novel for you Chapter 797 Clinical Competition (4)
Chapter 797 Clinical Competition (4)
Han Xingwen stood aside, just like Li Chengjie before.
Chen Yang once again used acupuncture to teach Han Xingwen how to be a good person.
Fortunately, everyone was just having a normal exchange and discussion. Since Chen Yang was Wen Xiuping's grandson-in-law, Han Xingwen and others had never mocked Chen Yang before, and everyone got along quite politely.
Otherwise, this counterattack and slap in the face would really make Han Xingwen and Li Chengjie feel ashamed.
"Unbelievable, unbelievable."
Liu Zhengxu smiled bitterly and said to Yang Lei: "I thought Li Chengjie and Han Xingwen were sure to win this time, but I didn't expect..."
"Now I understand a little bit."
Yang Lei glanced at Wen Manlu who was staring at Chen Yang without blinking, and said with a smile: "Miss Wen is so outstanding, how could someone who is liked by Miss Wen be mediocre."
"hehe."
Liu Zhengxu smiled and said, "That's true. Elder Wen's grandson-in-law is amazing."
As they were talking, the previous patient was sent out and the last patient came in.
The last patient was pushed in on a stretcher. On the stretcher was a young man with a face as purple as an eggplant and layers of bandages wrapped around his chest.
"The patient is a 'mirror patient...'"
Mo Xinzhi walked to the center, holding the microphone and introducing: "The patient suddenly had severe pain in the right side yesterday morning. The Western medical CT showed 'right liver enlargement and left spleen atrophy', but the patient is a mirror person, so the liver should be on the left!"
As Mo Xinzhi was speaking, some relevant photos and information of the patient appeared on the display screen.
"The patient's urine is as black as ink, he has not had a bowel movement for three days, and his tongue looks..."
Mo Xinzhi introduced it in detail.
This patient is the finale patient of today. Mo Xinzhi specially found this patient from Lingnan Hospital of Traditional Chinese Medicine. To be precise, it was Lingnan Hospital of Traditional Chinese Medicine that asked Mo Xinzhi for help. Mo Xinzhi has personally examined the patient and finally made this patient the finale patient of today.
"Mirror Man?"
Listening to Mo Xinzhi's introduction, there was a sound of people gasping for air at the scene, and many people couldn't help but whisper to each other.
"Mirror man" is also called "mirror person" or "mirror image person", which means that the position of organs such as heart, liver, spleen, gallbladder are opposite to those of normal people.
Modern medicine has not yet reached a scientific conclusion on the cause of the "mirror man" phenomenon. Medical experts believe that "mirror man" is related to a mutation that occurs during human embryonic development, and the probability of occurrence is about one in a million.
Although the "mirror man"'s internal organs are all dislocated, only their positions have changed, and the relationship between them has not changed. Therefore, the physiological functions are the same as those of normal people, and there is not much impact on health and life.
However, some people with other organ structural abnormalities or genetic diseases may have corresponding symptoms. Prenatal detection can allow for relevant examinations to be performed as early as possible to understand the possible prognosis. It is worth noting that once a "mirror person" becomes ill, doctors are very likely to misdiagnose if they make routine judgments.
The misdiagnosis mentioned here is the doctor's diagnosis based on common experience. For example, the liver of a normal person is located on the right side. If there is pain on the right side, the doctor will judge that it may be a liver problem. But if it is a mirror person, then it may not be a liver problem.
In other words, some conventional experience is often prone to errors in front of "mirror people" patients.
“I didn’t expect the last patient to be such a patient.”
Xia Hongliang whispered to Lin Yi: "From the look on Mr. Mo's face, he should have known the patient's condition for a long time. He should be planning to use this meeting to discuss a treatment plan together."
"Ah."
Lin Yi nodded: "This kind of patient is very rare. I have never encountered one before. For a moment, I have no idea."
