Several directors in the consultation room saw Tang Tongnian and Chu Jianlin coming in together with a young man, and they had some suspicions. After hearing Tang Tongnian's introduction, everyone greeted Fang Le one after another.
"Professor Fang~!"
"Hello, Professor Fang!"
"I've heard about Professor Fang a long time ago!"
"This is Zhang Wei, deputy director of the Department of Cardiology and chief physician."
Tang Tongnian introduced several doctors in the consultation room to Fang Le.
There are Zhang Wei, deputy director and chief physician of the Department of Cardiothoracic Medicine, Xi Xiaojun, deputy director and deputy chief physician of the Department of Neurology, Huang Weiguo, deputy director and chief physician of the Department of Traditional Chinese Medicine, and Qin Zhenmin, deputy director and deputy chief physician of the Department of Endocrinology.
"Professor Fang and I are friends, and I happened to know that Professor Fang was in Union Medical College, so I took the liberty to invite Professor Fang to come over and help Grandpa Li take a look."
Zhong Shaofei also explained with a smile.
"We welcome Professor Fang to come."
Zhang Weidao: "One more person means one more person to pay attention to, so we can communicate with each other."
Although Zhong Shaofei is not a direct relative of Mr. Li, in the eyes of the doctors at Union Medical College Hospital, he is similar. Zhong Shaofei inviting Fang Le over is at least better than Tang Tongnian and Chu Jianlin inviting over. The meaning is different.
After a group of people were polite and sat down again, Zhang Weidao said: "The main conditions of the patients now are diabetes, myocardial infarction and cerebral infarction. It is difficult to control blood sugar. The patient's symptoms have been getting worse, and the disease needs to be controlled as soon as possible."
"Can I see the patient's medical records?"
Fang Le asked.
"sure."
Zhang Wei nodded and handed the medical record to Fang Le, who took it and read it carefully.
During this period of time, the patient had been treated with oral Xiaoke pills, insulin and other drugs. His blood sugar control had been poor, but his condition continued to worsen, causing constipation and being silent and silent...
There are also myocardial infarction and cerebral infarction, and various diseases are mixed together, which is quite complicated.
When insulin came out, it was even announced internationally that diabetes would be eliminated from now on. However, seventy years have passed since then. Not only has diabetes not been eliminated, but the population is getting larger and larger. Clinically, it can really be eliminated.
Only a small proportion of diabetes is treated and controlled by insulin.
"Should I see the patient first?"
After Fang Le read it, he continued.
"No problem, Professor Fang, please come over here."
Zhang Wei nodded, took Fang Le to the ward, examined the patient, and then the group returned to the consultation room.
"Professor Fang is meeting a patient for the first time. What do you think?"
Huang Weiguo from the Department of Traditional Chinese Medicine asked Fang Le with a smile.
The several doctors present respected Fang Le, and no one dared to look down upon him. Their attitude was impeccable.
After all, Fang Le's status in extrahepatic and extracardiac aspects is really high, and he should be respected.
Now if someone wants to say that one of them despises Fang Le, even if Fang Le doesn't say anything, Chu Jianlin and Tang Tongnian will not agree.
This is not simply a defense of Fang Le, but a defense of their own status. Fang Le has a higher level than them, and they all demand it. If others don't respect Fang Le, then aren't they even more useless?
Just like what Fang Le said to Cheng Yunxing, when you are a little better than others, there are countless people around you who want to pull you down and wish you bad luck, but when you are much better than others, there are people who will protect you and provide for you.
, even afraid that you would be unlucky, because at that time many people were not only protecting your interests, but their own interests.
However, in his heart, Huang Weiguo still felt that it was inappropriate for Fang Le to participate in this disease. After all, the patient did not meet the conditions for surgery. It was simply unbearable to have so many diseases entangled together.
In terms of internal medicine or traditional Chinese medicine, Fang Le is not necessarily better than specialist doctors like them.
Xue Shuyang said that Fang Le is not well-known in traditional Chinese medicine, and even because of his prowess in surgery, some people have overlooked some of Fang Le's achievements in traditional Chinese medicine.
"Then let me talk first."
Fang Le said with a smile: "Judging from the medical history and the patient's condition, the patient also has myocardial infarction and cerebral infarction, brain atrophy, diabetes, etc. It sounds like there are many diseases, but from the perspective of traditional Chinese medicine and the principle of treatment,
Look, the specimen is urgent..."
"No matter how many diseases there are, we must follow the principle of prioritizing symptoms. Treat the symptoms if they are urgent, and treat the root causes if they are slow. Judging from the patient's symptoms, the most important thing now is neither myocardial infarction nor cerebral infarction. It is also not diabetes, but defecation and defecation.
Unfavorable circumstances.”
"Now the patient has difficulty urinating and has constipation. This should be the most urgent point of the disease. First of all, it is urgent to clear the two bowels. If the two bowels are blocked, the patient's condition will only become more serious..."
Several doctors nearby nodded their heads.
An expert would know if it was there as soon as he made a move. As soon as Fang Le opened his mouth, he directly talked about a very crucial point.
Regardless of whether it is traditional Chinese medicine or Western medicine, when faced with the patient's current situation, it is actually laxative and obstruction of urine and feces. No matter what the treatment is, for the patient, it treats the symptoms but not the root cause, and treats the symptoms but not the emergency.
After Fang Le finished speaking, everyone could understand whether what Fang Le said was right or not. Even those who had not thought of it before, everyone paid attention to it.
