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

Meanwhile, in a private tea room in Kyoto, Official Zhang, General Manager Wang, Professor Li, and others gathered again.

"Old Xiao really made a name for himself today!"

Mr. Wang sipped his tea with a smug look on his face: "That spirit, that courage, I think Chen Yang turned green in the monitoring room!"

Official Zhang chuckled: "Old Xiao's skill and prestige are certainly not undeserved. Even if Chen Yang is dissatisfied, he has to be polite on the surface. Tomorrow's comprehensive evaluation and ranking are the key."

Professor Li pushed up his glasses and said cautiously, "Old Xiao's performance was impeccable, and he should rightfully be the champion. However... there might be some controversy regarding Zhuang Qiwen's and Yu Shiyun's scores, especially Yu Shiyun's, as Professor Qiu is quite dismissive of her fumigation plan."

Official Zhang pondered for a moment and said, "We cannot directly interfere with the scores, after all, Professor Qiu is not the only judge."

But public opinion can be guided... Everyone needs to know what is orthodox and what is the right way. Old Xiao's championship must be well-deserved, and won beautifully and without controversy! Only in this way can Chen Yang's 'unorthodox' trend be completely suppressed.

"This will also make it easier for Elder Xiao to have his final match with Chen Yang," everyone said with a smile.

In their eyes, the competition itself wasn't important; what mattered was the final showdown between Xiao Jingyun and Chen Yang.

In the end, Xiao Jingyun will inevitably face off against Chen Yang. No matter how old or how prestigious Xiao Jingyun is, he is still a participant this time.

The competition is for the whole country. This competition is called the "Yangshen Cup". Chen Yang must have the level and confidence to be the number one. Otherwise, wouldn't he become a joke?

......

Inside Chen Yang's office at the Kyoto International Medical Center, the lights were on.

Gao Anliang, Xun Jiahong, Lin Yi and others were present, as were Li Haofei, Liu Xi and Wu Mengmeng.

"Master, Elder Xiao's move today... was truly impressive."

Xun Jiahong sighed: "Public opinion is almost unanimously optimistic about him. Although Dr. Zhuang and Dr. Yu also performed well, their limelight was completely overshadowed."

Lin Yi added, "Moreover, I heard that Professor Qiu and Professor Feng were very dissatisfied with the doctor's plan and made it clear during the internal discussion among the judges that they would score it strictly. As for Dr. Zhuang, although there were no major flaws, he was also considered to be 'slightly inferior in vision' and unable to compete with Professor Xiao."

Gao Anliang looked at Chen Yang: "Director Chen, what are your plans for tomorrow's comprehensive evaluation...?"

Chen Yang sat behind his desk, his face showing no sign of anxiety. After listening to everyone's words, he suddenly smiled and said, "What, do you all think that Old Xiao is bound to win?"

Everyone was taken aback. Wasn't that right?

Xiao Jingyun's performance today was nothing short of perfect. Whether it was his composure during theoretical analysis or his magnanimity during clinical practice, he demonstrated a master's demeanor far surpassing that of the other contestants.

Chen Yang picked up his teacup and took a sip before slowly saying, "Old Xiao's medical skills are naturally extremely high, and his treatment plan today is indeed one of the correct methods for treating this type of heart failure edema."

"but,"

Chen Yang paused, his gaze sweeping over everyone: "Have you all considered whether this is the only path that patient can take?"

Everyone was startled.

Chen Yang continued, "Old Xiao's plan focuses on warming the Yang and promoting diuresis, using strong medicine to attack the pathogens, which is correct. However, the patient's vital energy is extremely weak, like a lamp oil about to burn out. Such a strong medicine may be able to turn the tide, but it may also become the last straw that breaks the camel's back."

"Traditional Chinese medicine emphasizes 'strengthening the body's resistance and eliminating pathogenic factors' in treating diseases. In some extreme cases, 'strengthening the body's resistance' is even more crucial than 'eliminating pathogenic factors'."

