This Doctor Is Too Wealthy Chapter 216 The pressure is immense

Fortunately, at this mont, their de facto Eldest Senior Brother stepped forward. He shielded everyone from Li Jianwei’s gaze and slightly eased the tense atmosphere. "Hello, Senior Brother Du," he asked, "I would like to ask, what is your approach to syndro differentiation?"

"Syndro Differentiation and Treatnt is the guiding principle," Du Heng replied. "Overall systemic regulation is key, with the foremost task being to regulate the Spleen and Stomach and preserve stomach qi."

"When you say ’regulating the Spleen and Stomach,’ does that an tonifying them?"

Now, that was a pertinent question.

After these two questions, Li Jianwei’s flushed face finally relaxed sowhat. At least he had taught a few sensible students.

Du Heng, upon hearing this question, shook his head. "Not necessarily. Regulating the Spleen and Stomach still requires Syndro Differentiation and Treatnt; one cannot blindly resort to tonification."

Saying this, he reached for the prescription he had just written, laid it flat on the table, and pointed to the characters on it. "Look, the patient’s tongue is pale with a white, greasy coating. A pale tongue often indicates a deficiency syndro, while a white, greasy coating points to damp-cold. Furthermore, the patient’s pulse is soggy... By the way, do you know what a soggy pulse signifies?"

As expected of their Eldest Senior Brother, he replied imdiately, "Superficial and fine, like feeling silk floating in water—that is a soggy pulse. A soggy pulse primarily indicates conditions of blood and yin deficiency, and also injury from dampness."

"And how is it treated?" Du Heng continued to press.

The Eldest Senior Brother remained composed, stating word by word, "A soggy pulse at the cun position with weak yang and profuse sweating; how can one overlook qi deficiency in the guan position? At the chi position, it signifies severe cold from deficiency of essence and blood; warming and replenishing True Yin can cure the ailnt."

Du Heng chuckled softly, and Li Jianwei also felt a sense of relief. This student shows promise; he hasn’t disgraced .

"You rember it very well. So, if I diagnose the patient with chronic spleen deficiency and damp obstruction, is there any problem with that?"

The Eldest Senior Brother shook his head. No sooner had Du Heng finished speaking than he understood.

Seeing him shake his head, Du Heng continued, "With chronic spleen deficiency and damp obstruction, the transport and transformation functions are impaired, dampness obstructs the Middle Jiao, and the stomach yang fails to ascend. Is there any issue with my therapeutic approach of strengthening the spleen and transforming dampness, warming yang, and regulating qi?"

The Eldest Senior Brother still shook his head. "No problem."

Du Heng pointed at the already prepared prescription on the paper. "I’m using raw atractylodes to invigorate the spleen, and herbs like prepared aconite and aucklandia to warm yang and transform dampness. Can you understand this?"

"I can understand."

"The patient has a poor appetite and bad digestion. I’ve used four herbs, including scorch-fried dicated leaven and chicken gizzard, to help improve digestion. Is there any problem with that?"

This Eldest Senior Brother was starting to feel the pressure. He glanced back at his peers cowering behind him and could only shake his head again.

"The patient reports having a bowel movent only once every four or five days, indicating mild constipation. Using raw atractylodes can also alleviate constipation, so isn’t that killing two birds with one stone?"

"...Yes."

"And the combination of raw atractylodes and chicken gizzard is a targeted pairing for symptoms like poor appetite, lack of hunger, and abdominal distension. Isn’t that killing three birds with one stone?"

The Eldest Senior Brother swallowed hard. "Yes."

Du Heng tapped the table and pushed the prescription slip back to the doctor who had originally written it. "Then, regarding my diagnosis, syndro differentiation, and dication, are there any parts you still don’t understand?"

"Nothing." The Eldest Senior Brother slowly tried to back away, but his ’enthusiastic’ fellow students behind him blocked him, preventing any retreat.

