The clinic where Shen Anrong was sitting was at the back of the internal medicine clinic. Fang Le and Cheng Yunxing didn't pay much attention to it just now. This time they came over and asked the nurse before they found it.
There was no electronic door card at this time, and the doctor information at the door of the clinic was changed manually. It was indeed Shen Anrong.
The door to the consulting room was ajar, and there was a young doctor in his twenties opposite Shen Anrong.
There were still patients inside at this time, so Fang Le took Cheng Yunxing and walked in directly.
The two of them entered the door. The young doctor opposite Shen Anrong stood up and was about to say something, but Shen Anrong saw Fang Le coming in.
"Professor Fang!"
Shen Anrong hurriedly stood up to say hello, with a smile on his face.
"Dean Shen, you are busy, I will just watch for a while."
Fang Le said with a smile.
"well."
Shen Anrong sat back again, and while instructing the young doctor opposite to pour water for Fang Le, he asked: "Professor Fang just arrived today?"
"I came here a few days ago. I went to Fengzhou. I just came back last night and asked to come and see Dean Shen." Fang Le said with a smile.
"Professor Fang is a busy man."
Shen Anrong was joking.
"Professor Fang, please sit down."
The young doctor opposite Shen Anrong listened to the conversation between the two and almost guessed Fang Le's identity. He asked Fang Le to sit down on the chair where he was sitting and poured a glass of water for Fang Le.
He is twenty-twenty-three years old and is called a professor by Shen Anrong. Except for Fang Le from the emergency department of Xijing Hospital, there is probably no such young professor in the country.
The young man is Shen Anrong's disciple, named Huo Pingfei. Unlike ordinary young doctors, he has heard of Fang Le.
Fang Le, an associate professor who is twenty-two or three years old, has achieved such achievements at such an age. I don’t know how many doctors can’t help but feel envious when they hear this.
Fang Le sat opposite Shen Anrong, Cheng Yunxing stood next to Fang Le, and Shen Anrong stopped talking to Fang Le and concentrated on treating the patient.
The patient is a child, about five or six years old, who is held in his mother's arms.
Shen Anrong felt for his pulse and asked about the situation.
The child had diarrhea and was accompanied by abdominal distension. When he ate a little, the abdominal distension became more severe. He was also accompanied by nausea and vomiting, so he had not eaten properly for several days.
At first, I was given some soup to drink at home, but later on, I started to vomit even after drinking the soup.
"How does it feel in your mouth?"
Shen Anrong felt for his pulse, checked the child's tongue coating, and asked gently.
"It's a little bitter, like drinking medicine."
The child thought for a while and said, after all, he is five or six years old, and he can still distinguish between bitter and sweet.
"Are you usually thirsty?"
Shen Anrong asked again: "It's just that you feel like drinking water. It has nothing to do with vomiting."
The child thought for a while and said, "I don't want to."
The most difficult thing in treating children is communication. The reason why traditional Chinese medicine distinguishes pediatrics separately is precisely because of the special features of pediatrics.
In TCM diagnosis, the patient's feelings are a very important criterion. Adults can at least accurately express where they feel uncomfortable and how they feel. It is difficult for children to describe clearly.
Therefore, when it comes to pediatrics, Chinese medicine must be meticulous and observe as many details as possible. On the other hand, it must guide as much as possible and use the child's language to talk.
"Watch carefully."
Fang Le gently kicked Cheng Yunxing with his foot.
Shen Anrong's level is very good. In terms of internal medicine level, Fang Lejue's Shen Anrong is not much worse than him. This famous doctor in Jiangzhou is impeccable in both medical skills and medical ethics. He is absolutely worthy of the praise. Great doctors of the previous generation.
While asking questions, Shen Anrong took the child's hand over again and looked at the child's fingerprints. The fingerprints were light yellow and faint...
"How about peeing?"
Shen Anrong asked the child's mother again.
"It's okay to pee."
"Um!"
Shen Anrong nodded slightly and said while writing the prescription: "Judging from the pulse syndrome, it should be diarrhea first, which will lead to early injury to the spleen and stomach, Qi deficiency, cold and damp accumulation, and therefore the chest and abdomen will be bloated after eating. A crimson tongue and a bitter taste in the mouth are caused by liver and gallbladder heat, which permeates the middle burner, causing vomiting whether eating or drinking."
As he spoke, Shen Anrong prescribed a prescription. After the prescription was written, Shen Anrong did not rush to hand it to the patient. Instead, he smiled and said to Fang Le opposite him: "Professor Fang took a look by the way to check for any omissions." ."
This was not the first time that Fang Le had interacted with Shen Anrong. He knew that Shen Anrong was really communicating with him and had no other intentions, so he took the prescription with a smile.
"This is a case of vomiting. The patient is suffering from fever, which makes no sense. Dean Shen used a high-quality prescription. Dried Turmeric, Columbine, Astragalus and Ginseng Decoction combines cold and heat. Cold is more severe than heat, and the dosage is very well controlled. "
With that said, Fang Le handed the prescription back to Shen Anrong.
"Ha ha."
Shen Anrong couldn't help but smile and said: "Professor Fang is indeed Professor Fang."
As he spoke, Shen Anrong signed the prescription and handed it to the patient's family: "Go back and take it according to the prescription. You can come back for a follow-up consultation after using it. If I don't have a consultation at that time, you can call another doctor."
With Shen Anrong's first consultation at the forefront, and subsequent doctors referring to the first consultation, there is basically no mistake.
