Under the leadership of the invigilator, 10 candidates came to a suite in the deepest part of the courtyard.

Walk into the room.

"Next is the dialectical argument. ”

The invigilator looked at the ten people in front of him and said, "Those who are waiting for the exam are waiting again, and the examiner enters the room for assessment, and there are three volunteer patients and three chief examiners inside." ”

"In the process of your medical treatment, the examiner will pay attention to the whole process of your four diagnoses, you need to tell all the conditions of the four diagnoses, and then write the dialectical situation and the prescribed treatment plan on the answer sheet. ”

"After the assessment, you are not allowed to talk to each other, and you will leave directly to follow the guide to other rooms to drink tea. ”

"Time limit, half an hour. ”

"Now from the earliest registration time number, the first candidate please prepare. ”

Hearing this, a candidate took the initiative to stand up.

"The third game, the assessment begins!"

With an order.

The examinee who stood up walked to the inner room and began to argue dialectically.

Su Ye took a look at his position and was at the end, so he directly devoted himself to two purposes and entered the cultivation state.

Twenty minutes later, the first candidate walked out of the room, his expression calm, but his eyes exuded excitement.

In order to avoid leaking the question, he didn't even glance this way, and was invited to the side room for tea.

The second candidate enters.

Half an hour later, the third ......

Although the stipulation is that each person only has half an hour, the process of dialectical prescription is long and short, and most people's speed is within the specified time.

Su Ye watched the candidates enter one by one, and the candidates came out one by one.

Some people come out with a calm face, while others have sad faces, all kinds of complex emotions, and so on.

Half past four in the afternoon.

"He Yichen. ”

The invigilator shouted He Yichen's name.

He Yichen suddenly got up and strode into the room.

The speed was very fast, and it only took fifteen minutes to get out.

When he walked out, he glanced at Su Ye with a confident face.

"Su Ye. ”

With the shouts of the invigilator, Su Ye stepped into the room.

It was found that there were three patients sitting in the room, and there was a table in front of each patient.

The three examiners are distributed in the left and right directions and the front three directions, observing the entire process of the four diagnoses from a side perspective.

An examiner stretched out his hand to Su Ye and signaled, indicating that he could start.

Su Ye nodded, smiled and walked to the consultation table in front of the first patient who looked to be in his fifties and sat down.

"Hello. ”

Su Ye smiled and began to ask for a consultation.

"What's wrong with it?"

"I've been dizzy lately, and I've been on and off for half a month. ”

"What happened before the dizziness, or what caused the sudden dizziness?"

"I played chess with people on the street, and they all said that watching chess was a true gentleman, but someone TMD blindly commanded, and also started to play chess, and the other party gave me to the general, which made me angry, and I fainted directly, and after waking up, I began to feel dizzy and swollen - painful, I went to find the grandson's medical expenses, but the grandson did not pay for his life or death, so I came here as a volunteer, and by the way, I saw a doctor, which also saved some money. ”

Su Ye: "......"

"Are there any other symptoms?"

"Why not, I'm still upset, I'm very irritable, someone looked at me yesterday, I almost someone, and I can't sleep well at night......"

"How's your appetite going?"

......

Listening to Su Ye's question, the three examiners around nodded secretly, very meticulously.

"Reach out and take the pulse.."

"Open your mouth and look at the tongue coating. ”

Su Ye finished taking the pulse and quickly began to record.

Male, 53 years old.

The complainant is dizziness, which has lasted for half a month.

I had a fight with someone before the onset of the disease, and although I woke up on my own, I have been dizzy since that day, accompanied by many symptoms such as head pain, irritability, and poor sleep quality.

The tongue coating is thin and yellow, and the pulses are numerous.

After recording, Su Ye began to fill in the diagnosis column, dialectical column, and so on.

Diagnosis: vertigo.

Dialectic: The liver is depressed and the fire is dissolved, and the light is disturbed.

Treatment: Take heat dissipation and calm the liver, latent yang and relieve wind.

Prescription: Bupleurum 9 grams, Scutellaria baicalensis 9 grams, Sophora japonica 9 grams, Chrysanthemum 15 grams, Gentian 9 grams, Hook vine 15 grams, Pueraria lobata 15 grams, Raw Dragon Peony 30 grams each, Mother-of-pearl 30 grams, White Peony 12 grams, Yu Li Ren 15 grams, Green skin 12 grams plus magnet 15 grams, amber powder 3 grams.

