Chapter 498: Temporary Change
After Chen Feng finished prescribing medicine to the patient, his eyes were aimed at Chen Fan from time to time, the only one who could attract his attention in the audience was Chen Fan, and he also wanted to know what prescription Chen Fan prescribed to the patient, after all, although he didn't like Chen Fan, but Chen Fan's speech yesterday also aroused his interest in Chen Fan.
"Xiaoxue, what kind of disease does that patient of yours have?" Zhou Bin had already walked up to Feng Xue and asked.
"It's a minor illness." Feng Xue glanced at Zhou Bin and replied casually.
"I knew that with Xiaoxue's talent, this patient would definitely not be difficult for you." Zhou Bin patted his ass and continued: "My patient's ......"
Feng Xue was lazy listening to Zhou Bin's nonsense yesterday, turned around and walked directly to Chen Fan, and said, "Did your patient have palpitations just now?" ”
"Huh?" Chen Fan didn't expect Feng Xue to take the initiative to come over and talk to him, and the first time he opened his mouth, he said the symptoms of the sick woman just now, which made Chen Fan a little surprised, after all, Feng Xue didn't give the middle-aged woman a pulse, nor did he ask for a consultation, just looking at the surface can say the right thing about the symptoms, which makes Chen Fan a little deeper about Feng Xue's imprint.
"How do you see that?" Chen Fan asked with some curiosity, although he had already guessed it when he observed the middle-aged woman just now, but as a doctor, he still had to be diagnosed before he could prescribe treatment for the patient, and if he didn't prescribe it accurately, it would be extremely irresponsible for the patient.
"Palpitations and panic on the face, this is a common manifestation of patients with palpitations, just now I just looked at the patient a few more times, and I probably guessed it." As she spoke, Feng Xue turned her gaze to the middle-aged woman in the referee's seat, only to see Wang Lin calling her pulse.
"Hehe, I didn't expect your medical skills to be so good, you can see it at a glance." Chen Fan smiled and nodded, agreeing with Feng Xue's judgment very much.
Zhou Bin, who was not far away, looked at Feng Xue and Chen Fan talking and laughing there, his face was difficult to look at on the spot, and he walked up.
"Xiaoxue, this guy's patient is just a patient with heart palpitations, there's nothing to ask." Zhou Bin's tone was a little contemptuous.
When Chen Fan heard Zhou Bin's words, his brows couldn't help frowning, and his voice was a little cold: "Your patient is just a mouth ulcer, and there is nothing worth mentioning!" ”
"How do you know?" Zhou Bin was a little surprised at this time, after all, the appearance of this palpitation patient can still be clearly shown on his face, but this mouth ulcer is in the mouth, if you want to see this disease from the appearance alone, this skill alone is not comparable to ordinary people.
Feng Xue was also a little surprised in her heart, she was beside Chen Fan just now, and she also noticed Chen Fan, and she didn't see how he looked at Zhou Bin's patient just now, but from Zhou Bin's current reaction, it seems that Chen Fan is completely right, which makes Feng Xue feel deep about Chen Fan's imprint.
"You didn't see the corners of the patient's mouth throbbing from time to time, sometimes gasping for air, and touching his lips with his hands from time to time, all of which can only be reacted to when the mouth is sick and painful." Chen Fan said lightly.
"But you can't just say that it's a canker sore, maybe it's a toothache or some other pain?" Although Feng Xue agreed with Chen Fan's explanation just now, this is not the best explanation, because there are many oral pains, and if you want to conclude that it is a mouth ulcer based on these points alone, could it be that he is confused?
Chen Fan shook his head with a smile and said, "If it is a toothache or other pain, many patients generally have a hand to support their chin, but that patient does not do this, just opens his mouth slightly, and does not dare to use his hand to support his chin, because this looks like it is easy to hurt the wound, and I also know that his mouth ulcer must be very serious." As he spoke, Chen Fan couldn't help but look at the patient next Zhou Bin.
After listening to Chen Fan's explanation, both of them couldn't help but look at the patient with the mouth ulcer, and sure enough, the patient's movements and reactions were really the same as what Chen Fan said. But Zhou Bin was a little unconvinced.
"How do you know he must be very serious, if I say he is very sick." Zhou Bin said unconvinced.
"You are stupid, if you are mildly ill, you can just go to the pharmacy and buy some medicine, will the conference still pick such a patient to treat you?" Chen Fanzhen said with disdain. ,
"You ......" Zhou Bin was so angry that he couldn't speak for a while.
