This doctor is not short of money
Chapter 934
In the office, Xiao Peifa and several other young people, along with several other middle-aged doctors, fiercely expressed their opinions on a diagram of the meridians of the human body.
Some people think that the problem of this patient, like the previous patients, is that the brain stem hemorrhage invades the language area, causing damage to the brain network. Therefore, the focus of treatment should be the same as before, and the focus should be on promoting the flow of Qi and blood through the brain network.
And some people think that brainstem hemorrhage is indeed the cause of the patient's inability to speak, but the root cause is that anger hurts the liver, leading to liver depression and qi stagnation.
Therefore, in order to treat this patient, one cannot follow the old path, but must purify the liver fire and unblock the liver meridian, so as to solve his fundamental problem.
Du Heng didn't say a word, just sat and watched them express their opinions, and asked them to share the advantages and disadvantages of their own treatment plan. He felt that this kind of atmosphere was very good.
You must know that since he arrived at the institute, he has never seen such a scene of active participation and heated discussions among them.
But for a medical institution with a high degree of education and a teaching nature, the previous environment was very wrong.
Well now, this kind of scene is Du Heng's ideal scene, although what they said is wrong.
At this time, Xiao Peifa and the others were all talking about their own reasons, but they couldn't completely convince others. When they were about to enter a dead end, they unanimously turned their attention to Du Heng, wanting Du Heng to comment on it for them. reason.
Du Heng glanced around with a hint of a smile, and said cheerfully, "What you said is correct, but neither is correct."
As soon as these words came out, everyone's eyes widened in an instant, and some people even began to secretly think, is Du Heng going to prepare for a fight?
Du Heng straightened up from his seat, and at the same time put away the smile on his face, "Everyone, after hearing so much from you, I think you have overlooked an important issue."
"what?"
Xiao Peifa and the others froze for a moment, looked at each other, and saw doubts in each other's eyes.
Du Heng said unhurriedly at this time, "The patient is only 25 years old, but because of his rage and heart attack, he suffered from his blood. This is not only the patient's own physical factors, but also the fact that the patient has suffered too much trauma.
Now that something like this has happened to him, if he treats it physically, the effect may not be very good.
So I think that to treat this patient, the most important thing is to change his mind and release the suffocation in his heart. "
Du Heng looked at the big guy seriously, and said in a solemn and slow tone, "If he can't get out of this sullen breath, his mind will always be twisted.
As soon as the thought is twisted, the anger will inevitably regenerate, and the anger will increase the anger, and the liver will lose its balance, and the liver qi will be reversed, and the qi and blood will inevitably be blocked.
But the liver stores blood, and the blood absorbs the soul. If the liver is injured and the blood is weak, it will inevitably not be able to absorb the mind. After a long time, let alone cure the disease, he himself will become mentally ill first. "
Everyone scratched their heads when they heard this, and they were discussing it just to relieve depression and regulate qi, so they immediately felt that Du Heng had said some nonsense.
But Du Heng didn't care about the meaning expressed in their eyes, but continued to say slowly, "Besides, losing such a large sum of money, and borrowing it from relatives and friends, it is inevitable to be deeply worried.
And now that he himself has become like this again, will he worry in his heart whether he can recover?
Will he worry about his parents' future life?
Will these make him fear again? "
Xiao Peifa rolled his eyes, "Duyuan, what do you mean, the patient is injured by seven emotions?"
Hearing Xiao Peifa's words, Du Heng turned his head and looked at him directly, "Anger hurts the liver, joy hurts the heart, sorrow hurts the lungs, thinking hurts the spleen, and fear hurts the kidneys. Except for the word happy, which one does he not have?
And the five internal organs are a whole, hurting one will inevitably affect the others, let alone the current him.So now he has a disordered visceral qi mechanism, and a single heart qi cannot be spared.
Under normal circumstances, if there are only two kinds of diseases in a person, it is already intractable and miscellaneous, which is enough to cause headaches.
Now his five viscera are all in disorder, and his illnesses are entangled and intertwined and affect each other. In this case, relying on medicine stones alone can only alleviate it, but not eradicate it. "
At this time, a middle-aged doctor in front of him sighed and said, "Qiqing is internally injured. I saw one when I was a child. He was only 30 years old at that time. Once he drank alcohol and went home to sleep. Pressed down and suffocated.
