Fang Han glared at Jiang Feng, and then said: "Director Lei, the patient is indeed suffering from both qi and yin injuries, but this situation of qi and yin injuries is caused by the previous treatment, antipyretics and antibacterial agents have already damaged the vitality, coupled with the patient's high fever does not go away, this has caused the two injuries of qi and yin, so you start with the two injuries of qi and yin, and the effect is not significant." ”

From Director Zhou's point of view, Fang Han has already seen a doctor, prescribed a prescription, and his responsibilities have been fulfilled, and the rest seems to be irrelevant, but for Fang Han, this question cannot be solved, and the patient's family cannot be reassured, this disease is actually no different from not seeing it.

TCM has a way to treat diseases, the prescription must be symptomatic, the method should also be symptomatic, the prescription refers to the prescription, the law refers to the method, the method of decoction, the method of medication, and even the method of letting the patient take the medicine, which is regarded as the law.

In the process of treatment, doctors will encounter patients of all shapes and shapes, especially in modern times, the situation of patients and their families is more complicated than before, some do not believe in Chinese medicine, some do not like to take Chinese medicine, and some are self-righteous......

Such patients are not uncommon in the past two years.

As a doctor, you should prescribe the right prescription for the symptoms, and at the same time, there must be a method.

Many people only think superficially that the patient's illness is considered a disease, but in fact, it is not, the same is psychological, and the patient's thoughts are also difficult in the treatment process.

Many people say that modern medicine, that is, the so-called Western medicine is difficult to learn, and Western medicine contains many types, involving chemistry, mathematics, anatomy, physics and other disciplines, but if you have an in-depth understanding of Chinese medicine, the number of things involved in Chinese medicine is even more jaw-dropping.

As far as modern people are concerned, the premise of learning Chinese medicine is to first learn Chinese well, and it is needless to say that there are some ancient disease names without a certain foundation, and you can't even understand some medical cases.

Traditional Chinese medicine has been inherited for more than 3,000 years, there are countless cases in ancient and modern times, and how many cases are in modern times.

In addition to being proficient in ancient Chinese, it is also necessary to master the theories of the Taoist and Yi families, understand the principles of heaven and earth, understand the structure of the human body, be proficient in the meridians and acupuncture points of the human body, be proficient in the physique of the human body, understand the medicinal properties of Chinese herbal medicine, and figure out the psychology of patients......

It can be said that a powerful Chinese medicine practitioner is definitely a master of ancient Chinese who is a master of the Yi family theory, a master who understands the structure of the human body and the meridians of the human body, a pharmacist who is proficient in pharmacology, and a psychologist.

Traditional Chinese medicine is easy to learn but difficult to master, and it is precisely because of this.

Now that the patient has not taken the medicine, Fang Zi has been questioned, Fang Han naturally can't just leave, it is easy for him to leave like this, and he doesn't have to bear any responsibility, but this is irresponsible to the patient.

Either he doesn't come, and when he comes, Fang Han will naturally not be anticlimactic.

Fang Han said, and without waiting for Lei Junfeng to speak, he continued: "Qi and Yin injuries refer to thermal diseases or some chronic, The phenomenon of both yin fluid and yang qi being consumed in the process of wasting diseases has three common clinical conditions of qi and yin injuries: first, it is seen in the extreme stage of fever and venereal disease, the fever has subsided or has not subsided, sweating profusely, the tongue is tender and red or dry, thirsty, the pulse is scattered or there is a tendency to collapse; second, it is seen in the late stage of fever, the liver and kidney are lost in true yin, the vitality is seriously injured, low-grade fever, heartburn in the hands and feet, spontaneous sweating, night sweats, fatigue, lack of food, dry mouth, less tongue lichen, and large pulse deficiency; third, it is seen in internal injuries and miscellaneous diseases, such as tuberculosis, diabetes, etc., and fatigue appears, lack of breath and lazy speech, dry mouth and throat, self-sweating, night sweats, hot flashes, thirst, red tongue without lichen, and pulse deficiency. ”

However, the patient continued to have a high fever for more than ten days, looking pale, his lips were scorched, and he was weak in qi. ”

"Whether raw gypsum is a bitter cold medicine has been controversial in ancient and modern times, and there is no need to argue here, but raw gypsum is sweet and spicy, this is the consensus, not only can sweat, but also can clear heat, and it is best to treat heat syndrome.....

Saying that, Fang Han walked to He Wenhong's side, stretched out his hand and took the medical record from He Wenhong's hand, opened it, and said, "I noticed just now, there are several prescriptions on it, and there is no lack of raw gypsum, but why is the effect lackluster, insufficient dosage is a very key aspect." ”

"That's less than 60 grams, right?" Lei Junfeng's voice had softened.

In normal times, even if there was a controversy about this prescription at the beginning, Lei Junfeng would think about it more, but just now he was a little reckless because he was cold and prejudiced against the other party in his heart.

can be reckless, Lei Junfeng's level is still there, whether what Fang Han said is reasonable, whether it is nonsense or not, he still understands it.

