Literally, when treating a disease, there are those who abandon the symptoms and refer directly to the pulse, and there are those who discard the pulse, which are based on the symptoms. Both the pulse and the symptoms may be false, and if they do not match, then one of them must be wrong. br>

The pulse is too difficult, and without a master to guide you, it is even more difficult to master the pulse. Many doctors are not proficient in it, and finally choose to focus on symptoms to dialectic.

"Doctor Li, I heard that you are very good at prescribing Chinese medicine, and I have taken a lot of Chinese medicine for this old problem, so I hope you can prescribe Chinese medicine carefully."

"I'll do my best.

However, before that, I need you to take an appendix ultrasound, so that I can prescribe Chinese medicine."

"Okay."

Li Xiuli stopped talking nonsense, opened the workstation, paid for color ultrasound, took out the color ultrasound sheet from the office filing cabinet, and began to write the application form.

The outskirts of Uiseong.

「MLGBD！」 The big man was angry, his old face was flushed, and the blue tendons on his face were exposed, and he stretched out his big hand and grabbed the doorknob.

Pound!

When he got into the car, he slammed the door.

Deng Qingmei followed closely, also with a straight face.

No need to ask, today's visit was completely yellow.

"Take me back to the department." Deng Qingmei leaned on the co-pilot's seat, worried.

The two of them sat in an off-road vehicle together and went back along the small cement road, without saying anything all the way.

"Dr. Li, how are you preparing for the recent Pharmacy Competition?" At this time, Kwong Li walked in.

Her complexion is not very good these days, her pale face is slightly brown, especially the eye circles have a faint layer of smoke.

"Oh, it's fine. Fight not to hold you back." Li Xiuli replied very blandly.

Kuang Li looked around and saw that there was a stool next to Li Xiuli just now, she sat down with her butt on her shoulder, and put her two hands on the table and put them on each other, just like a Young Pioneer in elementary school.

Li Xiuli turned his head and looked at Kuang Li, who was seated like a primary school student, and he understood that the latter must have something to talk to him.

"I know you value this contest very much, don't worry, I won't hold you back."

"I know. You're hidden, and everyone thinks you're a bastard. But you've changed now. Now, you're just a little lotus."

Li Xiuli was very surprised, the two have been together for three years, and they know each other well, "You think too highly of me."

This is the second time Kwong Li has talked to herself about the Pharmaceutical Competition.

Li Xiuli knew that Kwong Li valued this competition very much.

Could it be that she wants to get a ranking in the province and then worship under a certain country's elders?

Come to think of it, it's highly likely!

The two have a ride, but they don't have a chat.

Li Xiuli also wrote about Li Yujie's case, which was not fast, mainly because the chat affected the speed.

"Dr. Li, I'm done with color ultrasound." Li Yujie hurriedly came in, with beads of sweat on her forehead.

She didn't eat breakfast, otherwise Li Xiuli wouldn't have given her priority in arranging color ultrasound.

"Auntie, you go to breakfast first, and I'll help you prescribe Chinese medicine later."

"Oh." Li Yujie answered, and then left.

Li Xiuli was holding a color ultrasound report in his hand, and the conclusion on the report was also chronic appendicitis.

This time he was relieved, in this world, whether the disease is cured or not is not the first priority, the key is to diagnose clearly, otherwise it will be very troublesome.

"Hey, it's appendicitis again!" Kwong Li muttered.

Not long ago, she accompanied Li Xiuli to a surgical consultation, and now the patient has been discharged, and the effect is very good.

She remembers that the patient asked for her name and said that she might have a friend who also had chronic appendicitis and would introduce her to her when the time came.

"Yes, chronic appendicitis again." Li Xiuli chuckled, he was used to this.

The patient is like this, and when he is cured of his illness, he is very satisfied, and he will recommend his relatives and friends as well

Come to this doctor.

Therefore, doctors with a good reputation have a lot of patients.

At this time, Kuang Li did not know that Li Yujie was hospitalized in the acupuncture department, and her first diagnosis was chronic appendicitis.

Li Yujie's face was pale, her limbs were tired, she was short of breath and lazy, and she ate less.

Weak pulse.

Li Xiu bowed his head and thought in his heart.

The characteristics of the veins are that they are smaller than the slightest and often present, and they are thin and straight and soft, such as the silk thread.

