novel for you Chapter 1267 He Wenliang's Unresolved Feelings
Chapter 1267 He Wenliang's Unresolved Feelings
As they spoke, the group arrived at the emergency room, where many doctors were already gathered.
Chen Yang immediately noticed the patient—the elderly man had a flushed face, rapid breathing, dense bright red rashes all over his body, peeling in some areas, and chapped lips with blood crusts.
"Body temperature 40.1°C, heart rate 128 beats/min, respiratory rate 32 breaths/min, blood pressure 90/60 mmHg."
Feng Chenhui's eyes lit up when he saw Chen Yang, but he still suppressed his excitement and said, "The blood test shows elevated white blood cell count and a high proportion of neutrophils, but the infection marker PCT is not high. Liver and kidney function are already impaired."
The head of the infectious disease department frowned: "It doesn't look like a common bacterial infection, but it's not a typical viral infection either. The rash has an unusual appearance; could it be a drug rash?"
The head of dermatology examined the rash carefully: "A drug allergy should indeed be considered. But such a severe drug rash, accompanied by high fever and altered mental status, could be a precursor to Stevens-Johnson syndrome or toxic epidermal necrolysis. Both of these conditions have a high mortality rate."
"What medications have you used?" Qin Dongliang asked.
The family handed over a prescription from the community clinic: ceftriaxone, acetaminophen, and dexamethasone, to be used for three consecutive days.
"These medications can all cause allergic reactions."
The head of the infectious disease department said, "But usually the symptoms appear within a few hours to a few days after taking the medication. This patient's condition worsened after three days, which is a bit inconsistent with typical drug allergies."
Chen Yang quietly observed the patient, then suddenly asked, "Could I take a look at the tongue?"
The emergency room doctor gently pried open the patient's mouth.
The tongue is reddish-brown with a thick, dry, yellow coating and prickles on the tip.
"What about the pulse?" Chen Yang asked.
The on-duty doctor made way for Chen Yang to take his pulse.
The pulse is strong and rapid, but feels hollow when pressed deeply.
"The heat in the Yangming Qi level has become excessive and has already entered the Ying and Xue levels."
Chen Yang said in a deep voice, "But this fever is not simply caused by a cold or drug allergy. Did the patient have any special experiences before the onset of the illness? For example, were they exposed to any special substances? Did they eat anything unusual?"
The family member recalled, "My mother went to her ancestral home in the countryside before she fell ill, saying she was going to offer incense at the ancestral graves. After returning, she said she was tired, and the next day she started having a fever. She ate nothing special, just ordinary home-cooked meals."
"countryside?"
Chen Yang pressed further, "Have you come into contact with plants, pollen, or been bitten by insects?"
"Well... I'm not quite sure," the family member shook their head.
After a moment of contemplation, Chen Yang said to Qin Dongliang, "Director Qin, I suggest we conduct a detailed investigation into your environmental exposure history. Also, while we should consider drug allergies, we cannot rule out some kind of specific infection or poisoning."
"The patient's tongue and pulse indicate an extreme level of heat toxicity, which has damaged the yin and blood. Immediate treatment to clear heat, detoxify, cool the blood, and nourish yin is necessary. Before the cause of the disease is fully clarified, a combination of traditional Chinese and Western medicine may be a more prudent approach."
Qin Dongliang nodded: "Xiao Chen is right. In that case, the infectious disease department will continue to investigate the source of infection, the dermatology department will treat the rash and provide skin care, and the ICU will prepare for admission. At the same time, please have the traditional Chinese medicine department formulate a Chinese medicine treatment plan based on Director Chen's ideas."
Chen Yang added, "The patient is elderly, and the heat toxin has damaged his yin, leaving his vital energy deficient. Clearing heat should not be too bitter and cold, lest it damage the stomach qi; cooling the blood should not be too nourishing or greasy, lest it hinder the outward expulsion of pathogens."
"I suggest using Qingwen Baidu Decoction with modifications, heavily using raw gypsum and anemarrhena to clear heat in the qi level, adding buffalo horn, rehmannia root, and peony bark to cool the blood and disperse blood stasis, and adding American ginseng and ophiopogon root to replenish qi, nourish yin, and consolidate the body."
