Chapter 360: Medicine is not more about the symptoms
ps: Today's three watches are here!
Seeing that no one asked again this time, Ji Wanglou continued: "Of the thirty-three patients treated by Lin Yuan, thirty-two of the patients were very appreciative of the treatment, but one of the cases, Nie Lao and Gao Lao, had objections, and Nie Lao would tell you the details of this matter???????? .???? .?c?o?m”
Hearing this, Nie Zhongyun slowly stood up, glanced at Lin Yuan, and then said with a straight face: "This patient's situation is like this, the patient has been sick for about ten days, and the patient has been a patient for more than ten days."
Nie Zhongyun first briefly explained the patient's situation, and then said: "This patient was originally a patient of our Yanjing Hospital, and I have also diagnosed and treated him before, but he is old and incompetent, and he has not come up with a feasible plan so far."
Hearing Nie Zhongyun say this, many people present understood a little, Nie Zhongyun himself didn't think of a treatment method for this case, and even said that Nie Zhongyun himself had not been diagnosed, so naturally there was no standard for judging.
This is like a teacher grading a student's paper, and when the teacher is marking, the teacher either crosses the reference answer, or knows the question himself, and knows the correct answer in his heart, so that the teacher can judge right and wrong and give students a grade. If one of the questions has no reference answer, and the teacher himself does not know the correct answer, then how can the student judge whether it is right or wrong, and how can it be graded?
No wonder Ji Wanglou left everyone to discuss this case at this time, it turned out that Nie Zhongyun and Gao Wenliang didn't know how to treat this case, since Nie Zhongyun and Gao Wenliang didn't know how to treat it, then whether Lin Yuan's treatment method was right or not, Nie Zhongyun and Gao Wenliang naturally couldn't judge.
Before, I heard Ji Wanglou say that thirty-two of the thirty-three patients treated by Lin Yuan were fine, and everyone thought that one of them had a deviation, but now it seems that the conclusion that there is a deviation is not easy to make.
If this is the case, then this matter is indeed worth discussing at this time, after all, in the afternoon, these candidates' tables will be scored, if this matter is not clarified, how will Lin Yuan's score be given at that time?
Although many people present felt that it was unlikely that Lin Yuan had a way to deal with the case that Nie Zhongyun was not sure of, but if he was not afraid of 10,000, he was afraid of what if, in case they would really be able to treat it, and when the time came, it would be a shame that the experts who selected and checked the national outstanding young doctors would make a mistake in the candidate's treatment plan.
"For more than ten days, the patient did not eat or sleep, basically relied on infusion to supplement nutrition, and the hospital also used a lot of drugs, but to no avail, Lin Yuan made a diagnosis of this case, he said that the patient was injured and fed, and the prescription was 900 grams of rhubarb. Nie Zhongyun continued.
"Nine hundred grams of rhubarb?" Hearing Nie Zhongyun say Lin Yuan's prescription, many people present were taken aback.
At this time, these people here are either experts from major hospitals, experts from the Health Bureau, or leaders of the Department of Health, all of whom are considered to be people from the health department.
Rhubarb has a bitter and cold taste, purging down and accumulating, clearing heat and expelling fire, cooling blood and detoxifying, chasing stasis through menstruation, popularly speaking, it is a laxative, a very powerful laxative. Not to mention that the patient has not eaten for more than ten days and is already dying, even if it is a normal person, how many can withstand the attack of 900 grams of rhubarb?
"Nonsense!"
Many people present had these two words in their hearts, but after all, this was not the time when Nie Zhongcheng and Gao Wenliang were two people before, but more than 30 people were present, even if many people felt that Lin Yuan's rhubarb was not used correctly, no one rashly expressed their opinions.
On the one hand, except for Nie Zhongyun, Gao Wenliang and Lin Xihe, who are traditional Chinese medicine practitioners, everyone else is a Western doctor, although they know that rhubarb is not used well, but they can't say why, if they say it wrong, wouldn't it be a shame for so many people on the scene?
Seeing that no one spoke, Nie Zhongyun continued: "I don't dare to agree with Lin Yuan's treatment plan, so I specially asked Lin Yuan to come over and ask about the specific reason to avoid mistakes. ”
Lin Yuan also knew in his heart when he heard this, it turned out that because of this disease, he only thought about the treatment plan when he treated the patient before, but he didn't expect that the use of rhubarb was indeed terrifying, ignoring the situation on the side of the expert group.
"Lin Yuan, tell me, what do you think of this case. Ji Wanglou looked at Lin Yuan and asked.
Lin Yuan sorted out his thoughts, and then said slowly: "At that time, I treated the patient, and when I approached the patient, I smelled that the patient's breath was very heavy, and the exhaled breath had a great smell, so the strong taste was basically the surface of the injured food certificate, and then I asked the patient about the diet, the patient lost his appetite, vomited when he saw the real thing, and even felt the stench for his favorite mistakes before, the so-called injured eater must be anorexic, and it can be seen from this that the patient should be injured and eaten."
