Chapter 64 border, what is border

I forgot where I saw it, it happened in the United States, a new doctor who graduated from medical school just came to practice, saw the rescue and death, his heart was shocked, he could hardly control himself, and exited the door of the emergency room , an old doctor said something to him after seeing it, which I can't forget. He said: There are two kinds of doctors in this world. Treat an object that has nothing to do with you, operate according to the rules, so that you will not suffer, and you can become a qualified doctor; the other kind of doctor is emotional, and feels that the pain of the patient lies with you. This kind of doctor will be very painful. Both kinds of doctors are good doctors. Now you need to choose which kind of doctor you will be.

I remember that I was shocked by his words at the time, and I dare to think about this issue with foreign doctors. Yes, there are indeed two kinds of doctors. The former will become a qualified and good doctor. We need most doctors to be this kind of person. Among these people, there will be outstanding doctors. However, there is still the latter kind of doctor in this world. This kind of doctor spends his life in the alternating process of pain and joy. When they treat, they don't use technology, but heart. And thinking all night, they will be in pain because of the pain of their patients.

Among these doctors, there will be great doctors. If Yu Jiayan was to be classified, then he undoubtedly belonged to the latter kind of doctor who treats with heart. Many people lamented Yu Jiayan's superb treatment skills, but no one paid attention to how his superb medical skills came about. Let's take a look. In the preface of the book "Yi Yi Grass", Yu Jiayan talked about this issue himself. He said, "I don't have any special experience in medicine. , I have to calm down, concentrate on thinking, and even feel that my breathing is the same as that of the patient, that my body and the patient's body have become one, and my heart seems to have become the patient's heart, the patient's heart. This kind of loneliness, helplessness, that kind of pain and groaning seem to come to me. If the patient's illness recovers quickly, I don't feel sorry even if I throw away my head and bone marrow; , I will definitely think hard, even if the patient's illness is not cured, my body will be haggard first."

The original text of this passage can be regarded as a classic, and interested students can read it in "Mortal Meaning Grass", it is absolutely shocking. He also said: "Those who don't know say that I learned this knowledge from books. In fact, these healing methods are all in people's hearts. How can they be obtained from paper?" Get it from paper, the way of life depends on people, how can it be compared with paper) So, this is the secret, this is the secret to ascend to the highest level of medicine! A doctor with this state will think hard when diagnosing patients, so there are very few chances of making mistakes.

Let me give you an example. This example is deeply memorable to me. When I see a doctor, I will often think of it. There was a man named Huang Zhixu whose wife was ill. This disease is very strange, called Diaphragm Qi, what are the symptoms?It’s just that the phlegm always comes up and comes back from the stomach. This patient has been sick for more than 20 days, and he can’t eat at all, and he can’t pass the bowels. The criteria are similar (Guange, a terminal illness, can’t enter the diet on the upper side, and can’t excrete urine and urine on the lower side. Modern diseases such as esophageal cancer and uremia can be referred to).

This is too terrible for a family. If this continues, people will die. What should I do? I don't know who gave a bad idea. I asked a doctor to judge the date of farewell. (It is estimated that relatives and friends have been notified to prepare) There is a doctor surnamed Shi in the local area. This doctor has a unique skill, that is, as long as he takes the pulse of a patient, he will know whether the disease will die or not. In the past, there was such a group of doctors who claimed to be good at judging life and death. Once they checked the pulse, they could know whether the patient would die, when, and when.

The general situation is like this: he took the pulse with his hand: "this patient will die the day after tomorrow, the winter solstice day, and the night." The family members begged, can you treat it?Answer: "No." Are you angry? So I invited Dr. Shi, the magician, and Dr. Shi was unambiguous. Once he took the pulse, he said with certainty: "This person's chi pulse has been cut off, his kidney qi is gone, and his pulse has no root. Let's say goodbye to the day." It’s not far away.” (The pulse has already left the root, and it will be broken in an instant) and then walk away.

Well, it's better not to talk about it, this time, the family panicked even more. (It is estimated that some quick-handed people have already started to study ink and prepare to write elegiac couplets) what to do?Only then did someone propose to go to Yu Jiayan, I heard that this doctor is okay. At this time, Yu Jiayan was receiving visiting friends at home. They were sitting in the yard, watching the fallen leaves, and discussing the current situation worriedly. At this time, the rule of the Ming Dynasty was on the verge of collapse, famines were everywhere, and the people were in dire straits. Li Zicheng, Zhang Xianzhong and other peasant rebels were annihilating the Ming army by hundreds of thousands in various battles.

From a standpoint, Yu Jiayan seems to be inclined to the rulers of the Ming Dynasty, but in fact he lamented more about the fate of the common people. When we read medical books, we always think that doctors diagnose diseases in the same peaceful environment as ours, and they only deal with individual patients, but the real situation is that they hardly have such conditions. During these years, there have been many large-scale droughts and locust plagues in the Central Plains, crop failures, starving people and even the tragedy of father and son cannibalism. A gust of cold wind blew, Yu Jiayan wrapped his clothes tightly.

