Chapter 67 Diagnosis
This is what can be learned by visiting the clinic, all the basic skills of Chinese medicine, and this assessment will be carried out from the most basic first. For this, Huo Tianlei didn't say a word in recognition. Quietly stood and waited for the assessment to be arranged.
In fact, as soon as Huo Tianlei came in, he saw several patients in hospital gowns sitting on the left, and he had already thought that the focus of this assessment was that he had to cure these people. A cursory look at the past didn't find anything special, maybe it wasn't what he thought, maybe it was possible, he just waited quietly.
Olfactory diagnosis includes both listening to sounds and smelling odors. It is mainly to listen to the patient's language and breath, the strength, the turbidity, and the urgency...... and other changes to distinguish the deficiency of the disease, the cold, the heat. Questioning is to ask the patient or his companion to understand the condition, the time, cause, process, past medical history, the patient's pain, as well as living habits, dietary preferences and other disease-related conditions, all of which can be understood through the consultation, so the consultation is one of the important ways to understand the condition and medical history, and occupies an important position in the four diagnoses.
The real Chinese medicine only asks about the size and size of the two stools (characteristics, frequency, etc.), and does not ask about any disease, and the basic questions about what diseases are only worthy of being a doctor (Western medicine doctor), not worthy of being called a Chinese medicine doctor.
Zhang Jingyue created the "Ten Questions Song", and the essentials of asking for diagnosis are quite standardized, but the clinical certificate cannot be treated stereologically. It is necessary to focus on the patient's complaints, highlight the main symptoms and signs, in-depth inquiry into their characteristics, and possible complications, and understand the development of the disease and the diagnosis and treatment process, so as to improve the accuracy of judgment.
In particular, it is necessary to understand that the purpose of TCM consultation is mainly to distinguish syndromes, which is different from the complete differentiation of diseases in Western medicine. If you ask about cold and heat, you should ask whether it is cold and fever and the severity of cold and heat, whether it is cold or not hot, but hot is not cold, or cold and heat come and go, whether the fever is strong or hot flashes, and the body is not hot, so as to distinguish the location and nature of the disease.
When asking about pain, it is necessary to ask whether it is swelling pain, walking pain, stinging pain, fixation pain, cold pain, burning pain, colic, dull pain, empty pain, refusal to press, happy press, etc. In order to distinguish the deficiency of cold, heat, qi and blood, so as to provide an important basis for treatment.
At the same time, it is also necessary to pay attention to the relationship between the internal and external environment, climate, living area, living and eating habits, personality and emotion, physical type, etc., and diseases, and carefully identify different objects such as women and children. When questioning, it is important not to give hints and misleading to patients, especially when talking with emotional patients, and to identify and choose the false complaints of "fraudulents".
Palpation, including pulse diagnosis and press diagnosis, is a method in which the doctor uses the touch of the fingers to touch, touch, press and press on a certain part of the patient to understand the condition. In traditional Chinese medicine, it mainly refers to taking the pulse, and taking the pulse is bound to take the pulse with both hands at the same time, if it is not taking the pulse at the same time, it is definitely fake Chinese medicine.
This is the diagnosis method of Chinese medicine, looking, smelling, asking, and cutting, which can be said to be the entire outline of Chinese medicine, and Chinese medicine should use four methods to diagnose a disease: looking, smelling, asking, and cutting. Traditional Chinese medicine (TCM) originated from the sixty-first difficulty of the "Book of Difficulties".
It is rumored to have been proposed by Bian Que, a famous medical scientist during the Warring States period. In the process of diagnosing diseases, Bian Que comprehensively applied various methods of traditional Chinese medicine diagnosis, which are the famous four therapies of looking, smelling, asking and cutting. At that time, Bian Que called them looking, listening, writing, and cutting pulses, and was the earliest doctor in the history of our country to apply pulse diagnosis, and was respected as the "ancestor of medicine" by later generations.
"There are ten patients here, and all you have to do is figure out what disease they are suffering from as quickly as you can. ”
Wu Yongzhong's voice made Huo Tianlei pull back his thoughts, and after nodding indifferently, several doctors sent the patient up. When he heard Wu Yongzhong say that there were ten patients, everyone present was in a state of shock except for the three old bones.
Although they didn't have the honor to invite the three great powers to preside over the assessment, they still knew some of the rules. You must know that for a new Chinese medicine practitioner, there are some strict conditions for using this method to assess. That was the first case where three patients had to be diagnosed within thirty minutes.
Three patients is difficult enough for ordinary people, but now ten patients have been found. And they are all insiders, and nine times out of ten, these ten patients were sent from other hospitals. It's definitely a tricky problem for that hospital, and it can be called a problem.
Now that the young man was going to diagnose these people as quickly as he could, it seemed impossible for anyone to do so. Suddenly, the originally noisy environment became quiet, and all the Chinese medicine practitioners present looked at Wu Yongzhong in surprise.
