Chapter 86 How difficult is it to prescribe the right medicine?
He Xi said: "Mr. Dai, don't you want to change the status quo?"
Dai Yuanli said, "How can I not be willing? It's just that I am just a doctor. What's the use of whether I am willing or not?"
He Xi said: "No, you are no longer just a doctor, otherwise I would not talk to you about this. The only way Mr. Dai wants to change the current situation of medicine is to borrow the power of the court, and it just so happens. You saved the queen Your Majesty. Now she is recognized by the imperial court as the number one doctor in the Ming Dynasty."
"Mr. Dai, don't you know why I came to you to talk about this?"
Dai Yuanli was politically slow, but he was not a fool either. It was just a common problem among many technocrats. He said: "It should be a question of reward. Although I have some merit, I am not determined enough to become a marquis, and it cannot be done just because of me." It’s ruining the country’s system.”
He Xi said: "Yes. But His Majesty's golden words, once spoken, are hard to follow. Just like Tong Ye's brother-in-law. It is impossible not to implement it. Between the two dilemmas. I came up with a compromise. Your Majesty gave Mr. Dai a Conditions. As long as you think about it, His Majesty is willing to support Mr. Dai in doing something. This is a once-in-a-lifetime opportunity. If you miss it, it will be gone."
What He Xi said was complete nonsense.
This itself was finalized by him in front of Zhu Yuanzhang. But on Dai Yuanli's side, the words changed.
After all, you want someone to put their heart and soul into doing something. It’s not like simply leaving things to Him. It's about making him feel that this is his choice and his ideal.
Dai Yuanli is like this.
Dai Yuanli himself had a keen heart for medical skills and ethics. He Xi's words were like a hook that suddenly aroused Dai Yuanli's thoughts. It's just that Dai Yuanli is just a doctor. If he is asked to treat people's diseases, the medicine will definitely cure the disease. But if the medical ethics is reformed, Dai Yuanli is at a loss and said: "How should we change it?"
He Xi said: "First of all, it is necessary to train good doctors. There are too many quack doctors in the world, and doctors from all walks of life have their own treasures, so the court should train more doctors."
Dai Yuanli said: "Yes. But isn't Taiyuan Hospital doing it?"
Tai Hospital actually has the responsibility to train doctors. But the top-level imperial doctors at the Imperial Hospital were all cautious in their lives. How many true teachings can be obtained from medical students recruited from various places? Even what they value most is not the medical skills of Taiyuan Hospital, but the reputation of Taiyuan Hospital.
After living in Taiyin Hospital for a while, after returning, it was like gold plating. Became a famous doctor.
Of course, there are many medical books in Taiyuan Hospital. It was collected by the imperial court. At this point, it far surpasses local power. If you have some foundation in medicine and study hard at Taiyuan Hospital, you may not be without success.
After all, no matter how you cultivate and learn this matter, it is still everyone's own business.
This situation cannot be blamed on Tai Hospital.
First of all, the Ming Dynasty had just been founded. Although it had been more than ten years, the system construction was not complete yet. It was like the founding of the People's Republic of China in 1949, but the civil war did not subside at that time. In the first year of Hongwu's reign in the Ming Dynasty, the Northern Expedition was in full swing. It will be several years before the world is truly settled.
After all the calculations, the world would be stable for only ten years. This still does not include some local wars, such as the Battle of Yunnan. War to suppress chaos and suppress bandits in various places.
The hospital's affairs are nothing in these matters.
There was no careful arrangement.
Secondly, medicine has always been taught by master and apprentice. Now it has been replaced by an open school professor like the Imperial College. Many people are unwilling to do this. They cannot stand up to the imperial court. But there is a difference between being willing to teach and unwilling to teach.
He Xi said: "Mr. Dai also knows how well the Taiyuan Hospital is doing, so the first thing to do is to reform this."
Dai Yuanli thought for a long time and said, "How should we do this?"
He Xi said: "Mr. Dai, how many years does it take for your disciple to lay the foundation. I heard from outside that it is at least ten years."
