As soon as he heard the words "syndrome differentiation and treatment", Liu Longsheng had a big head, sticky and difficult cough has not yet been figured out, and then he will continue to distinguish between syndromes and treatments, anyway, it is a bunch of troublesome things, fortunately, yellow phlegm and thick phlegm are correct with antibiotics, plus clinically he has been exposed to a lot of Chinese patent medicines that clear heat and detoxify, such as Pudilan, Qingkailing, compound Houttuynia cordata, antiviral oral liquid, etc.

Moreover, Liu Longsheng knew that most of the cough up yellow and thick phlegm was a bacterial infection, and the choice of antibiotics was not a problem at all, so he understood Song Qian's words very well.

This made Liu Longsheng have great hopes for the next conversation, and looked at Song Qiandao with a hopeful face: "Then how can white phlegm, clear phlegm, foamy phlegm, and dilute phlegm be differentiated?" ”

"Simple, thin phlegm is generally cold phlegm, or spleen and kidney yang deficiency, in other words, cold phlegm is the human body cold, such as a cold after blowing the air conditioner, and the sputum that is spit is thin phlegm."

Liu Longsheng nodded understandingly, this is not difficult to understand, he has encountered a lot in clinical practice, especially in summer, there are many patients who cough after catching a cold due to blowing the air conditioner, and he did not interrupt anything.

Song Qian didn't know what Liu Longsheng was thinking, and explained to himself: "The spleen and kidney yang deficiency is relatively complicated, and the patient who has been coughing for a long time will generally cause lung deficiency, and if the condition is not controlled, it will cause spleen deficiency, and the spleen yang will be weakened for a long time, and then the kidney yang will be damaged, causing kidney yang deficiency, and eventually leading to spleen and kidney yang deficiency." And this kind of patient with spleen and kidney yang deficiency is easy to spit out thin phlegm. ”

"Damn, it seemed to be okay to accept it just now, why is it so profound and difficult to understand now!? It sounds confusing, and I can't figure it out at all. Liu Longsheng secretly scolded himself, he glanced at Zhu Na, and said with a smile on his face: "Brother Song, I don't understand what you said at all, can you say something I understand?" ”

It seemed that he had expected such an ending, Song Qian smiled and continued to explain patiently: "Okay, let's put it simply, what I just said about lung deficiency to spleen deficiency and then kidney deficiency is actually the progression process from chronic bronchitis to emphysema, then to COPD, then pulmonary hypertension causing pulmonary heart disease, and then to lung failure and right heart failure. ”

"Oh, I seem to understand something. What about treatment? Liu Longsheng nodded as if he didn't understand.

"Dialectical treatment."

"It's dialectical treatment again, can you say something I understand? Or what Western medicine can be used to treat it? ”

Song Qian did not answer Liu Longsheng's question head-on, but asked rhetorically: "Doctor Liu, aren't you working in the hospital?" How do you treat patients like COPD? ”

Liu Longsheng didn't think about it, opened his mouth and said: "How else can it be treated, isn't it those medicines, antibiotics to reduce inflammation, cough and asthma, and finally add some dexamethasone or something." The early effect is okay, but it basically doesn't work in the end. That's where my headache lies. ”

Song Qian smiled when he heard this: "I didn't expect that Dr. Liu was still quite responsible, and he actually had a headache for the patient's condition." ”

"Don't tease me, tell me about your treatment plan."

"According to the diagnosis of traditional Chinese medicine, COPD is essentially a deficiency of the lungs, spleen and kidneys, even if it is a temporary phlegm, heat and depression of the lungs, after dealing with the symptoms of infection, it is still a deficiency after all. According to the idea of making up for deficiency, patients with lung, spleen, and kidney deficiency need to be supplemented, and the drugs that can be used to nourish in Western medicine are nothing more than amino acids, albumin, fat emulsion, thymus pentapeptide and so on. ”

"Do these pills work?" Liu Longsheng said with some doubts.

"The early stage should be effective, as for the late stage and the terminal stage, it can only be said that it is more or less useful, and it is better than nothing."

"Hey, Brother Song, what is better than nothing, what you said is the same as not saying." Liu Longsheng was not very satisfied with Song Gan's answer, and couldn't help but say a little embarrassed.

"These patients are already weak to a certain point, how can they be able to turn the tide with a few bottles of amino acids and albumin!"

"You mean you have to take Chinese medicine to tonify? Like ginseng or something? ”

"Pretty much." Song Qian nodded.

