Chinese medicine: from rural hospitals to top three hospitals in Kyoto
Chapter 11 In addition to experience, there is also equipment?
"How about you come and take a look."
Gao Mingxuan looked at a patient and asked Chen Yang with a smile.
"Can I?" Chen Yang was a little uneasy. He deliberately showed this emotion.
After a big change, Chen Yang grew up a lot in just one night. He was grateful to Gao Mingxuan and cherished this opportunity, so he couldn't let Gao Mingxuan feel any dissatisfaction with him.
"I'm watching from the side, it's okay."
Gao Mingxuan was very satisfied with Chen Yang's performance. After all, he was from a township health center. It was normal to feel a little uneasy when he came to the county hospital.
"Teacher, you are here, then I will give it a try."
As he spoke, Gao Mingxuan stood up and made way for Chen Yang to sit in his place, while calling the next patient to come in.
The patient is a woman who came alone. When she entered the consultation room and saw Chen Yang sitting behind the consultation table, the female patient was stunned for a moment, but when she saw Gao Mingxuan in a white coat next to her, the female patient sat down at the consultation table.
The woman in her thirties coughed when she entered the door. Chen Yang observed and asked, "What's wrong with you? Is it mainly the cough?"
"I've been coughing for half a month. When the cough is severe, it still causes chest pain."
As she spoke, the woman pointed at the location, which was the chest and ribs area.
"Is there any phlegm in your cough?" Chen Yang asked.
"No phlegm, just a dry cough."
"Is it more serious at night or during the day?"
"In the evening, I had a very bad cough at night."
"Is your mouth dry? Where's your throat?"
"Dry mouth, dry throat."
"Here, let me feel your pulse."
After asking about the female patient's condition, Chen Yang began to diagnose her pulse, which was thin and weak.
After feeling for the pulse, Chen Yang looked at the female patient's tongue coating. She found that the tongue was light, plump and tender, with a thin and white coating.
After looking, smelling, asking, and feeling, Chen Yang began to argue in his mind. After thinking for a while, Chen Yang asked the female patient again: "Did you have a fever before the cough?"
"Yes, I just coughed after having a cold and fever. Then I stopped having a fever, but the cough has never been good."
"Ah."
Chen Yang pondered slightly
"Exogenous fever lasts for a long time, and the external evil has been eliminated, causing internal damage to lung qi and lung yin. It is often easy to develop lung qi and lung yin deficiency..."
Chen Yang went through the patient's symptoms and pulse in his mind. Generally speaking, lung yin deficiency is most common after external evil, because heat damages the lung yin, but the patient's tongue has a light tongue, a thin coating, and a deep and thready pulse... .These do not have the physical signs of irritability and heat after yin deficiency, so they belong to qi deficiency...
After reviewing the case carefully, Chen Yang typed out the patient's symptoms and pulse on the computer one by one, then gave the diagnosis results, and then typed out the prescription on the computer.
"teacher."
Chen Yang looked at Gao Mingxuan.
After shouting, Gao Mingxuan did not respond, so Chen Yang shouted again: "Master."
"Ah, I'm looking at it."
Only then did Gao Mingxuan come to his senses. He was mainly shocked by Chen Yang's judgment.
Although Gao Mingxuan's skills are not bad, it still depends on who he is competing with. The main reason is that there are too few qualified traditional Chinese medicine doctors now. In the small Jialin County, it can be said that there are few qualified doctors.
According to the classification of Chen Yang's system, Gao Mingxuan's level is actually level three or four, which is similar to Chen Yang's current level, or even worse.
It's just that Gao Mingxuan has accumulated it over the years. He has rich clinical experience, and his eyesight and all aspects are better than Chen Yang. Chen Yang's level is equivalent to the system converting Chen Yang's previous accumulation into experience points and forcibly improving it. Although The level is reached, but Chen Yang himself still needs a process of integration.
But one thing is very important, and that is Chen Yang's mentality.
Because he knows that opportunities are hard to come by, he is very cautious and careful. During the dialectical discussion just now, he verified and deliberated over and over again in order to leave a better impression in front of Gao Mingxuan.
Chen Yang knew that although Gao Mingxuan had asked him to come to Jialin County and he could join the job today, whether he could stand firm after joining the job still depended on Gao Mingxuan. The better he performed in front of Gao Mingxuan, the more rewards he would get. The help will be greater.
In Chen Yang's mind, Jialin County Hospital is just his starting point, not his end.
The most fearful thing is to be serious in everything. Chen Yang has repeatedly considered and argued carefully, and his level of performance is not low, which means that he can bring out [-]% of his strength.
In the eyes of Gao Mingxuan, this is a big deal.
