As the retired chief physician of Yanjing Hospital, Ruan Guangrong can be regarded as one of the earlier batch of traditional Chinese medicine practitioners to accept the idea of integrating traditional Chinese and Western medicine.
But relatively speaking, Ruan Guangrong, one of the earliest TCM practitioners, has a relatively solid foundation in TCM. He was a TCM doctor before studying the integration of TCM and Western medicine. Later, with his continuous clinical practice and his continuous understanding of modern medicine,
With the integration, my thinking gradually began to change.
Many people think that modern medicine is easy to learn. On the one hand, modern medicine is relatively systematic, and it is easier to summarize some regular things in theory.
In other words, before I put it into practice, through calculations and experiments, I can summarize relatively regular things, and then test them clinically.
Traditional Chinese medicine, on the other hand, summarizes and summarizes rules through facts. Just like what Fang Le said that day when he was treating the female patient with brain trauma at the Affiliated Hospital of Jiangzhou Medical University, spring, summer, autumn and winter, rising in the east and setting in the east, these are the rules, and they are established facts.
The law does not require any theory or research. Whether you agree with it or not, it is there.
Once these rules are broken, it is inconsistent with common sense.
Ruan Guangrong is the retired chief physician of Yanjing Hospital. He is considered a veteran at Yanjing Hospital. Moreover, after so many years of clinical practice, some aspects of his thinking have become stereotyped and it is difficult to change.
The more important reason why Ruan Guangrong recognized Fang Le's statement so quickly this time was because the patient's condition was complicated and the patient's identity was different.
"I was negligent before."
Ruan Guangrong said hurriedly to Zhong Shaofei: "Thanks to Professor Fang this time."
"Mr. Ruan is so polite, what should we do now?"
Zhong Shaofei asked.
"The patient has heart and kidney yang failure, showing signs of yang detachment. He should support yang and suppress yin, strengthen the heart and strengthen the kidneys..."
Ruan Guangrong said and hurriedly opened another prescription.
After opening the prescription, Ruan Guangrong was already subconsciously preparing to hand it over to Cheng Cailiang to prepare the medicine, but suddenly he remembered something and walked to Fang Le with the prescription in hand.
"Professor Fang is here to check."
"Mr. Ruan is so polite."
Fang Le said politely, stretched out his hand to take the prescription, and said: "I should learn from Mr. Ruan."
"Hi."
Ruan Guangrong smiled awkwardly.
Just now at Wang Gexin's home, Ruan Guangrong really looked at Fang Le from the perspective of a senior. In any case, Fang Le is considered a young man and a rising star. He is an old man in his sixties. How can he still treat Fang Le as a baby?
View it from an equal perspective?
But now, Ruan Guangrong really can't stand up to his seniors.
This time, Zhong Shaofei's wife had not had time to take the medicine and did not make a big mistake. It was precisely because of Fang Le's timely reminder.
Otherwise, for the patient suffering from yang deficiency, the dose of medicine just now is definitely not much different from a highly toxic drug. The yang energy is already exploding, and then using bitter and cold medicine such as gypsum will definitely make the patient's yang energy disappear.
He was seriously injured and died of Yang detachment.
After understanding the patient's symptoms, Ruan Guangrong's prescription this time was symptomatic. He used Sini decoction and cinnamon, but...
Fang Le looked at the prescription carefully, and then said politely: "Mr. Ruan's prescription is good. The pungent Sini decoction is added with cinnamon, which can support yang and suppress yin, strengthen the heart and strengthen the kidneys. But the dosage is a little conservative."
?”
Ruan Guangrong's prescription uses 35 grams of attached tablets, 12 grams of dried ginger, and 5 grams of licorice....
"You mean the dose is too small?"
Ruan Guangrong pondered for a moment: "The patient is showing symptoms of impotence, so the dose can indeed be increased."
As he said this, Ruan Guangrong re-drafted the recipe, changing the number of ingredients to 50 grams, the amount of dried ginger to 16 grams, and the amount of licorice to 8 grams...
"Is it a little bigger?"
Fang Le was a little speechless. To be honest, Fang Le felt that he had failed to give face to the elderly over and over again.
It's just that the matter involves the patient's safety, and there is no room for compromise or retreat in this matter.
Many times, doctors get into heated arguments during consultations, and that's because they have different positions. Other things can be discussed, but when it comes to treating illnesses and saving lives, sometimes they really can't be discussed.
"How much does Professor Fang think is appropriate?"
Ruan Guangrong asked directly.
To be honest, Ruan Guangrong was indeed feeling a little uncomfortable being treated like this again and again by Fang Le.
If it weren't for Fang Le's previous reminder, Ruan Guangrong would indeed have noticed his mistake. At the same time, Fang Le was not an ordinary young man. He was a disciple of Wang Gexin and a top expert in hepatobiliary surgery.
If it were anyone else, Ruan Guangrong would have scolded him.
"What does Mr. Ruan think of 150 grams of aconite?" Fang Le said.
"150 grams?"
Ruan Guangrong immediately exclaimed.
The dosage of the attached tablet is 50 grams, and Ruan Guangrong feels that the dosage is not too small.
Ruan Guangrong has been practicing medicine for many years, and he is also a bit brave. For some patients, Ruan Guangrong used 80 grams of Aconite at most.
This 150 grams is really hard for Ruan Guangrong to accept.
"Xiao Fang, the patient is a pregnant woman suffering from bleeding after cesarean section. How can the patient withstand such a large dose?"
This time Ruan Guangrong did not call Professor Fang again, but called him Xiao Fang. His tone was gentle and patient.
