Chapter 131: Four Diagnoses and References

Lin Yuan slept very beautifully, and when he woke up, it was already more than eight o'clock the next morning, since he got up late, he didn't go up to the roof to practice boxing, but went directly to the bottom to have breakfast and arrived at the Zhengqi Hall.

Liang Haiwei had already arrived, and when Lin Yuan arrived, he was receiving a patient, a middle-aged man in his fifties, who should be dressed as the leader of a certain company.

For Liang Haiwei, Lin Yuan was still very relieved, he entered the Zhengqi Hall, he didn't interfere, just sat on the side, Wang Zhanjun made a cup of tea for Lin Yuan, and at the same time took this medical case for Lin Yuan, this long time, Wang Zhanjun's habits to Lin Yuan are already very clear, and Lin Yuan likes to drink tea and read books in his spare time.

"Your Western medical diagnosis is acute cholecystitis and gallstones, which are evidence of qi depression in traditional Chinese medicine." Liang Haiwei carefully examined the patient, and said while taking a note: "I'll prescribe two doses of Da Chai Hu Tang for you, try to see the effect first." ”

While speaking, Liang Haiwei prescribed a prescription for the patient, and asked Wang Zhanjun to grab the medicine, the patient had a good medicine, paid the consultation fee, and was about to leave, but Lin Yuan inadvertently raised his head and glanced at the patient, and hurriedly said: "Wait a minute!" ”

The patient turned his head to look at Lin Yuan, with some confusion in his eyes: "Something?" ”

"Wait a minute, I'll take a look at your situation." Lin Yuan smiled politely, and then said to Liang Haiwei: "Brother Liang, let me take a look at the patient's diagnostic medical records." ”

Liang Haiwei was also a little puzzled, could it be that he had made a mistake, although he was puzzled, he also took the diagnostic medical record he had just recorded and came to Lin Yuan's side, and handed the medical record to Lin Yuan.

Lin Yuan carefully looked at the medical records, which recorded that the patient had pain in the right upper abdomen, paroxysmal aggravation, radiating to the back of the right shoulder, accompanied by nausea and vomiting, first vomiting the residue of the mistake, and then spitting out the dilute saliva, chills, wearing thick clothes The symptoms can be slightly reduced, and it was accompanied by fever that night, and the next day there was a large egg lump under the right rib margin.

The patient came to the clinic yesterday, after Liang Haiwei's examination, in order to be more confirmed, and at the same time let the patient go to the hospital for examination, this morning the patient came with the results of the hospital's examination, the hospital's examination results were acute cholecystitis, gallstones, Liang Haiwei according to the hospital's examination results and his own diagnosis, and finally diagnosed with qi depression and heat, and prescribed Dachai Hu Tang.

After reading the medical records and diagnosis, Lin Yuan raised his head and smiled politely at the middle-aged man: "Please take a seat, if you don't mind, I'll check it again." ”

The middle-aged man looked at Liang Haiwei, and Liang Haiwei said with a smile: "This is Doctor Lin Yuanlin, who is the attending doctor of Zhengqi Hall." ”

"You're Dr. Lin?" The middle-aged man was taken aback, and hurriedly smiled: "I came here for you, Doctor Lin, I have long heard that you have excellent medical skills and have cured many incurable diseases, but I didn't expect you to be so young." ”

The middle-aged man is not near Mingwei District, but from another district, and his home is still far away from Zhengqitang, it is precisely because he has heard of Lin Yuan's fame, but he has not seen Lin Yuan, and just now he thought that Liang Haiwei was Lin Yuan, after all, where is Liang Haiwei's age, and it looks more credible than Lin Yuan on the surface.

In fact, it's not just a middle-aged man, the fame of Zhengqitang has slowly spread, and most of the patients who come to Zhengqitang for medical treatment don't actually know Lin Yuan, this time Liang Haiwei is sitting in Zhengqitang, and many people mistakenly think that Liang Haiwei is Lin Yuan.

In addition, Liang Haiwei's medical skills are not bad, as long as it is not too troublesome, he can basically deal with it, and the treatment effect is good, so no one doubts it.

If Lin Yuan and Liang Haiwei were in the clinic at the same time, if there were no familiar patients or no one deliberately asked, most patients would choose Liang Haiwei for treatment, thinking that Liang Haiwei was the righteous Dr. Lin.

"You're welcome, Brother Liang's medical skills are actually not below me." Lin Yuan smiled and said, "It's just that I saw your complexion just now, and I was a little itchy, and I want to confirm it again." ”

The middle-aged man nodded hurriedly, and at the same time walked to the back of the medical table and sat down, Lin Yuan also got up and sat down, re-checked the middle-aged man's pulse, and then examined it in detail, and asked about some symptoms.

The patient's tongue was light and slippery, and the pulse was slippery, and at the same time, Lin Yuan asked Wang Zhanjun to take a hot water bottle and apply it to the middle-aged man's abdomen, and asked about the middle-aged man's condition, and the other party said that it was very comfortable.

