rookies. There is this person who looks proud and polite, but he is humble and polite.

The staff sent one and signed the box. After everyone pushed each other along, one of them stepped forward and felt a note from the box.

Xu Ze walked the third and touched a note, and after opening it, he saw that a name was written on it: Yang Liming.

After being stunned for a while, Xu Ze understood, this must be one of them, the patient's name, it seems that this practical assessment is really a test of real ability, and everything is clearly written, so I will give you a patient to see, completely according to the real situation of medical diagnosis and treatment, don't think about it.

Xu Ze looked at the name in hand, and then looked at the six patients in front of him, but he really didn't see that his patient was the one.

The six patients in front of him were all men. There are young and old, from sixty to thirty years old, and it stands to reason that this one is taken. The likelihood of a name is generally between 30 and 40 years old.

However, among the six people in front of him, at least three of them met this condition, and one was holding his stomach. Frowning, it seems that it is a patient with abdominal pain.

A pale, sweaty head, and unclear,

And a guy who seems to be fine,

Originally, Xu Ze wanted to find out that his patient was that earlier, but now he couldn't get it right.

If he sees a patient, he is not afraid, but if the patient wants to be treated with traditional Chinese medicine, that is really a little bit of a suspense.

Xu Ze felt that it was really appropriate to use the word suspense to tell himself now, if he wanted to use Western medicine to treat it, then he was not worried at all, he shrugged this thing,

But if he really wants to take the TCM diagnosis test in front of so many people, he really doesn't have much bottom in his heart, although it is said that the family heirloom is this thing. And the school also studied Chinese medicine for a year, but it was really time to see patients. He really hasn't used it much.

So, at this time, he opened his mouth and hung his heart. Waiting for the start of the exam with a strange face,

Seeing that everyone had already drawn lots, Dean Guo stroked his white beard, and then nodded: "Okay, now the practical assessment begins,"

"The first, Li Pailin"

Hearing the shouts of Dean Guo, the oldest patient walked up and sat down at the joint consultation table in the middle, waiting for the doctor to come and see the doctor! "Who got it? Let's go. Old Dean Guo took a sip of tea, and then said slowly.

At that moment, a young man with a small head stood up next to him, nodded in response, and then walked up and sat down on the main seat of the consultation table.

"Oh, Wu Lin, well, you can start". Guo Lao looked at the young man and nodded.

"Yes, Guo Lao!" This young man named Wu Lin began to move,

Seeing this Wu Lin methodically inspecting the patient in accordance with the four diagnostic techniques of looking, hearing, asking, and cutting, Xu Ze nodded secretly from the side, these people who can participate in this assessment are really amazing characters,

Wu Lin quickly finished the examination, and said respectfully to the seniors in front of him: "Teachers, the patient has been examined

Dean Guo nodded slightly, and then asked slowly: "Okay, please tell me about this patient's snort, basis and treatment."

"Patient Li Pailin, male, 62 years old, the main symptoms are: epigastric pain for half a year, aggravated for three days, accompanied by pantothenic acid, burning pain, symptoms: stomach tiger burning pain, dry mouth and bitter mouth, red tongue and yellow tongue, pulse count; Considered to be a hepatogastric fever syndrome with gastric disease; The treatment method should be to use to relieve the liver and regulate qi, dissipate heat and stomach; The prescription is added or subtracted with Danwei Xiaoyao Pill, and the acupuncture points can be used: Zhongyuan, Neiguan, and Zusanli, and the acupuncture method is used to perform acupuncture," Wu Lin replied cautiously.

Listening to Wu Lin's answers, several senior national players. They all nodded one after another, especially Wang Yibo, a famous doctor in Jiangnan. At this time, he smiled with satisfaction, this Wu Lin is his disciple, and he was able to answer smoothly, Wang Yibo was naturally happy, because of this. It's not just a question of whether the disciple can pass the test, but also the face of his master.

Dean Guo also stroked his beard and gently bowed his head, and then smiled: "Yes, the symptoms answered, the treatment and the prescription are very bad."

