"The patient drank alcohol three days ago. After being drunk, he slept on the street for a night. Then he developed symptoms of difficulty in urinating and defecating. After treatment in other hospitals failed, he came to Tanghua."

The attending doctor explained the patient's symptoms.

"Is the patient's current symptom just difficulty in passing urine and feces?"

Dang Siping asked.

"Yes, the main symptom is difficulty in passing urine and feces."

The attending doctor nodded.

"The patient has difficulty in defecation and defecation, and he slept on the road all night after drinking alcohol. From this point of view, the patient most likely has cold syndrome, and cold means obstruction."

The party thinks of peace.

Cold governs the contraction and stagnation of qi. As the saying goes, cold causes dampness, dampness causes condensation, and condensation causes blockage.

Based on the patient's symptoms and experience, it is indeed very likely that the patient has cold syndrome.

After drinking, I slept on the road all night. Although the weather in Xihua City has started to get warmer during this period, and some people have started to wear short sleeves during the day, it is still relatively cool in the morning and evening. Especially at night, it is still a bit chilly. The patient

After sleeping on the road for a night, it is very possible that the cold air enters the body and causes obstruction of urine and feces.

"What Dang Siping said is indeed possible."

Ye Yingyun also said: "The patient slept on the road all night, and it may be due to cold, which may lead to obstruction of defecation and defecation."

After saying that, Ye Yingyun asked Yun Heng with a smile: "Yun Heng, do you think so?"

"It's possible, but..."

Yun Heng nodded and was interrupted by Ye Yingyun halfway through his words.

"Well, I know, we are only making a preliminary judgment now. The specific situation depends on the patient's condition. We cannot jump to conclusions."

Yun Heng: "......"

"Well, what Yun Heng said is good. Although judging from the patient's symptoms and the cause of the disease, the patient may indeed have cold syndrome, and the probability of cold syndrome is very high, but we still can't draw a conclusion hastily."

Zhong Chaoping also interjected.

"What did I say that I said was good?"

Yun Heng was a little confused. I was interrupted before I could finish my sentence, okay?

Qu Tongwen nodded with satisfaction, smiled and said to Ji Fengwen: "This group of young people is indeed good. They don't panic when things happen, and they are calm and collected. Even though various signs have shown that the patient may have cold syndrome, they have not drawn arbitrary conclusions.

.”

It was the first time for Qu Tongwen to interact with these students in the training class, and he was really surprised by their performance.

Over the years, Qu Tongwen has come into contact with quite a few doctors of traditional Chinese medicine, and most of them are senior attending physicians, deputy senior physicians or chief physicians in some hospitals.

As far as the current patient's situation is concerned, even some attending doctors may have jumped to conclusions at this time.

This does not mean that the patient does not necessarily have cold syndrome, nor does it mean that the analysis by Dang Siping and others just now is wrong. It may also be cold syndrome, and there is a high probability that it is cold syndrome. But even in this case, young people like Yun Heng

People still only say that it is possible, and do not directly draw conclusions, but still have doubts. This is very rare.

"Well, that's good."

Ji Fengwen nodded with a smile, thinking that it was Yunheng's headband that was good.

In the past ten days, these people have been educated more or less by Yun Heng. Even Yue Shaojiang has suffered from Yun Heng.

In terms of pure level, Ji Feng Wenjue's Yue Shaojiang's level should still be higher than Yun Heng's, but Yun Heng has one very difficult advantage that others don't have, and that is carefulness.

As Yun Heng himself said, he was in a community hospital with no one to check and no one to give guidance. In order to avoid making mistakes, he could only be cautious and verify repeatedly until he was sure that there were no doubts in his deliberation before making a final diagnosis.

In the past six months, the original caution and seriousness have become Yunheng's habit, so at any time, Yunheng will not jump to conclusions hastily, even if it seems that the patient is likely to have cold syndrome, Yunheng

Heng will not jump to conclusions without confirming all aspects.

And Yue Shaojiang suffered the consequences of being reckless and careless, so he seemed to be suppressed by Yun Heng several times in a row.

These people have suffered a lot and are now much more cautious.

