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

Chapter 766 Chen Yang Explains

"Brother Chen, my father's health has always been pretty good. Why did he suddenly become sick?" Song Jidong asked Chen Yang.

\"Go to the consultation room.\"

Chen Yang took the towel handed to him by the nurse, wiped his hands, and said, "Let me tell you the details."

After using the upgrade card, all of Chen Yang's skills are now at the peak level of level ten. In terms of experience points, that is ninety-nine percent of level ten experience, and he is only one step away from level eleven.

Moreover, Chen Yang has all level ten skills. Under this condition, there are definitely no more than one Chinese medicine practitioner with Chen Yang's level in the whole country.

While the buff is still there, Chen Yang can explain it to everyone.

"Doctor Chen, I'll arrange it right away." Feng Chenhui said hurriedly.

Chen Yang's rescue and treatment today really stunned Feng Chenhui.

Although Chen Yang's performance level was not bad before, it was at least within the scope of everyone's understanding. But now, Chen Yang seems to have the style of a great doctor, comparable to a national master.

After all, when Chen Yang first came to Shanzhou Medical University, he was only at level seven. Now, even without using the upgrade card, his level has reached level eight, and several of his skills have reached level eight.

Especially since I just opened a wave of treasure chests two days ago and got some skill books, which greatly improved my level.

As Chen Yang's level improved, everyone looked at him in a fog.

In the consultation room of the emergency department, Feng Chenhui had arranged for someone to set up the scene, and the projector projected a photo of Song Yulong's tongue onto the screen. The dark purple tongue was covered with bruises, and the greasy white tongue coating looked like it was covered with a layer of snow.

\"Everyone, please look.\"

Chen Yang pointed at the photo and said: "The dark purple tongue indicates severe blood stasis, while the greasy white tongue coating indicates internal cold and dampness. Combined with the deep and weak pulse, it can be determined that the patient has a syndrome of sudden loss of heart yang and phlegm and blood stasis."

Lin Yi, Xia Hongliang and others sat in the front row, listening attentively.

During the treatment just now, everyone did have a lot of doubts, but because the situation was urgent, Chen Yang did not have much time to explain. Now that Chen Yang was willing to analyze and explain to everyone, it was a rare opportunity.

\"Mr. Song's illness did not occur suddenly.\"

Chen Yang switched the CT images, "Although the coronary artery is narrow, it is not completely blocked. The Western medical diagnosis is acute non-ST-segment elevation myocardial infarction, but from the perspective of traditional Chinese medicine, this is due to long-term overwork leading to the depletion of heart yang, depletion of vital energy, and invasion of cold evil..."

Before Chen Yang arrived at the emergency department, the department had conducted various examinations. As the chief resident, Feng Chenhui had also presided over some consultations, so he naturally did a thorough preparation and all the patient examinations and treatments had been put together.

Coronary artery stenosis is divided into congenital and acquired, and Song Yulong's case is acquired.

From the perspective of modern medicine, coronary artery stenosis is usually caused by coronary artery atherosclerosis, and the main causes include bad living habits, high blood pressure, high blood lipids, etc.

"Coronary artery stenosis is classified as 'chest pain' or 'heart pain' in traditional Chinese medicine. From the perspective of traditional Chinese medicine, the main causes of coronary artery stenosis are as follows..."

Chen Yang continued, "First, the cold evil invades the body. Traditional Chinese medicine believes that coldness causes contraction and stagnation. If the body's yang energy is insufficient, the wind and cold evil will take advantage of the opportunity to invade the heart meridian, causing spasms in the heart meridian, stagnation of qi and blood, and thus causing coronary artery stenosis."

"It is mentioned in Suwen: Jutonglun that 'cold qi enters the meridians and delays the flow of blood, and tears cannot flow. If it stays outside the meridians, the blood will be insufficient, and if it stays inside the meridians, the qi will not flow, so the pain will occur suddenly.'"

"Second, improper diet: long-term overeating of fatty, sweet, spicy and alcoholic foods can damage the spleen and stomach, causing the spleen to lose its healthy function, gathering dampness and generating phlegm, which can block the meridians, leading to poor circulation of qi and blood, obstruction of the heart meridians, and further causing coronary artery stenosis. In addition, overeating raw and cold foods can also damage the spleen and stomach yang qi, causing internal coldness and affecting the circulation of qi and blood.

