Rebirth 1977 Great Era

Chapter 586: If a prescription contains more than thirteen ingredients, does that mean he is not a good doctor?
After he finished speaking, Fangyan opened the prescription, and he wrote:

20 grams of Liao Adenophora, 10 grams of Peucedanum, 10 grams of Stemona, 12 grams of Moutan Bark, 15 grams of Rehmannia glutinosa, 10 grams of Scutellaria baicalensis, 10 grams of dried ginger, 10 grams of Perilla seed, 5 grams of Asarum, 24 grams of Lemongrass seed, 15 grams of raw mulberry bark, 15 grams of Pueraria root, 10 grams of Bletilla striata, 10 grams of Apricot, 10 grams of Platycodon, 20 grams of Houttuynia cordata, 12 grams of Anemarrhena asphodeloides, and 3 grams of Licorice.

There are a total of eighteen flavors.

As soon as so many medicines were prescribed, before Fangyan could hand them over to his assistant to pick them up, they aroused doubts from the patient's family member Chen Xiaoman.

Chen Xiaoman asked to Fang Yan:

"Wait... Doctor Fang, although I'm not a student of Chinese medicine, I've heard a saying in Chinese medicine that if there are too many drugs in a prescription, their properties will not be affected. It says that if there are too many drugs in a prescription, the clinical treatment effect may be affected due to the conflict between the drugs' properties. Does your prescription... have too many drugs?"

After hearing this, the bank manager, who had a needle in his face, quietly looked at the prescription Fangyan had just written. Seeing that there were only a few herbs on it, he couldn't help but breathe a sigh of relief.

The eyes of the other people around also turned to Fangyan, and everyone wanted to know how Fangyan would answer.

Fangyan saw everything, but his expression remained calm.

In fact, Chen Xiaoman's words are quite tactful. If she were to tell the truth, she would probably say:
"If a prescription contains more than thirteen ingredients, it means that the doctor has not diagnosed the symptoms correctly."

This argument was posted in a medical forum that Fangyan visited in his previous life, and it was also posted on the Daily News.

There are people talking about this in there every day.

The general topics are:
"If a Chinese medicine prescription contains more than thirteen herbs, then he is a quack. Stop destroying the reputation of Chinese medicine."

"If a prescription contains more than thirteen ingredients, then he is not a good doctor."

"If a Chinese medicine prescription contains more than thirteen ingredients, stay away from this Chinese medicine!"

"Why doesn't the Ministry of Health restrict TCM practitioners from prescribing more than thirteen herbs?"

In addition, there is an advanced version that says the number of ingredients cannot exceed eleven.

Anyone who says that the prescription contains more than eleven ingredients is a quack and there is no need to even read the prescription.

Anyway, each one is more outrageous than the other.

This so-called principle is actually based on the guiding ideology of prescribing medicine in Huangdi Neijing Suwen, in which there is a paragraph that reads:

"Governance has its urgency and slackness, and policies have its size. If the king is one and his ministers are two, this is a small system; if the king is one and his ministers are three and his assistants are nine, this is a large system."

What this sentence means is that according to the urgency of the disease and the scale of the prescription, the proportions of the main medicine, the secondary medicine and the adjuvant medicine should be different.

Generally speaking, a prescription with three herbs is a small prescription; a prescription with nine herbs is a medium prescription; and a prescription with thirteen herbs is a large prescription.

This theory provides important guidance for the clinical formulation and medication of traditional Chinese medicine. Doctors need to accurately judge the condition and reasonably determine the size of the prescription and the compatibility of drugs to achieve the best treatment effect.

But nothing is absolute.

In the field of traditional Chinese medicine, if a prescription contains more than thirteen herbs, it does not represent a specific absolute meaning. Often, the number of herbs exceeding thirteen indicates that the doctor who prescribes the herbs has his own specific considerations.

