novel for you Chapter 933 Wonderful Class
Chapter 933 Wonderful Class
Yuan Zhengmin was full of confusion, but he didn't dare to ask any more questions. He could only suppress his curiosity for the time being and quickened his pace to lead Jiang Yan, Borg and others to the classroom where Chen Yang was teaching.
At this moment, the classroom was already full, and even the corridor was filled with eagerly waiting students, some holding notebooks, some holding recorders, and everyone seemed very excited.
"so many people?"
Borg looked surprised.
Before coming, Borg had heard from Jiang Yan that Chen Yang is now a doctor of medicine at Kyoto University of Chinese Medicine and teaches at Kyoto University of Chinese Medicine, and is considered a teacher at Kyoto University of Chinese Medicine.
But at this time, the classroom with more than 500 people was already overcrowded, which made Borg unbelievable.
"Dr. Borg, Dr. Chen Yang is now a very famous doctor. He can be said to be the most famous professor of traditional Chinese medicine in the country and an idol of many students." Jiang Yan said to Borg with a smile.
"Mr. Jiang is right."
Yuan Zhengmin smiled and said, "Xiao Chen is quite famous now. Few people can match his influence in the school."
Now in some universities, especially in the field of traditional Chinese medicine, apart from a few senior predecessors like Wen Xiuping, there are indeed few people who can compare with Chen Yang.
As he spoke, Yuan Zhengmin led Borg, Jiang Yan and others into the classroom. Yuan Zhengmin had already reserved seats for Borg and others.
The bell rang and Chen Yang walked into the classroom with steady steps.
He was wearing a simple Mao suit, had a slender and upright figure, and exuded a confident and friendly aura.
Seeing Borg and Jiang Yan in the audience, Chen Yang was slightly stunned, then he showed a gentle smile and nodded to his classmates.
"Students, today we will continue to explore in depth the "Essence of Clinical Thinking in Traditional Chinese Medicine Classics."
Chen Yang's voice was clear and powerful, instantly quieting the originally noisy classroom.
"In the last class, we talked about the importance of understanding 'Qi Movement' from 'needle sensation'. Today, we will further analyze the subtleties of TCM clinical thinking from a completely new perspective - the classic passages in 'Treatise on Febrile Diseases'."
Chen Yang turned around and wrote down a passage from Treatise on Febrile Diseases on the whiteboard: "For patients with solar disease, headache, fever, body pain, back pain, joint pain, aversion to wind, no sweat and wheezing, Mahuang Decoction is the main treatment."
"Look, just over 20 words contain rich clinical information."
Chen Yang pointed at the words on the whiteboard and looked around the room. "'Tai Yang disease', this is the location of the disease, which means the disease is on the surface of the body, and the positive and negative energy are fighting on the surface of the body. 'Headache, fever, body pain, back pain, joint pain', this series of symptoms, everyone think about it, why do these pains occur?"
After Chen Yang raised the question, he did not rush to answer it, but gave the students time to think.
The students in the audience were whispering to each other and discussing in low voices.
Mo Haobo, who was sitting in the front row, hesitated for a moment and raised his hand to answer, "Teacher Chen, I think it's because the cold evil invades the skin surface, and the coldness contracts, causing the meridians to stagnate, and the pain is caused by the blockage of qi and blood."
"Very good, Mr. Mo Haobo's answer is very accurate."
Chen Yang nodded: "When the cold evil binds the surface, the flow of Qi and blood is blocked, just like a river is blocked and the water cannot flow, which naturally causes pain. How should we understand 'evil wind'?"
At this time, a girl with a ponytail sitting in the back row raised her hand and said, "Teacher Chen, I think the aversion to wind is because the Wei Qi is blocked by the cold evil and cannot play its normal function of defending the body from the outside, so the patient is afraid of the wind."
"Completely correct!"
Chen Yang affirmed: "Look, just from these symptoms, we can analyze the cause, location and pathogenesis of the disease through the theory of traditional Chinese medicine. This is the uniqueness of traditional Chinese medicine thinking, starting from the phenomenon and exploring the inner essence. Then, how do you explain 'wheezing without sweating'?"
There was a brief silence in the classroom as the students racked their brains.
After a while, a boy wearing glasses raised his hand and stood up and said, "Teacher Chen, I guess the lack of sweat is because the cold evil binds the surface, the pores are blocked, and the sweat cannot be discharged; and the wheezing is because the lung governs the skin and fur, and the skin and fur are affected by the evil, which affects the lung's function of dispersing and releasing, and the lung qi goes up, so there is wheezing?"
“Excellent!”
Chen Yang's eyes were full of admiration. "This student not only understood the literal meaning of the article, but also analyzed the relationship between the various symptoms so thoroughly. This is the key to our study of Chinese medicine classics. We must learn to integrate and apply what we have learned to other situations."
Borg sat in the corner of the classroom, watching all this quietly.
