Chapter 113: This is the reality we face
At night, Xu Yang and Professor He did not go out, they were in the courtyard of the Chinese Medicine Hospital, and the two of them sat on the edge of the flower bed.
Professor He opened a pack of newly bought cigarettes and touched his body, only to realize that he had not bought a lighter.
Xu Yang asked, "Teacher, aren't you a non-smoker?"
Professor He nodded and said, "Yes, I haven't smoked all along, but I want to smoke today for no reason." I bought cigarettes, but I forgot to buy a lighter. ”
Professor He shook his head, simply stopped caring about the lighter, took out a cigarette, put it in his mouth, and held it like this.
The two masters and apprentices sat like this, and they were silent.
It was getting darker and darker, and the street lights were all on.
Xu Yang lowered his head slowly, and he whispered, "Teacher, I'm sorry for worrying you." ”
Professor He looked up at the stars in the sky, his gaze was a little distant, and he replied lightly: "I don't have to worry about it, I just think you are too good now." ”
Xu Yang asked, "Isn't this good?"
Professor He shook his head: "Not good. ”
Xu Yang showed a puzzled look.
Professor He bit the cigarette in his mouth and said, "Although I have always thought that you are my most proud student, although I have always thought that you will make very rapid progress after entering the clinic, and you will even be able to stand alone in a few years." ”
"But I think I'm underestimating you, your medical skills are progressing too fast. I don't know who you've been studying with during this time, is it true that there is a group of big players who are taking turns to teach you?"
Xu Yang didn't know how to answer for a while.
Professor He said: "But even if a group of big countries teach you in turn, you won't make such rapid progress." Maybe you're really a genius, but I now have a vague feeling that your medical skills are no worse than mine. ”
"I'm your teacher, and I'm the happiest thing about you, but now I can't laugh at all. Professor He turned his head to look at Xu Yang.
He said: "I have seen the shadow of Li Ke's old Chinese medicine from your words and deeds, your medication style, and your academic thoughts. During this time, have you studied with Elder Li's apprentice?"
Xu Yang lowered his head and did not answer.
Professor He looked at Xu Yang for a while, and when he saw that he refused to answer, he didn't ask, he just said: "But you and Li Lao are different after all, Li Lao has already achieved fame, he can be angry, but you can't." You have medical skills, but you don't have status, and if something happens to you, no one will protect you. ”
Xu Yang was a little dazed for a while.
Professor He took off the cigarette from his mouth, stuffed it into the cigarette case and put it away, he said: "The current medical environment is actually very poor for Chinese medicine. ”
"It is more difficult to treat critical and severe diseases, and to treat these diseases, TCM has to take risks. Yong'an Tang's 40g Banxia lost five million, you know?"
Xu Yang nodded.
Professor He said: "I know that you admire Li Lao's academic thoughts, you should know that Li Lao uses Banxia, all of which are raw, and the dosage dares to use forty or fifty grams." ”
"In fact, clinically, not many people dare to use Shengbanxia, although everyone knows that Zhongjing uses Shengbanxia. Although Li Lao has already proved the effect of Shengbanxia with his curative effect, and the experience of adding the same amount of fresh ginger to supervise its toxicity, although Zhu Liangchun, a master of traditional Chinese medicine, also uses Shengbanxia. ”
"But still no one dares to use it, and no one dares to overdose too much, everyone is afraid. After the Yong'an Tang incident, all traditional Chinese medicine hospitals and pharmacies of private clinics could only take medicines in strict accordance with the provisions of the pharmacopoeia, and they were not allowed to violate the rules. ”
Professor He said to Xu Yang: "Xu Yang, I know you are very angry. You are angry that so many provincial experts did not dare to use the Wufu dose in the prescription in the face of this patient, so that they could not open the ice and thaw it, but dragged the patient into a dying condition. ”
"Actually, we all know the true dosage in the prescription, but no one dares to use it. You see that the former doctor Wufu has reused several times the standard, of course you think that he has not done enough, but do you know how much pressure he needs to take to prescribe the medicine?"
Xu Yang was stunned.
