Master Doctor in the City

Because of the free clinic activity, Liao Bingxue did not go back to the apartment to cook, but directly ate with Ye Chen in the dining hall.

Obviously, Liao Bingxue, a beautiful associate professor, ate in the dining hall for the first time, which also attracted the attention of many students.

Ye Chen, Liao Bingxue, Yang Jingya, Wu You, and Zheng Yang returned to the office on the sixth floor of the Chinese Medical Association after lunch. From one o'clock in the afternoon, they asked other students to diagnose the elderly again.

Of course, this time, a member of the Chinese Medical Association can see three patients, so that the remaining members of the association will have the opportunity to try it out.

Starting at one o'clock in the afternoon, around 4:50 o'clock in the afternoon, all other members of the association have the opportunity to go up and have a try, and personally write out medical records for these patients.

In the following, Ye Chen took turns to treat these sick people, while treating these old people, while explaining to the members of the association around him.

Starting from the simplest visit, Ye Chen glanced over and saw that the old woman's expression was not very good, she seemed a little tired, and suffering for a long time.

Inspection may seem simple, but if you don’t pay attention, there may be errors and omissions.

Of course, the most difficult pulse diagnosis. This pulse diagnosis cannot be determined. It is precisely the place where the foundation of the members of these associations is the most unstable and solid. Moreover, if the pulse diagnosis cannot be confirmed, the result of the dialectical diagnosis of Chinese medicine cannot be obtained, and the result of the diagnosis Different prescriptions will result in different treatment effects.

Now Ye Chen is seeing this old woman Zhong, and she has learned that she has had headaches and dizziness for more than three years. She has seen her in many hospitals, and has also taken a lot of Chinese and Western medicines, and even some more expensive tonics.

However, none of them had much effect. Recently, when winter arrived, she felt her condition worsened.

In addition to feeling headaches, dizziness, chest tightness, and nausea, there are also symptoms such as neck discomfort, shoulder and back discomfort, heavy limbs, and forgetfulness.

This symptom is very obvious, which was learned from Ye Chen's consultation.

However, when other members of the association asked the old woman just now, they were afraid that they didn't fully ask, or just asked about the symptoms.

Symptoms like this are exactly the symptoms of a patient's specific illness. The more you ask, the clearer it will naturally become. When a prescription is prescribed, it will be easier to confirm.

Then smell and diagnose, this point is entirely dependent on the sensitivity of the doctor's personal nose. Under normal circumstances, the patient's discomfort, the odor emitted from the body is completely different from the normal situation.

For example, that time when Ye Chen visited Zhu Yue’s sister-in-law, Zhu Yue had hepatitis. The attack lasted more than a year, and he smelled a different smell when he entered the ward.

Besides, Ye Chen and his grandfather Ye Dao went to see the old man surnamed Tian that time in their hometown. Before the old man died, his internal organs had rotted, and he just entered inside, let alone he and his grandfather could smell the rot. Even the old man’s family and friends can smell it.

Therefore, at this point, there is no need to deliberately. Basically, if you can smell it, it means that a patient's organs are in serious condition.

Now this old woman doesn't have those strange smells. Besides, her family may serve her very well. They often take baths and change new clothes. They love to be clean, so there is no other smell.

Finally, Ye Chen showed the old man her tongue. From the texture of the old woman's tongue, she found that she had ecchymosis and the coating was white, and her pulse was astringent.

From the perspective of tongue and pulse conditions, this old woman's body is full of phlegm and dampness, which hurts the spleen and stomach, and loses vitality. As a result, the water and valleys can’t change the essence, and the dampness can produce phlegm. , Turbid yin does not drop, but the above symptoms appear.

From the symptoms of the elderly just now, plus the pulse and tongue, it has been dialectically proven that it is dizziness, which is caused by phlegm and blood stasis blocking the collaterals.

Next, it is natural to prescribe a prescription, which is easier.

Based on the prescription Ye Chen prescribed to this old woman: "15 grams of ginseng, 15 grams of black medicine, 15 grams of Cyperus rotundus, 15 grams of turmeric, 15 grams of safflower, 15 grams of peach kernel, 15 grams of red peony, Qing 15 grams of Pinellia, 15 grams of Ligusticum chuanxiong, 15 grams of Cassia, 15 grams of antelope horn, 15 grams of Tribulus terrestris. 4 doses, decocted in water, 1 dose per day."

The main functions of turmeric, black medicine, peach kernel and tribulus terrestris in the prescription are to remove blood stasis and eliminate phlegm, and other drugs are mainly to activate collaterals and regulate qi.

However, Ye Chen discovered that although these members of the Chinese Medical Association knew the symptoms of these elderly people and knew how to treat this medicine, when they were asked to prescribe the prescription, they seemed contradictory, because many Chinese medicines, in fact, they may already have all I have read it, but I am not familiar with it, and I forgot it.

When this happens, they are still not familiar with Chinese herbal medicines.

Now Ye Chen can see from these students that other students who have not joined the Chinese Medical Association are afraid that it is worse.

Therefore, when Ye Chen had read all the other patients and asked his classmates to personally **** these elderly people downstairs, Ye Chen asked the members of the Chinese Medical Association to sit in the office on the sixth floor and hold a small meeting for them.

"How do you feel for the first free clinic today?" Ye Chen asked.

In fact, the traditional Chinese medicine doctors in the normal hospitals are similar to seeing people, but the patients in the hospital have to register, have to wait for a long time, and even spend a lot of money.

However, Ye Chen now asks these students to start trying before they graduate or even have an internship, so that the members of the Chinese Medical Association really have a very different feeling.

Because they have long discovered that prescribing prescriptions for medical treatment, especially the ability to prescribe the right medicine, is really not that simple.

If it is really going to the hospital, they will prescribe such prescriptions to those patients, which may not cure the death, but it will definitely delay the patient's illness for longer and even make the patient's condition more serious.

If some patients or their family members are more extreme, there may be tension between doctors and patients.

The following classmates have all feelings, but Ye Chen is more aware. Not only do these classmates have a poor foundation in Chinese medicine, for example, they still haven't fully grasped the simplest way of looking, smelling, asking and cutting, and they are also not clear about the familiarity of those Chinese herbal medicines.

Even, he has seen some prescriptions prescribed by his classmates, which did not conform to the principle of the emperor and ministers at all. Many of the prescriptions prescribed were too large or too small.

The medicine is three-point poison. If the medicine is too large, it will definitely not be good for the human body, and if it is less, the disease cannot be cured in a short time.

Therefore, regarding how to prescribe prescriptions, I am afraid that Ye Chen will also spend a lot of time teaching them.

As for mountain herbs and Chinese medicinal materials, Ye Chen felt that the members of the traditional Chinese medicine associations must be familiar with the commonly used Chinese medicinal materials.