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

Xiao Jingyun's treatment plan drew nods of approval from the judges watching the monitoring room.

Xiao Jingyun truly lives up to his reputation as a renowned physician; his treatment plan is indeed remarkable.

The treatment was drastic, with strong and potent medications, especially the use of 60 grams of processed aconite, which was incredibly audacious!

This is a dosage that ordinary doctors would not dare to think of or use. Even experienced traditional Chinese medicine doctors would mostly be hesitant when faced with such a critically ill patient, prioritizing stability.

However, Xiao Jingyun not only used it, but also explained the principles, methods, prescriptions and medicines clearly and thoroughly, leaving no room for criticism on the theoretical basis.

This is the profound knowledge and courage of top-notch traditional Chinese medicine practitioners—they demonstrate their true abilities in times of crisis and find a way out of certain death!

"Okay! Okay!"

Qiu Yimin couldn't help but clap his hands and sigh softly, his face full of admiration and respect: "Old Xiao is truly a master! His diagnosis is like an experienced official judging a case, and his prescription is like a good general commanding troops, hitting the nail on the head without any hesitation! If this prescription is used, it may be able to turn the tide!"

Feng Huanzhang nodded deeply: "With yang deficiency and water excess, only such swift and decisive measures can break the deadlock. Elder Xiao's understanding and application of classical formulas has reached a state of perfection. In comparison, the so-called 'skill' of some previous contestants seems too narrow-minded."

His words were clearly directed at Zhuang Qiwen and Yu Shiyun.

According to experts like Feng Huanzhang who uphold "orthodoxy," Xiao Jingyun's upright and forceful approach, which is the true spirit of traditional Chinese medicine, is what it should be.

The other judges in the monitoring room also showed admiration and whispered among themselves, with the atmosphere clearly favoring Xiao Jingyun.

Even Sun Zhiren, who had some reservations about Xiao Jingyun's previous behavior, had to admit that the skill demonstrated by this treatment plan far surpassed that of his peers.

Mo Xinzhi looked at Chen Yang, wanting to see how the chief judge would evaluate him.

Chen Yang remained calm, his gaze fixed intently on the prescription written by Xiao Jingyun on the screen, revealing no emotion whatsoever.

After a long pause, Chen Yang slowly spoke, his voice steady: "Old Xiao's plan is rigorous in its principles and methods, and demonstrates extraordinary courage. He has a precise grasp of the pathogenesis of Yang deficiency with water retention, water retention affecting the heart and lungs, and blood stasis. The combination of Zhenwu Decoction with Tingli Dazao Xiefei Decoction and Xuefu Zhuyu Decoction is a clear and well-thought-out approach. It is indeed one of the classic approaches to treating this type of critical illness."

Chen Yang first gave full affirmation, but then changed the subject slightly: "However, the patient is old and frail, with extremely poor cardiopulmonary function and his vital energy is extremely depleted. Although such a strong medicine is intended to reverse the adverse condition, whether he can tolerate it still needs to be carefully assessed. The dosage of aconite and the method of decoction in the prescription must be strictly followed, and the patient's reaction after taking the medicine must be closely observed, and we must be prepared to deal with any changes in the condition at any time."

Chen Yang's evaluation was objective and calm, affirming Xiao Jingyun's medical skills while also pointing out potential risks, demonstrating the prudence and comprehensiveness expected of a chief judge.

Upon hearing this, Qiu Yimin frowned almost imperceptibly, feeling that Chen Yang's words were somewhat nitpicking and seemed to be an attempt to put Xiao Jingyun in a better position. In his view, since Xiao Jingyun dared to use him, he must have his own confidence and follow-up measures.

"Furthermore, as judges, we must treat every contestant fairly."

Chen Yang continued, "Aconite is also a potent medicine and is poisonous. Elder Xiao used 60 grams of aconite, which is already beyond the limit, yet everyone praised him. Yu Shiyun only used some fumigation and washing medicine, and everyone felt that it was too reckless. How can this convince the public?"