The reason why Ruan Guangrong still wanted to explain to Fang Le was because Ruan Guangrong didn't want Wang Gexin to think that he was burning bridges by crossing the river. Fang Le reminded him, and he turned around and ignored Fang Le's opinion.
After all, Wang Gexin is right next to him.
"It is precisely because the patient is a mother who has postpartum hemorrhage and is already severely deficient."
Fang Le also patiently explained: "After the bleeding, I first received a blood transfusion, which severely damaged my vitality, and then I used drugs such as penicillin and streptomycin to treat it. Now that my heart and kidneys are weak, I can say that I have reached a critical stage. At this time, I must use
A large dose of pungent and hot medicine can strengthen the heart and strengthen the kidneys, so as to ensure that the patient's yang energy is not lost. If the dose is insufficient and ineffective, what should we do when the time comes when the yang energy bursts out?"
"This..." Ruan Guangrong was a little embarrassed.
What Fang Le said makes sense.
After all, Ruan Guangrong is also a famous doctor, he can understand the principles clearly, and he can quickly discover the mistakes caused by his occasional thinking if he is reminded.
But Ruan Guangrong had never used such a large dose of aconite, and he couldn't help but feel anxious.
"Xiao Ruan."
Wang Gexin, who had been silent until now, suddenly said: "In my opinion, just follow what Xiao Le said and give it a try."
"Mr. Wang, such a large dose..."
Ruan Guangrong smiled bitterly.
If there was Xue Shuyang next to him, Ruan Guangrong would not say anything, but next to him was Wang Gexin.
Although Wang Gexin is also a famous national player, he is good at orthopedics and traumatology, but he is not good at prescriptions.
"You may not know this kid's nickname."
Wang Gexin said with a smile: "This guy is known as Fang Fuzi in Xijing Hospital. When he used the most Fuzi, he used 200 grams. Even Mr. Xue was ashamed."
Wang Gexin heard some things about Fang Le from Xue Shuyang.
It is not an exaggeration when Wang Gexin said that Xue Shuyang was ashamed of himself when it came to using Fuzi.
In the time and space before Fang Le's rebirth, when it came to using aconite, it really belonged to Mr. Li Ke. The amount of aconite used in the Extraordinary Jiuxin Decoction amazed many famous Chinese medicine experts.
Fang Le used 200 grams of aconite in Xijing Hospital, and he used the Poge Jiuxin Decoction. Xue Shuyang had never used such a large dose. This is a fact.
"200 g?"
Ruan Guangrong and Cheng Cailiang, director of the Department of Traditional Chinese Medicine next to him, were both frightened.
Aconite can actually be used in 200 grams?
Cheng Cailiang wanted to ask: "Is the patient still there?"
This is almost Cheng Cailiang's subconscious thought.
However, Wang Gexin's ability to say this definitely proves that the patient is fine.
"This is what Mr. Xue told me personally."
Wang Gexin said with a smile: "Xiao Le's attainments in traditional Chinese medicine are not low. Even Qi Youmin and Mr. Qi from Shanghai praised him highly."
Wang Gexin's level in prescriptions is indeed a bit lower, not even as good as Ruan Guangrong's, but Wang Gexin knows Fang Le's level very well.
Qi Youmin and Xue Shuyang are not the kind of people who flatter others casually.
Being able to be praised by Xue Shuyang and Qi Youmin proves that Fang Le is really capable.
Wang Gexin had attended Qi Youmin's funeral, and even knew that Fang Le had extended Qi Youmin's life.
It was Wang Gexin who took care of Ruan Guangrong's face. Otherwise, to put it bluntly, he would have said, "Xiao Ruan, you are actually not as good as Xiao Le."
"In that case, let Professor Fang prescribe a prescription."
What else can Ruan Guangrong say?
Wang Gexin moved out Xue Shuyang and Qi Youmin. Xue Shuyang and Qi Youmin represent the ceiling of the Xinglin world.
"The teacher was so complimentary."
Fang Le said modestly: "I just happened to see similar patients. The Sini Decoction prescribed by Mr. Ruan is excellent."
Ruan Guangrong: "......"
In fact, Ruan Guangrong really wanted to say, Professor Fang, please stop praising me, it’s really embarrassing.
As Fang Le spoke, he also drafted the recipe again.
150 grams of Futian, 50 grams of dried ginger, 22 grams of licorice...
After the prescription was prepared, Fang Le asked Ruan Guangrong to take a look at it. Ruan Guangrong almost looked at it hastily and then handed it over to Cheng Cailiang to prepare it.
The dosage was too great. Not only the aconite, but also the dosage of the entire prescription was several times greater than before. The dosage of Fang Le's prescription almost caught up with the dosage of Ruan Guangrong's five or six dosages before.
How could Ruan Guangrong not be afraid of eating five or six meals at a time?
"Fang Le?"
Shi Xueying, the director of the Department of Obstetrics and Gynecology, who had been standing by and was completely speechless, suddenly came to her senses.
"Are you Professor Fang Lefang from the Emergency Department of Xijing Hospital?"
"If there is no doctor with the same name admitted to Xijing Hospital recently, it should be me." Fang Le said with a smile.
"hiss!"
Only then did Cheng Cailiang react.
No wonder the name sounded familiar to him, Xijing Hospital, but Fang Le and Ruan Guangrong were discussing it at the moment, and Cheng Cailiang didn't think much about it.
Unexpectedly, this is the hepatobiliary surgery expert from Xijing Hospital that Director Qiu mentioned during the meeting today?
The only young professor in the country who can perform liver transplant surgery?