Professor He said: "He needs to explain to others over and over again why he is using the poison medicine like this. He had to run a lot of signatures to get the pharmacy to prescribe it. He needs to get the patient to sign a waiver and sign the agreement himself. In this way, the hospital is still very reluctant because they do not want to take this responsibility. ”
"I know that you have always had the spirit of a great doctor, inspired to save people wholeheartedly, regardless of personal gains and losses. But have you borne the consequences? You don't have a wife or children, but you have parents. Who can afford the huge amount of compensation? If you get your license revoked or even go to jail, what will happen to your parents?"
Xu Yang's lips trembled a few times.
The corners of Professor He's mouth showed a taste of helplessness, and he said: "Those experts are too, old and young, they are dedicated to rescue, but who will protect them." In fact...... You really shouldn't do this to the doctor, and you shouldn't transfer all the risks to the doctor. ”
Xu Yang sighed, he lowered his head, and for the first time there was a blank look in his eyes.
Professor He shook his head, and he said, "I'll tell you another story." Two years ago, I saw a patient who had cirrhosis for 7 years and had been hospitalized several times. Later, he went to a private clinic of traditional Chinese medicine in the provincial capital for consultation, and the traditional Chinese medicine doctor took his examination report and prescribed the right medicine. ”
"When it is hardened, it is added soft and hard things such as tortoise shells and turtle shells. Seeing that his aminotransferases were high, he used Schisandra chinensis, or Prince's ginseng. Because modern pharmacological tests have found that the schisandra alcohol in Schisandra chinensis can effectively reduce transaminases, the active ingredient in Pseudostellaria stellaria also has this effect. ”
When he saw that the patient's urine was yellow, he used the root of Banlan to reduce the yellowness, and when he saw that the other party's hemoglobin was low, he added ginseng, qi, gui, and ground. Then emphasize the diet of three lows and one high, treat the disease when you see the disease, treat the symptoms when you see the symptoms, and treat the patients completely in accordance with the pharmacological test. ”
Xu Yang shook his head: "Idiot!"
Professor He said: "Yes, it's a fool. The patient used his medicine and was unwell, and then he ate carelessly, and the esophageal vein bleeds, which stopped after resuscitation. ”
"Later, the patient was introduced to me for treatment, and I found that his five internal organs were exhausted and already very dangerous, so I hurriedly saved the stomach qi, protected the five internal organs, and used Lizhong Tang and Shenling Baizhu to disperse. After eating for a while, his symptoms eased. ”
"He also knew from my mouth about the harmful behavior of this quack. He was also furious, and he took the quack to court and demanded that he be held responsible. ”
Xu Yang asked, "What is the result?"
Professor He shook his head: "The patient lost the lawsuit. ”
Xu Yang's expression was also gloomy.
Professor He's tone sank: "The dosage prescribed by this quack doctor is all in accordance with the provisions of the pharmacopoeia, as long as it is in the regulations and is not cured, it is an individual reason, not the responsibility of the doctor." ”
"As for his compatibility. Traditional Chinese medicine has the right to formulate its own prescriptions, but he does not understand dialectic, and simply treats diseases with pharmacological reports. See the symptoms to cure the symptoms, see the diseases to cure the diseases. In our opinion, it is a big mistake, quacks are harmful. ”
"However, the forensic appraisal agency, after a very scientific pharmacological test, has proved that Schisandra chinensis does contain effective substances that can reduce transaminases. The effective substances in ginseng can indeed replenish blood. Radix does have an anti-endotoxin effect. ”
"So he was not at fault for his medication. As for the diet of three lows and one high, it is even more correct. In fact, the right to interpret Chinese medicine was not owned by Chinese medicine for a long time. ”
Xu Yang's breathing suddenly became heavy.
Professor He sighed and said, "After this incident, I also paid attention to this quack. He has been sued in court several times, but each time he has been able to get away with it. ”
"Huh...... Over the years, he has been hyping up marketing and all kinds of publicity on the Internet. Many patients from other places also come here, so his first diagnosis rate is very high, but the follow-up rate is very low, and I don't know how many patients have been delayed by him over the years. ”
"It is said that he has already bought three houses in the provincial capital, which is very successful, right?" Professor He had a lot of helplessness on his face, and he said: "Xu Yang, this is the reality we are facing." ”