"Third, emotional disorders; excessive emotions, such as long-term anxiety, depression, anger, etc., can lead to liver qi stagnation, qi stagnation leads to blood stasis, blood stasis blocks the heart meridian and causes coronary artery stenosis."

"It is said in the Lingshu Kouwen that 'sadness and worry can cause the heart to move.' This shows that emotional changes can affect heart function. In addition, emotional discomfort can also lead to disorder of qi and blood, aggravating the stagnation of qi and blood in the heart meridian."

"Fourth, the balance between work and rest; excessive fatigue consumes Qi and damages Yin, resulting in insufficient heart Qi and deficiency of heart Yin, which can lead to malnutrition of the heart meridians, weak circulation of Qi and blood, and thus blood stasis and obstruction of the heart meridians..."

Then Chen Yang asked Song Jidong and Wei Jingwen: "Is there anything going on recently, Mr. Song?"

"The company's situation has been complicated in the past two years. When my mother was sick last year, my father was very busy, but he didn't show it. He went home on time every day. Since the end of last year, he has become even busier..."

Song Jidong said.

Xun Jiahong heard this and said: "The Neijing says 'sadness and worry make the heart move'. Mr. Song is in charge of such a large group, so he must have been working hard all year round... "

Many companies have been in recession in the past two years. With the passing of Wei Jingwen's father, some of the Song family's old relationships have become increasingly useless, and Song Yulong is indeed a little overwhelmed.

\"Why did I oppose the use of digoxin during the rescue?" Chen Yang asked, his eyes sweeping over everyone present.

Li Haofei raised his hand: "The patient is suffering from excessive yin suppressing yang, a sign of true cold but false heat. Cardiotonic drugs are very hot, and using them is like adding fuel to the fire."

\"good.\"

Chen Yang nodded approvingly: "Although the patient was red-faced and agitated at the time, his hands and feet were colder than his elbows and knees. This is a dangerous sign of excessive cold in the body and excessive yang in the body. The ginseng and aconite injection was injected from the Baihui acupoint, which means 'treating the upper disease from the lower part and guiding the fire back to the origin'."

The projection switched to a close-up of the Zusanli acupoint taken during the rescue. Chen Yang explained: "This is a clear proof that the cold poison has penetrated the body. I applied moxibustion to the Guanyuan acupoint to give the cold evil a way out."

Lin Yi whispered to Xun Jiahong: "That phenomenon of 'poisonous substance leaking out'...I have never seen it before in all my years of practicing medicine."

"Who says it isn't?"

Xun Jiahong said: "I think Chen Yang's current level is no less than my grandfather's."

\"The Shaoyin Disease chapter of Treatise on Febrile Diseases mentions 'For patients with cold hands and feet and weak pulse, Tongmai Sini Decoction is the main treatment'.\"

Chen Yang continued: "Mr. Song's condition is more complicated, with phlegm and blood stasis, so I first used acupuncture to dredge the meridians, and then used moxibustion to warm and dissolve the meridians."

While Chen Yang was explaining, Lin Yi and others were recording some of the key points that Chen Yang said. Lin Yi glanced at Xia Hongliang who was also recording rapidly, with the tip of his pen even piercing the paper.

This time, this Shencheng talent came to Jinjiang City and was completely convinced.

\"The treatment will be divided into three steps." Chen Yang switched to the last slide, \"First, use Shenfu Decoction combined with Shengmai Yin to restore Yang and consolidate the body; when Yang Qi recovers slightly, switch to Xuefu Zhuyu Decoction with Gualou Xiebai Banxia Decoction to resolve phlegm and dredge the meridians; finally, use Guipi Decoction to regulate the root. \"

Duan Jianping asked: "Xiao Chen, why don't you just activate blood circulation and remove blood stasis? The patient has obvious varicose veins under the tongue..."

As the director of the emergency department, Duan Jianping has learned a lot from his surroundings and knows a little about the effects of Chinese medicine prescriptions. Of course, he only knows a little bit about it.