As soon as he mentioned "ginseng", Liu Longsheng instantly remembered several Chinese patent medicine injections in the department: "Brother Song, how about that ginseng wheat injection?" ”

Song Qian pondered for a moment, and said: "Shenmai injection is mainly used for patients with qi and yin deficiency, and it has no effect on patients with spleen and kidney yang deficiency. Whether it is traditional Chinese medicine or Chinese patent medicine, it needs to be treated with syndrome differentiation. ”

"It's another dialectical treatment." Liu Longsheng couldn't help muttering, he was a complete layman in traditional Chinese medicine, how could he know how to distinguish between syndromes and treatments, it didn't make the slightest sense to continue to ask, so he had to say: "Okay, I can't ask anymore." Your Chinese medicine is too difficult, everything has to be treated differentiated, isn't it simple? ”

Song Qian smiled when he heard this: "In medical matters, there are no simple problems, don't you have to deal with them on the spot." Every patient is an exam with no questions, are you right? In addition, syndrome differentiation and treatment are not only available in traditional Chinese medicine, but also in Western medicine. ”

As soon as he heard Song Qian's remarks, Liu Longsheng was instantly confused, he had never heard of the words "syndrome differentiation and treatment" in Western medicine textbooks, and immediately asked: "Western medicine pays attention to syndrome differentiation and treatment?" ”

And Zhu Na on the side was also shocked when she heard Song Gan's words. Although she is a nurse, she is from a real medical family, and the most heard topic on weekdays is medicine, but she has never heard of the phrase "syndrome differentiation and treatment", it seems that what her father said is right, Song Qian's life is indeed a bit absurd, and the words he said are not shocking.

Song Qiancai looked at him suspiciously, and said with a smile: "Doctor Liu, don't look at me with such eyes, my words will definitely blind your titanium eyes." ”

Liu Longsheng laughed: "I'll listen to you." ”

Song Qian didn't continue, but poured a glass of water, moistened his somewhat dry throat, and said: "We mentioned the color of the phlegm just now, such as rust-colored sputum is lobar pneumonia, brick-red sputum is Klebasia pneumoniae infection, and blood in the sputum should be considered tuberculosis, lung cancer, etc., do you say is it syndrome differentiation and treatment?" ”

Liu Longsheng was confused by Song Gan's words, and couldn't help but look at Song Gan with wide eyes and said, "Brother Song, what you said is true?" I really haven't heard of the saying that there is syndrome differentiation and treatment in Western medicine. ”

Seeing Liu Longsheng's serious face, he took it seriously at first glance, Song Qian laughed and said: "Doctor Liu, I'm kidding you, there is no dialectical treatment in Western medicine at all, only disease differentiation and treatment." But do you think this is similar to the syndrome differentiation and treatment of traditional Chinese medicine? ”

"I'll just say it." Liu Longsheng didn't follow Song Qianxiao, and found that after being teased by the other party, his face was a little unbearable, and he sat there crying and laughing, and then smiled generously: "Brother Song, you are really a ghost, you can actually link these two things together." To be honest, I really admire you, brother, I'm optimistic about you. ”

Liu Longsheng said and took out his mobile phone and glanced at the time: "Yo, we seem to have been chatting for a long time." ”

Song Qian stood up with a smile when he heard this: "Well, let's go, if you occupy a position like this, you will delay the boss to do business." ”

"Hmm." Liu Longsheng looked at Song Qian seriously, his mouth opened and opened, as if he wanted to say something, but in the end he didn't say it.

After leaving the hotel, Zhu Na followed behind the two, but her eyes kept falling on Song Gan, she didn't expect this guy's eloquence to be endless, the whole process was about falling out of the sky, and his tongue was full of lotus flowers, so that he couldn't keep up with the rhythm at all, let alone find flaws.

Suddenly, an idea popped up in Zhu Na's mind: Could it be that this guy had engaged in pyramid schemes before buying a clinic, and he was still very good?

After a while, the three of them returned to the clinic with their own concerns.

After a short rest, Liu Longsheng had a whim, and temporarily decided to find Song Gan to prescribe some Chinese medicine for him, saying that he didn't want to take hanging injections, but in fact he wanted to try the effect of the latter's traditional Chinese medicine.

As soon as he heard that there was business coming to the door, Song Gan was naturally very happy, and immediately prescribed a prescription to Liu Longsheng, the other party was phlegm, heat and depression of the lungs, Song Qian prescribed him a clear gold phlegm soup, and added gold buckwheat root, smallpox pollen, and sea pumice stone to clear away heat and phlegm and relieve cough.

Naturally, due to the lack of medicine in the clinic, Zhu Na had to go to the pharmacy to buy medicine.

This point made Song Qian speechless, every time he prescribed Chinese medicine, most of it was earned by the pharmacy, and he earned a lonely one.