In addition to the patient's past medical records, which only serve as a reference for the current doctor, another reason is to understand the patient's previous symptoms.

Now for Ye Chen, if he wants to cure Chen Ke's illness, he naturally wants to understand the specific symptoms now, as well as look at his tongue and pulse.

If Chen Ke himself didn't cooperate at all, then Ye Chen would not treat him again.

Now when Ye Chen just finished speaking, Chen Ke closed his eyes, Chen Ke's father Chen Xuejun looked very angry again, he couldn't understand what this son thought?

However, in the end, Ye Chen still checked his pulse, and then looked at his tongue, as well as the specific symptoms now.

If the doctor is not skilled or affected by habitual thinking, he really treats Chen Ke's situation as tuberculosis.

However, in fact, Ye Chen found that these two diseases were too far apart, and they were not tuberculosis at all.

"Doctor Ye, what do you think?" Zhao Mufu asked again.

Seeing that Ye Chen had finished examining Chen Ke and pondered for a while, Zhao Mufu and Zhang Weikang naturally guessed that Ye Chen had determined Chen Ke's current situation.

"Director Zhao, Chen Ke's illness is indeed not tuberculosis, but a waste of work. Ye Chen said.

"Wasted work?" Zhao Mufu and Zhang Weikang were both surprised.

Although they studied Western medicine, they majored in internal medicine, pulmonary science and infectious disease science respectively. However, they still know a little bit about the fatigue of traditional Chinese medicine.

If that was really the case, the doctors who had seen Chen Ke before had obviously mistaken the situation, and they had deviated far from it.

The first thing to understand is tuberculosis. Tuberculosis is a chronic infectious disease caused by Mycobacterium tuberculosis, which can affect many organs, with pulmonary tuberculosis infection being the most common.

Bacteria excavators are an important source of infection.

Tuberculosis infection does not necessarily occur in humans, but clinical onset can only occur when resistance is reduced or cell-mediated allergies are increased.

If diagnosed in time and treated appropriately, most of them can be clinically cured.

In traditional Chinese medicine, tuberculosis is called tuberculosis, which is somewhat similar to the statement of tuberculosis in traditional Chinese medicine, which means that there are tuberculosis worms in the lungs or brain, which causes patients to have uncomfortable symptoms.

As for whether the so-called tuberculosis worms mentioned by the ancients or ancient Chinese medicine doctors really exist? If we introduce them according to the current medical introduction, in fact, the tuberculosis bacteria that cause tuberculosis can be the so-called tuberculosis insects, but the explanation is different.

In traditional Chinese medicine, the concept of fatigue is completely different from that of tuberculosis.

In traditional Chinese medicine, fatigue, also known as deficiency, is caused by a variety of reasons such as weak endowment, acquired malnutrition, external and internal injuries, etc., with the decline of visceral function, the loss of qi, blood, yin and yang, and the loss of time as the main pathogenesis, and the five visceral deficiency syndrome as the main clinical manifestations of a variety of chronic asthenic syndromes.

"The Golden Advice of the Medical Sect. "Summary of Deficiency and Labor" says: "Those who are deficient are also deficient in yin and yang, qi and blood, glory and health, spirit, bone marrow, and fluid. The skin and veins, flesh, tendons, and bones are damaged on the outside, and the lungs, heart, spleen, liver, and kidneys are also damaged internally. Those who have become laborers are said to have been damaged for a long time, and they will not heal if they stay for a long time, and they will become five labors, seven injuries, and six poles. ”

"Doctor. "Deficiency and Tuberculosis" also said: "Those who are deficient will have insufficient blood and qi, and after a long time, the skin and viscera will gradually disappear, so it is called deficiency." Those who work for a long time are sick and have no rest, as those who do not cease to work. ”

It can be seen that deficiency or fatigue is based on the loss of the five visceral qi, blood, yin and yang as the basic pathogenesis, and on this basis, a variety of corresponding symptoms appear, and the patient suffers from his illness for a long period of time.

The five labors in the fatigue refer to the strain of the five organs, the seven injuries refer to the seven kinds of strain injuries (injury to the spleen, liver, lungs, kidneys, heart, shape, and will) and their causes, and the six poles refer to qi, blood, tendons, bones, muscles, and essence deficiency and the symptoms that appear, such as "Buju Ji". Volume I. "Six Poles" said: "The six poles should be the six intestines, from Tibet and the government." Those who are said to be extremely sick are also more sick than those who work hard. ”

Traditional Chinese medicine (TCM) has a detailed discussion of the theories and treatments of fatigue. "Su Wen: General Commentary on Fiction and Reality" proposes that "if the essence is seized, it will be empty", which is the general outline of false evidence.

"Adjusting the Meridians" says: "Yang deficiency is cold outside, and yin deficiency is internal heat", which further explains that there is a difference between yin deficiency and yang deficiency, and points out the main characteristics of yang deficiency and yin deficiency......

Books such as "Medical Law", "Medical Sect Jinjian" and "Medical Discipline" in the Qing Dynasty have a good discussion on wasted labor.

In particular, Wu Cheng's "No Residence Collection", a relatively systematic collection of information about fatigue in the past dynasties, is a valuable reference book for the study of fatigue, in terms of etiology, the external sense of damage has been supplemented, in terms of treatment, the "Book of Difficulty" put forward the principle of treatment of loss concretization, and put forward the method of relief and supplementation to treat the evidence of fatigue and external sense.

It can be said that from the "Yellow Emperor's Neijing" of traditional Chinese medicine to the Qing Dynasty, the ancient doctor of traditional Chinese medicine has studied this aspect very well, so when Ye Chen had just checked Chen Ke's condition, he could immediately recognize that Chen Ke's symptoms belonged to fatigue, not tuberculosis.

As for those quotations and classics, when Ye Chen said them, he not only surprised Zhang Weikang and Zhao Mufu, who studied Western medicine, but even Chen Ke's parents and grandfather.

Because Ye Chen started from the origin of wasted labor in traditional Chinese medicine, and then quoted scriptures, basically, the books of famous Chinese medicine masters of every dynasty have mentioned it, and now when he says those words and explains them, these people can basically understand them.

As the saying goes, the most afraid of comparing goods, people are the same, doctors are also like that, the level of doctors' medical skills, many times, it is easy to compare.

Now many so-called famous doctors of traditional Chinese medicine, in fact, do not even know the most basic looks, let alone treat patients, they all have to rely on modern medical equipment, if the dependence on utensils is too strong, Ye Chen can be sure that this doctor, if he is studying Chinese medicine, Chinese medicine can only be said to be very general.

"Doctor Ye, what caused Chen Ke's condition?" This made Zhao Mufu strange, and it also made Chen Ke's parents strange.

Chen Ke was born in a very good family, Zhou Yanhua was pregnant Chen Ke was also well taken care of when she was born, and there was no premature birth.

However, he just had this symptom, which also made other doctors influence their habitual thinking, feeling that Chen Ke's family background was very good, and his living conditions were very good since he was a child, so he naturally would not be able to have congenital endowment.

"The pathogenesis of fatigue can be caused by a variety of reasons. Such as "Rational Void Yuanjian. There are six causes of deficiency: there are congenital causes, acquired causes, acne rashes and post-illness causes, external causes, circumstances and medical causes. ”

"For the causes of fatigue, the ancient Chinese medicine masters have made a more comprehensive summary. A variety of causes act on the human body, causing a deficiency of viscera, qi, blood, yin and yang. Combined with clinical findings, the etiology and pathogenesis of fatigue are mainly in the following five aspects. ”