Chapter 147: Others are seeking money, but you are killing!
Although Chen Nan did not understand why Liu Wansu invited Mr. Huang Yiping, a master of febrile disease, to attend the academic exchange meeting.
After all, although Liu Wansu is a representative figure of the Hanliang sect, but... the febrile disease school and the Hanliang sect are not two different things!
but……
Nowadays, there are a lot of various schools of thought in the circle of traditional Chinese medicine, including many in Shanxi Province alone!
"Three diseases and six diseases", "Tongdu Zhengji", "Warming Yang and unblocking collaterals"...etc.!
It seems that only a slight division in traditional academic thought is needed to form a school.
Chen Nan had at least heard of the above schools of thought. They all gave birth to the academic ideas of famous doctors. It would not necessarily be a bad thing to inherit and learn from them.
But... Chen Nan really disagrees with some schools of thought that dare to hold academic exchange meetings under the banner of the name.
Looking at Yang Hongnian sitting aside and watching the proceedings of tomorrow's meeting, Chen Nan still asked curiously:
"Director, you said... why are there so many schools of thought? Especially if you are a little famous and just create an academic thought, what are they doing?"
Yang Hongnian sneered without raising his head: "For what?"
"For fame and profit!"
"First we give lectures, ask pharmaceutical companies to spend money to sponsor them, and then we hire a few experts who show off their power to take charge."
"After you become famous, you will start to be invited to attend lectures and lectures...you can get paid for this."
"The next step is probably to publish a book!"
"Well... if you do it well, you might be able to create a company and continue to sell medicines to make money."
"Haha..." After Yang Hongnian finished laughing, he looked at Chen Nan and said quickly: "However, tomorrow's meeting will be quite serious."
"The Liu Wansu Academic Thought Seminar has a history of many years. It mainly focuses on academic debates and exchanges. This time we invited Mr. Huang Yiping for the same reason."
"It's better to attend less of those meetings I told you about."
"Especially for young people, whose academic thoughts are not yet stable, it is easy to be led away. When the time comes, they will be deceived and waste time and energy, and they may take detours!"
Yang Hongnian said seriously.
Chen Nan smiled: "I know!"
Yang Hongnian suddenly looked at Chen Nan and coughed: "By the way, at tomorrow's exchange meeting, how do you understand Liu Wansu's thoughts?"
"How about I treat you tonight and let's have a good chat?"
Chen Nan thought for a while and realized that there was nothing wrong with going home, so he simply agreed.
After all, Director Yang treats himself well, and the process of mutual communication is also a process of learning and discovering problems by oneself.
When Liu Quan saw Chen Nan and Yang Hongnian getting up and leaving, he felt a little uncomfortable.
"Old Zhao, let's have something to eat and drink together tonight?"
Zhao Jianyong shook his head: "No time."
Without even thinking about it, he knew who was paying.
Besides, inviting Liu Quan to dinner... is not necessary at all.
If you really have time, it would be more cost-effective to treat Chen Nan to a meal, take out your father-in-law's Moutai, and apologize to Chen Nan.
Now Zhao Jianyong is sober after what happened last time.
Chen Nan's rise is not because of his connections or anything else, but because of his strength!
As a doctor, no matter how many crooked ways you try, it will be useless, you will eventually be beaten back to your original shape!
Moreover... Secretary He is still keeping an eye on himself. At the end of the month, he has to hand in the "Chen Nan's Diary" he has written.
Right!
Today, Chen Nan unexpectedly diagnosed a child who was six weeks pregnant through pulse diagnosis?
Hmm hmm hmm... tonight’s title is here!
"Chen Nan holds a ruler in his hand and is sure of the fetus at a glance!"
Just write it!
Another good medical record.
Liu Quan called Zhao Jianyong to no avail, so he could only look at Zhou Qinzheng.
Liu Quan didn't like Zhou Qinzheng, just like Zhou Qinzheng couldn't stand Liu Quan.
Liu Quan just loved money. He felt that Zhou Qinzheng had no bottom line and actually went out to fool around with the Yaodao girl. Although he was very envious, he had a fierce wife at home and did not dare to cross the line.
Zhou Qinzheng, on the other hand, couldn't stand Liu Quan's words.
Of course, in the adult world, you can sit down and eat even if you don't like it.
The two hit it off immediately and went to a seafood barbecue stall in the night market.
Liu Quan was bleeding heavily today!
I actually ordered seafood.
The two of them complained about Zhao Jianyong's recent behavior all night, and they even became more and more dissatisfied with Chen Nan now.
Before I knew it, I had eaten a box of beer.
As soon as the cold wind blew, Liu Quan also woke up a lot.
When I was about to pay and go home, I said to the waiter: "The waiter paid."
The waiter took a look at the menu and said to the boss inside: "Boss, these two bastards ate thirty mutton skewers and drank a box of beer!"
Liu Quan and Zhou Qinzheng's expressions changed immediately.
How can anyone be so abusive?
But……
When Liu Quan was preparing to argue, the waiter handed him the bill: "A total of 238, the boss said 230 is enough!"
Liu Quan was about to argue, but suddenly he saw that the bill only had money for mutton skewers and beer, not... the bastard's money.
Suddenly!
Liu Quan suddenly felt that... this... it was not impossible to endure the humiliation and bear the burden.