Fang Han glanced at Lei Junfeng and continued: "Director Lei said just now, it is a medicine that is poisonous, even if it is a traditional Chinese medicine, it is also toxic and side effects, I really want to say more here, the word toxic side effects does not exist in the concept of traditional Chinese medicine. ”

Lei Junfeng opened his mouth and was about to speak, when Fang Han had already spoken again: "Why I don't recognize the concept of toxic side effects, it is precisely because traditional Chinese medicine pays attention to the 'homology of medicine and food', in other words, all the functions of traditional Chinese medicine, health preservation, and disease treatment are gradually discovered by the ancestors of the Chinese nation in the process of collecting and trying natural foods for thousands of years." ”

Speaking of this, Fang Han looked around and said slowly: " At the beginning of the birth of human beings, food was also found in the process of continuous attempts, what can be eaten, what can not be eaten, what is harmful, what is harmless to eat, all are through the practice of life, toxic side effects are not simply judged by whether a drug is toxic or non-toxic, nor is it judged by the current scientific method to detect whether a drug contains toxic ingredients. ”

"For example, cinnabar contains mercury, realgar contains arsenic, it is forbidden to take two flavors of medicine in the world, but the famous Chinese patent medicine Angong Niuhuang Pill contains these two flavors, Angong Niuhuang Pill awakens the brain and opens the mind, and the effect of treating comatose patients is excellent, my teacher Guo Wenyuan Guo Lao has used Angong Niuhuang Pill to cure several Japanese encephalitis patients, taking the medicine for more than 100 days, and the patient wakes up without any sequelae......"

At this moment, the entire ward was silent, everyone was listening carefully, Lei Junfeng opened his mouth many times, and then closed it again.

Lei Junfeng can serve as the director of the department, and he is not stupid.

As he himself said, he has been practicing medicine for thirty years, Fang Han didn't know where he was when he practiced medicine, and his thirty years of medical experience didn't really run to dogs, how Fang Han said, Lei Junfeng understood it.

Fang Han continued: "The prescription of traditional Chinese medicine, the monarch and the minister, with each other, the argument is used, the process of drug selection and compatibility are very deep, in my personal opinion, the so-called traditional Chinese medicine side effects are the reason for the so-called Chinese medicine toxicity and side effects, one is the dialectical medication that the prescriber does not understand, the dialectical in the process of medication is not clear, once there is a situation with opposite medicinal properties, it will inevitably produce toxic side effects, as long as the dialectic is clear, the drug is reasonable, even if it is a highly toxic drug, it will not cause harm to the human body......"

"The cold is hot, the hot is cold, the void is supplemented, and the real is discharged, this is the most basic rule of traditional Chinese medicine, the dialectic is clear when using medicine, follow the law, even if it is aconite, arsenic and the like, it is not impossible to use it......"

"As long as the high-dose medication follows the principle of dialectical precision, strict adherence to the decoction method, and stops when the disease is in progress, and does not have to be used for a long time. ”

As he spoke, Fang Han smiled slightly, and looked at Lei Junfeng again: "As for what Director Lei said just now, what textbooks, what classics, Director Lei has been practicing medicine for 30 years, don't you know that Chinese medicine is one person, it varies from person to person, if you use drugs according to the textbook and according to the agreement, the dosage cannot be changed at will, and the prescription cannot be added or subtracted at will, then what is the difference between Chinese medicine and Western medicine, the biggest advantage of Chinese medicine is limited, and how can we talk about treating diseases and saving people?"

Lei Junfeng, Fang Han has seen some of this kind of traditional Chinese medicine in the past two years, and the level cannot be said to be none, but the thinking restrictions are too great, especially the academy from the academy, whether or not they have been instructed by famous teachers, they are too conservative.

Many academic Chinese medicine practitioners prescribe drugs in accordance with the agreement, within the scope of the drug, the dosage change does not dare to be too large, the prescription does not dare to add or subtract at will, so the advantage is that the data is easy to count, easy to do investigation, easy to publish papers, but can never achieve the best curative effect.

Some papers of Western medicine, the title of the previous title with hundreds of cases and the like, show the authority, now Chinese medicine people write papers like this, hundreds of cases of what what prescription, how how, the dosage remains the same, the prescription addition and subtraction have not changed, can really give full play to the advantages of Chinese medicine?

"Dr. Fang said it well. ”

After Fang Han finished speaking, Director Zhou was the first to applaud.

Director Zhou also understands traditional Chinese medicine, and what Fang Han said is really thought-provoking and level, which can be described as hitting the nail on the head.

In addition, Fang Han was invited by him, and he was swept away by Lei Junfeng just now, so Director Zhou naturally tried his best to praise Fang Han at this time.

"Director Lei, do you still have any questions?" Fang Han looked at Lei Junfeng.

"I can't tell you. ”

Lei Junfeng snorted and said: "But treating diseases and saving people is not a mouthful, I am not good at words, but I have been practicing medicine for thirty years, and these thirty years have not been in vain, what experience do you have in front of me, don't you think the class has an axe?"

Lei Junfeng is actually a little weak-hearted, and his tone is not as stiff as before, but he still can't hold his face, so he is stubborn and quibbling.

"Director Lei, I respect you as a senior, as you said, you have been practicing medicine for 30 years, and you have treated not 10,000 but 8,000 patients, so I discussed with you, if you mess around, it will be ungraceful. Fang Han's brows furrowed slightly.