There is a description of the fine veins in the "Pulse Sutra": "Thin is the lack of blood and the failure of qi." From this, it is good, otherwise it is reversed. Therefore, those who vomit are thin, and those who are overworked are also fine. "

Li Yujie's symptoms are obviously consistent with the manifestation of low blood and qi failure.

The weak veins are extremely soft and thin, and they are obtained by pressing them, and there is no hand raised.

To put it simply, it has both deep and thin veins, and has soft characteristics.

Among the 27 kinds of veins, the characteristics of the veins are: extremely soft and floating, such as silk in water, light hand-to-hand, according to nothing.

Therefore, the common point between the weak vein and the wet vein is that it is extremely soft and thin, and the difference is that the former has the characteristics of sinking, and the latter has the characteristics of floating.

Two different veins, completely opposite in nature!

After Li Yujie came back, Li Xiuli said to Li Yujie:

"Auntie, you are already weak in your body, and you suffered from appendicitis more than ten years ago, and long-term illness is easy to deplete the body's righteous qi. Qi can produce blood, blood can carry qi, and qi deficiency often leads to insufficient yin and blood biochemistry.

There is a loss of qi and blood, and I can't go to the glory of the face, so I have dizziness and discomfort.

If the spleen and lungs are deficient, they will have shortness of breath and lazy speech, and their appetite will be reduced."

I see!

Li Yujie seemed to understand.

"Then Dr. Li, what prescription do I want to take? Is it rhubarb peony soup again?"

Li Xiuli and Kuang Li glanced at each other, and the patient in front of them actually knew this recipe, and it seemed that he had never drunk it before.

"Rhubarb peony soup is used in the early stage of intestinal carbuncles. You don't fit that."

"Oh." Li Yujie opened her mouth wide and nodded slowly.

She nodded widely, "Every time I used to go to the hospital, the doctor would prescribe this prescription for me."

"I'll make you Bazhen soup here."

After Li Xiuli finished speaking, he opened the page for recording medical orders.

Angelica, Chuanxiong, Rehmannia rehmannia......

After recording the traditional Chinese medicine, Li Xiuli smiled at Li Yujie and said, "Auntie, you line up in the treatment area first, and I will come in to help you see a place when there is a place."

After Li Yujie left, Kuang Li, who had never spoken, was surprised: "I didn't pay much attention to that patient just now, but I think your prescription is too simple, will it not have a strong effect on blood activation?"

She picked up the report sheet on her desk, which read: 'The appendix has little tension, no swelling, poor continuity, irregular appearance, adhesion to surrounding organs, poor peristalsis. "

There is not much text, but it is clearly written that the appendix has adhered to the surrounding tissues. Even the appendix has irregular deformations, which are often caused by repeated inflammation of the appendix.

"There is the qi medicine in the blood in the recipe, Chuanxiong, it is enough!"

"......" Kwong Li was speechless.

"You, do you know that in the treatment of adhesions, no matter how much Chinese medicine is used, it is not as effective as a milli needle penetrating the local area!"

"Oh, I see!" Kwong Li was empowered and woke up suddenly.

It is said that traditional Chinese medicine is slow, and some conditions need to be slowly regulated, but they don't know that through acupuncture, one needle can play a role in taking Chinese medicine for several days!

After prescribing traditional Chinese medicine, Li Xiuli entered the public treatment area.

At this time, Li Yujie was lucky, and she was already lying on the treatment bed.

Acupuncture treatment for appendicitis is mainly based on local acupoints.

In particular, the McCereals can be centered on the McCephalic dots and locally encircled the stabs.

The local thorns are like a fence forming a small circle, and the disease in the circle is blocked and cannot spread to its place.

Eventually, it was surrounded and wiped out.

This idea is used more often when prescribing traditional Chinese medicine and acupuncture.

Just like in the early stage of snake sore, when the herpes has just come out, and the pain has been felt for a week, the herpes area can be pierced at a distance of about three inches around the herpes to inhibit the spread of evil poison.

Helping Li Yujie get the needle, Li Xiuli prepared to return to the doctor's office.

He had already thought of writing a WeChat manuscript about acupuncture for chronic appendicitis.

When I entered the office, I saw that Kuang Li was still sitting on the stool just now, and she was sitting in a daze, as if in a daze.

Li Xiuli expressed understanding. Since she was pricked by Xu Hai's needle, the whole person was as if she had found out that she was terminally ill, and the whole person was listless.