At this time, the person who invited Yu Jiayan arrived. Yu Jiayan sighed and said to his friend: "We can't control the affairs of the world, but the people in front of us need to be saved! I'll go back as soon as I go." After arriving at the patient's home, after taking the pulse, Yu Jiayan was very surprised: "Why are you all so sad? This patient is not dead." Mr. Huang Zhixu: "Come on, don't comfort us, just tell me how long you can delay?" Yu Jiayan: "What's the delay? It's just a blockage of the energy in the middle burner, which causes the energy in the upper burner to not drop. Everyone, watch my treatment, and it will gradually improve."

So he prescribed Xuanfu Daizhe Decoction with flavor (Xuanfu Daizhe Decoction, a prescription in "Treatise on Febrile Diseases", used to treat stomach deficiency and phlegm obstruction, syndrome of deficiency Qi upward reversal), but when prescribing the prescription, Yu Jiayan thought , the chi pulse of this patient cannot be detected. If she is pregnant at this time, then I can't judge it. I should take this situation into consideration. In case she is pregnant at this time, I used the ocher If there is a medicine for heavy falling, I am afraid that the fetus will not be able to keep it. Look at Yu Jiayan's thoughts, why did he become a famous doctor?They definitely think carefully and take care of all aspects of the patient's condition. Every time I see this, I feel admiration from the bottom of my heart. This is the skill of a great doctor! As a result, he replaced ocher with red stone fat, and simmered ginger instead of dried ginger, and then added Liujunzi Decoction (Liujunzi Decoction, a prescription in "Women's Encyclopedia of Good Prescriptions", which is used to treat spleen and stomach qi deficiency combined with phlegm. card), and the patient drank it. This medicine was really not in vain. After I went down, the vomiting began to subside. However, as soon as the medicine took effect, the bad roots of the patient's family members began to show up. Huang Zhixu's father, that is, the patient's husband, saw ginseng in the prescription, and muttered beside him: "This ginseng is so expensive, it can be cured. Is it? Don’t treat it if it can’t be cured.” (This old man is cruel enough) After hearing this, Yu Jiayan said seriously: "Don't be afraid, it will definitely be cured. If the cure is not good, not only will I pay for the ginseng, but I will pay you another thirty gold. If it is cured, I will not charge you a cent. Right?" (If you don't cure it, I would like to take thirty gold as a punishment. If it is cured, you will not take a penny) This old man has hit a nail. Speaking of this, what more can I say?As a result, Yu Jiayan was able to devote himself to the treatment. He personally boiled the medicine for the patient. Three days later, the patient's vomiting finally stopped, and after another three days, the patient started to drink porridge. However, since I got sick to now, I haven't had a bowel movement for almost a month. Just like the medical case above, everyone is anxious to have a bowel movement (don’t underestimate this stool). Every time Yu Jiayan checked the patient's pulse, the patient specially asked: "Give me some medicine for laxative." Yu Jiayan explained patiently: "Don't worry, your spleen and stomach qi is too weak. Once you accumulate a lot of food, it will naturally clear up." The patients and their family members didn’t think so. They thought Yu Jiayan was too unkind. They didn’t know that Yu Jiayan had scruples, because if they used angelica, rehmannia and other laxatives at this time, they might be sluggish. It will cause the recurrence of diaphragmatic gas. If laxatives such as rhubarb are used, if the patient is pregnant, it will hurt the fetus again. After careful consideration, Yu Jiayan insisted on letting the patient's stool pass naturally. So no matter how urged by others, he insisted on not giving the patient any laxative medicine. A few days later, as Yu Jiayan expected, the patient's stool passed by itself. After another month, the patient's belly gradually became bigger, and even the patient didn't know that she was pregnant! Yu Jiayan used meticulous thinking to protect the safety of the mother and child, and did not harm the fetus due to indiscriminate use of drugs. The work of a doctor is ordinary. It is not as majestic as the generals who swept thousands of troops on the battlefield. The professional quality of a doctor is reflected in every detail of the work. Only those who pay attention to every detail with their heart can become the real life-saving , the best doctor. This attention to detail does not come from their natural personality. But from, their love for all beings. In this era, God brought droughts, locust plagues, and floods to the world, causing thousands of people to die. The rulers are ruling indiscriminately, making the people suffer. Foreign tribes are encroaching on the land of the Central Plains and plundering the land that can be occupied. The rebel army fought fiercely with the government army repeatedly, and millions of people died tragically by the sword. Only doctors like Yu Jiayan, with a compassionate heart, save lives one by one. This is very disproportionate. Thousands of people are dying over there, but here they can only be saved one by one. It seems that the speed of saving people will never catch up with the speed of killing. However, these doctors did not lose heart, did not sigh, they knew they could do nothing. Relying on the belief in their hearts, they guard the fire of human existence. However, history always prefers to record those who succeed after killing. And ignore those small, silent doctors who never give up to save people.