Chapter 360 The medicine is not in the symptomatic
PS: The third update is here today!
Seeing that no one asked questions this time, Ji Wanglou continued: "Of the thirty-three patients Lin Yuan treated, thirty-two of them were treated very favorably by Mr. Gao and Mr. Nie, but one of the cases, Mr. Nie and Mr.
Elder Gao has objections, so let Elder Nie tell you the details of this matter."
Nie Zhongyun stood up slowly after hearing this, glanced at Lin Yuan, and then said with a straight face: "The situation of this patient is like this. The patient has been ill for about ten days, and the patient has been here for more than ten days.
.....”
Nie Zhongyun first briefly explained the patient's situation, and then said: "This patient was originally a patient of our Yanjing Hospital. I have diagnosed and treated him before, but he is old and incompetent. So far, I have not come up with a feasible plan...
..."
Hearing what Nie Zhongyun said, many people present understood that Nie Zhongyun himself had not thought of a treatment for this case. He even said that Nie Zhongyun himself had not diagnosed the disease, so naturally there was no standard for judgment.
This is like a teacher grading a paper for students. When grading the paper, the teacher either checks the reference answer, or knows the question himself and knows the correct answer in his heart, so that the teacher can judge whether it is right or wrong and give the student a grade. If there is no reference answer for one of the questions, the teacher himself
If you don’t know the correct answer, how can you tell students whether it’s right or wrong, and how can you grade it?
No wonder Ji Wanglou kept everyone here to discuss this medical case. It turned out that neither Nie Zhongyun nor Gao Wenliang knew how to treat it. Since neither Nie Zhongyun nor Gao Wenliang knew how to treat it, then Lin Yuan's treatment method was very useful.
No, it is naturally difficult for Nie Zhongyun and Gao Wenliang to judge.
Previously, when Ji Wanglou said that 32 of the 33 patients treated by Lin Yuan had no problems, everyone thought that one of them had a deviation, but now it seems that it is difficult to draw a conclusion whether there is a deviation.
If this is the case, then this matter is indeed worthy of discussion at this time. After all, the performance of these candidates this morning will be scored in the afternoon. If this matter is not clarified, how will Lin Yuan's score be awarded then?
If you give someone a wrong number, what if they are right? Although many people present feel that it is unlikely that Lin Yuan can do anything about the medical case that Nie Zhongyun is not sure about, but if you are not afraid of ten thousand, you are afraid of what if, what if someone
If he really knows how to treat patients, then word gets out that the experts who select and select outstanding young doctors across the country actually get the candidate’s treatment plan wrong. This is definitely a shame.
"For more than ten days, the patient did not eat or sleep, and basically relied on infusions to supplement nutrition. The hospital also used a lot of drugs, but to no avail. Lin Yuan made a diagnosis for this case. He said that the patient had food injury syndrome.
, the prescription is 100 grams of rhubarb." Nie Zhongyun continued.
"100 grams of rhubarb?" Many people present were shocked when Nie Zhongyun said Lin Yuan's prescription.
At this time, these people here are either experts from major hospitals, experts from the Health Bureau, or leaders from the Department of Health. They are all people from the health department. Although not everyone in the health department understands medicine, everyone here
Definitely more than 80% of people know what medicine rhubarb is.
Rhubarb tastes bitter and cold. It clears away heat and fire, cools blood and detoxifies, removes blood stasis and stimulates menstruation. In layman's terms, it is a laxative, a very powerful laxative. Not to mention that the patient has not eaten for more than ten days and is already dying.
Even among normal people, how many can withstand 900 grams of rhubarb?
"Nonsense!"
These two words came to the minds of many people present, but after all, this was not the time when Nie Zhongcheng and Gao Wenliang were alone, but more than thirty people were present. Even many people felt that Lin Yuan's rhubarb was used
No, but no one rashly expressed their opinion.
On the one hand, except for Nie Zhongyun, Gao Wenliang and Lin Xihe who are Chinese medicine practitioners, everyone else present is Western medicine. Although they know that rhubarb is not used well, they can’t explain why. What if they are wrong? There are so many people present.
Isn't it embarrassing?
Seeing that no one spoke, Nie Zhongyun continued: "I personally do not agree with Lin Yuan's treatment plan, so I specially asked Lin Yuan to come over and ask about the specific reasons to avoid mistakes."
When Lin Yuan heard this, he understood in his heart. It turned out that it was because of this disease. When he was treating the patient before, he only thought about the treatment plan. He did not expect that using rhubarb in this way would be really scary, and he ignored the situation of the expert team.
"Lin Yuan, please tell me what you think about this medical case." Ji Wanglou looked at Lin Yuan and asked.
Lin Yuan sorted out his thoughts, and then said slowly: "I was treating the patient at that time. When I got close to the patient, I could smell the patient's breath being very heavy, and the breath he exhaled had a strong smell. The strong smell was basically
After that, I asked about the patient's eating situation. He had a loss of appetite, vomited when he saw real food, and even felt the stench of his favorite mistake. It is true that those who suffer from eating disorders must be anorexic. From this point of view,
It can be seen that the patient should have food injury syndrome..."