After paying the bill, he hurriedly took Zhou Qinzheng away.
Zhou Qinzheng, on the other hand, was still cursing: "This fucking place is no longer coming!"
"And you're swearing!"
"Don't let me meet them."
Liu Quan was secretly happy, Cao... I saved a lot today!
If you are scolded, just be scolded, it won't hurt!
…
…
the next day.
Chen Wenyi got up early and bought breakfast for Chen Nan.
Now her health is gradually improving and her mental complexion is much better. She gets up early every morning and goes out to exercise. When she comes back, she buys breakfast for Chen Nan.
Chen Nan drank tofu nao and saw that her mother was in good spirits recently. She smiled and said, "Mom, I will accompany you for a check-up on Friday afternoon."
"Let's see how your hypothyroidism is doing now."
Chen Wenyin nodded: "Alright."
"I feel much better recently, but...it would be better to have a check-up to feel more at ease."
"However, I didn't drink much of the Chinese patent medicine that the doctor prescribed for me."
Chen Nan knew what was prescribed and said with a smile: "Stop drinking it. Just drink the Chinese medicine I prescribed for you."
Chen Nan now adds less ambergris and cordyceps when Chen Wenyin makes medicine.
It was still helpful for her weak body.
Chen Nan himself is also eating secretly now.
after all……
For such an expensive thing, the most important thing is getting it into your stomach.
Chen Wenyin smiled and said: "By the way, I forgot to tell you, a company was recruiting a manager a few days ago, and I went over for an interview."
"The other party is quite satisfied."
"I'm going to go over in a few days to confirm."
Chen Nan did not refuse this time.
Chen Wenyin is not a person who lives idle. She has something to do, which is not a bad thing.
"OK!"
"But... after checking and making sure that nothing is wrong, you can go ahead. It's not in a hurry for a day and a half anyway."
Chen Wenyin hummed and was about to say something, but she opened her mouth and stopped talking.
A few days ago, the original supplier, Lao Yang, came to ask for an account. Although he later left, Chen Wenyin could also see that it was not easy for the other party. The market for traditional Chinese medicine raw materials is very difficult now.
Lao Yang also has a headache now.
Chen Wenyin originally wanted to tell Chen Nan, but... considering that he was currently on the rise in his career, she didn't say anything.
At this time, Chen Nan handed a card to Chen Wenyin: "That's right, Mom!"
"Last month's salary has been settled. You can use this card for household purposes first."
"Do you know how much I paid last month?"
Chen Wenyin smiled: "More than ten thousand?"
Chen Nan chuckled. He got 30% of the commission from pediatric massage last month. Chen Nan was very busy last month, so he gave Chen Nan more than 40,000 yuan in salary and bonus!
This is something Chen Nan himself never thought of.
"By the way, also, I was hired as an external professor by Jin Provincial Orthopedic Hospital, with an annual salary of 100,000, which is also on this card."
"There are also some lectures, door-to-door massages... there are 300,000 in total."
"You've put it away, it's time to use it and spend it."
"I have become the deputy director of department business this month. It is estimated that there will be more patients, so... don't skimp on it."
"The password is my birthday."
"I'm leaving, Mom."
After saying that, Chen Nan stood up and left.
Chen Wenyin was left staring at the bank card in Chen Nan's hand with wide eyes!
Three hundred thousand?!
How long has it been...
Chen Nan had already given him a sum of money last time.
Now it's three hundred thousand again.
Is it so profitable to be a doctor now?
As well as being an external professor at Jin Provincial Orthopedic Hospital, Chen Wenyin suddenly felt as unreal as a dream.
…
…
Chen Nan still has more than two million in his card. It's not that he is reluctant to give it to his mother, but he just feels that... if he gives it now, it will only make them worry.
After all, industries with huge profits are covered by the criminal law.
It was still an outpatient clinic on Wednesday. Chen Nan did not go to the ward to hand over his shift, but walked directly towards the outpatient clinic building.
As soon as he entered the building, Chen Nan saw an acquaintance.
"Good morning, Director Zhang."
Chen Nan smiled at Zhang Baoshan in front of him.
Although he knew very well that the old director in front of him must have opinions about him and even gave him a negative review, but... Chen Nan would not show it stupidly.
Zhang Baoshan smiled and nodded without much reaction.
What happened yesterday, Zhang Baoshan just ran away because he was afraid of meeting the patient and his family!
He himself never imagined that at the age of over seventy, he could actually run at that speed.
This Chen Nan...has something!
He knew very well whether it was difficult to detect the happy pulse through pulse diagnosis.
An old Chinese medicine doctor in his seventies is somewhat settled.
Logically speaking, if you are more than three months pregnant, the Chongren blood vessels will gather in the fetus, and the pulse will be stringy and slippery, which is easy to detect.
Zhang Baoshan also found some.
but……
She was about one month pregnant and he really didn't dare to be sure.
After all, she is still a girl of eighteen or nineteen years old. Although her pulse is responsive, but... how many clinical experiences does it take to feel this?
How old is Chen Nancai?
And it’s just a traditional Chinese medicine department and doesn’t have that much clinical experience?
How could he figure it out and be so sure?
Therefore, Zhang Baoshan is not stupid. After going back yesterday, he made some inquiries and learned that Chen Nan's grandfather was also a traditional Chinese medicine practitioner. Only then did he know that it might be a family secret.