People are often most confused about unknown things. "Mirror Man" patients are extremely rare, and many doctors may find it difficult to meet one in their entire lives.
For Xia Hongliang, Lin Yi and others, it was the first time they heard of such patients and they didn't even know how to start.
This was also the first time that Chen Yang encountered such a patient, but he did not have the same emotions as the others. Instead, he walked to the stretcher and began to examine the patient.
"The location of the internal organs conflicts with the trajectory of the flow of qi and blood..."
Chen Yang frowned slightly. The patient's pulse was deep and rough like a knife scraping bamboo. The right inch pulse was as strong as the tide, but the left guan pulse was as thin as a gossamer thread - this was completely opposite to the physiological characteristics of the mirror man's "left liver and right lung".
Let’s look at the patient’s tongue again - the tongue is dark purple like a blood clot, the tongue coating is yellow, dry and prickly, but it is only distributed on the left side of the tongue.
The tongue image of "heat on the left and cold on the right, disorder of qi and blood" is obvious...
Han Xingwen, Wen Haohui and others now came closer to observe the patient's condition.
Li Chengjie held the patient's CT report in his hand and said as he read it, "Mirror Man's internal organs are inverted. According to Western medical anatomy, his liver is in the left upper abdomen, but the pain is in the right flank. This does not conform to physiological logic."
"Yes, it's indeed a bit strange." Han Xingwen nodded.
"Xiao Chen, what do you think?" Mo Xinzhi asked Chen Yang.
Many people at the scene looked at Chen Yang at this moment. Through the previous patients, Chen Yang's level had been obvious to all. Even many experienced Chinese medicine practitioners at the scene had to admit that they were not as good as Chen Yang.
At this moment, when Mo Xinzhi asked Chen Yang, it was obvious that Mo Xinzhi was not testing him, but really communicating with him.
“Chinese medicine diagnosis never relies on anatomical location.”
Chen Yang said slowly: "There is a saying in the Yellow Emperor's Classic of Internal Medicine that 'left and right are the paths of yin and yang'. Although the patient's internal organs are reversed, the circulation of qi and blood in the meridians still follows the normal routine. The right flank belongs to the part where the liver meridian runs. The pain is in the right flank, and the disease is still in the liver - it's just that his liver 'grows' on the left!"
After listening to Chen Yang's words, many people were stunned, including Mo Xinzhi, who was stunned for a moment and then seemed to be thinking about something.
"Traditional Chinese medicine has always emphasized holistic treatment, which is the advantage of traditional Chinese medicine."
Chen Yang continued, "Although the organ structure of 'Mirror Man' patients is different from that of normal people, their physiological functions are the same as those of normal people. This shows that the balance of yin and yang and the balance of organs are normal..."
"That's wonderful."
Han Mingzhi couldn't help but praise him, and whispered to Yang Huaimin and the others, "Although Xinzhi's level is not bad, his thinking has been greatly influenced by modern medicine. In this respect, he is indeed not as good as Chen Yang."
Relatively speaking, Han Mingzhi and Yang Huaimin's thinking is actually purer. If the patient is treated by Han Mingzhi or Yang Huaimin, a veteran Chinese medicine practitioner from Lingnan, Han Mingzhi and others should be able to cure the patient.
But it happened to be Mo Xinzhi.
Like Mo Xinzhi and Han Xingwen, when faced with "mirror people" patients, they were first shocked by the strangeness of this type of patients. They did not dare to jump to conclusions for a while and ignored the concept of holistic treatment in traditional Chinese medicine.
Li Chengjie frowned: "But the CT scan shows that the liver is on the left, and the pain is on the right. Isn't this a contradiction?"
"No contradiction."
Chen Yang pointed to the red and swollen area on the patient's right flank and said, "The "Lingshu? Meridians" says that 'the liver foot Jueyin meridian starts at the tuft of hair on the big toe, goes up along the upper edge of the foot... and spreads to the ribs'. Regardless of whether the liver is on the left or right, the liver meridian always spreads to the two flanks. The patient's left liver is enlarged, compressing the qi and blood of the right liver meridian, causing pain in the right flank. This is 'left disease affects the right, and qi and blood are disordered'."