After hearing Lin Yuan's explanation, many people nodded. Heavy breath may indeed be a sign of eating problems. Often a person who eats too much at night will have heavy breath in the morning. Similarly, eating too much good food will cause bad breath.
It is bound to be disgusting, and the patient's disgust towards things does indeed make sense as a sign of eating.
"Based on various symptoms, the patient is not sleepless and feels uncomfortable in the abdomen, but it is caused by ingestion. Only by excreting the food that is flowing directly into the patient's body can the patient get rid of the old and bring in the new, and have the desire to eat again. Rhubarb diarrhea
It attacks accumulation in the lower part, clears heat and purges fire, cools blood and detoxifies, removes blood stasis and stimulates menstruation, and is best at promoting excretion in the lower part." Lin Yuan continued.
"absurd!"
As soon as Lin Yuan finished speaking, someone shouted loudly: "The patient has not eaten a bite of food for more than ten days and has not taken in any rice. Where did the food come from in the body?"
Many people agreed with what Lin Yuan said before, but what he said next made many people frown. Just like the doctor scolded, the patient has not eaten for more than ten days, how could there be food in the body and still needs laxatives?
Excretion, this is simply nonsense.
Although the others didn't scold like this one, their meanings were similar.
Many people present frowned. Only Lin Xihe, Gao Wenliang and Nie Zhongyun did not have different expressions. They were all deep in thought. The three of them are all highly respected Chinese medicine experts. After hearing Lin Yuan's explanation, they still did not agree with Lin Yuan's plan.
, but it is undeniable that what Lin Yuan said is not nonsense, there is still some truth to it.
At least now Nie Zhongcheng no longer thinks that Lin Yuan's treatment of this patient is just showing off, but that he really has an idea.
"Lin Yuan, do you have anything else to say?" Ji Wanglou saw that many people still did not agree with this plan and asked Lin Yuan again.
"Director Ji, I don't have anything else to say. It's not about using too many medicines, but about treating the symptoms. To cure a disease and save people, it's natural to have a clear syndrome differentiation and decisive use of medicines. The dialectical result of this disease is food-injury syndrome, so I prescribed rhubarb." Lin Yuan was neither humble nor overbearing.
Tao, the meaning is very obvious. No matter what you think, he thinks so anyway.
Hearing Lin Yuan's words, many people frowned. This young man is quite stubborn. He really is a newborn calf who is not afraid of tigers.
Everyone was thinking wildly, but no one spoke up again. After all, the final diagnosis of this disease still needs to be decided by several Chinese medicine experts.
"Young man, how confident are you about your recipe?" The scene was quiet for more than a minute, and then Lin Xihe slowly asked Lin Yuan.
"If you follow my prescription, one dose of medicine will be effective." Lin Yuan said firmly, looking confident.
"One dose of medicine works." Hearing Lin Yuan's confident words, many people frowned again. This young man is really confident.
"Young man, you need to know what kind of medicine rhubarb is. If you use such a large dose, not to mention one dose, even half a dose can kill the patient." Lin Xihe said.
"The patient's condition must be clear to all seniors. As of now, the patient has not eaten or slept for more than ten days. How many days can the patient survive depending on his mental condition?" Lin Yuan asked slowly.
"Buzz!"
Hearing Lin Yuan's question, many experts at the scene had their heads buzzing. Just now, they were only thinking about the patient's condition and whether Lin Yuan's method was feasible, but they ignored the most critical point. Because of this disease, the patient is no longer able to
I have been unable to eat or sleep for more than ten days, relying on infusions to survive. In terms of nutrition, I can say that the infusions can still be maintained. But what should I do if I don’t sleep? How long can the patient persist? Five days? Ten days?
Once the patient cannot hold on, there is basically no need to think about the consequences. It is natural to lose his life.
"Although rhubarb is a laxative, how many cases of rhubarb killing people have been recorded in medical records since ancient times?" Lin Yuan asked again.
Yes, rhubarb is indeed a laxative. Eating it will cause diarrhea and even young people can't stand it. However, there are really few cases of people dying from rhubarb.
Thinking of this, both Lin Xihe and Nie Zhongyun's eyes flashed with inexplicable brilliance. Lin Yuan's meaning is very clear. If the patient continues like this, something will happen sooner or later, but using his prescription may cause serious consequences.
, but the possibility of life danger is small, so the choice is basically obvious.
"call!"
After a long while, Lin Xihe took a deep breath and said: "In that case, let's take a dose of medicine to test the effect. With so many of our experts here, even if there is any accident, we can definitely handle it."
Lin Xihe spoke, and the others naturally couldn't say much. Ji Wanglou pondered for a moment, then turned back and ordered He Guoyou: "Go and invite the patient, explain the situation to the patient's family, and ask for their opinions."
He Guoyou responded, hurriedly walked out of the conference room, and went to invite the patient and his family members.