Chapter 449 Is This What You Said You Don't Understand?
Chapter 449 Is this what you mean by not understanding? (Please subscribe)
Author: A lancet
Chapter 449 Is this what you mean by not understanding? (Please subscribe)
"Professor Liu, I'm sorry to keep you waiting." When Zhou Cheng came back to the lounge, Liu Chunmei was standing there without taking a seat.
Maybe this is a doctor's office. Most doctors' offices in the emergency department are filled with big men. It's not as good as the burn department because most of the lesbians are there. There are also two rest rooms.
"Dr. Zhou, I took the liberty of visiting you and disturbing your work." Liu Chunmei smiled. She was of medium stature and had no signs of gaining weight. The wrinkles on her face were very thin, and there were no traces of her age in her fifties.
Zhou Cheng poured a glass of water for Liu Chunmei and said politely: "Professor Liu, I don't have an office here, so I don't have tea on hand. Please take care of me, Professor Liu."
"It's good to drink water, but I'm still not used to drinking tea." Liu Chunmei took the water politely and sat down on the chair. Maybe she also felt that it was not good to stand and talk to Zhou Cheng all the time.
As a junior, Zhou Cheng simply put away his white coat and asked: "I don't know if Professor Liu came to me because of the previous misunderstanding. At that time, I just came out and was not familiar with the internal situation of the hospital, so I didn't know what was going on inside the hospital."
It seems reckless, so please don’t mind Professor Liu.”
Later, Zhou Cheng also learned that the burn department was indeed in a difficult situation. Since the plastic surgery department of the Shonan University Affiliated Hospital was separated, the burn department's cosmetic business scope could not be completed.
Flap surgeries cannot be performed by surgical specialists. Except for the limbs, flap surgeries in other places are of little significance. They are mostly covered by clothing, and very few people want to do the surgeries.
The number of simple burn patients has indeed decreased a lot due to developmental reasons. Taking over the treatment of diabetic ulcers is indeed a transformational move for the burn department!
"What Dr. Zhou said is wrong. We are all medical workers and we all work for the benefit of patients. I heard that the prognosis and outcome of patients with diabetic foot are excellent after they come to our department."
"Our department is still quite helpless in some of these cases." Liu Chunmei smiled, slightly flattering.
Zhou Cheng's eyes moved: "Thank you Professor Liu for your follow-up and care of the patients in our department."
Liu Chunmei was stunned and looked at Zhou Cheng seriously. The maturity and sophistication shown by Zhou Cheng were far beyond what he should have at his age.
Liu Chunmei knew that it would be difficult for her to find fault with Zhou Cheng, so she bluntly stated her purpose: "Dr. Zhou, actually I came here because I want to cooperate with you on something, Dr. Zhou."
"Professor Liu, tell me!" Zhou Cheng's eyes were dark, but he was wary.
Liu Chunmei came to the Three Treasures Hall for no reason, she must have come with a purpose.
"Actually, it's like this. I wonder if Dr. Zhou knows anything about external medicines for diabetic foot?" Liu Chunmei said semi-cryptically.
Zhou Cheng nodded, how could he not know this: "Professor Liu, after diabetic foot ulcers, antibiotic ointments are currently commonly used, such as polymyxin B, erythromycin, and metronidazole.
“There are also some ulcers caused by fungi, and antifungal creams include ketoconazole, clotrimazole, and itraconazole.
"Commonly used growth factor creams include vascular endothelial growth factor (VEGF) and bone morphogenetic protein (BMP).
"Common moisturizers include urea, glycerin, phosphatidylcholine, etc.
"Common dressings include sterile dressings, hydrocolloid dressings, sponge dressings, etc."
Zhou Cheng replied without hesitation that these are part of the outline of the treatment principles for diabetic foot.
When Liu Chunmei heard what Zhou Cheng said, she immediately smiled: "Since Dr. Zhou knows so much about topical drugs, he must also believe in their effectiveness."