Chen Yang smiled and said: "Although the patient has heavy blood stasis, his Yang Qi is about to be lost. At this time, removing the blood stasis is like sailing on an ice river. Not only is it ineffective, but it will also hurt his Yang Qi. Just like... "

Chen Yang picked up the thermos cup on the table and poured hot water into the lid: "This hot water is like a person's yang energy. If the cup is tilted and the water is about to spill, should we straighten the cup first, or rush to wipe the flowing water?"

This metaphor made everyone suddenly realize. Xun Jiahong said to Lin Yi softly: "It is profound and simple to explain. It is really the style of a great man."

Feng Chenhui asked: "Doctor Chen, when you bleed at Shixuan...how can you be sure that it will not aggravate the blood deficiency?"

At that time in the emergency room, the doctor involved in the rescue reminded Chen Yang that the patient's platelet count was low.

\"If blood stasis is not removed, new blood will not be produced. Moderate bloodletting can improve microcirculation and promote hematopoiesis.\"

Chen Yang explained: "Although the patient's platelet count is low, due to blood stasis, the platelet count in a small area is not low, so it does not cause too much risk."

The doctor in the emergency department suddenly realized.

After Chen Yang's in-depth and easy-to-understand explanation, everyone in the consultation room had a clear understanding of Song Yulong's condition and treatment plan. Duan Jianping immediately arranged for the nurses to prepare the corresponding medicines according to Chen Yang's treatment plan to deal with possible situations that might occur at night.

"The rest depends on tonight."

Chen Yang was also praying in his heart, hoping that Song Yulong could get through this safely.

Sometimes there is only so much a doctor can do. Even though Chen Yang has used the level 10 upgrade card, he cannot guarantee that he will be able to cope with the situation at night.

The reason why Chen Yang asked Song Jidong and Wei Jingwen to sit in as well was to let Wei Jingwen and Song Jidong understand the risks of Song Yulong's illness.

Although Wei Jingwen and Song Jidong both trust Chen Yang because Chen Yang treated Wei Jingwen's illness last year, trust is trust. If something unexpected happens, no one can predict what Wei Jingwen and Song Jidong will think.

Old Liu once said to Chen Yang that human hearts are the most unpredictable in this world, and you should never use your kindness to fight against human nature at any time. You must protect yourself first, and then you will be invincible.

Although in actual clinical treatment, it is impossible for doctors to protect themselves every time, they still have to do what they should do if conditions permit.

"Mom, don't worry. Brother Chen is an excellent doctor. My dad will definitely get through this safely."

Song Jidong comforted Wei Jingwen.

"Yeah." Wei Jingwen nodded: "I believe in Xiao Chen, even if your father has an accident, that's..."

Wei Jingwen didn't say anything else.

Just as a group of people walked out of the consultation room, Dean Shi Wenzhen and Vice Dean Yin Hairong came in together.

"President Shi, President Yin." Duan Jianping greeted them hurriedly.

"I heard that Mr. Song is sick. How is the situation?" Shi Wenzhen asked.

Song Yulong is not only the chairman of Jinglong Group, but also the husband of Wei Jingwen. Wei Jingwen is the daughter of a senior official in Shanzhou Province. Many old leaders in Shanzhou Province have relations with the Wei family.

That is to say, Wei Jingwen's father passed away. As time went by, the tea naturally became colder.

However, when there are no interests involved, many people still have to give face to the Wei family.

"Acute myocardial infarction, accompanied by acute emphysema..."

Duan Jianping briefly explained the situation: "Thanks to Xiao Chen, Mr. Song is temporarily out of danger."

"President Shi." Chen Yang also greeted Shi Wenzhen.

"Xiao Chen is good." Shi Wenzhen nodded to Chen Yang, then looked at Wei Jingwen.

"Mrs. Song, don't worry too much. I believe Director Duan will do his best."

"Thank you, President Shi. I believe in Director Duan and Dr. Chen," said Wei Jingwen.

Looking at Wei Jingwen's expression, Shi Wenzhen also breathed a sigh of relief.

