Chapter 267
Six rookies, although some of them look arrogant, they are still very modest and polite to each other.
The staff sent up a signature box, and after everyone gave in to each other, a person came forward and touched a note from the box.
Xu Ze walked the third time and touched a piece of paper. After opening it, he could see that there was a name written on it: Yang Liming.
After a moment's hesitation, Xu Ze understood that it must be the name of one of the patients. It seems that the practical examination really needs to test the real skills. If everything is written clearly, I will give you a patient to see it. It is completely based on the actual situation of medical treatment. Don't try to make a mistake.
Xu Ze looked at the name in hand, and looked at the six patients in front of him, but he didn't see that his patient was the
The six patients in front of us are all men, old and young, from 60 to 30 years old. It is reasonable to say that the name is usually between 30 and 40 years old.
However, at least three of the six met this requirement. One of them covered his stomach and frowned tightly. It seemed that he was suffering from abdominal pain.
A pale face, head sweating The situation is not very clear
And a guy who seems to be ok
Originally, Xu Ze wanted to find out that his patient was that earlier, but he was not sure
If you see a patient, he is not afraid, but if the patient needs to be treated with traditional Chinese medicine, then Just a little bit In suspense
Xu Ze thinks that it is very appropriate to use the word "Dang" to tell himself. If he is to be treated with western medicine, he is not worried at all. What he learned is this
But really in front of so many people, to test the diagnosis of traditional Chinese medicine, his heart is really not too big bottom, although the family is said to be this thing, and the school also learned a year of traditional Chinese medicine, but really to see the patient, he did not really how to use
So, at this time, he grinned and hung his heart, his face strangely waiting for the exam to begin
Seeing that everyone had finished drawing lots, Mr. Guo stroked Huabai's long beard, then nodded his head and said, "OK, now the practice assessment begins..."
"First, Li Bolin..."
The oldest patient came up and sat down at the middle table, waiting for the doctor to come to see him!
"Who got it? Let's go... " Mr. Guo sipped his tea lightly and then said softly.
At the moment, a young man stood up next to him, nodded his head, and then went up and sat down on the main seat of the clinic table.
"Oh Wu Lin, um You can start! " Mr. Guo looked at the young man and nodded.
"It is Old Guo This young man named Wu Lin started to work
Looking at Wu Lin's methodical examination of the patient in accordance with the four diagnostic methods, Xu Ze nodded in silence. These people who can participate in the examination are indeed excellent roles
Wu Lin quickly finished the examination and said respectfully to several of his predecessors: "dear teachers, the patient has been examined..."
Mr. Guo nodded his head gently, and then asked in a slow voice, "good Please state the diagnosis, basis and treatment of this patient... "
Li Bolin, a 62 year old male, presented with epigastric pain for half a year, aggravating for three days, accompanied by pantothenic acid and burning pain Symptoms: epigastric burning pain, dry mouth and bitter mouth, red tongue and yellow fur, pulse string number; liver stomach heat accumulation syndrome of gastric ulcer; treatment should be used to soothe the liver and regulate qi, relieve heat and stomach; Danzhi Xiaoyao Pill should be used in the prescription Acupuncture points can be selected: Zhongwan, Neiguan, Zusanli The acupuncture was performed with the method of catharsis... " Wu Lin replied carefully.
After listening to Wu Lin's answer, several senior Chinese experts nodded their heads, especially Wang Yibo, a famous doctor in the south of the Yangtze River. At this time, Wu Lin was his disciple, and Wang Yibo was naturally very happy because it was not only a question of whether his younger brother could pass the test, but also related to his master's face
Mr. Guo also stroked his beard and gently held his head, then he said with a smile: "good The symptoms, treatment and prescriptions are very good... "
Hearing the words of old president Guo, Wu Lin was relieved and nodded with a smile.
Guo continued to say: "well, the examination of traditional Chinese medicine is qualified; the following clinical examination of Western medicine, do you have to do the examination?"
