Xu Yang was also very embarrassed by Qian Lao's complaints, the diagnosis and treatment of traditional Chinese medicine pay attention to the combination of four diagnoses, syndrome differentiation and treatment, especially pulse diagnosis and tongue diagnosis, pulse diagnosis is the top priority.

Xu Yang is no longer good at tongue diagnosis, and even more so at pulse diagnosis, he is not completely unproficient, but very ungood at it. Nowadays, young Chinese medicine practitioners rarely know how to diagnose the pulse, let alone a recent graduate like him.

After you graduate, you go to a traditional Chinese medicine hospital, and they also ask you to go for a Western medical examination. There were a few old Chinese medicine doctors in the hospital who knew how to diagnose the pulse, but Xu Yang was expelled before he could learn from the teacher.

Xu Yang said a little embarrassedly: "I don't know much about pulse diagnosis. ”

Qian Lao asked: "The school teacher has not taught?"

Xu Yang said: "Isn't it very good at learning?"

Qian Lao shook his head slightly, looked at Xu Yang's posture, and said: "The three parts of the inch and the ruler are quite accurate, and the same body is not wrong, but you lack a lot of experience." ”

Xu Yang responded with some embarrassment.

Qian Lao instructed: "But you have to work hard, you listen to me first." You first calm down, "Su Wen: The Pulse to Be Subtle" said: Therefore, there is a way to hold the pulse, and humility and tranquility are guaranteed. It is not only the patient who is required to be calm, but also the doctor. ”

Xu Yang slowly exhaled a few breaths, calmed himself down quickly, and accurately fixed the female patient's three inches with three fingers.

Qian Lao said slowly: "Check its outline first, what is the yin and yang surface?"

When Xu Yang heard this, he first used his three fingers to argue his pulse.

Qian Lao said: "There are three types of pulses: floating, medium and sinking, so the corresponding pulse diagnosis techniques are lifting, pressing, and finding to distinguish the depth of the pulse." The light hand is said to be lifted, the heavy hand is taken and pressed, and the light is not heavy and the commission is called to seek. ”

"Wait for it lightly, see the pulse between the skin, yang, intestines, heart and lungs. Heavy hands get it, the veins are attached to the flesh, yin, Tibet, liver and kidney. It is not light or heavy, and the pulse is in the flesh and blood, and it is the spleen and stomach......"

Xu Yang used a pulse diagnosis that was not very proficient to diagnose the pulse, three fingers together, and then one finger each inch to close the ruler three parts.

There are three inches on the inch, the index finger is pressed by the inch, the middle finger is pressed by the guan, and the ring finger is pressed by the ruler. Each part has three waitings: floating, middle and sinking, so there are nine waitings in total, which is the three parts and nine waiting methods in traditional Chinese medicine pulse diagnosis.

Any one of the inches has its own physical condition, so it needs to be diagnosed in each part, so a single finger will be used to diagnose the pulse, and the beating of each pulse shall not be less than 50 movements.

Even the unskilled need to diagnose three or four 50 movements on one piece, so it takes five or six minutes to diagnose one hand, and the pulse diagnosis time of the left and right hands must be more than 10 minutes.

Xu Yang carefully diagnosed the pulse, but his heart calmed down, carefully screened and diagnosed the pulse of each part, Qian Lao was also carefully guided by the side, and Xu Yang was also recalling the feeling of practicing after class before.

When Qian Lao saw Xu Yang like this, he also bowed slightly. Although this young doctor is a little worse in clinical practice, his theoretical knowledge is still very solid, and his talent is also good, and he can calm down.

In terms of theoretical knowledge, Xu Yang is more solid, but clinically it is better than Liu Mingda, and both of them are worth cultivating.

Qian Lao was on the side, carefully and carefully guiding Xu Yang.

After a long time, Xu Yang finally opened his eyes, let go of the female patient's hand, and said to Qian Lao with some excitement: "It should be the pulse of the Shen string, the "Pulse Meridian" says, 'If it is insufficient, it is more than enough', which is the Shen pulse, and the Shen Xing muscles and bones are heavy-handed, it should be the Shen pulse." ”

"The "Pulse Sutra" says, 'The string vein, there is nothing, and it is like a bowstring'. I diagnose this pulse as straight and long, like a bowstring, and it cannot be moved, so it should be a string pulse. ”

"Shen pulse is the main syndrome, and the patient's left hand is sinking, and the left guan is sinking, which is full of pain for liver depression, abdominal distention, and lack of appetite and irritation, which is consistent with the patient's symptoms. And the chord pulse can be the main liver disease, and the pulse comes like a bowstring, and the liver vein is also. The pulse is both heavy and heavy, but it is depressed and uncomfortable. ”

"Therefore, I can be sure that the patient is suffering from liver qi stagnation, qi is the handsomeness of blood, and qi stagnation is unable to push blood forward, so qi stagnation is prone to blood stasis. It is the disease of the truth, but it is actually a laxative, and it should be soothed and depressed. ”

Qian Lao smiled.

