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

Chapter 795 Clinical Competition (2)

"I didn't expect Miss Wen... to be so powerful!" Mo Haobo said in surprise.

Wen Manlu is about the same age as Mo Haobo, so among Chen Yang's group this time, not to mention that Han Xingwen and others don't pay much attention to Chen Yang and Wen Manlu, even Mo Haobo has always ignored Wen Manlu.

I never thought that Wen Manlu would have such level.

Judging from the conditions of the first two patients, their conditions were not too complicated and were routine questions. However, even so, they were still a test for young doctors.

Chinese medicine diagnosis depends on personal accumulation and experience on the one hand, and personality on the other. As a doctor, you must be careful. The more meticulous you are, the less likely you are to make mistakes.

Relatively speaking, Wen Manlu is indeed more careful.

Moreover, according to the current ranking on the Qingyun List, Wen Manlu is already above Wen Haohui. Wen Haohui's current ranking is still sixty-eighth, while Wen Manlu's ranking has risen to fifty-three.

In terms of level, Wen Manlu is already above Wen Haohui.

"Yeah, indeed."

Wen Haohui smiled and nodded, glancing at his sister.

Is this what it means when people are close to vermilion, they become redder; when people are close to ink, they become blacker; when people are close to Chen, they become stronger?

My sister has surpassed me without realizing it?

During these two nights, Wen Haohui and Liu Xi lived in the same room, and he heard Liu Xi talk a lot about Chen Yang. Not only how powerful Chen Yang himself was, but also how great Chen Yang's apprentice Li Haofei was at a young age.

"Do you feel like Alexander?" Li Chengjie asked Han Xingwen with a smile: "Old Wen's granddaughters are not simple at all."

“Everyone has his strengths and weaknesses.”

Han Xingwen smiled and didn't feel too much pressure.

Neither Han Xingwen nor Li Chengjie are good at prescriptions. Han Xingwen is best at acupuncture, while Li Chengjie is best at bone setting.

This afternoon's exchange must have been arranged for patients from related fields. After all, Lingnan is the host, and few hosts are willing to be overshadowed by their guests.

\"Next patient.\" the host announced.

As they were talking, the third patient entered the banquet hall.

The moment the third patient stepped into the venue, the originally quiet space was instantly broken by a low exclamation.

He was a hunched-over man in his seventies, with weak steps, as if he had used up all his strength in every step. His body was ravaged by edema, and his entire body was swollen, especially his lower limbs, which were swollen and shiny. His skin was so tight that it seemed like it would burst at any second, and the pain was written on his face without reservation.

Looking at the patients who were helped in, many people had serious expressions, especially the young doctors.

Sure enough, after the first two patients, the condition of the third patient was no longer simple.

"The patient's condition was complicated and treatment at multiple hospitals was ineffective."

"This patient's condition is extremely complicated. He has been to many hospitals but has never received effective treatment." Mo Xinzhi looked solemn and introduced everyone in a low voice, "Today, we will treat him as a special case and invite everyone to discuss it together and strive to find a cure."

"hiss!"

Some people gasped, especially those who had not had the chance to show off just now. They sighed in their hearts, thinking that at this point, they no longer had the chance to show off.

As local doctors in Lingnan, many of them actually knew that winning the award had nothing to do with them. They just wanted to show off this time, but Han Xingwen and others did not give them the chance.

"Let the patient go and let him go on his own." Chen Yang, who had been silent before, suddenly spoke.

Upon hearing this, the staff gently let go of the patient, and the patient walked forward with difficulty. The staff carefully guarded the patient by the side and waited until the patient sat down on the chair.

This time, Xia Hongliang stepped forward first, took the patient's pulse, and patiently and carefully asked about the patient's medical history. Through questions and answers, he gradually pieced together the outline of the patient's condition.

It turned out that the patient had been suffering from edema for more than half a year. The diagnosis given by Western medicine was "refractory heart failure". In order to relieve the edema, the patient tried various diuretics, but as the days passed, the effect of the diuretics became worse and worse, and the edema still entangled the patient like a demon.

Xia Hongliang carefully examined the patient's pulse, frowning slightly. After a moment, he slowly said, "The spleen and kidney yang are deficient, and water and dampness are overflowing. In my opinion, a large dose of warming yang and promoting diuresis is needed. You can use Zhenwu Decoction combined with Wuling Powder, especially using aconite and Poria cocos."

Han Xingwen, Lin Yi and several other doctors also came forward one after another. After a diagnosis, the plans they gave were mostly similar to Han Xingwen's, all of which used warming the yang and promoting diuresis as the main treatment idea.

"Chen Yang?"

Wen Haohui looked at Chen Yang.