Therefore, Yunheng gave these people a good start and also helped these people establish a good habit.

Ji Fengwen knew the cause and effect of the matter, but Qu Tongwen did not, so he was really surprised.

When facing patients, they can carefully seek evidence and not jump to conclusions. This group of young people is really remarkable.

While Ji Fengwen and Qu Tongwen were talking in low voices, Dang Siping had already begun to examine the patient.

"Eh!"

While diagnosing the patient's pulse, Dang Siping said in surprise: "The patient's pulse is huge, how can it be a sign of severe fever?"

"Is it the image of great heat?"

Ye Yingyun also stepped forward and waited for Dang Siping to check the pulse, then hurriedly said to the patient: "Let me take a look at the tongue."

The patient opened his mouth, and several people, including Ye Yingyun and Yun Heng, took a look at the patient's tongue coating.

"Yellow moss!"

"The coating is yellow and the pulse is strong. This is evidence of severe fever. How is it possible?"

Dang Siping, Ye Yingyun and others couldn't believe it.

"Yunheng is so awesome."

Ye Yingyun said: "So, when we meet patients, we must carefully verify the evidence and not jump to conclusions."

Yun Heng: "......"

What did I say again?

I don’t seem to have said a word at the moment, okay?

Qu Tongwen was also a little confused. Why did he have anything to do with Yun Heng? Yun Heng didn't seem to say anything at the moment. He was interrupted mid-sentence. How did he get involved in saying that Yun Heng was so powerful?

"Image of great heat?"

Yue Shaojiang pondered slightly: "Could it be said that the patient actually has Yang syndrome?"

Yang knot syndrome is generally divided into Yangming meridian syndrome and Yangming fu organ syndrome.

Yangming meridian syndrome refers to the clinical syndrome of Yangming disease pathogenic heat permeating the whole body, filling the Yangming meridian, and there is no dry stool in the intestines. It is also called Yangming heat syndrome.

Clinical manifestations include severe body heat, profuse sweating, severe thirst and heavy pulse; or cold hands and feet, shortness of breath, upset and murmuring, red tongue, yellow and greasy coating.

Yangming Fu syndrome refers to the clinical syndrome manifested by the unresolved Yangming meridian evil heat, which enters the Fu organs from the meridian, or the heat originates from the inside, combines with the residue in the intestines, and blocks the intestines. It is also called Yangming Fu syndrome.

.The clinical symptoms are characterized by “puffiness, fullness, dryness, and excess”.

Clinical manifestations include daily hot flashes, sweating of the hands and feet, fullness and pain in the umbilicus and abdomen, constipation, or abdominal distension, or even delirium, frenzy, insomnia, thick yellow and dry tongue coating, thorns on the edges, or even burnt black.

Dry and cracked. The pulse is slow but solid or slippery.

"Yang knot?"

Dang Siping said: "But apart from difficulty in defecation, the patient has no obvious symptoms of Yangming syndrome."

"Yunheng, what did you say?" Lin Yonggang asked Yunheng.

"Look into the patient's eyes."

Yun Heng looked at the patient's face carefully and said.

"Oh, the patient's eyes seem a little red."

Lin Yonggang said.

"Not bad, not bad."

Ye Yingyun nodded: "Look carefully, everyone, the patient's eyes are obviously a little red, and the coating is yellow. The patient's thermal symptoms are actually more obvious. On the contrary, the symptoms of cold syndrome are not obvious. The reason why everyone believes

The patient may have cold syndrome, but in fact it is simply judged from the fact that the patient slept on the street all night after drinking."

"good."

Dang Siping nodded: "It seems that Yun Heng's analysis is correct. The patient should indeed have heat syndrome, not cold syndrome."

Yun Heng: "......"

You are so awesome. From the beginning to the end, he only said a few words, and this group of people analyzed it succinctly. But why is it said that he analyzed the problem?

What did I analyze about me?

Yunheng was extremely depressed.

From the beginning to the end, I don’t think I said a word about the patient’s possible symptoms, right?

Qu Tongwen was even more confused?

What path is this?

Why do this group of people always think that Yun Heng is right and Yun Heng’s analysis is good?
Chapter completed!