Chinese medicine: from rural hospitals to top three hospitals in Kyoto

Chapter 794 Clinical Competition (1)

"Dr. Chen explained it very well."

At lunch time, a group of young doctors gathered together, eating and chatting.

Han Xingwen smiled and said, "What Doctor Chen said this morning was really good and thought-provoking."

"good."

Liu Zhengxu and others also nodded.

What Chen Yang said this morning was indeed very good, and he touched on several very critical points.

There are many problems with traditional Chinese medicine at present, and they are not caused unilaterally. There are objective factors as well as subjective factors. Some problems are easy to solve and can be solved, while some are not easy to solve or even cannot be solved.

But what Chen Yang said this morning did point out a path for current traditional Chinese medicine. No matter what, it will always be effective.

First of all, it is the issue of popularizing traditional Chinese medicine. If most traditional Chinese medicine practitioners can do as Chen Yang said, and act as a preacher to popularize traditional Chinese medicine and promote traditional Chinese medicine, it can play a very important role in the information age.

In fact, most people don’t know much about traditional Chinese medicine. Even some top students and people with high education still don’t understand it. In fact, because of their high education and more exposure to so-called modern science, they become less and less accepting of traditional Chinese medicine.

Popularizing traditional Chinese medicine will allow more people to understand it and know what it is all about. This is equivalent to transforming the soil. Only when more people understand traditional Chinese medicine and the group becomes larger, will traditional Chinese medicine have a better space for development.

"Director Han, you are too kind." Chen Yang said with a smile: "I was just saying it casually."

"What Dr. Chen said this morning was not just a casual remark."

Li Chengjie said: "Without a certain amount of experience, it is difficult to express such insights."

Before, Li Chengjie, Han Xingwen and others did look down on Chen Yang. What Chen Yang said in the morning surprised them all.

Of course, despite being surprised, several people still regarded Wen Haohui and Lin Yi as their main opponents.

The focus of this round of sessions is still on the clinical session in the afternoon, and the exchanges in the morning can only be regarded as a warm-up.

Moreover, several topics discussed in the morning were popular topics. Young doctors expressed their opinions and talked about their views on traditional Chinese medicine, which also allowed the older generation to understand the mentality of young doctors.

If this is really compared to an exam, the morning session can only account for 20 points at most, while the afternoon clinical session should account for 80 points.

Therefore, although Chen Yang performed very well in the morning, in the eyes of Han Xingwen and others, Chen Yang should be considered the best performer, and what he said made sense, which should have been recognized by the senior predecessors.

However, whether or not one can win the award in the end depends on the clinical performance in the afternoon. After all, the topic in the morning does not actually require a very high level of personal ability of the doctor. As long as one has a solid theoretical foundation and sufficient knowledge, he or she can perform well.

As Wen Xiuping's grandson-in-law, Chen Yang has some skills and knowledge.

At the same time, Mo Xinzhi and a few others also sat together, discussing what happened in the morning's discussion meeting.

"I didn't expect that Mr. Wen's grandson-in-law would have such insight. What he said was quite good."

Liu Songyan said: "The popularization of TCM is indeed very important. It can not only benefit the general public, but also attract more young people who are interested in TCM to join the cause. Through popularization, more people can understand the charm and value of TCM, stimulate their enthusiasm for learning TCM, and cultivate more outstanding talents for the inheritance and development of TCM."

"Yes."

Yang Huaimin said: "When people have a deeper understanding of traditional Chinese medicine, they will have a more objective understanding of its efficacy and value, and thus increase their trust in it."

"This trust is the prerequisite for patients to choose TCM treatment, and it is also an important support for the continuous development of TCM in clinical practice. With trust, patients will be more willing to try various TCM therapies, giving TCM more opportunities to practice and verify their efficacy."

Yang Huaimin paused and continued, "Many Chinese medicine practitioners deliberately try to be mysterious, which leads people to misunderstand Chinese medicine. This is indeed a wrong guidance."

"Yes, in the long run, this is an important potential role of TCM popularization in the development of TCM."

Mo Xin knows: "Chinese medicine practitioners transform their professional knowledge into easy-to-understand content, which is actually a disguised reform, just like the transformation from classical Chinese to vernacular Chinese."

The purpose of simplified characters and vernacular Chinese is to popularize education and lower the threshold of learning.

As for traditional Chinese medicine, many of its theories can actually be easily understood, but some practitioners like to be mysterious, which in a certain sense raises the threshold of traditional Chinese medicine.

"Yes." Han Mingzhi and others nodded.

......

The afternoon was the clinical session. Mo Xinzhi and others specially found several patients from major hospitals and asked the young doctors to diagnose and treat them on the spot and communicate with each other on the spot.

At 2:00 p.m., all participants gathered in the banquet hall. In the center of the spacious venue, a diagnosis table was set up, equipped with pulse pillows, acupuncture kits and other tools required for TCM diagnosis and treatment.