Hearing Wen Haohui calling Chen Yang, Han Xingwen and others also looked at Chen Yang.

Just now when Chen Yang asked the staff to let the patient go, several people actually looked at Chen Yang a little more.

Chen Yang asked the staff to release the patient and let him walk on his own. His purpose was to see the patient's condition more intuitively and to judge some things based on how he walked.

Chen Yang walked to the patient and said, "Old man, open your mouth. Let me take another look at your tongue coating. Yes... stick out your tongue... lift it up a little bit... OK, thank you."

While guiding the patient, Chen Yang carefully observed the patient's tongue. Everyone around came closer to check with Chen Yang.

After looking for a while, Chen Yang asked, "Do you usually feel pain in a certain part of your body? For example, here..."

As he spoke, Chen Yang gently pressed the patient's right rib cage.

When the patient heard this, his eyes were full of surprise, and he said, "How do you know? I do often feel pain here, like a needle prick, but compared to this edema, it feels nothing, so I didn't mention it just now."

Not only did the patient not mention it, Xia Hongliang didn't ask it either.

Han Xingwen, Li Chengjie and others looked at Chen Yang differently.

Although it is just a simple sentence, it can reflect Chen Yang's level.

How is the level of difference between doctors reflected?

You can see what other doctors have not seen, and you can think of what other doctors have not thought of. This is a reflection of your level.

Obviously, Chen Yang discovered a problem that no one else had noticed before.

Chen Yang nodded slightly, but did not respond immediately. Instead, he continued to ask about the patient's urine color: "Is the urine dark yellow with a hint of red?"

"Yes." The old man nodded.

Chen Yang pondered for a moment, then asked, "Did you ever do heavy physical labor when you were young? Or did you ever suffer a serious injury?"

As soon as this question was asked, not only the patient was stunned, but everyone present also looked at each other, some with confusion, while others were shocked.

Liu Songyan looked at Mo Xinzhi in surprise and said, "This Chen Yang is amazing. No wonder Xinzhi praised Chen Yang so much that day."

"Chen Yang didn't say much just now, I thought..."

Han Mingzhi smiled and said, "Who knew that he was so confident? This shows that he has real skills."

The patient was stunned for several seconds before he came to his senses and said in even greater surprise: "When I was young, I carried large bags at the dock. When I was 30, I was hit by a load and injured my waist. I vomited blood and had to lie down for two months before I recovered."

As soon as these words were spoken, the meeting place suddenly exploded like a boiling pot. Everyone was whispering to each other, discussing Chen Yang's seemingly unrelated question.

"Fuck, that's awesome."

"awesome."

Some young doctors who were watching were amazed. Chen Yang's simple questions each hit the key point.

Han Xingwen and Li Chengjie looked at each other and saw the shock in each other's eyes.

No wonder Wen Haohui and a few others said they wanted to see Chen Yang. They originally thought it was a joke, but they didn't expect it to be true.

"Brother Chen is so awesome, isn't he?" Mo Haobo exclaimed.

"Where are we going now?"

Liu Xi smiled and said, "This battle is child's play for Master."

Not to mention Liu Xi, even Lin Yi and Xia Hongliang were not surprised, and Wen Haohui and Wen Manlu also did not show much emotion.

Mo Haobo looked at Chen Yang with burning eyes.

How great it would be if he was the one performing well now. Would his grandfather and his father dare to say that he is a loser in the future?

"Study medicine well."

Liu Xi smiled and said to Mo Haobo: "Although Master said that learning medicine is not for showing off, but if you have such a skill, you can show off in front of beautiful women, then..."

Mo Haobo: "......"

It seems that what Brother Liu said makes a lot of sense.

Chen Yang remained unmoved and continued to examine the patient in an orderly manner. He found that although the patient was swollen all over, the sublingual veins were dark purple and tortuous, and the pulse was deep and sluggish, and these important signs were ignored by the previous doctors.

"I don't think this is simply yang deficiency and water retention."

Chen Yang raised his head and said slowly, "It's 'blood stasis and water retention'! The trauma of the patient when he was young caused blood stasis in his body. Over time, it seriously affected the normal flow of qi and blood, and the water metabolism was also abnormal, which led to the current extremely stubborn edema."

As he spoke, Chen Yang continued to observe the patient, his voice steady and powerful, as if revealing unquestionable confidence: "Simply promoting diuresis is only a temporary solution, not a permanent cure. It is necessary to promote blood circulation and remove blood stasis while promoting diuresis and reducing swelling. I suggest using Xuefu Zhuyu Decoction combined with Wuling Powder with modifications, and at the same time coordinating with acupuncture at Sanyinjiao, Xuehai and other acupoints to promote blood circulation and promote diuresis."