Xu Yang suddenly had no bottom in his heart: "I...... Is the dialectic wrong?"

Qian Lao said: "The dialectic is right, what method should be used." ”

Xu Yang's expression suddenly became nervous.

Qian Lao saw that Xu Yang's expression became extremely unnatural, and he asked curiously: "What's the matter?"

"It's not. Xu Yang pursed his lips and shook his head slightly.

Qian Lao asked, "What's the matter?"

Xu Yang lowered his head and looked nervous.

Xu Yang clenched his hands tightly: "I...... I'm afraid that if I prescribe the wrong prescription, I won't be able to cure the disease, but I will become harmful. ”

Qian Lao said: "The difficulty of Chinese medicine lies in dialectical treatment, and Chinese medicine should know the dialectic of the four diagnoses and eight outlines, the correspondence of the six meridians and six qis, and the law of yin and yang. ”

"Traditional Chinese medicine treats diseases, nothing more than twelve words, looking at the pulse symptoms, knowing what is wrong, and treating them with evidence. You have all been dialectically correct, so why is it difficult to follow the evidence?"

Xu Yang remembered the previous incident again, he was indeed not good at clinical practice, but it was not that he couldn't treat diseases at all, but he didn't dare to treat them at all. The psychological shadow caused by the previous incident was too great for him, and it almost ruined his life.

He grabbed the corner of his clothes and said nervously, "I'm afraid...... I'm afraid that I'm making a mistake in dialectic, I'm afraid I'm prescribing the wrong prescription, and I'm even more afraid that I'm using the wrong dose......"

Boss Qian scolded with a face: "As a doctor, you should be walking on thin ice, be cautious, and look forward and backward." But the healer must not only have the ability to subdue the dragon and subdue the tiger, but also have the self-confidence to take the chestnut from the fire. ”

"As a doctor, it is our duty to relieve the suffering of the common people. You see a patient sitting in front of you, the pain is unbearable, and you are cowering like this, how can you be a doctor?

Xu Yang's hands were tightly clasped together.

The female patient was a little impatient and said, "I said two doctors, please prescribe some medicine for me, I really hurt very much." ”

Qian Lao said seriously and seriously: "Healers, we have been fighting all our lives, but the first thing we have to overcome is not the disease, but ourselves. ”

Xu Yang looked up at Qian Lao with a stunned expression.

Qian Lao looked at Xu Yang and said lightly: "If you can't even defeat yourself, then you are not worthy of being a doctor at all!"

Xu Yang clenched his hands tightly, and his eyebrows twisted into a pimple. He remembered the cold and mocking eyes he had seen on the day he was expelled. It's not that he can't heal, but he doesn't dare to cure!

After a while, Xu Yang still didn't speak, but his expression struggled more intensely.

Qian Lao showed a look of disappointment in his eyes, shook his head slightly, and said to the female patient: "Comrade, you come with me, and I will treat you." ”

"Good. The female patient stood up holding her lower abdomen.

The two were about to go out, and the moment they reopened the door, they heard a rough sound behind them!

"After the water, the abdomen hurts first, the woman has premenstrual abdominal pain for several days, and then the water walker, its meridian is mostly purple and black, people think that it is cold, but who knows that it is hot and the fire does not melt!"

Both of them looked back, only to see Xu Yang clenching his fists, his expression tense, and shouting out this sentence loudly.

"The husband's liver belongs to wood, in which there is fire, Shu is smooth, depressed is not raised, and the liver should not be done by desire, then it is suppressed and painful. However, if the meridian is full, it cannot be hidden, and the depressed fire in the liver is burned, and the internal force is forced out, and the fire is also vented because of it. ”

"Its purple and black are the image of fire and water, and its lump is also the shape of fire frying. Those who have lost their scriptures are seizing their power in the fire. The treatment seems to be appropriate to vent the fire in the liver, but the fire in the liver is discharged, and the depression of the liver is not solved, then the mark of heat can be removed, and the original of heat has not been removed, how can it be beneficial? Therefore, it is used only to use it...... Xuanyu Tongjing soup. ”

After saying this, Xu Yang gasped heavily, as if he had exhausted all his strength, and those indifferent and mocking eyes actually retreated at this moment.

Qian Lao smiled, this little comrade......