Mo Xinzhi stood in front, his voice gentle but powerful: "For the clinical practice session in the afternoon, we have prepared six patients with different conditions. Each patient will be examined by our young doctors in turn, and a diagnosis and treatment plan will be proposed, and then everyone will discuss it together."

This exchange is not about each doctor being assigned a patient, but rather a consultation-like model where everyone can express their opinions on the patient's condition.

As Mo Xinzhi finished speaking, the young doctors were all eager to try.

In the morning, some people were still a little humble. After all, everyone knew that the communication in the morning was not important. But in the afternoon, no one dared to be negligent.

Whether or not you can get the award depends mainly on your performance in the afternoon.

Some young doctors who were not qualified to participate in the exchange, such as Mo Haobo and Liu Xi, were also standing by and watching.

For a moment, even Mo Haobo was infected by the atmosphere at the scene and fantasized that if he were also one of them, he could perform well and stand out in such an occasion. He thought that his grandfather and father would definitely look at him with admiration, right?

"Brother Liu, who do you think will win the prize?" Mo Haobo asked Liu Xi softly.

"The Best Participation Award will definitely go to Chen Yang, no doubt about that. As for the three Excellence Awards, I think Director Lin will definitely get one, but it's hard to say for the rest."

Liu Xi was not very clear about the levels of Li Chengjie and Han Xingwen, and could only guess. Needless to say, Chen Yang and Lin Yi were definitely the best. As for who was stronger among Wen Haohui, Wen Manlu and Han Xingwen, Liu Xi could not judge.

As he was talking, a patient came in.

The first patient was a man in his fifties who was helped into the venue.

The patient looked gaunt, thin, and his right hand was shaking unconsciously. The patient said that in the past six months, the shaking of his right hand has become more and more serious, accompanied by symptoms such as dizziness, tinnitus, insomnia, and weakness in the waist and knees.

Han Xingwen was the first to walk to the patient and check his pulse. He looked focused, carefully probing the patient's pulse with his fingers at the wrist. Then he observed the patient's tongue coating, which was thin and yellow, and the tongue was red.

After the diagnosis, Han Xingwen first told everyone the results of his diagnosis, then thought for a moment and said: "From the pulse and symptoms, the patient should be suffering from liver and kidney yin deficiency and internal liver wind."

"The liver stores blood, and the kidney stores essence. If the liver and kidney are deficient in yin, the yin cannot control the yang, and the deficient yang rises, inducing liver wind, resulting in symptoms such as hand tremors and dizziness. The treatment should be to nourish yin and extinguish wind. You can choose to use Zhengan Xifeng Decoction with modifications. In the prescription, Chinese Cyathula and Raw Hematite can lead the blood downward and suppress yang; Raw Dragon Bone, Raw Oyster, Turtle Shell, and White Peony Root can nourish yin and suppress yang, soften the liver and extinguish wind; Scrophularia and Asparagus can nourish yin and clear heat; Toosendan, Raw Malt, and Artemisia Capillaris can soothe the liver and regulate qi, so as to prevent the heavy suppressants from damaging the liver."

"I generally agree with what Director Han said..."

As soon as Han Xingwen finished speaking, Li Chengjie said, "From the patient's lifestyle, he has been staying up late for a long time, which has damaged the Yin of the liver and kidneys. This further confirms Dr. Han's judgment. I think we can add some Chinese date seeds and cypress seeds to the medicine to nourish the heart and calm the mind, and improve the patient's symptoms of insomnia and dreaminess."

In this session, no one is humble, so what matters is speed. Whoever is confident and feels sure of himself should speak first, otherwise, he may not have a chance later.

Han Xingwen and Li Chengjie spoke first, and many people could only nod silently, agreeing with what Han Xingwen and Li Chengjie said.

"The dialectic of Director Han and Director Li makes sense, but I think we also need to consider the possible blood stasis in the patient's body."

Seeing that no one else spoke, Lin Yi walked closer to the patient and said, "Look, everyone, although the patient's tongue coating is thin yellow and the tongue is red, the veins under the tongue are tortuous and dark purple, which is a sign of blood stasis."

"Long-term liver and kidney yin deficiency, yin fluid deficiency, blood viscosity, and poor circulation will lead to endogenous blood stasis. Blood stasis blocks the meridians, and the circulation of qi and blood is blocked, which will also aggravate symptoms such as hand tremors. Therefore, in treatment, in addition to nourishing yin and extinguishing wind, blood-activating and stasis-removing products should also be added, such as peach kernel, safflower, and salvia miltiorrhiza. In addition, if the patient has dizziness and tinnitus, some orifice-opening drugs, such as Acorus calamus and Curcuma, can be appropriately added to improve the supply of qi and blood to the brain."

Lin Yi's words made everyone present fall into deep thought.

Han Mingzhi nodded slightly and said to Mo Xinzhi beside him: "This Lin Yi is indeed unique. His observations are meticulous and his dialectics are more comprehensive."

"Yes, it's really very professional." Yang Huaimin and others nodded slightly.