Usage: Take with water, one dose per day, morning and evening after meals, 7 doses.

Prescribe ideas: The liver is rigid and dirty, and the sex likes to be adjusted, such as the emotional will is not successful, the liver depression turns into fire, and the upper disturbance is clear, so it should be treated to relieve the liver depression and regulate the liver qi. Use acacia flowers, skullcap, gentian to clear the liver and clear heat, keel oysters, flat liver latent yang, hook vine, chrysanthemum Qingli leader, kudzu root to relieve back pain, Bupleurum to soothe the liver and relieve depression, mother-of-pearl, magnet to calm the nerves. Adding white peony and Yu Li Rennai considered that the liver was hot and prosperous, which would hurt yin, so it added yin to soften the liver and improve bowel movements. Because of the relationship between qi and blood, qi depression will cause blood flow to be poor, so amber is added to invigorate blood and dispel stasis and calm the nerves. The combination of various medicines can achieve the effect of calming the liver and dissipating heat, and improve sleep, diet, stool, etc......

The writing was very detailed, and after writing it, Su Ye nodded politely at the patient and said, "It's not a big problem." ”

"I know, the first nine said the same thing, you don't need to say more. The patient pouted.

Su Ye: "......"

Sure enough, irritable.

Su Ye handed the written record to the examiner, and then walked to the second patient.

Then he got up and walked to the second patient.

Wait for Su Ye to sit down and start to see a doctor.

The three examiners had already quickly read Su Ye's dialectical prescription just now.

Looking at Su Ye's eyes, he couldn't help but feel a little surprised.

From interrogation to pulse diagnosis to pathological analysis, every step is done in a proper and meticulous manner.

It was the three examiners who were known for their rigor, and they couldn't help nodding their heads at Su Ye's performance.

The second patient was a woman in her thirties.

"What's wrong with it, please. ”

"Ahem, ho TUI~. ”

The woman coughed a few times and spat on the ground, before she said comfortably:

"Doctor, I have a cough. ”

Su Ye: "......"

I see it.

Where did these volunteer patients go?

"Dry cough, sputum, little and white sputum. ”

Su Ye looked at the phlegm on the ground and said, in fact, it was for the three examiners, and they had to strictly examine every step of the four diagnoses.

"How's your throat feeling?"

"It's itchy, and it hurts. ”

"Is there any other place where you don't feel well?"

"How's the meal?"

"Where's the poop?"

After a series of consultations, Su Ye finished his pulse and looked at the tongue coating, and quickly began to record.

Female, 35 years old.

Complaints: cough, sputum.

Paroxysmal dry cough is the mainstay, coughing up a small amount of white sticky sputum, itchy and dry throat, acceptable sleep, two stools are basically normal, the tongue is light, the lichen is thin, and the pulse is slippery.

Dialectic: cough, wind evil offender lung syndrome.

Treatment: Take the method of dispelling the wind and promoting the lungs, and relieving the pharynx and relieving cough.

Prescription: 10 grams of cicada molt, 10 grams of Baibu, 10 grams of nepeta, 10 grams of asters, 10 grams of coltsfoot, 10 grams of Qianhu, 10 grams of white front, 10 grams of bellflower, 8 grams of licorice, 10 grams of Radix radix, 10 grams of wood butterfly, 10 grams of mountain bean root, 10 grams of Zhejiang fritillary, 10 grams of northern sand ginseng, 10 grams of Su Ye, 7 doses.

Usage: Decoction in water, warm in the morning and evening.

Write here.

Su Ye paused slightly, and added another text: If the cough and phlegm are significantly reduced after taking it, and there is no itchy throat, then the original prescription will go to Xuanshen and mountain bean root, and continue to take 7 doses.

Prescribing ideas: The patient's wind evil offense in the lungs, the lungs lose their lungs, the lung qi is reversed, and the hair is cough, so it is planned to stop cough and scatter bellflower decoction to add or subtract to relieve wind and lungs, and to relieve cough. Fangzhong nepeta, cicada molt, Su leaf soothing wind and lungs, and has anti-allergic and antispasmodic effects. Aster, coltsfoot flower, 100 parts moisten the lungs, relieve cough and reduce phlegm......

After writing, the record is taught to the examiner, and the third patient is approached.

