Chapter Thirty-Six: Talking and Laughing
Hearing Wang Zhi's words, not only were many doctors in the audience surprised, but also Zhou Boran, Jiang Yuanhua and Han Zhixin were also surprised, several of them knew some of Wang Zhi's extraordinary, but to say that there was no limit to the scope of asking questions, a few people were sweating for Wang Zhi, although Wang Zhi had already stated that he was only a Chinese medicine practitioner, but this Chinese medicine is also divided into many systems.
Jiang Yuanhua regretted it even more, he knew that Wang Zhi was so ignorant, he would never let Wang Zhi go up, originally he heard Zhou Boran say that Wang Zhi only had a qualification certificate for a chief resident, and such a qualification certificate obviously made Wang Zhi very inconvenient, now Wang Zhi is in Jianghuai Central Hospital, if he goes to some other places, he will definitely suffer some difficulties, in view of this situation, Jiang Yuanhua wants Wang Zhi to show his face at this exchange meeting, so that Wang Zhi will also be famous in Jiangnan Province in the future. After all, Jiang Yuanhua still has confidence in Wang Zhi's true ability, and he never thought that Wang Zhi would be ugly if he didn't do it well this time, and Wang Zhi's reputation in the medical community in Jiangnan Province would be bad from now on.
Wang Zhi didn't know what Jiang Yuanhua was planning to do, but after he finished speaking, the old god was looking down, waiting for everyone's questions.
"May I ask Dr. Wang, what are the types of lung diseases and what methods are used to treat them?" Everyone in the audience was slightly quiet by Wang Zhi's words, and soon reacted, and immediately someone began to ask questions.
"Hehe," said the king, with a slight smile:
"The lungs are the canopy of the five organs, the highest of which is covered with fur; The lungs are delicate, not tolerant to cold and heat, their qi is reduced to shun and is a clean organ, not tolerating foreign bodies, external and internal injury factors are easy to damage the lungs and cause lesions, the main qi of the lungs, the division of breathing - so lung diseases are mainly based on the symptoms of abnormal lifting of the qi machine. As long as it can be divided into the following categories. ”
"First, the deficiency of lung qi, the cause of the disease is overwork, and the vitality does not recover after illness or the lung qi is exhausted by long-term cough and wheezing; The biochemistry of qi is insufficient, and the main pulse signs are low voice, fatigue and lazy speech, pale complexion, very susceptible to colds, bad wind-shaped cold, self-sweating, weak cough, thin phlegm, pale tongue, and weak pulse"
"The second is the loss of lung yin, the cause of which is the erosion of the lungs by tuberculosis, long-term cough and wheezing, and loss of qi and blood; The evil evil of heat and dryness commits the lungs, depleting the lung yin, and the symptoms include dry cough with little phlegm, or blood in the sputum, hoarseness, red cheeks in the afternoon, hot flashes and night sweats, emaciation, red tongue, little moss, thin pulses, etc.
After Wang Zhi finished speaking, he looked at the doctor who asked the question with a smile and asked: "I don't know if my colleagues have ever heard this question, if I don't understand, I'm going to explain it in detail." ”
"This, I studied Western medicine, I don't know too much, hehe." The doctor smiled awkwardly and hurriedly sat down, it was obvious that this guy was deliberately making things difficult, and when he saw Wang Zhi talking and laughing, he was suddenly stunned.
"Hehe, although the paths of traditional Chinese medicine and Western medicine are different, but all methods are one, in fact, there is not much difference, but the method of judgment and diagnosis is different, in fact, the lesions are the same, and I hope my answer can solve a trace of doubt for you." Wang Zhi said very gently, not annoyed by the other party's deliberate difficulty, after all, he looked too young, and it was natural for everyone to be dissatisfied, and if he sat down now, he would be equally unconvinced.
"This Dr. Wang." Another doctor stood up and asked, "Doctor Wang, I heard that there is a method in Chinese medicine that can tell the disease without looking at the color and cutting the pulse, and infer the internal changes from the external manifestations. ”
Hearing this doctor's question, everyone was stunned, this fault finding is too obvious, this guy doesn't know where to hear this kind of remarks, even at this time to ask questions, everyone knows that the way of Chinese medicine pays attention to looking, smelling, asking, cutting, now there is no need to look at the color, cut the pulse, then only Wen Wen is left, but how much can be understood simply by smelling and asking, if it is a simple illness to pay back, but if it is a little more complicated, it will be difficult.
"This colleague is really knowledgeable, Wang Zhi admires, there is indeed such a method in traditional Chinese medicine, in fact, it is not completely unrelated to hope, and it is also to be seen with eyes." Wang Zhi smiled lightly and said: "This method is called diagnosing ulnar skin, and by diagnosing the urgent or flaccid, elevated or thin, smooth or astringent manifestations of ulnar skin, as well as the firmness or weakness of the muscles, you can determine which disease it belongs to, and I am right." ”
The doctor nodded.
