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

Chapter 1261 Emergency Situation



Chapter 1261 Emergency Situation

After the meeting, Mr. Han specifically called Chen Yang aside.

"Xiao Chen, you handled Lei Laosan's situation very well."

Han Jimin said in a low voice, "However, the situation of traditional Chinese medicine in Jiangdong is much more complicated and murky than you can imagine."

“Besides those like Lei Laosan who have real skills but are closed off, there are also those who swindle and cheat under the guise of ancestral secret recipes, those who use folk or even witchcraft-like methods to treat diseases, and even some who are involved with certain special interest groups.”

"The First Affiliated Hospital will arrange your itinerary in Jiangzhou in a fairly formal manner, but you should still be careful. If you encounter anything particularly strange or troublesome, please let me know immediately."

Chen Yang felt a chill run down his spine, realizing that Old Han's words had a hidden meaning, seemingly implying that there were some unknown undercurrents or complex situations within the Chinese medicine community in Jiangzhou and even Jiangdong Province.

"Thank you for the reminder, Elder Han. I will keep it in mind," Chen Yang said solemnly.

Over the next few days, as scheduled, Chen Yang's team conducted more in-depth clinical observation and exchanges at the First Affiliated Hospital.

Having learned from their experience in Qinglin County, their perspective on cases and problem-solving has become significantly broader and more grounded.

Discussions with doctors at the First Affiliated Hospital are no longer limited to textbook solutions, but rather involve taking into account regional characteristics and patients' life backgrounds to propose more flexible and targeted ideas, which has earned the further respect of the entire hospital.

During this time, Chen Yang also took the opportunity to visit Master Han. In addition to asking some questions, he also presented Master Han with the preliminary outline of the research plan on Master Lei's skills that the team had drafted.

Han Jimin offered several sound suggestions and recommended a senior researcher at the Jiangdong Provincial Institute of Materia Medica, saying that he was an authority on the processing and toxicity control of traditional Chinese medicine and that he might be able to consult him.

Yu Shiyun, through Han Lao, continued to monitor the changes in the condition of Xiao Juan, a patient with "yin poison".

The feedback was encouraging: after taking five doses of the medicine, Xiao Juan's cyanosis of her hands and feet had significantly subsided, her pain had greatly decreased, her appetite had slightly increased, and her spirits had improved. Based on the changes in her condition, Dr. Han made minor adjustments to the prescription, reducing some of the herbs used to expel pathogens and increasing the ingredients to strengthen the body and nourish the blood, and continued the treatment.

Xia Hongliang couldn't forget about "medicinal acupuncture." With the help of Zeng Yunhui and the director of the acupuncture department at the First Affiliated Hospital, he consulted a large number of research papers on acupoint injection, thread embedding, and transdermal drug delivery of traditional Chinese medicine. He felt more and more that although Grandpa Lei's ideas were primitive, they contained great research value.

They began drafting an outline for a preliminary concept of an acupoint-targeted sustained-release drug delivery system based on folk "medicinal acupuncture" experience, intending to bring it back to Kyoto to discuss with relevant engineering and technical personnel.

Zhuang Qiwen then systematically summarized the gains from this trip to Jiangdong, from academic ideas to clinical skills, from understanding folk medicine to thinking about the future development of traditional Chinese medicine, and wrote a detailed draft report.

Just one day before the team was about to finish their trip at the First Affiliated Hospital and head to their next destination—Jiangdong Provincial Hospital of Integrated Traditional and Western Medicine—an unexpected event disrupted the peace.

That afternoon, Chen Yang was discussing a palliative care plan for a patient with advanced gastric cancer with doctors from the oncology department of the First Affiliated Hospital when Liu Zhentao suddenly came over with a serious expression.

"Director Chen, there's an emergency that might require your and your team's help," Liu Zhentao said urgently.

"Please go on, Dean Liu."

"I just received a call from the Municipal Health Bureau, as well as a report from our hospital's medical affairs department."