“Master, what do you mean…” Xun Jiahong seemed to have grasped something.

"I carefully studied all of that patient's records."

As Chen Yang spoke, he pulled up the files on the computer: "Although the patient appears to have a deficiency of Yang and water retention, a closer look at the photo of his tongue reveals that although the tongue is dark purple, there are faint traces of peeling. The pulse is deep, weak, and rapid, but also shows signs of being thin and rapid. This indicates that the Yin fluid has also been depleted, resulting in a deficiency of both Yin and Yang, and there are signs of floating Yang."

Chen Yang pointed to the data on the screen: "Looking at his long-term medication history and recent biochemical indicators, his liver and kidney functions have been damaged. If Xiao Lao's prescription had been used three to five years ago, it might have had an immediate effect, but given the patient's current physical condition, I am worried that he cannot withstand such a strong dose of medicine."

Upon hearing this, Gao Anliang and the others quickly stepped forward to take a closer look and indeed discovered some details that had been previously overlooked.

If Chen Yang hadn't reminded them, they would have been completely captivated by Xiao Jingyun's powerful aura and perfect theoretical explanation, failing to delve into the patient's tolerance issues.

"Then... Director Chen, if it were you, how would you treat it?" Lin Yi couldn't help but ask.

Chen Yang pondered for a moment and said, "I will use 'ginseng, aconite, dragon bone and oyster shell' as the foundation to consolidate the body's vital energy and rescue the patient from collapse. I will also use qi-tonifying and yin-nourishing herbs such as Shengmai San, supplemented with mild diuretic and blood-activating herbs such as Poria, Polyporus, Lycopus lucidus and Leonurus japonicus. I will first stabilize the patient's vital energy and wait for his vital energy to recover slightly before proceeding with a gradual attack."

"This method may not be as effective as Mr. Xiao's prescription, but it is more reliable and more suitable for the patient's current state of 'being exhausted'."

After listening, everyone fell into deep thought. Chen Yang's approach was completely different from Xiao Jingyun's. One emphasized a fierce attack, while the other focused on consolidating the foundation, representing two different treatment philosophies.

"Although serious illnesses require strong medicine, in fact, Professor Xiao's prescription is a bit conservative."

Chen Yang didn't hold back in front of his own people and said directly, "In fact, people from a prestigious family like Elder Xiao tend to be more conservative in their use of medicine, and they are indeed no match for some unorthodox methods."

"Putting 60 grams of aconite on Dr. Xiao is already reckless. If you have seen Dr. Xiao's medical records, you will know his medical style."

Gao Anliang nodded: "Director Chen is right. Old Xiao is indeed a very meticulous person, and he belongs to the typhoid school. This time, the use of medicine was indeed rather reckless."

"This is because Elder Xiao is too competitive. He wants immediate results and wants to intimidate everyone, but he has overlooked some issues," Chen Yang said slowly.

In terms of dosage, Xiao Jingyun's use of the medicine this time was not particularly daring; Chen Yang had prescribed even larger doses than Xiao Jingyun.

However, given Xiao Jingyun's personality, this prescription was actually a bit too large. This prescription also reveals some issues: Xiao Jingyun's intentions were not pure.

Chen Yang said at the opening of the final that doctors should not show off their skills, but Xiao Jingyun had the idea of ​​showing off his skills, which is one of the reasons why Xiao Jingyun made a mistake.

Even great doctors make mistakes.

"That......"

Xun Jiahong said, "Then what about the patient?"

Xiao Jingyun's patient this time is a real patient.

"Given Elder Xiao's prestige, and given the special nature of this competition, I can't be too explicit, otherwise others will think I'm targeting Elder Xiao."

Chen Yang said slowly, "Fortunately, Elder Xiao is cautious by nature. He only used 60 grams of aconite, which is still within a controllable range. If any problems arise, it can be adjusted in time. If it were 150 grams, I would stop it no matter what."