"Clinical examination of Western Medicine I really want to take this exam! " Wu Lin's face changed a little. He didn't worry about the examination of traditional Chinese medicine, but it was a serious test for him to take a test of Western medicine. However, he secretly congratulated him that the treatment of this patient's western medicine was not too complicated. If it was a heart disease, it would be troublesome. The heart disease of Western medicine is a complicated thing. We don't understand
Naturally, there is no need to check it. Now, after a little consideration and organizing his speech, Wu Lin said: "western medicine diagnosis should consider the possibility of gastroduodenal ulcer. Amoxicillin, cimetidine and bismuth pectin are used to protect the stomach. When abdominal pain is severe, 654-2 can be used to relieve spasm and relieve pain."
After saying that, Wu Lin thought for a while, as if there was no more to add, so he looked up to his predecessors, waiting for them to judge.Hearing that Wu Lin seemed to have finished his answer, Guo turned his head and looked at Tang Wuyou and Professor Jiang Lingyun of Capital Medical University
These two professors are experts in western medicine specially invited by Mr. Guo. Naturally, they will judge them.
The two old professors looked at each other, and then Professor Tang Wuyou nodded: "there is no big problem in diagnosis and medication is moderate. But modern drugs for treating gastroduodenal ulcer have been updated. Generally, clarithromycin anti infection and omeprazole are used to protect the stomach Overall, it is qualified! "
"Well Thank you, old Tang... " After nodding his thanks to Professor Tang, Guo said, "Wu Lin, the overall evaluation is excellent..."
"Next Lin Dongping
Looking at the assessment of the first few patients, there are two people who are qualified, one is excellent, in general, the assessment is extremely strict, a little deviation, only give a qualified
Therefore, Xu Ze is also slightly pinched a sweat, these sitting on the top of the predecessors are expert level, their own Chinese medicine is also a half baked, if really tested, a mistake of one or two, just afraid of being beaten down
Hanging a heart, watching several rookies around one by one to participate in the examination, to the end, only himself and Guo Yujian, who won the first place in the theory test, were left. Almost all the other four passed the test. Xu Ze was more and more nervous.
At this time, Mr. Guo read out the name of the fifth patient: "Hujiang..."
Hearing this name, Xu Ze can't help but sigh again. It's not himself. This kind of waiting is really a kind of torture.
This Hu Jiang corresponding examination rookie is Guo Yujian
Looking at Guo Yujian's quick examination method, Xu Ze was envious. Guo Yujian's more than ten years of traditional Chinese medicine training is really extraordinary.
This patient was extremely easy for Guo Yujian. Soon, he explained the diagnosis, basis and scheme, etc., and then clearly explained the diagnosis and treatment of this patient to two professors of Capital Medical University, which made the two professors nodded constantly. Only when the final evaluation was made, Professor Jiang Lingyun gave a clear explanation to the two professors of Capital Medical University A little bit of deviation has been corrected
Finally, Guo Yujian was evaluated as "excellent..." This makes the head of the old president Guo is gratified to caress his beard and smile.
With the completion of Guo Yujian's assessment, people turned their eyes to the last rookie and the most anticipated one: Xu Ze.
Some of the senior players sitting on the table all know Xu Ze's details through Wang Laoguo, so they are very curious at this time. They want to know how the real ability of this young man who has been recommended by Wang laoguoshou is really good
But at this time, Xu Ze has already been staring at the last patient for a while, because there is no doubt that the last patient must be Yang Liming who has been waiting for a long time.
Xu Ze has already started to prepare for the examination. By covering his stomach, he can see that the main symptom of this patient is upper abdominal pain.
the most common cause of upper abdominal pain is stomach, liver and gallbladder, or pancreas problems A little bit of it is caused by the heart.
Therefore, Xu Ze has already started the preliminary examination of the patient, and under his command, the three-level system function color B-ultrasound has already been turned on.
Although the distance was two meters, under the powerful function of the system, the patient's upper abdomen was quickly presented in front of Xu Ze in the gray horizon.
Looking at the patient's slightly swollen gallbladder and the bright spot with some white flame in the gallbladder, Xu Ze can be sure that the patient is mainly abdominal pain caused by a gallstone.