Generally speaking, the first doctor is very important. At Jiangzhong Hospital, other doctors at least will not doubt the correctness of Shen Anrong's diagnosis. With this premise as a reference, the subsequent general direction will not go wrong.
If it were another doctor, perhaps the newcomer would question the first diagnosis.
After sending the patient away, the young doctor called for the next patient. Fang Le picked up a pen and paper, wrote down the prescription Shen Anrong had just prescribed, and knocked on the table.
"Come, take a look at this prescription."
Xingxing classmates hurriedly came up.
"Did you hear clearly what the illness was just now?"
Fang Le asked Cheng Yunxing.
"Um!"
Cheng Yunxing nodded.
"Judging from the pulse syndrome just now, the patient suffered early damage to the spleen and stomach due to diarrhea... resulting in a situation where the upper part is hot and the lower part is cold and weak..."
Fang Le drew a line on the prescription and said: "It is recorded in "Treatise on Febrile Diseases" that 'typhoid fever originates from the cold, and the doctor will vomit it down, and the cold pattern will reverse the vomiting, and if it is eaten, it will be vomited. Dried ginger Coptidis, Scutellaria and Ginseng Decoction."
With that said, Fang Le asked Cheng Yunxing: "What's different about this disease?"
"I haven't vomited it yet." Cheng Yunxing sighed and said.
"right."
Fang Le nodded and said: "Although there is no vomiting in this case, long-term diarrhea damages the spleen, and the reason is exactly the same. Spleen injury means clear and turbidity cannot be distinguished, with yang at the top and yin at the bottom, so the medication should be measured. This In this case, if you use cold medicine to treat the lower fever, it will definitely be out of place and will definitely cause the upper fever to worsen..."
As Gao Dawei said, after a doctor enters the hospital, it is impossible for the superior doctors to teach you step by step all the time. They often just look at the opportunity. Even Fang Le is the same with Cheng Yunxing, and he will definitely not be able to take care of it when he is busy.
Basically, they happened to meet each other, and they explained and gave some pointers.
At this moment, Shen Anrong was diagnosing and treating a patient, and the patient's condition just now was very representative, so Fang Le also took the opportunity to explain it to Cheng Yunxing.
When Fang Le was explaining to Cheng Yunxing, Huo Pingfei who was standing next to him also leaned in and listened with great interest.
Fang Le is quite famous. Huo Pingfei had heard Shen Anrong mention Fang Le many times before, saying how great Fang Le was. His words were full of praise, and he even felt a little ashamed of himself.
But Huo Pingfei always felt that his master was a bit self-effacing. No matter how old Fang Lecai was, even if his skills were good, he would definitely not be able to compare with his master.
Huo Pingfei feels that he is very lucky to be able to study under Shen Anrong. Although Shen Anrong is not the number one person in the Xinglin community in Jiangzhong, he has high standards and medical ethics. He is also the president of Jiangzhong Hospital and is excellent in all aspects. good.
Listening to Fang Le's explanation to Cheng Yunxing, Huo Pingfei felt that his teacher's evaluation of Fang Le was not an exaggeration at all.
The disease just now, with heat at the top and cold at the bottom, is not easy to treat. Fang Le has obviously understood this disease thoroughly, how to judge the syndrome and how to master the medication.
While Shen Anrong was treating the patient, he looked up at the opposite side and smiled slightly.
This is what Shen Anrong appreciates most about Fang Le. He is young, very skilled, and not arrogant. The analysis of his recent medical record is also very accurate.
Shen Anrong is an outpatient clinic and does not register patients with outsiders. The patients here are basically referred from other clinics.
Shen Anrong is the dean. Deans of other hospitals, even with clinical background, rarely attend outpatient clinics after becoming deans. Shen Anrong has two outpatient clinics a month. Naturally, he cannot waste time on ordinary patients. Here we deal with some difficult diseases.
Every patient who comes to Shen Anrong's clinic has a complicated condition. No matter how serious it is, at least they all have special characteristics in syndrome differentiation and treatment. It is difficult to distinguish between true and false, and difficult to distinguish between actual and false.
Shen Anrong was treating patients opposite, and Fang Le was listening opposite. When he encountered a good medical case, he explained it to Cheng Yunxing. Fang Le had nothing to do this morning. The on-site teaching here was somewhat fruitful for Xingxing students.
It's about eleven o'clock in the morning.
At Jiangzhong City Railway Station, Pang Jianye got off the train with a young doctor in his early thirties.
As soon as I got off the bus, a pick-up sign came into view not far from the platform.
"Director Pang!"
The young doctor quickly pointed over there.
"Let's go."
Pang Jianye walked towards the sign.
The person holding the sign was a young man in his twenties, and next to the young doctor was a middle-aged man in his forties.
When the middle-aged man saw Pang Jianye approaching, he hurriedly smiled and said, "Is it Director Pang?"
"I am Pang Jianye."
Pang Jianye nodded.
"Hello, Director Pang."
The middle-aged man hurriedly stretched out his hand and said with a smile: "I am Bei Kanglin, deputy director of the Hepatobiliary Surgery Department of the Central Hospital. I am very happy to meet Director Pang."
"Hello, Director Bei."
Pang Jianye also stretched out his hand to shake Bei Kanglin's hand: "I heard Director Sun talking about you when I came here."
"Lao Sun and I were classmates in medical school."
Bei Kanglin took Pang Jianye's luggage and greeted him politely: "Director Pang, please, the car is already waiting outside. Our Director Yang heard that Director Pang was coming, and originally planned to come in person, but there is something wrong at the moment." Can't get away."