Chapter Twenty-Six: An Unexpected Joy

Whether it is a traditional Chinese medicine or a Western medicine treatment, doctors cannot just prescribe a prescription for patients to take medicine, tell patients what disease they are suffering from, and why they take such medicine, which is the most basic.

Doctors do not need to explain the principle of the disease to the patient, professional treatment plan, but common sense must be informed.

"This situation is formed in several ways, long-term constipation causes the lack of peristalsis in the large intestine, spleen, stomach and kidney deficiency at the same time leads to intestinal dryness, and you have cold in your body, and the body deficiency and cold will also cause insufficient gastric motility, intestinal stagnation, take it according to the prescription after going back, eat less raw and cold food, fruits and the like. ”

Resident Li looked at Fang Zi and slowly understood a little bit according to Fang Han's explanation.

Fang Han's prescription belongs to the famous prescription in "Treatise on Typhoid Fever", and the addition and subtraction of Guizhi Tang is aimed at the patient's heart and kidney yang deficiency and intestinal motility.

Among them, Fang Han raised the amount of raw atractylodes to 60 grams, which belongs to reuse, the purpose is to use fatty raw atractylodes to strengthen the spleen and warm the intestines.

Resident Doctor Li began to be a little unable to understand Fang Han's prescription, because he didn't understand the pathogenesis, but now after Fang Han explained, he understood, simple pharmacology Resident Li still understood, all spleen and stomach deficiency can be tonified with raw atractylodes and sweet temperature, once the spleen is strong, then the clear qi will rise, and the turbid qi will go down.

Dr. Li understood a little, but the patient didn't understand: "Eat less fruits and the like? Other doctors have explained that eating more fruits, especially bananas and the like, is it not helpful to moisten the intestines? And fruits are rich in vitamins. ”

Fang Han smiled faintly: "Your illness has not been short, so you eat fruit all day long, is your constipation cured?"

The patient was stunned and silent.

Sometimes no matter how good it is, it also depends on the curative effect, what fruits are rich in vitamins, bananas moisten the intestines, if it is useful, it counts, and what is the point of eating more if it is useless?

"Vitamins are the saying of Western medicine, Chinese medicine does not talk about this, only talk about the four qi and five flavors, warm and cold, cold and hot, you look at your fingernails, has been bruised, which proves that the cold in the body is very heavy, you can't touch cold things, although this season is still a little hot, but fruits and the like belong to cold food. ”

"No matter how good the vitamins are, you must also have the ability to absorb and digest, now you have cold in your body, once you touch the cold, you will have indigestion, but it will aggravate the condition, ginseng is a great supplement, and I don't see all diseases let patients eat ginseng, right?"

The patient looked up at Fang Han, this young doctor was so cold, he didn't show any emotion when he spoke.

"Go back and take the medicine as prescribed, pay attention to the contraindications, come to me if it doesn't work after three doses. Fang Han stood up: "My name is Fang Han." ”

Dr. Li hurriedly put the prescription on file, signed the prescription, and asked the patient to pick up the medicine.

The patient just went out with the prescription, and met Miao Dalong, in general, as long as he was not particularly busy, when he heard about Fang Han's treatment, Miao Dalong would come to take a look, on the one hand, to see Fang Han's ability, and on the other hand, just in case.

"Is this the end of the treatment?"

Dr. Miao nodded to the patient: "I'll take a look at the prescription." ”

As soon as the middle-aged man saw that Dr. Miao was old, he hurriedly handed over the prescription, which was the leader.

Dr. Miao took the prescription and glanced at it, and subconsciously was stunned, Fang Han's prescription was very formal, first the symptoms, then the dialectic, then the prescription, and finally the taboo.

Without looking at the patient, just looking at Fang Han's prescription, you can actually see the whole illness clearly.

In other words, if Fang Han's diagnosis is not wrong, that is, there are no errors in the above symptoms, complaints, and pulses, the prescription is simply perfect and cannot be more perfect.

The dialectic is clear, and the medicine is old-fashioned, even if Dr. Miao prescribes it himself, he asks himself if he will not be as perfect as Fang Han.

"I feel my pulse. Miao Dalong stretched out his hand, and the patient was also very cooperative, and when he touched the pulse, Miao Dalong also observed the patient's complexion and symptoms.

"Well, no problem, go grab the medicine. Letting go of the patient's wrist, Miao Dalong nodded with satisfaction, and Fang Han was also accurate in terms of diagnosis.

This kid is simply divine.

Watching the patient go away, Miao Dalong stood at the door of the reception room with emotion on his face, the more he knew Fang Han, the more Miao Dalong found that the person he knew about Fang Han was just the tip of his iceberg, this kid seemed to know everything, and his ability was not low.

The patient with constipation just now, to be honest, if it weren't for Fang Han's dialectic, he might not have been able to take it directly.

As a doctor in the emergency department, Miao Dalong is not specialized in some aspects, and he is best at first aid.