"What did you eat or drink a lot of alcohol before you got sick?" Lin Yuan asked again.

"I ate a lot of chilled watermelon and cold dishes the night before, and I drank a lot of liquor." The middle-aged man said.

Lin Yuan nodded when he heard this, confirmed the guess in his heart, and said with a smile: "Doctor Liang's diagnosis is basically no problem, but I can see that the eldest brother should be busy with work, and Dr. Liang's prescription is milder and the effect is slower, so if I change the prescription, you go back and take a few pairs, it should be able to recover faster." ”

"Then thank you, Dr. Lin." The middle-aged man was overjoyed when he heard this, no matter who he was, he naturally hoped that he would recover faster, and Lin Yuan's reputation was now relatively loud, and Lin Yuan personally helped him see a doctor, and he even felt that it was his luck today.

Lin Yuan wanted to go back to the Dachai Hu Tang that Liang Haiwei had opened before, and then re-prescribed a Ling Guishu Gantang with attached tablets and black medicine, and took two doses. Let Wang Zhanjun grab the medicine again, and then get up and personally send the middle-aged patient away.

When the middle-aged patient left, Liang Haiwei stepped forward and said, "Doctor Lin, thank you, if it weren't for you, I would have made a joke today." ”

Liang Haiwei's level is not bad, Lin Yuan re-diagnosed, changed his prescription, he instantly understood that he had misdiagnosed just now, and in front of the patient, Lin Yuan even saved him face, and did not say that he misdiagnosed, but said that he changed to a faster prescription.

"Brother Liang is polite." Lin Yuan said with a smile: "When someone doesn't miss, this patient's condition is indeed easy for people to go into misunderstanding, if I hadn't found that there was a dark color in his complexion, and suspected that he had a cold in his body, I wouldn't have re-diagnosed." ”

"Still." Lin Yuan said and said in a changed tone: "However, if this disease is careful, it is not difficult to diagnose it clearly, Brother Liang, your mistake this time is mainly due to relying too much on the test results of the hospital, and it is completely based on the hospital's examination and diagnosis to make a judgment, although acute cholecystitis is more common to have a solid heat, but other conditions are not nothing, such as today's patients belong to the cold drink internal stop, if you have four diagnoses and comprehensive analysis, it is not difficult to distinguish the syndrome clearly." ”

The so-called four diagnosis and reference are the four commonly used methods of Chinese medicine to diagnose diseases: looking, smelling, asking, and cutting, and any of these four methods can be used to diagnose diseases from a certain process, and at the same time, they complement each other.

In the eyes of many people, TCM treatment is the main means of diagnosis, in fact, it is incorrect, in the eyes of some real TCM people, looking, smelling, asking, cutting four methods, sometimes one means can diagnose the disease.

Just like Lin Yuan, in many cases, he can see most of a person's situation just by looking at it, and then asking some details can basically confirm the diagnosis, and the pulse diagnosis is just to be more certain.

It is precisely because of this misunderstanding that many Chinese medicine people actually regard the diagnosis of pulse as the main diagnostic means at the same time, and completely rely on the pulse in some diseases, in fact, this is wrong, you must know that although the pulse is ever-changing, but in some diseases, it is not impossible to appear the same pulse, especially the more similar diseases, one hot and one cold, one virtual and one real, the same pulse, but in the treatment is 108,000 miles away, at this time you need additional diagnostic assistance, such as asking the patient's feelings, observing the patient's complexion, Understand the patient's situation before and after illness, and then compare it in detail, and combine the four diagnoses, so that many mistakes can be reduced.

This time, Liang Haiwei's mistake was actually that he did not understand the cause of the patient's illness, because the patient ate a large amount of chilled watermelon and drank a lot of alcohol at the same time, so he had to consider the accumulation of cold air.

At the same time, Liang Haiwei did not notice the patient's complexion, and relied more on the diagnosis of Western medicine, so he misdiagnosed the cessation of cold drinks as qi depression and heat.

"What Dr. Lin said was that I also asked the other party to go to the hospital for an examination first in order to be more confirmed, but I didn't expect to misdiagnose it for this reason." Liang Haiwei nodded, although he was old, he was indeed very convinced of Lin Yuan in terms of medical skills, not to mention that this time Lin Yuan helped him avoid a misdiagnosis.

"The examination of Western medicine can be used for reference, but it cannot be completely relied on, and some numbers can be referred to to make judgments, but when thinking, we must first abandon the diagnosis of Western medicine and analyze it with the thoughts of Chinese medicine, after all, Chinese medicine and Western medicine are two completely different systems." Lin Yuandao.

"Hehe, what Xiao Lin said is right." Lin Yuan's words fell, and there was a hearty laugh at the door of the clinic, and then Gu Senquan accompanied an old man about seventy years old to push the door and walk in. When diagnosing a disease, we should pay special attention to get rid of fixed thinking. ”

PS: There's something going on.,It's late to update.,I'll update it today.,Make up for it tomorrow!

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