As far as this disease is concerned, it is not complicated to say that it is complicated, but there is also a difficulty, which is the judgment of lung qi deficiency and lung yin deficiency.
Generally speaking, if you have an exogenous cough after a fever and the cough lasts for a long time, many inexperienced doctors will subconsciously judge it as lung yin deficiency.
When Chen Yang was making the diagnosis just now, Gao Mingxuan was listening by the side and had his own judgment. He almost fell into the misunderstanding of lung yin deficiency for the first time.
Generally speaking, doctors sit in outpatient clinics. Because they see many patients over time, their patience is not enough. There is not much patience. In addition, there are many patients, and doctors have short thinking time and preconceptions. The probability of misdiagnosis of this disease is very high. .
If Chen Yang hadn't considered it carefully and spent some time just now, and Gao Mingxuan had not thought about it for a while, he might have misdiagnosed it.
"This apprentice is amazing."
Gao Mingxuan sighed in his heart.
Chen Yang had been in the town health center before, never been to a big hospital, and had no guidance from famous doctors. Even so, if Chen Yang is lucky and can meet the guidance of famous doctors, his future prospects are limitless.
At this moment, Gao Mingxuan was even a little lucky that he had accepted Chen Yang as his apprentice. Then no matter what Chen Yang's future prospects were, Chen Yang would be his apprentice and his student. No one could change this.
"The dialectics are very accurate, and the medicine is used appropriately. Let's prescribe it." Gao Mingxuan nodded.
Chen Yang typed out the prescription, Gao Mingxuan signed it, stamped it, and handed it to the patient.
"Ding......."
At the same time, the system's beep sounded in Chen Yang's mind, and the experience value increased.
It had been so many days since he got the skill gamification system that Chen Yang was used to it, and he didn't pay much attention to it at first, but suddenly, he saw a treasure box falling in front of him, flashing in the air, and then disappearing.
"Could it be..."
Chen Yang was overjoyed and hurriedly checked the display panel. Sure enough, in addition to the experience progress bar, there was also a bronze treasure chest in the corner of the display panel.
Chen Yang touched it with his consciousness and immediately received feedback: "Do you want to open it?"
"no!"
Chen Yang didn't open it in a hurry because he was afraid that he wouldn't be able to control his emotions.
When he saw the treasure box just now, Chen Yang made a guess. The skills are gamified, and diagnosing patients is indeed like fighting wild monsters. It not only increases experience points, but also may drop equipment. This treasure box is similar to For equipment and the like.
Gao Mingxuan looked at a patient and asked Chen Yang with a smile.
"Can I?" Chen Yang was a little uneasy. He deliberately showed this emotion.
After a big change, Chen Yang grew up a lot in just one night. He was grateful to Gao Mingxuan and cherished this opportunity, so he couldn't let Gao Mingxuan feel any dissatisfaction with him.
"I'm watching from the side, it's okay."
Gao Mingxuan was very satisfied with Chen Yang's performance. After all, he was from a township health center. It was normal to feel a little uneasy when he came to the county hospital.
"Teacher, you are here, then I will give it a try."
As he spoke, Gao Mingxuan stood up and made way for Chen Yang to sit in his place, while calling the next patient to come in.
The patient is a woman who came alone. When she entered the consultation room and saw Chen Yang sitting behind the consultation table, the female patient was stunned for a moment, but when she saw Gao Mingxuan in a white coat next to her, the female patient sat down at the consultation table.
The woman in her thirties coughed when she entered the door. Chen Yang observed and asked, "What's wrong with you? Is it mainly the cough?"
"I've been coughing for half a month. When the cough is severe, it still causes chest pain."
As she spoke, the woman pointed at the location, which was the chest and ribs area.
"Is there any phlegm in your cough?" Chen Yang asked.
"No phlegm, just a dry cough."
"Is it more serious at night or during the day?"
"In the evening, I had a very bad cough at night."
"Is your mouth dry? Where's your throat?"
"Dry mouth, dry throat."
"Here, let me feel your pulse."
After asking about the female patient's condition, Chen Yang began to diagnose her pulse, which was thin and weak.
After feeling for the pulse, Chen Yang looked at the female patient's tongue coating. She found that the tongue was light, plump and tender, with a thin and white coating.
After looking, smelling, asking, and feeling, Chen Yang began to argue in his mind. After thinking for a while, Chen Yang asked the female patient again: "Did you have a fever before the cough?"
"Yes, I just coughed after having a cold and fever. Then I stopped having a fever, but the cough has never been good."
"Ah."
Chen Yang pondered slightly
"Exogenous fever lasts for a long time, and the external evil has been eliminated, causing internal damage to lung qi and lung yin. It is often easy to develop lung qi and lung yin deficiency..."
