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

Chapter 880: Yin and Yang (2 in 1)

In the studio, Chen Yang had a calm expression as he carefully observed the patient, while Tang Wenshan prayed in his heart that nothing unexpected would happen.

The patient's condition is indeed serious, but precisely because of the severity of the condition, the expectations of the audience, the patient himself, and the patient's family are not high.

The girl who came with her was only in her early twenties. She did not expect to completely cure Grandma Zhang, but just hoped to relieve Grandma Zhang's pain, allow Grandma Zhang to live longer, and pass away peacefully.

"Let me take a look first." Shen Qiuyun took a deep breath and motioned the patient to sit down in front of him.

Yin Qiuyue helped Grandma Zhang sit down in front of Shen Qiuyun, and at the same time secretly glanced at Chen Yang.

Shen Qiuyun did not notice Yin Qiuyue's little action, but carefully observed Grandma Zhang's complexion - her complexion was gray and dull, with a hint of an ominous "smoky color", which is called "true dirty color" in traditional Chinese medicine.

This kind of complexion often means that the person is terminally ill and will not have much time left.

Shen Qiuyun asked the old lady to put her arm up and then took her pulse. As soon as Shen Qiuyun's fingers touched the old lady's skinny wrist, her brows were tightly locked into a shape of a "川" (river).

The pulse is strong and rapid, but feels empty and rootless when pressed hard, like a drumstick hitting worn leather. It is strong when taken superficially, but scattered when pressed deeply!

"This pulse...!" Shen Qiuyun was shocked and looked up at Chen Yang, his eyes full of surprise and a hint of unbelievable speculation.

He Huimin, Zhao Hailin and Sun Mingde also took the patient's pulse in turn.

After the diagnosis, He Huimin's face turned pale and her fingers trembled slightly.

Zhao Hailin and Sun Mingde looked confused and heavy.

"How is your pulse?" The host keenly noticed the experts' unusual reactions.

Shen Qiuyun's voice was hoarse, with a sense of powerlessness in the face of the passing of life: "The patient's pulse... is floating, strong and agitated, like surging waves. This is a sign of high fever and evil heat..."

"But... when I press hard, it feels loose and rootless, empty and powerless, and the radial pulse is especially weak and almost gone... This is... This is a dangerous sign of true yin being exhausted, primordial yang about to escape, and the solitary yang having no support, floating outside!"

He Huimin added, her tone heavy with sorrow: "Look at the tongue: it is purple without any saliva, dry like sandpaper, with deep cracks all over the tongue surface, the tongue coating is burnt black, dry and cracked, and some of it is peeling off like a map! This is a dangerous sign of the drying up of Yin fluid, the penetration of heat and poison into the blood, and the decline of stomach qi!"

"Continued high fever consumes Qi and Yin, resulting in Yin exhaustion and Yang having nowhere to attach. This is a typical precursor to the separation of Yin and Yang!" Sun Mingde sighed, his tone no longer hopeful.

Lin Changqing looked at the family member - the young girl with tears on her face and eyes full of despair and the last glimmer of hope: "Besides the high fever, what else does the patient feel now? Is he thirsty? Does he want to drink cold or hot water? How is his bowel movement?"

Yin Qiuyue choked up and answered: "Grandma kept crying out for thirst and wanted to drink ice water...but she would vomit after drinking...she couldn't eat anything...she had no bowel movements...she hadn't had bowel movements for several days, and her urine was very little and dark in color, like strong tea...the doctor said her kidney function was also getting worse...please, save my grandma..."

As Yin Qiuyue spoke, she burst into tears and almost knelt down, but the host quickly supported her.

"I know that grandma's illness is very serious. I also know that many people are watching this program. I can guarantee that no matter what grandma's condition is, the children of Dagou Village and I will thank the experts. Please."

In fact, encountering such patients in such programs has both advantages and disadvantages.

The disadvantage is of course that it is stressful and embarrassing, but the advantage is that the situation is more transparent.

Many times, medical disputes or some family members take the opportunity to cause trouble in order to guide public opinion. The hospital is also afraid that the matter will become a big deal and affect the hospital's image.

But in today's situation, the patient's condition, the treatment, and the family's attitude are clear to everyone. As long as there are no violations and the treatment is approved by the patient's family, if an accident occurs, the patient's family cannot guide public opinion.

"Little girl, who are you to the patient?" Zhao Hailin asked.

"I am grandma's granddaughter."

Although Yin Qiuyue was only in her early twenties, she was a college student after all and had some common sense. She said hurriedly, "Although I was adopted by my grandmother, I am a legally recognized granddaughter, and I am an adult and can take responsibility..."

In fact, the program team learned about Grandma Zhang's situation yesterday. Yin Qiuyue does have the right to sign and take responsibility...

"I want to drink ice water. My tongue is purple and cracked, and my pulse is strong and rapid... This seems to be due to excessive heat in the Yangming meridian. Should I use Baihu Decoction to clear the heat?"

Sun Mingde hesitated for a moment and looked at everyone, but from his tone he seemed unsure.