Hearing Old Dean Guo's words, Wu Lin breathed a sigh of relief and nodded with a smile.

Guo Lao continued to speak: "Okay, the Chinese medicine assessment is qualified; The following is a clinical assessment of Western medicine. Do you still need to get tested? ”

"Western Medicine Clinical Assessment" really needs to test this! Wu Lin's face changed slightly when he heard this, he was not worried at all about taking the Chinese medicine exam, but he was taking the Western medicine exam. This is a serious test; However, he still secretly Qingwei, this patient's Western medicine treatment. It's not too complicated, if it's a heart disease, it's troublesome, and the heart disease of Western medicine is a complicated thing, we don't understand

Naturally, there is no need to check it, and after thinking about it a little at the moment, and organizing his words, Wu Lin said: "Western medicine diagnosis consideration: gastroduodenal ulcer is possible, the drug uses amoxicillin to reduce inflammation, western flavor tidine, pectin pot to protect the stomach, and when the abdominal pain is severe, you can use distending 2 to relieve spasmodic pain,"

After saying that, Wu Lin thought about it, and it seemed that there was nothing to add, so he looked up at the seniors above, waiting for them to judge.

Hearing that Wu Lin seemed to have finished answering, Dean Guo turned his head to look at Tang Wuwu and Professor Jiang Lingyun of Capital Medical University next to him,

These two professors are experts in Western medicine specially invited by Guo Lao, so it is natural for them to judge.

The two old professors glanced at each other, and then Professor Tang Wuwu nodded and said: "There is not much problem in diagnosis, and the medication is also modest, but the right medicine for gastroduodenal ulcer" has been updated, and the stock is generally used. Sun Xun's clarithrodium semi-anti-infection, Omela called stomach protection, is generally qualified! ”

"Okay, thank you Old Tang, after Dean Guo nodded his gratitude to Professor Tang, and then said: "Wu Lin, the overall evaluation is excellent"

"Next... Lin Dongping! ”

Looking at the assessment of the first few patients, there are two people who are qualified and one is excellent, in general, the assessment is extremely strict, and if there is a small deviation, only one is qualified.

Therefore, Xu Ze also pinched a little sweat, these seniors sitting on the top of him are all expert-level, and their own traditional Chinese medicine is also a half-ass, if you really get tested, one or two points wrong, I am afraid that you will be beaten down.

With a heart in his hand, he watched several rookies around him go forward one by one to participate in the assessment, and in the end, only he and Guo Yujian, who won the first place in the theoretical exam, were left. The other four almost all narrowly passed, and Xu Ze became more and more nervous now.

At this time, Dean Guo read out the name of the fifth patient: "Hu Jiang,"

Hearing this name, Xu Ze couldn't help but sigh again, it wasn't himself, this kind of waiting was really a kind of torture.

The corresponding assessment rookie of this Hu Jiang is Guo Yujian,

Looking at Guo Yujian's neat inspection technique, Xu Ze was envious on the side, this Guo Yujian's more than ten years of dedicated Chinese medicine training is really extraordinary.

This patient is really easy for Guo Yujian, and soon he will explain the diagnosis, basis and plan, etc., and then clearly explain the diagnosis and treatment of this patient's Western medicine to the two professors of Capital Medical University, so that the two professors also nodded frequently, only when the final evaluation, Professor Jiang Lingyun corrected a little deviation.

In the end, Guo Yujian got an evaluation: "excellent", which made Dean Guo on his head smile with satisfaction.

With the completion of Guo Yujian's assessment, everyone turned their attention to the last rookie and the most anticipated rookie: Xu Ze.

Here are a few national players sitting on the seniors. All know some of Xu Ze's details through Wang Laoguo's hand. So at this time, I was also extremely curious, and I wanted to know what the real ability of this young man who was recommended by Wang Laoguoshou was so unusual.

At this time, Xu Ze had already been staring at the last patient for a while, because there was no doubt. This last patient must be this Yang Liming who he has been waiting for for a long time.