Although he knew nothing about traditional Chinese medicine theory, Chen Yang's explanation was easy to understand and allowed him to feel the wisdom and logic contained therein.
Jiang Yan sat next to Borg, observing his expression from time to time and explaining a few things to Borg from time to time.
"Next, let's take a deeper look at the formula principles of Ma Huang Tang."
Chen Yang picked up a piece of chalk and wrote down the four herbs of Ma Huang Tang on the whiteboard: ephedra, cinnamon twig, almond, and licorice. "Ephedra, pungent and warm, is the main herb in the prescription. What is its main function?"
"To induce sweating and relieve symptoms!" the students answered in unison.
"That's right. Ephedra is good at opening the pores and releasing the hair, allowing the wind and cold evils on the surface to be eliminated through sweat. What about cinnamon twig?" Chen Yang continued to guide.
"It helps ephedra induce sweating and relieve exterior symptoms, and it can also warm and unblock the meridians!" a student answered quickly.
"Very good. What role do the almonds play in this recipe?"
"It can lower the lung qi and when used with ephedra, one can promote the lowering of qi and the other can lower the qi, thus enhancing the effect of relieving asthma."
"Very true. And finally, what about the liquorice?"
"Harmonize the medicines."
Chen Yang smiled with satisfaction: "Everyone has a solid grasp of the efficacy of the medicine."
"However, it is not enough to just know the efficacy of the drugs. We also need to understand why these four drugs are used and how they work synergistically with each other."
Chen Yang said slowly: "Ephedra can induce sweating and relieve exterior symptoms, but if used alone, the sweating power of ephedra is too strong and it is easy to damage the vital energy, so it is combined with cinnamon twigs, which can not only help ephedra to induce sweating, but also warm and dredge the meridians to prevent ephedra from sweating too much. Apricot kernel can lower and benefit the lung qi, and it can regulate the rise and fall of lung qi with ephedra to relieve asthma and cough. Licorice harmonizes all the medicines to make the whole prescription more peaceful. It's like a team, each member has his or her own clear responsibilities, and only by cooperating with each other can the greatest effectiveness be exerted."
Borg listened to the explanation translated by Jiang Yan and couldn't help but sigh in his heart that Chinese medicine prescriptions may seem simple, with just a few herbs combined together, but they contain such a subtle principle of compatibility, which is completely different from the idea of using medicines in Western medicine.
Western medicine emphasizes precise treatment and uses drugs to target a certain target; while Chinese medicine pays more attention to the overall situation and achieves the purpose of treating diseases by adjusting the body's yin and yang balance and the circulation of qi and blood.
Because of his personal experience, Borg did not have any prejudice this time. Instead, he had an attitude of understanding and learning, so his feelings were naturally different.
"Now, we combine it with a clinical case to deepen our understanding."
Chen Yang said, "A few days ago, I saw a patient who had severe aversion to cold, mild fever, no sweating, headache and body pain, cough and wheezing, thin white tongue coating, and a floating and tight pulse. Please judge, what prescription should be used to treat this patient?"
The students lowered their heads to think, and after a moment, many raised their hands to answer: "Ma Huang Tang!"
"very good."
Chen Yang nodded and said, "From the patient's symptoms, it completely fits the Mahuang Decoction syndrome we just analyzed. However, in clinical practice, diseases are often complex and changeable, and rarely present symptoms as typical as described in the article. For example, if this patient also has a sore throat, how should we adjust the prescription?"
A lively discussion broke out in the classroom again.
Mo Haobo thought for a moment and said, "Teacher Chen, sore throat may be a symptom of heat. Can we add some heat-clearing and throat-relief drugs, such as Platycodon grandiflorum and Burdock seeds, to Mahuang Decoction?"
"Makes sense."
Chen Yang nodded and said, "However, everyone should pay attention that when adding heat-clearing drugs, the main effect of Mahuang Decoction in warming and relieving the symptoms should not be affected. Therefore, we should be extra cautious in the dosage and drug selection. Do you have any other ideas?"
At this time, a girl stood up and said, "Teacher Chen, I think we can use Yinqiao Powder and Mahuang Decoction together. Yinqiao Powder has the effects of clearing away heat and detoxifying, and relieving exterior symptoms with a pungent and cool taste. When combined with Mahuang Decoction, it can both relieve exterior symptoms and dissipate cold, and clear away heat and relieve sore throat."
Chen Yang looked at her with a smile: "This student has a very open mind. Prescription combination is a commonly used method in clinical practice. Different prescriptions can be flexibly selected and combined according to the specific conditions of the patient. However, prescription combination is not a simple drug stacking. It also needs to follow the principle of syndrome differentiation and treatment in traditional Chinese medicine, analyze the patient's pathogenesis clearly, and reasonably match the drugs."
Borg listened attentively. He found that Chen Yang's class was full of interaction and inspiration. Students actively thought and expressed their opinions, and Chen Yang was like an experienced helmsman, guiding everyone to sail in the ocean of Chinese medicine knowledge.
