Chinese medicine: from rural hospitals to top three hospitals in Kyoto

Chapter 1070: Pure Traditional Chinese Medicine Plan (Part )

A week later, Kyoto International Airport.

A Gulfstream G650 private jet landed smoothly, passed through a special passage, and taxied directly to the front of the VIP building.

The center's core management team, including Chen Yang, He Yonghua, Zhong Dongyang, Gao Anliang, and a professional medical liaison team, had already been waiting here.

The cabin door opened, and assistants and medical staff filed out first. Then, Lawrence was carefully pushed down in a special wheelchair.

Lawrence looked better than when he was in New York, but he still looked sick. His breathing was a little rapid and he needed low-flow oxygen through a nasal cannula.

"Welcome to China, Mr. Lawrence." Chen Yang stepped forward and spoke in fluent English with a calm and confident tone.

"Doctor Chen, nice to meet you again."

Lawrence gave a weak smile and held out his hand: "I hope I haven't caused you too much trouble."

"You are our distinguished guest and also our patient, so there's no need for any trouble." Chen Yang smiled and shook hands with Lawrence.

Subsequently, the two teams completed the docking quickly and efficiently.

The large number of sophisticated instruments and equipment carried by Lawrence's large medical team were also received and transported by dedicated personnel.

The center has prepared an independent VIP ward in advance, which is configured in accordance with the highest standards and undergoes strict disinfection and isolation to ensure safety and privacy.

The treatment provided by the sponsor is indeed extraordinary.

The convoy had a smooth journey and arrived at Kyoto International Medical Center.

Entering the specially prepared ward, Lawrence and his medical team were very satisfied with the environment and services.

Dr. Pierce said to Chen Yang sincerely, "Dr. Chen, your preparation and professionalism are very impressive."

"This is what we should do." Chen Yang responded with a smile.

After settling in, Chen Yang did not rush to start treatment, but first organized a detailed multidisciplinary consultation (MDT).

On the center side, Chen Yang, Zhong Dongyang, He Yonghua, Gao Anliang, Xun Jiahong, Lin Yi and others all participated.

On Lawrence's side, Pierce and key members of his heart team were involved.

The huge screen displayed all of Lawrence's medical records and the latest test results.

Pierce first introduced Lawrence's latest condition: "...BNP remains around 2000 pg/mL, and blood oxygen saturation barely maintains 92% at rest, but drops below 88% with minimal activity... There are signs of mild damage to liver and kidney function... We have tried various drug combinations, but none have been effective, and the side effects are significant..."

The situation in Lawrence was more complicated and difficult than in New York.

The functions of multiple organs have begun to be affected, like a domino chain about to collapse.

Conventional Western medicine seems to have reached a dead end.

Although Chen Yang prescribed medicine for Lawrence in New York, it was not a systematic treatment after all, and Lawrence's condition worsened during this period.

Pierce brought a thick stack of Lawrence's latest examination records.

After Pierce finished his explanation, Chen Yang and his group began a detailed discussion.

Lawrence's condition is indeed extremely complicated and difficult.

Heart: ischemic cardiomyopathy, cardiomegaly, EF value is only 26%, accompanied by frequent ventricular premature beats, severe mitral valve regurgitation, and pulmonary hypertension (moderate).

Other systems: chronic renal insufficiency (CKD stage 3), mild liver dysfunction, electrolyte imbalance (tendency to hypokalemia).

Overall condition: NYHA grade IV heart function, extreme weakness, shortness of breath with slight activity, paroxysmal dyspnea at night, moderate pitting edema in both lower limbs.

In Pierce's words, "Mr. Lawrence's body is like an old, dilapidated house, prone to collapse at the slightest disturbance. In New York, we have tried every modern medical option available, including optimized drug therapy and CRT-D (cardiac resynchronization defibrillator) implantation, but to no avail. Valve replacement surgery carries such high risks that few doctors dare to undertake it."

After listening to this, Chen Yang nodded slightly.

"Mr. Lawrence's condition falls under the categories of 'palpitations,' 'asthma,' and 'edema' in Traditional Chinese Medicine. The underlying pathogenesis is 'heart and kidney yang deficiency, water retention in the heart and lungs, and blood stasis.'"

"The heart governs the blood vessels, while the kidneys govern fluids. Deficiency of heart yang renders it unable to stimulate the blood vessels, resulting in palpitations and a deep, weak pulse. Abnormal water metabolism leads to accumulation and formation of fluid, which rises to the heart and lungs, causing shortness of breath, and overflows into the skin, causing edema. Yang deficiency leads to cold stagnation, which stagnates blood circulation, resulting in a purple tongue and a sluggish pulse."

"In terms of treatment, we must 'warm and nourish the heart and kidneys, transform qi and promote water circulation, and activate blood circulation and remove blood stasis.'"

Chen Yang looked at Pierce and said, "The preliminary plan we have formulated will mainly use Chinese herbal decoctions, combined with acupuncture and moxibustion, and supplemented with supportive treatments from Western medicine when necessary, but the core is the thinking of Traditional Chinese Medicine."

"Doctor Chen, do you mean that this treatment will be based entirely on Traditional Chinese Medicine?" Pierce asked.

"It's not mainly based on traditional Chinese medicine. It's completely based on traditional Chinese medicine."

Chen Yang explained: "During the treatment process, Mr. Lawrence's previous use of Western medicine was gradually reduced until it was discontinued. He was finally treated with pure Chinese medicine, including decoctions and acupuncture."

"No surgery required?" Pierce opened his mouth slightly.

Originally, Pierce thought that Lawrence's treatment this time would be the same as Wilson's. Chen Yang would first perform preoperative conditioning, then the operation, and then recover with traditional Chinese medicine after the operation. Unexpectedly, Chen Yang said that the treatment would be entirely based on traditional Chinese medicine.

"In essence, every surgery harms the human body, damaging the vital energy and blood."

Chen Yang explained: "So, from the perspective of traditional Chinese medicine, if surgery can be avoided, it should be avoided. If surgery can be avoided, it should be avoided as much as possible. Whether it is organ replacement or the addition of various auxiliary instruments, it will harm the body."

"What about Mr. Wilson and the other patients before that?" Pierce asked puzzledly.

"Doctor Pierce, Director Chen just said that it should be avoided if possible."

Gao Anliang explained with a smile: "Integrated Chinese and Western medicine is a combination of treatment methods. For example, for a certain disease, traditional Chinese medicine alone is difficult to be effective, and Western medicine surgery is too risky. At this time, combining the two can minimize the risk."

"If traditional Chinese medicine treatment is completely effective, then there is no need to choose surgery."

Gao Anliang smiled and said, "Before, Mr. Wilson and other patients had no other choice."

"You mean Mr. Lawrence's condition is milder than Mr. Wilson's?" Pierce understood a little.

"You can't say that."

Chen Yang explained: "It can only be said that it is more in line with traditional Chinese medicine treatment. Traditional Chinese medicine solutions can have a greater effect. It cannot be said in terms of severity."

"I understand. I need to seek Mr. Lawrence's opinion." Pierce said after a moment of hesitation.

"Of course." Chen Yang nodded.

"Then I'll go discuss it with Mr. Lawrence first. Dr. Chen, you can continue the discussion?" Pierce asked.

"Okay." Chen Yang nodded politely.