Although he was relieved, he was also a little more wary of Chen Nan.
This kid is so tight.
Thinking of this, Zhang Baoshan couldn't help but shook his head, quickened his pace, and walked towards the clinic.
When Chen Nan saw this, he smiled without saying a word and quickened his pace!
The two of them went to the Chinese Medicine Clinic on the second floor together.
Suddenly, I saw many patients in the corridor, all crowded at the door of my clinic.
Zhang Baoshan breathed a sigh of relief and smiled...
hehe!
"I'm going to the outpatient clinic." Zhang Baoshan greeted Chen Nan, stood up and walked to the outpatient clinic with a smile, preparing to open the door.
The excitement and show off between the words are beyond words.
It means: Look, how many patients do I have!
Today is Wednesday, a big day for outpatient clinics. Yang Hongnian will not be out of the clinic today, so the patients have been assigned to other directors.
Zhang Baoshan did not expect that there would be so many people at the door. Speaking of which, he was a little proud.
When Chen Nan saw this, he nodded and smiled: "Well, okay, Director Zhang, you are busy."
After saying that, he walked towards his clinic.
When I arrived at the door, I found that the clinic door was already open.
Jiang Weixiang was sitting at the door, conducting consultations, and besides Xiao Min, there was another nurse who was transferred here after the treatment team was established some time ago.
"Director Chen, you are here."
"Good morning, Director Chen!"
"Good morning, Director Chen."
…
The patients greeted Chen Nan one after another, and Xiao Min maintained order in an orderly manner.
Jiang Weixiang had an early consultation today.
In this way, the efficiency of medical treatment can also be greatly increased.
"I came so early today." When Chen Nan entered, he patted Jiang Weixiang's shoulder.
Jiang Weixiang smiled and nodded: "Good morning, Dr. Chen!"
Following Chen Nan out to the outpatient clinic these days, although he is very busy, Jiang Weixiang is not stupid!
He naturally saw that Chen Nan was really capable.
After consulting the doctor earlier, I can sit next to Chen Nan to see the doctor and learn more.
Of course!
The most important thing is...
Jiang Weixiang really learned something.
Yesterday, the girl he had a crush on finally agreed to have dinner with him.
This made Jiang Weixiang overjoyed, and even...during a friendly interaction, the other party actually asked him to take his pulse!
After Jiang Weixiang felt his pulse, the milk tea he ordered for the girl was hot and no cold dishes were served.
That’s right!
He found out that the girl was on her period.
This is what Chen Nan taught him.
So, last night, the other party's favorable impression of Jiang Weixiang doubled.
This made him realize that learning Chinese medicine is also beneficial.
At the very least... you have to learn to feel the pulse of happiness. In this way... even if you go on a blind date in the future, you won't be afraid of being chosen as your father.
If Chen Nan knew what Jiang Weixiang was thinking, he would definitely give him a congratulations!
Damn it, you have used the essence of Chinese medicine.
…
There were many patients in the morning. When I opened the computer outpatient system, I saw that the 60-number limit was already full!
This morning, with the plus sign, wouldn’t it be close to 100?
Chen Nan was immediately overjoyed. It seemed that... the task of treating three hundred patients in two weeks should be completed. If you work harder, you can reach the target this week.
Treasure chest, you have to strive for success and grow up well.
It was now 7:30, and Chen Nan estimated that he should be able to get off work early today.
then!
Chen Nan said to Xiao Min at the door: "Start calling."
Xiao Min nodded and said to the people outside: "Everyone please register and line up. Don't make any noise or jump in line..."
And this time!
Zhang Baoshan also came to the clinic.
He sat down and happily prepared to open the outpatient system and see today's patients.
Zhang Baoshan was stunned when he opened it!
babble?
What's going on?
Didn't it refresh?
The system is broken?
Thinking of this, Zhang Baoshan patted the computer, but... it was useless to pat the computer!
The number of registered people is still: 0!
How is this possible?
There are so many people at his door, how can it be 0?
Something must have gone wrong.
Thinking of this, Zhang Baoshan quickly restarted his computer, but... after turning it on, it was still zero!
This is not right.
How could Zhang Baoshan not have a single patient?
This is simply impossible!
Zhang Baoshan was very angry. He directly picked up his mobile phone and called the staff in the outpatient system computer management center group.
"My computer is broken and it doesn't display patients."
After sending the message, Chen Nan was about to see a doctor when he picked up his phone and saw the group message.
"Director Zhang, why don't I go over and help you take a look? @张宝山."
Zhang Baoshan was stunned for a moment when he saw the news.
Do you have a misunderstanding about Chen Nan?
The young man is actually quite nice and very enthusiastic.
Why……
Have you gone a little too far?
Suppress young people...
At this time, the staff in the group spoke.
"@张宝山, Director Zhang, I checked later and found that there is no problem with your system, the data is normal, the current patient: 0, can you confirm?"
Zhang Baoshan was stunned immediately.
The patient is zero?!
How is it possible?
Zhang Baoshan felt like his head was buzzing, and he felt that none of this was real, it was so weird!
It's definitely fake.
However, people behind the scenes say they are right, how can this be false?