When prescribing medicine for patients in dialect, the number of ingredients usually does not exceed thirteen, but that is for ordinary patients.

The key point is that the person in front of him is not an ordinary patient.

Even Zhongjing had prescriptions with more than thirteen herbs, and dialects are certainly no exception.

When Fangyan was in the hospital before, he also faced such doubts, and this happened more than once.

Because the Internet is more developed in later generations, everyone will more or less come into contact with some theories on the Internet, and some short videos will especially use these things to create topics.

The patient's family members, after listening to half of the theory, will use this theory as a theoretical basis for questioning.

So when faced with doubts, he was not panicked at all, and even began to popularize science with some proficiency. He only said to Chen Xiaoman:
"Traditional Chinese medicine emphasizes syndrome differentiation and treatment. When a patient's condition is complicated, involving multiple organs and multiple causes and pathogenesis intertwined, a single or small amount of medicine is difficult to take full account of the problem."

"The human body is an organic whole, with all organs and meridians interconnected. Some chronic diseases or difficult and complicated diseases not only cause problems in the local area, but also affect the whole body. Through the synergistic effect of multiple herbs, the balance of yin and yang in the human body and the circulation of qi and blood can be adjusted as a whole to promote the recovery of the body."

"Mr. Shen is an elderly person with weak qi and blood and declining organ functions. Therefore, he needs to take more comprehensive and detailed medications after he becomes ill, so he will use more drugs."

"In this prescription I prescribed, Liaoshashen, Stemona, Bletilla, Cortex Moutan, Cortex Lycii, Peucedanum, Puerariae, and Rhizoma Anemarrhenae can nourish yin and moisten the lungs, clear away heat and promote the production of body fluids. And because fluid is a cold evil, we must use dried ginger, asarum, perilla seed, apricot kernel, scutellariae, and raw mulberry bark to transform cold fluid and drain chest effusion. At the same time, we use Gastrodia elata and Houttuynia cordata to clear heat and drain pus from the lungs, and liquorice coordinates the various medicines. This prescription uses both cold and hot, takes into account both the symptoms and the root cause, and conforms to the pathogenesis. Only in this way can we achieve the best results."

Fangyan also explained the effects of all the medicines in his prescription, paused and then said:
"In addition, the famous Chinese medicine classic "Golden Chamber Synopsis" contains more than thirteen herbs in the Shudi Pills, Biejia Jian Pills, Mahuang Shengma Decoction, Hou's Black Powder, and Fengyin Decoction. In addition, there are many other famous Chinese medicine classics that also contain these herbs, such as Duhuo Jishe Decoction and Wenpi Decoction in "Prescriptions for Emergencies", and Xuefu Zhuyu Decoction in "Medical Errors Correction", which also contain more than thirteen herbs."

"All these famous doctors in history would use prescriptions with more than thirteen herbs to treat diseases. Of course, I can do the same. But just because a doctor uses prescriptions with more than thirteen herbs, it doesn't mean that there is something wrong with the doctor's use of drugs."

"For some things, we still have to look at them dialectically and treat specific symptoms specifically, and not be dogmatic."

Fangyan's explanation was well-reasoned and everyone couldn't help but nod their heads.

At this time, the dean on the side said:
"You probably don't know much about our Doctor Fang. I dare not say anything else about him, but from the time he started treating patients until now, all the patients who came to see him have been cured."

"This achievement alone is unique in our city of Yanjing."

"There's still a sign hanging on the Dashilan Tongrentang store that says his 100% cure rate." "Although some people say it has something to do with how long Dr. Fang has been seeing patients, and that he may encounter patients he can't cure in the future, I can say with confidence that Dr. Fang has done his best to cure all the patients he has met, and there has never been a case where the medicine he prescribed had no effect on the patient."

Although the other party was the daughter-in-law of a famous writer, the dean was still a little angry when she questioned the pillar of Peking Union Medical College of Traditional Chinese Medicine.

