Chapter 685 Any more questions?
Chapter 685 Any more questions?
Before Chen Yang came, Ran Yuanbin, Yu Hongtao and others had actually thought about how to deal with it.
Although everyone felt that Wang Liwen's invitation of Chen Yang was a humiliation to them, Chen Yang was not an unknown person after all, but had been known by some people years ago.
Therefore, the doctors in the Provincial Hospital's Department of Traditional Chinese Medicine have some understanding of Chen Yang's level and are not completely ignorant.
As I said, Chen Yang’s biggest shortcoming is his age.
No matter where or when, young people will never be easily recognized. Many people like to show off their qualifications and put on airs.
As an old veteran, how can I bear being bullied by young people?
This is true in enterprises, within the system, and in hospitals.
He Wenliang's medical record was the trump card prepared by Ran Yuanbin. He had not originally intended to use it easily, but now it seems that he has no choice but to use it.
Yu Hongtao had obviously lost face just now, and Ran Yuanbin couldn't let him down again.
Although Ran Yuanbin was also aware that it was a bit shameful for him to produce this medical record, at least only a few people in their Department of Traditional Chinese Medicine and other departments knew about this matter.
Of course, this individual includes Wang Liwen.
Wang Liwen looked at Zhao Junyang: "Director Zhao, you have taken out all of Professor He's medical records. Your Department of Traditional Chinese Medicine is really..."
For a moment, Wang Liwen couldn't find the right words to describe his feelings.
Being inferior to others is not scary. What is scary is that you are not willing to admit it and try to cover it up.
Wang Liwen was a little disappointed with the performance of the Department of Traditional Chinese Medicine today.
"Director Wang, Ran Yuanbin is also doing this for the sake of our hospital's reputation."
Zhao Junyang said: "Chen Yang is only 30 years old. If Chen Yang really teaches our TCM department a lesson today, how will our TCM department survive in Jinjiang City in the future? The reputation of our hospital will also be damaged."
"I know the hospital leaders are trying to put pressure on our department, but sometimes we can't just ignore it."
Zhao Junyang had a blank expression on his face: “And even if Chen Yang doesn’t know how to read Professor He Wenliang’s medical records, he won’t be too embarrassed.”
"The patient does not appear to have Meniere's disease."
Zhao Junyang had just finished speaking when Chen Yang spoke.
"Meniere's disease is an idiopathic inner ear disease with hydrops in the membranous labyrinth. Although the cause of Meniere's disease is not yet fully understood, it is known to be related to an imbalance in the production and absorption of endolymph, which is currently a widely recognized pathogenesis. Excessive accumulation of endolymph leads to hydrops in the membranous labyrinth, triggering the disease.
Infection, genetics, autoimmune response, inner ear ischemia, trauma, allergies, etc. can also cause it…”
Chen Yang said slowly: "But judging from the patient's pulse and symptoms, the patient's dizziness should be related to mental stimulation, not Meniere's disease."
As soon as Chen Yang finished speaking, the demonstration classroom suddenly became silent. Ran Yuanbin, Zhao Junyang and others looked at Chen Yang, and their breathing became heavier.
Chen Yang actually knew!
Meniere's is the name of a disease in Western medicine. Generally speaking, unless they are particularly knowledgeable about it, most Chinese medicine practitioners have at most heard of the name of this disease and do not have an in-depth understanding of this disease.
When Ran Yuanbin talked about the disease just now, the reason why he mentioned Meniere's disease was not to mislead Chen Yang, but to talk about the patient's medical history and what disease was diagnosed by Western medicine. This is also the medical history and can be used as a reference.
Ran Yuanbin did not hide the subsequent symptoms, pulse condition, etc.
Because in Ran Yuanbin's opinion, the disease has exceeded the standard. At that time, Director Zhao was helpless and had to invite He Wenliang to solve the problem. Ran Yuanbin did not think that Chen Yang could make a clear diagnosis, so there was no need to do anything tricky.
But they never expected that Chen Yang, as a Chinese medicine practitioner, actually knew something about Meniere's disease.
Chen Yang not only knew about Meniere's disease, but was also able to tell that the patient's condition was not caused by Meniere's disease, but by mental stimulation.
Doctors in the Department of Traditional Chinese Medicine knew the answer because they knew very well that Chen Yang was right.
Although Meniere's disease, as the name of a Western medical disease, can be used as a reference to a certain extent, if the diagnosis is wrong, it would be misleading. After all, Meniere's disease and mental stimulation are completely different.
Initially, the doctors in the Department of Traditional Chinese Medicine were also misled by Meniere's disease. It was He Wenliang who diagnosed the disease based on pulse symptoms.
"Director Zhao, did you see that?"
Wang Liwen said slowly: "You underestimated Chen Yang."
"From the pulse and symptoms, the main pathogenesis of the patient is two-fold. The first is the internal movement of liver wind. The stagnation of liver qi leads to excessive liver qi release, resulting in liver yang rising and transforming into wind, and the brain qi is disturbed, causing dizziness."
Chen Yang continued, "Before we start to make a dialectical analysis, we must not ignore the fact that the patient was hit in the head during an argument with someone. At the time, the patient was in a state of anger and rage. A normal person would be angry after being hit..."
"It has to be the master."
Wu Mengmeng's eyes lit up. She had not thought of this just now. After Chen Yang said this, Wu Mengmeng suddenly felt as if the fog had cleared and the blue sky was revealed.
This is actually the charm of traditional Chinese medicine. When diagnosing diseases, traditional Chinese medicine will never ignore any details and will take all factors into consideration. The causes and consequences of the illness are also crucial to dialectics.
Although the patient developed various symptoms after being hit on the brain, he was angry and furious at the time. He was beaten, so he naturally felt aggrieved and sulked. This is a normal reaction.
"That's awesome."
Some doctors couldn't help but whispered: "How many people can think of this? This is the darkest place under the lamp. Many people subconsciously ignore this point."
Zhao Junyang narrowed his eyes slightly, his expression changed, and Ran Yuanbin sighed subconsciously.
The fact that Chen Yang can say this already shows his level.
"The Suwen Zhizhen Yaoda Lun also says, 'All wind-induced dizziness and vertigo are related to the liver.' The patient was angry and furious at the time, and then felt frustrated and sulked, which would inevitably lead to liver qi stagnation."
Chen Yang continued, "Secondly, it is the weakness of Wei Qi. Wei Qi is the raw material for the transformation of the brain's dynamic Qi. If the patient's liver Qi is stagnant and attacks the spleen, the spleen will be weak and unable to transport and transform Qi, which will lead to loss of appetite, reduced transformation of Ying and Wei Qi, and the inability of Wei Qi to warm the body, resulting in chills and fatigue..."
At this point, Chen Yang has already analyzed the causes of the patient's symptoms such as chills, fatigue, dizziness, and poor appetite very clearly.
At this point, Chen Yang has basically diagnosed the disease.
For a moment, all the doctors in the Traditional Chinese Medicine Department of the demonstration room looked at Chen Yang as if he were a monster. Is this really a young doctor of thirty years old?
"Do you have any other questions?" Chen Yang asked Ran Yuanbin.
Ran Yuanbin stood up and said, "No more, thank you Doctor Chen for clearing up my doubts."
He Wenliang's medical record was actually explained very clearly by Chen Yang, and Ran Yuanbin was already convinced. Chen Yang's level was far beyond their ability to make things difficult for him.
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