The daughter-in-law couldn't help but leave, and the only father was already sick, and he didn't come up and leave after hearing the news.
Later, he became depressed and sullen all day long, and within a few years he boiled himself to death. "
Du Heng sighed softly, "When I asked you to do the examination just now, I saw that all of you were impetuous and a little perfunctory, and I reckoned that you might have problems in the dialectics.
Sure enough, you didn't disappoint me. "
As Du Heng's voice fell, the people in front of them all lowered their heads.
And Du Heng didn't mean to criticize them, but continued slowly, "When you were doing treatment before, I saw some of them, and found that your current treatment methods are a bit imitative.
Just like the "Dushi's Eight Needles" summarized some time ago, no matter what the patient looks like, the symptoms are similar anyway, so just apply it hard.
There is no such thing as a treatment idea at all. "
Du Heng scanned around slowly, seeing that none of the people in front of him was looking at him, he couldn't help but sigh in his heart.
"Everyone, there are three treasures in Chinese medicine: a bowl of soup, a needle, and a moxa. I think everyone knows this saying."
After a pause, Du Heng continued to speak, "Soup solves the problems of Qi, blood and five internal organs.
Acupuncture includes a lot, such as massage, cupping, massage, etc. we use, which mainly solve the problems of meridians.
As for moxibustion, it can not only solve the problem of qi and blood, but also solve the problem of meridian, so that those who pass it will not feel pain, and those who are in pain will not get it through.
But there is one most important thing. These three treasures are all for people, and how to use them is determined through dialectics according to the actual situation of the patient. "
There are many problems in the research institute, which need to be solved one by one.
But today, just at the right time, Du Heng directly threw out this question that had been in his heart for a long time.
"However, in our clinic, the treatment of patients now focuses on the method of ignoring the diagnosis. There are even individual doctors who do not make a diagnosis at all, or take the diagnosis results of Western medicine and directly decide to prick those acupuncture points for the patient.
For example, in the outpatient clinic two days ago, he should be a doctor in the rehabilitation department. After taking the patient's western medicine test results, he saw that it was rheumatoid arthritis, so he just took the needle and pricked it. "
When Du Heng said this, a smile suddenly appeared on his face, but the look in his eyes was so cold, "I have seen such a scene several times.
All the patients said that their hands hurt, so they pricked around their hands, and their legs hurt, so they pricked their waist and legs. May I ask, how many patients have been cured by this kind of treatment? "
Everyone was silent, and continued to bow their heads without speaking.
Du Heng shook his head and said, "As I said just now, the point of acupuncture is to solve the problem of meridians.
The root of rheumatoid arthritis is that cold wind and moisture have invaded the meridians and muscles of the human body, resulting in limb lesions.
Needling around the lesion is to solve the inflammation, or to solve the wind, cold and dampness? "
Du Heng sneered again, "Okay, even if it is treating the wind-cold and dampness, which meridian did the few needles let the wind-cold and dampness exit?
Did those few needles solve the problem of moisture regeneration at the same time? "
The biggest problem with acupuncture and moxibustion now is that it has begun to fade away from the ranks of curing diseases, and it is almost completely withdrawn, and has become a means of health care.
The problem with this is that there is a problem with the way of thinking of acupuncture and moxibustion doctors, that is, to treat after witnessing, instead of choosing the appropriate acupuncture points and meridians according to the patient's condition after dialectics.
But if you think about this problem in depth, it is really not these acupuncturists who are the problem, because when they are learning, the way itself is biased, and the learning time is too short.
But this problem is too complicated, not to mention temporarily, it is estimated that even when Du Heng dies, he may not be able to change this problem.
But he can't change the general environment, but in the small group of the research institute, with his current status, he can still make some changes.
And the method of change, to put it bluntly, is actually very simple.
Du Heng glanced around the crowd again, took a deep breath and said, "Everyone, I didn't say this to scold you, but to let everyone have a new understanding of acupuncture.