Looking at her, I felt a little distressed.

Looking forward to the first blood test, she will be safe and sound!

"Xiao Kuang, what do you want!" Li Xiuli gently patted Kuang Li's shoulder and smiled.

"I'm thinking that if you blatantly admit a surgical patient to the hospital, aren't you afraid of being targeted?"

Kwong Li's implication is to tell him to be careful of others reporting him.

After all, there was one such patient in a previous surgical case.

"Don't be cowardly! Acupuncture for the treatment of chronic appendicitis has been recorded as early as in the "Secret Medicine for Surgical Treatment", and the effect is not bad."

"You." Kuang Li shook her head helplessly, she knew that Liu Ming and Li Xiuli in surgery had a bad relationship, maybe the latter knew about it and would deliberately embarrass Li Xiuli, "In case you are reported, the deduction of wages is small, and you will have to accept the criticism of the whole hospital."

"Don't be afraid." Li Xiuli smiled confidently, "What we need to care about now is the patient's effect, not whether the patient is admitted across departments."

"Alas! I can't make sense of you." Kwong Li shook her head helplessly again.

"Xiao Kuang, this time I called Director Yang of the Medical Department to report, so I am not afraid of others reporting it."

「......」

"Don't talk nonsense!" Kwong Li began to get serious. She is a serious person and can't tolerate others lying, especially Li Xiuli lying to her.

"People will definitely not allow this patient to receive it to our department, at most, they will receive the surgery first, and then ask you to go over and prick the needle and prescribe Chinese medicine."

She continued, "It's different now, they prescribe Chinese medicine by themselves, and at most you are invited to go over and get needles."

「......」

It is also said that although all departments study Western medicine, but now Western medicine is only in a small area of promotion, and Yicheng has not received relevant regulations, so it is still common for Western medicine to prescribe Chinese medicine and Chinese patent medicine.

Surgeons prescribe Chinese medicine by themselves, they have their own prescription template, and if the symptoms are correct, they can prescribe Chinese medicine according to the template.

Li Xiuli and the others did not belittle them, they knew that applying traditional Chinese medicine to the template was much better than formulating their own self-formulation.

Li Xiuli shook his head helplessly, "Xiao Kuang, why don't you believe me."

"I believe you're a ghost!" Kwong Li showed a sly smile, at this moment, she forgot her sorrow, forgot her troubles.

The two were talking and laughing, time flew by, and before they knew it, Deng Qingmei had already entered the office.

"Director." Kwong Li got up and smiled and said hello.

"Director." Li Xiuli continued to sit.

Both of them knew where Deng Qingmei had gone today.

Deng Qingmei did not reply to the greetings of the two, but walked straight into the office, and only stopped when she walked to the front of the water dispenser.

She took out a disposable cup, took a glass of refrigerated water, and drank it all with her head tilted.

Gollum!

Li Xiuli and Kuang Li looked at each other and were speechless for a while.

"Huh."

After exhaling a mouthful of half-cold and half-hot turbidity, Deng Qingmei took another glass of refrigerated water and drank it all again.

"Ugh."

After burping slightly, Deng Qingmei threw the drinking cup into the trash can and wanted to say something to Kuang Li.

But he found that Li Xiuli was also there, so he said, "Dr. Kwong, do you have any special patients today?"

Kuang Li just wanted to ask Deng Qingmei about the results of this visit, but looking at her now, nine times out of ten she failed.

In her eyes, Xu Hai is not the kind of person who doesn't tell right from wrong, and is easy to communicate, how could he fail!

"Director Deng, I just admitted a patient with chronic appendicitis."

Then, he hurriedly added, "The patient has been hospitalized in the surgery of several hospitals many times, and now she wants to try Chinese medicine and acupuncture treatment, I have asked the medical department, and they have agreed."

"Oh." Deng Qingmei was expressionless and responded casually.

Take it, as long as the medical department agrees, then it doesn't matter.

If she doesn't agree, once she is discovered by the medical department and admits patients across departments, she will be unlucky as the head of the department.

Now that the medical department has agreed, she is too lazy to care.

Li Xiuli exhaled deeply, Deng Qingmei doesn't care!

——————————

Afternoon.

At the request of Li Ju, a Chinese medicine pharmacy, Li Xiuli came to the Chinese medicine pharmacy warehouse on the second floor.