"Dr. Zhou, this is actually the case. The team in our department has also developed a muscle-promoting ointment by itself. The effect of this ointment is quite good. It contains pure Chinese medicine ingredients and is very effective in the treatment of other ulcers.
.”
"It's just that in the treatment of diabetic foot ulcers, these patients have been transferred to the orthopedics department before a project has been established. So I thought, Dr. Zhou, could you try our department's muscle-growing ointment."
"I guarantee that during the treatment of this drug, we will not charge the patient any fees. What we provide free of charge is to collect some clinical and prognostic data."
Zhou Cheng's eyes flashed, and he didn't expect that Liu Chunmei would ask like this.
But Liu Chunmei is pursuing long-term results.
If Liu Chunmei and others didn't use the muscle-promoting ointment on patients in the burn department, Zhou Cheng wouldn't believe it even to death!
Maybe it was used, but it didn't work, but Liu Chunmei believed that this was not a problem with the muscle-stimulating cream in their department, but other technical deficiencies.
Therefore, she wanted to transfer the clinical research on diabetic foot treatment to Zhou Cheng's Department of Orthopedics. Zhou Cheng's current treatment effect and prognosis for diabetic foot ulcers are good.
It's equivalent to carrying this medicine with you, just raising your hand...
This seems to have no drawbacks with Zhou Cheng, but it is just incidental, right?
If the Myogenic Cream is really under the operation, it has gained a reputation for treating diabetic foot, and then it was released from the Shonan University Affiliated Hospital, but it has no effect.
Liu Chunmei said bluntly and in a sincere tone: "If Dr. Zhou is willing, our burn department is willing to spend part of the research start-up fund for Dr. Zhou to use flexibly."
All right!
Zhou Cheng never thought that the first time he would face such an inducement crisis would be among his peers in this college, and it would also come from a professor.
But Zhou Cheng understands Liu Chunmei's intentions very well. She is not just trying to make money. In fact, for her, there is no money to be made. However, if a drug can be used to expand the indications for diseases, it will be a great honor.
Seeking fame is Liu Chunmei's biggest extravagant wish.
"Professor Liu, you also know that I have a background in clinical medicine, so I don't know much about traditional Chinese medicine."
"Currently, in our clinical medicine, popular research on the efficacy of topical drugs is mainly the direct application of the following three growth factors or side stimulation, which leads to an increase in the concentration of similar growth factors, which will affect the healing of diabetic foot ulcers.
it works."
"Promote vascular endothelial growth factor (VEGF): VEGF is a growth factor that can promote the formation of new blood vessels and tissue repair. VEGF can stimulate the growth and differentiation of endothelial cells, increase the quantity and quality of new blood vessels, and accelerate tissue repair and regeneration.
Therefore, VEGF can be used as one of the growth factor ointments for treating diabetic foot ulcers.
"Bone morphogenetic protein (BMP): BMP is a growth factor that can promote bone cell proliferation, differentiation and bone tissue formation. In the treatment of diabetic foot ulcers, BMP can stimulate the growth and differentiation of subcutaneous tissue and bone marrow cells, promote new
Bone formation and repair, accelerating ulcer healing.
"Epidermal growth factor (EGF): EGF is a growth factor that can promote the growth and differentiation of epidermal cells, increase the thickness and strength of the epidermal layer, and help skin repair and regeneration. In the treatment of diabetic foot ulcers, EGF can promote
Growth and differentiation of skin cells, increased tissue repair and regeneration, and accelerated ulcer healing.”
"Professor Liu, in the efficacy analysis of the muscle-sheng cream you mentioned, have you tested the above three growth factors locally or systemically?"
Zhou Cheng was trying to find excuses for rejecting Liu Chunmei.
But Zhou Cheng's strength does not require favors or direct rejection, but he can use his powerful knowledge to scare Liu Chunmei away.