As long as we conduct a detailed dialectical study on the patient before doing acupuncture in the future to find out the cause of the patient's pathogenesis, then when you give acupuncture again, it will not be like a cat and a tiger like it is now. "
Hearing this, people like Xiao Peifa, who have just completed their doctoral studies, or who are about to finish, all showed thoughtful expressions.
But those who were older than Du Heng, although they lowered their heads, the inexplicable smiles on the corners of their mouths showed that they didn't care much about Du Heng's words.
Du Heng saw all these things in his eyes, of course he knew what these people were thinking.
After all, Du Heng is the leader now, and they can listen to what they have said, but whether they can implement it is their own business.
Besides, they are now using acupuncture for treatment, which has almost formed a stereotype, and has also summed up the treatment templates for several diseases. Now let them change the treatment method, how is this possible?
However, Du Heng had thought about this for a long time, the corner of his mouth slightly raised, and then he suddenly retracted it, "Everyone, today I will give you the bottom line.
From now on, whether it is your acupuncture department or rehabilitation department, when you admit patients, all cases will be written according to the requirements of the internal medicine department.
That is to say, the main complaint, medical history, diagnosis, dialectics, and treatment must be written clearly, the prescription must be written for the medication, and the acupoints and meridians must be written for the acupuncture.
Afterwards, the departments, medical offices, and offices will conduct spot checks at various levels. "
As soon as Du Heng finished speaking, someone's eyes widened immediately, and they all looked at Du Heng in disbelief.
At this time, someone couldn't help it, "Duyuan, our acupuncture department is different from internal medicine, we..."
The speaker opened his mouth very excitedly, but seeing Du Heng's unwavering eyes, he couldn't say anything after that.
But Du Heng continued to ask, "Tell me, what is the difference between your acupuncture and internal medicine?"
The person who spoke just now stopped speaking.
And Du Heng continued to ask, "Could it be that your acupuncture and moxibustion department is targeting traumatic fractures?"
Du Heng snorted directly, and stared at the person who spoke just now with very unfriendly eyes.
If no one had spoken just now, he would have just announced that the matter was over, but now someone still dared to object, which annoyed him a bit, and the dissatisfaction accumulated in his heart for a long time became a little ready to move.
"What's the difference between acupuncture and internal medicine? In my opinion, you are all the same, both of you are treating diseases and saving lives for the internal organs." Du Heng's tone suddenly rose a little bit, "If there is a difference, it's just you In terms of treatment methods, there is a slight difference."
Du Heng reached out and knocked on the table, and the sound made everyone in front of them shrink back, "But look at the cases you wrote, what's the difference between those who do surgery and those who do surgery?
Read the inspection report, write down the symptoms, and then the treatment method.
Excuse me, is there a meridian report on the inspection report?
Don't you think it's ridiculous that you use the method of regulating meridians to treat diseases without the report of meridians? "
The entire research institute has just been screened by the investigation team, and some people are still in panic, and the whole incident was provoked by Du Heng.
Now that Du Heng is taking advantage of this 'yin wind' to provoke, they really dare not confront Du Heng.
In it, Xiao Peifa and Du Heng were fairly familiar with each other and had a good relationship. Seeing this, he quickly stepped forward and said, "Du Yuan, when will this decision be implemented?"
Du Heng had a cold face at first, but now Xiao Peifa intervened to ease the atmosphere. Thinking about today's theme, he took it back and said, "An announcement will be made tomorrow or the day after tomorrow."
"Good Duyuan, we will strictly follow the requirements."
Xiao Peifa hurriedly stated his position, making the atmosphere less tense.
After taking a breath quietly, Xiao Peifa asked again, "Yuan Du, let's talk about this patient.
According to your diagnosis, how should the patient be treated? "
Du Heng took a long breath, adjusted his mentality slightly, and said slowly, "Now there are two ways, the first is to help the patient get the money back, so that the root cause of his illness will be solved. My heart will naturally go smoothly."
Xiao Peifa stretched out his hand and rubbed the tip of his nose, feeling uncomfortable, "This is impossible. We are just doctors, not judges or policemen. How can we help people get their money back? It's unrealistic."
"Since this is unrealistic, it can only be the second way."
"What way?" Xiao Peifa hurriedly asked.
At the same time, the colleagues around him also raised their heads, wanting to hear what Du Heng had to say.