Borg didn't expect that Chen Yang, at such a young age, not only had profound attainments in the field of hepatobiliary surgery, but also had a high level of proficiency in traditional Chinese medicine and was such a good lecturer.
"Next, let's look at a special case."
Chen Yang changed the subject, "There is a patient who has aversion to cold and fever, no sweat, headache and body pain, but his pulse is not floating and tight, but floating and slow. How should we diagnose and treat this?"
As soon as this question was asked, the classroom suddenly became quiet and the students all looked confused.
After a while, a female student raised her hand hesitantly and said, "Teacher Chen, the pulse is floating and slow, isn't it a bit similar to the symptoms of Guizhi Decoction? But the patient has no sweat, which is different from the spontaneous sweating of Guizhi Decoction."
"Very good, this student grasped the key point."
Chen Yang encouraged, "The pulse is floating and slow, indicating that there is a deficiency of the exterior, and the absence of sweat does not meet the typical manifestations of Guizhi Decoction syndrome. At this time, we must carefully analyze the patient's other symptoms and make a comprehensive judgment. Think about it, what other factors may cause this situation?"
A boy sitting in the front row had his eyes light up, raised his hand and said, "Teacher Chen, I remember, there is a sentence in Treatise on Febrile Diseases: 'For patients with Taiyang disease, stiff neck and back, no sweat and aversion to wind, Ge Gen Tang is the main treatment.' Could this patient be a case of Ge Gen Tang syndrome?"
Chen Yang showed a pleased smile on his face: "Very correct! This student has a very good grasp of the classics and can apply them flexibly."
"Gegen Decoction is made by adding kudzu root and peony root to Mahuang Decoction. Kudzu root can relieve muscles and release exterior, promote the production of body fluid and relax tendons, and relieve the symptoms of stiff neck and back. Peony root is combined with cinnamon twig to harmonize the Ying and Wei, and can restrain the pungent, warm and dry nature of ephedra and cinnamon twig. Therefore, for patients with both superficial excess and no sweating, and superficial deficiency, Gegen Decoction is a very suitable prescription."
Chen Yang went on to say: "Through this case, everyone should understand that TCM syndrome differentiation and treatment is a dynamic process. We cannot blindly draw conclusions based on just one or two symptoms. We must comprehensively and meticulously collect information on the patient's symptoms, signs, tongue, pulse, etc., and conduct a comprehensive analysis to make an accurate diagnosis and treatment plan."
"You see, sometimes dialectics is not that difficult. We can analyze it in combination with the articles and symptoms."
Chen Yang smiled and said, "It's just like when we do math problems, we master the formulas and basic algorithms, separate the complex problems, and solve them step by step."
Next, Chen Yang gave the students a detailed explanation of some of his experiences in dialectics, and analyzed some medical records and articles...
Before they knew it, the bell rang and the students walked out of the classroom reluctantly.
Borg and Jiang Yan also stood up and walked in front of Chen Yang.
Borg reached out his hand, held Chen Yang's hand tightly and said, "Chen, your class is great. I really benefited a lot today. Chinese medicine is really a magical medicine. I am now full of curiosity about it."
In fact, Borg didn’t understand much of today’s class, but with Jiang Yan’s explanation, Borg had a conceptual understanding of Chinese medicine.
Chen Yang smiled and said, "You're welcome, Doctor Borg."
Jiang Yan said, "Doctor Chen, Dr. Borg came here this time to discuss some medical issues with you. When is convenient for you? Can we arrange a time?"
Chen Yang thought for a moment and said, "Then let's do it in the afternoon. Is Dr. Borg available?"
“Convenient, very convenient!”
Borg quickly said, "Then in the afternoon. I look forward to having an in-depth exchange with Chen."
"Haha, then it's just right for us to have lunch at school and be at school in the afternoon?" Yuan Zhengmin said with a smile.
It was already eleven o'clock in the morning and there was not much time left for lunch. Yuan Zhengmin took Borg, Jiang Yan and Chen Yang to the reception room.
Along the way, Yuan Zhengmin was still thinking about what Jiang Yan had said before, and couldn't help asking Chen Yang: "Xiao Chen, have you ever done hepatobiliary surgery?"
"I did it a few times occasionally." Chen Yang said.
"Occasionally?"
Yuan Zhengmin's heart twitched. Could it be that just doing something occasionally would make Borg, an internationally renowned hepatobiliary surgeon, take it so seriously?
"Dr. Chen is being modest."
Jiang Yan smiled and said, "The last time Doctor Chen and Director Zhong performed a liver transplant, Doctor Chen was able to turn the tide during the operation."
"Liver transplant?"
Yuan Zhengmin was stunned.
Liver transplantation is one of the top surgeries in the liver field. If one can perform liver transplantation, his status in the field of hepatobiliary surgery is similar to that of Wen Xiuping and Chu Yiyun in the medical field.
Chen Yang this......
Yuan Zhengmin felt like he was hallucinating.
Two chapters together