"Dr. Yun, Dr. Jin wants you to go to the clinic!"

Just as Yunheng came from Qi Yaping's office, Zhao Nani came up to meet her and said to Yunheng.

"Okay, I get it."

Yun Heng agreed with the doctor and went directly to Jin Shijie's clinic.

"Doctor Yun!"

Seeing Yun Heng come in, Jin Shijie stood up with a smile and greeted him.

When he was in Tongji, Jin Shijie knew that Yunheng was better than him. After coming to West Asia Hospital, Jin Shijie also heard something about Yunheng. When Qu Tongwen, Ji Fengwen and Yue Anyun couldn't come,

, Yunheng is the ceiling of West Asia Hospital.

Ordinarily, when the outpatient clinic encounters a patient who cannot be solved, Jin Shijie should directly ask the patient to go to the duty room to see Yun Heng. However, Jin Shijie is also a little curious about this disease. He can listen to it in person, so naturally he hopes to hear it in person.

of.

Moreover, the patient’s condition does not require hospitalization.

At this point, there is a big difference between traditional Chinese medicine and Western medicine.

Most patients go to the hospital to see Western medicine, whether they go to a specialist or a regular doctor. Basically, few patients will encounter a doctor saying that I can't handle this disease. At most, they will hear a doctor say, you go to another hospital.

Check it out in the department or something like that.

No matter what the disease is, if you need to be hospitalized, the doctor will warn you to stay in the hospital. If not, he will issue a test order and wait for the results. The order issued by the doctor you see today may be the order issued by another doctor tomorrow.

But when you see a Chinese medicine practitioner, if you are a qualified Chinese medicine practitioner, you can basically understand what is going on on the spot. There are some diseases that the doctor is not sure about, and that means they are not sure.

Like West Asia Community Hospital, the most important reason why the traditional Chinese medicine department has a high consultation rate is that there are no return visits on the same day.

There is no need for equipment inspection, no need to read test orders, one person is here to solve the problem, and at most you will encounter patients who have been reviewed in the past few days, and there are fewer follow-up visits. This alone can make patients feel much more comfortable.

If there is a powerful Chinese medicine practitioner, most patients will be willing to see a Chinese medicine practitioner. This factor is also one of the very important factors.

There is no need for examination, there is no fixed routine, and it is the most test of the doctor's own ability. If you can understand it, you can understand it. If you can't understand it, you can't understand it.

When Yunheng was not at West Asia Hospital, when Ren Xuedong and others encountered patients who couldn't be solved, they all recommended the patients to go to a large hospital for examination. Not to mention other places, at least at West Asia Hospital, no one would show off.

"Doctor Jin!"

Yun Heng nodded to Jin Shijie.

"Doctor Yun!"

The patient was a girl in her early twenties, very pretty, and she hurriedly stood up to say hello to Yun Heng.

"Sit down!"

Yun Heng greeted him politely, and then sat down behind the treatment table, while Jin Shijie stood next to Yun Heng.

In the medical field, those with high standards are the kings. Yun Heng was called here by Jin Shijie himself. At this time, Jin Shijie naturally corrected his identity.

Clinically speaking, if your level is not good enough, you are asking for death. As the saying goes, if you don't have diamonds, you can't do porcelain work. At least as far as the current patients are concerned, Jin Shijie cannot afford it.

"What's wrong with you?"

After Yunheng sat down, he observed the girl and asked politely.

"Doctor Yun, look at my hands."

The girl stretched out her hand for Yun Heng to see.

The hands were white and had slender fingers. They were very beautiful hands. Yun Heng stared at them for a short while and found nothing wrong with them.

"Doctor Yun, please wait a moment."

The girl stood up and walked to the side. There was an examination bed next to the new clinic on the second floor. There was a curtain and a wash basin. The girl walked to the wash basin and washed her hands on the wash basin for a while.

Then he came over with wet hands.

Looking at the girl's hands this time, Yun Heng saw the changes in the girl's hands at a glance. The girl's ten fingers had turned pale and pale.

Yun Heng stretched out his hand and touched the girl's finger, feeling the slightest bit of coolness.

The girl looked at Yun Heng and said, "Doctor Yun, please wait a little longer."

Yun Heng said nothing and continued to watch. After a while, the girl's originally pale fingers began to turn purple, and then turned dark red.

"What does Dr. Jin think?"

Seeing this, Yun Heng turned around and asked Jin Shijie.

"This is a very typical Raynaud's phenomenon. Modern medicine clinically divides this phenomenon into two categories: primary and secondary. The former is mostly caused by factors such as cold stimulation, autonomic nervous system disorders, endocrine disorders, and genetic infections.

, secondary diseases are more common in rheumatoid immune system diseases such as rheumatoid arthritis, scleroderma, lupus erythematosus, and dermatomyositis.”

Jin Shijie replied.

What Jin Shijie said is a very standard clinical description of Raynaud's phenomenon.

Raynaud's phenomenon, also known as intermittent finger skin color changes, acral arterial spasm, and secondary acral arterial spasm, refers to the vascular disease induced by cold stimulation, emotional excitement, long-term use of trembling tools, and various diseases.

Nervous dysfunction, leading to paroxysmal spasm of extremity arteries, temporary reduction or interruption of blood flow, and subsequent characteristic lesions of expansion and congestion, accompanied by pain and abnormal sensation. It shows intermittent paleness, cyanosis and flushing of the skin color of the extremities.

