Fang Han had breakfast in the morning and went to Guo Wenyuan's residence.

The one who opened the door was Guo Wenyuan's great-granddaughter Guo Mengmeng.

Seeing Fang Han, the little girl threw herself into Fang Han's arms excitedly, and shouted excitedly: "Brother Fang Han." ”

Fang Han reached out and touched the little girl's head, and took the little girl's hand and walked into the yard together.

In summer, Guo Wenyuan is still an old place, enjoying the cool under the big trees in the yard.

Seeing Fang Han, Guo Wenyuan smiled and put down the book he was reading: "Fang Han is here." ”

"Teacher. Fang Han walked over with a smile.

Guo Mengmeng hurriedly went inside to get the tea set and the tea leaves.

Guo Wenyuan smiled happily: "My good tea, I usually don't want to drink it, this little girl." ”

As he spoke, Guo Wenyuan had already begun to boil water to make tea, and at the same time asked with a smile: "Why are you free to come over today?"

After accepting Fang Han as a student, Fang Han really didn't come many times, basically he didn't go to the Three Treasures Hall for nothing, either after reading the book, or because he encountered some confusion.

Fang Han took out Ying Haitao's medical records from his bag, and then handed them to Guo Wenyuan.

Hospital medical records are generally not allowed to be leaked casually, especially the original medical records, which must be kept on file in the hospital, even if the patient can only get a copy of the medical record.

What Fang Han brought today was a copy of Ying Haitao's medical records.

"Look at this. ”

Guo Wenyuan stretched out his hand to take it, not in a hurry, but waited for the water to boil, brewed tea, and poured a cup for Fang Han, before taking the medical record and reading it.

"Stomach cancer metastases?"

The first part of the patient's medical record is the patient's current illness, complaints, past medical history, previous treatment history, etc., and then the diagnosis and treatment of the hospital.

The medical record is the detailed process of the patient's treatment from admission to discharge, what medicine was used, the reason for using the drug, what treatment was done, the purpose of the treatment, and so on.

Even if the patient has taken an anti-inflammatory injection or taken a sleeping pill, the medical record must show it, and there is no room for sloppiness.

If there is any accident during the patient's hospitalization, then the medical record is the legal basis, whether the hospital has treated in accordance with the regulations, whether there are any violations, whether the patient's accident is caused by uncontrollable factors or the hospital's treatment and diagnosis problems, these can be found from the medical record.

The collation of medical records is generally the level of resident doctors, the attending doctor confirms and signs, and then the department director signs and archives, once the attending doctor signs and confirms, then the medical records can no longer be altered, and it is illegal to alter the medical records.

The patient's medical record is not only a summary of clinical practice, but also a legal basis for exploring the law of diseases and dealing with medical disputes, as well as valuable information and wealth for research in medical treatment, prevention, teaching, and scientific research.

Guo Wenyuan just glanced up at Fang Han, and then continued to look down.

Ying Haitao has been hospitalized for a while, so there are still a lot of contents in the medical record, Guo Wenyuan looked at it for a while, the tea in the teacup was cold, and Fang Han had already drunk three bubbles of tea, so Guo Wenyuan put down the medical record.

"You made up the recipe for this?"

Fang Han nodded: "I drafted it, I made changes according to Elder Li's prescription, and pondered it for a night." ”

"This recipe is very good, the group is very particular, judging from the current situation, the effect is also very significant, the purpose of your visit today?" Guo Wenyuan asked Fang Han.

"I want to systematically sort out this prescription, but the question is that there is only one patient taking this prescription now, where should I start ......?"

Fang Han simply said his confusion.

Any prescription is used to treat patients, and the reason why this new prescription Fang Han dared to give it to Ying Haitao was because he had already experimented with it in the simulated space.

For other patients, whether this prescription can still be used, how to use it, how to grasp the dosage, how to add or subtract, and where to start, this is more complicated.

Fang Han's simulation card was left, and it was impossible for him to use the simulation card indefinitely, and the simulation card could only simulate the condition of one patient at a time.

When the time comes, will there be risks when taking medicine, how to control the risks, etc.

The establishment of a prescription is based on a large number of cases, and a prescription can only be regarded as a prescription if it is determined that it can target a certain disease after the practice of a large number of cases.

Guo Wenyuan poured the tea from his teacup on the ground, poured himself another cup of tea, took a sip gently, and then said with a smile: "If you can draw up this formula, then it means that you are well aware of the changes and composition of this formula. ”

Fang Han didn't say anything, this is a fact, this prescription is something he has been constantly thinking out in the simulation space, constantly changing, constantly experimenting, what drugs can not be added, what drugs can not be less, what drugs can be changed, what kind of consequences will be, he himself naturally knows best.

If the founder didn't understand every formula, then he wouldn't be able to create this formula.