For a moment, Zhang Baoshan was silent.
and……
Only then did he notice that the message the other party sent was in the group!
In the group!
This means that many people must have seen that the number of their outpatient clinics is 0!
How embarrassing is this?
Gan...
Moreover, Chen Nan must still be holding a mobile phone.
Thinking of this, Zhang Baoshan blushed and the old man was so angry that he almost blew his beard.
It's really...too embarrassing.
And this time.
Hu Meilan, the outpatient clinic office: “@张宝山, Director Zhang, I’ve confirmed it, it’s zero, there’s no problem.”
Saw this message.
Zhang Baoshan almost vomited blood!
Your sister...
Why are you here at the outpatient clinic to join in the fun at this time?
To gain a sense of presence?
This is too much!
Don’t you know that Chen Nan is watching?
Zhang Baoshan was about to cry, so he quickly deleted the WeChat messages between Hu Meilan and the staff.
But...after deleting it, he realized that it was useless if I deleted it, only he couldn't see it!
Everyone else can see it!
Isn’t this self-deception?
So angry.
Chen Nan couldn't laugh or cry at this time. Well, he almost couldn't hold back his laughter!
This is too embarrassing.
However, at this moment, he suddenly received a message.
[Ding! Congratulations, you received a negative review from Zhang Baoshan. The negative review level is: Elementary, and you received the reward: 20g of ambergris! 】
Chen Nan couldn't laugh or cry.
The patient had already sat down: "Director Chen...I...am I funny?"
Chen Nan quickly shook his head: "No, no, no, I thought of something happy."
"Your disease is kidney deficiency."
[Ding! Congratulations, you received a bad review from a patient...]
Chen Nan:……
The clinic was still very fun.
Well, at least most of the time, that's the case.
Most of the patients had relatively common illnesses, and Chen Nan tried his best to improve himself.
Never underestimate ordinary patients, because most progress is discovered and improved from the ordinary.
But those difficult and complicated diseases are not.
However, it also made Chen Nan discover and realize some situations.
Why can't traditional Chinese medicine be popularized on a large scale? Even with those data, evidence-based medicine and medical statistics can't help.
It's not because the subject is bad.
It's because... the diagnosis and treatment of traditional Chinese medicine is too harsh.
What does it mean?
Even if it’s the same disease, both dizziness, and the patients’ symptoms are the same, but... can the same prescription be used?
It can’t!
Because of different physical constitutions, the depth of symptoms is different, and the development of the pathogenesis is also different.
This allowed Chen Nan to give different dosages of drugs with different properties and taste when taking medicine.
To put it bluntly... Traditional Chinese medicine is still a relatively "customized" medicine.
At this time, a patient came over, a 65-year-old man named Zhang Minyang.
"Hello, Director Chen."
Chen Nan nodded: "Hello."
After speaking, he picked up the case written by Jiang Weixiang and read it.
Zhang Minyang, 65 years old, has been dizzy and dizzy for more than three years. He was diagnosed with chronic hepatitis ten years ago and cirrhosis three years ago... He has been taking entecavir, spironolactone, Xiaobuihu granules and other drugs for a long time...
Entecavir is an antiviral drug.
Spironolactone treats edema.
but……
Xiaobupleurum granules are also available.
Xiaobupleurum is used as a traditional Chinese medicine to treat disharmony between the liver and stomach and diseases caused by Shaoyang. Indeed, it is now widely used in clinical practice.
In a sense, he may indeed be effective in this aspect.
After all, as early as the 1970s, Japan's Juntendo Tsumura was the first to make granular preparations of Zhang Zhongjing's "Xiaobuihu Decoction" from the Han Dynasty, which became a popular drug for treating chronic hepatitis.
Zhang Minyang was listless, his face was withered, and his eyes were cloudy and yellow.
"Why……"
"Director Chen, I'm here to see you today. I'm also trying to see if there are any good methods from traditional Chinese medicine."
"I have had cirrhosis of the liver for many years. From chronic hepatitis to cirrhosis, my body is really struggling."
"Now I take medicine as food every day."
"Why……"
Zhang Minyang said a word and sighed three times, his words full of helplessness and despair.
Having been tortured by a disease for so long, he really couldn't bear it anymore!
"Oh, by the way, I've always been seeing Western medicine, and I've been hospitalized in our hospital often. Over the years... it hasn't gotten worse, so I'm very grateful."
"However, since last year, the results of hospitalization have been mediocre, and my health has gotten worse and worse."
"This was my outpatient case last week."
After Chen Nan took it, he started to read it.
The doctor Zhang Minyang was looking for was the deputy director of their hospital, named Huang Shengli. Chen Nan did not know him.
He was also the doctor in charge of the patient's previous hospitalization.
There is nothing wrong with the medical record itself, but... why does the other party prescribe a bunch of proprietary Chinese medicines every time he goes to the outpatient clinic?
Chen Nan didn't understand.
Various medicines: Shugan Jieyu Capsules, Xiegan Anshen Capsules.
However, the most popular one is Xiaobupleurum granules.
After reading it, Chen Nan couldn't help but sigh and said to the patient: "Here, give me your hand and stick out your tongue."
The compensatory period of liver cirrhosis belongs to the category of "accumulation" in traditional Chinese medicine.
Those with ascites during the decompensation period fall into the "bloating" category.