After the etiology has been basically determined, although he vaguely remembers something about the traditional Chinese medicine of gallstones, Xu Ze immediately passed the Encyclopedia of Xiaodao to search for the data of TCM diagnosis and treatment principles of gallstones in case of emergency
In traditional Chinese medicine, gallstones are divided into three types: stagnation of liver qi, accumulation of damp and heat, hyperactivity of heat and toxin, and internal resistance of blood stasis
Treatment principles: 1) liver stagnation and qi stagnation type: Soothing the liver and relieving depression, regulating qi and relieving pain; 2) damp heat intrinsic type: clearing heat and transforming dampness, dredging interior and attacking; 3) heat toxin flourishing type: clearing away heat and detoxification, purging purgative fire; 4) .
looking at these materials, Xu Ze began to quickly review and deepen his impression with the materials in his mind, which must be used when he is waiting for the examination. Now he must deepen his impression and understanding, so as to reduce the chance of making mistakes
"Yang Liming..." With Guo's words, the last patient also came on the stage. Wang Laoguo, who was on the top, began to feel a little nervous at this time
Xu Ze walked forward slowly. All the elders laughed and looked at the handsome young man with a trace of expectation. He wanted to see how the western medicine major student was in the end? Is it really amazing as Wang laoguoshou said?
At this time, Xu Ze had some confidence in the bottom of his heart, so he was able to maintain the calm and free as the first. He sat down at the table and began the familiar process of examining the patientHe has been basically able to determine what the disease is, so naturally for the patient to check, then do the examination, naturally is very smooth movement
Looking at Xu Zena's skillful interrogation skills and diagnostic techniques, although many of them are inclined to the examination of Western medicine, but from Xu Zena's accurate and skillful pulse manipulation, the predecessors still can see that the young man is really familiar with TCM diagnosis, not only western medicine, but also secretly nodding at the moment
Although people can see Xu Ze's self-confidence and calmness on the surface, it is hard to see the color of Xu Ze's heart now. Although Xu Ze has determined that the patient is gallstone and the name of traditional Chinese medicine is cholelithiasis, in addition to this gallstone disease, the traditional Chinese medicine should also be dialectical, through symptoms, pulse, tongue coating, etc., to determine the different treatment methods
Although Xu Ze has some knowledge about the pulse condition of pulse, it will be used in daily life. In the past, when he treated people at home to check pulse, at most, it was just to make a look, because he didn't need to rely on traditional Chinese medicine to treat
But now it's time to test the real kung fu. He has to judge what the pulse of the patient is in front of him. Otherwise, if he makes a wrong judgment on such an important thing, he must be 100% unqualified this time
At this time, Xu Ze checked the pulse for the patient and recalled the knowledge about gallstone just now. There are only several kinds of pulse of gallstone, such as string, number of string, slippery string, thin string and astringent string
These pulse patterns respectively represent liver stagnation and qi stagnation type, damp heat intrinsic type, heat toxin burning type, blood stasis type and so on
When did Xu Ze study such a profound pulse, but there is no way out now, so he can only try his best to find out what pulse it is.
However, Xu Ze has been holding the pulse for a long time, but only one string pulse has been produced. Whether there are several, slippery and so on, he is really not sure
"Knife Do you have any way to do this Xu Ze frowned and thought for a long time. Finally, he had no choice but to ask for help from the knife. But now he is not sure whether the knife, as a future medical auxiliary system, will this thing happen?
Sure enough, Xiaodao replied sadly: "this There is no corresponding virtual data in my database. I can't make an accurate judgment based on the text data just found... "
Hearing the words of Xiaodao, Xu Ze had to sigh helplessly and began to work hard
This side is looking forward to looking at the elders, watching Xu Ze gently frown, holding the patient's pulse, for a long time did not let go of the appearance, at this time also know, this young man is afraid to encounter a problem
However, everyone sighed in secret. Although the young man's theoretical research on traditional Chinese medicine is good, he is engaged in western medicine. Where can he understand the most difficult pulse study of traditional Chinese medicine so easily?
And several of the rookies who have passed the test are also looking at Xu Ze curiously and differently. They are really confused. The performance of this talented person in the theoretical examination is good, but how can they be stuck in this pulse for so long? Is it that he has learned traditional Chinese medicine and failed to learn the most important pulse picture? Or is the patient's pulse really so weird that it's hard to tell?
The rookies have some doubts, but they dare not really think it is the first reason, because this is only once a year, and only a few places of rookie assessment is not for fun; these senior teachers, who do not have enough confidence in their students, will definitely not easily recommend to participate in this assessment.
