Chapter 117: Assessment (Medium)

(Thank you to the reader Osho Blue Bridge for rewarding 588 starting coins, thank you!! )

――――――――――――――

After some introduction and acquaintance, Li Shan, who only listened to the side, said to Qian Zhongxiang and the others: "Old Qian, now that everyone has arrived, do you think we should also start?" ”

Qian Zhongxiang looked at Liang Lao and the others, and when he saw that they all nodded, he said, "Let's start." ”

After getting Qian Zhongxiang's approval, Li Shan stood up and shouted to the twenty-three candidates in the room: "Students, please be quiet." ”

Hearing Li Shan's words, the room that was still a little noisy immediately quieted down, and then I saw Li Shan say: "Ladies and gentlemen, I am the person in charge of the assessment, you can call me Elder Li or Vice Dean Li!" Let me introduce to you the relevant regulations of this assessment. ”

Speaking of this, Li Shan paused first, and then said: "This assessment is mainly divided into 2 groups, as for the assessment method, I think your teacher has already introduced it to you, and here I am repeating it!" ”

In fact, on the way to the hospital, Chen Fan listened to Qian Lao introduce him to the process of this assessment, in fact, it is very simple to diagnose the patient's condition and prescribe the right medicine for the patient's disease, and the examiner who invigilates the examination to check whether the prescription prescribed by the candidate can cure the patient.

If you can, you can be considered qualified, but if you can't, you can't pass this assessment. In the assessment, students can also use acupuncture and other methods to smelt the patient's disease, but in the case of using acupuncture, it is necessary to have an examiner present to supervise, if the acupuncture points are not accurate or there is any accident, immediately cancel the assessment qualification.

And this time, the invigilator was served by Qian Lao, Liang Lao and other five people, plus Li Shan, vice president of the People's Hospital, and several people from the Health Bureau.

After repeating the regulations of the assessment, Li Shan shouted loudly: "Do you understand?" ”

"Understood!" The students in the room all said in unison.

"Okay, the staff of the hospital will divide you into 2 groups, and take you to the venue of this assessment, and start grouping below!" After speaking, Li Shan nodded to several hospital staff, only to see six doctors in white coats standing up.

Chen Fan found that Xiao Beifeng was also among them, which made him smile at Xiao Beifeng, and soon Chen Fan and the others were divided into 2 groups, and the group that Chen Fan was in was a total of twelve people, and the woman named Feng Xue and Zhou Bin, who had dyed blonde hair, were also in a group with him.

Xiao Beifeng smiled at Chen Fan, and then said, "Okay, follow me from Group 1!" After speaking, Xiao Beifeng walked out of the room.

Under the leadership of Xiao Beifeng, everyone first went to change into the white coat worn by the doctor and put on masks, and then came to the door of a relatively large ward.

"I didn't expect you to look so good! Isn't it very nervous about the assessment? A boy who looked like a man of letters said to Chen Fan on the side.

When he was introduced just now, Chen Fan knew that such a boy was called Xu Hui and was a student of Liu Minghai, and when he heard Xu Hui suddenly talking to him, Chen Fan shook his head and said, "No, I just feel that this assessment seems to be a little weird." ”

Although he was not familiar with this Xu Hui, Chen Fan still expressed the doubts in his heart, after all, this kind of assessment was completely different from what Chen Fan imagined in his heart, even if Qian Zhongxiang had already told him, but he still didn't understand something.

Xu Hui smiled and said: "Hehe, in fact, this time it is an assessment of related households, as long as the assessment is passed, you don't need to take the rest of the written test, just wait for the certificate!" ”

Seeing that Chen Fan still didn't understand, Xu Hui continued: "If it's an ordinary exam, I don't know how many subjects I have to take, I have a headache just thinking about it, anyway, I will never take that kind of test, it's just a life." Therefore, the people who can come here for assessment are all students who have a good talent for Chinese medicine. ”

Although Xu Hui had never taken the normal exam, he had also heard about the trouble of obtaining a TCM qualification certificate through normal channels, and then Xu Hui told Chen Fan some things he knew.

This made Chen Fan realize a little, it turned out that this assessment seems simple, but it is actually very difficult, this difficulty lies in the selection of patients, these patients are all suffering from stubborn diseases, or they are seriously ill, anyway, they are not those fever, cold minor diseases.

As long as you are a little unlucky and pick a terminally ill patient, then this assessment will be over in minutes.

"Oh!" Chen Fancai nodded a little understandingly, looked at Xu Hui and said, "Then your medical skills must be very good." ”

"Hehe, so-so!" Xu Hui scratched his head a little embarrassed and said: "It's you, as a disciple of Qian Lao, the doctor must be much better than us people, I think you will definitely be able to pass this assessment." ”

"You're too much of a prize, maybe you'll be the first to pass the test." For Xu Hui's compliment, Chen Fan just smiled.

