The nurse came to look for Fang Le, and Xiao Haoping asked about it, only to find out that the patient turned out to be Hu Yuankang's lover, and that the prescription was prescribed by Rong Degao.
"It was driven by Mr. Rong."
The nurse just mustered up the courage to speak. In the eyes of the nurse, whether it was Rong Degao or Hu Yuankang, they were both big shots.
Fortunately, the Provincial People's Hospital has a lot of big shots in the hospital, especially the nurses in the special needs ward. They all serve big shots, so the nurses have the courage to speak.
Just because of this, the nurses were afraid that Rong Degao would be angry.
"Dr. Fang, please go there."
Xiao Haoping told Fang Le: "The patient is Boss Hu's lover, please pay attention when the time comes."
Hu Yuankang's lover, Xiao Haoping, didn't have the guts to stop Fang Le from going.
"Okay, I'll go there then."
Fang Le nodded, said hello to Xiao Haoping, Liu Changsheng and others, and then followed the nurse to Jiang Yuqin's ward.
"Rong Lao."
Entering the ward, Fang Le still greeted Rong Degao politely, as if nothing unpleasant had happened before.
"We meet again."
Rong Degao was inevitably a little embarrassed: "Differences are differences. As doctors, as doctors, we still have to put patients first. I heard the nurse say, you just checked the medicine residue, did you think there was something wrong?"
"I just feel a little strange, but I can't say there's something wrong with it."
Fang Le told the truth: "It depends on the patient's symptoms."
"Then let's do a checkup first and then we'll discuss it." Rong Degao nodded.
"good."
Fang Le also nodded.
Entering the ward, Fang Le did not say hello to Hu Yuankang, nor did he ask about the patient's identity. Although Fang Le already knew it, this lack of greeting was still an attitude.
Hu Yuankang watched from the side, and found Fang Le more and more interesting.
If you don't say hello when you come in, it means that you don't know the patient's identity, even if you pretend to be confused, knowing and not knowing have different attitudes.
It is very important for doctors to treat patients.
If you don’t know, you can say some things; if you know, you can’t say some things.
Fang Le still doesn't know the patient's condition, so it would be better to pretend not to know.
"The patient mainly suffered from uterine prolapse and repeated colds..."
At the same time, Rong Degao also told Fang Le the patient's medical history, and Fang Le listened while diagnosing Jiang Yuqin's pulse.
The pulse condition has not changed much from before. The right pulse is not as high as cun and the left is not as high as chi. The tongue is pale and has thin coating.
Looking at the patient's performance, he was shivering with chills, his lower abdomen was clapping, and he was out of breath when breathing.
When I move even a little bit, I gasp and sweat.
After the examination, Fang Le stood up and said: "Judging from the pulse syndrome, it is similar to what I judged before. It is indeed evidence of qi deficiency and subsidence, and it has damaged the kidneys, which cannot accept qi."
Rong Degao nodded, Fang Le's judgment was consistent with his.
From this point of view, Fang Le's level is indeed not low. The diagnosis of this disease is not easy. Fang Le's accurate judgment has already made Rong De take a high look.
Not to mention what Fang Le said against him before, and excluding the fact that Fang Le also does surgery, at Fang Le's age and at this level, this Chinese medicine practitioner is very solid.
"Consistent with my judgment."
Rong Degao said: "Since the dialectics are correct, what about the prescription?"
"Rong Lao's prescription is really good."
Fang Ledao: "Buzhong Yiqi Decoction plus windbreak and tangerine peel not only have the effect of replenishing middle qi, raising yang and lifting the sunken qi, but also have the function of windbreak, astragalus, atractylodes and Yupingfeng powder, which can also replenish qi and strengthen the surface, which can treat stubborn and difficult to heal."
The effect of the cold has completely hit the pathogenesis."
"Just say but."
Rong Degao said calmly.
At this point, Rong Degao also knew that there must be something wrong with his prescription. Otherwise, if Fang Le and his judgment were consistent, and his prescription was so perfect, how could he not be able to cure the disease?
There is definitely a but.
"The patient's main symptoms are three, firstly, qi deficiency and depression, which is prolapse, secondly, repeated colds that do not heal, and thirdly, abdominal bulging."
Fang Le continued: "The first two symptoms of Rong Lao hit the root of the disease, but the third one is a bit unnecessary."
"This is unnecessary?"
Rong Degao was stunned for a moment, then thought slightly.
"Yes, yes."
After all, Rong De's level is not low, but he just got into a dead end. He didn't think about it for a while, but now that Fang Le said this, Rong Degao immediately knew the crux of the problem.
He was indeed superfluous and unnecessary, which actually made the originally very symptomatic prescription ineffective.
"Go on, keep talking, and let Boss Hu listen."
Rong Degao sighed.
"Judging from the dosage and medication of the prescription, the dosage is not too small, especially the red ginseng, which is 20 grams. Such a large dosage is definitely more than enough to save people from danger. However, after three doses, it has no effect. It is
Because betel nut, radish seed, tangerine peel and other drugs are used to reduce swelling and induce digestion."
Fang Ledao: "Betel nut, radish seeds, tangerine peel and other medicines have the effect of opening up Qi, clearing phlegm and lowering Qi, and the effect is quite powerful. It is a prescription that can replenish the middle Qi, raise Yang and lift the subsidence, and it can also strengthen Qi and strengthen the surface.
