dmims Chapter 99 Accompanying Patients on Medical Visits: A Review of Emergency Cases
Chapter 99 Accompanying Patients on Medical Visits: A Review of Emergency Cases
Chapter 99 Accompanying Patients on Medical Visits: A Review of Emergency Cases
I. Upon hearing of an emergency, I immediately went to the hospital.
Whenever Chen Shanhe receives a request for a home visit for medical treatment, or an invitation to make a house call for a sudden emergency or a chronic serious illness.
Upon receiving the news, Zhou Deshan and Xu Jingming would always pack their medical supplies immediately and voluntarily go with them on time.
The two accompanied him silently, without making a fuss, standing quietly to the side of the treatment site, observing attentively throughout the entire process.
They watched Chen Shanhe's entire consultation and treatment process intently, not daring to make a sound or disturb him, focusing on seizing every rare opportunity for practical learning.
Xu Jingming slowed his pace, turned his head and spoke softly to Zhou Deshan beside him, his eyes full of seriousness.
"When seeing patients in ordinary clinics, you can only see common minor illnesses. Only when you see acute and serious illnesses can you truly see your master's top-notch diagnostic skills."
Zhou Deshan nodded slightly, his expression calm and solemn, and answered softly.
"We are learning medicine again in our later years, and what we lack most is practical experience in treating acute illnesses. Every time we go on a medical tour to observe others, it is a rare opportunity for self-cultivation."
The two of them walked with reverence, secretly calming their minds and preparing themselves early to observe attentively and study diligently.
Discarding past restlessness and distractions, I focused solely on reading, learning, and memorizing more, thoroughly understanding all of my master's treatment methods.
As evidenced by the poem
Upon hearing of the acute illness, he immediately went to assist.
Humility leads to enlightenment in medical learning.
Seek the truth with reverence.
One must remain close to the left and right to understand the true form.
II. Close observation and treatment
After the group arrived at the patient's residence without delay, Chen Shanhe immediately stepped forward with a calm and composed demeanor, and began the entire diagnosis and treatment process.
Upon seeing this, Zhou Deshan and Xu Jingming immediately retreated to the side of the hall and stood quietly, holding their breath and focusing their attention, keeping their eyes fixed on every subtle movement in the room, not daring to look away for even a moment.
The two watched intently as Chen Shanhe first met the patient. At the first glance, he carefully observed the patient's complexion, expression, and overall mental state, and was able to calmly judge the severity of the illness at that moment.
After completing the four steps of the ancient method of observation, auscultation, inquiry, and palpation, one can calmly feel the pulse with one's fingertips to carefully observe the rise and fall of the pulse, distinguish between the exterior and interior, deficiency and excess, cold and heat, and accurately and quickly pinpoint the stubborn root cause of the disease hidden deep in the internal organs.
The two watched intently as Chen Shanhe applied acupuncture to unblock the meridians, carefully observing the depth and precision of the needle insertion, and memorizing the speed and rhythm of the needle manipulation and the order of needle insertion.
Carefully memorize the core medical principles of progressive and layered diagnosis, meticulously study the rules of combining herbs in prescriptions, and the complete set of steps for gradually and slowly treating chronic diseases.
At this moment, the two men were tense and solemn, their eyes focused intently. They deliberately softened their breathing, even suppressing their breaths to be gentle and weak, for fear of making the slightest sound and disturbing the diagnosis, and for not daring to miss any of the subtle details of the practical operation.
Silently memorizing every step of the diagnostic principles, treatment approach, and precise and skillful practical techniques, I deeply imprinted every word and action I saw and felt in my heart, daring not to forget even a little bit.
Xu Jingming stared intently at the constantly rising and falling, twisting silver needles, secretly comparing his master's technique with his own rigid and outdated acupuncture methods, silently identifying the differences and shortcomings.
Zhou Deshan frowned slightly, calmly recalling the pulse fluctuations he had just observed, comparing them with the cause of the illness, and secretly reviewing his old diagnostic methods, only to realize that he had made many mistakes in the past.
The two had long since abandoned their airs and pretenses as renowned doctors in the provincial capital, and shed the arrogance and self-importance they had cultivated throughout their medical careers. At this moment, they were just like bewildered apprentices who had just begun their medical practice, focusing intently on their studies and wholeheartedly honing their medical skills.
As evidenced by the poem
Close observation and treatment
Not a single detail is delayed.
Concentrate and see through the true nature of the illness.
Memorize the key principles and comprehend the true knowledge.
III. Understanding the True Essence Through Practical Application of Difficult Problems
Every time they encountered a sudden emergency that was difficult for others to solve, or a chronic and stubborn illness with a complex pathogenesis that was hard to cure, it was an excellent opportunity for Zhou Deshan and Xu Jingming to learn medicine, which was the most relevant to clinical practice and could broaden their horizons and increase their experience.