"No!"

Shen Qiuyun flatly denied: "The patient's strong pulse is just a superficial phenomenon! It disperses when pressed hard. This is a pulse without a root! Baihu Decoction is very cold. Using it at this moment will be like adding insult to injury and will accelerate the loss of Yang Qi!"

"The Treatise on Febrile Diseases has long stated: 'The pulse is floating and wiry. Floating is Yang, wiry is Yin... loss of blood and essence.' Although this pulse is not a wiry pulse, its essence of 'large and scattered' is similar to that of the wiry pulse, which is 'floating, large and hollow'. Both indicate a great loss of essence and blood! At this time, using cold and cool things to break the pulse will hasten the patient's death!"

"Then... use Rhinoceros Horn and Rehmannia Decoction to clear the body and cool the blood?" Zhao Hailin asked tentatively.

He Huimin shook her head: "Although Xijiao (now replaced by buffalo horn) Dihuang decoction can clear the Ying and cool the blood, its medicinal properties are ultimately cold. At this moment, the patient's Yin is truly exhausted, and Yang is also true! Although the heat and poison are blazing, it is a fire without roots. The medicine for clearing the Ying and cooling the blood may hurt the last bit of Yang. Moreover, the patient's stomach qi is weak and vomiting continues. How can such a nourishing and cold medicine be taken? If he vomits as soon as he takes it, what's the use?"

The discussion reached a deadlock again.

Faced with this textbook-level "Yin and Yang Separation" crisis, several experienced chief physicians also felt unprecedented difficulty and powerlessness. The helplessness of Western medicine and the extreme danger of Chinese medicine syndrome differentiation made the atmosphere in the studio extremely depressing. The audience was silent, and everyone held their breath and looked at the experts on the stage, especially Chen Yang.

In the director's room, Tang Wenshan's palms were covered in cold sweat. The severity of this third case was far beyond expectations. If it happened during the live broadcast... the consequences would be disastrous.

Now he could only place his hopes on Chen Yang. Looking at Chen Yang's profile which was still calm and focused, Tang Wenshan had some expectations.

“I didn’t expect it to be such a difficult disease.”

Xia Hongliang said to Lin Yi: "Director Lin, if Dr. Chen can treat this patient, Dr. Chen will really become famous overnight."

There are quite a lot of famous doctors in history who became famous overnight. Many of them were not well-known when they first started out, and they often became famous by treating difficult and complicated diseases or critical and emergency diseases.

Although Chen Yang is a little famous, he is nothing compared to the whole country. But if Chen Yang can treat this patient this time, he will really become famous.

After all, there are quite a few audiences watching this time.

"Yes."

Lin Yi nodded: "However, patients with such serious conditions are not easy to deal with. Those who can treat such diseases are all famous doctors."

"Director Lin, do you think Dr. Chen is confident?" Xia Hongliang asked.

"Do you think Chen Yang could be unaware of the fact that a patient like this could appear on the show?" Lin Yi asked with a smile.

"Director Lin, what do you mean?" Xia Hongliang was stunned: "Did the program team get Dr. Chen's consent?"

"Other patients are fine, but the program team doesn't have the courage to deal with such a serious patient." Lin Yi said slowly.

In Jialin County, Xun Jiahong frowned, said nothing, and stared at the TV without blinking.

Li Haofei also frowned and asked softly, "Director Xun, what do you think?"

"I'll sit and watch." Xun Jiahong replied indifferently.

What can he think of this situation?

Li Haofei: “…”

"Dr. Chen..."

The host turned his eyes to Chen Yang, his voice trembling with a hint of final hope: "What do you think? Is there any other way for Grandma Zhang's condition...Chinese medicine?"

All cameras, all eyes, instantly focused on Chen Yang.

Yin Qiuyue stared at Chen Yang intently, as if he was grasping at the last straw.

Chen Yang did not answer immediately. Instead, he asked Yin Qiuyue to support Grandma Zhang and sit in front of him. He carefully observed Grandma Zhang's complexion, eyes, and breathing, and then very gently examined her pulse again, especially the radial pulse.

Chen Yang's fingers stayed on the old man's skinny wrist for several minutes, his expression so focused that he seemed to be isolated from all the noise from the outside world.

After a long while, Chen Yang slowly stood up. His eyes swept over Shen Qiuyun and He Huimin, and finally fixed on the host's face. His voice was clear and steady, with a power that could penetrate the fog:

"The diagnosis of the seniors is correct. The patient is indeed in the critical condition of 'exhaustion of true yin, floating of false yang, and separation of yin and yang'. This condition is extremely dangerous and has been considered difficult to treat in ancient and modern times. It is even considered a 'death certificate'!"

As soon as the word "death certificate" came out, there was a sound of people gasping for air at the scene.

Yin Qiuyue’s eyes went dark and she almost fainted.

Bringing her grandmother to the program crew this time is her only hope.

Not only because the production team promised to cover all the expenses, but also because this show is attracting a lot of attention...

"but!"