The patient now has ascites.
Chen Nan put his hand on the patient's wrist and immediately felt a stringy and rapid pulse, a red tongue with peeling coating and little fluid!
It is accompanied by symptoms of weight loss, dull complexion, dry lips and mouth, hot flashes and upset.
This is obviously a symptom of liver and kidney yin deficiency.
In this case, can I take Xiao Bupleurum and those Shugan Jieyu Capsules or Xiegan Anshen Capsules?
Isn't this a joke?
Although Xiaochaihu Decoction is a solution, if taken in large amounts, it will damage the yin!
It's good for purging the liver and calming the nerves. Although it won't cure diseases, at least it contains cypress seeds, jujube kernels and other medicines that nourish the heart, calm the nerves and facilitate sleep, so they won't cause too much damage to the liver and kidneys.
However, Bupleurum Shugan Powder contains Cyperus rotunda, Citrus aurantium, Ligusticum chuanxiong... drugs that stimulate Qi and promote blood circulation. Long-term use will damage the Yin fluid.
The patient itself has symptoms of liver and kidney yin deficiency. Instead of nourishing, he uses a lot of it, which can only wear down the body!
After Chen Nan read it, he couldn't help but shook his head:
"Don't take these medicines!"
"Xiao Bupleurum, soothing the liver and relieving depression, these Chinese patent medicines."
Hearing Chen Nan's words, Zhang Minyang had not yet spoken, but his wife behind him said distressedly: "I bought a lot!"
"Well... that Dr. Huang said that these medicines can be taken for a long time. They are Chinese patent medicines and are good for the liver."
"When I heard about it, I bought a lot. I still have a dozen boxes at home."
After hearing this, Chen Nan suddenly frowned:
"Auntie, these medicines are medicine to others, but to him, they are poison!"
"After eating it, not only will it not cure the disease, it will also make it worse!"
My wife sighed: "These medicines are very expensive. A box of medicines costs more than 60 yuan, and I spent more than a thousand yuan to buy them."
"Doctor... aren't you a traditional Chinese medicine doctor? Why don't you let us take traditional Chinese medicine..."
"What a pity it would be to leave it at home."
"There will definitely be some benefit to eating it, right?"
Chen Nan shook his head helplessly: "Although these proprietary Chinese medicines are not prescription drugs, they...are definitely not health products!"
“There is no Chinese patent medicine that can help you stay healthy!”
"They are all lies."
"After all, Chinese patent medicines are medicines, not food. You can't eat them randomly. His body is already in bad shape. If he takes these medicines again, you... have just been discharged from the hospital and you still have to move in!"
"We feel bad about money, but we don't feel bad about it as much as you do."
"Go to the hospital pharmacy and ask if you can return it."
"If it doesn't work, go to the other party's doctor and tell him that you can't take this medicine and ask him to sign it."
After hearing Chen Nan's words, the patient's wife became a little timid.
After all... I'm going to see a doctor in the future. Wouldn't it be inappropriate if I offend the doctor?!
After everyone comes to the hospital, they feel afraid of doctors.
But if you have a familiar doctor, this feeling will be much better.
so……
Zhang Minyang’s wife was a little hesitant.
Seeing this, Zhang Minyang pointed to the medicine on it and asked Chen Nan: "Doctor Chen, this medicine is really inedible, right?"
Chen Nan nodded: "I really can't eat it!"
Zhang Minyang nodded: "Thank you, doctor."
"Then...we'll be back in a while. Can you prescribe some medicine for me?"
Chen Nan nodded: "I'll prescribe some decoction for you, go back and drink it by yourself!"
"Okay, okay, thank you Dr. Chen!"
Chen Nan said to Jiang Weixiang: "Guanjian, the original recipe!"
Jiang Weixiang quickly wrote it out silently: "Where is the number of grams?"
Chen Nan thought deeply, although the patient only had liver and kidney deficiency, kidney yin deficiency was more obvious. If a long-term disease affects the kidneys, liver yin must be obtained from kidney yin, so... the content of the prescription can only be adjusted.
After finishing speaking, Chen Nan asked: "Are the hot flashes obvious on your body?"
The old man nodded: "My hands and feet are very hot, and the soles of my feet feel like they are on fire at night."
Chen Nan lowered his head and looked at Jiang Weixiang: "Yin Bupleurum and Digupi 10g each!"
After hesitating for a moment, Chen Nan said: "Add 15g of American ginseng!"
The old man's physical condition is very poor now, so Chen Nan has to consider adding some ginseng to make up for it.
Although ginseng greatly replenishes vitality, it still has fire properties.
In comparison, Taizishen is too flat.
American ginseng is more yin.
So Chen Nan chose American ginseng. (Can insert eyes)
At this time, a man behind him suddenly came over: "Old man, are you also looking for Dr. Huang?"
"Huang Shengli from our hospital."
Hearing the man's words, Zhang Minyang turned around: "Well...are you...huh? I think I saw you last week."
"Are you feeling better?"
The man sighed: "Okay, okay!"
"He made me take liver-clearing and choleretic tablets and the bezoar detoxification tablets for more than a month."
"Now... I feel like I have no energy at all. I am top-heavy and my body is heavy. I also have no energy. I can't eat well and I get diarrhea all the time!"