The more important a person is and the more critically ill he is, the greater the challenge it is for the hospital. The reason why Shi Wenzhen came here after hearing the news was also to express his attitude.

Sometimes the attitude of the hospital also determines the attitude of the patient's family.

We cannot say that everyone in this world is reasonable, but most people are reasonable after all, otherwise the world would have been in chaos long ago.

If the doctor has a good attitude and makes the patient or the patient's family feel comfortable, the patient's family will be understanding even if some accidents occur. However, if the doctor and the hospital make the patient's family feel disappointed before treatment and something goes wrong, the patient's family will naturally have all kinds of thoughts.

Shi Wenzheng's gaze passed over Duan Jianping and fell on Xun Jiahong and the others: "Director Duan, are these doctors from your department?"

"President Shi, this is Director Xun Jiahong of Kyoto Hospital, and this is Mayor Shen..."

Chen Yang introduced Xun Jiahong and others to Shi Wenzhen.

After all, Shi Wenzhen is the dean of the Affiliated Hospital of Shanzhou Medical University. The dean of a tertiary hospital like the Affiliated Hospital of Shanzhou Medical University has a high rank and does not care about any exchange doctors or interns who come to the hospital.

Shi Wenzhen was surprised when he heard Chen Yang's introduction.

Xun Jiahong from Kyoto Hospital, Lin Yi from Shen City Traditional Chinese Medicine Hospital, and Xia Hongliang, the grandson of Xia Wenyao?

These young newcomers in the medical field are actually in their hospital?

"President Shi." Xun Jiahong and others also greeted Shi Wenzhen politely.

"Director Xun, Director Lin, and Doctor Xia are too polite."

Shi Wenzheng smiled and said, "Look how busy I am. I didn't even know you were here."

"President Shi, you're too polite. We are here to learn from Dr. Chen," said Lin Yi.

"Okay, I won't bother you anymore."

Shi Wenzheng nodded, and then said to Duan Jianping and Chen Yang: "Director Duan, Xiao Chen, and Mr. Song, please take care of this. If there is anything you need cooperation with, please feel free to call me. In short, we must do our best."

......

After dinner in the evening, Chen Yang and others stayed in the hospital.

Xun Jiahong and a few others sat together chatting.

"The Yin and Yang alternate at midnight, which is when the Yang energy in the human body is at its weakest."

Xun Jiahong said while drinking tea: "The Yellow Emperor's Classic of Internal Medicine says: 'Yang Qi is like the sky and the sun. If it loses its place, it will shorten life and not be obvious.'"

Lin Yi nodded in agreement: "Mr. Song's heart yang is already weak, and tonight's midnight is indeed a hurdle."

"If we can get through this tonight, this crisis will be over."

While looking through the medical records, Xia Hongliang said, "I didn't expect that I would be able to participate in such a thrilling emergency scene when I came to Shanzhou this time."

Nowadays, there are fewer and fewer traditional Chinese medicine practitioners who can remain calm and turn the tide when faced with critical and severe illnesses, and there are almost no such people among the younger generation.

The younger generation mentioned here is not limited to the Qingyun List, but also includes senior Chinese medicine practitioners in their forties and fifties.

Xia Hongliang had only participated in the rescue operations like those of the past two days with Xia Wenyao a few years ago. At that time, Xia Hongliang could only watch.

\"Master, drink some water." Li Haofei handed over a glass of warm water: \"You haven't rested since this afternoon. \"

"Ah."

Chen Yang sat in front of the computer, looking at the medical records on the computer and doing calculations in his mind.

Why is midnight often a very dangerous time for many critically ill patients?

It is because of the alternation of yin and yang at midnight.

Those who understand Chinese medicine know that the key to whether a person is healthy lies in the balance of yin and yang. When the relationship between yin and yang is in a harmonious state, the person is healthy. Once the balance of yin and yang is broken, the person will suffer from various diseases.

For critically ill patients, the balance between yin and yang is definitely broken. Rescue efforts during the day only use acupuncture or medication to maintain the yin and yang relationship in a temporarily stable state, allowing the patient time to recover.

But at midnight, when yin and yang alternate, the originally stable state can be easily broken. Once broken, the patient will face a new crisis.

(Continue two-in-one)