The three examiners looked at the record again, and the satisfaction in their eyes was even stronger.

The third patient was an obese patient.

"Excuse me, is there anything uncomfortable?"

"Fat. ”

"Specific uncomfortable feelings?"

"The fat person has a headache, the fat person doesn't want to move, he just wants to eat, by the way, do you have anything to eat, I'm a little hungry, can I see a doctor while eating?"

Examiner: "You've eaten it nine times." ”

Su Ye: "......"

......

Male, 46 y.o.

Su Ye finished the fourth diagnosis and quickly recorded it.

Complaints: left-sided headache, drowsiness and fatigue.

The patient complained of hyperlipidemia and obesity for more than 20 years, with a large belly and a bloated body, and his weight reached 103 kg. There is a lump on the forehead, the face is red and oily, often feeling sleepy and weak, the tongue coating is yellow and greasy, the tongue is dark purple, and the pulse is thin and smooth.

Dialectic: phlegm stasis obstruction.

Treatment: Take phlegm and stasis to clear the channel.

Prescription: 4 grams of cooked rhubarb, 12 grams of fried sulforaphane seeds, 15 grams of hawthorn meat, 15 grams of Zeeland Epsom, 15 grams of lotus leaves, 15 grams of cassia seeds, 15 grams of seaweed, 15 grams of Tianxian vine, 10 grams of fried atractylodes, 15 grams of big-bellied skin, 15 grams of ghost arrow feathers, 10 grams of Chuanxiong, 10 grams of Fabanxia.

Prescription idea: Chinese medicine to have a fat person phlegm said, from the patient's big belly poop, swollen body, head and forehead lump bulge, it is not difficult to distinguish it as phlegm turbidity in the inside, but the visible phlegm turbidity remains inside, blocking the veins, blood stasis is easy to arise if the blood flow is not smooth, from the patient's left side headache, dark purple tongue, and then distinguish it as phlegm stasis obstruction; From the patient's red face, yellow moss, and pulse number, it is further identified as phlegm stasis and fever. The selection of Faxia, Atractylodes, Sulforaphane Seed, Big-bellied Skin, Lotus Leaf, Seaweed to transport the spleen and dampness and dissolve phlegm, hold the center to transport up and down, add hawthorn meat, ghost arrow feather, Chuanxiong, Tianxian vine, Zeeland Epsom to dispel stasis and circulation, phlegm and water......

Once written, teach the record to the examiner.

Su Ye's third assessment is over.

Over there, on the second floor of the pavilion.

"I'm right, my student's dialectical prescription speed is definitely the first among all candidates. ”

Zhang Congyi said to a group of old Chinese medicine doctors with a smug face: "Among the candidates who participated in this assessment, who can watch three in 15 minutes?"

When a group of old Chinese medicine doctors heard this, they smiled and pretended not to hear.

Your students are great, doesn't that mean that our students are not great?

Seeing that everyone didn't answer their words, he immediately turned his head to look at Li Keming, looked at Li Keming's eyes and kept looking out, and said with a smile:

"I said Lao Li, don't worry, after all, your student has only been studying for less than a month, and it is understandable that the test will be slow, as long as it does not exceed the specified time of 30 minutes. ”

After speaking, I didn't forget to add: "However, we still have to ensure the accuracy of the dialectical prescription." ”

As soon as the words fell.

"The assessment is over. ”

A staff member came with the news.

Hearing this, everyone in the entire room was stunned.

"If I'm not mistaken, Dr. Lee's students have only been in for about ten minutes, right?

"It's impossible to see three patients in ten minutes, it's impossible to do it at their level, it's okay to pursue speed, but the accuracy is ......"

I didn't say the second half of the sentence, but everyone knew what it meant.

It's hard to say how precise it is.

"Just check it out. ”

Zhang Congyi said to Li Keming: "This time it may be repeated again, the scene of your student being defeated by my student." ”

Laughing and getting up, he went downstairs to the backyard.

Others also went out to find their own students.

Li Keming didn't have the heart to fight with Zhang Congyi at all.

In his heart, he was indeed very anxious.

Seeing three patients in ten minutes is nothing to him, but it is different for Su Ye.

He used to have an average of five minutes for a patient in free clinics, could there be something wrong?

Hurried to the backyard.

All the assessments were completed, and all 10 candidates were released from the tea room.