Huang Weiguo, in particular, was immediately shocked.
He never expected Fang Le's level to be so high, and he quickly got to the point.
"Then I don't know what method to use?"
Huang Weiguo asked, his attitude becoming more and more polite.
This disease is entangled with multiple symptoms, including myocardial infarction, cerebral infarction, diabetes, brain atrophy, etc., so it is very troublesome to treat clinically.
To control blood sugar, pay attention to the heart, and consider cerebral infarction.
This is also the reason why the patient has been in poor condition after so many days of treatment.
Now Fang Le is just putting everything aside and starting with the severity of the symptoms.
"Judging from the patient's clinical manifestations, it should be diagnosed as yin knot. You can use Dahuang Fuzi Decoction to warm the yang and relieve defecation. At the same time, increase the dose of Atractylodes to enhance the laxative effect, and add Motherwort to remove blood stasis and regenerate, smoothing and descending...
.”
Fang Le pondered for a moment and said.
"Rhubarb and aconite soup plus Atractylodes and Motherwort..."
As he spoke, Huang Weiguo quickly wrote down the recipe, then read it carefully, and said while reading: "This recipe is good."
The biggest difference between traditional Chinese medicine and western medicine is actually that they target different diseases. Western medicine targets diseases, while traditional Chinese medicine targets symptoms.
In other words, wherever there is discomfort, the purpose of traditional Chinese medicine is to eliminate the discomfort. If it hurts, it will solve the pain. If it hurts, it will solve the swelling. If it hurts, it will solve the cough...
Therefore, some people say that Chinese medicine does not cure diseases, but this is actually true.
Traditional Chinese medicine has been treating symptoms, pain, and discomfort since ancient times. So how to solve discomfort requires finding the cause.
Clinically, if it is urgent, treat the symptoms, and if it is slow, treat the root cause.
Now the patient has two bowel obstructions. This is an urgent matter, so he does not consider other things. He first uses methods to clear his bowels and then thinks about it later.
"Professor Fang!"
Huang Weiguo handed the prescription he wrote to Fang Le. He only wrote the recipe, but not the dosage.
Fang Le took it, took the pen and wrote the dose on the back.
10 grams each of rhubarb, aconite, and asarum, 60 grams of atractylodes, and 30 grams of motherwort.
After writing it, Fang Le handed the prescription to Huang Weiguo.
Huang Weiguo took it and looked at it carefully, and couldn't help but praise: "Professor Fang's dose combination is good. I was thinking about it just now, but not as carefully as Professor Fang."
There is actually not much controversy about this prescription, both in terms of its composition and dosage.
Compared to Fang Le, who used 100 to 200 grams of aconite before, this time he only used 10 grams of aconite, and the dosage was not large.
The only drug with a high dose is Atractylodes macrocephala, but for this disease, the dose is considered small.
Huang Weiguodao: "Atractylodes macrocephala has a good effect on slowing down, but for patients with constipation and edema, the effect of atractylodes is not ideal. Even if the dose is increased, it will not help. Professor Fang added motherwort to enhance the effect and smooth down the disease.
It’s even better than using 100 grams of Atractylodes macrocephala.”
Others don't understand traditional Chinese medicine. Huang Weiguo, the deputy director of the Department of Traditional Chinese Medicine, said so. What else do they have to say?
"I have long heard that Professor Fang is good at both Chinese and Western medicine. I still don't believe it, but I have seen it today."
Zhang Wei said with a smile.
"Yes, Professor Fang helped us solve the problem today."
Others also expressed their opinions one after another.
Huang Weiguo has already agreed that this recipe requires Huang Weiguo's approval, so they can just shout 666 now.
Beside, Fang Siying's eyes lit up.
This was her first time to see Fang Le for consultation. Although Fang Le was young, he was very confident and calm among a group of experts. Everyone admired him when he opened his mouth.
He is indeed his idol.
"Professor Fang, if you have time, you can come to our Department of Traditional Chinese Medicine."
After prescribing, a group of experts walked out of the consultation room, and Huang Weiguo politely invited Fang Le.
"Thank you, Director Huang, I will go when I have time."
Fang Le smiled politely.
"Professor Fang is really young and promising, amazing."
Others are also talking about the situation. For experts from other departments, even if they don't ask for Fang Le now, there is no need to offend them. Who knows if they will be able to ask for it in the future?
Isn’t Tang Tongnian next to me the best example?
In the past, Chu Jianlin was the only one who wanted to please Fang Le. Now there is another Tang Tongnian. Does anyone know who will be in the future?
So don’t offend now, and make good friends when you have the chance, lest it’s too late when the time comes.
"Dr. Fang is really amazing."
In his heart, Tang Tongnian also flattered him.
This flattery is somewhat sincere.
Tang Tongnian knew how complicated this disease was, but Fang Le was able to get to the point, and his analysis was clear and logical, which shows his ability.
This kind of ability was also seen in several famous national players in the same year of Tang Dynasty.
"We have to wait until we take the medicine."
Fang Le said with a smile.
"Treat according to dialectical syndrome and use appropriate medicines according to the symptoms."
Tang Tongnian said: "Although I don't understand Chinese medicine, after listening to Professor Fang's analysis just now, I feel that it makes sense. The syndrome differentiation is accurate and the medicine will definitely cure the disease."
Chu Jianlin looked at Tang Tongnian in astonishment.
Ma De, who has been working with Tang for so many years, did not know that Old Tang could flatter him to this level. This chapter has been completed!