After everyone read the patient's medical records, the medical records were transferred to Monkey King. Monkey King also read them in detail and specially picked out the few lists Yun Heng said.

"Do you have any comments?"

Monsoon Wen looked at everyone.

"Old Ji, what Yun Heng said is some truth, we have neglected it."

Dang Siping glanced at Yun Heng, and then asked Monkey King Wendao.

This time, Dang Siping was completely convinced by Yun Heng.

The patient's symptoms and the time of onset can be said to be based on various situations, the patient meets the symptoms of "heat enters the blood chamber". As everyone just said, basically they confirmed that the patient is "heat enters the blood chamber".

But even in the situation just now, Yun Heng did not rashly follow the trend to draw conclusions, but was checking the patient's medical records quite carefully.

Yun Heng's level is higher than him and he knows more than him. Even so, Dang Siping was not convinced by Yun Heng. He recognized Yun Heng as being better than him and also admitted that he was not as good as Yun Heng, but he was not convinced.

It's like when I was in school, some people had better grades and higher rankings than themselves, and it was still impossible for everyone in the class to convince them.

You are good at studying, I am very good at fighting.

You study well, but my family is rich.

It is only one aspect to learn well.

Yun Heng has a high level, but his talent is born with nature. Just like his appearance and background, he has no choice.

However, Yun Heng's high level was more cautious than them, which forced Dang Siping to accept it.

Yue Shaojiang didn't say anything, and also looked at Yun Heng, with a thought similar to Dang Siping in his heart.

Having a high position may not necessarily make people respect it.

But if you are in a high position and can be respectful to the virtuous, you will definitely win the respect of some people.

A knowledgeable person may not necessarily be recognized by people.

But if you are knowledgeable but can ask for advice humbly, you will definitely be recognized by some people.

Yue Shaojiang has some judgment on how Yun Heng performed and his personality in the past few days. Yun Heng’s level is not worse than him, but Yun Heng is not arrogant.

Yun Heng's level is no worse than them, but Yun Heng never rashly draws conclusions when facing patients, and he always repeatedly verifies them.

This is where Dang Siping and Yue Shaojiang reflect.

Ji Fengwen looked at everyone and said slowly: "'The liver stores blood, and blood and the liver are inseparable. The liver meridian walks through the chest and breasts and under the breasts. After the disease invades the 'blood chamber', it invades the liver meridian, which is 'chest congestion'..."

"For the 'heat enters the blood chamber', there is a clear description in the "Treatise on Febrile Diseases" that heat enters the blood chamber is mostly caused by feeling evil poison during menstruation. It refers to the main symptoms of fever, chills and fever in women during menstruation or before and after menstruation, cold and heat are like malaria, chest and ribs, lower abdomen fullness, or high fever, nonsense, or abnormal menstrual volume......"

After saying that, Ji Fengwen asked slowly: "So who will tell me about breast tummy?"

Dang Siping said: "Breast congestion usually refers to the chest ribs that appear to be full and painful after fever, and the pressing is hard and full. In severe cases, high fever, nonsense, and even coma..."

Ji Fengwen nodded: "Well, Dang Siping said it well. Judging from the symptoms, the heat entering the blood chamber and the chest congestion are similar, but there are also differences. But why did no one notice any abnormalities except Yun Heng?"

“Precisely thought.”

Ren Xuedong said softly.

"Xiao Ren is right."

Ji Fengwen nodded in appreciation and said, "It is precisely the preconception and this idea that has led all of you to misunderstandings, so from the beginning, I ignored the difference between the two and only focused on the similarities between the two."

"Just just now, Dang Siping asked if he was getting wet during menstruation. Then all of you judged based on this point, the patient was 'heat entering the blood chamber'. With this preconceived understanding, whether it was diagnosed or examined, all of you were leaning on this result. This is equivalent to using a preconceived wrong answer and then looking for evidence to prove that the answer is correct. It was wrong from the beginning. No matter how dialectical or how to check it later, it can only make you wrong further and further."

Monsoon Wenwen said earnestly: "I remember that we taught you two days before the class started. Doctors diagnosed diseases like honest officials to determine cases. When deciding cases, the most taboo thing is to be preconceived. Similarly, we should also be preconceived when diagnosing diseases. If there is no preconceived concept, Xiao Yue would not ignore the patient's severity when he was examining patients, right?"

Yue Shaojiang nodded.

He did find something abnormal when he was checking just now, but as Ji Fengwen said, he had preconceived that he had already thought that the patient had heat entering the blood chamber, so he didn't think much about it at the time.