Even Lin Lang didn't expect such a situation, although she studied Western medicine, but this did not prevent her from understanding some things about Chinese medicine, especially her grandfather was the great saint of Chinese medicine and traditional Chinese medicine, so he would naturally know more.
Frowning slightly, he looked at his grandfather puzzled, with an inquiry in his eyes. It's a pity that Lin Congzhi just gave Lin Lang a reassuring look and then set his eyes on Huo Tianlei, looking forward to this young man bringing him a miracle.
The three little old men all looked at Huo Tianlei expectantly, and at this time, Zhou Wei stood up and wanted to say something to Wu Yongzhong, but before he could speak, he was blocked by his master.
"Master, this... It shouldn't be three patients... Hm?" Zhou Wei asked with a little tentative atmosphere, but unfortunately what he gave back was a just tense cheek, watching Huo Tianlei's movements without saying a word.
"We know it. Just this sentence can be regarded as a response to Zhou Wei's inquiry, but what Zhou Wei thinks a lot about is whether Huo Tianlei has the strength and whether he is sure.
Looking at Huo Tianlei worriedly, Zhou Wei sighed. Thinking to himself, his master will never change his mind, and it is definitely difficult for Huo Tianlei to look at this way. There is no way, now I can only choose to believe in Huo Tianlei, believe in him and believe in his medical skills.
I saw Huo Tianlei walk up to the first patient, looked at it silently for a while, and then asked a few innocuous questions. There is no pulse, and I write and draw directly on the paper in my hand, which is very fast.
Within a moment, a sheet of A4 paper was sprinkled with words. He not only pointed out the patient's situation, but also wrote his own opinion. In about six or seven minutes, he gently closed the cap of the pen in his hand, and then handed it to Wu Yongzhong.
After doing all this, he continued to treat the second patient, as if he had concocted the same method, and soon another piece of paper was full of words. This time, before Huo Tianlei sent it, someone had already come to take the paper.
The person who came was Zhou Wei, who stood in front of Huo Tianlei with a smile, and after saying a word of cheering, he took the paper in Huo Tianlei's hand, took it and handed it to his master Wu Yongzhong.
On the other hand, on Wu Yongzhong's side, when he was the first patient, the piece of paper had already fallen into the hands of Liu Yong and Liu Lao, and as for Lin Congzhi, he was leaning on where he squinted his eyes and held his beard silently. And Liu Yong sometimes frowned and sometimes suddenly brightened, but his eyes stayed on the paper.
Soon, the first piece of paper has been circulated among many Chinese medicine physicians, seeing such a picture, Lin Lang took the paper and went out directly to the next door, and directly clicked a thick stack with the help of the printer, and let people distribute it after coming back.
And she herself pinched the paper in her hand and said nothing. Because of her identity, she doesn't know the situation of these patients, and only the three big powers here know this information. And this is also to ensure the fairness and impartiality of the assessment.
Lin Lang, who didn't understand the nature of traditional Chinese medicine, frowned and looked at the paper in front of him, a little worried. But soon she saw the look on her grandfather's face and put her heart at ease, after all, she still knew her grandfather very well, and naturally knew what her grandfather's expression meant.
If this recipe is wrong, I'm afraid that grandpa will be the first to jump up and point at Huo Tianlei's nose and scold him for bullshit, so get out of here.
Soon, another piece of paper fell in front of everyone, and the expressions of the three big hands were a little unpredictable, and their attitudes were not clear.
Although there was no expression on their faces, the three of them had actually passed the assessment and recognized Huo Tianlei's ability from the bottom of their hearts. On average, every six minutes, a patient frowns and ponders when he encounters difficulties, and then carefully takes the pulse, probes the pulse with both hands at the same time, and talks with the patient, which is still some innocuous inquiry.
These patients were taken from various hospitals, and at first some people were reluctant, but after hearing that there would be three powerful doctors who would treat them, they accepted it. Looking at the hairy boy in front of him and asking questions, although he was impatient, everyone held his breath for the moment when the big man finally treated himself.
The whole diagnosis and treatment process was unexpectedly smooth, but when it came to the eighth patient, it was obvious that Huo Tianlei's speed was much slower.
At this point, the three old gods became interested in the big powers, and looked at Huo Tianlei with great interest, wanting to see what kind of countermeasures he would have.
If the first few patients were still cured after treatment, then the last three patients had already stepped into the Hades Hall with one foot, and their lives hung by a thread.
The eighth patient was a child, eight or nine years old, very thin, nestled in a wheelchair and silent. As for those questions, the child's mother answered them on her behalf.
It can be seen that this kid is in a very bad spirit, and he is already skinny. Two fingers rested on the little boy's wrist and felt the rhythm of the little boy's pulse.