If you can't even learn pulse, how can the elder teacher let him participate? So it must be that the patient's pulse is really difficult to grasp, so the rookie named Xu Ze will be so hesitant
All the rookies thought of it so much, and they were glad that they didn't get the patient. If the patient's pulse is really so difficult to determine, then their own assessment may be embarrassing
Poor they are so for Xu Ze reason, but do not know, Xu Ze really does not know pulse Science That's why it's so hard to decide
And Xu Ze this frown to think for a long time, it is really he came up with a clever way.
There are only a few types of cholelithiasis, and these types have their own unique pulse and symptoms and signs that can be used to judge. Since you can't determine the pulse condition, you can also help to determine which type the patient is through other symptoms and signs.
As long as the type is clear, then as long as we answer what kind of pulse is recorded in the data, then most of them will not be wrong
So Xu Ze quickly turned a curve, began to avoid pulse, to the diagnosis of this patient type classification
In addition to epigastric pain, the patient also suffered from anorexia and fever. The coating on his tongue was a little yellow, but the coating was not thick, so the coating should be thin yellow
Well There are no other symptoms of tight stool and greasy tongue coating. Compared with the data from the knife just now, the most suitable type is liver stagnation and qi stagnation. Other types are different from this oneIt should be this type right, Xu Ze's heart is happy, finally determined the type, and this type of data recorded pulse, is a string There's no skating, counting and so on Then this is simple, answer pulse string directly, should not be wrong
Chinese medicine diagnosis and basis, as well as the treatment principle and so on, after he completes the type discrimination, that is, the dialectical, then has no problem As long as according to those standard data answer, naturally won't what big problem
Xu Ze is about to stand up to indicate that he has finished the examination, but suddenly he is surprised. He suddenly remembers that he has only paid attention to the examination of traditional Chinese medicine, but he has forgotten the western medicine. In addition to abdominal pain caused by gallstones, there are other diseases to be identified
Although it has been confirmed that the patient has gallstones, it should also be considered that the patient is suffering from abdominal pain caused by stones, but it can not be 100% guaranteed that he has no other diseases causing abdominal pain, such as gastritis, pancreatitis, etc
Five thousand words will arrive and tomorrow will continue. (to be continued, please visit www.qidian.com , more chapters, support authors, support legitimate reading! )
www.novelhall.com , the fastest update of the webnovel!
The staff sent up a signature box, and after everyone gave in to each other, a person came forward and touched a note from the box.
Xu Ze walked the third time and touched a piece of paper. After opening it, he could see that there was a name written on it: Yang Liming.
After a moment's hesitation, Xu Ze understood that it must be the name of one of the patients. It seems that the practical examination really needs to test the real skills. If everything is written clearly, I will give you a patient to see it. It is completely based on the actual situation of medical treatment. Don't try to make a mistake.
Xu Ze looked at the name in hand, and looked at the six patients in front of him, but he didn't see that his patient was the
The six patients in front of us are all men, old and young, from 60 to 30 years old. It is reasonable to say that the name is usually between 30 and 40 years old.
However, at least three of the six met this requirement. One of them covered his stomach and frowned tightly. It seemed that he was suffering from abdominal pain.
A pale face, head sweating The situation is not very clear
And a guy who seems to be ok
Originally, Xu Ze wanted to find out that his patient was that earlier, but he was not sure
If you see a patient, he is not afraid, but if the patient needs to be treated with traditional Chinese medicine, then Just a little bit In suspense
Xu Ze thinks that it is very appropriate to use the word "Dang" to tell himself. If he is to be treated with western medicine, he is not worried at all. What he learned is this
But really in front of so many people, to test the diagnosis of traditional Chinese medicine, his heart is really not too big bottom, although the family is said to be this thing, and the school also learned a year of traditional Chinese medicine, but really to see the patient, he did not really how to use
So, at this time, he grinned and hung his heart, his face strangely waiting for the exam to begin
Seeing that everyone had finished drawing lots, Mr. Guo stroked Huabai's long beard, then nodded his head and said, "OK, now the practice assessment begins..."
"First, Li Bolin..."
The oldest patient came up and sat down at the middle table, waiting for the doctor to come to see him!
"Who got it? Let's go... " Mr. Guo sipped his tea lightly and then said softly.
At the moment, a young man stood up next to him, nodded his head, and then went up and sat down on the main seat of the clinic table.
"Oh Wu Lin, um You can start! " Mr. Guo looked at the young man and nodded.