Fangyan is now the signature figure of our Union Hospital. If you say that there might be something wrong with the medicine he prescribes in front of so many people,

If this gets out, wouldn't it ruin their reputation?

Fortunately, the dialect explained the whole thing clearly, without giving people any room for criticism.

Otherwise, there are still some patients left here. If any one of them processes the content here and tells others about it, it will have an impact. You know, most of the people who come here have some connections in their families. Who knows who will hear this rumor in the end?
The dean's words were obviously directed at Chen Xiaoman.

Chen Xiaoman, who had some doubts about Fang Yan just now, suddenly looked embarrassed.

She just blurted it out on impulse. The doctor in front of her is a popular genius doctor recently. Even overseas Chinese businessmen go to him for treatment. She just blurted it out.

If you think about it carefully, that behavior just now, questioning the prescription, is like questioning her father-in-law's inability to use punctuation.

Chen Xiaoman, who had figured it out, blushed and bowed to Fang Yan:
"I'm really sorry, I don't know much about Chinese medicine, I just thought of this sentence just now, and I said it without intending to offend you."

Faced with an aunt who was about the same age as his mother, Fangyan had no intention of arguing with her.

Plus, I had explained it countless times in my previous life, so I didn’t take it to heart at all.

So it seemed that the dean was the most angry at the scene, while Fangyan looked calm.

It was as if the person just talking about was the dean instead of him.

So Fangyan waved his hands and was about to say it was okay.

As a result, Mr. Shen said:
"Comrade Fangyan, my daughter-in-law is quick-witted. She is like this all the time. She speaks whatever comes to her mind without restraint. I apologize to you. Please bear with me!"

Fangyan waved his hand and said:
"In fact, the family members of the patients raised reasonable doubts for the safety of the patients, which is understandable to us medical staff. The fact that they can raise such doubts also shows that our traditional Chinese medicine culture is more or less rooted in the minds of every Chinese."

After that, he looked at the other people present and continued:

"I hope what I said today can help to clear up some of your doubts and also spread some knowledge of traditional Chinese medicine."

As soon as Fangyan said this, the awkward atmosphere on the scene was effectively resolved.

The previous questioning turned into an academic discussion on traditional Chinese medicine.

Chen Xiaoman is also a smart person, and immediately followed up with a smile and said:

"What you said makes sense. It was only after listening to your explanation that I understood what was going on."

After that, he said a little embarrassedly:
"It's all my fault for hearing things from others. I only listened to half of the knowledge points and then used them to question you."

Then he apologized to Fangyan again.

Fang Yan waved his hand, took the prescription again and said to her:
"Go and complete the admission procedures now. I'll hand this prescription over to the head nurse at the nurse station in the inpatient building later. She will arrange for the medicine to be boiled for you."

Chen Xiaoman was now obedient and nodded in response:

"Okay, thank you, Doctor Fang."

After saying that, he looked at the dean who had brought them here. The dean's anger had subsided at this moment, and he put on a smiling face again and said to Mr. Shen:
"Just follow me, the two of you. Don't worry about the admission procedures."

After they left, Fangyan shouted again:
"Next person."

As a result, after this shout, a group of people stood up.

Fangyan then realized that it was a whole family, accompanying a patient to see a doctor.

In other words, apart from this one, there is only one person left.

There weren't that many people. Fangyan looked at the time and saw that only more than an hour had passed. He couldn't help but breathe a sigh of relief.

Although they are all difficult and complicated cases, the number of patients is much less than that of Tongrentang.

At this moment, the old lady behind the patient said in a crying voice:

"Doctor Fang! Divine Doctor Fang! You must save our little granddaughter!"

Fang Yan came back to his senses, looked at the girl in front of him who was less than 20 years old, and asked:

"what happened?"

The little girl took her left hand on the table and said to the dialect:
"Another hospital said the left hand could not be saved and recommended amputation."

(End of this chapter)