technical type

Ji Qingzhi may have a lot of experience to talk about the way of diagnosing diseases based on local conditions. He once said that he has traveled to many places, and when he talked to Ji Mo about the scenery of a certain place, he was very eloquent. The characteristics of the master level.

At this point, it was the first time that Qi Peng said where he was from. Ji Mo didn't know where it was, but Ji Qingzhi already wanted to understand the "characteristics" of this place, that is, dry, cold and dusty. Under such climate conditions, What kind of disease do people often get, what kind of diagnosis and treatment methods are there, and what kind of medicine should be prescribed.

He has already gone through all of these in his mind, as if he had his own encyclopedia in his head. When he came across something one Baidu, the entry was followed by several categories, and he remembered every category related to "medicine". And being able to quickly recall and make inferences based on reality (Qi Peng in front of him) is not only to judge whether the other party is correct or not, but also to judge whether the other party's body has similar illnesses.

Some diseases are regionalized.

To give a simple example, most of the men who grew up on the grassland have bow legs. The reason is very simple. It is caused by riding a horse. Being good at horsemanship means that they spend more time on horseback than on the ground when they were young. The improper posture is very serious. prone to the same symptoms.

And those sailors who are prone to sepsis have no fruit to eat and lack of vitamins, which leads to such symptoms.

Some diseases also have the characteristics of occupational diseases, such as laundry women, who are reluctant to use hot water, soak their hands in cold water all year round, wash and rub cloth, and have a higher chance of developing chilblains than others.In addition, the embroiderers in various embroidery buildings will lose their eyes early, which is also related to excessive use of eyes.

There are also some diseases with the same characteristics, which only occur in specific groups. Some of them are even only found in the nobles, but not in the poor. He also looks rough, so he won't be deficient in any vitamins and let himself suffer from those diseases of affluence.

Some of these related knowledge are what Ji Mo has come into contact with before, and some are never heard of. It is very appropriate to understand it in combination with the division of regions mentioned by Ji Qingzhi.

At the foot of the mountain, there are often woodcutters here. When Ji Qingzhi met two of them, they both nodded and said hello. When they walked away, he asked Ji Mo: "What do you see?"

Ji Mo's study is not completely step-by-step, at least he has been accumulating experience in the clinic for a long time. Ji Mo recalled the woodcutter he saw just now, not to mention his figure and appearance, but only the expression on his face. Turning black, reddish eyes, or problems with liver fire, kidney deficiency and body cold?"

His answer was very dogmatic, completely based on the few examples Ji Qingzhi gave before.

The inspection is mainly divided into several parts, such as looking at the expression, looking at the shape, looking at the five sense organs, looking at the tongue coating, looking at the sputum color, etc., among which the first three are easy to distinguish, standing face to face, even if you just look at the side, you can see some clues. The latter requires further inspection and the consent of the other party, which is not so good-looking.

Looks mainly refer to the mental state, that is, whether the mind is clear, whether the eyes are bright, whether the reaction is slow, etc., and the form refers to things that can be distinguished in combination with body dynamics, such as fat and thin, movement and stillness, and panting. The facial features are relatively simple. Outside, the appearance is contained in the inside", the five sense organs correspond to the five internal organs, such as redness and swelling of the eyes, it means rising liver fire or wind-heat disease.

All kinds of diseases have basic and classic symptoms. If they are listed in a table, there must be intersections. Ji Qingzhi told Ji Mo about these, but did not elaborate on the changes. Ji Mo can only make the most superficial at this time. Apply what you see in reality to such a table to find a relatively accurate description.

And that's actually a problem.

Everything has a degree, what is called "muchi", if you stay up all night and make your eyes red, is it considered anger or wind heat?

Then there is the problem of complexion, which is related to skin color. In his opinion, the ancient world where Ji Mo lives is a pure oriental race. According to the theory, he has yellow skin, but in fact, more people see dark complexion. It is not incomprehensible to be exposed to the sun and rain, with few skin care products, and how rough the face is.

But on the inspection, there are some pitfalls. You can see that his complexion is dark and his face is shiny. Then, is it true that his complexion is dark because of kidney deficiency, or is it purely sunburned, and the kind of oily skin?

Where is the "degree" in it?

This is like the necessary quantifiers for seasoning such as "a spoonful", "a little" and "appropriate amount" that are often used in recipes. How big is a spoonful, flat or full, and how much is a little?Bit by bit or a spoonful and a half?What about the right amount?What is the right amount?

Putting it to the current question, what is the average amount of sunshine for the people living near the foot of the mountain here? How much sunshine does the woodcutter often have for chopping firewood and burning charcoal in the mountains? What should their skin color be like now? It seems that such "darkness" is purely natural, the late sun exposure, or a manifestation of symptoms?

And the redness in the eyes is caused by rubbing the eyes just now when the wind and sand entered them, or because of staying up late, or caused by parasites, or else...