"It is Old Guo This young man named Wu Lin started to work
Looking at Wu Lin's methodical examination of the patient in accordance with the four diagnostic methods, Xu Ze nodded in silence. These people who can participate in the examination are indeed excellent roles
Wu Lin quickly finished the examination and said respectfully to several of his predecessors: "dear teachers, the patient has been examined..."
Mr. Guo nodded his head gently, and then asked in a slow voice, "good Please state the diagnosis, basis and treatment of this patient... "
Li Bolin, a 62 year old male, presented with epigastric pain for half a year, aggravating for three days, accompanied by pantothenic acid and burning pain Symptoms: epigastric burning pain, dry mouth and bitter mouth, red tongue and yellow fur, pulse string number; liver stomach heat accumulation syndrome of gastric ulcer; treatment should be used to soothe the liver and regulate qi, relieve heat and stomach; Danzhi Xiaoyao Pill should be used in the prescription Acupuncture points can be selected: Zhongwan, Neiguan, Zusanli The acupuncture was performed with the method of catharsis... " Wu Lin replied carefully.
After listening to Wu Lin's answer, several senior Chinese experts nodded their heads, especially Wang Yibo, a famous doctor in the south of the Yangtze River. At this time, Wu Lin was his disciple, and Wang Yibo was naturally very happy because it was not only a question of whether his younger brother could pass the test, but also related to his master's face
Mr. Guo also stroked his beard and gently held his head, then he said with a smile: "good The symptoms, treatment and prescriptions are very good... "
Hearing the words of old president Guo, Wu Lin was relieved and nodded with a smile.
Guo continued to say: "well, the examination of traditional Chinese medicine is qualified; the following clinical examination of Western medicine, do you have to do the examination?"
"Clinical examination of Western Medicine I really want to take this exam! " Wu Lin's face changed a little. He didn't worry about the examination of traditional Chinese medicine, but it was a serious test for him to take a test of Western medicine. However, he secretly congratulated him that the treatment of this patient's western medicine was not too complicated. If it was a heart disease, it would be troublesome. The heart disease of Western medicine is a complicated thing. We don't understand
Naturally, there is no need to check it. Now, after a little consideration and organizing his speech, Wu Lin said: "western medicine diagnosis should consider the possibility of gastroduodenal ulcer. Amoxicillin, cimetidine and bismuth pectin are used to protect the stomach. When abdominal pain is severe, 654-2 can be used to relieve spasm and relieve pain."
After saying that, Wu Lin thought for a while, as if there was no more to add, so he looked up to his predecessors, waiting for them to judge.Hearing that Wu Lin seemed to have finished his answer, Guo turned his head and looked at Tang Wuyou and Professor Jiang Lingyun of Capital Medical University
These two professors are experts in western medicine specially invited by Mr. Guo. Naturally, they will judge them.
The two old professors looked at each other, and then Professor Tang Wuyou nodded: "there is no big problem in diagnosis and medication is moderate. But modern drugs for treating gastroduodenal ulcer have been updated. Generally, clarithromycin anti infection and omeprazole are used to protect the stomach Overall, it is qualified! "
"Well Thank you, old Tang... " After nodding his thanks to Professor Tang, Guo said, "Wu Lin, the overall evaluation is excellent..."
"Next Lin Dongping
Looking at the assessment of the first few patients, there are two people who are qualified, one is excellent, in general, the assessment is extremely strict, a little deviation, only give a qualified
Therefore, Xu Ze is also slightly pinched a sweat, these sitting on the top of the predecessors are expert level, their own Chinese medicine is also a half baked, if really tested, a mistake of one or two, just afraid of being beaten down
Hanging a heart, watching several rookies around one by one to participate in the examination, to the end, only himself and Guo Yujian, who won the first place in the theory test, were left. Almost all the other four passed the test. Xu Ze was more and more nervous.
At this time, Mr. Guo read out the name of the fifth patient: "Hujiang..."
Hearing this name, Xu Ze can't help but sigh again. It's not himself. This kind of waiting is really a kind of torture.
This Hu Jiang corresponding examination rookie is Guo Yujian
Looking at Guo Yujian's quick examination method, Xu Ze was envious. Guo Yujian's more than ten years of traditional Chinese medicine training is really extraordinary.