But Du Heng said unhurriedly, "You, or your family members, or find a professional psychologist for psychological intervention."
Some people think that the problem of this patient, like the previous patients, is that the brain stem hemorrhage invades the language area, causing damage to the brain network. Therefore, the focus of treatment should be the same as before, and the focus should be on promoting the flow of Qi and blood through the brain network.
And some people think that brainstem hemorrhage is indeed the cause of the patient's inability to speak, but the root cause is that anger hurts the liver, leading to liver depression and qi stagnation.
Therefore, in order to treat this patient, one cannot follow the old path, but must purify the liver fire and unblock the liver meridian, so as to solve his fundamental problem.
Du Heng didn't say a word, just sat and watched them express their opinions, and asked them to share the advantages and disadvantages of their own treatment plan. He felt that this kind of atmosphere was very good.
You must know that since he arrived at the institute, he has never seen such a scene of active participation and heated discussions among them.
But for a medical institution with a high degree of education and a teaching nature, the previous environment was very wrong.
Well now, this kind of scene is Du Heng's ideal scene, although what they said is wrong.
At this time, Xiao Peifa and the others were all talking about their own reasons, but they couldn't completely convince others. When they were about to enter a dead end, they unanimously turned their attention to Du Heng, wanting Du Heng to comment on it for them. reason.
Du Heng glanced around with a hint of a smile, and said cheerfully, "What you said is correct, but neither is correct."
As soon as these words came out, everyone's eyes widened in an instant, and some people even began to secretly think, is Du Heng going to prepare for a fight?
Du Heng straightened up from his seat, and at the same time put away the smile on his face, "Everyone, after hearing so much from you, I think you have overlooked an important issue."
"what?"
Xiao Peifa and the others froze for a moment, looked at each other, and saw doubts in each other's eyes.
Du Heng said unhurriedly at this time, "The patient is only 25 years old, but because of his rage and heart attack, he suffered from his blood. This is not only the patient's own physical factors, but also the fact that the patient has suffered too much trauma.
Now that something like this has happened to him, if he treats it physically, the effect may not be very good.
So I think that to treat this patient, the most important thing is to change his mind and release the suffocation in his heart. "
Du Heng looked at the big guy seriously, and said in a solemn and slow tone, "If he can't get out of this sullen breath, his mind will always be twisted.
As soon as the thought is twisted, the anger will inevitably regenerate, and the anger will increase the anger, and the liver will lose its balance, and the liver qi will be reversed, and the qi and blood will inevitably be blocked.
But the liver stores blood, and the blood absorbs the soul. If the liver is injured and the blood is weak, it will inevitably not be able to absorb the mind. After a long time, let alone cure the disease, he himself will become mentally ill first. "
Everyone scratched their heads when they heard this, and they were discussing it just to relieve depression and regulate qi, so they immediately felt that Du Heng had said some nonsense.
But Du Heng didn't care about the meaning expressed in their eyes, but continued to say slowly, "Besides, losing such a large sum of money, and borrowing it from relatives and friends, it is inevitable to be deeply worried.
And now that he himself has become like this again, will he worry in his heart whether he can recover?
Will he worry about his parents' future life?
Will these make him fear again? "
Xiao Peifa rolled his eyes, "Duyuan, what do you mean, the patient is injured by seven emotions?"
Hearing Xiao Peifa's words, Du Heng turned his head and looked at him directly, "Anger hurts the liver, joy hurts the heart, sorrow hurts the lungs, thinking hurts the spleen, and fear hurts the kidneys. Except for the word happy, which one does he not have?
And the five internal organs are a whole, hurting one will inevitably affect the others, let alone the current him.So now he has a disordered visceral qi mechanism, and a single heart qi cannot be spared.
Under normal circumstances, if there are only two kinds of diseases in a person, it is already intractable and miscellaneous, which is enough to cause headaches.
Now his five viscera are all in disorder, and his illnesses are entangled and intertwined and affect each other. In this case, relying on medicine stones alone can only alleviate it, but not eradicate it. "
At this time, a middle-aged doctor in front of him sighed and said, "Qiqing is internally injured. I saw one when I was a child. He was only 30 years old at that time. Once he drank alcohol and went home to sleep. Pressed down and suffocated.
