Chapter 780: Dr. Yun's Consultation (Part 2)
The patients in the outpatient clinic each have different conditions, and they are mainly patients with common diseases. Yunheng sat in the clinic and showed the classroom, and Ji Fengwen occasionally commented on each patient's condition.
"In daily diagnosis and treatment, as a traditional Chinese medicine practitioner, you must first have a good thinking model. When facing patients, do not be confused by appearances and analyze the syndrome according to the patient's pulse syndrome."
A group of young doctors watched Yunheng sitting in the clinic while listening to Ji Fengwen's advice.
Although the thirty young doctors are all from tertiary hospitals, it is almost impossible to have this kind of learning opportunity in their own hospitals. In the hospital, few senior doctors are so patient.
A person's mentality changes often follow his or her own circumstances.
A person's state of mind changes the most when he is in school and when he enters society. After all, school and society are two completely different levels.
When in school, you can sit quietly and study, with teachers teaching you, but most people have no intention of studying because most people do not bear the pressure of life and do not know the hardships of society.
But once you get out of school, you won't feel so confident asking your parents for money. You will have to shoulder the burden of life, and your colleagues and leaders at your workplace will not be as innocent as your classmates at school.
After experiencing the complete difference between school and society, most people's mood will change, and some people will even begin to regret why they did not study well when they were in school.
Today, the young doctors in the demonstration classroom are all medical students who have graduated for at least two years. Even several of Yun Heng's classmates have been in the hospital for a long time.
Every day I was scolded by superior doctors, reprimanded by leaders, and even faced with scorn from patients. Now there is another opportunity to learn and improve, and it is such a rare opportunity that almost everyone is eager for it.
"Sit down."
In the consulting room, Yun Heng asked another patient to sit down.
The patient is an old man who is nearly eighty years old. The old man was supported by his son.
When he walked in, the old man walked very slowly, with a tired look on his face, his face was red, and his lips were dark red and looked dry.
"What's wrong with the old man?"
After Yunheng asked the old man to sit down, he asked gently.
"fever."
The old man said something, and the old man's son added next to him: "My dad has had a fever for a while. He has been to the clinic and three hospitals, but there has been no effect."
"Here, put your arms up."
Yun Heng asked the old man to put his arms on the pulse pillow on the consultation table. While he stretched out his hand to check for pulse, he asked: "Do you have a fever, are you sweating?"
"Sweating."
"Besides the fever, what else do you feel uncomfortable about?" Yun Heng asked again.
"Dry throat, sore throat, no strength."
"Do you have a cough or runny nose?" Yun Heng asked again.
"No."
The old man shook his head.
"How's your bowel movement going?"
"I'm a little constipated. I can't urinate much and the color is very yellow."
Yunheng asked some questions, waited for his pulse, and then picked up the tongue depressor.
"Come on, open your mouth and let me take a look at your throat."
"The throat is red and swollen, the tongue is dark red and slightly purple, the tongue coating is thin and yellow, and the pulse is slightly floating."
After the examination, Yunheng entered the old man's symptoms on the computer as he spoke.
"The old man has a febrile disease."
Yunheng said to the patient and his family while typing.
"Dr. Yun, what is warmth?" the patient's son asked.
"Spring Qi circulates in the liver, and spring diseases are in the head. This period belongs to the hot and humid season among the six Qi, so it is a period when warm and hot, wind and cold diseases are common."
Yun Heng explained: "In traditional Chinese medicine, the name of the disease is determined by indicating the time period in which the six qi are located. Typhoid fever is based on syndrome differentiation of the six meridians, while febrile disease is based on the syndrome differentiation of Wei Qi, Yingxue and Triple Burner."
In the demonstration classroom, Ji Fengwen said slowly: "This disease is a relatively unique disease. Although it is a symptom of wind-cold disease, it needs to be combined with the five movements and six qi, and the time period of the six qi is taken into consideration to combine the syndrome differentiation."
"Mr. Ji, how do you differentiate between these?"
Someone asked in confusion.
"In fact, in actual clinical practice, changes in time, season, and climate already have an impact on symptoms."
Ji Fengwendao: "So in actual clinical practice, no matter what disease we deal with, we have to take the impact of climate periods into consideration, instead of asking when we should consider it."
"Ye Tianshi's "Exogenous Warmth and Heat Deception", Wu Jutong's "Febrile Diseases Treatise" and Lei Feng's "Treatise on Current Diseases" all have relatively detailed descriptions of febrile diseases."
"Here, why do we need to consider the evil of warm and hot? Because the evil of warm and hot is the easiest to damage yin. The earlier the treatment, the better the effect. Remember the medicine of bitter cold to damage yin."
"The patient has also seen Western medicine before, but why can't it work? Modern medicine often focuses on antibacterial, anti-inflammatory or antiviral treatments when treating such diseases. However, in actual clinical practice, we should use clearing away warm heat and penetrating the surface to clear away heat.
, clears and soothes the throat, nourishes yin and nourishes fluids."
Ji Fengwen said that in the clinic, Yun Heng had already prescribed the medicine.
"The prescription is Wu Jutong's Yinqiao Powder, Baihu Decoction and Zengye Decoction."
As he spoke, Yunheng handed the prescription to the patient: "Take one dose a day, divided into two times. Come back for a follow-up consultation after the medicine is finished."
The patient didn't ask what prescription was originally used, and Yun Heng generally didn't explain it. Today's explanation was actually given to the person in the classroom.
In the classroom, Ji Fengwen continued: "Did you see that Yun Heng's prescription is very particular, and all aspects have been taken into consideration. It uses Yinqiao Powder, Baihu Decoction, and Hezengye Decoction to remove evil spirits and remove them.
, purges and warms heat, nourishes yin and promotes fluid production.”
"The five movements and six qi of traditional Chinese medicine can accurately predict the annual climate characteristics. In actual clinical cases, all aspects should be considered comprehensively based on the patient's specific illness, constitution, and personality."
Ji Fengwen analyzed it in detail for everyone.
By this time in the morning, Yunheng had seen seven or eight patients. Although there were not too serious patients, most of them had symptoms such as fever and cough. However, in actual clinical consultations, these common diseases were the most treatable.
Explain some things.
Ji Fengwen was explaining to the students in the clinic. In the clinic, Yunheng had already called the next patient.
The patient was a woman in her twenties and forties who was helped in by a young man of about the same age, followed by a middle-aged woman in her fifties.
It seemed that the woman and the young man were husband and wife, followed by the patient's mother-in-law.
When the female patient walked into the clinic, not only Yun Heng, but also the students in the classroom could see that the female patient who came in was blind and could not see.
Chapter completed!