Hearing Lin Yuan's explanation, many people nodded, heavy breath is indeed likely to hurt food, often a person eats too much at night, and his breath is heavy when he gets up in the morning. In the same way, if you eat too many good things, you will inevitably hate them, and the patient's aversion to things is indeed a symptom of hurtful food.
"From the analysis of various symptoms, the patient's place is not sleepless, the abdomen is uncomfortable, it is precisely because of the injury to the food, only the direct flow in the patient's body to excrete the food, the patient can get rid of the old and the new, produce the ** of re-eating, rhubarb diarrhea attack, heat and fire, cool blood detoxification, chase blood stasis through the menstruation, the best at excretion. Lin Yuan continued.
"Ridiculous!"
As soon as Lin Yuan's words fell, someone shouted loudly: "The patient hasn't eaten a bite of food for more than ten days, and he hasn't eaten a drop of rice, so where does he get any food in his body?"
Many people still agree with what Lin Yuan said before, but what he said later made many people frown, just like the doctor's reprimand, the patient has not eaten for more than ten days, how can there be food in the body, and it is also necessary to use laxatives to excrete, this is simply bullshit.
Although the others did not scold like this one, they all meant the same thing.
Many people present frowned, but Lin Xihe, Gao Wenliang and Nie Zhongyun did not have any different expressions, they were all pondering, all three of them were highly respected Chinese medicine experts, after listening to Lin Yuan's explanation, although they still did not approve of Lin Yuan's plan, it was undeniable that what Lin Yuan said was not nonsense, and there was still some truth.
At least at this time, Nie Zhongcheng no longer thinks that Lin Yuan's treatment of this patient is purely reckless, but really has ideas.
"Lin Yuan, do you have anything else to say?" Ji Wanglou saw that many people still did not approve of this plan, and asked Lin Yuan again.
"Minister Ji, I don't have anything to say, there are not many medicines, but in the right symptoms, treating diseases and saving people is naturally to distinguish the syndrome clearly and decisively use the medicine, and the result of my own dialectic of this disease is the injury and food syndrome, so I opened rhubarb. Lin Yuan said neither humbly nor arrogantly, the meaning is obvious, no matter what you think, he himself thinks so anyway.
Hearing Lin Yuan's words, many people frowned, this young man is also stubborn, he is really a newborn calf who is not afraid of tigers.
Everyone thought wildly, but no one spoke up again, after all, how to judge this disease in the end is still up to a few Chinese medicine experts.
"Young man, how sure are you about your own formula?" The scene was quiet for more than a minute, and then Lin Xihe slowly asked Lin Yuan.
"If you follow my prescription, one dose will work. Lin Yuan was very determined, and he seemed full of confidence.
"One dose works. Hearing Lin Yuan's confident words, many people frowned again, this young man is really confident.
"Young man, you have to know what kind of medicine rhubarb is, if you use such a large dose, let alone one dose of medicine, even half a dose of medicine can kill the patient. "Lin Xi River Road.
"The patient's condition must have been clear to all of your predecessors, up to now, the patient has not eaten or slept for more than ten days, and how many days can he persist according to the patient's mental condition?" Lin Yuan asked slowly.
"Buzz!"
Hearing Lin Yuan's questioning, many experts on the scene were instantly buzzing, just now they were only thinking about the patient's condition and whether Lin Yuan's method was feasible, but they ignored the most critical point. Because of this disease, the patient has not eaten or slept for more than ten days, relying on infusion to maintain, nutrition is good to say, infusion can still be maintained, but what to do if this does not sleep, how long can the patient last, five days, ten days?
Once the patient can't hold on, there is basically no need to think about what the consequences will be, and it will naturally lose his life.
"And although rhubarb is a laxative, how many cases of rhubarb has killed people in ancient cases?" Lin Yuan asked again.
Yes, rhubarb is indeed a laxative, and if you eat it, you will have diarrhea, and young people can't stand it, but there are really few cases of people who have died because of rhubarb.
Thinking of this, both Lin Xihe and Nie Zhongyun's eyes flashed with inexplicable brilliance. Lin Yuan's meaning couldn't be clearer, if the patient continued like this, something would happen sooner or later, but although using his prescription may cause serious consequences, the possibility of life danger is not great, and how to choose is basically obvious.
"Whew!"
After a long time, Lin Xihe took a deep breath and said: "Since this is the case, let's take a dose of medicine to try the effect, we have so many experts present, even if there is any accident, we must be able to deal with it." ”
Lin Xihe's words, others naturally didn't say much, Ji Wanglou pondered for a while, and then turned back to He Guoyou and instructed: "Go and invite the patient, and at the same time explain the situation to the patient's family and ask for the opinion of the patient's family." ”
He Guo responded, hurriedly walked out of the conference room, and went to invite the patient and the patient's family.