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

Chen Yang slowly stood up, walked to Zhuang Qiwen's side, smiled and nodded to Zhuang Qiwen, and then faced the entire audience.

"I think Dr. Zhuang's diagnosis was very accurate, and he grasped the core pathogenesis of this critical condition - 'the mutual binding of stagnant water and the obstruction of the three jiaos'."

Chen Yang first highly praised Zhuang Qiwen, which made Zhuang Qiwen's tense nerves relax slightly, and a hint of excitement flashed in his eyes.

As for medication...

Chen Yang changed the subject, his tone becoming extremely serious: "The idea is absolutely correct."

Zhuang Qiwen breathed a sigh of relief. Director Chen's serious expression... this turn of events was truly...

"Such a critical situation is like an army trapped in a siege with its supplies running out. If they only know how to hold their ground and wait for reinforcements (simply replenishing their supplies), they will eventually sit and wait for death; if they only know how to blindly break out (simply attacking), they will also die from exhaustion."

Chen Yang slowly said, "Only by sending out elite troops (infected with insect-based medicines to promote blood circulation and remove blood stasis), clearing the supply lines (by clearing the bowels and eliminating turbidity), and attacking from both inside and outside (by combining supportive and pathogenic measures), can we have a glimmer of hope!"

As he spoke, Chen Yang surveyed the doubtful faces below the stage, his voice resounding: "Extraordinary diseases require extraordinary methods and treatments! If we cling to conventional practices and act timidly at this point, we will truly be jeopardizing the patient's chances of survival. Dr. Zhuang's plan is bold yet meticulous. It may seem drastic, but in reality, every single ingredient targets the root cause of the illness. It is a true 'encirclement of the enemy by leaving an opening,' giving the pathogenic factors a way out!"

Chen Yang's explanation was like the sun breaking through the clouds, thoroughly dissecting the deep logic and necessity of Zhuang Qiwen's plan. His strong confidence and profound theoretical foundation instantly stunned the entire audience.

The old expert who advocated restoring Yang and consolidating the body seemed to be deep in thought, and murmured, "Stagnation and fluid accumulation... obstruction of the Triple Burner... a gap must be left when surrounding an enemy... wonderful! How come I didn't think of this!"

He Zhiqun's hesitation gradually turned into decisiveness. He slammed his hand on the table: "Alright! We'll proceed with the plan agreed upon by Director Chen and Dr. Zhuang! Our ICU will fully cooperate and make all necessary preparations for monitoring and resuscitation!"

The plan is finalized and will be implemented immediately.

After the traditional Chinese medicine was decocted, it was slowly injected through a nasogastric tube. Everyone held their breath; the atmosphere in the ICU was extremely tense.

Two hours after taking the medication, the patient began to excrete a large amount of loose, black, and foul-smelling feces, followed by profuse sweating and increased urination.

Surprisingly, the patient's vital signs did not fluctuate drastically; on the contrary, their breathing became slightly more stable, and their oxygen saturation improved slightly!

"It works! It really works!" the ICU nurse reported excitedly.

Although the patient remains critically ill, this is undoubtedly the first ray of light in the darkness!

The news sent shockwaves through the entire Central China Provincial Hospital of Traditional Chinese Medicine!

Zhuang Qiwen's name, along with the prestige of Chen Yang's team, reached its peak at this moment.

Yu Shiyun looked at Zhuang Qiwen with eyes full of admiration and pride.

Xia Hongliang, Li Chengjie, and others were also greatly encouraged and deeply felt the powerful force of accurate diagnosis and the courage to prescribe medication.

Chen Yang felt gratified as he looked at the burning fighting spirit and thirst for knowledge in the trainees' eyes. He knew that after this experience, Zhuang Qiwen would completely overcome his mental barriers and truly establish the confidence to become a renowned doctor.

With their initial victory, Chen Yang's team experienced a subtle change in their situation at the Central Plains Provincial Hospital of Traditional Chinese Medicine.

