Chinese medicine: from rural hospitals to top three hospitals in Kyoto

Chapter 745 Xia Hongliang's Will to Fight

The old man has had this cough for a long time and it has not been cured and the cough keeps coming back. When it comes to elderly patients, Wu Mengmeng dare not be careless at all.

Seeing Wu Mengmeng pondering, Chen Yang gently reminded: "You just looked at the patient's tongue. Combined with his symptoms, do you feel familiar?"

Wu Mengmeng's eyes lit up and she said, "Master, this is Xiaoqinglong Decoction syndrome. The patient has been coughing for a long time, coughing up clear and thin sputum, accompanied by chills and cold limbs. Judging from the tongue, the tongue coating is white and greasy, which is consistent with the symptoms of internal retention of cold fluid."

Chen Yang smiled and nodded. Xiao Qinglong Decoction comes from Treatise on Febrile Diseases, and was originally used to treat exogenous wind-cold and internal water retention. Although this old man's condition seemed to be just a cough, it was actually due to insufficient yang energy in the body, internal cold, and external evil qi.

When Lin Yi and Xia Hongliang heard this, they looked at each other with surprise and admiration in their eyes. Lin Yi thought to himself, Chen Yang is indeed worthy of his reputation. He can combine classic medical records with modern clinical cases so skillfully that young doctors can quickly grasp the key to the disease.

As the saying goes, a single sight can reveal the whole picture. Although Chen Yang only gave a simple reminder, it still showed Chen Yang's level. After all, Chen Yang is only 30 years old.

Before coming to Shanzhou, Lin Yi actually didn't have much confidence in Chen Yang's ability. Geniuses are often conceited, and he didn't think that young doctors of his level were everywhere.

Forty years old is definitely quite young for a doctor.

"Uncle, you have cold fluid in your body. I will prescribe you some Xiao Qing Long Tang to warm the lungs, eliminate fluid, dispel cold and relieve cough."

After Chen Yang's reminder, Wu Mengmeng also made a judgment on the old man's condition. She talked to the old man while typing on the computer.

Lin Yi and Xia Hongliang stood by and could see the prescription Wu Mengmeng typed on the computer: ephedra, peony, asarum, dried ginger, licorice, cassia twig, schisandra, pinellia...

Chen Yang sat on the side watching without saying anything. Seeing that Chen Yang didn't say anything, Wu Mengmeng directly printed out the prescription and taught Chen Yang to stamp and sign it.

Lin Yi, who was watching from the side, suddenly whispered, "Although Xiaoqinglong Decoction is a classic prescription, this patient is older and weaker. Wouldn't it be a bit too harsh to just use the original prescription?"

Wu Mengmeng looked at Lin Yi subconsciously.

Chen Yang smiled and explained: "This concern is indeed reasonable. For the elderly and weak, medication does need to be used with caution. Therefore, when we use Xiaoqinglong Decoction, we will adjust the dosage appropriately and reduce the dosage of drugs such as ephedra and asarum to avoid excessive sweating and damage to the body. At the same time, we will also advise patients to keep warm while taking the medicine, eat a light diet, and avoid raw, cold, and greasy foods."

Chen Yang changed the subject and said, "But we also have to consider the actual situation. The patient has been coughing for more than half a year, and the course of the disease is relatively long. For such a long time, the pathogenic factors cannot be ignored."

"Moreover."

Chen Yang continued, "The old man is old and has been coughing for more than half a year. If he is physically weak, the situation would be more serious than it is now. This shows that the old man's physique is still good. Although the original prescription is a bit larger, it is not impossible to use it."

"I understand. Thank you, Dr. Chen, for clearing up my doubts." Lin Yi thanked him.

Although it was just a relatively simple medical record, Lin Yi could see Chen Yang's attentiveness from it.

In fact, Lin Yi's question just now was also meant to test Chen Yang. He wanted to see how Chen Yang would answer.

