Chapter four hundred and ninety-ninth cruel medicine
Fang Han had breakfast in the morning and arrived at Guo Wenyuan's residence.
The one who opened the door was Guo Wenyuan's great-granddaughter Guo Mengmeng.
Seeing Fang Han, the little girl rushed into Fang Han's arms excitedly and shouted excitedly: "Brother Fang Han."
Fang Han reached out and touched the little girl's head, held the little girl's hand and walked into the yard together.
In summer, Guo Wenyuan is still an old place, and he is cool under the big trees in the yard.
Seeing Fang Han, Guo Wenyuan smiled and put down the book he was reading: "Fang Han is here."
"Teacher." Fang Han walked over with a smile.
Guo Mengmeng hurriedly went inside to get the tea set and tea leaves.
Guo Wenyuan laughed so much that he was overjoyed: "I am so good tea, I usually can't bear to drink it, this little girl."
As he spoke, Guo Wenyuan had already started to boil water and make tea, and asked with a smile: "Why are you free here today?"
After accepting Fang Han as a student, Fang Han didn't come many times. He basically went to the Three Treasures Hall without any trouble. He either finished reading the book or encountered some confusion.
Fang Han took out Ying Haitao's medical records from his bag and handed them to Guo Wenyuan.
Hospital medical records are generally not allowed to be leaked casually, especially the original records, which must be kept in the hospital for archives. Even patients can only get a copy of the medical records.
What Fang Han brought today was a copy of Ying Haitao's medical record.
"You always look at this."
Guo Wenyuan reached out to take it, but did not rush to see it, but waited for the water to boil, brewed tea, poured Fang Han a cup, and then took the medical record and started reading it.
“Gastric cancer metastasis?”
The first part of the patient's medical record is naturally the patient's current symptoms, complaints, past medical history, previous treatment history, etc., and then the diagnosis, treatment, etc. of the hospital.
The medical record is the detailed process of the patient's treatment from admission to discharge, the hospital takes care of the patient, what medicine was used, the reasons for using this medicine, what treatment was done, the purpose of this treatment, etc.
Even if the patient gets an anti-inflammatory injection or takes a sleeping pill, it will be displayed on the medical record, and there is no tolerance for any carelessness.
If a patient has any accidents during hospitalization, then the medical record is the legal basis. Whether the hospital has treated according to regulations, whether there are any violations, whether the patient's accident is caused by uncontrollable factors or whether the hospital's treatment and diagnosis have problems, these can all be found from the medical record.
The sorting of medical records is generally the level of the inpatient doctor, the attending doctor confirms the signature, and then the department director signs and archives. Once the attending doctor signs and confirms, the medical records cannot be altered. It is illegal to modify the medical records.
The patient's medical records are not only a summary of clinical practice, but also a legal basis for exploring the laws of diseases and handling medical disputes. They are also valuable materials and wealth for research in medical, prevention, teaching, scientific research and other aspects.
Guo Wenyuan just looked up at Fang Han and continued to look down.
Ying Haitao has been hospitalized for a while, so there are still many medical records. Guo Wenyuan looked at it for a long time and the tea in the tea cup was cold. Fang Han had already drunk three brews of tea. Guo Wenyuan then put down the medical records.
"You wrote the recipe on this?"
Fang Han nodded: "I planned it. I changed it based on Mr. Li's prescription and thought about it for a whole night."
"This prescription is very good, and the formula is very particular. Judging from the current situation, the effect is also very significant. What is your purpose today?" Guo Wenyuan asked Fang Han.
"I want to systematically organize this prescription. The problem is that there is only one patient taking this prescription. What should I start from?"
Fang Han simply talked about his confusion.
Any prescription is used to treat patients. The reason why this new prescription Han dared to boldly take Ying Haitao was because he had already tried it in the simulation space.
However, for other patients, whether this prescription can be used, how to use it, how to grasp the dosage, how to add or subtract, and where to start, this is more complicated.
Fang Han has only one simulation card left, so he cannot use the simulation card without limit, and the simulation card can only simulate the condition of one patient at a time.
Will there be risks when taking the medicine at that time, how to control risks, etc.
The establishment of a prescription is based on a large number of cases. A prescription can only be considered a prescription after the practice of a large number of cases. If only one patient is cured, then this prescription is only of reference value at most, but cannot be used with confidence.
Guo Wenyuan poured his teacup into the ground, poured himself a cup of tea, took a sip, and then smiled and said, "If you can draw up this prescription, it means that you are well aware of the changes and composition of this prescription. If you are familiar with this prescription, others will definitely not be able to compare with you."
Fang Han didn't say anything. This is a fact. He was constantly thinking about this prescription in the simulation space, constantly changing, and experimenting. He naturally knew the consequences that he could not add, what drugs could not be missed, what drugs could change, and what consequences would be.
If the founder does not understand each prescription, he will not be able to create this prescription.
Guo Wenyuan continued: "You must understand that all changes will not be separated from them. Any prescription has a main medicine and an auxiliary medicine. The symptoms are the main and secondary. The drugs also have the main and secondary. For example, Da Chaihu Decoction and Da Chaihu Decoction are called Da Chaihu Decoction. It is precisely because Chaihu is the main medicine. In addition to Da Chaihu Decoction, there is also Xiao Chaihu Decoction."