Mo Xinzhi's eyes flashed with a gleam: "Xiao Chen saw the essence of the 'Mirror Man' - although the internal organs are reversed, the meridians are not reversed, and the flow of qi and blood is not reversed! Well said, well said, please continue."
Mo Xinzhi had now come out of the patient's strangeness and was increasingly agreeing with Chen Yang's statement, even a little impatient.
Chen Yang nodded, his eyes fell on the patient's nails, everyone look at you: "The left side of his nails is blue, and the right side is light, which is the manifestation of blood stasis in the left liver and deficiency of spleen in the right. Looking at the pulse, the strong right inch pulse indicates lung fullness, and the thin and astringent left guan pulse indicates liver stasis, which is in line with the treatment principle of "East is full, West is empty, drain the south, and supplement the north" in the "Nanjing".
Chen Yang quoted from classics, sometimes from the Yellow Emperor's Classic of Internal Medicine, sometimes from the Difficult Classic, which made everyone on the scene praise him endlessly.
"No wonder Chen Yang has such a high level at such a young age. He has a solid foundation and a deep understanding of the classics. It's amazing."
"Yes, he is indeed a rare genius." Liu Songyan nodded slightly.
Xia Hongliang suddenly realized: "Although the mirror man's internal organs are reversed, the five elements' generation and restraint relationship remains unchanged! The liver belongs to wood and should be on the left, and the spleen belongs to earth and should be on the right. The patient has blood stasis in the left liver (wood restrains earth), which causes the right spleen to be insulted, so he has right-sided hypochondriac pain and constipation."
"good."
Chen Yang smiled and nodded: "In fact, although the patient's condition is complicated, if we ignore the fact that the patient is a 'mirror person', the difficulty will be reduced a lot. Don't be confused by the 'mirror person' at the beginning."
"Ah."
Wen Manlu smiled and said, "Chinese medicine doesn't treat illnesses by simply treating the symptoms, so we don't need to consider the special characteristics of the patient's 'mirror person' too much. We just need to follow the conventional diagnosis and treatment."
"Yes, that's right." Chen Yang smiled and glanced at Wen Manlu, whose cheeks blushed slightly.
"Since the diagnosis is clear, treatment will not be difficult."
As Chen Yang spoke, he wrote a prescription: "You can use Gexia Zhuyu Decoction with modifications. Peach kernel and safflower can break up the stasis in the left liver, while white atractylodes and poria can replenish the qi in the right spleen. In particular, add scutellaria baicalensis and magnetite. Scutellaria baicalensis is used to descend, while magnetite is used to calm down. This can guide the upward-reversed qi and blood back to their proper places. At the same time, it can be treated with acupuncture."
As he spoke, Chen Yang handed the written prescription to Mo Xinzhi, opened the needle bag, and began to disinfect the silver needles.
Han Xingwen and others came over to look at the prescription written by Chen Yang.
"It's said to be not difficult, but it's still difficult." Li Chengjie said bitterly to Han Xingwen.
Han Xingwen nodded. This was not difficult only for Chen Yang, but it was still difficult for them.
After disinfecting the silver needles, Chen Yang began to give acupuncture to the patient. While doing acupuncture, Chen Yang also explained: "For the patient's pain points, the conventional acupuncture points are Qimen and Riyue points, but the patient's liver is on the left, and the right hypochondrium pain point is actually a 'false point', so we change to Taichong on the left (the original point of the liver meridian) and Gongsun on the right (the spleen meridian point), and use the 'giant needle method' - for left diseases, treat the right side, and for right diseases, treat the left side, to regulate the disorder of qi and blood."