The effect of the medicine is now added with strong medicine to open up Qi, especially the dose of tangerine peel is not small, which naturally greatly reduces the original prescription."
The reason why Rong Degao's prescription did not work was mainly because the last few herbs added were inappropriate, or the doses were inappropriate, resulting in an imprecise formula.
Traditional Chinese medicine treats diseases and formulates a lot of knowledge.
Many people know that there is a saying in "Treatise on Febrile Diseases" that it is easy to say but difficult to do if you know what is wrong and treat it accordingly.
If it’s a single disease, it’s okay, and the diagnosis is clear, and there are often special prescriptions, which can be added or subtracted according to the patient’s condition.
However, in actual clinical practice, patients often have more than one symptom, which tests the doctor's ability.
There are several illnesses. First of all, we need to clearly distinguish the priorities, which ones are urgent and which ones are mild, whether to deal with the acute first or the mild first, whether to deal with them together or separately. There are many ways to deal with them.
Jiang Yuqin's situation, as Fang Le said, has three main symptoms. The main symptom is prolapse, followed by recurring colds and abdominal distension. During treatment, Rong Degao solved all three problems at the same time.
The combination of Buzhong Yiqi Decoction and Fangfeng is very good, but when it comes to solving the patient's abdominal bloating, Rong Degao was negligent.
Deficiency of qi naturally needs to be replenished, and bulging naturally needs to be eliminated. Once you replenish it, it will disappear. This is a problem. When you replenish it, the intensity is strong, but when it is eliminated, the intensity is not small. Pull on both sides, and use physical force.
According to the statement, the effects of force have been canceled out. How can we have so much force to solve the problem?
"I was negligent."
Rong Degao nodded: "Seeing that the bloating subsided, he forgot that the bloating in the Buzhong Yiqi Decoction syndrome is caused by Qi deficiency and bad luck, and the bloating will naturally disappear if the Qi is strong."
"Everyone makes mistakes sometimes, and Mr. Rong doesn't need to blame himself too much."
Fang Le advised.
It can be seen that this disease has a great impact on the old man. At this moment, Rong Degao Wanran is not as high-spirited as when Fang Le last saw him.
As a doctor, no one can make no mistakes. Just like Qi Yuanshan, he always said that he has failed to treat more patients than he has treated well in his life. Most of the time, it is actually because of his own weakness.
Qi Yuanshan's level is not as high as Rong Degao's, but what Qi Yuanshan said will still not be wrong when applied to Rong Degao.
Even Sun Qingping has many patients who cannot be treated well in his life.
It's just that there are many kinds of mistakes. This time Rong Degao's mistake was a bit vulgar.
Just like in a normal exam, I got all the difficult questions right, but ended up being careless and making mistakes on the easier questions. I could have scored 100 points, but ended up getting 98.
This is very frustrating.
Also, this mistake was made in front of Fang Le.
Two days ago, Rong Degao couldn't stand Fang Le, but today, Fang Le had to remind him of this mistake, which made Rong Degao feel a little embarrassed.
"If you make a mistake, you are wrong, and you should learn a lesson."
Rong Degao sighed: "Doctor Fang, please give me a prescription."
"Let Mr. Rong continue the treatment." Fang Leqian gave way.
People like Rong Degao are more conservative in their thinking, but they don't have any serious problems. Their medical ethics and skills are very good.
There is no need to hold on to this right or wrong.
Let’s just say that Sun Qingping and others had rashly accepted the idea of integrating traditional Chinese and Western medicine. Is it right?
No matter how good the original intention was, the result was wrong.
Although Fang Le does not think that doing bad things with good intentions is worthy of forgiveness, but it also depends on time. When the direction is unclear and the future is unclear, some things are destined to be done by some people.
Some things are destined to be tried and made by people. Only by trying, can you know whether it is right or wrong. But if you don't leave, you will always have regrets. If you don't leave, others may leave later.
Moreover, the general trend of combining Chinese and Western elements cannot be stopped by Sun Qingping alone.
"Doctor Fang, please stop being so modest."
Rong Degao said: "I'm not a petty person. To be honest, after I went back that day, I thought about it again and again. What you said can't be completely right, but it can't be completely wrong either. Some of it still makes sense."
After Rong Degao said this, Fang Le was not humble and re-prescribed the prescription. It was still Buzhong Yiqi Decoction plus Fangfeng, but he replaced betel nut, radish seed and other drugs with raw stilbene, cornus, and wood root.
It is fragrant, and ginger, jujube, etc. are added. At the same time, the dosage of tangerine peel is also reduced from the original 30 grams to 2 grams.
"Please correct me, Mr. Rong."
Fang Le handed the prescription to Rong Degao.
"Okay, okay, this prescription is really good."
After Rong Degao saw it, he sincerely admired: "2 grams of tangerine peel is intended to balance the 'stagnation' effect of ginseng, Shu, and stilbene, but not to reduce swelling, cornus, woody fragrance, and stilbene..."
"
After saying that, Rong Degao handed the prescription to the nurse, and then turned back to Hu Yuankang and said, "It's all my fault that the patient suffered for three more days because of my negligence."
"What Mr. Rong said is that doctors are human beings too."
Hu Yuankang replied politely, and then said to Fang Le: "Yesterday morning, Dr. Fang held a preoperative analysis meeting for living donor liver transplantation. I listened at the door for a while. I didn't expect that Dr. Fang was not only outstanding in the field of liver surgery.
, the level of Chinese medicine is also so amazing.”