"How?"

Li Keming came to Su Ye's side in three steps and two steps, and hurriedly asked.

"It should be fine. ”

Su Ye pondered.

"Why did you come out so fast? Not so fast before?"

Li Keming asked again.

The candidates who participated in the assessment around them and the old Chinese medicine doctors who came to accompany them turned their heads one after another, curious about how Su Ye was going to explain.

"I wondered if speed would be one of the performance indicators, so I sped it up. ”

Su Ye said with a smile.

Li Keming: ......

All:......

You think a little too much.

"Everyone. ”

The person in charge of the Chinese Medicine Association came over and said: "In order to avoid any other accidents in addition to the results, while the three volunteer patients are here, and you are all the mainstays of the Chinese medicine community, it is better to diagnose them together, and it is good to have a number." ”

Everyone nodded and immediately went to get started.

They are all traditional Chinese medicine practitioners, so naturally they don't need to consult one by one, one person can be consulted, and others only need to listen and check the pulse to see the tongue coating.

Soon a group of old Chinese medicine doctors returned to the hospital.

"The final results of the 10 candidates have been marked. ”

The person in charge of the association came over with everyone's answer sheets and said with a smile: "Next, I will only announce the results of the candidates who have passed the assessment, and the total score calculated by the weight of 0.2, 0.1, and 0.7 in the third game. ”

"A total of six candidates passed the prescription medical examination. ”

"Sixth place: Yang Lijun, 93 points in the written test, 98 points in medicine identification, and 88 points in diagnosis. ”

"Fifth place. ”

......

"Second place: He Yichen, 98 points in the written test, 100 points in medicine identification, and 90 points in diagnosis. ”

Hear this score.

The audience was stunned, why is Yichen the second place, so who is the first place?

In an instant, everyone was concentrated on the remaining five people.

The focus fell on Su Ye.

But I don't know for sure, because the third race took too little time, and the third race accounted for as much as 70% of the overall score.

Based on the situation of their four diagnoses just now, it is difficult for a Chinese medicine student to be able to accurately distinguish the syndrome and treat such three patients after seeing such three patients in ten minutes.

Therefore, even if Su Ye's first and second performances were amazing, they were not sure that he was the number one.

He Yichen frowned.

"How come I'm only second and have a higher score than me?"

He Yichen was secretly puzzled, and turned his head to look at Su Ye with a calm face.

Could it be him?

Because the other party came out of the third assessment in 10 minutes before, he had already excluded the other party from his competitors, could it be that the other party's results in dialectical arguments and governance in ten minutes were better than him?

Li Keming's heart was raised.

In this situation, Su Ye is either the first or one of the four who have been brushed down.

At the scene, only Su Ye's face was calm.

"First place. ”

The head of the association paused.

Everyone immediately turned their attention to see who the number one was who it was.

The person in charge looked at Su Ye with a smile and announced appreciatively: "

"Su Ye!"

Hearing this name, everyone at the scene was stunned for a moment.

It's really Su Ye!

"100 points for the written test, 100 points for drug identification, and 99 points for diagnosis. ”

Hear the score.

Everyone was blown away.

Three assessments, only 1 point away from the full score?

And the third ten minutes turned out to be a perfect score?

This is no longer the strength of a simple prescription doctor, it is already approaching a Ming doctor!

How can it be?

"There's a kid with you"

Li Keming was so happy that he slapped Su Ye suddenly.

"No way. ”

Zhang Congyi stood up abruptly and said, "I want to see the diagnostic answer sheet." ”

The others nodded in agreement, and they wanted to see it too.

I want to see how Su Ye answered in the third game.

"Good. ”

The person in charge of the association nodded, took out Su Ye's answer sheet, glanced at Su Ye in amazement, and then handed it over to everyone.

"Look. ”

——————

[Don't say that I use the four diagnoses, dialectics, prescriptions and other content to irrigate ah, this chapter is 4600 words, remove these four diagnoses, and the number of words in the previous chapters is about the same, so there is no irrigation, don't talk about me! In order to avoid this situation from happening again, I deliberately lengthened the chapter, and now you can't say that I am watered, hehe. The reason why these contents are removed is because I feel that I can't show Su Ye's level of traditional Chinese medicine if I remove it, so after thinking about it, let's write it down, and hereby explain it. 】