Feng Xue on the side saw this, and couldn't help but cover her mouth and laugh "giggle", and didn't care about the eyes of many people in the audience, the trembling flower branches and Yinling-like laughter made Zhou Bin is face swell and red, his hands clenched his fists, looked at Chen Fan coldly, and let out a "hum" sound in his mouth, and then shook his hand and left.
"Actually, did I tell you that the way you smile is much better than the way you look with a cold face." Chen Fan said to Feng Xue with a smile.
As soon as Feng Xue heard Chen Fan's voice, her face couldn't help but blush and stop laughing, and she glanced at Chen Fan angrily, then ignored Chen Fan and walked back to her place.
"Woman, I really don't understand." Seeing this, Chen Fan couldn't help but shake his head with a wry smile.
At this time, Qian Zhongxiang and others on the referee's bench were already dealing with the patients present, and they were very satisfied with the younger generation on this stage.
"Old Qian, look at this prescription." As he spoke, Wang Lin handed a prescription in his hand to Qian Zhongxiang.
"What, there's a problem?" Qian Zhongxiang subconsciously said, and then looked at it, and Qian Zhongxiang was also very familiar with Chen Fan's handwriting, and knew that this prescription was written by Chen Fan at a glance.
"This patient has heart palpitations, but this prescription is just an ordinary licorice soup, and this patient just said that she has eaten a lot of Chinese medicine, but Western medicine can not eradicate this disease, although this licorice soup has the function of tonifying lung qi and nourishing lung yin, it is also very useful for treating palpitations and pain, but will this be too simple?" Wang Lin expressed his opinion.
"Hehe, then what medicine should be prescribed according to you, and what prescription should be used?" Qian Zhongxiang asked with a smile.
Wang Lin pondered for a while and said: "According to me, remove the ginger and cinnamon branches inside, and only use ginseng, wheat dong, and schisandra. Maimendong nourishes yin and clears heat. It is used for qi and yin loss, palpitations and shortness of breath. I added white peony to this recipe to astringent liver qi, and ejiao to nourish blood and nourish yin. The keel oyster has descended, which will definitely cure the disease. ”
When Qian Zhongxiang heard Wang Lin's words, he couldn't help but shake his head in disappointment, and said: "Old Wang, it seems that your understanding of the book "Treatise on Typhoid Fever" is still not deep enough, let's talk about this cinnamon branch first, in addition to the function of guizhi soup, which is used to relieve the surface, it also has the effect of channeling the heart and yang and dispersing the limbs. For example, many people have symptoms such as palpitation and chest tightness, which are often caused by insufficient heart yang. ”
Speaking of this, Qian Zhongxiang picked up the recipe written by Chen Fan and continued: "This boiled licorice soup is named after boiled licorice, and in terms of dosage, it is also boiled licorice as the king's medicine, so the amount of boiled licorice in this recipe is the largest. ”
"I know that." Wang Lin nodded and continued: "This boiled licorice itself belongs to the soil, and here I think it is most appropriate to use the characteristics of the soil in the five elements to use the scorched licorice to guard the center, so I haven't changed the composition of this scorched licorice." ”
Qian Zhongxiang nodded and said: "You're right, but have you ever thought that it is with this middle earth of burning licorice that the rest of the lines can be circulated, my cinnamon branch has the effect of sweating and dissolving muscles, warming the meridians and veins, helping yang and turning qi, dissipating cold and relieving pain, and dredging the heart and yang, and this ginger can help the heart and yang to stop vomiting, warm the lungs and relieve cough, disperse cold and wind, and can help Guizhi to assist the role of heart and yang, which must not be ignored, because the heart is the location of the king's fire, and the king's fire is unknown, which is equivalent to the country without a monarch, so everything is not all messed up." ”
Hearing this, Wang Lin immediately had a feeling of sudden realization and said, "I understand." ”
"If only you understood." Qian Zhongxiang nodded with satisfaction at this time, and continued: "Talking about this birthplace, Mai Mendong, and Ejiao are combined with the three yin-nourishing and blood-nourishing medicines, which can nourish the heart yin, nourish the heart and blood, and prevent the false fire from burning the true yin in the heart. And ginseng here is a great replenishment of vitality, if the qi is deficient, it is simply not able to push the blood to run, how can you let the patient's body get better quickly? ”
Qian Zhongxiang moistened his throat and continued: "I am saying that this hemp seed has the effect of moistening the intestines and laxative, the hemp seed here cannot be ignored, only the stool is smooth, and the qi machine will not go on the counterattack, you yourself are an old Chinese medicine doctor, you also know how many heart disease patients have died of heart attacks due to constipation, this number is quite amazing, I think you can't know this, right?" ”,
"Of course I know that." Wang Lin nodded and said.