"My thinking must have hurt my spleen and stomach. Come here and nurse yourself back to health."
After Chen Nan saw the patient, there was no need for diagnosis at all.
You can basically tell it at a glance.
The patient had long-term use of liver-clearing and choleretic drugs as well as those that were too bitter and cold, which damaged the spleen yang, leading to the symptoms of spleen yang deficiency.
"Doctor...what's wrong with me?"
After a brief diagnosis, Chen Nan sighed and said, "The person who prescribed this medicine to you doesn't understand Chinese medicine at all."
"You have spleen yang deficiency, and you took a lot of bitter, cold and choleretic drugs, which caused physical discomfort."
After the man heard this, his face suddenly turned ugly.
He said to Zhang Minyang, who had just seen the doctor: "Old man, are you going to see Huang Shengli?"
"I'll go to you later."
"I just happened to ask the other party what happened to my medicine!"
When Jiang Weixiang saw this, he couldn't help but glance at Chen Nan.
Chen Nan could see what Jiang Weixiang was worried about.
But he shook his head and didn't care.
To be honest, if the patient doesn't go to the doctor, he will find an opportunity to report the situation to the director.
After all, this is obviously no small matter.
If you don’t understand, you can consult a Chinese medicine practitioner.
It’s not that the hospital doesn’t have Chinese medicine practitioners.
but!
What does it mean if you prescribe a bunch of Chinese patent medicines at random?
Do you really think that these drugs are not harmful to people?
Do you really think these instructions are just for decoration?
Besides, can patients understand those things?
The arrival of these two patients made Chen Nan very angry.
You come to the hospital to see a doctor, not to go shopping and buy medicine.
If you prescribe medicines like this, big trouble will happen.
Watching the two people leave, Chen Nan took a deep breath, calmed down, and continued to see the doctor.
but……
This time, after Chen Nan prescribed the medicine, he gave the patient a few more instructions.
…
Not long after, a distressed old lady came over.
After reading the case, Chen Nan couldn’t laugh or cry!
"Old lady, you can't take this Musk Baoxin Pill and Anshen Brain Tonic Liquid at the same time!"
The old lady frowned: "Why?"
Chen Nan patiently explained: "Shexiang Baoxin Pills contain musk, ginseng extract, artificial bezoar, cinnamon, styrax, toad venom, and borneol. They are used for aromatic warming, replenishing qi and strengthening the heart."
"You have myocardial ischemia. If you use it to treat angina pectoris and chest tightness, it will be very effective, but... the musk and other drugs in this medicine can wake up the brain!"
"After you take the soothing and brain-replenishing liquid, it will be in vain!"
"It can reduce the effect of Anshen Brain Tonic Solution."
"What do you think? If you can calm your nerves and refresh your mind, can you avoid insomnia?"
…
Chen Nan spent this morning's diagnosis and treatment in science popularization.
Have to say!
He suddenly realized that the standard of TCM does not lie with the government, but with every TCM worker.
Because patients don’t understand traditional Chinese medicine, nor do they understand the effects of traditional Chinese medicine!
"You can't take your Vitamin C Yinqiao Tablets, Ganmaoling Granules, and Baijiahei together!"
“Isn’t the combination of traditional Chinese and Western medicine stronger?”
"What's so strong!" Chen Nan couldn't laugh or cry: "Several of these medicines contain anti-allergic drugs. If combined with the anti-allergic drug acetaminophen, it will cause drowsiness and fatigue. Cold Warm Spirit also contains acetaminophen. If you take so much, it will cause drowsiness and fatigue.
Adverse reactions in the liver and gastrointestinal tract will also increase!"
…
…
At this time, Zhang Minyang had already followed the man to the outpatient department of the hepatology department on the third floor.
Huang Shengli happened to be out of the clinic today. He had a lot of patients. Huang Shengli was very enthusiastic about his patients, otherwise he wouldn't have so many patients!
At this time, Zhang Minyang walked in, took a chance to see a doctor, and asked Huang Shengli.
"Um... Director Huang, can I return the medicine you prescribed for me last time?"
Huang Shengli suddenly laughed: "Retired?"
"Why are you retreating?"
Zhang Minyang was also embarrassed to mention that Chen Nan said that eating it would not only do no good but worsen the condition. After all...it's not good to be in a hospital!
"This...it doesn't work well after I take it."
Huang Shenglin sighed: "Hey... your disease is indeed troublesome. Western medicine can only treat it in a targeted manner. I would like to try using traditional Chinese medicine. It seems that traditional Chinese medicine does not have a very good effect!"
"But...it might be more troublesome to retreat."
Huang Shenglin is also very smart. He just wants to make more money and there is no need to cause trouble.
His original plan was to talk about the difficulties and see if the other party could not retreat.
If you have to withdraw the medication, ask the pharmacy what the situation is.
But at this time... the patient who came up with Zhang Minyang said directly:
"The people from the Department of Traditional Chinese Medicine said so!"
"The Chinese patent medicines you prescribed are not only of no benefit, but actually harmful to you if you take them!"
"If you don't understand Chinese medicine, why don't you prescribe medicine randomly?"
"If something goes wrong, can you take responsibility?"
Zhang Minyang has a good temper, but young people are not good at it.
His good spleen and stomach became deficient in spleen and yang, and he was already simmering with anger. He took medicine and spent money, but his illness did not get better, but got worse!