The patient's symptoms in certain aspects, such as high fever, fullness of chest and ribs, nonsense, and coma, can be said to be consistent with the characteristics of heat entering the blood chamber. In addition, the most typical characteristic of judging heat entering the blood chamber, feeling external evil during menstruation...

After all, everyone has made a conclusion about the patient's condition. At this time, even if it is a little abnormal, in Yue Shaojiang's view, it is just a difference manifested by different individuals.

"Yun Heng, tell me, why didn't you directly determine that the patient had heat entering the blood chamber, but you thought that the patient might have blood tumour?"

Ji Fengwen asked Yunheng.

Yun Heng said truthfully: "Actually, at first I thought the patient had heat entering the blood chamber, but as you said just now, doctors diagnosed diseases like honest officials to make a case. Even if the patient's performance is consistent with heat entering the blood chamber, I also have this understanding. But before the conclusion is made, I still have to have a doubtful attitude. So when I understand the patient's symptoms in detail and check the patient's past medical history and past medical records, I also have such a thought to check..."

"If you want to make a case a bad case, then this case must withstand layers of scrutiny and there must be no doubts. Similarly, when diagnosing a disease, if you want to be diagnosed, this disease must also withstand layers of scrutiny and there must be no point. Although I initially judged that the patient might have been in the blood chamber, it was not 100% certain. So when I was checking and thinking, I was also looking for something else that could overturn this judgment......"

"When I saw that the patient had used drugs to regulate qi and blood before, I thought that if the patient entered the blood chamber with heat, then the condition may also change after taking the medication..."

Ji Fengwen smiled with relief and said, "Okay, if you have such an idea, Xiaoyun, you can actually get out of the army."

For doctors, especially for traditional Chinese medicine doctors, some things can be increased by learning and long-term accumulation, but their thinking mode is not good. Not to mention Yun Heng's level for the time being, just talking about thinking mode, many people cannot compare.

After praising Yun Heng, Ji Fengwen continued: "I don't know if you have any knowledge about modern police's thinking on investigating cases. I have watched some criminal investigation dramas myself. Many criminal investigation dramas have this thinking. First, lock in a suspect, then question it, take this suspect as the core, and see if it can perfectly outline the entire case, perfect. If possible, then the suspect can basically be determined, and then focus on this suspect and then look for evidence to prove that he is guilty..."

"On the contrary, if there are many suspicious points when scrutinizing the suspect with the determined suspect as the core, then the suspect is very likely to be wrong. Even if there are no suspicious points in the suspect, if you want to convict, you also need evidence. Both are indispensable..."

"I think this idea is very practical in our clinical practice. Even if it is preconceived, we have to doubt it. As Yun Heng said just now, it must stand up to layers of scrutiny, but you all have preconceived ideas and directly determine it. Does anyone question it, and does anyone think about it?"

Faced with the questioning of Ji Fengwen, the group of people lowered their heads.

As for the patient's condition, Yun Heng and others could tell that the patient might have heat entering the blood chamber, but their performance was quite good. The patient had also seen other Chinese medicine doctors before. The reason why some doctors saw drugs that regulate qi and blood was because they didn't even see heat entering the blood chamber. Otherwise, the patient would have been cured after three doses of Xiao Chaihu Decoction.

People like Yunheng and Dang Siping are all hospitalized, and it is really good to have this level.

But Monsoon is teaching now. When encountering a problem, solving a problem, and making mistakes happen, we must learn from it.

Moreover, in this disease, Dang Siping and Yue Shaojiang, at least used some snacks, did not preconceive it. Like Yun Heng, if you look at the patient's medical records in detail, you can actually detect abnormalities.

What Monsoon Wen wants to teach them now is thinking.

Zhang Haihua and Liu Kexiang, who were standing at the door of the ward, also listened very seriously.

If the theory is not involved, in terms of thinking mode, Chinese and Western medicine can sometimes learn from each other.

What Ji Fengwen and Yun Heng said just now, even if Liu Kexiang, the director of the emergency department, came to listen, he felt that he had benefited a lot and benefited a lot.

"Director Zhang, you junior brother is even better than I thought."

Liu Kexiang whispered to Zhang Haihua.

After listening to this for a while, Liu Kexiang became more and more shocked when he listened, and the more he listened, the more interested he became in Yun Heng.

"yes."

Zhang Haihua nodded, thinking to himself that the teacher was really lucky to meet such a monster.
Chapter completed!