"And the addition and subtraction of this prescription is a very prudent thing, but the prescription of "Treatise on Typhoid Fever" is not arbitrary and can be changed." As he spoke, Qian Zhongxiang pointed to the prescription and said, "Here the cinnamon branch ginger tonifies the heart yang and the raw Maimendong Ejiao nourishing the heart yin complement each other, which can regulate the yin and yang balance of the heart at the same time, and under the balance of the scorched licorice soil, it produces perfect blending. Talking about this patient, at the same time, he has the symptoms of being afraid of cold and liking to drink hot water, and his heart and yang are also insufficient. ”
After listening to Qian Zhongxiang's words, Wang Lin couldn't help but show a smile on his face and said, "Old Qian, I am finally convinced of you at this time. ”
"Huh." Qian Zhongxiang shook his head with a smile and said, "Everyone is just communicating with each other, and there is nothing convincing to talk about." ”
"Mr. Qian, in fact, I have an idea, it is better to disrupt these patients on the scene, let them draw a number at will, and let these young people exchange with each other to diagnose and treat patients, and let them tell me what they think about their own prescriptions and other people's prescriptions?" Wang Lin proposed.
"Well, that's a good idea, I think we might as well discuss it?" As he spoke, Qian Zhongxiang asked everyone in the referee's seat to be together, and began to discuss.
When everyone present saw this, they couldn't help but wonder, not knowing what Qian Zhongxiang and the others were discussing.
Liang Qingshan and the others also applauded when they heard this proposal, only Liu Minghai couldn't help muttering in his heart after hearing it: "It's a waste of time." ”
In the end, however, all the referees agreed to the proposal. In the confusion of everyone, the host quickly picked up the microphone and said: "After the discussion just now, the conference has temporarily decided to change the method of the competition, and everyone on the stage will randomly select a patient to diagnose it." ”
"Huh?" As soon as the host's words came out, it immediately attracted a lot of discussion from everyone present, but there are still many people who agree with this approach, after all, every Chinese medicine doctor has its own view of the patient's condition, just like a patient with a cold, to see a doctor in different Chinese medicine, and the doctor's prescription is also different.
And this is not the first time that this method of temporarily changing the competition has appeared, so everyone just talked about it and didn't say anything.
"Is there a mistake, what are you doing with all this trouble?" Zhou Bin muttered a little dissatisfied, but he didn't dare to show that impatience.
Soon the assembly lined up the dozen or so patients, took the boxes and began to let everyone on the stage draw the numbers. Chen Feng drew the patient who happened to be the one Feng Xue saw just now, an elderly man in his fifties, and Zhou Bin also happened to draw the middle-aged woman with heart palpitations that Chen Fan just saw.
"Boy, see how I disgrace you this time." When Zhou Bin won the middle-aged woman, he couldn't help but glance at Chen Fan with a provocative gaze, and he was secretly proud in his heart.
Feng Xue originally hoped to draw the patient that Chen Fan had just seen, because she also wanted to see what Chen Fan's prescription for that patient was just now, but now it seemed that she didn't have such good luck, and she couldn't help but feel a little disappointed in her heart.
Chen Fan didn't pay attention to Zhou Bin's provocative gaze at all, but he didn't know if it was fate, Chen Fan actually selected the patient Zhou Bin saw just now.
"You're a canker sore, right?" Chen Fan asked directly.
"Well, I have a mouth ulcer for several months, I went to many hospitals, I took a lot of medicine, but I didn't see any better, although it was a small illness and a small pain, but as soon as I ate, it hurt so much, and now it hurts even if I don't eat." The patient nodded.
When Chen Fan heard this, he hurriedly stretched out his hand to check the patient's pulse, and then asked the patient to look at the wound on his tongue and ulcer, and said, "Have you been taking Coptis supernatant tablets, Sanhuang tablets and the like?" ”
"I used to eat a lot of these things, but they have not been effective, and now I am decocting Chinese medicine and drinking, but there is no improvement." Saying that, the patient couldn't help but smile bitterly, this mouth ulcer made him know a lot of suffering, and then found some connections and mixed into this Chinese medicine exchange meeting as a patient, just to cure the disease as soon as possible.
(To be continued.) [