However, from the simple conversation with Xu Hui just now, Chen Fan knew that when he was in the car just now, Qian Lao would say: "Xiaofan, although your medical skills are very high, this assessment is not so simple. "It turns out that it is for this reason that it seems that this assessment is really not simple!

"The patient inside is the object of your assessment today! Now each of you goes in and chooses a patient and diagnoses them with their condition. ”

As soon as Liang Qingshan's words were finished, several students walked into the ward quickly, apparently wanting to take the lead in finding patients with mild illnesses to treat.

"Brother, I'll go in first!" As he spoke, Xu Hui ran into the ward quickly.

Seeing Xu Hui like this, Chen Fan shook his head with some amusement.

"Xiaofan, why don't you go in yet?" Xiao Beifeng saw that six or seven students had already rushed into the ward, and Chen Fan was still standing outside the door, with no intention of going in, which made him a little curious.

"Brother Xiao, let them go in first, I'm not in a hurry anyway." Chen Fan looked up at Xiao Beifeng with a smile, and then noticed that Feng Xue and Zhou Bin were also the same as himself, and they didn't plan to go in, which made Chen Fanyou a little curious.

Xiao Beifeng had seen Chen Fan's medical skills, and said with a smile at the moment: "That's right, with your medical skills, you don't need to be in a hurry at all, but I'm really curious, I didn't expect your medical skills to be so high, and you don't even have a medical qualification certificate." ”

Xiao Beifeng's words made Chen Fan smile a little embarrassed and didn't answer, only to hear Xiao Beifeng continue: "By the way, your colleague named Wang Xinyi took her brother out of the hospital, you know?" ”

"Well, I know about this, I'm treating him now, and it may take a while to heal!" Chen Fan nodded and said.

Then the two chatted at the door of the ward for a while, and at this time, the other students had already entered the ward, and even Feng Xue and Zhou Bin, who were not as anxious as Chen Fan just now, had already entered the ward and began to diagnose the patient.

"Xiaofan, why don't you go in yet?" Qian Zhongxiang had just come out of the ward where Group 2 was located, and saw that Chen Fan, who was in Group 1, was still chatting with Xiao Beifeng at the door of the ward, so he stepped forward and asked.

"Old Qian, I'll go in!" Chen Fan nodded when he saw Qian Zhongxiang coming over, said to Xiao Beifeng, and walked into the ward.

Looking, smelling, and asking are the four diagnoses of traditional Chinese medicine, and they are also an important basis for syndrome differentiation and treatment in traditional Chinese medicine.

These four diagnoses have the characteristics of intuitiveness and simplicity, and within the scope of the senses, they can directly obtain information, analyze and synthesize it immediately, and make judgments in time.

The basic principles of the four diagnoses are based on the concept of wholeness and perpetual motion, and are the specific application of basic theories such as the five elements of yin and yang, the meridians of Tibetan elephants, and the etiology and pathogenesis.

At the same time, it is also the main method of collecting clinical data, and the collection of clinical data requires objectivity, accuracy, systematic, comprehensive, and highlighting the key points, which must be "four diagnoses at the same time", "four diagnoses at the same time", and "four diagnoses together".

The theory of God, Holiness, Workmanship, and Ingenuity put forward in the Sutra of Difficulties does not divide the meaning of the four diagnoses into ranks, but emphasizes the importance of each of them and the difficulty of mastering these skills. In the "Yellow Emperor's Neijing", it is clearly stated that the point of view should not be emphasized.

The so-called "visit" is to observe the changes in the patient's appearance, color, shape and posture. "God" is the state of spirit and spirit, "color" is the manifestation of the external glory and withering color of the five internal organs, "form" is the sign of the abundance and weakness of the body, and "state" is the expression of dynamic flexibility and sluggishness. This is to observe the patient's face, mouth, nose, teeth, tongue and moss, limbs, and skin in order to understand the patient's "spirit."

"Sniffing" refers to listening to the patient's voice, breathing, coughing, vomiting, hiccups, belching, etc., as well as smelling the patient's body odor, bad breath, phlegm, and urine and urine.

&"Consultation&" is to ask the patient about the onset and transformation of the disease, such as cold and heat, sweating, head and body sensation, urine and urine, diet, chest and abdomen, ears, mouth and other conditions.

And the final "palpation" is pulse diagnosis and palpation. Pulse diagnosis is to cut the pulse and grasp the pulse. Palpation is to touch the patient's body surface with the hand to check the patient's body temperature, hardness and softness, refusal to press or liking press, etc., to help diagnosis.

As soon as Chen Fan walked into the ward, he saw that there were already many students diagnosing and checking the patients they had selected, some were asking about the patient's physical condition, where they were uncomfortable, and some were checking the patient's pulse.

And he was the last one to come in, among the twelve beds, only the one in the corner had no students, Chen Fan knew that this was the patient he wanted to see, so he walked towards the corner.