From Lin Yi's perspective, he is older than Chen Yang and has a higher professional title than Chen Yang, so even if Lin Yi had heard of Chen Yang before he came, it would be impossible for him to immediately put Chen Yang on the same level as him.

Chen Yang smiled and glanced at Lin Yi and Xia Hongliang, then continued, "In fact, in clinical Chinese medicine, every case is unique. We must follow the classical theory while being flexible. Just like the use of Xiaoqinglong Decoction, the dosage adjustment must not only consider the patient's age and constitution, but also the stage of disease development and regional environment and other factors."

Although he already knew the identities of Lin Yi and Xia Hongliang, Chen Yang did not point them out. Lin Yi's question just now was meant as a test, so Chen Yang pretended that they really didn't understand.

Currently in the Department of Traditional Chinese Medicine of the Affiliated Hospital of Shanzhou Medical University, Chen Yang is definitely a well-deserved authority.

Xu Guorui and others had long given up the idea of ​​competing with Chen Yang.

"You look unfamiliar, are you doctors from our hospital?"

Wu Mengmeng then asked, "Are you here to exchange ideas and learn?"

"Yes."

Lin Yi smiled and said, "Lin Yi from Shen City Traditional Chinese Medicine Hospital, nice to meet Dr. Chen."

"It's Director Lin." Chen Yang stood up with a smile and shook hands with Lin Yi.

"Xia Hongliang." Xia Hongliang also introduced himself, but his introduction was very simple, he only said his name.

"Hello, Dr. Xia." Chen Yang also smiled and shook hands with Xia Hongliang.

"Director Lin from Shen City Traditional Chinese Medicine Hospital?" Wu Mengmeng asked in surprise.

"Doctor Wu, have you also heard of Director Lin?" Xia Hongliang asked with a smile.

Chen Yang's attitude just now clearly showed that he knew Lin Yi. This was not surprising to Xia Hongliang. The more skilled a doctor is, the more he will pay attention to skilled doctors in the industry.

This is just like when we were in school, students with similar academic performance in the class would often pay attention to who was first and who was second in the grade. On the contrary, students with poor academic performance would not pay attention at all. At most, they would know who was first, or in the top three, and those after the top three would be fine.

If it weren't for the fact that the top spot in the grade was so famous that they always heard about it, they wouldn't bother to worry about who got the top spot.

Wu Mengmeng is obviously just a junior doctor, but she also knows Lin Yi?

"I heard about it from Director Xun before." Wu Mengmeng said.

"Director Xun Jiahong?" Xia Hongliang asked.

"Yes, Director Xun is also in Shanzhou and is now in Jialin County Hospital." Wu Mengmeng said.

"I heard that Director Xun was in Shanzhou before I came here, but I didn't expect it to be true." Lin Yi said with a smile: "I thought it was just a rumor."

As he was talking, another patient came in. Chen Yang smiled and said, "Director Lin, Doctor Xia, I'm currently in the outpatient clinic, so I won't greet you two. We'll talk after I'm done."

"Doctor Chen, you go ahead and do your work. We'll just watch from the side." Lin Yi smiled.

As they were talking, the patient had already sat down in front of the examination table, while Lin Yi and Xia Hongliang stood slightly to the side, talking in low voices.

Xia Hongliang whispered to Lin Yi: "Director Lin, what do you think of Chen Yang's level?"

Lin Yi pondered for a moment and said slowly: "It is indeed well-deserved. He handled the case just now very skillfully. He not only followed the classical theory, but also combined it with the patient's actual situation. He was flexible and adaptable. It was really amazing."

Xia Hongliang nodded, with a hint of excitement in his eyes: "Yes, he is so good at such a young age. It seems that this trip is worthwhile. I hope he has more skills than this."

For Xia Hongliang, the more skilled Chen Yang is, the more challenging it will be for him. If Chen Yang is too weak, he will be disappointed.

Wen Manlu's boyfriend should at least be capable.