The daughter-in-law couldn't help but leave, and the only father was already sick, and he didn't come up and leave after hearing the news.
Later, he became depressed and sullen all day long, and within a few years he boiled himself to death. "
Du Heng sighed softly, "When I asked you to do the examination just now, I saw that all of you were impetuous and a little perfunctory, and I reckoned that you might have problems in the dialectics.
Sure enough, you didn't disappoint me. "
As Du Heng's voice fell, the people in front of them all lowered their heads.
And Du Heng didn't mean to criticize them, but continued slowly, "When you were doing treatment before, I saw some of them, and found that your current treatment methods are a bit imitative.
Just like the "Dushi's Eight Needles" summarized some time ago, no matter what the patient looks like, the symptoms are similar anyway, so just apply it hard.
There is no such thing as a treatment idea at all. "
Du Heng scanned around slowly, seeing that none of the people in front of him was looking at him, he couldn't help but sigh in his heart.
"Everyone, there are three treasures in Chinese medicine: a bowl of soup, a needle, and a moxa. I think everyone knows this saying."
After a pause, Du Heng continued to speak, "Soup solves the problems of Qi, blood and five internal organs.
Acupuncture includes a lot, such as massage, cupping, massage, etc. we use, which mainly solve the problems of meridians.
As for moxibustion, it can not only solve the problem of qi and blood, but also solve the problem of meridian, so that those who pass it will not feel pain, and those who are in pain will not get it through.
But there is one most important thing. These three treasures are all for people, and how to use them is determined through dialectics according to the actual situation of the patient. "
There are many problems in the research institute, which need to be solved one by one.
But today, just at the right time, Du Heng directly threw out this question that had been in his heart for a long time.
"However, in our clinic, the treatment of patients now focuses on the method of ignoring the diagnosis. There are even individual doctors who do not make a diagnosis at all, or take the diagnosis results of Western medicine and directly decide to prick those acupuncture points for the patient.
For example, in the outpatient clinic two days ago, he should be a doctor in the rehabilitation department. After taking the patient's western medicine test results, he saw that it was rheumatoid arthritis, so he just took the needle and pricked it. "
When Du Heng said this, a smile suddenly appeared on his face, but the look in his eyes was so cold, "I have seen such a scene several times.
All the patients said that their hands hurt, so they pricked around their hands, and their legs hurt, so they pricked their waist and legs. May I ask, how many patients have been cured by this kind of treatment? "
Everyone was silent, and continued to bow their heads without speaking.
Du Heng shook his head and said, "As I said just now, the point of acupuncture is to solve the problem of meridians.
The root of rheumatoid arthritis is that cold wind and moisture have invaded the meridians and muscles of the human body, resulting in limb lesions.
Needling around the lesion is to solve the inflammation, or to solve the wind, cold and dampness? "
Du Heng sneered again, "Okay, even if it is treating the wind-cold and dampness, which meridian did the few needles let the wind-cold and dampness exit?
Did those few needles solve the problem of moisture regeneration at the same time? "
The biggest problem with acupuncture and moxibustion now is that it has begun to fade away from the ranks of curing diseases, and it is almost completely withdrawn, and has become a means of health care.
The problem with this is that there is a problem with the way of thinking of acupuncture and moxibustion doctors, that is, to treat after witnessing, instead of choosing the appropriate acupuncture points and meridians according to the patient's condition after dialectics.
But if you think about this problem in depth, it is really not these acupuncturists who are the problem, because when they are learning, the way itself is biased, and the learning time is too short.
But this problem is too complicated, not to mention temporarily, it is estimated that even when Du Heng dies, he may not be able to change this problem.
But he can't change the general environment, but in the small group of the research institute, with his current status, he can still make some changes.
And the method of change, to put it bluntly, is actually very simple.
Du Heng glanced around the crowd again, took a deep breath and said, "Everyone, I didn't say this to scold you, but to let everyone have a new understanding of acupuncture.
As long as we conduct a detailed dialectical study on the patient before doing acupuncture in the future to find out the cause of the patient's pathogenesis, then when you give acupuncture again, it will not be like a cat and a tiger like it is now. "
Hearing this, people like Xiao Peifa, who have just completed their doctoral studies, or who are about to finish, all showed thoughtful expressions.
