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

Chapter 1260 The So-Called Rules



Chapter 1260 The So-Called Rules

The next morning, the team packed their bags and prepared to return to Jiangzhou City.

Leaders from Hewan Town and many residents who had received treatment came to see him off, creating a touching scene.

The son of the elderly man with heart disease also came and said that the old man's condition was stable and he was able to sit up and drink porridge. He repeatedly asked Chen Yang and the others to come again in the future.

Master Liu also arrived early and gave Chen Yang a bag of wild mushrooms and herbs that he had dried himself.

"This is just a small token of my appreciation. Director Chen, if you make any progress in your research on Uncle Lei's method, or if there's anything I can do to help, please let me know, and I'll definitely lend a hand!"

Chen Yang expressed his sincere gratitude and invited Master Liu to visit Kyoto for exchanges when the opportunity arises.

As the car drove away from Hewan Town and began its journey home, they arrived full of anticipation and a little trepidation, but returned laden with gains and profound reflections.

It was already afternoon when we got back to Jiangzhou.

Upon hearing the news, Liu Zhentao, the vice president of the First Affiliated Hospital, specially arranged a small-scale symposium to invite Chen Yang's team to share their experiences and insights from their rural medical outreach program.

In the conference room, besides Vice President Liu and several department heads, Mr. Han Jimin was also present, clearly showing his interest in this trip to the grassroots level.

Chen Yang then invited Zhuang Qiwen, Yu Shiyun, Xia Hongliang, and Zeng Yunhui to speak.

Zhuang Qiwen reported on the overall situation of the free clinic and the distribution of diseases, focusing on the process of rescuing elderly patients with heart disease, and analyzing the gains and losses of applying the emergency thinking of traditional Chinese medicine under the rudimentary conditions at the grassroots level.

"People at the grassroots level have a high level of trust in traditional Chinese medicine, but they have limited access to standardized, safe and effective traditional Chinese medicine services."

"Many chronic and common diseases can be effectively treated with traditional Chinese medicine if more trained and skilled TCM practitioners are deployed to rural areas or provide remote guidance, thereby reducing the pressure on large hospitals and the burden on the public."

Yu Shiyun shared her research progress in treating Xiao Juan, a patient with "yin poison," and discussed her thoughts on "combining internal and external treatments" for certain stubborn diseases, in conjunction with Grandpa Lei's "external treatment to attack evil" method.

Xia Hongliang vividly described his experiences at the "Grassroots Medical Association" and his visit to Master Lei. He focused on the operation and principles of "medicinal acupuncture" and "thunder and fire moxibustion," and also frankly expressed his concerns about their risks and non-standard practices.

"Grandpa Lei's method is like wild ginseng from the mountains. It may be very potent, but if it's not dug up properly, processed properly, or used properly, it can lead to poisoning. Can our regular army find a way to domesticate this 'wild ginseng' into a 'cultivated ginseng' that is both safe and effective?"

It must be said that Xia Hongliang's analogy is very vivid.

Zeng Yunhui added information about the use of folk herbal medicines and some simple and inexpensive folk remedies he observed at the grassroots level, believing that they had many merits and were worth collecting, organizing, studying and improving.

After the four speakers finished speaking, Vice Dean Liu Zhentao remarked, "I have been deeply moved by everyone's sharing."

“As a leading hospital in the province, our First Affiliated Hospital sometimes tends to be ‘too high up’ and doesn’t have a good enough understanding of the real situation at the grassroots level and the wisdom of the people. Your visit here has not only served the people but also brought us a lot of fresh ideas.”

Mr. Han Jimin spoke slowly, his voice calm yet weighty.

"Dr. Zhuang's mention of building grassroots TCM service capacity is fundamental; Dr. Yu's consideration of 'combining internal and external treatments' is the direction; Dr. Xia's talk of 'domesticating wild ginseng' is the method; and Dr. Zeng's focus on excavating folk experience is the source. Your trip down there was very insightful and your thinking was very profound."

