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Chapter 154 Eyes are full of little stars

Fang Le and others returned to the duty room for a short while before Cheng Yunxing arranged the patients and returned to the duty room.

After entering the duty room, Cheng Yunxing took the folder to Fang Le's side.

"Fang Le, please tell me more about the patient just now."

"Not bad, motivated."

Fang Le smiled and patted Cheng Yunxing's shoulder, which made Cheng Yunxing feel disgusted.

Classmate Xingxing didn't understand much before, but after learning about the reason for Orange, classmate Xingxing knew that every time Fang Le tapped him on the shoulder, he was taking advantage of him.

"First, tell me your own judgment."

"Didn't you just say that excessive liver qi affects the spleen and stomach?"

Cheng Yunxing said dullly.

Fang Le asked angrily: "Then how did I come to the conclusion that the patient's liver qi was excessive and was affecting the spleen and stomach?"

"I had a fight with my mother-in-law before."

Cheng Yunxing said: "My heart hurts after the quarrel..."

"Is this how your dad taught you?"

Fang Le took the folder from Cheng Yunxing: "Look, the patient has had a history of treatment in the county hospital before, right?"

"Uh-huh."

Cheng Yunxing nodded hurriedly.

"I used antibacterial, anti-inflammatory and antispasmodic Western medicine before, but it had no effect. What does that mean?"

Fang Le asked.

"It means something is wrong."

Cheng Yunxing said hurriedly: "The patient's pain has nothing to do with inflammation, which means that the patient's pain is not caused by external evil poisons."

"Children can be taught."

Fang Le nodded with satisfaction, Xingxing’s classmate indeed still had some foundation.

Traditional Chinese medicine does not talk about inflammation, but there are some aspects that can be used for reference. Inflammation, which is what people usually call "inflammation", is a defensive response of the body to stimulation. Clinically, it often manifests as redness, swelling, heat,

Pain and dysfunction.

These symptoms are often clinical manifestations of exogenous evil poisons in traditional Chinese medicine.

The patient took antibacterial, anti-inflammatory, antispasmodic and analgesic Western medicines but had no effect, which means that the patient's pain has nothing to do with inflammation. Taking a lesson from it, it also means that the patient's pain is not caused by exogenous evil poisons.

"Traditional Chinese medicine has been developed for thousands of years. In actual clinical practice, it must also keep pace with the times. Traditional Chinese medicine has the concept of traditional Chinese medicine, but sometimes it can learn from some diagnosis and treatment of modern medicine to eliminate some clinical possibilities."

Fang Le explained to Cheng Yunxing in detail: "With the continuous development of modern medicine, in the future treatment, TCM doctors will often encounter, or the patients they encounter will basically be patients who have been treated by Western medicine. Faced with such

Patients and TCM doctors should first not be influenced by the disease names and diagnoses of modern medicine. Under this premise, they can learn from previous treatments and find something useful to them to help them diagnose."

"Uh huh huh!"

Xing Xingxing continued to nod.

Fang Le said it very well.

This is the first time Cheng Yunxing has heard something like what Fang Le said today.

After all, in this era, there are few Chinese medicine doctors who can think like Fang Le.

Currently, traditional Chinese medicine is divided into two categories. One category is conservative, which is very averse to modern medicine, opposes the integration of Chinese and Western medicine, and insists on the purity of traditional Chinese medicine.

One type is the radicals, who believe that Chinese medicine should keep pace with the times and accept and absorb some things from modern medicine almost regardless of priority.

Both of these are undesirable.

The former is too conservative and will inevitably make Chinese medicine unable to keep up with the times. The second is too radical and will eventually turn Chinese medicine into Western medicine and lose its position. It is said to be traditional Chinese medicine, but in fact it is just continuous research in the field of modern medicine, and then

They are just Western medicine doctors who draw on some concepts and ideas of traditional Chinese medicine.

What Fang Le said is that the idea of ​​adhering to the concepts of traditional Chinese medicine and maintaining pure thinking of traditional Chinese medicine, but accepting some examinations, treatments and judgments of modern medicine to a certain extent to help diagnose oneself, is definitely very unusual at this time.

"At the same time, the patient has no history of liver and biliary diseases, plus the premise that the patient is angry and combined with the pulse syndrome... Would it be more accurate and less error-prone to conclude that the patient's anger caused excessive liver qi?

Some?"

"Uh huh huh!"

Classmate Xingxing continued to nod like a chicken pecking at rice, with little stars in his eyes.

"So what treatment ideas should be used at this time?"

Fang Le asked Cheng Yunxing.

"Analgesic drugs are ineffective for analgesia... You can follow the principle of soothing the liver and regulating qi, clearing away stagnation and heat..."

Speaking of this, Cheng Yunxing couldn't help but said: "Fang Le, how did you get such a brain?"

"Think about it slowly."

Fang Le reached out and patted Cheng Yunxing's shoulder again: "I'll leave this patient to you as well. Please write down the medical record and ask for your understanding."

"Um!"

Cheng Yunxing nodded.

In the past few days, Cheng Yunxing had been following Fang Le in the treatment room and watching Fang Le's debridement and suturing. Cheng Yunxing felt a little depressed. He felt that he could not help and could not learn anything.

Today's two patients, Cheng Yunxing feels that he has benefited a lot.

Especially Fang Le’s idea is really great.

Fang Le's explanation of the same thing is much better than that of their old man and their director Cheng. If their old man and Director Cheng had Fang Le's level of explanation, Xingxing would think that he would not be much worse than Fang Le.

?

Bar.....

Classmate Xingxing is a little unsure.