Dai Yuanli was silent for a while and said: "How should I put it? Is this right or wrong? Medicinal materials, acupuncture points, meridians, prescriptions, etc., all of these things are indispensable, and they must be written down. Some of them may take ten years to complete. I can memorize it. But some are different, such as me. The literacy textbook since I was a child is Tangtou Ge. When I was in my early twenties, I had already memorized it. I served in front of my mentor for several years, teaching by words and deeds. After my mentor left, I was able to memorize it. Officially practicing medicine.”
"Some of my disciples have been here for ten years and have not yet mastered the basic skills. Some of them are just from the sect. Like me, I usually try them for a few months. As long as the foundation is solid, I can teach them how to practice medicine. Technique."
"Anyway, it depends on the person."
He Xi said: "Then Mr. Dai, can you summarize all the basic skills, and then let the students do nothing for a few years and learn this completely. How many years will it take to graduate?"
Dai Yuanli was stunned and said, "This is really difficult for me. Usually when I practice basic skills, I do odd jobs at the teacher's clinic. I don't know how many years it takes to do this specifically?"
He Xi said: "These things are all dead. I count five years. After they have mastered them all in five years, other doctors will directly recruit disciples. Do you think that's good?"
Dai Yuanli was silent for a while and then said, "Is this okay?"
Dai Yuanli wanted to say no, but his intuition told him that it could be done.
Although, he was a little uncomfortable with it. Because when apprentices do odd jobs, they don’t learn nothing. The master will also teach him some skills in dealing with others, skills in medical consultation, etc. It can be considered as laying the foundation. After he passes the basic skills, it will be much easier to start directly.
And the master and apprentice understand each other. Also easy to teach.
If you learn the basics independently and then follow Dai Yuanli, you will not be used to many things. After all, medicine is divided into factions. The four great families of Jin and Yuan are different from their disciples. He is considered a Danxi sect, focusing on supplementation. The Northern Hejian Sect has many methods, the following are the main ones.
This kind of medical disagreement makes the teaching of disciples who are not personally led by him feel somewhat alienated. Not even like it.
But if you insist that you can't, it would be a lie. After all, Dai Yuanli was famous, and those who came to seek advice from him were not necessarily his disciples. Sometimes there were also outsiders. When these famous doctors came to ask for advice, Dai Yuanli stopped giving advice.
It’s also a guide. Many times medical opinions differ. Dai Yuanli just tasted it briefly. He may not feel that everyone should listen to what he says.
He Xi said: "How long will it take for these people who have studied for five years to be able to prescribe independently?"
Dai Yuanli said: "Having the power to prescribe independently is only after the teacher has left. The medical knowledge in the world is complicated. It is difficult to know the severity without seeing them one by one. Five years, at least five years, five years without keeping it by your side. Not enough knowledge. That would cost lives.”
He Xi said: "What I mean is that it is an independent prescription for common diseases."
Dai Yuanli was shocked and said: "Master He, what do you mean? Where are the common diseases in the world? The human body has different yin and yang, and different constitutions. One person has one disease, and ten thousand people have different diseases. After five years of hard work, I have become the first. It is insight, the second medical principle. What is understanding is that it varies from person to person, and you can prescribe the right medicine. This is how you can become a master."
"Pathology is common, and symptoms are unpredictable. Ordinary diseases, these four words. If my disciple says it, I will make him kneel down."
He Xi was scolded by Dai Yuanli for a while, but she knew in her heart that Dai Yuanli was right.
As mentioned earlier, traditional Chinese medicine is just four words: strengthening the body and dispelling evil. Think of the human body as a whole. Every time you get sick, there is something wrong with the whole body. It's time to make adjustments. But how to adjust. It depends on how you look at this issue.
Many times, in Chinese medicine, the same doctor will give different prescriptions for the same disease. It's because the dialectics are different.
Everyone's constitution is not exactly the same, and even the same disease manifests itself differently in everyone. Later generations of doctors also said that patients would not get sick according to the textbooks. In fact, the same is true.
But He Xi cannot be wrong. Because what He Xi wants is to train a large number of basic doctors with considerable medical skills. But who is Dai Yuanli? In later generations, he would be a great national player. His requirements for his disciples were that even if they could not be national players like him, they could not work as doctors in rural health centers.
And what He Xi wanted was exactly the latter.