At present, during the application of some Chinese medicine prescriptions or Chinese patent medicines to patients, the concentration of some growth factors or other factors in the patient's body can be detected.
Liu Chunmei's smile froze slightly, but she immediately resolved Zhou Cheng's question: "Dr. Zhou seems to have certain prejudices and misunderstandings about traditional Chinese medicine."
"Traditional Chinese medicine and modern medicine are two different disciplines. If we really want to use the concepts and proof methods of modern medicine to prove with traditional Chinese medicine and traditional Chinese medicine prescriptions, it will undoubtedly be a bit neglectful."
"This is a wrong path. The treatment principles of the two medicines are different! Therefore, we have never tested any of the so-called pathways you mentioned, Dr. Zhou."
After Liu Chunmei finished speaking, she looked at Zhou Cheng with burning eyes.
There is a murderous intention hidden in the words. In modern China, if you say that Chinese medicine is ineffective or useless, or that Chinese medicine must be understood with modern thinking and separated from the theory of yin and yang and the five elements, then you are doomed.
Everyone thinks you are advocating for Western medicine.
Western medicine should be damned, which is the current mainstream opinion in China.
Zhou Cheng, who has just been at the forefront of public opinion, is particularly sensitive to public opinion and possible pressure from public opinion.
Zhou Cheng nodded: "What Professor Liu said makes sense."
"Nowadays, traditional Chinese medicine is used externally, such as decoction of herbal medicine into liquid and applied to the site of diabetic foot ulcers, which has certain anti-inflammatory, analgesic, and promotion of healing effects. Commonly used medicinal materials include Phellodendron cypress, Rehmannia glutinosa, Angelica dahurica, Atractylodes, etc.
"Oral Chinese medicine: Oral treatment with Chinese medicine can improve the general condition of patients with diabetic foot ulcers, regulate the body's metabolic function, and improve the body's immunity. Professor Liu, I generally understand this.
"Commonly used Chinese medicines include astragalus, ginseng, angelica, wolfberry, etc.
"Traditional Chinese medicine application: Traditional Chinese medicine application is to apply Chinese medicine powder or medicine to the site of diabetic foot ulcers to promote ulcer healing through direct penetration of the medicine. Commonly used Chinese medicines include Coptis chinensis, Scutellaria baicalensis, Dilong, etc.
"I wonder which category Professor Liu's muscle-stimulating cream belongs to?" Zhou Cheng's tone was gentle, with a smile on his face, and he was not anxious or flustered at all.
Zhou Cheng's words made Liu Chunmei start to look slightly panicked.
Zhou Cheng has a background in clinical medicine, and the same is true for her. Her skin-growing ointment borrowed the prescription of an old Chinese medicine practitioner passed down from her family. She then asked someone to improve it herself, and then added some growth factors into it.
.
It has indeed shown miraculous results when treating common ulcers.
But when it comes to the theory of traditional Chinese medicine, how does Liu Chunmei know so much?
"Dr. Zhou is really knowledgeable and knowledgeable. The muscle growth ointment should be classified as a topical plaster..." Liu Chunmei replied quickly.
"Isn't it a prescription for external use?" Zhou Cheng frowned and asked.
Plasters and prescriptions are not the same.
"It's a prescription!" Liu Chunmei quickly added.
Zhou Chengze continued to delve deeper and said: "The external prescriptions of traditional Chinese medicine that I know so far include coptis alcohol liniment: take 30 grams of coptis powder and add an appropriate amount of alcohol to make a coptis alcohol liniment. This liniment has anti-inflammatory, analgesic, and
Promotes ulcer healing.
"Red oil ointment: Grind angelica, Chuanxiong, Angelica dahurica, Phellodendron, Coptis chinensis, Sanguisorba, Gentian grass and other medicinal materials into fine powder, add vegetable oil and cook to make red oil ointment. This ointment has the functions of clearing heat and detoxifying, reducing swelling and relieving pain, and promoting ulcer healing.
etc.
