chsdbacks Chapter 97 Observing and Consulting, Providing Guidance
Chapter 97 Observing and Consulting, Providing Guidance
Chapter 97 Observing and Consulting, Providing Guidance
I. Leisurely Visiting the Mountain and River Temple for Medical Consultation
Aside from making house calls, Chen Shanhe often spends his free time strolling into the people's clinic.
Without disturbing the busy crowd, he stood quietly in the corner of the hall, silently observing the entire process of his two apprentices seeing patients.
Silently observe the techniques and postures of the two people taking pulses, carefully observe their current diagnostic thinking, and the whole logic of considering the prescription and writing it down.
He never rashly stepped forward to interrupt the normal consultation, but stood quietly to the side, his eyes calm, watching the two people's every word and action.
Zhou Deshan sat upright at the consultation table, his fingertips lightly touching the patient's wrist pulse, concentrating on feeling the rise and fall of the pulse.
At the other table, Xu Jingming asked the patient about his physical condition and wrote down the details of his symptoms.
The two were so focused on seeing patients that they didn't notice Chen Shanhe, who was quietly observing from the corner.
Each person, following their own understanding at the moment, carefully observed, listened, inquired, and examined the body, meticulously considering the prescriptions, single-mindedly focused on relieving the patient's pain in a reliable manner.
Chen Shanhe remained calm and composed, silently taking note of all the problems that the two doctors revealed during their consultations.
Patiently watching the two complete the entire process of consultation, diagnosis, and prescription, I quietly waited for the patient to finish treatment and leave the hall.
This was solely for the purpose of meticulously correcting each misconception and providing precise guidance afterward, helping the two to completely reverse their long-standing, ingrained medical practices.
As evidenced by the poem
Leisurely strolling around the clinic to observe the doctors' consultations.
Quietly observe the teacher and students to distinguish between the turbid and the pure.
Memorize every single mistake in your heart.
I'll just wait for a moment of leisure to enlighten the confused.
II. Waiting for the departing person to leave is a common misconception.
After all the patients who came for treatment that day had been treated, they thanked him and took their leave, leaving the clinic hall one after another. The noisy clinic finally quieted down.
The hall, which was originally busy with patients, was now deserted, peaceful and quiet, with no more bustling noise.
Chen Shanhe had been standing quietly in the corner of the hall, but now he slowly and calmly walked out, his expression serene and peaceful, his steps steady and unhurried, and he slowly stood in front of his two disciples.
When Zhou Deshan and Xu Jingming saw Chen Shanhe walking slowly towards them, they immediately stopped organizing the medical records and straightened up.
The two men instantly became respectful and humble, bowing deeply with perfect posture and etiquette, showing no sign of negligence or casualness.
Both of them clearly understood that their master had silently observed the entire consultation process and must have seen through the many diagnostic errors and deep-rooted old medical habits hidden in their consultations and prescriptions.
Chen Shanhe's gaze was calm and gentle as he slowly looked at the two people in front of him. He spoke slowly and patiently, in a calm and gentle tone.
He pointed out one by one the various oversights and problems that the two had made when they were seeing patients, and carefully exposed the old medical misconceptions that the two were deeply entrenched in and could not detect on their own.
He speaks clearly and logically, analyzing the root causes of each point, pinpointing the mistakes incisively, and every word and sentence hits the core issue without a single superfluous word.
He bluntly pointed out that the two of them still couldn't shake off the ingrained thinking that had been ingrained for decades, rigidly and inflexibly copying the old, readily available prescriptions, without any distinction between the different patients' constitutions, whether they were weak or strong, deficient or excessive, hot or cold.
Besides, when making diagnoses, the two only focus on superficial external symptoms and hastily draw conclusions.
Focusing only on the immediate symptoms of illness will not delve into the root cause and will fail to uncover the true underlying cause of the disease deep within the body's organs.
Furthermore, when considering the combination of Chinese medicinal herbs, the selection of herbs with unbalanced properties (hot or cold) and efficacy, the disordered and chaotic combination of principal, assistant, adjuvant, and guide herbs, and the reversal of primary and secondary elements are completely contrary to orthodox medical principles and rules.
Every minor operational error and every ingrained, difficult-to-eradicate habit of medical practice was listed out by Chen Shanhe and laid out clearly before the two men, allowing them to clearly see their own problems.
As evidenced by the poem
Waiting for the patient to leave the courtroom.
Calmly open the door to unravel the mystery.
The errors of old practices are clearly pointed out.
Break with convention to grasp the true essence.
