Chapter 39 Four Diagnoses and References
Besides, this patient is not in charge of himself, Liu Yu doesn't know much about the patient's condition, fortunately, he participated in the preparation this morning, otherwise he really doesn't know where to start.
Liu Yu thought carefully for a moment and said: "I think this patient still needs to cover the quilt on a hot day, it should be due to yang deficiency and fear of cold, so consider adding some aconite, dried ginger and the like to dispel the cold." ”
After listening to Liu Yu's narration, Liu Longsheng looked at Song Qian with a look of hope, as if he was eager to know the answer, as if he was waiting for the exam to be opened.
Song Qian followed Liu Longsheng's gaze, nodded and smiled: "Dean Liu, I said that you have a Sleeping Dragon and Hidden Tiger here, but I never thought that there really was a good doctor." ”
Liu Longsheng showed a relieved smile on his face: "That is, there is a specialization in the art industry, Liu Fatzi was originally a professional in traditional Chinese medicine, if he didn't even have this knowledge, wouldn't it be in vain to study for a few years." ”
"Huh." Song Qian nodded and smiled, turned his head to look at Liu Yu and said, "Well, it's not bad, but isn't it too arbitrary to judge the patient's yang deficiency from the fear of cold and cold?" ”
Liu Yu froze when he heard this, and instinctively scratched his ears with one hand: "That ......, that Doctor Song, in addition to judging from the fear of cold, what other aspects can you judge from?" ”
"Huh? Looking, smelling, asking, cutting you won't? ”
Liu Yu didn't quibble about anything, and generously admitted: "Basically, I will work here as soon as I graduate, and basically no one has taken me!" Moreover, after entering the clinic, all the people who come into contact with Western medicine are them, and if you don't occasionally flip through the books of traditional Chinese medicine, you will almost forget all about traditional Chinese medicine. ”
Song Qian felt the same way when he heard this, the graduates of the Chinese medicine school basically don't know how to see a doctor except for the knowledge in books, and there is no teacher to take them, if they don't transfer to Western medicine, even survival is a problem, let alone carry forward Chinese medicine.
Thinking of his growth history, Song Qian felt an inexplicable emotion and inexplicable bitterness in his heart.
As soon as he said this, Liu Yu suddenly became curious about Song Gan's past: "Hey, Doctor Song, are you self-taught or do you learn from your teacher?" ”
Song Qian smiled mysteriously and said, "What do you think?" ”
Liu Yu looked at Song Qian carefully: "I think you are a little too young, but your attainments in traditional Chinese medicine are far beyond us, I think you must be from a family of traditional Chinese medicine, or you have a powerful master, right?" ”
Song Qian couldn't deny this, and said with a faint smile: "Why don't you think I'm self-taught?" ”
Hearing this, Liu Yu shook his head again and again and said, "Self-taught? Hehe, others may be able to do it, and there is no shortage of self-taught masters in history, but I think I can't do it, and it's harder to be self-taught than to climb to the sky. ”
"Hehe, there are indeed many self-taught famous doctors in history, such as Huang Yuanyu, a famous doctor in the Qing Dynasty, who was blinded by quack doctors, worked hard to study medical literature, and finally became famous and wrote the famous "Four Sacred Heart Sources".
"Yes, yes, yes, I've also heard the story of Huang Yuanyu." Liu Yu said excitedly as if he had won a treasure: "At that time, I still regarded him as my inspirational story!" ”
"Hehe, it's quite inspiring." Song Qian nodded and said: "Emperor Qianlong personally received him and gave him 'Miaowu Qihuang', at that time, it was not easy for a doctor to see the emperor." ”
Liu Yu nodded excitedly and said, "Yes, Huang Yuanyu is not an ordinary cow, but unfortunately my qualifications are dull, and if I want to be self-taught, it is impossible at all." ”
Song Qian patted Liu Yu on the shoulder: "Brother Liu, don't be discouraged, persistence is victory." ”
Liu Yu couldn't help but sigh and said, "Alas, Doctor Song, my family knows about my own family affairs, and it is really difficult to learn Chinese medicine by myself." ”
Seeing Song Qian and Liu Yu talking endlessly, Liu Longsheng couldn't help but interrupt: "Hey, hey, hey, Brother Song, I invite you to come, not to tell inspirational stories, but to tell you about your treatment experience." ”
Song Qian laughed awkwardly when he heard this: "Dean Liu, what are you anxious about, I think, if you cultivate Liu Yu well, you can make a traditional Chinese medicine characteristic if you don't say it well." ”
Liu Longsheng smiled, glanced at Dr. Xie, who was left out in the cold, and said, "I think about it, but it's easier said than done." ”
Song Gan couldn't deny what he said, and after coughing dryly, he said, "Where did we talk about it just now?" ”
Zhu Na smiled when she heard this: "Didn't you just talk about the self-taught famous doctors in history?" ”
Song Gan's face was embarrassed: "I'm asking about the topic before I became self-taught." ”
"Oh, before you became self-taught, it seems that you were asking this Dr. Liu questions about 'looking, smelling, asking, and cutting.'"
