Chapter XXVIII
Sima Feng stepped forward and checked the patient's face, then asked the patient a few words, and finally felt the pulse and retreated, which took no more than five minutes, but compared with Wang Zhi's performance just now, it was a high judgment, less free and easy.
The people in the audience still felt it not very obviously, but they thought that this foreign doctor had been delayed for more than a minute than Wang Zhiduo, and it was nothing, but in the eyes of several insiders on the stage, it was not.
Especially Xie Guoqiang and Pan Anmin, the two masters of Xinglin, naturally saw that Sima Feng was a little reluctant, if it weren't for the fact that the time Wang Zhi had just watched was too short, Sima Feng was worried that he would delay for too long and would definitely delay for a few minutes.
You must know that in traditional Chinese medicine, people pay attention to looking, smelling, asking, and cutting, and the so-called people who look at and know know their five colors to know their diseases. Those who know it by hearing it will hear its five tones to distinguish it from their diseases. Ask those who know, ask what they want, the five flavors, in order to know the origin of their illness and where it is. Those who know the pulse should diagnose their mouths and see their reality to know their diseases and where the diseases are.
Through visual examination, the doctor conducts purposeful observation of the patient's appearance, color, shape, posture, tongue image, etc., in order to detect visceral lesions.
Through sniffing, smell the patient's smell, and 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.
Through the consultation, we will understand the medical history and family history, the cause of the disease, the onset of the disease and the treatment process, the main pain, the conscious symptoms, and the likes and dislikes of the diet.
By cutting the pulse to observe the changes in the pulse, we can distinguish the prosperity and decline of the function of the viscera, and the stagnation of qi, blood, and essence, so as to confirm the symptoms.
The four methods of looking, smelling, asking, and cutting the way of traditional Chinese medicine are a set of systematic diagnosis and treatment system summed up by the ancients to sum up countless experiences, and doctors can take different diagnosis methods in the face of different diseases.
In particular, the final pulse cut is the final basis for diagnosing the disease, you must know that whether it is the patient's complexion or voice, the symptoms, there are always some similar symptoms among many diseases, but this pulse cut is a thousand miles away. There is no room for sloppiness.
The reason why Wang Zhi is calm is because he has rich experience and experience, and he has treated several times more diseases than Sima Feng has ever seen.
Sima Feng naturally didn't know the depth of Wang Zhi, and thought that Wang Zhi was deliberately showing off, in order not to lose face, this diagnosis was a bit careless, Wang Zhi stood on the side, watching coldly, and knew that Sima Feng was going to be planted in front of the first patient.
First of all, Sima Feng's mentality at this time was already a little impatient, in order to be on a par with Wang Zhi, he couldn't even suppress the surname for diagnosis, and his efforts to cultivate qi were still a little worse.
Although today it is said that it is a two-person competition, when treating people, they should be diagnosed wholeheartedly, and there should be no other psychological factors.
This is also the patient that Wang Zhi saw first, if Sima Feng saw it first, Wang Zhi would not care how long he saw it, even if Sima Feng had been diagnosed with just a glance, he would also know it before he retreated, not to mention medical skills, just the mentality, Sima Feng and Wang Zhi are a big difference.
"Both of them have been diagnosed?"
Seeing that Wang Zhi and Sima Feng had finished diagnosing, He Yang asked in confirmation, and when he saw that both of them nodded, he said again: "Since they have both been diagnosed, then ask the two of you to prepare a prescription and think about the treatment plan, and then invite a few judges to come over and diagnose it." ”
Wang Zhi and Sima Feng stepped aside and began to draw up prescriptions and write their own treatment methods, while several judges on the rostrum also came out in turn to check the condition, and a special person also handed over all the patient's laboratory data and medical records in the past few days for the reference of several judges.
After all, as judges, they must be more careful, and their diagnosis is also the final reference, unless Wang Zhi and Sima Feng can persuade the judges with sufficient evidence, otherwise the party that is inconsistent with the judges' diagnosis is naturally a diagnostic error.
"Now I ask the two of you to hand in your diagnosis and treatment."
After He Yang finished speaking, Wang Zhi and Sima Feng both handed in their diagnosis results and prescriptions, and several judges picked them up and looked at each other.
The diagnosis of the two is similar, this disease is a stroke disease, which is correct, and the prescription of the two is basically the same, but Wang Zhi's prescription is different from Sima Feng's prescription: astragalus.
Wang Zhi and Sima Feng's recipes are all to tonify yang and add or subtract five decoctions, but the difference between the medicines is of great significance.
Although the same disease is stroke, there are many types of stroke, and stroke is a general term for cerebrovascular diseases with the surname acute in traditional Chinese medicine. It is a type of disease with sudden fainting, unconscious, accompanied by crooked mouth, unfavorable speech and hemiplegia as the main symptoms. Because of the rapid onset of the disease, the symptoms are varied, and the condition changes rapidly, which is similar to the number of good deeds of the wind, so it is called stroke and stroke.
Stroke is the evidence of the false standard and the reality, and the yin and yang are favorable, and the qi is reversed; It is marked as wind and fire, phlegm turbidity and congestion, and blood stasis and internal resistance. It is roughly divided into meridians and viscera, and viscera is different from autism and decertification.