Guo Wenyuan continued: "You have to understand that everything is inseparable, any prescription has a main drug, an auxiliary drug, a primary and secondary disease, and a drug that is also primary and secondary, such as Da Chai Hu Tang, why Da Chai Hu Tang is called Da Chai Hu Tang, it is precisely because Bupleurum is the main medicine, in addition to Da Chai Hu Tang, there is also Xiao Chai Hu Tang. ”

"Da Chai Hu Tang is added and subtracted from Xiao Chai Hu Tang and Xiao Chengqi Tang, Xiao Chai Hu Tang is the main prescription for the treatment of Shaoyang disease, and Da Chai Hu Tang is the evidence of the treatment of Shaoyang and the patient's Yang Ming and heat. Da Chai Hu Tang is made of Xiao Chai Hu Tang to ginseng, licorice, rhubarb, citrus aurantium, and peony, which is a prescription that is mainly used for reconciliation and laxative, to treat Shaoyang and Yang Ming diseases, and Xiao Chai Hu Tang is mainly based on reconciliation and treatment of Shaoyang syndrome, both of which are mainly based on Bupleurum chinensis, what is the difference?"

"Excipients. Fang Han said.

"Yes, the adjuvants, the main drug remains the same, the adjuvant is different, the treatment of the disease is also different, the primary and secondary collocation, addition and subtraction, the prescription is also ever-changing, but no matter how it changes, the principle is unchanged, Jun Yao is always aimed at the main disease or the main evidence, in the treatment, Jun Yao plays the therapeutic role of the main drug. ”

"Continue to take Xiao Chai Hu Tang as an example, if you have chest tightness and do not vomit, go to Banxia, people take 1 piece of Cinnamomum chinensis, and if you are thirsty, add ginseng...... If there is pain in the house, go to skullcap and peony medicine......"

"What do you see in these changes?"

Fang Han said: "The main evidence remains unchanged. ”

"Yes, the main evidence remains the same. ”

Guo Wenyuan nodded: "Hot, cold, hot...... Void and reality, yin and yang, the main disease remains unchanged, only if the main evidence conforms to this prescription, this prescription can be used, and if the main syndrome does not match, this prescription cannot be used no matter how it changes. ”

Fang Han thought about it, his level was actually not bad, otherwise he wouldn't have been able to come up with this recipe, Guo Wenyuan said this, Fang Han already roughly understood.

"So what is your prescription for?" Guo Wenyuan asked again.

"Replenish vitality, clear heat and detoxify, reconcile viscera, clear phlegm and phlegm, and strengthen the foundation and cultivate yuan. ”

"Now you understand?" Guo Wenyuan smiled.

"Understood. ”

Fang Han nodded.

Since his prescription is to replenish vitality, clear heat and detoxify, reconcile internal organs, and strengthen the essence and cultivate the yuan, then this prescription is only suitable for diseases such as meridian blockage, loss of stomach qi, and loss of yuan yang caused by the spread of evil poison.

In other words, this prescription can only treat patients with this type of disease such as the evil poison permeating the internal organs, causing the meridians to be blocked, the stomach qi to recover, and the loss of Yuan Yang.

No matter what the disease, TCM treatment must first identify the cause, what is the cause of the disease, and then use medicine, whether it is cancer or other diseases, the treatment concept of TCM is the same.

Why is it that in the face of cancer, some can be cured, and some cannot be cured?

In fact, this problem has to go back to the beginning, the rise and development of traditional Chinese medicine, traditional Chinese medicine is an empirical medicine, Chinese medicine can only treat some simple diseases from the beginning to now can treat various serious emergencies, is after thousands of years of accumulation and development.

Therefore, the treatment of diseases in traditional Chinese medicine, whether it is a prescription or medication, must be based on evidence, evidence-based, in the treatment of diseases, there have been precedents for the treatment of similar diseases, the treatment of this disease is relatively simple, if there is no precedent for this disease, then the treatment is more complicated.

Being and not being are two different concepts.

For example, in Ying Haitao's case, Fang Han couldn't even find a similar illness in the medical books, so he couldn't find a prescription or medical case that could be referred to when formulating and using medicine.

At this time, Fang Han has to make his own prescription, simple symptoms are fine, complex disease prescriptions are not so simple, one wrong step may lead to the entire treatment to be wasted.

If Fang Han's prescription cures Ying Haitao's illness and accumulates enough experience, then if any doctor encounters a similar illness in the future, he can learn from it and refer to it, which is why Fang Haoyang and Qin Weihua are excited.

A new prescription often means that TCM practitioners have a reference and reference when treating a certain disease.

Standing on the shoulders of predecessors, Chinese medicine people can make fewer mistakes, and without reference, there will be more mistakes and greater risks in treatment.

In fact, not only Chinese medicine, but also Western medicine, many people only see the accumulation of white bones along the way of traditional Chinese medicine, but do not see the history of blood and tears along the way of Western medicine, the research and development of each new drug, how many patients died because of new drugs during clinical trials, and how many people have really paid attention to these data?

The most common penicillin and lidocaine, these two drugs that make many people scream, have also caused the death of many patients, penicillin allergy, lidocaine allergy, and it is a human life that makes people know that these two drugs can produce allergies.

Medicine is a cruel science, whether it is Chinese medicine or Western medicine.

: I didn't control it, I pulled it away again, I sweated one, Monday, ask for a recommendation ticket!