Chapter 312: Four Diagnoses and References

"Team Leader Fang, drink some water."

In Yunshan County Hospital, Zhang Weifeng made a cup of tea for Fang Yan, put it in front of Fang Yan, and said sincerely: "Team Leader Fang has worked hard. ”

"Fortunately, we should be much better than Dean Zhang."

Before Fang Yan and the medical team came, Zhang Weifeng really had to work harder.

After all, the level is limited, and the degree of hardship is completely different, and with so many children, it is quite difficult for Zhang Weifeng to control the condition of the children as much as possible.

Fang Yan also learned about the treatment of the child a few days ago, and Zhang Weifeng and the Yunshan County Hospital had done their best.

If it weren't for a dean as responsible as Zhang Weifeng, the mortality rate would be quite high for the rapid onset and rapid change of the brain.

"Our ability is limited, and we can only carry it hard, unlike you Team Leader."

Zhang Weifeng said with a smile: "Team Leader Fang, you have only been here for a day, and the condition of all the children has been controlled, and all of us have also breathed a sigh of relief. ”

Zhang Weifeng is now very impressed by Fang Yan and the medical team.

It is worthy of the medical team set up by the provincial department, and the level of experts is indeed high.

Such a group of traditional Chinese medicine, such a rapid curative effect, such a great ability, Zhang Weifeng is the first time to see it.

Not only Fang Yan, but also Jiang Weixue, Jiang Meng and others are also at a very high level.

A good level of TCM can occasionally be encountered, but there are several in a row, and it is really not easy to meet, and the medical team has gathered excellent TCM doctors from all over Gyeongju Province.

Yunshan County Hospital, Department of Traditional Chinese Medicine, Jiang Weixue is accompanying Wang Tie, director of the Department of Traditional Chinese Medicine, to diagnose and treat patients in the ward.

"Director Wang, there was a problem with the previous dialectic."

Coming out of the ward, Jiang Weixue said to Wang Tie.

"Please also ask Director Jiang for advice." Wang Tie hurriedly said.

In the Department of Traditional Chinese Medicine of Yunshan County Hospital, there are only five or six doctors, the chief physician is Wang Tie alone, and there is a deputy chief physician of the department, one attending physician, and two resident doctors.

The traditional Chinese medicine department of Yunshan County Hospital is almost a face project, and the level of doctors in the department is not mentioned, even if it is Wang Tie, the director of the department, the level is so-so.

After the medical team came yesterday, the doctors of the TCM department were inevitably pulled over to help the medical team.

And Wang Tie, the director of the department, also took advantage of the time to help, and Jiang Weixue and other experts in the medical team had some friendship, just now taking advantage of the time, Wang Tie called Jiang Weixue to come over to check the patients in the department.

In front of the experts of the medical team, Wang Tie didn't dare to have any opinions, he also knew his own level, and he was also very humble.

And being able to get to know Jiang Weixue and others is also a rare opportunity for Wang Tie.

Again, the profession of a doctor is a profession that requires continuous learning, or even a lifelong study.

No doctor, regardless of age, will never miss an opportunity to improve their skills.

Improving one's ability is a lifelong thing, even if you are retired, you can use it, and many retired doctors are actually fragrant.

The greater the fame and level of the hospital before retirement, the more people will compete after retirement.

Private hospitals, some medical institutions, etc., are willing to hire with high salaries.

Even for surgeons who are no longer able to perform the surgery themselves, there are a large number of hospitals and medical institutions that are willing to ask them to come back as consultants or technical guides.

"The patient is not damp and hot in the large intestine."

Jiang Weixue said: "The patient has dysentery for a long time, the body is emaciated, the pulse is weak, and the pulse syndrome and ginseng are the symptoms of kidney yin deficiency, and the yin deficiency is mainly manifested in four aspects. ”

"First, the patient has excessive diarrhea, which is a manifestation of the depletion of true yin, and second, the patient takes bitter cold medicine to consume liquid and hurt yin, and the treatment has no effect for so many days, so it can be judged."

Jiang Weixue patiently explained to Wang Tie: "Third, the patient's body is emaciated, which is also a manifestation of kidney yin deficiency, and furthermore, the two-foot pulse deficiency is also a manifestation of kidney yin deficiency......."

"What Director Jiang said is that I wasn't careful enough before." Wang Tie said hurriedly.

"As a traditional Chinese medicine practitioner, syndrome differentiation must be carefully distinguished, and four diagnoses must be combined."

Jiang Weixue said: "I just looked at the patient's medical record, and there is no record of the pulse. ”

Wang Tie's face was suddenly full of embarrassment.

You must know that the patient's medical record, which is the file of the patient's condition, what situation, what symptoms, how to distinguish the syndrome, how to treat, what medicine used, must be recorded in detail.

The examination and medication on the patient's medical record should be matched with other places in the hospital, the checklist, the pharmacy's medication record, and so on.

If any of them don't match, you have to check them repeatedly.

When Jiang Weixue was checking the patient's medical record just now, he didn't see a record of the patient's pulse on it.

Jiang Weixue is also a senior doctor, and has been in the Provincial Hospital of Traditional Chinese Medicine for many years, Jiang Weixue knows the situation of the hospital very well.

Obviously, Wang Tie probably did not diagnose the pulse, or did not have a detailed pattern differentiation, but according to the experience summarized by the prescription or the current new type of Chinese medicine, when encountering dysentery, it was considered to be damp heat syndrome.

Because in the clinical investigation, most of the dysentery patients do correspond to the dampness and heat syndrome of traditional Chinese medicine, so when encountering dysentery, the method of clearing heat, detoxifying and relieving dampness is the habit of many new Chinese medicine.

This is a bit like prescribing anti-inflammatory drugs when you are on fire, prescribing tonic drugs when you see physical weakness, and prescribing refreshing drugs when you see poor spirits, exactly according to the appearance.

Don't you know that fire is also divided into virtual fire and real fire, and the body is also virtual and real, and the same is true of the spirit.

TCM syndrome differentiation is actually quite good and quite remarkable, through the four diagnoses and references, the human body can be clearly distinguished.

"Director Wang is the director of the Department of Traditional Chinese Medicine, so he still needs to know more about Chinese medicine and work syndrome differentiation."

Jiang Weixue said with a smile: "Let's just say that our team leader Fang has a very high level, and the four diagnoses are quite powerful, but every time he is very careful, and he is never sloppy." ”

Following Fang Yan several times, Jiang Weixue and others also saw that each of Fang Yan's four diagnoses was very powerful, just by looking at the diagnosis or palpating the diagnosis, Fang Yan could understand the patient's situation in any diagnosis, but every time he was very careful.

"Team Leader Fang is really powerful." Wang Tie nodded hurriedly: "Seeing that Team Leader Fang is not yet thirty years old, and I don't know how to learn it, I have learned from dogs for so many years." ”

"The main thing is to find the right direction."

Jiang Weixue re-prescribed the medicine to the patient and explained it to the patient again.

While the two were talking, they heard the horn of an ambulance outside, and the sound came from far and near.

"Miwoo, Miwoo......."

"Looks like I'm in the emergency room."

Jiang Weixue stood up.

"Don't be a child again, there are a lot of sick children these days." Wang Tiedao.

"yes."

Jiang Weixue nodded, said hello to Wang Tie, and walked towards the emergency department.