My daily work as a doctor: My treatment value is increasing.

Chapter 130 Yin Yang and Five Elements

Under the operating room lights, every detail was clearly visible to Lu Renxin.

Returning to a familiar scene after a month felt strangely familiar.

Wearing a green scrub suit, Lu Renxin had most of his face covered by a blue mask, revealing only a pair of focused eyes with slightly furrowed brows, his gaze fixed on the buttocks of the bedsheet.

This was his first time performing a cyst removal surgery.

A round, swollen lump was fully exposed on the exposed part of his skin.

It was pink and tender. With the patient asleep, Lu Renxin could finally squeeze it a couple of times and feel its texture.

It's somewhat similar to the recently popular "pinching" product, which is both soft, elastic, and resilient.

He swung his arms a couple of times, eager to try and peel it off completely.

If we could remove it entirely without damaging the cyst wall, it might look like a water-filled balloon.

Gently pry open the skin on both sides, and you can see a boundary line between the light pink sac wall and the surrounding skin.

After forcefully pulling it tight, you can clearly feel that the cyst is tightly adhered to the surrounding soft tissue, and there will be fine bleeding when it is pulled slightly.

Today, his assistant was Liu Yichen. Without him saying a word, Liu Yichen simply handed over the pliers, which were placed steadily in Lu Renxin's palm.

Lu Renxin used very light force, gently lifting the edge of the cyst wall with forceps in one hand, and holding dissecting scissors in the other hand, bluntly separating the connective tissue covering the cyst, always keeping the tip of the scissors outward and avoiding the cyst wall, not daring to use too much force at all.

If the cyst wall ruptures, all the internal fluid will leak out, and the entire mass will shrink, becoming less round and full, making it more difficult to separate.

"This is the first time I've encountered this kind of cyst, especially one on my buttocks," Liu Yichen said, looking down at Lu Renxin's actions with a sigh.

"Neither you've seen it nor I've seen it."

"But it feels okay, mainly because its location is relatively superficial, not particularly deep."

When he encountered areas with tight adhesions, he stopped and repeatedly rinsed the area with saline solution to clear away any bleeding that blurred his vision. He then carefully examined the boundary between the cyst wall and normal tissue with his fingers, and finally used scissors to gently separate the adhesions.

"Attractant".

"They're here."

Liu Yichen quickly placed the suction tube close to the wound and sucked away the oozing blood.

After peeling off most of the lump like peeling an egg, Lu Renxin slowed down, subtly adjusted the angle of the forceps, and slowly pulled it outward, loosening the layers of the lump with the scissors blades, avoiding the blood vessels running through it.

His hands were steady, precise, and light, prompting his assistant Liu Yichen to exclaim, "He's so steady! If it were me, I probably would have cracked by now."

However, we encountered a spot where the capsule wall was relatively thin, and it almost ruptured.

Fortunately, Lu Renxin remained calm and composed, without panicking. He immediately withdrew his strength and instead pushed and pulled at the surrounding tissue, gradually widening the gap.

The surgery itself is not very difficult, but you need to stay focused the whole time, and the skill required for the procedure is quite high.

As time passed, sweat trickled down his forehead and into the brim of his hat, and the surgical gown on his back was soaked with shallow dampness, but Lu Renxin was completely unaware, his mind completely focused on the surgery.

Once the last bit of fiber was cut, the entire cyst was held in place by the forceps, still perfectly round, without any rupture or leakage.

He breathed a sigh of relief and lifted it to eye level.

"Tell me, what exactly is in here?"

He looked up at Liu Yichen, his eyes full of curiosity.

"I don't know either, why don't we cut it open and see?"

Liu Yichen had never seen it either, so he made the suggestion with great interest.

For specimens like these that are excised, destroying them now isn't a big deal, since they will need to be sectioned after being sent for testing anyway.

Without hesitation, Lu Renxin picked up a knife, held the ball in place with his left hand, and pressed down hard.

"It feels like cutting up Nezha's fleshy ball."

With his vivid imagination, he couldn't help but start making connections.

"You never know, Nezha might jump out from inside," Liu Yichen joked.

The sac wall is very thin. As soon as it is cut open, a pale yellow liquid gushed out, like diluted honey water that has been left to stand for a long time, clear and without impurities.

The inner wall of the cyst cavity was rotten and looked like soaked, decaying flesh.

Lu Renxin couldn't resist squeezing it, experiencing the feel through his gloves, and after discussing it with Liu Yichen, he sent it to be made into a specimen.

He carefully electrocoagulated all the bleeding points on the wound, then repeatedly rinsed the cavity with saline solution. Only after confirming that there was no residue or bleeding did he begin suturing.

After it was over, Lu Renxin sighed softly and raised his hand to rub his temples.