When Huang Shengli said this, his face turned ugly: "Who are you?"
"Don't make trouble!"
The man chuckled: "Are you making trouble?!"
"hehe!"
"I am your patient!"
"You said I'm causing trouble? Who doesn't follow martial ethics?"
"I am your patient, the one with chronic cholecystitis. You made me take liver-clearing and choleretic tablets and Huanglianxiahuo capsules for more than a month!"
"I feel very uncomfortable now."
"Are you and I here to cause trouble?"
"I would like to ask your dean, if you don't understand Chinese medicine, who asked you to prescribe Chinese patent medicine!?"
"It's really funny!"
The man's words made Huang Shenglin's face look a little more worried and panicked.
"This is a side effect of traditional Chinese medicine and a problem with the medicine. What are you looking for me for?"
"The medicines I prescribe for you are all common ones and meet the requirements of the guidelines."
"No matter who you sue to, it's not my problem!"
The man suddenly laughed: "Isn't it your problem?"
“We just came from the Department of Traditional Chinese Medicine!”
"The Chinese medicine doctor said that this old man has a constitution of liver and kidney yin deficiency. The medicine you prescribed for him made the condition worse. Who do you think is to blame?"
"Also, I have a weak spleen and stomach. After the attack of cholecystitis, you gave me so many irritating foods, and now my stomach and intestines are very bad!"
"Tell me, should you be responsible for this?"
At this moment!
The patient who was standing at the door and about to leave stopped.
He looked at the prescription in his hand. There were many Chinese patent medicines on it.
For a moment, he also glanced at Huang Shengli hesitantly.
"Director Huang...can I take this medicine?"
Huang Shengli's face instantly darkened.
"Which doctor said that?"
The man said confidently: "Director Chen Nan from the Department of Traditional Chinese Medicine said it."
When Huang Shenglin heard Chen Nan's name, he felt somewhat strange.
after all!
He is a Western medicine doctor and has nothing to do with traditional Chinese medicine.
Huang Shengli was a little angry!
You prescribe your medicine and I earn my money.
Did I provoke you?
Do you insist on caring about how I see a doctor?
Huang Shengli didn't want to make the matter a big deal, so he said to Zhang Minyang: "Bring your medicine, I'll sign it for you, and you can return it to the pharmacy."
The man sneered: "Just take the medicine and it will be better. Doesn't it mean that if you eat a bad body, you don't have to be responsible?"
Huang Shengli's temper also rose at this time!
"What do you want?"
"I prescribe medications within the scope of my practice."
"It's legal."
"And these drugs do have such effects."
"I think it's not my fault."
Huang Shengli usually prescribes a lot of medicines, and the rebate from the medicine agent is nearly 10,000 yuan every month.
You know, these Chinese patent medicines are inherently profitable and low cost. The most expense is spent on these frivolous things.
For example, by helping hospitals hold meetings and sponsoring several annual meetings, drugs can be put on hospital shelves. Then, through a good relationship with doctors, we can negotiate a rebate ratio.
In this way...it is logical to have more "professional sales talents".
Huang Shengli said with a solemn expression: "I will not prescribe the wrong medicine!"
"I have received professional training!"
"The hospital will organize us to conduct training in Western and Chinese medicine, and we are allowed to prescribe Chinese patent medicines."
But the words have not yet fallen.
Suddenly, several people outside the door hurriedly ran in.
"Doctor Huang!"
"Quick, my mother feels very uncomfortable with her heart!"
"Quick, look what's going on?"
Huang Shengli's face changed, his heart felt uncomfortable?
My heart is not feeling well. Why did you come to our department?
At this moment, a man and a woman helped the old man to the chair.
The old lady looked to be in her seventies. She was sitting on a chair, holding her chest and breathing heavily.
"Huh...huh..."
"Doctor, I feel so uncomfortable!"
"What's going on?"
"My heart feels so uncomfortable."
Huang Shengli's expression changed: "Go to the emergency room quickly!"
"Send to the emergency room first and get an electrocardiogram to see what's going on!"
"Don't delay."
Although Huang Shengli was greedy for money, he also knew that at this time, he had to be sent to the emergency room.
If it is a myocardial infarction, it will be in trouble!
Along the way, Huang Shengli quickly asked: "Does your mother have heart disease?"
The young man was sweating profusely, shook his head and said, "No!"
"Was your heart still fine before?"
"I just feel a little flustered occasionally."
At this time, Zhang Minyang and the man following him, Wang Zhihong, quickly helped to walk towards the emergency room.
At this time, Wang Zhihong suddenly asked: "Is this how you are doing?"
"Have you eaten anything?"
When Huang Shengli heard the man's words, he was so angry that he almost bit his tongue.
Is he the only one who talks a lot?
You're the only one who knows a lot, right?
The man shook his head: "Eat!"
"We arrived with my mother around eight o'clock in the morning."
"It's probably around nine o'clock to take medicine."
"Take entecavir."
"By the way, my mother said she had a cough and soreness in the waist and legs, so Dr. Huang prescribed Tongxuanlifei Pills and Jingui Shenqi Pills."
"My mother just took these kinds of medicines."
"Then I suddenly felt unwell in the morning."
"I don't know what's going on."
“Let’s take it here and take a look!”