"Da Chaihu Decoction is derived from Xiao Chaihu Decoction combined with Xiao Chengqi Decoction. Xiao Chaihu Decoction is the main prescription for treating Shaoyang disease. Da Chaihu Decoction is a syndrome of Yangming transforming heat in patients without the treatment of Shaoyang. Da Chaihu Decoction is made by Xiao Chaihu Decoction removing ginseng and licorice, adding rhubarb, citrus aurantium and peony. It is a prescription that uses reconciliation as the main and diarrhea to treat Shaoyang Yangming disease. Xiao Chaihu Decoction mainly uses reconciliation as the main and treats Shaoyang syndrome. Both of these are mainly Chaihu, what is the difference?"
"Auxiliary medicine." Fang Han said.
"Yes, the auxiliary drugs remain unchanged, the auxiliary drugs remain unchanged, and the treatment symptoms are also different. The main and secondary combinations, addition and subtraction combinations, and the prescriptions are constantly changing. But no matter how they change, the principle remains unchanged. Junyao always targets the main disease or the main syndrome. During treatment, Junyao plays the therapeutic role of the main medicine."
"Continue to take Xiao Chaihu Decoction as an example. If you have chest tightness and do not vomit, remove Pinellia ternata. If you take 1 Trichosanthes fruit, if you feel thirsty, add ginseng if you have pain in the palace, remove Scutellaria baicalensis and peony."
“What do you see from these changes?”
Fang Han said: "The main proof remains unchanged."
"Yes, the main evidence remains unchanged."
Guo Wenyuan nodded: "Heat, cold, heat, deficiency, excess and yin and yang, the main disease remains unchanged. Only when the main symptoms meet this prescription can this prescription be used. If the main symptoms do not match, this prescription cannot be used no matter how the changes are made."
Fang Han thought about it, his level was actually not bad, otherwise he would not have been able to draw up this prescription. After Guo Wenyuan said this, Fang Han had already roughly understood.
"So what is the main attraction of your prescription?" Guo Wenyuan asked again.
"Replenish vital energy, clear heat and detoxify, harmonize the internal organs, smudge and phlegm spread the body, consolidate the foundation and cultivate the essence."
"Do you understand now?" Guo Wenyuan smiled.
"Understood."
Fang Han nodded.
Since his prescription is to replenish vital energy, clear heat and detoxify, harmonize the internal organs, consolidate the foundation and cultivate the essence, then this prescription is only suitable for the meridian blockage, stomach qi loss, and Yuanyang loss caused by the spread of evil toxins.
In other words, this prescription can only treat patients with evil toxins that spread the internal organs, causing meridian blockage, stomach qi to recover, and Yuanyang loss.
There is no such thing as cancer in traditional Chinese medicine. No matter what disease is, Chinese medicine must first distinguish the cause of the disease. What is the cause of this disease, and then use medicine. Whether it is cancer or other diseases, the treatment concept of traditional Chinese medicine is the same.
Why does traditional Chinese medicine treat cancer, some can be cured, while others cannot be cured?
This problem actually needs to go back to the beginning. The rise and development of traditional Chinese medicine. Traditional Chinese medicine is an empirical medicine. Traditional Chinese medicine can only treat some simple diseases to now treating various severe and acute diseases. It has been developed after thousands of years of accumulation.
Therefore, when treating diseases in traditional Chinese medicine, whether it is a prescription or a medication, it must be based on evidence and can be followed. When treating diseases, there have been precedents for the treatment of similar diseases. This disease is relatively simple to treat. If there is no precedent for this disease, then the treatment will be more complicated.
There are two different concepts: having and not having.
For example, in Ying Haitao's case, Fang Han could not even find similar symptoms in medical books, so he could not find prescriptions or medical cases that can be referenced when formulating prescriptions and taking medications.
At this time, Fang Han had to formulate his own prescription. The simple disease was fine, but the complex disease was not so simple. One mistake could lead to the wasted of the entire treatment.
If Fang Han's prescription cures Ying Haitao's disease and accumulates enough experience, then in the future, if a doctor encounters similar diseases, he can learn from them and refer to them. This is why Fang Haoyang and Qin Weihua are excited.
A new prescription often means that Chinese medicine practitioners have references and references when treating a certain disease.
From nothing to something, and from little to much. This is how traditional Chinese medicine developed step by step. Standing on the shoulders of predecessors, traditional Chinese medicine practitioners can make fewer mistakes. Without reference, more mistakes and greater risks will occur during treatment.
In fact, it is not only traditional Chinese medicine, but also Western medicine. Many people only see the bones that traditional Chinese medicine has gone through, but they do not see the bloody and tears of Western medicine. The research and development of each new drug, how many patients died because of new drugs during clinical trials? How many people have really paid attention to these data?
The most common penicillin and lidocaine, two drugs that make many people scream, have also caused the death of many patients. Penicillin allergies and lidocaine allergies, are also life-long people that let people know that these two drugs will cause allergies.
Medicine is a cruel science, whether it is traditional Chinese medicine or Western medicine.
Chapter completed!