Among all the considerations, what should be used as a standard to eliminate all wrong answers?What about the only result?

It depends on experience, and there is only one way to accumulate experience-see more.

Understand what most people in this area are like, and use such data as a basis. It should be noted that this data should also pay attention to the division of various circles, just as the diseases caused by different occupations are also different. After that, a relatively reliable standard can be screened out as a way to judge the possible diseases of people engaged in this occupation in this area.

Based on the most likely disease and then go through layer by layer of exclusion judgment, we can analyze which disease it is.

Generally speaking, whether it is Chinese medicine or Western medicine, it is the same thing. According to the existing conditions, there are many ways to solve the problem, such as deductive method, inductive method, substitution method, analogy method, elimination method, and counterexample method. Wait, and finally come to a result that you think is the most likely.

The more complete the existing conditions, the more specific and precise the results, the more credible the results and the more convincing the process.

This is also the reason why Western medicine is easier to learn. Everything is quantified, one is one, and the other is two, just like seasoning, directly accurate to the gram, and if you don’t understand it, you can weigh it yourself. almost the same.

The experience that Chinese medicine pays attention to here is like a black-box operation process, with a bit of metaphysics. There are so many possibilities for red eyes, how can you be sure that it is liver fire instead of wind heat?Both are jealous, aren't they?

The same symptoms, different symptoms, why choose a instead of b, there is no derivation process that is enough to convince ordinary people, this in itself is like a kind of metaphysics, is it the sixth sense telling you?

But, if we have to say it, the name of this sixth sense may be called medical sense.

It is full of unspeakable things, generally speaking, it is the talk of experience.

"Isn't that right!"

Seeing Ji Qingzhi smiling and not saying a word, Ji Mo asked. He wanted to know Ji Qingzhi's answer as a reference. In order to better demonstrate the answer, maybe they could find the woodcutter again after they went down the mountain and give him a free consultation. Let's see. What is the conclusion after the four diagnosis?

Ji Qingzhi, can you know what kind of illness the other person is just by looking at someone and a few words?

Ji Mo does not doubt that doctors can have such a level, but he is puzzled about the derivation process. It is like a seemingly complicated math problem in front of him. The final result is given, hehe, dare to write the process clearly?

"Dad, tell me!"

Seeing that Ji Qingzhi still didn't answer, Ji Mo urged him. He was hugged by Qi Peng, and his upper body leaned over directly to make Ji Qingzhi feel the same.

Ji Qingzhi raised his hand to take him over, put him down, let him go by himself, and said, "I'll tell you the result after two days."

After finishing speaking, Ji Qingzhi continued to walk up the mountain, his eyes swept over the surrounding vegetation, as if he was looking for something, and he seemed to be looking casually.

Seeing a certain wild vegetable, he pointed it to Qi Peng to pick it, "No roots, just leaves, these are edible."

Qi Peng didn't feel that he was excluded, but was very happy to be ordered to do things. He hurriedly found the clump of wild vegetables, squatted down, took out a small medicine pick from the back basket, and dug the wild vegetables carefully, fearing that he would lose a leaf. He looked very serious. .

Ji Mo stood beside Ji Qingzhi, looked up at him, thought about the meaning of that sentence, his heart was slightly cold, Ji Qingzhi clearly meant that the disease would appear in two days, so there is no need to rush For a while, when the symptoms start and then look at the results, we can know whether the thinking at the moment is correct.

There is nothing wrong with this statement. Now even if Ji Qingzhi told Ji Mo what kind of disease it was, Ji Mo would not believe it all, and would instinctively want to verify it. The best verification is to wait for the disease to occur, and then he will understand up.

However, in this two states of onset and non-onset, isn't it better to treat it without onset?

It is better to prevent illness before it is ill than to treat it after illness. This is like making people wear more clothes when the weather changes, so as to avoid frostbite.

Just now Ji Qingzhi chatted with the woodcutter a few words, although not many, but he is acquainted with people, wouldn't it be good to remind him of such a thing?

Want to wait for the onset of illness?

Just to let Ji Mo see the answer with his own eyes?

Qi Peng had already dug up the wild vegetables and came back, Ji Mo felt bad about asking Ji Qingzhi such a question again, as if he was questioning his character, so he followed silently and continued to move forward.

The group in the mountain went back that day. They packed a lot of wild vegetables in their back baskets, but there were no fresh herbs. It wasn't that there were no herbs in the mountains, but those in the mountains were mostly cheap herbs that they had in their medical center. They picked a small amount and came back. It's meaningless to concoct the backlog, and the herbs will expire, so they simply don't pick them and let them continue to grow.

In the evening, Ji Mo asked why Ji Qingzhi didn't remind the woodcutter and gave him a diagnosis and treatment in advance.

"It's not appropriate to say that the illness has not yet occurred. Only when the illness occurs, and then show the means, will there be kindness, otherwise it will be hated by others." Ji Qingzhi's answer is so simple and unpretentious.

Ji Mo is silent.