This patient was extremely easy for Guo Yujian. Soon, he explained the diagnosis, basis and scheme, etc., and then clearly explained the diagnosis and treatment of this patient to two professors of Capital Medical University, which made the two professors nodded constantly. Only when the final evaluation was made, Professor Jiang Lingyun gave a clear explanation to the two professors of Capital Medical University A little bit of deviation has been corrected
Finally, Guo Yujian was evaluated as "excellent..." This makes the head of the old president Guo is gratified to caress his beard and smile.
With the completion of Guo Yujian's assessment, people turned their eyes to the last rookie and the most anticipated one: Xu Ze.
Some of the senior players sitting on the table all know Xu Ze's details through Wang Laoguo, so they are very curious at this time. They want to know how the real ability of this young man who has been recommended by Wang laoguoshou is really good
But at this time, Xu Ze has already been staring at the last patient for a while, because there is no doubt that the last patient must be Yang Liming who has been waiting for a long time.
Xu Ze has already started to prepare for the examination. By covering his stomach, he can see that the main symptom of this patient is upper abdominal pain.
the most common cause of upper abdominal pain is stomach, liver and gallbladder, or pancreas problems A little bit of it is caused by the heart.
Therefore, Xu Ze has already started the preliminary examination of the patient, and under his command, the three-level system function color B-ultrasound has already been turned on.
Although the distance was two meters, under the powerful function of the system, the patient's upper abdomen was quickly presented in front of Xu Ze in the gray horizon.
Looking at the patient's slightly swollen gallbladder and the bright spot with some white flame in the gallbladder, Xu Ze can be sure that the patient is mainly abdominal pain caused by a gallstone.
After the etiology has been basically determined, although he vaguely remembers something about the traditional Chinese medicine of gallstones, Xu Ze immediately passed the Encyclopedia of Xiaodao to search for the data of TCM diagnosis and treatment principles of gallstones in case of emergency
In traditional Chinese medicine, gallstones are divided into three types: stagnation of liver qi, accumulation of damp and heat, hyperactivity of heat and toxin, and internal resistance of blood stasis
Treatment principles: 1) liver stagnation and qi stagnation type: Soothing the liver and relieving depression, regulating qi and relieving pain; 2) damp heat intrinsic type: clearing heat and transforming dampness, dredging interior and attacking; 3) heat toxin flourishing type: clearing away heat and detoxification, purging purgative fire; 4) .
looking at these materials, Xu Ze began to quickly review and deepen his impression with the materials in his mind, which must be used when he is waiting for the examination. Now he must deepen his impression and understanding, so as to reduce the chance of making mistakes
"Yang Liming..." With Guo's words, the last patient also came on the stage. Wang Laoguo, who was on the top, began to feel a little nervous at this time
Xu Ze walked forward slowly. All the elders laughed and looked at the handsome young man with a trace of expectation. He wanted to see how the western medicine major student was in the end? Is it really amazing as Wang laoguoshou said?
At this time, Xu Ze had some confidence in the bottom of his heart, so he was able to maintain the calm and free as the first. He sat down at the table and began the familiar process of examining the patientHe has been basically able to determine what the disease is, so naturally for the patient to check, then do the examination, naturally is very smooth movement
Looking at Xu Zena's skillful interrogation skills and diagnostic techniques, although many of them are inclined to the examination of Western medicine, but from Xu Zena's accurate and skillful pulse manipulation, the predecessors still can see that the young man is really familiar with TCM diagnosis, not only western medicine, but also secretly nodding at the moment
Although people can see Xu Ze's self-confidence and calmness on the surface, it is hard to see the color of Xu Ze's heart now. Although Xu Ze has determined that the patient is gallstone and the name of traditional Chinese medicine is cholelithiasis, in addition to this gallstone disease, the traditional Chinese medicine should also be dialectical, through symptoms, pulse, tongue coating, etc., to determine the different treatment methods
Although Xu Ze has some knowledge about the pulse condition of pulse, it will be used in daily life. In the past, when he treated people at home to check pulse, at most, it was just to make a look, because he didn't need to rely on traditional Chinese medicine to treat
But now it's time to test the real kung fu. He has to judge what the pulse of the patient is in front of him. Otherwise, if he makes a wrong judgment on such an important thing, he must be 100% unqualified this time
At this time, Xu Ze checked the pulse for the patient and recalled the knowledge about gallstone just now. There are only several kinds of pulse of gallstone, such as string, number of string, slippery string, thin string and astringent string
These pulse patterns respectively represent liver stagnation and qi stagnation type, damp heat intrinsic type, heat toxin burning type, blood stasis type and so on
When did Xu Ze study such a profound pulse, but there is no way out now, so he can only try his best to find out what pulse it is.