III. Breaking Down and Explaining Medical Principles
Seeing the two of them bowing their heads, looking ashamed and full of self-reflection and regret, Chen Shanhe showed no harshness or severity on his face. His tone remained gentle, calm, and unhurried.
He knew that the two had been practicing medicine for decades and their old ways of thinking were deeply ingrained and difficult to change in an instant, so he would only patiently guide them and never scold or criticize them harshly.
He broke down the obscure, complex, and profound knowledge of traditional Chinese medicine, dissecting it bit by bit, and then, comparing it with the real patients and symptoms that the two doctors had just treated, he explained and analyzed it in detail on the spot.
He patiently and meticulously explained to the two that practicing medicine requires breaking free from the constraints of old-fashioned prescriptions, learning to be flexible and adaptable to individual patients, tracing the origins of the disease by following the rise and fall of Qi throughout the body, accurately controlling the properties and compatibility of each medicinal herb, and prescribing medication prudently and appropriately.
By taking a gradual and step-by-step approach, we can correct the old medical habits that have been ingrained in the two of them for half their lives, and slowly reverse their decades-old, rigid and inflexible traditional medical thinking.
Chen Shanhe raised his hand and pointed to the complete medical record on the table. He compared it with the real medical record and explained the core medical principles in a simple and easy-to-understand manner.
His gaze was open and honest, his expression earnest, and he slowly began to offer his earnest advice.
"In practicing medicine and saving lives, the worst thing is to rigidly adhere to fixed prescriptions passed down through generations. People's constitutions vary in strength and weakness, and the mechanisms of disease vary in their own nature."
"The onset of symptoms varies in severity and urgency, and it is absolutely impossible to generalize or rigidly apply the same prescription to everyone."
"The symptoms of illness that appear on the body are all external manifestations. Only by following the flow of Qi and blood through the meridians and digging deep into the source can we find the true root cause of the disease hidden deep in the internal organs."
"The combination and use of medicinal materials should emphasize the role of each medicine, with clear distinction between primary and secondary properties, complementary effects, and a balance between cold and heat properties, so as to effectively eliminate illness without damaging the body's original vital energy."
Zhou Deshan and Xu Jingming leaned slightly forward and stood quietly to the side, listening attentively.
His eyes were fixed on the medical record on the table, not daring to miss a single word, and he listened with exceptional focus and attention.
While carefully memorizing their master's profound teachings, the two also reflected on the mistakes they had made in their diagnosis and prescription.
Only at this moment did they fully see the narrow-mindedness and flaws of their own thinking, and finally figured out the correct direction for tracing the source and treating the disease dialectically, and felt a deep sense of awakening and gratitude from the bottom of their hearts.
As evidenced by the poem
Medical principles were explained on the spot.
Tracing the origins and understanding the dialectics of Yin and Yang.
Break free from outdated and rigid ideas.
A clever way to guide someone back to the right path.
IV. A Sudden Awakening and Gaining New Knowledge
After a series of insightful and detailed explanations during class, Zhou Deshan and Xu Jingming suddenly understood and completely realized the truth.
I finally clearly saw where I went wrong in my daily practice and understood how to adjust my approach to medicine in the future.
All the confusion and uncertainty I had felt in the past vanished in an instant, leaving my mind clear and lucid.
The two were filled with shame and gratitude, and they finally understood that their master had good intentions and that every word he said was a piece of solid medical knowledge.
Zhou Deshan stepped forward, his expression sincere and humble, and bowed deeply to Chen Shanhe.
"Thank you for your careful guidance, Master. We were so deeply entrenched in our old ways that we were unaware of our mistakes. If you hadn't pointed them out to us, we would never have escaped our misunderstandings."
Xu Jingming nodded in agreement, his eyes filled with relief and gratitude, and his words were full of sincere thanks.
"We are so ingrained in our thinking that we don't even realize we're wrong. It's thanks to our Master's patient correction and guidance time and time again."
From then on, the two of them saw patients every day and received Chen Shanhe's observation and precise guidance every day.
Every day I discover my own shortcomings, every day I correct old ways of thinking and bad habits, and every day I steadily gain new insights into studying medicine.
Steadily change old habits, steadily improve medical skills, and step by step truly enter the orthodox and original path of traditional Chinese medicine.
As evidenced by the poem
Suddenly realizing right from wrong,
Make progress and gain new knowledge every day.
Gradually returning from the wrong path, one should practice medicine correctly.
I will devote myself to understanding the Tao and live up to my teacher's expectations.