"Brother Chen, why don't you speak?" Mo Haobo seemed a little anxious.

In the clinical stage, there is only one patient. If Chen Yang does not say anything and others speak first, it will be a disadvantage. If others are right, you cannot agree with them and say that they are right.

"Not in a hurry."

Liu Xi smiled and said, "The young doctors attending the meeting this time are all outstanding from all over the country. Except for Master, most of the others have titles of associate senior or above, so the patient's condition in this clinical session cannot be too simple."

When Mo Xinzhi and others selected patients, they naturally chose them based on the level of Chen Yang and others. Excluding Chen Yang, the levels of Han Xingwen, Li Chengjie and others were among the best among their peers, and even higher than some senior doctors.

Faced with such a group, the patient's condition must not be simple.

This is like an exam. When giving questions to a group of high school students, you cannot give questions for junior high school students. Otherwise, wouldn’t it be embarrassing?

So Liu Xi was not in a hurry. The first patient was just an appetizer. The conditions of the subsequent patients would definitely become more complicated.

Even if Chen Yang didn't speak at first, and waited until no one else could speak, Chen Yang would definitely be the winner.

Soon after, the second patient was brought in.

The second patient was a young woman with a pale face, a slight frown on her face, and her hands on her abdomen as she walked.

After sitting down, the patient began to talk about her situation. In recent months, her menstrual cycle was irregular, her menstrual volume was small, and she had severe dysmenorrhea, and breast pain before and after her period.

This time, Wen Haohui quickly stepped forward to treat the patient.

Wen Haohui asked in detail about the patient's menstrual history, diet and recent emotional state.

Due to work reasons, the patient has been under long-term mental stress and has irregular diet.

After asking, Wen Haohui pondered for a moment and said, "The patient's condition is caused by liver depression and qi stagnation, and poor circulation of qi and blood. The liver is responsible for dispersing and regulating qi. If the emotions are not comfortable, liver qi will be stagnant, qi and blood circulation will be blocked, and Chong and Ren will be out of balance, so symptoms such as irregular menstruation and dysmenorrhea will occur."

"The treatment should be based on soothing the liver and regulating qi, promoting blood circulation and removing blood stasis, and regulating Chong and Ren as the principle. Xiaoyao Powder combined with Taohong Siwu Decoction can be used with modifications. Xiaoyao Powder soothes the liver and relieves depression, nourishes blood and strengthens the spleen; Taohong Siwu Decoction promotes blood circulation and removes blood stasis, regulates menstruation and relieves pain..."

"Well, Dr. Wen's dialectic is accurate."

Liu Zhengxu added: "I think the patient's condition can also be treated with moxibustion, selecting acupoints such as Guanyuan, Qihai, and Sanyinjiao to warm the meridians, dispel cold and relieve pain, and promote the circulation of qi and blood."

If someone makes the first move and there is no mistake, the people who come after him can only add one or two more things to make their presence felt.

Regarding the first patient just now, Lin Yi's subsequent analysis seemed to be better than Han Xingwen and Li Chengjie. This time, Liu Zhengxu's supplement was purely for the sake of presence.

"Why don't you try it?" Chen Yang asked Wen Manlu with a smile.

Wen Manlu was right next to Chen Yang, and Chen Yang could clearly see that Wen Manlu should have a different opinion.

Wen Manlu smiled and glanced at Chen Yang, then walked forward and checked the patient's abdomen before saying:

"Director Wen's diagnosis is accurate and his ideas on medication are clear. However, when I examined the patient's abdomen just now, I found obvious cord-like nodules in the patient's abdomen, which indicates that in addition to liver depression and qi stagnation, the patient also has phlegm and dampness obstruction."

"The patient's irregular diet damages the spleen and stomach, causing the spleen to lose its healthy function, resulting in internal water and dampness, which gather and form phlegm. Phlegm and dampness are intertwined with qi and blood, aggravating the condition. Therefore, some phlegm-resolving and dampness-removing products, such as Atractylodes macrocephala, Poria cocos, and Pinellia ternata, should be added to the medication. In addition, the patient's face is pale, and there are obvious signs of qi and blood deficiency. It is appropriate to add qi-replenishing and blood-nourishing drugs such as Astragalus and Angelica sinensis to strengthen the body and promote recovery from the disease."

Many people were a little surprised when they heard Wen Manlu's words.

Han Xingwen looked at Wen Manlu in surprise. He didn't expect Wen Manlu to have such a level.

You know, Wen Haohui had already done the examination and analysis, and Wen Manlu then examined the patient's abdomen, which means that Wen Manlu had already discovered some abnormalities, and examining the patient's abdomen was just for further confirmation.

"it is good."

Han Mingzhi smiled and said to the people around him: "Mr. Wen is worthy of being Mr. Wen. Not only is he highly skilled, but he is also very good at educating his juniors. Mr. Wen's grandchildren are all doing very well."

Chapter 2 and Chapter 2 were posted together