As a doctor, one must deal with complex hospital rules on one hand, and face all kinds of patients suffering from illness on the other. The scalpel in one's hand is used to protect the lives of others.

This applies not only to Western medicine but also to traditional Chinese medicine.

He hasn't stopped studying traditional Chinese medicine these days.

Inside the space, an old man with white hair stroked his beard and was giving Lu Renxin a long and detailed lecture on a new subject, while Lu Renxin listened attentively, resting his chin on his hand.

I've been taking Hua Tuo's classes for a while now, and I've learned a lot—a lot indeed!

Since taking the course, his understanding of various Chinese medicinal herbs has become clearer. He understands more clearly why a certain medicine is used for a certain disease and why the two cannot be combined.

But the medicinal herbs have already been discussed; what will be the next topic? He was filled with curiosity.

You have to understand that he bought a lot of lessons at once, and he trusted the system a lot, believing that there was a high chance that other beneficial content would appear.

Okay, that's all for now.

The white-bearded old man smiled kindly, his figure transforming into specks of starlight and dissipating into the air.

Lu Renxin felt a blur before his eyes, and the scene that had been a colorful garden full of plants, with fresh and bright colors, instantly changed.

He appeared in an antique-style study. The room was bright and clean, with wisps of sandalwood incense slowly wafting through the air. Lu Renxin, as a student, sat upright at his desk.

Seated on the high seat in the center was a renowned traditional Chinese medicine practitioner with white hair and beard, dressed in a long blue cloth robe.

The fabric of his long robe draped to the ground as he moved, and a yellowed silk book and a pulse diagnosis chart were spread out beside him.

A large diagram of the human body's internal organs and a diagram of Yin-Yang and Five Elements are hung on the wall behind.

The painting features interwoven black and white lines, with the five elements (metal, wood, water, fire, and earth) clearly marked.

The old man's voice was deep and resonant, spoken calmly and deliberately.

"The so-called Yin and Yang are inseparable from the Yin and Yang of heaven and earth and all things. The human body is also a microcosm. The back is Yang and the abdomen is Yin. The internal organs are Yang and the viscera are Yin."

"Movement and stillness, cold and heat, exterior and interior all follow this principle."

"This is... Yin-Yang theory?" Lu Renxin asked in astonishment.

"The great principles of heaven and earth are nothing more than yin and yang. The interplay of yin and yang is called the Dao."

"All things have opposites, which is why they can maintain balance; all things are interdependent, which is why they can generate and transform. The coming of day and night, the coming of cold and the coming of heat, are all the waxing and waning of Yin and Yang; extreme cold gives rise to heat, and extreme heat gives rise to cold, which is the transformation of Yin and Yang —"

The basic theories of traditional Chinese medicine are deeply ingrained in people's minds; he studied them when he was in school.

This is the foundation for all students of Traditional Chinese Medicine.

Yin and Yang are the most fundamental of all.

Yin and Yang are the fundamental principles by which the ancients understood the universe and interpreted the human body, and they are also the general outline of traditional Chinese medicine theory.

The ancients believed that all things in the world that are both contradictory and related can be divided into Yin and Yang. The two are not separate and independent, but rather two sides of the same coin.

Its core principles include opposition and constraint, mutual dependence and mutual use, waxing and waning balance, and mutual transformation.

What is mutual opposition?

In essence, this means that Yin and Yang have opposite attributes and restrain each other.

Just as the sky is yang and the earth is yin; daytime is yang and nighttime is yin; heat is yang and cold is yin —

These things can check and balance each other, maintaining a dynamic equilibrium.

However, they do not exist independently, which leads to the second point: mutual dependence and interdependence.

Yin cannot exist without Yang, and Yang cannot exist without Yin; they are the foundation of each other and mutually nourish each other.

"Yin is inside, guarding Yang; Yang is outside, commanding Yin."

Furthermore, the total amount of Yin and Yang is constant, and they wax and wane, maintaining a dynamic equilibrium.

During the day, yang energy gradually increases while yin energy gradually decreases; at night, yin energy gradually increases while yang energy gradually decreases.

In the human body, if the waxing and waning of Yin and Yang are in balance, the body will be at peace. If the waxing and waning are out of balance, and Yin and Yang become excessive or deficient, illness will occur.

Finally, Yin and Yang can transform into each other; Yin can transform into Yang, and Yang can transform into Yin.

"It is even more important to distinguish between Yin and Yang."

The renowned TCM practitioners on the high platform emphasized this point.

"The treatment of diseases must be based on the principle of Yin and Yang."

He raised his hand and pointed to the eye of the Tai Chi fish in the picture, explaining the wonder of the mutual dependence and transformation of Yin and Yang, dissecting the dialectical basis of cold, heat, deficiency and excess word by word.