"Honeysuckle fresh leaf application: Take an appropriate amount of honeysuckle fresh leaves, boil and apply it on the diabetic foot ulcer area. It has the effects of clearing away heat, detoxifying, reducing swelling and relieving pain, and has antibacterial effects.
"Atractylodes powder application: Take an appropriate amount of Atractylodes powder, add an appropriate amount of water to make a Atractylodes powder paste, and then apply it to the area of diabetic foot ulcers. It has anti-inflammatory, pain relieving, and promotes ulcer healing."
Having said this, Zhou Cheng continued: "Of course, in addition to external patches for diabetic foot, there are also some oral drugs that are also effective. Are these oral drugs effective for external use?"
"We haven't confirmed it yet."
"Shiwei Caozhen Pills: This prescription is mainly composed of coix seed, yam, Atractylodes, Poria and other traditional Chinese medicines. It has the functions of strengthening the spleen and kidneys, clearing away heat and detoxification, diuresis and reducing swelling. It is suitable for diabetic patients with kidney deficiency, edema, etc.
symptom."
"Sanqi Capsule: This medicine is mainly made from Panax notoginseng powder. It has the functions of promoting blood circulation and removing blood stasis, promoting wound healing, and is suitable for patients with slow healing of wounds such as diabetic foot ulcers.
"Sophora flavescens oral liquid: This medicine is mainly composed of Chinese medicines such as Sophora flavescens, Cortex Phellodendron, etc. It has the effects of clearing heat, detoxifying, antibacterial and anti-inflammatory, and is suitable for patients with diabetes accompanied by infections and other symptoms.
"Danshen Dropping Pills: This drug is mainly composed of Chinese medicines such as Salvia miltiorrhiza, Panax notoginseng, peach kernel, etc. It has the functions of promoting blood circulation and removing blood stasis, relaxing muscles and activating collaterals, and promoting wound healing. It is suitable for the treatment of wounds such as diabetic foot ulcers."
"..."
Liu Chunmei's smile gradually stiffened.
"Zhou, Doctor Zhou, this is what you said, you don't know much about Chinese medicine?" Liu Chunmei was very embarrassed now, because the research on clinical medicine that Zhou Cheng talked about had nothing to do with her.
She didn't understand the knowledge of traditional Chinese medicine at all, and she didn't know the prescriptions and medicines.
"Professor Liu, I am backgrounded in clinical medicine. I only have a slight understanding of traditional Chinese medicine. Compared to my family, I prefer to be a doctor of modern medicine."
"As far as Chinese medicine is concerned, it may not even be considered an introduction."
Previously in Chang City, there was an old Chinese medicine doctor's son who was also a professor who consulted with Zhou Cheng. Zhou Cheng did a short-term simulation, but his foundation was weak, so he didn't make much progress, but he also understood Chinese medicine better than the average person.
"I'm sorry, Doctor Zhou, I understand what you mean."
"The clinical application of this muscle-stimulating cream may still lack a foundation." Liu Chunmei quickly expressed her position, then stood up and walked out restrainedly.
You can misunderstand someone who doesn't know how to do it, but if you ask someone who really knows how to do it to impose a task on the other person, that would be forcing someone to make things difficult for you.
Moreover, the ignorant offer advice to the wise and bring disgrace upon themselves.
Zhou Chengze immediately said: "Professor Liu, you may have misunderstood me. There are a lot of gaps and shortcomings in the current clinical application of traditional Chinese medicine. However, traditional Chinese medicine and the ideas of traditional Chinese medicine are a huge treasure.
It’s inexhaustible.”
"But we need to go deeper. What I just talked about with Professor Liu can indeed be potential treatments for diabetic foot ulcers. Professor Liu might as well do more research."
If the muscle-building cream is really effective, Zhou Cheng is not afraid of adding icing on the cake, but if it is ineffective, Zhou Cheng is seeking wealth and harming his life by helping!