Chapter 452 Discussing Cases
7pm.
Liu Ping took Zong Zide into the small classroom of Xinglin Star Class.
All the doctoral students participating in the study group sat quietly in the classroom.
"stand up."
Following Gong Huanquan's shout, all the doctors stood up, bowed respectfully to Liu Ping, and shouted loudly: "Hello, teacher."
"Everyone, please sit down."
Liu Ping smiled and signaled, "Don't worry about the red tape. We are all about the same age. Just feel free."
Gong Huanquan walked up to Liu Ping with four cases and said, "Professor Liu, these are the real cases we have been exposed to this week. We are not sure. Take a look."
Liu Ping took the case, looked at it carefully, and said, "Who can tell me your thoughts first?"
"I'd better come first."
Gong Huanquan took out one of the four medical records and said, "I diagnosed this patient as acute nephritis. The patient also has severe stomach problems and spleen deficiency. I am very confused about how to take medicine."
"You are right."
Liu Ping picked up the chalk and wrote a diagram of the relationship between the five elements and the five internal organs on the blackboard.
Lung metal generates kidney water, while spleen earth restrains true water.#@$&
The purpose of rational use of medication is not only to cure kidney disease, but also to balance yin and yang in the body and minimize damage to other organs.
Liu Ping asked: "Huan Quan, did you make the treatment plan in the case?"
"yes."
Gong Huanquan nodded, "My treatment plan is acupuncture plus prescription. Acupuncture is used to treat the patient's nephritis and stomach problems, and the prescription is used to warm and nourish the patient's kidneys and spleen, and to properly regulate the stomach.
My idea is to wait until the patient’s kidney and spleen functions are fully restored before fully treating the patient’s gastric disease.”%&(&
Very good. Gong Huanquan is still a student who has not graduated. Although he has a good foundation, he still lacks experience.
Liu Ping nodded secretly. Given time, Gong Huanquan will definitely become an excellent doctor of traditional Chinese medicine. He looked at Gong Huanquan and asked, "Are you afraid that the drugs used to treat the kidneys will damage other organs, so you chose conservative treatment?"
"Yes, although the effect is slower, the side effects are smaller." Gong Huanquan answered seriously.
Liu Ping smiled and nodded, "So the question you asked is, don't know how to use medicine?"
Gong Huanquan nodded seriously again.
Liu Ping stood up, walked to the blackboard, wrote down the names of more than 30 medicinal materials, marked the dosage of each medicinal material, and said: "This is the prescription I prescribe to the patient. Everyone, take a look and comment on the prescription."
view."
Gong Huanquan stared at the prescription with good eyes, his eyes getting brighter and brighter.
"I see."
"I understand too."
…
Cheers came from the classroom.
"Gong Huanquan, tell me what you know?" Liu Ping asked with a smile on his face.
"Balance between offense and defense. Neutralize the toxicity of the drug and reduce the side effects of the drug as much as possible. It seems that the effect of the drug is relatively mild, but in fact it is not. The effect of the violent drug has not been reduced at all; the strong effect of the mild drug has been neutralized by other drugs.
And." Gong Huanquan expressed his views on the prescription.
"Well said."
Liu Ping looked at Gong Huanquan with admiration in his eyes, "As expected of a doctor, he can tell the truth in just one point."
Gong Huanquan scratched his head in embarrassment, with embarrassment on his face, "Professor Liu, why didn't I think of this during the consultation?"
"For two reasons."
Liu Ping raised two fingers, "First, it's because you are inexperienced and not confident enough; second, your pharmacological knowledge is not solid enough, and you don't understand the mutually reinforcing and mutually reinforcing properties of drugs thoroughly enough."
"That makes sense."
Gong Huanquan nodded in agreement, "When I was prescribing, I was really hesitant. I felt that there were several drugs that could have a therapeutic effect, but I was hesitant and lacked confidence in how to reduce the side effects of the drugs."
"You also need to strengthen your pharmacological studies. You cannot blindly believe in the medication standards of ancient prescriptions, but dare to ask why? Only in this way can you truly understand the efficacy and pharmacology of each drug, and the prescriptions you prescribe in the future will gradually approach perfection.
.”
Liu Ping's expression was serious, and although his tone was calm, there was no doubt about it.
Bang bang...
There was warm applause in the classroom.
All the doctors opened their eyes wide, full of admiration and admiration.
"Teacher, have you ever encountered such a situation while studying Chinese medicine?" asked a female doctor.
"Of course, learning is a step-by-step process, and I am no exception. When encountering cases that I have never been exposed to, I need to peel off the cocoons and examine them carefully to make a final diagnosis."
Xie Mingkang and Lu Jianhua walked in quietly, nodded to Liu Ping, and sat in the back row of the classroom.
"To learn pharmacology well, you must understand the behavior and growth environment of each drug."
After pausing for a few seconds, Liu Ping continued: "Nature itself is a balanced whole. Wherever poisonous substances are present, there will be species that can remove toxins.
Let me give you an example. In the African savannah, many venomous snakes are extremely venomous. One drop of venom can kill several adult men.
It does not mean that venomous snakes are invincible. They also have natural enemies. In nature, there are not only animals that are not afraid of snake venom, but also plants that can remove snake venom. Otherwise, venomous snakes will become the overlord of nature and the balance of nature will be broken.
This is the magic of nature, and it is also the basic principle of the relationship between nature and nature. Only by observing this relationship can nature maintain balance.
Before using a drug, you must understand its characteristics, efficacy and side effects.
What needs to be done is to take advantage of the mutually reinforcing relationship between drugs to reduce the side effects of the drugs as much as possible while improving the efficacy of the drugs.
The process of diagnosis is to analyze the cause of the disease. The purpose of acupuncture and prescription is nothing more than to relieve the pain. The three cannot be isolated and complement each other.
In a sense, whether it is acupuncture or taking traditional Chinese medicine, they are only auxiliary treatments. What really works is the body's immunity and self-healing ability.
Acupuncture and prescriptions both adjust the yin and yang and the five elements inside the human body. If the yin and yang and the five elements are balanced, a person will be naturally healthy. If the yin and yang and the five elements are out of balance, the person will develop symptoms, which is the same as the mutual restraint of the natural world."
"Thank you Professor Liu."
Gong Huanquan stood up and bowed to Liu Ping again.
"Sit down."
Liu Ping's face straightened, and his encouraging eyes swept over each student's face, "What you have to do now is to contact as many patients as possible, understand the symptoms of the disease, and decipher the principles of ancient prescriptions.
If you can do the above, you will definitely become a famous doctor."
Xie Mingkang and Lu Jianhua looked at each other and nodded.
"Liu Ping is amazing. If he can use this method to explain cases every time, the medical skills of these doctoral students will definitely improve rapidly." Lu Jianhua said.
Why……
Xie Mingkang sighed with regret, "We have all taught doctoral students, but I have never explained medical science and pharmacology from the shallower to the deeper like Liu Ping. I focused on how to cure patients and ignored the knowledge base.
The students are tired of learning, and I am tired of teaching. The gains outweigh the losses, so no wonder I can’t cultivate elites.”
"Liu Ping is much better than us. What we see are sick people, while Liu Ping sees people with an imbalance of yin and yang and the five elements. Different views lead to different treatment methods." Lu Jianhua expressed his opinion.
Chapter completed!