Looking at Hua Tuo through the eyes of modern medicine

It is interesting to look at Hua Tuo through the eyes of modern medicine. First of all, it must be pointed out that it is very “uninteresting” for historians to study Hua Tuo in the form of evidence. For example, the great historian Chen Yin Ke has a famous thesis entitled “Cao Chong Hua Tuo Biography of Cao Chong of the Three Kingdoms and Buddhist Stories”, in which he demonstrates the relationship between the ancient sound of the word “Hua Tuo” and the Sanskrit word “agada”, and the relationship between the cases of Hua Tuo’s breaking of intestines and breaking of the abdomen, his treating of Cao Cao’s headache, and the vomiting of ruddy worms and the legend of the divine doctor Jain in the Buddhist scriptures. The origin of the legend of Jainism, the divine doctor contained in the Buddhist scriptures, etc., concluded that Hua Tuo might be a person, but most of his miraculous medical skills were copied from Indian myths and stories. The Japanese Matsuki Akechi, however, proved that Hua Tuo “was actually a Persian” from the harmony between “Hua Tuo” and the Persian word XWadag. Scholars are adorable when they are serious, forgetting that there are many coincidences in the world, and that heroes see the same thing, not to mention miraculous doctors! Text pronunciation is even more unreliable, are separated by more than a thousand years, you Chen Yin Ke, pine wood Mingchi pro heard the ancients is so read? Shi Jianguang, Department of Thoracic Surgery, Ningbo First Hospital The evidence is not my ability, nor is it to my taste, I just look at Hua Tuo from the perspective of modern medicine. The premise of this is that I have decided that my medical knowledge far exceeds that of Hua Tuo, just as a high school student’s knowledge of physics far exceeds that of Archimedes. The most amazing thing about Hua Tuo that earned him the title of “originator of surgery” was his open heart surgery. If Hua Tuo was not an extraterrestrial, it is unlikely that he could have surpassed the level of traditional Chinese medicine for a thousand years, even if he was a miracle healer. Based on this assumption let’s analyze, we already know that the entire history of Chinese medicine, its systematic anatomy is very rough and simple, and the knowledge of local anatomy is zero. Starting from the incision of the abdominal wall, did Hua Tuo know the anatomical levels of the abdominal wall and the distribution of blood vessels and nerves? It is impossible for him to know, because no Chinese medicine practitioner has known it for thousands of years! After opening the abdominal wall, I quizzed Hua Tuo with a few thought-provoking questions from the Bureau of Anatomy class back then (by the way, I invite TCM enthusiasts to give it a try as well): Which organs can be seen by opening the peritoneal cavity? Which organs can be moved? Which ones cannot be moved? Why is there such a difference? What is the clinical significance? How do you recognize which part of the intestinal tube is being pulled out? How are the arteries and veins around the duodenum and pancreas arranged? What is the difference between the arterial supply venous return lymphatic drainage of the unpaired and paired organs of the abdomen? Faced with these questions, Hua Tuo must have been confused, right? No TCM practitioner in the past 2,000 years has been able to answer these questions! But if you can’t answer these questions, how can you possibly remove the affected nodes by abdominal dissection? How could you possibly avoid damage to the neurovascular lymphatics? Hua Tuo also cut open the intestines for cleaning, which involves disinfection and sterilization, what is the cleaning solution he used? It should not be so simple as well water, this disinfectant is one of the key techniques of surgery, the achievement is not smaller than Ma Bo San, than the corresponding achievements of Western medicine at least a thousand years ahead of the historians of traditional Chinese medicine even this “great achievement” to ignore, really forgetting their ancestors! Suppose Hua Tuo accidentally injured a small artery (for example, the ileocolic artery, he liked to cut intestines, it is very likely, right?), in an instant, the blood filled the field of vision, flooding all the anatomical structures, the patient’s blood pressure dropped, shock …… no transfusion and blood transfusion technology, Hua Tuo is how to resuscitate it? He could not have had any way, because we can not see any possibility of having a way from the whole of Chinese medicine theory and Chinese medicine technology. The open-heart surgery we have today requires a strict division of labor among five or six people such as the chief surgeon, the first assistant, the second assistant, the operating nurse, the anesthetist, and so on. Hua Tuo seemed to be able to handle it all by himself, so is there really a god in this world? As for the anesthetic, let’s leave it at that, and let’s just believe that it is real. Therefore, Hua Tuo’s open-heart surgery did not have the slightest possibility of realization as far as the TCM theories and techniques of that time and even today are concerned, and if Hua Tuo did do so, we have enough reasons to believe that Hua Tuo was a psychopathic murderer. “Therefore, Mrs. Gan Ling Xiang had a pregnancy in June, abdominal pain and anxiety, Tuo looked at the pulse, said: ‘The fetus is dead.’ The man’s hand was touched to know where it was, on the left was a man, on the right was a woman. People say ‘in the left’, so for the soup under the fruit under the male form, that is healed.” –Shang, vice minister of the Ministry of Science and Technology, the famous scientific assertion that “pulse can diagnose the sex of the fetus” and this is nothing compared to the pulse is a profound and inexplicable technology, non-doctors can not master; touch the fetus is the left or the right is so simple that Hua Tuo are not bother to do it himself. We wonder what is the point of the Family Planning Commission’s ban on ultrasound in identifying the sex of a fetus when there is such a simple and practical technique. I am afraid none of the doctors in the world would be so retarded as to believe in the law of “male-left-female-right”, but Chinese medicine practitioners might, because the great Hua Tuo had done so. Yin Shi, a county official, suffered from four troublesome branches, dry mouth, did not want to hear people’s voices, and urination was unfavorable. Tuo said, “Try to make cooked food, and if you sweat, you will be cured; if you don’t sweat, you will die three days later.” That is, to make hot food, but not sweat. Tuo said, “The hidden qi has been extinguished in the interior, so he will cry and die.” As Tuo said. –The medical cases of TCM practitioners are almost always beyond current pathophysiology, and this case you can’t think of anything even if you think about it. But how does eating a hot meal without sweating equate to the severance of the vitality of the five organs? Even more how is it predicted that it will cry off? Such analytical reasoning is truly absurd! Imagine if in a case seminar today, a professor analyzed and spoke like Hua Tuo, I think all the doctors would fall down laughing. Can any Chinese medicine enthusiast tell us the medical principles in the speech of Mr. Hua Tuo? Xu Yi, a postal supervisor, got sick and after giving a quack a needle in his stomach tube, he coughed incessantly and could not sleep well. Hua Tuo analyzed and said that the needle did not reach the gastric tube, but mistakenly hit the liver, and his diet would decrease day by day, and he would be dead and beyond help after five days. Does Hua Tuo’s analysis make sense? The needles in the Eastern Han Dynasty were not thicker than today’s liver puncture needles, and even if the needle penetrated into the liver, it would coagulate and heal after a small amount of blood was released, and it was unlikely that there would be any serious consequences, or else what other doctor would dare to do a liver puncture on a patient today? From the point of view of coughing after the needle, I am afraid that it may have pierced the lung and caused pneumothorax (it is also common to see examples of pneumothorax caused by acupuncture today), but it is not easy to die in five days unless it is a hemopneumothorax. How could Hua Tuo make such a low-level mistake? I guess Chinese medicine enthusiasts will argue that the liver of Chinese medicine is not the liver of Western medicine. Another scholar was not feeling well, and Hua Tuo said, “Your illness is very serious and should be removed by Caesarean section. But your life expectancy is only ten years, and the disease is not so serious as to harm your life. If you can endure ten years of illness, both your life span and the disease will end together, and there is no need to make a special effort to have it removed.” The scholar could not endure the pain and must have it removed. So Hua Tuo operated on him, and the disease he suffered was soon cured. The scholar-philosopher finally died ten years later. –Since life expectancy remains unchanged, pain is reduced after surgery, and quality of life is improved, of course surgery should be performed. What was Hua Tuo’s medical reason for not performing surgery? There are many stories in Chinese medical lore that predict longevity, much like the King of Hell, which is quite telling. In the case of Chen Deng, the governor of Guangling, Hua Tuo diagnosed his pulse and judged that there were several liters of worms in his stomach, which were caused by eating raw fishy things. After taking the medicine, he really vomited out three liters of worms, the red head was still wriggling, and half of the body looked like raw fish. Hua Tuo also predicted that the disease would strike again in three years. I searched through the textbooks on parasites and could not find such worms, and it seemed unlikely that any worm could accumulate three liters in the stomach. Can TCM enthusiasts who visualize Hua Tuo as a parasitologist tell us what kind of worm this is? What was Hua Tuo’s specific contribution to parasitology? Was Grandpa Mao slandering Hua Tuo when he said, “Hua Tuo can do nothing about small worms”? Cao Cao’s head wind disease was probably a migraine. Hua Tuo started to use acupuncture and moxibustion to get rid of the disease, but when the result was not good enough, he said that craniotomy could be used to treat the disease. The structure of the skull and brain is much more complex and dangerous than the abdominal cavity, and Chinese medicine has zero knowledge of the anatomy and physiological function of the brain for thousands of years, and Hua Tuo was no exception; there was no possibility of craniotomy, so the only possibility was that he wanted to kill Cao Cao. But Cao Cao being what he was, the result could only be that Hua Tuo himself was killed. Hippocrates, who preceded Hua Tuo by about 600 years, left a complete anthology for future generations; his descriptions of his observations on diseases are still used by present-day people; many of his aphorisms are still radiating through thousands of years; and his oaths are a must-read for every medical student, so we can call such a person a great medical practitioner. Hua Tuo, on the other hand, did not leave any medical writings, his medical skills are absurd, and did not have the slightest practical impact on future generations. Hua Tuo, is really just a legend, only.