really hooked.
You know, Wen Haodong is really a master, so in the training room, Su Yunxue naturally had to practice as well. In comparison, the difference in progress between the two is very obvious.
Basically, within three to five days, Su Yunxue could detect the subtle changes in Wen Haodong, but she herself could not...
Inside the CU ward, the atmosphere was so heavy that one could almost squeeze water out of it.
The regular ticking of the monitor sounded like a countdown pendulum to everyone's ears.
Ye Guoliang's body temperature has climbed to 39.1°C, the amount of turbid fluid in the drainage tube is slowly increasing, the coagulation function index (INR) stubbornly remains between 1.48-1.52, and the total bilirubin (TBIL) has rebounded to 192mmol/L.
What is most worrying is that the blood ammonia level has exceeded the warning value. Although the patient is under sedation, the slight limb agitation and the fluctuating EEG activity on the monitor all point to the early signs of hepatic encephalopathy - the signs of heat toxins invading the pericardium have appeared!
Zhong Dongyang frowned. Western medicine's potent anti-infection, continuous plasma exchange, and potent liver-protecting and enzyme-lowering drugs were like a drop in the ocean, with minimal effect. He looked at the thick, freshly boiled Chinese herbal decoction and half a crushed Angong Niuhuang pill paste that had just been delivered.
"Take the medicine!"
Xun Jiahong's voice was steady.
The nurse carefully injected warm American ginseng soup and decocted medicine slowly through the nasogastric tube.
At the same time, Li Chengjie held a silver needle and focused on applying strong stimulation techniques to Ye Guoliang's Ren Zhong and Nei Guan acupoints, and then quickly pricked the Shi Xuan acupoint to bleed, squeezing out several drops of dark red blood.
Afterwards, Li Chengjie used acupuncture on Zusanli and Sanyinjiao with steady techniques, continuously injecting energy to support positive energy.
Time passed minute by minute, and the only sounds in the ward were the running of equipment and the light footsteps of medical staff.
Everyone's eyes were focused on the monitoring screen and Ye Guoliang.
Dr. Evans also rushed over upon hearing the news, standing quietly in a corner, observing all this with a complex gaze. He was filled with a huge question: Could this bitter water made from grass roots and tree bark, along with those tiny silver needles, really combat postoperative liver failure and infections, which even modern medicine finds difficult?
Two hours later, a subtle change caught Zhong Dongyang's attention.
Ye Guoliang's originally slightly rapid breathing seemed to calm down a bit...
"Measure the temperature..." Zhong Dongyang instructed the nurse beside him. He didn't even realize that his voice was filled with a hint of excitement.