Xu Ze had already begun to prepare for the assessment he was waiting for, and he passed the patient's gesture of holding his stomach. It can be seen that the main symptom of this patient is epigastric pain; The most common cause of epigastric pain is usually stomach, liver and gallbladder or pancreatic problems, and to a lesser extent, it is caused by heart causes.

Therefore, Xu Tu began to conduct a preliminary examination of this patient, and under his order, the three-level system function color ultrasound had already been opened.

Although there was a distance of two meters, under the strong function of the system, the situation of the patient's upper abdomen was quickly presented in front of Xu Ze in the gray vision.

Looking at the patient's slightly swollen gallbladder, as well as the point of light with some white flames in the gallbladder, Xu Ze was already sure. The patient had abdominal pain caused by a predominantly gallstone.

Basically, after the cause has been determined, although he vaguely remembers some things about gallstones in traditional Chinese medicine, Xu Ze just in case. Immediately passed the encyclopedia of the knife, and the information on the principles of TCM diagnosis and treatment of gallstones was searched...

Traditional Chinese medicine divides gallstones into: liver stagnation and qi stagnation type, damp heat and internal accumulation type, heat and toxicity type, blood disease internal obstruction,

Principles of Treatment:! Liver stagnation and qi stagnation type: soothing the liver and relieving depression, regulating qi and relieving pain; 2. Damp heat connotation type: clear heat and dissipate dampness, and conquer through the inside; 3. Hot and poisonous type: clear heat and detoxify, and clear the fire; Dear Friends,

Looking at these materials, Xu Ze began to quickly review and deepen the impression with the information in his mind, which must be used when waiting for the next assessment, and now he must deepen his impression and understanding, so as to reduce the chance of mistakes."

"Yang Liming" With Dean Guo's words, the last patient also came on the field, and Wang Laoguo's face began to be a little nervous at this time.

Seeing Xu Ze walking forward slowly, all the seniors smiled lightly and looked at this handsome young man with a hint of expectation, wanting to take a look. What is the attainment of this student who majored in Western medicine? Is it really as amazing as Wang Laoguoshou said?

Xu Ze had some confidence in his heart at this time, so he was able to maintain his indifference as before, sat down at the consultation table, and began the familiar process of examining the patient.

He can basically determine what the disease is now, so if he naturally examines this patient, then the examination is naturally extremely smooth.

Looking at Xu Ze's skillful questioning skills and diagnosis techniques, although many of them are biased towards the examination of Western medicine, from Xu Ze's accurate and skillful pulse checking, the seniors can still see that this young man is indeed very familiar with Chinese medicine diagnosis, not only Western medicine, but also nodding secretly at the moment...

Although everyone can see Xu Ze's confident and calm face on the surface, how can they see the anxiety in Xu Ze's heart now, although Xu Ze has determined that this patient is gallstones, and the name of Chinese medicine is gallstones, but in addition to this gallstones, this Chinese medicine also needs to be dialectical, dish symptoms, pulse, tongue coating, etc., to determine the different methods of dissolution therapy.

Although Xu Ze has some understanding of the pulse of the pulse, he will really use this there on weekdays. In the past, he was at home to see a doctor and take the pulse, at most it was just a show, because he didn't need to rely on Chinese medicine to treat him at all.

But now it's time to test the real kung fu, he must judge what the pulse of the patient in front of him is, otherwise if he misjudges even such an important thing, then this time he must be 100% unqualified.

At this time, Xu Ze was taking the patient's pulse, while recalling the knowledge about gallstones that he had just reviewed. There are only a few kinds of gallstones, strings, strings, strings, strings, strings, string

These pulses represent the type of liver stagnation and qi stagnation, the damp heat and internal accumulation type, the heat and poison blazing type, the blood disease internal resistance type, and so on.

Poor Xu Ze has never studied such a profound pulse science, but there is no way back now. I can only try to find out what kind of pulse this is.