Song Qian smiled at Zhu Na with great appreciation, this little girl is not only serious and responsible, but also meticulous in observation, and is a very qualified assistant.
Song Qian thought for a moment and said: "Looking, smelling, asking, and cutting is the most basic skill of Chinese medicine, I won't talk about smelling and asking, there are basically all in the books, as long as you read more and remember more, looking and cutting are more skillful, just like Liu Yu said just now, this patient has to cover the quilt on a hot day, in fact, it is a kind of hope, this is called wangxing, it can be seen from the details of covering the quilt, this patient's physique is weak, either qi and blood are weak, or yang deficiency and weakness, or both. ”
Liu Yu seized this rare opportunity and listened very carefully, for fear of missing any bytes, and took out a small notebook to listen and note.
In order to take care of Liu Yu, Song Qian deliberately slowed down the speed of his speech: "If the blood is weak, most people understand, that is, look at the face, lip color and eyelid color, these places are pale or pale, basically blood deficiency." Qi deficiency is actually easy to judge, if a patient sits there and does not move much, and has little qi and lazy speech, speaks in a low voice, or even cannot hear clearly, it is basically qi deficiency and weakness. ”
"Generally, qi deficiency to the extreme, or the course of the disease is too long, may cause yang deficiency, that is, cold and cold, and the hands and feet of patients with yang deficiency are cold all year round, just like cold-blooded animal snakes."
Liu Longsheng had seen Song Gan's power in the hotel, and now when he heard Song Gan's eloquent words again, he was still a little shocked, this guy is not very old, but he has a lot of things in his head, and I don't know how he put it in, could it be that this guy has a chip in his brain?
At this thought, Liu Longsheng couldn't help but stretch his neck and secretly looked at Song Gan's head, but he didn't find any traces of the knife, which was really strange.
After Liu Yu heard the words "cold-blooded animal", he was deeply touched and said: "That ...... Song, Teacher Song, when I touched the body of the bronchial asthma patient, I felt that his skin was a little cold. ”
"Teacher Song?" Zhu Na was the first to notice Liu Yu's change in Song Qian's name, and couldn't help but cover her mouth and laugh.
After being reminded by Zhu Na, everyone realized that something was wrong, and they all looked at Liu Yu in unison, and some people even opened their mouths and coaxed: "Liu Fatzi, there is really you, it has only been a while, and you are going to learn from the teacher?" ”
was so opened by everyone, Liu Yu's face flushed and said: "I just didn't choose what to say just now, how can I want to learn from a teacher." Besides, even if I want to learn from a teacher, Dr. Song may not accept me. ”
Liu Longsheng had a faint smile on his face, but he smiled and said nothing, but he had his own plans in his heart.
Song Qian secretly glanced at Liu Yu, did not join the queue to tease Liu Yu, and after coughing dryly, he continued: "That's right, the body temperature of patients with yang deficiency is low, as long as you touch it carefully and carefully, you can have a preliminary judgment." ”
"However, hope is only one of the steps, in addition, we must also achieve the 'four diagnoses and references', that is, the combination of looking, smelling, asking, and cutting the four diagnoses to judge the condition."
Liu Yu smiled bitterly when he heard this: "Old ...... Song, Doctor Song, it is difficult to do one of the diagnoses, and you still want me to do the 'four diagnoses and references', is it difficult for some strong people?" ”
Seeing that Liu Yu was almost called "Teacher Song" again, Doctor Xie on the side couldn't help but sneer: "Fatty, if you want me to say, you just kowtow a few times to this 'Teacher Song' in front of everyone, and go directly to become a disciple." ”
Seeing Dr. Xie insulting himself in public, Liu Yu became angry, and couldn't help but reply: "Xie Qingshan, do I want to kowtow, when to kowtow, that's my business, it's your business!" ”