.

This disease is more common in women, with a male-female incidence ratio of about 1:10; the age of onset is mostly between 20 and 30 years old, and rarely over 40 years old.

"Dr. Jin is very knowledgeable."

When the girl heard Jin Shijie's statement, she smiled and said: "I have been in this condition for many years. I had an examination a few years ago and ruled out rheumatic and immune system lesions. It should be primary."

Jin Shijie smiled stiffly.

When a little girl told him that he had extraordinary knowledge, Jin Shijie didn't realize what a compliment it was.

He is a doctor at Tongji Hospital, and his professional title is already that of attending physician. He is also considered a leader among the young doctors in the Department of Traditional Chinese Medicine at Tongji Hospital, and he is very knowledgeable?

This is not a compliment.

Ignoring the girl, Jin Shijie continued: "The patient's hands are cold, which is supposed to be a Jue syndrome in traditional Chinese medicine, but it does not meet the basic elements of 'Jue'."

In traditional Chinese medicine, there is a very clear explanation of "Jue". One is limb Jue, which is the so-called cold limbs. "Treatise on Febrile Diseases" has a detailed description, "Any Jue that the yin and yang qi are not in harmony with each other will lead to diarrhea."

Those who suffer from syncope or syncope are those with cold hands and feet."

Another word for syncope is fainting, being in a coma, and being unconscious.

The symptoms of these two conditions are called Jue syndrome in traditional Chinese medicine.

Jin Shijie continued: "To be honest, this is the first time I have encountered such a typical Raynaud phenomenon, and I am a little confused about where to start."

"Exclude appearances and look at essence."

Yun Heng said with a smile: "At first glance, the patient's condition does not seem to be consistent with the discussion of epilepsy, but if you look carefully, it is actually consistent."

Jin Shijie listened carefully and said humbly: "Doctor Yun, what do you mean?"

"The explanation about Jue in the "Nei Jing" points out that there are two categories of limb Jue: cold and heat. If the Yang Qi is weak at the bottom, it will be Cold Jue; if the Yin Qi is weak at the bottom, it will be Heat Jue."

Yun Heng motioned to the girl to put her arms up, and while feeling the girl's pulse, he said: "The patient should be suffering from colds..."

Saying that, Yun Heng felt the girl's pulse carefully, listened for a while, and said to Jin Shijie: "The pulse is heavy and thin, and the foot pulse is insufficient, which is a sign of cold syndrome. Doctor Jin should have checked the pulse, right?"

"It's been diagnosed."

Yun Heng said: "A heavy, thin and weak pulse is a symptom of Yang Qi deficiency and Qi and blood deficiency. Doesn't it mean that it is cold syndrome?"

"yes!"

Jin Shijie smiled bitterly: "I just ruled out the possibility of the patient's appetite rheumatism and immune system disease. Considering that the patient should have primary Raynaud's phenomenon, I just don't think it is consistent with syncope."

Listening to Jin Shijie's explanation, Yun Heng couldn't help but sigh in his heart.

Modern medicine, or to be precise, modern education has really had a great impact on TCM practitioners.

Jin Shijie comes from a family of traditional Chinese medicine, and he is said to have been exposed to traditional Chinese medicine since he was a child. Like Yue Shaojiang, he later focused on taking exams for a diploma. But even so, Jin Shijie was influenced by modern medical thinking in some aspects.

influence.

Like Raynaud's phenomenon, there is no such term in traditional Chinese medicine.

Or maybe it could be said that Jin Shijie was praised a bit too highly.

At least in the past ten years, Jin Shijie's clinical practice has been much less. He is a doctoral candidate and entered Tongji. This level is naturally considered outstanding among the younger generation of Tongji. Maybe Jin Shijie himself does not realize that he has actually

Out of date.

If a pig hangs out with a group of dragons all day long, even if it knows it is a pig, it will work hard to shorten the gap with the dragons. If a dragon stays in a pig's nest all day long, even if it knows it is a pig

Dragons will also be complacent all day long because there is no competition, and eventually become the worst dragons.

This is not to say that Tongji’s doctors are all of poor quality, but the general environment is such that as long as you are in it, you will be affected to some extent.

This year, Yunheng met Ren Xuedong, Yue Shaojiang, and Jin Shijie. As he came into contact with these people, Yunheng was somewhat glad that he did not join the crowd in the Department of Integrated Traditional Chinese and Western Medicine of Xihua Hospital. Otherwise, his thoughts would have been corrupted.

Assimilated.

After withdrawing his thoughts, Yunheng continued to ask the girl: "Are you very afraid of the cold in winter?"

"Well, yes."

The girl nodded: "In winter, my whole body feels like ice cubes. Even in summer, I don't dare to eat too much cold drinks."

Hearing this, Jin Shijie slowly said: "Those who have cold hands and feet and a thready pulse should be treated by Sini Decoction!"

Yun Heng raised his eyes and glanced at Jin Shijie, reminding him: "The patient is afraid of cold in winter and has been cold for a long time."

Jin Shijie was inspired: "If a person has a chronic cold, he should be treated with the Evodia Fructus and Ginger Decoction of the Si Ni family..."

"Um!"

Yun Heng stood up: "Doctor Jin will be responsible for prescribing."

Jin Shijie nodded and glanced at Yun Heng.
Chapter completed!