Chen Yang went through the patient's symptoms and pulse in his mind. Generally speaking, lung yin deficiency is most common after external evil, because heat damages the lung yin, but the patient's tongue has a light tongue, a thin coating, and a deep and thready pulse... .These do not have the physical signs of irritability and heat after yin deficiency, so they belong to qi deficiency...
After reviewing the case carefully, Chen Yang typed out the patient's symptoms and pulse on the computer one by one, then gave the diagnosis results, and then typed out the prescription on the computer.
"teacher."
Chen Yang looked at Gao Mingxuan.
After shouting, Gao Mingxuan did not respond, so Chen Yang shouted again: "Master."
"Ah, I'm looking at it."
Only then did Gao Mingxuan come to his senses. He was mainly shocked by Chen Yang's judgment.
Although Gao Mingxuan's skills are not bad, it still depends on who he is competing with. The main reason is that there are too few qualified traditional Chinese medicine doctors now. In the small Jialin County, it can be said that there are few qualified doctors.
According to the classification of Chen Yang's system, Gao Mingxuan's level is actually level three or four, which is similar to Chen Yang's current level, or even worse.
It's just that Gao Mingxuan has accumulated it over the years. He has rich clinical experience, and his eyesight and all aspects are better than Chen Yang. Chen Yang's level is equivalent to the system converting Chen Yang's previous accumulation into experience points and forcibly improving it. Although The level is reached, but Chen Yang himself still needs a process of integration.
But one thing is very important, and that is Chen Yang's mentality.
Because he knows that opportunities are hard to come by, he is very cautious and careful. During the dialectical discussion just now, he verified and deliberated over and over again in order to leave a better impression in front of Gao Mingxuan.
Chen Yang knew that although Gao Mingxuan had asked him to come to Jialin County and he could join the job today, whether he could stand firm after joining the job still depended on Gao Mingxuan. The better he performed in front of Gao Mingxuan, the more rewards he would get. The help will be greater.
In Chen Yang's mind, Jialin County Hospital is just his starting point, not his end.
The most fearful thing is to be serious in everything. Chen Yang has repeatedly considered and argued carefully, and his level of performance is not low, which means that he can bring out [-]% of his strength.
In the eyes of Gao Mingxuan, this is a big deal.
As far as this disease is concerned, it is not complicated to say that it is complicated, but there is also a difficulty, which is the judgment of lung qi deficiency and lung yin deficiency.
Generally speaking, if you have an exogenous cough after a fever and the cough lasts for a long time, many inexperienced doctors will subconsciously judge it as lung yin deficiency.
When Chen Yang was making the diagnosis just now, Gao Mingxuan was listening by the side and had his own judgment. He almost fell into the misunderstanding of lung yin deficiency for the first time.
Generally speaking, doctors sit in outpatient clinics. Because they see many patients over time, their patience is not enough. There is not much patience. In addition, there are many patients, and doctors have short thinking time and preconceptions. The probability of misdiagnosis of this disease is very high. .
If Chen Yang hadn't considered it carefully and spent some time just now, and Gao Mingxuan had not thought about it for a while, he might have misdiagnosed it.
"This apprentice is amazing."
Gao Mingxuan sighed in his heart.
Chen Yang had been in the town health center before, never been to a big hospital, and had no guidance from famous doctors. Even so, if Chen Yang is lucky and can meet the guidance of famous doctors, his future prospects are limitless.
At this moment, Gao Mingxuan was even a little lucky that he had accepted Chen Yang as his apprentice. Then no matter what Chen Yang's future prospects were, Chen Yang would be his apprentice and his student. No one could change this.
"The dialectics are very accurate, and the medicine is used appropriately. Let's prescribe it." Gao Mingxuan nodded.
Chen Yang typed out the prescription, Gao Mingxuan signed it, stamped it, and handed it to the patient.
"Ding......."
At the same time, the system's beep sounded in Chen Yang's mind, and the experience value increased.
It had been so many days since he got the skill gamification system that Chen Yang was used to it, and he didn't pay much attention to it at first, but suddenly, he saw a treasure box falling in front of him, flashing in the air, and then disappearing.
"Could it be..."
Chen Yang was overjoyed and hurriedly checked the display panel. Sure enough, in addition to the experience progress bar, there was also a bronze treasure chest in the corner of the display panel.
Chen Yang touched it with his consciousness and immediately received feedback: "Do you want to open it?"
"no!"
Chen Yang didn't open it in a hurry because he was afraid that he wouldn't be able to control his emotions.
When he saw the treasure box just now, Chen Yang made a guess. The skills are gamified, and diagnosing patients is indeed like fighting wild monsters. It not only increases experience points, but also may drop equipment. This treasure box is similar to For equipment and the like.
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