stjorthotic Chapter 1108 Chen Yang's Analysis
Chapter 1108 Chen Yang's Analysis
Chen Yang's voice was particularly clear in the silent demonstration hall. He faced Park Jung-hwan with a focused and sincere expression, as if he was really just a scholar who was humbly seeking advice.
Park Jung-hwan frowned slightly, a hint of impatience flashing in his cloudy eyes. However, in front of so many people, especially his international colleagues, he couldn't lose the demeanor of a great Chinese doctor, so he could only say in a deep voice, "Dr. Chen, please ask."
"Thank you, Master Park."
Chen Yang nodded slightly, then turned his gaze to the patient in the wheelchair. He asked calmly, "First question, besides the progressive ossification, does this patient also experience severe chills and coldness, especially at night, and does he need to wear thick clothes even in the summer? Is his urination clear and long, and is he urinating frequently at night?"
Park Jung-hwan's eyes flashed with surprise. He hadn't mentioned these details during his introduction. He looked at the assistant beside him, who quickly flipped through the medical records and nodded to Park Jung-hwan.
"Such symptoms do exist," Park Jung-hwan admitted. "This is a typical manifestation of a Taiyin constitution, characterized by yang deficiency and excessive cold."
Chen Yang remained noncommittal and continued, "Second question, does the ossified area of the patient feel unusually hard to the touch, but are the surrounding muscles slightly loose and weak? The tongue coating must be white, greasy, and slippery, and the tongue must be pale and plump with teeth marks?"
This time, Park Jung-hwan's expression changed slightly.
Every question Chen Yang asked hit the nail on the head, and some of them were details that were extremely difficult to accurately judge through remote observation, such as touch and tongue appearance.
He looked at his assistant again, and after the assistant confirmed it, Park Jung-hwan slowly nodded: "...Not bad. Dr. Chen is very observant."
A faint murmur began to emerge from the audience.
Chen Yang was able to describe the patient's key signs so accurately based on observation and basic reasoning alone. This skill impressed many experts present.
Robert and Stevenson exchanged glances, each seeing the surprise in the other's eyes. Although they didn't understand Chinese medicine terminology, they could sense that Chen Yang seemed to be revealing something deeper step by step.
"The third question,"
Chen Yang's voice remained steady, yet it carried an invisible pressure. "Master Pu's prescription uses highly pungent and hot herbs like aconite and cinnamon twig to warm the yang, and salvia miltiorrhiza and safflower to invigorate blood circulation and dissolve blood stasis. His thinking is clear. But may I ask, after taking this prescription, have patients ever experienced temporary dry mouth, irritability, or even occasional mild nosebleeds?"
"Wow!"
As soon as these words were spoken, there was an uproar in the audience!
Even Park Jung-hwan's face suddenly changed. He said sternly, "Dr. Chen! What do you mean by that? Are you suspecting that I used the wrong medicine?"
"The patient's condition is critical. How can a few warming Yang products cause dryness, heat, and bleeding?"
Park Jung-hwan's reaction seemed to be a rebuttal, but in fact it was a bit cowardly, because the patient did experience a brief dry mouth and a very mild nosebleed in the early stage of treatment, which they thought was a fluctuation in the condition and did not take seriously.
Chen Yang didn't panic at Park Jung-hwan's rebuke. Instead, he sighed softly and said, "Master Park, you misunderstood. I'm not questioning your medication, but I want to explain that the key to this illness may not be simply 'stagnation of cold and dampness, and the combination of phlegm and blood stasis.'"
Chen Yang's voice was clear and distinct, reaching everyone's ears. "FOP, myositis ossificans progressiva, is classified as 'bone arthritis' or 'stubborn arthritis' in Traditional Chinese Medicine theory, but its pathogenesis is far more complex and chronic than that of common arthritis."
"The Yellow Emperor's Classic of Internal Medicine states: 'The kidneys govern the bones and produce marrow,' and 'the liver governs the tendons and stores blood.' Diseases of the bones and tendons are primarily due to the liver and kidneys. While patients with this condition may superficially appear to be suffering from yang deficiency and excessive cold, the root cause lies in 'liver and kidney deficiency, resulting in insufficient essence and blood.'"
Chen Yang spoke eloquently and cited classics, instantly elevating the discussion to a deeper theoretical level.
"When kidney essence is deficient, the bones lose their nourishment, and the sea of marrow becomes empty, just as the earth loses its nourishment, causing foreign matter (abnormal ossification) to grow. When liver blood is deficient, the tendons and veins lose their moisture, becoming stiff and rigid. Fear of cold and frequent urination at night are indeed signs of yang deficiency, but these are only the 'symptoms'."
"The root cause is the extreme depletion of kidney essence and liver blood, which leads to the deficiency of both yin and yang. Yang cannot be generated and yin cannot grow, presenting a complex situation of 'extreme deficiency with symptoms of abundance'."
"Master Park's method of warming the Yang and activating the Blood is like forcibly lighting a fire on a barren, dry land to warm it. Initially, it may dispel a slight chill (improve symptoms), but if it fails to replenish the fundamental water source (essence and blood), the fire will instead burn the already scarce Yin fluid, causing a false fire to rise, resulting in dry mouth, nosebleeds, and other false symptoms of 'dryness and heat.'"
"If this continues, not only will it fail to curb ossification, but it may even accelerate the depletion of his fundamental essence and blood, like draining the pond to catch all the fish!"
Chen Yang's analysis is progressive and logically rigorous, elevating the pathogenesis of FOP from Park Jung-hwan's simple "cold, dampness, phlegm and blood stasis" to the essential level of "deficiency of liver and kidney essence and blood, and deficiency of both yin and yang".
It not only explains the existing symptoms, but also predicts the potential disadvantages of Park Jung-hwan's treatment plan.
The audience was in complete silence. Whether they knew Chinese medicine or not, they were all attracted by Chen Yang's profound and easy-to-understand theoretical explanation.
Even Robert couldn't help but whisper to Stevenson, "Although I don't understand those terms, he seems to have constructed a more complete pathological model..."
Stevenson nodded, and both of them felt a sense of awe.
Park Jung-hwan's face turned extremely ugly. He wanted to refute, but found that Chen Yang's theory was self-contained and it was difficult to find a breakthrough for a while.
He forced himself to remain calm and said coldly, "Dr. Chen's theory sounds profound, but medicine ultimately relies on results. How can you prove your theory is correct? What better solution can you come up with?"
This is the most crucial issue! Everyone's eyes are focused on Chen Yang again.
Chen Yang smiled slightly, his eyes swept across the audience, finally fixed on Robert and Stevenson for a moment, then looked at Park Jung-hwan and Kim Min-chul again.
"Master Park is right. Efficacy is the only criterion for testing truth."
Chen Yang said calmly, "Since I've been invited to this meeting and happened to meet a patient like this, I can promise that if you encounter any bottlenecks in your later treatment, our Kyoto International Medical Center is willing to take over."
"what?!"
This time, exclamations came one after another, and even Yamamoto Ichiro stood up in shock.
FOP is a rare disease, and everyone is well aware of how difficult it is to treat.
To be honest, for this patient, Park Jung-hwan's ability to treat him to this extent is already remarkable in the eyes of many people.
However, Park Jung-hwan's treatment was overturned by Chen Yang. At this moment, Chen Yang even guaranteed that if the patient's later treatment reached a bottleneck period, Kyoto International Medical Center would be willing to take over.
You know, in this situation, if Chen Yang made such a promise, and if the treatment did not make progress or the condition worsened after he took over, it would be a laughing stock.