Chen Yang suddenly changed the subject, his eyes were like torches, and his voice was a little higher: "The Yellow Emperor's Classic of Internal Medicine, Suwen, Comments on Respiratory Diseases" says: 'If a person has a fever, he will sweat and then have a fever again, and his pulse will be agitated and rapid, not because of sweating, and he will talk wildly and be unable to eat... The disease is called the interaction of yin and yang, and the interaction means death.'"

The online barrage was instantly everywhere.

“I knew there would be a but!”

"Dr. Chen is awesome!"

"Fuck, Doctor Chen is definitely cheating."

"I suspect that Dr. Chen is a reborn person, otherwise why would he be so awesome?"

"This show is simply Dr. Chen's personal show. I love it."

"Yin Yang intercourse?!"

Shen Qiuyun and He Huimin exclaimed at the same time, their faces changed drastically! As senior professors of traditional Chinese medicine, they knew too well the weight of these three words! This is one of the "evidence of death" clearly pointed out in the "Inner Canon of Medicine"!

The core symptoms are: persistent sweating and fever, rapid and scattered pulse, coma and delirium, and inability to eat! These symptoms are almost completely consistent with those of Grandma Zhang in front of us!

"Oh my god...it's yin and yang!"

An old Chinese doctor was muttering to himself in front of the TV, looking at Chen Yang with eyes full of shock and inquiry.

How dare he directly point out the name of this disease that was sentenced to “death penalty” by the “Inner Canon of Medicine” during the live broadcast?

Chen Yang mentioned the name of the disease "Yin Yang Interaction", but used this twist. Does Chen Yang really have a solution?

All the knowledgeable Chinese medicine practitioners at the scene and in front of the screen were shocked!

Is Chen Yang trying to challenge the classics? Is he challenging the conclusions of the Neijing?

"Yin Yang?"

Xun Jiahong whispered to himself while thinking at the same time.

When yin and yang come together, the one who comes together dies...

Is there any chance of turning around?

Chen Yang seemed not to notice the shock of the crowd, and continued to speak calmly: "The Neijing says 'those who have sex will die', which is a warning that this condition is dangerous and there is a narrow escape from death, but it does not mean that death is certain! The key lies in the word 'sex'..."

Everyone was stunned again. The scene was silent. Many people in front of the TV breathed softly for fear of missing anything.

"Yin and Yang interaction refers to the penetration of evil heat into the human body, where it fiercely fights with the remaining righteousness in the human body, and the stalemate continues. The evil heat is raging, and it constantly consumes the already exhausted Yin essence. When the essence and blood are exhausted, they are unable to control the evil heat, forming a vicious cycle, and eventually leading to the separation of Yin and Yang and death."

Chen Yang said slowly.

Those who know the business are all thinking subconsciously.

"So, what is the key to breaking the deadlock?"

Chen Yang's eyes swept over everyone, and without waiting for anyone to answer, Chen Yang continued: "The key is to break this vicious cycle! Before the Yin essence is completely exhausted and the Yang energy is completely dissipated..."

"On the one hand, we must spare no expense to replenish the dying Yin and protect the waning Yang, so as to preserve the last bit of foundation for life; on the other hand, we must directly suppress the spreading evil heat, remove the heat poison that has penetrated into the blood and obscured the heart, and relieve its strangulation of the righteous energy! This is the combination of 'strengthening the righteous and eliminating the evil', and it must be a heavy and powerful dose, so as to find a life among nine deaths!"

"Strongly replenish the true yin? Directly suppress the evil heat? Strengthen the body and eliminate the evil at the same time?"

Zhao Hailin's face was filled with disbelief: "How...how can I use this medicine? Yin-tonifying medicines are mostly greasy. At this moment, the patient's stomach qi is weak and he is vomiting non-stop. How can he accept it? Heat-clearing medicines are mostly cold. Wouldn't they damage the remaining yang even more? This...this is completely contradictory!"

"It seems contradictory, but in fact it is unified under the word 'help'!"

Chen Yang ignored the others and continued, "Extraordinary diseases require extraordinary treatments. At this critical moment, sticking to the usual methods is tantamount to watching the patient die!"

Chen Yang was naturally confident that he could agree to let the patient appear on the show. Last night, Chen Yang took a look at the patient from a distance and also used the deduction card that he had never used before. Chen Yang knew the patient's condition very well.

As he spoke, Chen Yang picked up his pen and wrote down the prescription on the prescription pad. The prescription was clearly displayed on the big screen:

1. 西洋参30克（另炖，兑入） 麦冬60克 五味子15克（打碎） 山萸肉60克（去核） 生龙骨30克（先煎） 生牡蛎30克（先煎）

2. 生石膏120克（先煎） 知母30克 水牛角丝30克（先煎） 生地黄60克 赤芍15克 丹皮15克 黄连9克

3. 1 Angong Niuhuang Pill (crushed, dissolved with medicinal juice, nasogastric feeding or multiple small doses)

As soon as the prescription came out, the whole audience was in an uproar again!

(This kind of plot is not divided into chapters, 4,000 words, two in one.)