He felt that Fang Le should be higher than his father...well, just a little bit higher.

About one meter away, Cheng Yunhai watched eagerly as Fang Le explained to Cheng Yunxing, with envy in his eyes.

Having been an intern at Xijing Hospital for more than half a year, Cheng Yunhai has never encountered a doctor who teaches people as step-by-step as Fang Le.

"Don't be envious."

Gao Dawei didn't know when he arrived at Cheng Yunhai with a tea cup: "Doctor Fang knows a lot more than just Chinese medicine. Learn from it."

"Um!"

Cheng Yunhai nodded and asked cautiously: "Dr. Gao, who do you think is more powerful, Dr. Fang or Dr. Zheng?"

"Hey!"

Gao Dawei couldn't help laughing, looked around, and lowered his voice: "You kid, are you trying to trick me?"

"No."

Cheng Yunhai smiled and said: "I have been following Dr. Gao for more than a month, and now I am following Dr. Fang. If Dr. Zheng really doesn't want to see Dr. Fang, he won't treat me well. I'm still an intern."

"Learn your skills well and don't think about anything else."

Gao Dawei pursed his lips to Fang Le and Cheng Yunxing: "Do you know why Dr. Fang likes Cheng Yunxing?"

"They are classmates, and Director Cheng's family also takes good care of Dr. Fang."

Cheng Yunhai's tone was a bit sour.

No one in the emergency department knows about the relationship between Cheng Yunxing and Fang Le.

"fool."

Gao Dawei cursed in a low voice and said: "The mobile phone that Dr. Fang is holding doesn't cost several thousand dollars. You can't even think about it. If you carry such a valuable mobile phone with you, how about a meal at Director Cheng's house?"

"what do you mean?"

Cheng Yunhai was a little puzzled.

"It's true that two people are classmates, but there are too many classmates."

Gao Dawei suggested: "Cheng Yunxing has a pure mind. This is what makes Dr. Fang like him most."

"So, don't have too many distracting thoughts, learn your skills well, ask if you don't understand, and don't get involved in other things."

As Gao Dawei spoke, he picked up the teacup and took a sip of tea.

Fang Le had spoken to Cheng Yunxing and subconsciously turned back to look at Gao Dawei.

"Doctor Fang, what are your orders?"

Gao Dawei happily came over with a cup of tea in hand, his face full of fawning.

Cheng Yunhai, who had been listening very seriously just now, immediately began to doubt his life when he saw this scene.

Dr. Gao taught him not to have any other thoughts and he went over to flatter him right away. Why?

Are your intentions pure?

Is being single-minded about flattering someone considered pure?

.......

"How's it going over there with Fang Le?"

Zheng Jinfan had treated the patient and came out of the emergency room. As he walked, he asked Chen Jidong beside him.

"I heard that a patient was admitted to the observation room just now with acute abdominal pain."

Chen Jidong hurriedly said to Zheng Jinfan.

"Acute abdominal pain?"

Zheng Jinfan paused for a moment: "You didn't say why?"

"Didn't say."

Chen Jidong said: "The prescription is Chinese medicine."

"oh!"

Zheng Jinfan responded and continued walking forward.

"Dr. Zheng, Fang Le is an intern after all. Although he performed well, he is still too young. The condition of acute abdominal pain is complex and the causes are changeable. I asked around and it seems that there are not many tests done there."

Chen Jidong hesitated for a moment and tentatively said to Zheng Jinfan.

"What needs to be done to check?"

Zheng Jinfan asked.

"At the very least, we should do an ultrasound, right?"

Chen Jidong secretly looked at Zheng Jinfan's face.

When a patient with acute abdominal pain is admitted to the hospital, at least some investigations should be done, right?

For example, abdominal B-ultrasound, abdominal puncture, etc., what kind of disease should be diagnosed on a large scale first? What if it is something more complicated?

"Then what?"

Zheng Jinfan continued to ask.

"Then......"

Chen Jidong didn't know how to answer. What did Zheng Jinfan mean?

"Fang Le has the right to prescribe prescriptions himself, and there is Dr. Gao nearby, who prescribes traditional Chinese medicine..."

Zheng Jinfan said calmly: "I don't even understand Chinese medicine, do you understand?"

"I don't understand."

Chen Jidong said hurriedly, with beads of sweat falling from his forehead as he spoke.

It is said that being with a king is like being with a tiger. Now Chen Jidong understands this deeply and is numb. Isn't it just to curry favor with you?

Zheng Jinfan didn't look at Chen Jidong and kept talking as he walked: "You know the doctor grading system and the first consultation system. Don't interfere in other people's treatment at will."

"I understand, Doctor Zheng."

Chen Jidong nodded again.

He finally understood the reason why Zheng Jinfan was dissatisfied with him.

In the doctor grading system, lower-level doctors have the right to treat patients when they have the right to prescribe and the higher-level doctor is not present. If the lower-level doctor does not ask the upper-level doctor for instructions or there is a problem with the treatment, even the upper-level doctor will

Nor can we find fault without any reason.

Fang Le has the right to prescribe, and there is Gao Dawei beside him. In this case, Zheng Jinfan can only understand the situation and ask.

Zheng Jinfan doesn’t understand traditional Chinese medicine. When the procedure is qualified and everything is normal for the patient, Zheng Jinfan can’t even question it, and it’s hard to ask questions.

Even if asked, after Fang Le’s explanation from Chinese medicine, can Zheng Jinfan clearly distinguish between right and wrong?

cannot.

Since it can't be done, then what Chen Jidong just said was too obvious to provoke and the means were too low-end.


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