When I sit in the clinic on weekdays, I mostly see patients with common colds and chronic stomach and spleen ailments. The symptoms are stable and the pathogenesis is simple, making it difficult to break out of the established framework of medical practice. Breaking through years of outdated knowledge is even more difficult.
Only in cases of acute and severe illnesses that come on suddenly and change rapidly, with fluctuating disease mechanisms and unpredictable transformations between cold and heat, deficiency and excess, can the rigid medical thinking that the two have adhered to for decades be completely broken, and the old habits and prejudices ingrained in their bones be shattered.
No matter how dangerous or unpredictable the illness may be, he can accurately and quickly diagnose and trace its source. Every step of his treatment is calm, orderly, and methodical, steadily suppressing the spread of the disease.
The two were filled with deep shock and sincere admiration, and at this moment they realized that there was a huge gap between themselves and top doctors.
Now, having personally witnessed the entire diagnosis and treatment process, the two of them have finally come to a complete understanding that treating illnesses and saving lives is like waging war. Chen Shanhe's military strategy is integrated into the great principles of medicine. He attacks aggressively for acute illnesses and takes a roundabout approach for chronic diseases. His offense and defense, advance and retreat, are all governed by rules and he has a perfect grasp of the appropriate measure.
Gradually digest and integrate the core diagnostic approach of integrating military strategy with medicine, and clearly see the rise, fall, flow and changes of the body's Qi during an acute attack.
By understanding the profound core medical principles of the interplay between exterior and interior, the alternation of cold and heat, and the transformation of deficiency and excess, my narrow vision has been completely broadened day by day, and my perspective on practicing medicine has been expanded.
This immersive, hands-on observation far surpasses the solitary study of hundreds of medical books, allowing the two to update their fixed medical knowledge daily, break through layer by layer, and steadily move towards the orthodox and original path of traditional Chinese medicine.
As evidenced by the poem
Proficient in treating difficult and acute illnesses.
Only through practical experience can one truly understand traditional Chinese medicine.
Seeing through the myriad changes in the pathogenesis of diseases,
It broadened my horizons and dispelled my confusion.
IV. Returning and conducting a private investigation and self-review
Each emergency and critical care call concluded successfully, and the team returned safely to the clinic after their arduous journey.
Zhou Deshan and Xu Jingming never rested or relaxed, but instead deliberately avoided the gaze of Su Wanjing, Murong Fangxiang and others.
Quietly find a quiet, secluded corner in the courtyard, away from the noise and undisturbed by others, and concentrate on studying and thinking.
The two stood side by side, facing each other, and meticulously reviewed the entire emergency treatment process from beginning to end, clarifying each step clearly.
By comparing oneself with Chen Shanhe's precise, insightful, and fundamental medical diagnostic approach, one should earnestly reflect on oneself, calmly identify the gap between oneself and one's master, and clearly see the hidden errors and shortcomings in one's own diagnostic methods.
Zhou Deshan frowned slightly, his expression solemn and enlightened. He lowered his voice and slowly spoke, frankly revealing his true thoughts to his old friend beside him.
"The acute illness just now was extremely rapid in its progression. If it were the two of us who were to treat it, we would definitely have made a mistake in the very first step of distinguishing between the exterior and interior, and between cold and heat, and misdiagnosed the root cause of the illness."
Xu Jingming was deeply moved after listening, nodding repeatedly with a look of sudden realization on his face. He carefully analyzed and deduced from the words, pointing out every step in which he was bound to make a mistake.
"We've spent our whole lives sticking to old, outdated methods, and when faced with this kind of acute illness, we'll inevitably rigidly apply the old prescriptions that have been passed down through generations."
"If you can't grasp the rhythm of the body's Qi flow during an acute attack, the combination of medicinal materials will inevitably be biased and unbalanced, making it impossible to control the pathogenic factors in a targeted manner."
The two exchanged their honest insights and experiences from the day's close observation, frankly revealing their own deep-seated shortcomings.
They pointed out each other's habitual flaws in medical practice, summarized the gains and losses of each outpatient visit and observation, and constantly reminded themselves to abandon old ideas.
By consistently reflecting on and deeply examining his experiences day after day, he has accumulated solid clinical experience over time.
The two gradually broadened their narrow and limited perspectives, and their outdated medical thinking, which had been ingrained for decades, was gradually reversed and changed.
His diagnostic and understanding skills, medication expertise, and ability to adapt to changing situations are all steadily improving. He is taking one step at a time and firmly walking on the orthodox path of practicing medicine.
As evidenced by the poem
Upon returning, he privately reviewed the situation.
Self-examination reveals errors and difficulties.
Medical skills improve with daily accumulation.
Steadily and diligently climb the mountain.