Liu Zhentao lowered his voice: "There's a district under Jiangzhou called Huiwen District. There's a privately-run Huiwen Traditional Chinese Medicine Clinic there. It's quite large and has a good reputation."

"This morning, a patient who was treated there suddenly collapsed in the clinic and has now been brought to our hospital's emergency room. His condition is critical! The family is very agitated and is accusing the clinic of prescribing the wrong medication. Now, the clinic staff, the family, and the media who have heard the news have surrounded the emergency department and the medical affairs office. It's complete chaos!"

Chen Yang frowned: "The clinic used the wrong medicine? Is there any basis for that?"

"The patient's family said that the patient originally only had a cold and cough. He went to a doctor and was prescribed a large bag of medicine powder, which he said was a family secret recipe. He took it twice at home and fell into a coma today."

"They brought the powder residue to the hospital, and our initial emergency room tests suggest it contains an excessive amount of... strychnine! Other suspicious components are being tested."

Liu Zhentao's face was grim: "Strychnos nux-vomica poisoning can be fatal, and if the clinic really did use an excessive amount of prohibited drugs, then the situation is very serious!"

Strychnine? Chen Yang was startled.

Grandpa Lei's medicine powder also contains processed strychnine, but it has undergone an extremely complex process to remove the toxins and preserve its efficacy.

According to Liu Zhentao's description, the "Huiwen Traditional Chinese Medicine Clinic" likely used strychnine that was not properly processed or was in excessive amounts!

"How is the patient now?" Chen Yang asked immediately.

"Deep coma, weak breathing, irregular heart rate, unstable blood pressure, already intubated and on a ventilator, being resuscitated in the ICU."

"Toxic testing and blood purification are being conducted, but the situation is not optimistic."

Liu Zhentao said, "The problem now is that, on the one hand, we must do everything we can to save the patients; on the other hand, this incident has had a very bad impact, involving violations by private clinics, the safety of traditional Chinese medicine, and may even involve illegal medical practice and counterfeit drugs."

"The city has ordered our hospital to do everything in its power to treat patients while cooperating with the investigation. Our emergency room and ICU are under immense pressure, and the families and medical staff are still causing trouble outside... Director Chen, you and your team are highly experienced in handling critical and complex cases, could you perhaps..."

"Please come over and take a look, help stabilize the situation, and see if there are any ideas for assisting in the treatment with traditional Chinese medicine? Of course, the main focus should be on the Western medicine rescue in our hospital, with traditional Chinese medicine as an auxiliary treatment."

This is not just a medical emergency, but a sudden event involving public trust, industry standards, and even social stability.

As external experts, Chen Yang's team has a relatively detached identity and possesses profound knowledge of both traditional Chinese and Western medicine, as well as emergency response capabilities, which may enable them to play a special role.

"Dean Liu, you're too kind. We certainly can't refuse such a request."

Chen Yang smiled and said, "Then Dean Liu, please make the arrangements. I will take Zhuang Qiwen and Xia Hongliang over, while Yu Shiyun and Zeng Yunhui will stay in the department to continue their exchange."

"Great! I'll arrange it right away!" Liu Zhentao said with a sigh of relief.

Soon, Chen Yang, accompanied by Zhuang Qiwen and Xia Hongliang, along with Liu Zhentao and the director of the medical affairs department, rushed to the emergency department and ICU area.

Along the way, Chen Yang briefly explained the general situation to Xia Hongliang and Zhuang Qiwen.

Before the group even arrived at their destination, they heard a cacophony of cries, arguments, and shouts.

The corridor outside the emergency department was crowded with people: there were family members dressed in mourning clothes, crying and wailing; and there were several people wearing "Huiwen Traditional Chinese Medicine Clinic" uniforms, their faces anxious and filled with grievance and resentment.

Media reporters rushed to the scene with their cameras and microphones; hospital security guards, police officers, and staff from the health bureau were also working to maintain order and separate the two sides, but the scene remained chaotic.


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