However, Xu Ze has been holding the pulse for a long time, but only one string pulse has been produced. Whether there are several, slippery and so on, he is really not sure
"Knife Do you have any way to do this Xu Ze frowned and thought for a long time. Finally, he had no choice but to ask for help from the knife. But now he is not sure whether the knife, as a future medical auxiliary system, will this thing happen?
Sure enough, Xiaodao replied sadly: "this There is no corresponding virtual data in my database. I can't make an accurate judgment based on the text data just found... "
Hearing the words of Xiaodao, Xu Ze had to sigh helplessly and began to work hard
This side is looking forward to looking at the elders, watching Xu Ze gently frown, holding the patient's pulse, for a long time did not let go of the appearance, at this time also know, this young man is afraid to encounter a problem
However, everyone sighed in secret. Although the young man's theoretical research on traditional Chinese medicine is good, he is engaged in western medicine. Where can he understand the most difficult pulse study of traditional Chinese medicine so easily?
And several of the rookies who have passed the test are also looking at Xu Ze curiously and differently. They are really confused. The performance of this talented person in the theoretical examination is good, but how can they be stuck in this pulse for so long? Is it that he has learned traditional Chinese medicine and failed to learn the most important pulse picture? Or is the patient's pulse really so weird that it's hard to tell?
The rookies have some doubts, but they dare not really think it is the first reason, because this is only once a year, and only a few places of rookie assessment is not for fun; these senior teachers, who do not have enough confidence in their students, will definitely not easily recommend to participate in this assessment.
If you can't even learn pulse, how can the elder teacher let him participate? So it must be that the patient's pulse is really difficult to grasp, so the rookie named Xu Ze will be so hesitant
All the rookies thought of it so much, and they were glad that they didn't get the patient. If the patient's pulse is really so difficult to determine, then their own assessment may be embarrassing
Poor they are so for Xu Ze reason, but do not know, Xu Ze really does not know pulse Science That's why it's so hard to decide
And Xu Ze this frown to think for a long time, it is really he came up with a clever way.
There are only a few types of cholelithiasis, and these types have their own unique pulse and symptoms and signs that can be used to judge. Since you can't determine the pulse condition, you can also help to determine which type the patient is through other symptoms and signs.
As long as the type is clear, then as long as we answer what kind of pulse is recorded in the data, then most of them will not be wrong
So Xu Ze quickly turned a curve, began to avoid pulse, to the diagnosis of this patient type classification
In addition to epigastric pain, the patient also suffered from anorexia and fever. The coating on his tongue was a little yellow, but the coating was not thick, so the coating should be thin yellow
Well There are no other symptoms of tight stool and greasy tongue coating. Compared with the data from the knife just now, the most suitable type is liver stagnation and qi stagnation. Other types are different from this oneIt should be this type right, Xu Ze's heart is happy, finally determined the type, and this type of data recorded pulse, is a string There's no skating, counting and so on Then this is simple, answer pulse string directly, should not be wrong
Chinese medicine diagnosis and basis, as well as the treatment principle and so on, after he completes the type discrimination, that is, the dialectical, then has no problem As long as according to those standard data answer, naturally won't what big problem
Xu Ze is about to stand up to indicate that he has finished the examination, but suddenly he is surprised. He suddenly remembers that he has only paid attention to the examination of traditional Chinese medicine, but he has forgotten the western medicine. In addition to abdominal pain caused by gallstones, there are other diseases to be identified
Although it has been confirmed that the patient has gallstones, it should also be considered that the patient is suffering from abdominal pain caused by stones, but it can not be 100% guaranteed that he has no other diseases causing abdominal pain, such as gastritis, pancreatitis, etc
Five thousand words will arrive and tomorrow will continue. (to be continued, please visit www.qidian.com , more chapters, support authors, support legitimate reading! )
www.novelhall.com , the fastest update of the webnovel!
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