Urban Super Medical Saint-Chapter 536 - 535: Is This Guy Really an Intern?
"Okay, thank you, doctor." The patient, seeing He Ruiduan's amiable attitude and clear explanations, happily thanked him and left.
Few people seek out traditional Chinese medicine in the first place, and since He Ruiduan was only running a general clinic and it was the afternoon, there were temporarily no patients after that one left.
He Ruiduan took the opportunity to pick up the prescriptions Song Yongnan and Ge Dongxu had just written.
He first looked at Song Yongnan's prescription, since he was his student and naturally he cared more about him.
Seeing He Ruiduan pick up his prescription, Song Yongnan's face turned red, and he lowered his head, somewhat afraid to look at He Ruiduan.
This was because his diagnosis had been that the patient was suffering from central burner constraint-heat, with pathogenic heat affecting the stomach. In layman's terms, it meant the stomach was inflamed. Therefore, he prescribed a formula to clear heat and cool the stomach, whereas He Ruiduan's diagnosis had been weak spleen movement, insufficient stomach yang, and spleen and stomach cold-deficiency—the exact opposite.
"Scutellaria, forsythia, coptis, dandelion..." He Ruiduan glanced at the prescription and frowned slightly, then looked at Song Yongnan and asked, "You prescribed a heat-clearing, stomach-soothing decoction, so you think the patient has constraining heat in the middle burner and pathogenic heat in the stomach?"
"Yes, I saw that the patient had large, dry stools and a dry mouth, a thin white tongue coating, and his pulse..." Song Yongnan replied somewhat hesitantly.
"Why are you stammering? If you don't have confidence in yourself, how can you treat patients?" He Ruiduan eyed Song Yongnan with some dissatisfaction and then picked up Ge Dongxu's prescription. His brows furrowed immediately.
"Aconite, processed ginger, roasted licorice, red ginseng, amomum..." He Ruiduan examined Ge Dongxu's prescription with a frown and thought for a while, then looked up at Ge Dongxu with a serious expression, "Although aconite can aid the fire and help yang, dispel cold and resist dampness, too much of it can cause poisoning. You used 30 grams—a large amount that could easily lead to a medical incident. And you also used a large dose of amomum. Tell me, what was your reasoning with this prescription?"
"It's true that a large amount of aconite can be problematic, but if processed and decocted properly, and prescribed precisely for the symptoms, it won't cause poisoning. That's why I specifically indicated in the prescription how the aconite should be processed and decocted. This needs to be clearly instructed to the pharmacy; the patient must not decoct it at home and even the doctor should oversee it personally," Ge Dongxu replied.
"Hmm, indeed you did specify that in your prescription—continue." Seeing Ge Dongxu's calm and confident response, He Ruiduan's stern expression relaxed slightly.
"As for using a large dose of amomum, as well as including processed ginger and red ginseng, these were all based on the patient's specific symptoms. Just now you also mentioned the patient was suffering from weakened spleen movement, insufficient stomach yang, and cold-deficiency of the spleen and stomach. But why is the patient experiencing weakened spleen movement, insufficient stomach yang, and cold-deficiency of the spleen and stomach? According to my diagnosis, ultimately it is due to the patient's increasing age, chronic overexertion, and a decline in vital energy, leading to kidney essence deficiency and insufficient yang. Earlier, I saw that the patient was short of breath and reluctant to speak, fatigued, and had a weak pulse. I also noticed her hands were very cold, and she mentioned she usually feels cold, which clearly shows severe kidney essence deficiency and yang deficiency. This has led to yang deficiency of the spleen and stomach, and the impairment of ascending and descending functions, causing prolonged discomfort and fullness in the central burner," Ge Dongxu concluded.
"Hmm, that makes sense! This is indeed how to treat a patient, but I think your prescription is still too strong, and you're a bit too bold," He Ruiduan said, his serious expression gradually turning to one of admiration, while Song Yongnan seemed almost baffled by it all.
He hadn't expected this young-looking fellow, who spoke with such an old-fashioned earnestness, to sound just like an old-time doctor.
"I don't think so. For minor issues, certainly, the principle of moderation and gentleness should not be rushed, but for chronic, ingrained diseases, one still needs to be bold yet meticulous, otherwise these diseases can't be treated effectively," Ge Dongxu firmly retorted.
Song Yongnan saw Ge Dongxu openly contradicting Director He, and he couldn't help but widen his eyes.
He Ruiduan was obviously somewhat surprised as well, but he didn't get angry. Instead, he looked at Ge Dongxu and said, "So according to you, the prescription I made is problematic, not as good as yours?"
"That's right." Seeing that He Ruiduan was not angry, Ge Dongxu didn't bother to be diplomatic and wanted to see just how broad-minded he could be.
Song Yongnan heard Ge Dongxu say that Director He's prescription was inferior to his, and he was utterly astonished.
"Fine, speak. Whether you are right or wrong, I won't take it to heart. Compared to those who stutter and have no confidence at all, I prefer my students to be bold and frank, provided, of course, they are as careful and bold as you say, not recklessly bold without any foundation—that would be asking for trouble," said He Ruiduan when he heard Ge Dongxu say this. Although his face initially showed anger, he quickly suppressed the anger in his heart and looked at Ge Dongxu earnestly.
"Ice does not form because of a one-day cold. If the patient had come to Director He at the onset of the illness, the 'Qi-boosting and stomach-warming prescription' would have been very appropriate. But the problem is that this patient has been suffering from the disease for many years now, has seen many doctors, and has taken many medications. Using the same prescription now is unlikely to be effective. That's why I started by warming and supplementing the kidney yang to aid the gate of vitality fire. With sufficient gate of vitality fire, the kidney qi will thrive, aiding the yang of the spleen and stomach. Moreover, by emphasizing the use of Amomum villosum, it can regulate the qi mechanism of the middle energizer and also accumulate qi to return to the kidney, achieving two objectives in one move. With the yang restored and the gate of vitality fire thriving, the gate of life gains vitality, why worry about the swollen stomach not healing?" Ge Dongxu discussed with confidence, his voice not loud but resonant.
As Ge Dongxu's words ended, Song Yongnan was completely dumbfounded.
Is this guy really just an intern?
Meanwhile, He Ruiduan furrowed his brows and fell into deep thought.
While He Ruiduan was deep in thought, a patient knocked on the door and entered. He Ruiduan stopped pondering and glanced at Ge Dongxu, whispering, "Although what you said makes sense, I still think the medication is a bit too strong. We'll discuss this matter later."
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This time, He Ruiduan's tone wasn't that of a teacher instructing a student but had shades of an equal conversation. This scene once again left Song Yongnan stunned for a long time before he regained his senses, looking at Ge Dongxu with involuntary admiration and envy.
The patient this time was a middle-aged woman, simply suffering from a common cold. He Ruiduan prescribed a prescription for her and also let Song Yongnan and Ge Dongxu do the same.
Song Yongnan, after all, was a master's graduate and this time didn't make any mistakes.
Seeing that both did not misdiagnose, He Ruiduan picked up the prescription Ge Dongxu had just debated and began to consider it anew.
While he was considering it, the patient with the stomach ailment returned to the clinic, holding a large bag of medications in his hand.