The content was not much different from what I had learned in school, except that the master of traditional Chinese medicine had a deeper understanding of it, and his course included more examples, making it more accessible and easier to understand.

At least Lu Renxin didn't feel sleepy during class; he only felt like he was being baptized by knowledge.

That's all for today.

Lu Renxin bowed deeply to express his gratitude to the professor.

After class, he couldn't wait to open the system and read the instructions carefully.

"Why did they suddenly change teachers?"

He had a vague guess in his mind that it might be a system upgrade or a patch.

As expected, the product description expanded the scope of the course to include all aspects of traditional Chinese medicine.

It was also specifically emphasized that Lu Renxin achieved good results after completing the first stage of the course on traditional Chinese medicine.

With the aim of improving his medical skills, the course was upgraded, and different experts would then lecture on different theoretical doctrines.

"The system is dedicated to improving my skills!"

"Wouldn't that mean I could see many industry giants whose names I'd only heard of in textbooks?"

Lu Renxin felt his heart pounding; he was extremely excited.

"I still need to renew the course! I'm not short of money."

He managed to exude the air of a nouveau riche, and the thought of being taught by leading figures in traditional Chinese medicine from different eras and backgrounds filled him with immense joy.

Now that the system has upgraded the courses, are there any other things that need to be updated or upgraded?

He curiously started browsing through the different items in the online store.

The article is normal.

Different types and categories of journals can be redeemed.

The welfare benefits remained the same, with a monthly cap. Lu Renxin would always redeem his monthly income at the highest possible level.

The same applies to all kinds of technologies.

Improved physical fitness?

Lu Renxin's eyes lit up when he saw this before.

Upon opening the details page, it reads: "As a doctor, one should possess good physical condition."

Yes, that's very true.

Doctors are individuals who combine physical and mental abilities, especially surgeons like him.

Surgeons have a greater workload than internists.

Their department is alright; they don't need to work long hours. But in departments like orthopedics or cardiac surgery, a single surgery can require standing for many hours straight.

For example, a pancreatic cancer surgery in the pancreatic and biliary surgery department may take seven or eight hours.

Without good physical strength, one who feels dizzy after standing for a short time cannot pursue a career in medicine.

Needless to say, he worked in orthopedics, but despite being called an orthopedic surgeon, he was more like a human body repairman skilled in aseptic techniques.

Based on Lu Renxin's stage experience, the staff in this department is predominantly male.

When the doctor went up to the operating table, there were various chisels, hammers and pliers in front of him.

Other departments use needles, thread, and small knives, which appear delicate and small.

The orthopedics department operates like a hardware factory assembly line, equipped with a full range of hardware including hammers, chisels, files, Kirschner wires, and plate screws.

It was placed on the operating table, looking no different from a hardware repair stall.

The difference is that the chisel is sterile.

The hammer was also sterile.

The forceps were also sterile.

Bone cement is also sterile.

In short, they are all sterile.

The surgeon was half doctor and half repairman, holding various instruments on the table and tapping the bones with a clanging sound.

People who don't know better might think this is a construction site where they're demolishing walls and have accidentally wandered into a building.

The orthopedics department is also a major source of noise. Electric drills and oscillating saws are running in turn, and the buzzing and roaring sound makes people's ears numb. The beeping sound of the electrocardiogram monitor is completely drowned out. The whole process is like being in an indoor construction site.

In addition, the amount of bleeding in orthopedics varies greatly.

In proctology, bleeding is usually minimal, while in orthopedics, the bone is either ground down almost dry with little to no bleeding, or a loose fracture can cause blood to instantly flood the surgical field.

In addition, orthopedics also focuses on forceful reduction, pulling the affected limb entirely with arm strength, often requiring patients to lift the thigh and bend the calf after anesthesia.

When a patient is asleep, they cannot control their limbs. The lower limbs, which were originally easy to control, will now feel heavy.

They have to carry it for several hours at a time, which is too much for a thin person to handle, so the young assistants often develop very strong arms.

Although the workload in proctology is much smaller compared to departments like orthopedics, the number of surgeries performed is large.

One machine after another, each lasting from half an hour to an hour.

But just like an assembly line, patients come in in rotation, and even those with good health can't handle it.

Therefore, this feature of the system is indeed very useful.

"Is it a direct upgrade?"

Lu Renxin's mind conjured up images of rare and precious herbs from novels, which, once consumed, could cleanse his marrow and instantly give him eight-pack abs, biceps, and well-developed triceps.

"Hehehe, that's great!"

But when he scrolled down the details page, it wasn't quite what he expected.

The system clearly indicates that basic improvements can be made, but personal effort is still required.