"Expert Fang, this is the patient's medical record."

Dai Jinhong took a folder from the resident doctor and handed it to Fang Yan.

Just now, Dai Jinhong had already roughly talked about the patient's situation, and at this time, Fang Yan was just looking at the patient's entire treatment process in detail.

The patient has a three-year history of liver disease, abdominal distention, calf edema, has been to many hospitals, palpation of the liver and spleen during the examination and a history of vomiting blood, the amount of vomiting blood is not small at that time, emergency rescue, spleen removal surgery, hospitalization for more than four months, after being discharged from the hospital for a period of rest, can also do some housework.

After that, he vomited blood again because of heavy work, and half a year later, he was hospitalized again for the third time with heavy bleeding........

Intermittently, patients spend a lot of money on medical treatment in the past two years.

Previously, because of bleeding, he was admitted to the hospital and recuperated after blood transfusion.

Because of many hospitalizations, the family's savings have long been spent, and they still owe a lot of debts, and the patients themselves don't want to be treated.

At the time of admission, the patient was emaciated, unpretentious, with a distended posterior abdomen, an incisional hernia in the upper abdomen, and edema of both feet.......

"The patient is being treated by Dean Lin?" Fang Yan asked while looking at the medical records.

"Yes."

Dai Jinhong said: "Most of the patients in the ward are in charge of Dean Lin. ”

Fang Yan didn't say anything more and continued to look at the medical records.

The patient's liver disease is caused by liver and spleen disorders for three years, the liver is depressed, the blood is deficient, the spleen is cold, the more depressed the liver, the more cold the liver, the more the liver is deficient, it can be said that a vicious circle has been formed.

Yu Jiu injured the blood veins, and the blood overflowed from the wounds, so there were many times of hematemesis, many times through surgical rescue, and even splenectomy.

The one-size-fits-all treatment of modern medicine can indeed solve the crisis to a certain extent and save life, but it cannot treat the root cause of the disease, and the cause of the patient has always existed, so even if he has undergone splenectomy, he still vomits blood again, and repeats it.

Even after the operation, the injury to the liver and spleen is even worse, and over time, the spleen and kidney are lost.

Fundamentally, Chinese medicine is not in favor of one-size-fits-all, because the five internal organs and six internal organs complement each other, and the five elements are mutually reinforcing.

The spleen and kidneys are lost, resulting in a flood of water and dampness, resulting in bloating.

Judging from the medical records, when the patient came to the county traditional Chinese medicine hospital, he had formed severe ascites, so the abdominal distension and dampness caused the calf to swell.

Fang Yan continued to watch Lin Jiangyu's treatment, Lin Jiangyu's diagnostic room was swollen and congregated, and the syndrome was liver and network injury, spleen and kidney yang deficiency, and water and dampness were overflowing.

Fang Zi used the aconite in "Treatise on Typhoid Fever".

"This recipe was originally used to treat spleen and stomach deficiency and cold, if the spleen and yang are weak, the yin and cold are excessive, and the kidney yin is insufficient, Dean Lin's recipe, aconite Li in the soup with cinnamon to dissipate the cold in the warmth, through the yang and water, the patient's pulse syndrome presents a school of yang deficiency, with the aconite Li in the soup with the blood and qi of angelica, safflower seeds, papaya, wood fragrance and the like......."

Fang Yan looked at it and said, "This recipe is good. ”

Dai Jinhong listened to it on the side, and was surprised again and again.

Just now, Cheng Baiqiang introduced that Fang Yan was an expert from the Provincial Health Bureau, but in fact, Dai Jinhong did not think highly of Fang Yan in his heart.

In Dai Jinhong's view, Fang Yan may be a little level, but he is young, and his level is definitely not high.

Even Dai Jinhong seems that Fang Yan may be a miscellaneous character in the Provincial Health Bureau, but in front of the Prime Minister, even if he is a miscellaneous person in the Provincial Department, many people below are also experts and experts, and there is nothing wrong with it.

If you come from the center, even if you are just a section chief, when you go to the place, you will be considered the leader of the center, and there will be a large group of people around.

But listening to Fang Yan's analysis, Dai Jinhong was surprised.

Just now, Dai Jinhong told Fang Yan that most of the patients in the ward are not in light condition and their condition is complicated, but it is not a lie.

Jianglan County is poor, and most people really can't afford to live in the hospital, and no one wants to live in the hospital unless it is absolutely necessary.

Many patients have no way to enter the hospital, and they are clamoring to be discharged when they have almost recovered, and they are unwilling to spend more money in the hospital.

Even if the county TCM hospital does not charge much and may not be hospitalized, most people are reluctant to be hospitalized.

In the past, there was no hospitalization in traditional Chinese medicine to treat diseases, and the kind of patients who were very serious, and even life-threatening, went to the patient's home for hospitalization.

There are even family members of patients who carry them on their backs and push them in a cart to the doctor, and then go home to take medicine.

At the county hospital of traditional Chinese medicine, patients are reluctant to be hospitalized, and doctors never persuade them, and those who can be hospitalized are in serious condition.

As far as the patient Fang Yan was looking at, in the entire hospital, except for Lin Jiangyu, there was really no one who could solve the patient's condition, not even Dai Jinhong.

But Fang Yan looked at the medical records, and was able to analyze Lin Jiangyu's treatment ideas, and this level was not simple.

"The patient has kidney failure and blood stasis......."

The next patient, Dai Jinhong continued to tell Fang Yan about the patient's situation, and Fang Yan also looked at the patient's medical records.

The patient was diagnosed with weak kidney qi and internal obstruction due to abdominal distension and headache, and was diagnosed with multilateral bicystic kidney by Western medicine.

Although there is no such thing as a bicystic kidney in traditional Chinese medicine, many of the conditions of this disease meet the categories of "gathering", "low back pain" and "blood in the urine" in traditional Chinese medicine.

The patient was also treated by Lin Jiangyu, and after a period of treatment, the patient is now recovering well.

After coming out of the ward, Fang Yan also had a little understanding of the situation in Jianglan County Traditional Chinese Medicine Hospital, and also had an understanding of Lin Jiangyu's level.

As far as the situation of several patients in the ward is concerned, Lin Jiangyu can be regarded as the highest-level young Chinese medicine doctor that Fang Yan has encountered during this period of time, even if he is a little stronger than Jiang Weixue.

In terms of dialectics and treatment, Lin Jiangyu's ideas and techniques are very unique.

In terms of medication and prescription, it also reflects the bold and careful side of traditional Chinese medicine.

Maybe Lin Jiangyu was far from the current level when he was in the Municipal Hospital of Traditional Chinese Medicine, but in the past few years in the Jianglan County Hospital of Traditional Chinese Medicine, Lin Jiangyu's level has improved very quickly.

The harsher the environment, the faster the doctor grows, especially the Chinese medicine practitioner, the more he can have the experience of this serious illness and emergency, the faster the doctor's growth.

In the Municipal Hospital of Traditional Chinese Medicine, Lin Jiangyu may not really have so many opportunities, and some serious illnesses are not the turn of the Chinese medicine department.