But those who were older than Du Heng, although they lowered their heads, the inexplicable smiles on the corners of their mouths showed that they didn't care much about Du Heng's words.
Du Heng saw all these things in his eyes, of course he knew what these people were thinking.
After all, Du Heng is the leader now, and they can listen to what they have said, but whether they can implement it is their own business.
Besides, they are now using acupuncture for treatment, which has almost formed a stereotype, and has also summed up the treatment templates for several diseases. Now let them change the treatment method, how is this possible?
However, Du Heng had thought about this for a long time, the corner of his mouth slightly raised, and then he suddenly retracted it, "Everyone, today I will give you the bottom line.
From now on, whether it is your acupuncture department or rehabilitation department, when you admit patients, all cases will be written according to the requirements of the internal medicine department.
That is to say, the main complaint, medical history, diagnosis, dialectics, and treatment must be written clearly, the prescription must be written for the medication, and the acupoints and meridians must be written for the acupuncture.
Afterwards, the departments, medical offices, and offices will conduct spot checks at various levels. "
As soon as Du Heng finished speaking, someone's eyes widened immediately, and they all looked at Du Heng in disbelief.
At this time, someone couldn't help it, "Duyuan, our acupuncture department is different from internal medicine, we..."
The speaker opened his mouth very excitedly, but seeing Du Heng's unwavering eyes, he couldn't say anything after that.
But Du Heng continued to ask, "Tell me, what is the difference between your acupuncture and internal medicine?"
The person who spoke just now stopped speaking.
And Du Heng continued to ask, "Could it be that your acupuncture and moxibustion department is targeting traumatic fractures?"
Du Heng snorted directly, and stared at the person who spoke just now with very unfriendly eyes.
If no one had spoken just now, he would have just announced that the matter was over, but now someone still dared to object, which annoyed him a bit, and the dissatisfaction accumulated in his heart for a long time became a little ready to move.
"What's the difference between acupuncture and internal medicine? In my opinion, you are all the same, both of you are treating diseases and saving lives for the internal organs." Du Heng's tone suddenly rose a little bit, "If there is a difference, it's just you In terms of treatment methods, there is a slight difference."
Du Heng reached out and knocked on the table, and the sound made everyone in front of them shrink back, "But look at the cases you wrote, what's the difference between those who do surgery and those who do surgery?
Read the inspection report, write down the symptoms, and then the treatment method.
Excuse me, is there a meridian report on the inspection report?
Don't you think it's ridiculous that you use the method of regulating meridians to treat diseases without the report of meridians? "
The entire research institute has just been screened by the investigation team, and some people are still in panic, and the whole incident was provoked by Du Heng.
Now that Du Heng is taking advantage of this 'yin wind' to provoke, they really dare not confront Du Heng.
In it, Xiao Peifa and Du Heng were fairly familiar with each other and had a good relationship. Seeing this, he quickly stepped forward and said, "Du Yuan, when will this decision be implemented?"
Du Heng had a cold face at first, but now Xiao Peifa intervened to ease the atmosphere. Thinking about today's theme, he took it back and said, "An announcement will be made tomorrow or the day after tomorrow."
"Good Duyuan, we will strictly follow the requirements."
Xiao Peifa hurriedly stated his position, making the atmosphere less tense.
After taking a breath quietly, Xiao Peifa asked again, "Yuan Du, let's talk about this patient.
According to your diagnosis, how should the patient be treated? "
Du Heng took a long breath, adjusted his mentality slightly, and said slowly, "Now there are two ways, the first is to help the patient get the money back, so that the root cause of his illness will be solved. My heart will naturally go smoothly."
Xiao Peifa stretched out his hand and rubbed the tip of his nose, feeling uncomfortable, "This is impossible. We are just doctors, not judges or policemen. How can we help people get their money back? It's unrealistic."
"Since this is unrealistic, it can only be the second way."
"What way?" Xiao Peifa hurriedly asked.
At the same time, the colleagues around him also raised their heads, wanting to hear what Du Heng had to say.
But Du Heng said unhurriedly, "You, or your family members, or find a professional psychologist for psychological intervention."
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