The common types of meridians include wind evil entering the middle, meridian paralysis obstruction type, liver and kidney yin deficiency, wind and yang upward disturbance type, phlegm heat and intestine solidity, wind and phlegm upward disturbance type, etc.
Visceral closure syndrome is mostly seen in trismus, holding both hands, and strong spasms of limbs, which are mostly empirical. Missing the certificate is mostly seen with eyes closed and mouth open, snoring slightly, and urinating on the hands, which is mostly a false evidence.
In addition, of course, there are other diseases, although these diseases are the same stroke, but the treatment must not be generalized, must be treated differentiated, recognize the cause of the disease, in order to prescribe medicine, if there is a slight deviation, it will inevitably lead to aggravation of the disease, and even cause other complications.
It can be seen from the prescriptions prescribed by Sima Feng and Wang Zhi that although the two were also confirmed to have had a stroke, their pathological pathogenesis was inconsistent.
The judges on the stage circulated the diagnosis results and prescriptions of the two, but then whispered a few words to He Yang, He Yang's face was happy, and he walked to the center of the rostrum and announced loudly: "The results of the first case of disease competition, Mr. Wang Zhi wins." ”
"Good!" Everyone in the audience cheered when they heard this, most of them were Jianghuai people, and their hearts were naturally towards Wang Zhi, and when they heard that Wang Zhi had won, they all shouted loudly.
For such a result, most of the people below can accept it, but the real experts and reporters of various media, the people who know Sima Feng are a little unbelievable, this first disease Sima Feng was defeated, it is unbelievable to say.
Not only were they surprised, but Pan Anmin and Xie Guoqiang were also a little embarrassed, if it weren't for Sima Feng's worry about making a fool of himself in time just now, with his medical skills, this would not be wrong, this is the reason for being impetuous.
Hearing the results announced by He Yang, Sima Feng's face suddenly turned ugly, if it weren't for the fact that the judges on the stage were all real people, and there were also friends he had invited, he would definitely not be able to help but rush up and shout.
Of course, even if he doesn't shout, the judges on the stage will give him and everyone an explanation, and he can't just let people admit defeat in a daze.
When the scene was quiet, Xie Guoqiang stood up and said, "This patient has a stroke, and both of them are correctly diagnosed. ”
"The occurrence of stroke is more than blood and qi related, once the phenomenon of falling and fainting, the brain and body meridians will inevitably have blood congestion, both of them use the Qing Dynasty Wang Qingren's Yang and five soups, but Mr. Nancun is not dialectical, the liver Yang hyperactivity stroke misdiagnosed as qi deficiency and blood stasis stroke, and the prescription has more than a taste of astragalus."
"Astragalus is a medicine for warming and replenishing, and now the patient's blood and gas are rising, and if he wants to use this medicine, his condition will inevitably worsen, so Mr. Nancun is still cautious and cautious, and he must not be negligent."
After listening to Xie Guoqiang's explanation, Sima Feng remembered that the patient did have symptoms such as red face and slippery pulse, but because he didn't pay attention to it just now, he thought it was a disease of qi deficiency and blood stasis, and directly prescribed Yang Tonifying and Five Soups.
In fact, although the patient's condition is complicated, it is not very difficult for Sima Feng, and the reason why he made a mistake in judgment was that he was impetuous, and on the other hand, he was a rival in love, and he didn't look at Wang Zhi.
In Sima Feng's opinion, how complicated the symptoms that Wang Zhi was diagnosed in three minutes, plus he also checked the situation, so he subconsciously ignored other symptoms, which can be regarded as carelessness.
But fortunately, this time the competition is not a patient can draw conclusions, there are four patients below, originally prepared five patients to prevent the two from being diagnosed, and they were prepared in a tie, but now it can be regarded as saving Sima Feng.
The winner or loser of the first case was decided, and Wang Zhi handed over the prescription to the doctor who came to take care of the patient, and this began the diagnosis of the second case.
The second patient is depressed syndrome, the patient has a foreign body in the pharynx, can not spit out, swallow can't swallow, belongs to the heart and spleen deficiency disease, both of them this time did not make a mistake, the prescription is also symptomatic, the difference is not big, two doses can be cured.
The third patient belongs to orthopedic diseases, this patient was seen by Wang Zhi first, the treatment method is to directly reduce the orthopedic bone on the spot, and the patient recovered most of the time on the spot, Sima Feng is not bad, the fourth patient is also treated on the spot, the effect is good, and the two are considered to have a draw.
Through the treatment of these two patients, it can be regarded as showing that Wang Zhi and Sima Feng's medical skills are extraordinary, which makes everyone applaud.
However, this fifth patient is a little peculiar, this patient is a fifteen-year-old girl, there are no symptoms in the whole body, it is a simple high fever, has been hospitalized for half a month, all kinds of antipyretics, such as penicillin, APC, aspirin, etc. have been used, but still have a high fever, but it is a little strange.
Wang Zhi and Sima Feng both checked and thought that it was caused by the deficiency of qi and yin, but the continuous high fever made the child very weak, and there was a problem with how to use medicine.
Of course, the problem is Wang Zhi again, Sima Feng's prescription is not bad, but it will take a day or two to see the effect, but Wang Zhi directly promised that a dose of medicine will be used to ensure that the fever will be reduced, but now there is controversy.
(To be continued)