Wang Zhihong wrote down the names of these drugs.
He is a reporter himself!
I didn't expect to experience such a thing today, and I must follow up and investigate.
Not long after, several people arrived at the emergency department on the first floor.
At this time, Wei Zhi happened to have finished treating a patient. When he saw the old man who was being helped in by several people, he hurriedly walked up.
"Swallowing the Starry Sky: Sign in to Become a God"
"What's going on?"
"What's wrong with the patient?"
The man quickly said: "Doctor, my mother feels very uncomfortable with her heart."
Wei Zhi made a quick decision and said to the little nurse beside him:
"First go and pull up a bed and lift the old man up."
"Let's get an electrocardiogram first!"
Medical treatment moves quickly, and emergency doctors must develop the ability to have sharp eyesight, quick hands, and capable movements.
While talking, the patient was pulled into the observation room.
At this time, Wei Zhi also noticed Huang Shengli.
"Doctor Huang, why are you here?"
Huang Shengli smiled awkwardly: "Oh... one of my outpatients was sent here."
At this time, Wei Zhi took advantage of the electrocardiogram and began to inquire about the patient's family members about his condition.
I saw that the other person was taking proprietary Chinese medicines besides entecavir.
Wei Zhi also had some difficulties.
Chinese patent medicine...
He doesn't understand!
Call Chen Nan and ask?
Thinking of this, Wei Zhi dialed Chen Nan's phone number directly: "Director Chen, are you busy?"
"We have a patient here who feels uncomfortable after taking traditional Chinese medicine. If you are not busy, could you help me come over and take a look?"
Chen Nan nodded: "Okay, I'll go there now!"
After hanging up the phone, Chen Nan smiled at the patient: "Everyone, wait a moment. I'm going to the emergency room. I'll be there soon."
After saying that, Chen Nan ran directly towards the emergency room.
After Wei Zhi waited for a few minutes, the electrocardiogram came out.
"this……"
"Arrhythmias are a little weird!"
"What's going on?"
"Huh? It looks familiar!"
Looking at the electrocardiogram, Wei Zhi suddenly felt extremely familiar.
suddenly!
He suddenly woke up.
The old man who fainted when he came to the hospital last time, Zheng Qiusheng!
He seems to have an electrocardiogram that is very similar to this one.
At this time, Chen Nan also came down.
"What's going on?"
Wei Zhi quickly introduced Huang Shengli: "Dr. Huang, this is Chen Nan from the Department of Traditional Chinese Medicine, Director Chen, the deputy director of business!"
"Director Chen, deputy chief physician of the Department of Hepatology, Huang Shengli, director Huang."
When Chen Nan heard the sound, he suddenly felt that it sounded familiar.
Huang Shengli!
Later, Chen Nanyou saw Wang Zhihong and Zhang Minyang behind him.
Chen Nan suddenly lost any good impression of Huang Shengli and said meaningfully: "I have admired his name for a long time."
Huang Shengli was stunned, and naturally looked at Chen Nan angrily and said nothing.
Wei Zhi had no idea what was going on, so why... were he so angry when they first met?
"Director Chen, take a look at this electrocardiogram. Does it look familiar?"
Chen Nan took the electrocardiogram and said to Wei Zhi: "Take me to see the patient. By the way, what medicine did you just say you took?"
Wei Zhi quickly picked up the medical record: "Entecavir, two Tongxuanlifei Pills, two Jingui Shenqi Pills."
After Chen Nan heard this, he immediately stopped.
He looked at the electrocardiogram, passed it directly to Huang Shengli, and then said angrily:
"Director Huang, Director Huang!"
“People buy dog-skin plasters on the street, those written by Wei Zao to treat yang, dilation and curettage and abortion... all just to make money!”
"You are a doctor, and you are also the deputy chief physician, but you are trying to kill someone!"
Huang Shengli pointed at Chen Nan and yelled angrily: "Chen, you don't want to spit on others!"
"Nonsense!"
"You are slandering people!"
[Ding! Congratulations, you have received a negative review from Huang Shengli. The negative review level is: Advanced!]
Chen Nan sneered:
"oh?"
"Did I slander you?"
"Look at what medicine you're prescribed!"
"Are you a qualified doctor?"
"Tongxuanlifei Pills contain ephedra, Jingui Shenqi Pills contain aconite, and aconitine contains aconitine. When combined with ephedra, it will aggravate the cardiovascular side effects!"
"It can even cause high blood pressure, dizziness and other neurological diseases."
"Tell me, if you are not harming others, what are you doing?"
As soon as these words came out, the surrounding area suddenly became quiet.
Huang Shengli's expression even changed.
…
…
ps: 12,000 words sent.
Everyone must remember that Chinese patent medicines are also medicines and should not be taken indiscriminately! Don’t take them indiscriminately! (It’s important to say it three times.)
Could you please take a look at this chapter and save it later? They are all real medical records. Summarize them and write them out for everyone to see without taking up more chapters.
Also, do not combine Zhusha Anshen Pills and Tianwang Buxin Pills with Jingui Shenqi Pills, as they may cause mercury alkalosis to react on the digestive tract and damage the kidneys.
Hope it attracts attention.
In the future, I will regularly write about some common diseases and medicines in life.
Finally, please give me a monthly ticket, thank you!