Everyone was stunned.

They were so focused on praising Xiao Jingyun that they forgot about this.

To be honest, Chen Yang was right. According to the Pharmacopoeia, Xiao Jingyun's prescription exceeded the limit. 60 grams of aconite would have drawn criticism from others. It was only because of Xiao Jingyun that everyone praised and flattered him.

Compared to Xiao Jingyun's situation, Yu Shiyun's matter is nothing.

Mo Xinzhi smiled slightly. Chen Yang's words were very timely. With these words, at least some people could be silenced regarding Shi Yun.

Xiao Jingyun was inside the examination room, so naturally he couldn't hear the discussion in the monitoring room.

After writing the prescription, he meticulously explained the precautions for decocting the medicine to the family members, especially the need to decoct the aconite first, decoct it for a long time until there is no numbing taste, the possible reactions, and the key points of care. His tone was calm and his explanations were clear, giving people a strong sense of trust.

The family members' initial anxiety eased slightly because of his resolute attitude, and they repeatedly expressed their gratitude.

After the assessment in the first assessment room concluded, Xiao Jingyun calmly left.

Although the results have not yet been officially announced, almost everyone who witnessed Xiao Jingyun's performance already believed that Xiao Jingyun was the top performer in this round of clinical practice.

Pressure, like an invisible mountain, instantly pressed down on the other contestants who had not yet completed the assessment, especially those who were considered "dark horses" or "outliers".

Zhuang Qiwen has completed his diagnosis and treatment in the third assessment room. His performance was also remarkable, with accurate diagnosis, skillful use of medicine, and a plan that was both sound and ingenious.

The clinical skills assessment was completed in the evening.

The contestants returned to their hotel to rest and await the final stage the following day—the comprehensive evaluation and the announcement of the rankings. However, the tense atmosphere did not dissipate; instead, it grew even more pronounced as the results approached.

Online discussions about the finals have already reached a fever pitch. Well-informed insiders have already revealed Xiao Jingyun's shocking prescription and the controversies surrounding Zhuang Qiwen and Yu Shiyun, sparking even wider debate.

"My God! 60 grams of aconite! Old Xiao is defying the heavens!"

"This is a true master of traditional Chinese medicine! Unlike some doctors nowadays, who are timid and hesitant, treating even prescribing medicine like feeding a cat!"

"That Yu Shiyun is quite daring, isn't she? She's willing to use both Sichuan aconite and dried aconite, and even does it externally. Isn't she afraid of getting into trouble?"

"The person upstairs doesn't know what they're talking about. External application and internal use are two different things. As long as it's prepared properly and used correctly, it's very effective and relatively safe."

"I think Director Chen Yang is right. We can't just seek stability all the time. We have to use strong medicine when necessary. The key is to make an accurate diagnosis!"

"Exactly, you applauded when Elder Xiao used 60 grams of aconite, but you criticized Yu Shiyun for just using a fumigation and washing prescription. Is it all about judging people based on who they are?"

In the hotel room, Zhuang Qiwen lay on the bed with his eyes closed, adjusting his breathing. He recalled the assessment during the day. He believed that his performance had not had any major flaws, but Xiao Jingyun's existence was indeed like an insurmountable peak.

However, Zhuang Qiwen was not discouraged. Being able to share the stage with Xiao Jingyun was already a remarkable achievement for Zhuang Qiwen. This competition only strengthened Zhuang Qiwen's belief that the path of medicine is endless and there is still much for him to learn.

Yu Shiyun sat at her desk, repeatedly looking at the proposal she had written, feeling uneasy.

The final attitude of Qiu Yimin and several other judges made her hesitant to have high hopes for her score.

She even felt a little regretful, wondering if she had been too impulsive. If she had only prescribed the internal medicine formula, perhaps the score could have been even higher... But soon, she shook her head and dismissed the thought.

If she had to do it all over again, she would probably make the same choice; doctors need to live with their conscience.