Han Mingzhi could not help but praise again: "Excellent! The Yellow Emperor's Classic of Internal Medicine says 'For large needles, take the left to the right and the right to the left', which is exactly what this disease is like."
As he spoke, Han Mingzhi had already arrived next to Chen Yang, watching Chen Yang giving acupuncture to the patient from close range.
The tip of the silver needle in Chen Yang's hand pierced the patient's acupuncture point diagonally toward the wrist. The patient immediately felt a heat moving in the chest and abdomen... The patient's lower limbs felt warm all the way to the soles of the feet...
"Burning a mountain fire?"
Han Mingzhi exclaimed.
"Master finally used his ultimate move." Liu Xi said with a smile.
Xia Hongliang, Lin Yi and others had been staring at him without blinking. This was not the first time they had seen Chen Yang perform this kind of acupuncture skill.
"It's cool all over!"
As Chen Yang changed the acupoints and techniques, Han Mingzhi exclaimed again.
As the silver needle in Chen Yang's hand moved like a green dragon, the patient's right abdomen felt warm.
"The left Taichong acupoint performs the 'Tianliang' purgative method, and the right Gongsun acupoint performs the 'Shaoshanhuo' tonifying method..."
Han Mingzhi's face was full of disbelief: "I never thought that I would see such acupuncture in my lifetime..."
"If I hear the truth in the morning, I can die in the evening. God has been very kind to me." Han Mingzhi couldn't help but sigh.
Han Mingzhi is already 83 years old this year. At this age, every day lived is considered a day earned.
As a master of acupuncture, Han Mingzhi was able to see such acupuncture methods at such an old age. It can really be said that he heard the truth in the morning and could die in the evening.
"Burn the mountain fire! The whole sky is cool!"
Han Xingwen smiled bitterly, glanced at Li Chengjie, and said, "I didn't expect that the two of us would become clowns."
"Who said it wasn't?" Li Chengjie nodded bitterly.
Acupuncture, bone setting, Chen Yang completely tortured the two of them.
Mo Haobo's face was full of excitement, as if he was treating the patient at the moment.
"No wonder Brother Liu said that the previous match was just a warm-up match. It really was..."
Mo Haobo now finally believed what his grandfather said: "Chen Yang's level is not inferior to his."
After the acupuncture, the redness and swelling on the patient's right flank subsided by a large margin, and his breathing became much smoother.
Mo Xinzhi looked at Chen Yang and said slowly: "I have been practicing medicine for more than 40 years. I have always felt that Chinese medicine dialectics needs to keep pace with the times, introduce Western medicine technology, and lower the threshold of Chinese medicine. Today, I have to admit that 'Chinese medicine dialectics does not rely on anatomy'."
As he spoke, Mo Xinzhi turned to the crowd and said loudly: "Everyone, this is the 'differentiation and treatment' of traditional Chinese medicine - not sticking to appearances, not relying on instruments, just relying on the principles of qi, blood, yin and yang, you can cure the world's strange diseases."
"Traditional Chinese medicine has been passed down for thousands of years, and there is a reason for it. We, as practitioners of traditional Chinese medicine, should follow the principle of 'combining Chinese and Western medicine', based on Chinese medicine dialectics, learn from Western medicine, be loyal to Chinese medicine, and promote Chinese medicine..."
There was a moment of silence, and then many people began to whisper.
Mo Xinzhi's words were tantamount to indirectly overturning some of his insistence over the years. Although not a complete overturn, it was shocking enough that the new-school leader Mo Xinzhi could say such words in such an occasion in front of so many people.
"It seems that Xinzhi has long been aware of Chen Yang's level and asked Chen Yang to come to Lingnan just for this purpose." Li Liren whispered to Liu Songyan and Yang Huaimin.
"Could it be that the new knowledge is aimed at Xingwen and Chengjie?" Liu Songyan asked with a smile.
Li Liren: “…”
To be honest, Li Liren really thought so before, but now it seems that he is a bit narrow-minded...
Chapter 2 is published together