"Traditional Chinese dicine utilizes the four diagnostic thods: Inspection, Auscultation-Olfraction, Inquiry, and Palpation. Aren’t my diagnosis, syndro differentiation, and prescribed dication for the patient all derived from these four aspects?"

Du Heng spoke very softly, his tone gentle, yet the practitioners of TCM present, including Li Jianwei, felt imnse pressure.

Indeed, the simplest thods are often the most effective.

"All the patient’s conditions are clearly revealed to us through her physical signs, her pulse, and her self-reported symptoms. Yet, we are using the diagnostic conclusions and treatnt philosophies of Western dicine to guide our TCM prescriptions. That is wrong from the very foundation."

Du Heng sighed. "Let put it another way: Western dicine aims to eliminate the bacteria and viruses themselves. In contrast, traditional Chinese dicine aims to alter the internal environnt where these pathogens thrive, making it inhospitable. Consequently, they naturally diminish."

Li Jianwei now understood and said frankly, "That’s indeed true. My thod of clearing heat and detoxification doesn’t have the ’disinfecting’ power of Western dication, nor can it improve the stomach’s environnt, so it’s normal for it to be ineffective. The error in my treatnt approach is my fault."

Li Jianwei’s frank admission of his mistake made Du Heng feel a little embarrassed. After all, so of his earlier words had been rather harsh.

Xu Pinglin noticed this and quickly stepped in to smooth things over and change the subject. Addressing the patient and her husband, he said, "You see, Doctor Du has explained everything very clearly. Do you have any more questions?"

The couple looked at each other and both shook their heads.

Xu Pinglin let out a sigh of relief. Although the patient hadn’t taken the dicine yet, after listening to Du Heng’s explanation and his reasoning for the dication, he couldn’t find any flaws.

Moreover, Du Heng was so confident. Coupled with his past successes, Xu Pinglin felt reassured. "Alright, then. We will arrange for you to get the dicine, and you should take it according to Doctor Du’s dical advice."

He paused for a mont before adding, "Actually, if it’s possible for you, inpatient treatnt would be best. We could monitor and examine you at any ti, which would make it easier for us to adjust the treatnt plan promptly."

The patient’s husband looked at his wife expectantly, hoping she would agree to be hospitalized for treatnt. However, he respected his wife’s decision and would defer to her wishes.

The patient, too, was hesitant. But thinking about her job, and considering her physical condition wasn’t yet so bad that she couldn’t work, she ultimately shook her head, declining the suggestion.

Since that was her decision, Xu Pinglin had no choice but to agree. "In that case, go ho and take the dicine regularly. Return to our departnt for a follow-up appointnt in a week."

The patient looked a little puzzled. "Can’t I see Doctor Du for the follow-up?"

Xu Pinglin really wanted to agree, but he couldn’t. After all, no one could predict the final outco. If he simply referred the patient to Du Heng, and things went awry, Du Heng might end up shouldering the bla for their departnt.

"That won’t be necessary. You should still co to our departnt for the follow-up, and we’ll ask Doctor Du to make another trip then."

"Alright then."

Xu Pinglin pointed to the doctor who had written the initial prescription. "Take the patient and her family to get the dicine."

"Yes, Director. We’ll go right now." The young doctor turned to the patient and her family mbers. "The three of you, please co with . I’ll take you to the pharmacy."

The couple didn’t say much more. Their original intention wasn’t to cause trouble but to seek effective treatnt. Now that there was a glimr of hope, they naturally wouldn’t continue to cause a disturbance and followed the doctor out.

However, the final outco still depended on whether Du Heng’s prescription this ti would be effective. If it proved ineffective, the fuss they intended to make would still happen.

The couple left, but their daughter lingered, phone in hand, reluctant to go. Her parents hadn’t noticed she hadn’t followed them out.

Xu Pinglin glanced at the girl, his brow furrowing slightly. This girl didn’t seem to be here to accompany her mother for treatnt, he thought, but rather to live-stream everything.