However, Xu Ze has been taking the pulse for a long time, but he has only put out one string pulse, whether it is counting, slippery, etc., he is really not sure.

Knife: "Do you have anything to do with this?" Xu Ze frowned and thought for a long time, and finally helplessly asked for help from the knife; However, he is not sure that the knife will be a future medical assistance system, will it be this thing?

Sure enough, Xiaodao replied depressedly: "This, there is no corresponding virtual information in my database, just based on the text information I just found." I can't judge accurately"

Hearing the words of the knife, Xu Ze had to sigh helplessly and began to continue to work hard,

The people who were watching expectantly from the side, Xu Ze frowned lightly on the side, holding the patient's pulse, and didn't let go for a long time. At this time, we all know that this young man is only afraid that he will encounter a problem.

However, everyone also sighed secretly, although the young man in front of him had studied the theory of Chinese medicine well. But after all, it is engaged in Western medicine, where can it be so easy to understand the most difficult pulse of Chinese medicine?

And next to a few rookies who have passed the level. At this time, he also looked at Xu Ze with curiosity and difference. They really couldn't figure it out, the person in front of them did well in the theory exam, but how could he be stuck on this pulse for so long? Could it be that he studied Chinese medicine, but he didn't even learn the most important pulse science? Or is the patient's pulse really strange to the point of being difficult to judge?

The rookies were a little skeptical, but they didn't dare to really think that it was the first reason, because this was only once a year, and the rookie assessment of only a few places at a time was not for fun; These senior teachers. If you don't have enough confidence in your own disciples, you will definitely not be easily recommended to participate in this assessment.

If he hadn't even learned the pulse science, how could the elder teacher of this teaching let him participate? Then it must be that the pulse of this patient is really difficult to grasp, so the rookie named Xu Ze in front of him will be so hesitant,

The rookies thought so, and they were secretly glad that they didn't draw this patient. If the patient's pulse is really so difficult to determine, then his own assessment may be ugly.

It's a pity that they are so trying to find a reason for Xu Ze. But I don't know, Xu Ze really doesn't know much about pulse phenology, so it is so difficult to decide, and Xu Ze frowned and thought about it for a long time, until he really came up with a trick.

There are only a few types of gallstones, and each of these types has its own unique pulse and symptoms that can be used to judge, since you can't determine the pulse, you can also use other symptoms and signs to help determine which type the patient is.

As long as the type is clarified, then it is probably not wrong to answer only which type of pulse is recorded in this information."

So Xu Ze quickly turned a corner and began to avoid the pulse to diagnose this, the patient by type,

In addition to epigastric pain, the patient also had bitter mouth and aversion to oil, and fever. If you see that his tongue coating is slightly yellow, but the tongue coating is not thick, then this tongue coating should be thin yellow

Well, the mouth is bitter and oily, hot, and the moss is thin and yellow; There are no other symptoms of dense stool and yellow tongue coating, compared with the information just passed by the knife, the most consistent is the liver stagnation type, and several other types are somewhat different from this.

It should be this, the type is right, Xu Ze was overjoyed, he finally determined the type, and the pulse recorded in this type of information is a string, and there is no slip, number, etc., then it will be simple, and the direct answer to the pulse string is, it should not be wrong,

TCM diagnosis and basis, as well as treatment principles, etc., after he completes the type identification, that is, dialectic, there is no longer any problem, as long as the answer is based on those standard information, there will naturally be no major problems.

Xu Ze was about to stand up to signal that he had finished the examination. Suddenly, I was shocked, and suddenly remembered that I was only concerned about coping with this TCM assessment, but I forgot that in Western medicine, in addition to abdominal pain caused by gallstones, there are other diseases to be identified.

Although it is already certain that the patient has gallstones and it should be considered that the patient has abdominal pain caused by stones, it is not 100% guaranteed that he has no other medical conditions causing abdominal pain. For example, gastritis, pancreatitis, etc.,

One or five thousand words arrive, and tomorrow will follow.