Wang Zhi continued: "This method is actually also hope, for example, when you see the patient's sunken area under the orbit, there is a slight puffiness, as if you have just woken up from sleep, the neck is pulsating, coughing from time to time, if you press the patient's hands and feet, the place where you are pressed is deep and cannot afford it, which is a symptom of feng shui skin swelling." Another example is that the skin is slippery but not astringent, and the eyes are lustrous, which is a wind disease; The ulnar muscles are soft and weak, the body is sleepy, etc., I don't know how you know. Wang Zhi looked at the other party with a smile and said, there was some banter in his eyes, this guy must have seen such a sentence from that place, and he took it out to embarrass him, he is simply an idiot, in fact, these are just a kind of hope in the end.
The doctor was embarrassed by Wang Zhi's look, and quickly sat down and lowered his head.
Wang Zhi didn't bother to pay attention to him, and said loudly: "Do you have anything else to ask, this time I hope you will ask some nutritious topics." ”
The following group of doctors were a little embarrassed by Wang Zhi, it can be said that most people look down on Wang Zhi, and they all have a difficult attitude, and now Wang Zhi has answered two questions in a row, although there is not much substance, but looking at Wang Zhi's attitude and expression, everyone knows that he is a master even if he is a fool.
"This Doctor Wang, I'm sorry, because you are too young, so we have some contempt, please blame, I am also a Chinese medicine practitioner, and I did have some questions when treating patients recently, I originally planned to ask Professor Jiang, but Professor Jiang hehe." The doctor smiled slightly, and said embarrassedly, "Now it seems that I have to ask you." ”
"Excuse me, as long as I know, I will answer in detail." Wang Zhi said with a chuckle, and from the doctor's slightly red face, Wang Zhi could still see that the other party was not a person who was trying to make things difficult.
"The patient has a headache for more than 10 years, often attacked, and the headache is unbearable, accompanied by nausea and vomiting, and the pain cannot be relieved with painkillers, and it cannot be stopped for many days, often induced by overwork, cold or emotional depression. Western medicine diagnosed it as a vascular nerve headache, which has not been cured after traditional Chinese and Western medicine diagnosis and treatment. Recently, due to the use of the brain too much, the climate is cold, the vision is blurred, shy and photophobia, the forehead and eye sockets are swollen and painful, and then the top of the head and both sides of the forehead are painful and unbearable, such as a cone such as a thorn and a crack, once used strong pain, ergot and durolin can not relieve pain, cold and wind, frequent nausea and vomiting, very bitter. The diagnosis pulse is tight, the tongue is dark and red, there is purple gas on the side, the sublingual veins are pale purple and thick and angry, the tongue coating is white and slippery, there is tenderness in the head dimension, Yintang and Baihui acupoints, and the blood pressure and body temperature are normal. The pulse and syndrome are combined, and the syndrome is blood stasis and cold, may I ask Dr. Wang if there is any good way for this patient at the moment? The doctor asked embarrassedly, although it was not uncommon to ask about the case directly at the exchange conference, but Wang Zhi was too young after all, he just told the situation, but the other party did not have the opportunity to diagnose it personally, so the inquiry was a bit excessive.
Wang Zhi was not displeased when he heard the other party directly ask about the symptoms, and thought for a while: "Headache is a common clinical disease, and according to the different causes of the disease, it can be divided into two categories: external headache and internal injury headache. External headaches are mostly caused by wind, cold, dampness, heat and other evil qi, disturbing the meridians, and stagnation of the head, and the headache occurs. Generally, the onset of the disease is urgent, the course of the disease is short, it is mostly accompanied by symptoms, the surname of the disease is true, and the treatment is mostly based on dispelling wind and dispersing evil. Internal injury headache is mostly due to emotional, diet, fatigue, room work, physical weakness and other reasons, resulting in pathological changes such as hyperactivity of liver yang, phlegm turbidity, blood stasis obstruction, qi and blood deficiency, and kidney essence deficiency, resulting in head and orifice dystrophy, or disturbance of clear body, resulting in headache. In general, the course of the disease is long, the onset is slow, and it is mostly accompanied by dysfunction syndrome of liver, spleen and kidney organs. Do not treat headaches, and prescribe menstrual induction drugs for the headache area. ”
After a slight pause, Wang Zhi continued: "The situation you said should be 30 grams of Chuanxiong, 15 grams of angelica, 15 grams of fine puncture, 15 grams of Angelica dahurica, 10 grams of root, 3 centipedes grinding and flushing decoction, and two doses of day and 1 time in 6 hours. After taking 2 doses of medicine, the headache will basically stop, and the pan-nausea and vomiting will also subside. The original prescription was reduced, 1 dose per day, and after 5 days, the symptoms disappeared, occasionally insomnia, there was no suffering, and the tongue and pulse were normal. If you continue to take the medication, you will recover fully in 3 months. ”
"Thank you, Dr. Wang, this time it was really beneficial." The doctor said respectfully, and there was no disdain in his eyes at this time.
Many doctors in the audience saw Wang Zhi's mouth hanging like a river, not only did he say the prescription casually, but he also knew the basic condition after treatment, and they were all impressed, many people were whispering, even Lin Shengtang, who was sitting on the stage, was also slightly bowed at this time, as an old Chinese medicine player, he could naturally see Wang Zhi's level.
"There's no one to ask below, if not, I'll go down, but there are a lot of old-timers waiting behind." Wang Zhi saw the doctor sit down, calmly looked at the many doctors in the audience, and asked with a smile again.
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