Throughout the hospital, from doctors to nurses, the gazes directed at them held a newfound respect, even a hint of awe. The young doctors seized every opportunity to learn from Zhuang Qiwen, Yu Shiyun, and others.

Chen Yang then arranged for the trainees to rotate through various departments, participate in ward rounds, outpatient clinics, and give mini-lectures.

Zhuang Qiwen, Yu Shiyun, and others shared their knowledge and insights generously, fostering a positive interactive atmosphere with local doctors in Zhongzhou.

However, beneath this seemingly harmonious surface, Chen Yang could sense an undercurrent surging beneath.

Dean He Zhiqun remained enthusiastic, but behind his smile seemed to lie a hint of barely perceptible anxiety. Vice Dean Liu Zhuoyun, on the other hand, appeared even more silent, occasionally making eye contact with Chen Yang before quickly looking away with a complex expression.

That afternoon, Chen Yang was organizing documents in his temporary office when Vice President Liu Zhuoyun knocked on the door and came in.

"Dean Liu, please have a seat." Chen Yang stood up to greet him.

Liu Zhuoyun appeared somewhat reserved. After sitting down, she hesitated for a moment before speaking, "Director Chen, you and your team have truly broadened our horizons. Dr. Zhuang is so young yet has such expertise; it is truly admirable."

"Dean Liu, you flatter me. Dr. Zhuang and the others still need more experience." Chen Yang smiled modestly and poured Liu Zhuoyun a glass of water.

Liu Zhuoyun took the water glass but didn't drink it. He rubbed the glass with both hands, as if making up his mind.

Finally, after a short pause, Liu Zhuoyun raised his head and lowered his voice: "Director Chen, there's something... I don't know if I should say it."

Chen Yang's heart stirred, but his expression remained unchanged: "Dean Liu, please speak freely. Our purpose in coming here is to better understand the situation and promote exchanges."

Liu Zhuoyun took a deep breath and said, "It's about our hospital...some issues with the use of medications and consumables. There might be...some things that aren't quite right."

Chen Yang's eyes narrowed slightly, signaling him to continue.

"For example, the indications for the use of some expensive traditional Chinese medicines and certain specific Western medical consumables are... rather broad."

Liu Zhuoyun spoke cautiously: "Especially some products distributed by specific pharmaceutical companies have almost become 'standard equipment' in certain departments. As the vice president in charge of medical affairs, I have also raised objections, but... alas, the resistance is great."

Chen Yang listened quietly without interrupting. He knew that Liu Zhuoyun had mustered up a lot of courage to say these things.

"Dean He... also has his difficulties."

Liu Zhuoyun sighed: "The hospital needs to develop, generate revenue, and cope with various inspections and evaluations... Sometimes, compromises are inevitable."

"I understand."

Chen Yang nodded, his tone calm, "Dean Liu, thank you for your trust. Maintaining a pure medical environment is the responsibility of every medical worker. I will take note of the situation you reported."

As he spoke, Chen Yang smiled and said, "But our trip is, after all, an academic exchange. Specific management issues still need to be standardized and resolved by the hospital itself and its superior authorities."

Liu Zhuoyun was a little confused about Chen Yang's meaning, and quickly said, "Yes, yes, I understand. I just... I just hope that the hospital can truly prioritize medical quality, rather than..."

He didn't finish his sentence, but his meaning was already clear.

"Dean Liu, I know that many problems are common in major hospitals, and some of these problems have been around for a long time. It's not something that happened overnight."

Chen Yang said, "I only hope that we can work together to gradually make changes, keep the patients in our hearts, and do things with a clear conscience."

The situation in Hebei Province is unique. It's unrealistic for Chen Yang to simply go to a place and uproot the entire local management team; that's not feasible.

"Director Chen, I understand." Liu Zhuoyun breathed a sigh of relief. The situation in Hebei Province was indeed putting a lot of pressure on Zhongzhou.