Chen Yang's diagnosis was like a blockbuster bomb dropped into a calm lake, instantly causing a huge wave and completely overturning everyone's previous thinking.

The meeting room fell into a dead silence at first. Everyone was shocked by this new diagnosis, and their brains worked rapidly to digest this astonishing view. Then, a heated discussion broke out.

"Blood stasis causes edema? This idea is so unique! I have never thought of analyzing it from this angle before." A young doctor exclaimed in surprise.

"But when you think about it carefully, it does make sense. The Golden Chamber has the statement 'if the blood is not flowing smoothly, it will turn into water'. Doctor Chen is really applying this classic!" A senior doctor nodded slightly, his eyes full of admiration.

"But is it safe to use blood-activating drugs for such severe systemic edema? Will it cause other problems?" Some doctors also expressed their concerns. For a while, everyone had their own opinions and discussions continued.

At this moment, Mo Xinzhi stood up. His voice was loud and powerful, instantly drowning out the noisy discussions: "Silence! Doctor Chen's diagnosis is very insightful. Blood stasis blocks the internal organs and makes the water channel of the triple burner unfavorable, which can indeed lead to stubborn edema."

Mo Xinzhi walked over to the patient and examined him personally. After a careful examination, Mo Xinzhi nodded and said, "The sublingual veins are dark purple, the pulse is deep and sluggish, and the patient has a clear history of trauma. The diagnosis of 'blood stasis and water retention' is completely established. Doctor Chen has a sharp eye and accurately grasped the key pathogenesis. It is really admirable."

Gao Anliang also praised: "From the initial consultation to the final diagnosis, every step is very precise and logical, which is amazing. This is the real Chinese medicine thinking - seeing the big picture from the details and grasping the condition as a whole. Dr. Chen taught us a vivid lesson."

Gao Anliang said this, but he was quite uneasy in his heart, because he didn't even notice the patient's condition, which meant that Chen Yang's level was even higher than his.

With Mo Xinzhi's approval, the correctness of Chen Yang's treatment plan was undoubtedly confirmed.

Chen Yang walked to the table, picked up a pen and paper, and personally wrote a detailed prescription for the patient. He wrote with great speed, peach kernel and safflower were used to promote blood circulation and remove blood stasis, Poria cocos and orientalis were used to promote diuresis and reduce swelling, Bupleurum and Citrus aurantium were used to regulate qi and promote blood circulation, and Astragalus was added to invigorate qi and promote blood circulation... Each medicine was selected just right, and they complemented each other and brought out the best in each other.

"This recipe... is so wonderful!"

Gao Anliang took the prescription, studied it carefully, and couldn't help but exclaimed, "It activates blood circulation without damaging vital energy, and promotes diuresis without dissipating vital energy. It is a combination of attack and supplement, and truly achieves the goal of treating both the symptoms and the root cause. Doctor Chen's understanding and application of traditional Chinese medicine has reached a superb level."

After writing the prescription, Chen Yang gave the patient acupuncture on the spot.

Watching Chen Yang pick up the silver needle with skill, quickly locate the Sanyinjiao, Xuehai, Shuifen and other acupoints, and insert the needle quickly, accurately and steadily, his acupuncture technique was as smooth and natural as flowing water, everyone present was attracted by his superb acupuncture skills, and their eyes followed the silver needle in his hand closely, without blinking.

"This acupuncture technique... is a true one!" Han Mingzhi is an acupuncture expert himself. He saw Chen Yang's extraordinary attainments in acupuncture at a glance and couldn't help but admire him: "The acupoints are accurately selected and the technique is skillful and sophisticated. Without ten years of hard study and practice, it would be impossible to reach this level."

Han Xingwen stared at Chen Yang without blinking, opening and closing his mouth, but couldn't utter a word for a long time.

Chen Yang is good at prescriptions and internal medicine, but I didn’t expect that he is also so good at acupuncture?

Although Chen Yang did not use any special acupuncture techniques at this moment, even so, experts could still get a glimpse of the whole picture and see something from it.

After Chen Yang finished the acupuncture, the patient, who was originally suffering from edema, showed a look of surprise on his face.

"I feel much more comfortable! I have never felt so relaxed in the past six months! My originally tight skin seems to have relaxed a little, and my breathing is much smoother."

This can be seen from the patient's walking posture as he walked out of the venue. When he walked out, he was obviously a lot more relaxed. When he came in, it was as if he had sandbags weighing dozens of kilograms tied to his legs, but now it seemed as if the sandbags had been removed.

(First, the medical records for the competition phase are hard to find. Second, the treatment phase looks better with more words, so I haven’t divided it into chapters in the past few days. Today, I will combine the two into one.)