“Okay, let’s go with this approach.” Qin Dongliang immediately made the arrangements.
After the consultation, Chen Yang and Qin Dongliang walked out of the emergency room.
Qin Dongliang remarked with admiration, "Xiao Chen, you have indeed matured now. Your analysis just now was very insightful. Whether in your words or actions, you respect modern medicine while maintaining the independence of traditional Chinese medicine. That's excellent. You've already shown the demeanor of a great physician."
"Director Chen, you flatter me."
Chen Yang smiled and said, "Actually, we practice this model every day at the Kyoto International Medical Center. It's not simply about adding Chinese medicine and Western medicine, but about choosing the most suitable treatment method according to the different stages of the illness. Sometimes we focus on Chinese medicine, sometimes on Western medicine, and sometimes we give equal importance to both. The key is to break down barriers and put the patient's interests at the center of everything."
"I have never been against the integration of traditional Chinese and Western medicine, but I am against unfair integration of traditional Chinese and Western medicine," Chen Yang said with a smile.
"Well said."
Qin Dongliang patted Chen Yang on the shoulder: "You're going to see Professor He this afternoon, right? He's been researching traditional Chinese medicine treatments for rheumatic and immune diseases recently, and he might be interested in this case. You can talk to him about it."
"I will," Chen Yang nodded.
After leaving the emergency department, Chen Yang wandered around the hospital, visiting the outpatient clinic and wards of the Traditional Chinese Medicine department where he had previously worked. He encountered many former colleagues who warmly chatted with him, asking him all sorts of questions. Younger doctors, holding medical records, consulted him, and Chen Yang patiently answered their questions.
At 2 p.m., Chen Yang arrived at Shanxi University of Traditional Chinese Medicine on time.
He Wenliang's office is on the top floor of the administration building, with a view overlooking most of the school.
"Mr. He," Chen Yang greeted respectfully as he entered the room.
He Wenliang was brewing tea when he looked up and saw Chen Yang. His eyes lit up: "You've arrived? Have a seat. Try my newly acquired Wuyi rock tea."
Amidst the fragrant tea, He Wenliang carefully observed Chen Yang: "Hmm, your demeanor is more composed, and your eyes are clearer. The environment of Kyoto is truly nurturing."
Chen Yang smiled and said, "It's all thanks to the excellent guidance of our seniors."
"Come on this."
He Wenliang waved his hand: "Old Wu just got lucky. You got to where you are today because of your own understanding and hard work. I heard about your performance in various places. It was very good. You didn't let us Shanzhou people down."
He Wenliang had always held a grudge about Chen Yang becoming Wu Yaolin's apprentice.
He had also considered taking Chen Yang as his apprentice, but Chen Yang had known Wu Yaolin earlier.
It's important to know that Chen Yang's growth rate was too fast. He was already quite skilled when he was in Jialin County. After returning to Jinjiang City, he rose to fame in just one year and then went to Kyoto.
Wu Yaolin has essentially gained a good apprentice.
For veteran traditional Chinese medicine practitioners like He Wenliang and Wu Yaolin, having a good disciple is a great honor, let alone a disciple as skilled and promising as Chen Yang.
"Why are you alone?"
He Wenliang poured Chen Yang a cup of tea and said with a smile, "Didn't you bring any of your rising stars?"
"I had other plans for today, so I came to see you by myself," Chen Yang said with a smile.
"You boy."
He Wenliang smiled and asked, "Haofei is with Elder Xiao?"
“Yes, Haofei is with Elder Xiao.” Chen Yang nodded.
By all accounts, Chen Yang and He Wenliang are now of the same generation. He Wenliang failed to take Chen Yang as his apprentice, but he did take Chen Yang's apprentice, Li Haofei, as his apprentice. Li Haofei is currently pursuing a master's degree under He Wenliang's guidance.
"You're not only highly skilled yourself, but you also have a knack for teaching apprentices."
He Wenliang smiled and said, "Every time I see Haofei this year, I find that he has made great progress. You two, master and disciple, are like two peas in a pod."
Perhaps the biggest regret of He Wenliang's life was that he was unable to take Chen Yang as his disciple.