In Miao Dalong's opinion, Fang Han's ability definitely has the strength to sit in internal medicine.

In the reception room, Resident Doctor Li was humbly asking for advice: "Doctor Fang, your case just now is simply too classic, and all the circumstances have been taken into account. ”

Wu Lei also interjected on the side: "Fang Han, teach everyone a little bit of your ability, when will you be a head when you make soy sauce all day long." ”

Lin Guangliang and Qin Xijiao also felt the same way.

They couldn't imagine what the interns in other departments were, but after coming to the emergency department for a few days, they were indeed playing soy sauce, and they followed Fang Han's ass all day long, let alone getting started, and they couldn't do anything.

Miao Dalong educated Li as a resident doctor before, and what he said did make sense, but when it was put on Wu Lei and a few people, it also had drawbacks.

With the attending doctor or resident doctor, interns still have opportunities for some small things, and if they perform well, they can even win the opportunity to get started.

But with Fang Han, Fang Han himself is an intern, and he doesn't have the right to prescribe, how can he let them get started?

Of course, this is not the most important thing, as long as Fang Han is willing, there is Dr. Miao and Fang Han behind him, there is no big problem, but Fang Han himself also needs a chance.

Fang Han was a little embarrassed, let himself pass on his experience, his own skills were all given by the system.

Dr. Miao pushed the door in and said, "Do you all think that Chinese medicine is difficult?"

A few people nodded like chickens pecking rice, it was too difficult, they had studied in college for a few years, and their test scores were among the best, but when they really came to the hospital, they found that they really didn't understand anything.

Dr. Miao rarely had time, and he was in a good mood, sitting down on the chair, Dr. Li hurriedly found a disposable cup and poured a glass of water and handed it over.

Miao Dalong took a sip of water, and then continued: "Actually, you really have to think with your heart, Chinese medicine is not difficult, you all understand the basis of syndrome differentiation in Chinese medicine, and what you have to do now is how to combine theory and practice." ”

For example, the four diagnoses of traditional Chinese medicine, looking at the diagnosis, looking at the movements, looking at the eyes, looking at the body, looking at the complexion, looking at the skin, looking at the nails, looking at the hair, looking at the tongue and so on. ”

"When you are studying in school, you have to learn what actions represent the patient's shortcomings, what complexion represents the patient's defects, and what nail color is abnormal. ”

"First of all, when the patient comes, no matter what treatment the attending doctor treats, you must have your own judgment, and then compare your judgment with the teacher's judgment, and the consistency proves that the judgment is correct, what is wrong with the error?"

"Take the patient just now, the nails are blue, this is the cold in the body, you see the patient's nails for the first time, do you have this judgment, if so, it proves that your judgment is accurate, the next time there is a similar patient this is the experience, if not, remember...... Some things are also immutable in Chinese medicine, and the basic things are used by any doctor, not that if you see blue nails, it means that the patient has cold in the body, and the attending doctor will not see it. ”

"The diagnostic standards of Chinese medicine are the same for anyone, he is like a Western medicine test sheet, what data represents what, these basic bases are actually immutable, according to your observation to judge the patient's condition......

Miao Dalong said in great detail, even Fang Han listened to it with relish.

In some aspects, Fang Han is not even worse than Miao Dalong, but his insight is actually that of an intern, at most it is better than others.

If you use the exam answer question as an example, the intermediate first aid obtained by Fang Han is equivalent to the answer, he directly copied the answer, and only after comparing the answer did he know that this question was doing this, so it was, instead of knowing it from the beginning, it was like this, it was like this, this is the difference.

Miao Dalong may not be too high in his own level, but he has worked in the hospital for so many years, has brought many interns, and has rich experience.

For example, many graduates of Chinese medicine universities know what their faces represent, but when they encounter patients, these people cannot combine the complexion shown by the patient with what they have learned.

As soon as Miao Dalong said this, everyone instantly had a direction, they didn't understand, they kept trying, kept comparing, and slowly became familiar with and used it.

If you are right once, because you judge it yourself, you will remember it very deeply, and if you make a mistake once, you will correct it, and you will remember it very deeply, so that you can continue to improve.

While listening to Miao Dalong's explanation, Fang Han referred to the foundation he learned in school, and combined with the experience in the intermediate emergency department, many things suddenly became clear.

"Ding...... Congratulations to the host for breaking through the primary level of the diagnosis skills, rewarding 50,000 worship points, and hoping that the host will continue to work hard. ”

Suddenly, a system prompt interrupted Fang Han's thoughts.

"Visiting the clinic to break through the primary, worship points reward 50,000?" Fang Han was stunned at first, and then ecstasy, he didn't rely on the system, and the visit reached the primary level, but the system rewarded himself with 50,000 worship points that needed to be exchanged for permanent primary skills, that is to say, if he didn't rely on the system, he would learn his skills by himself to a certain level, and the system would return a certain amount of worship points?

It was a bonus.