As he spoke, Han Jimin looked at Chen Yang and said, "Young Chen, you've done a good job leading the team. Young people need to go out into the world more often, get their feet dirty and their hands covered in mud, so that they can truly understand patients and real medicine. You can't cultivate a great doctor in a study or a ward."

Chen Yang humbly replied, "Mr. Han, you flatter us. We are also learning as we go, and we are still exploring many issues."

Old Han changed the subject and mentioned Old Master Lei: "I know a bit about Old Master Lei's stuff."

“His ancestors did have some background. Their skills in ‘medicinal acupuncture’ and ‘thunder and fire moxibustion’ have been passed down for four or five generations. They are truly unique in treating stubborn cold and dampness-related pain caused by people living in remote mountain forests. I even had a conversation with his father decades ago.”

Upon hearing this, everyone perked up their ears. Old Han actually knew Old Master Lei's father!

“His father was older than me. He was an upright and stubborn man. His skills were even more refined than Lei Laosan’s now, but his temper was also more eccentric.”

Mr. Han recalled: "At that time, I advised him that his method was effective but too risky. Could he contribute the formula so that we could study it together and make it safer and more widely applicable? He refused no matter what, saying that the ancestral precepts could not be violated, the craft should not be passed on to outsiders, and he did not believe that the 'public' could do it well."

"Later...sigh, he once treated a severe case of 'crane knee wind' and used too much medicine. The patient had an accident. Although no one died, the family made a fuss, and he was disheartened. He passed away not long after. The current Lei Laosan is more cautious than his father, but his stubbornness and closed-mindedness have not changed."

So that's how it all happened!

No wonder Mr. Lei is so wary of "outsiders" and "public officials".

Old Han sighed, “Many good things in folk medicine are like this: they either become stagnant and gradually disappear, or they are killed off because they are not standardized and are high-risk. This also implicates the entire field of traditional Chinese medicine.”

"In fact, if we can standardize and quantify the formula and processing technology of the medicinal powder, improve the needles to be more refined and sterile, thoroughly study the components and combustion characteristics of the 'Thunder Fire Moxibustion' wick, and formulate strict operating procedures and indications and contraindications, it is entirely possible for it to become a safe and effective specialty therapy."

"Furthermore, its ideas of 'targeted sustained-release drug delivery at acupoints' and 'compound drug-thermal therapy' are inspiring for the research and development of modern TCM external treatment devices and technologies."

Mr. Han's words were insightful and comprehensive, pointing out both the crux of the problem and a possible solution.

Chen Yang agreed wholeheartedly: "What Elder Han said is absolutely right, that's exactly what we were thinking. Elder Lei gifted us a small amount of medicinal powder and wicks, which we plan to take back to Beijing and, together with experts in drug analysis, acupuncture mechanism research, and external treatment techniques, conduct preliminary component analysis, safety and efficacy exploration research."

"Of course, all of this will be done in accordance with ethics and norms, and we will respect Mr. Lei's wishes. If there is any progress in the research, we will communicate with him in a timely manner."

Back in Jiping Town, Chen Yang had heard Liu Jun say that many skilled traditional Chinese medicine practitioners were on the verge of death, with one foot in the grave and the other in prison. Although skilled practitioners could turn the tide, they also bore great risks.

In fact, many practitioners of traditional Chinese medicine now want to systematize traditional Chinese medicine, establish a standard, protect practitioners, and avoid medical disputes, which is also one of the reasons.

However, those who simply copy Western medicine and set the rules are often not senior practitioners of traditional Chinese medicine and do not understand traditional Chinese medicine. They are just laymen setting rules for experts.

Old Han nodded approvingly: "That's good. Let's study it first, get a clear picture of the situation, and then talk about improvement and development. It's good that you have this intention and ability. If you need any clues or help from this old man, just ask."


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