In the morning, I briefly explained to Kuang Li, and Kuang Li readily agreed, and in the afternoon, she was on duty on behalf of Li Xiuli.

Entering the warehouse of the Chinese medicine pharmacy, Li Xiuli looked at the center of the warehouse.

In the center of the warehouse, there are several tables that are put together to form a larger tabletop.

On the table, there are twenty or thirty kinds of Chinese medicine raw materials and decoction pieces.

"Dr. Li, how is the review of Chinese medicine identification lately?" As soon as Li Xiuli entered the gate, he was discovered by Li Ju at a glance, who asked Li Xiuli.

"Well, not bad!"

"What do you mean it's not bad? Next week is the city's traditional Chinese medicine identification competition, why are you so careless!" Li Ju looked at Li Xiuli coldly.

The Chinese medicine identification competition is an individual unit to participate in the competition, each unit sends two representatives, and there will be individual rankings and group rankings in the end.

What Li Ju is worried about is that the group ranking is not satisfactory.

Last time, Li Xiuli, under her meeting ceremony, achieved good results.

But so what?

The real Chinese medicine identification competition, that difficulty is not what Li Xiuli, a business participant, can imagine.

"Sister Ju, don't worry, I won't hold you back!" Li Xiuli swore and patted his chest.

He didn't say much nonsense, and pointed to the big table in front of him, "Trouble Sister Ju to point out one or two."

"It's not enough to give advice, you are a TCM clinician, I don't have the ability to guide you." Li Ju shook his head, deliberately counting Li Xiuli.

"Teach!" Li Xiuli clasped his hands into fists and said respectfully.

"Poof!" Li Ju chuckled. This Li Xiuli, such an action, I don't know and think it's a ring.

"Here are two Chinese medicine raw materials and decoction pieces, you can identify them for me one by one."

"Okay." Li Xiuli's expression became serious, and he looked at the first Chinese medicine in front of him.

His brow furrowed, his mind racing for thought.

For a while, there was no way to analyze which traditional Chinese medicine it was, but it was certain that these traditional Chinese medicines were not available in Yicheng Traditional Chinese Medicine Hospital.

It must have been specially collected by Sister Ju, and she wanted to test herself!

He picked up the first Chinese herbal medicine and held it in his hand, which was very light.

It is a dried herb that looks like a plantain but is slightly purplish-red.

Li Ju held her chest with both hands, stood aside, and didn't say anything, just looked at Li Xiu Li in the east and looked at the west.

This is the first time he has seen this color of materia medica, and he can't remember it for a while.

Even if you have a lot of materia medica knowledge in your mind, you can't remember it for a while.

Do you want to upgrade your skills?

High-grade materia medica, after all, is not enough.

"You, this is the first taste of Chinese medicine, you will be in trouble, I suggest

You'd better not go."

"Why?" Li Xiuli put down the herbs in his hand and looked at Li Ju suspiciously.

"Shame!"

"Cao!" Li Xiuli was not happy, Zeng Yunyun of the pharmacy department didn't say anything, but you started to mock!

"At a young age, don't scold, it's insulting!" Li Ju grimaced and glared at Li Xiuli.

Recently, he has received too few negative reviews, and Li Xiuli began to think about whether to change hospitals, and he gradually became famous in Yicheng Traditional Chinese Medicine Hospital, and received fewer and fewer negative reviews.

How can this grow!

Li Xiuli picked up the fuchsia herb again, put it in his hand, gently tore off the leaves the size of his fingernails, and rubbed them on his fingertips.

Although the leaves are dry, they are very tough, and even if they are rubbed vigorously, they are just like tobacco, and they do not crumble.

Li Ju didn't say anything more, and continued to look at Li Xiuli coldly.

She will participate in every Chinese medicine identification competition in the hospital, and from time to time she will get some rankings. She has arrogant capital and the ability to point fingers.

Li Xiuli gestured with his two hands, estimating that this herb was about centimeters, and its length far exceeded that of plantain. Judging by its length and color, it is clearly not a plantain.

Reaching out and caressing the flower stem, you can see that the flower stem is erect, 20 cm high, sparsely pubescent and white silky pubescence. The basal leaves are pinnate compound leaves, with six pairs of leaflets.

However, even if he completely said the appearance attribute of the purple-red herb in front of him, he still couldn't point out what kind of Chinese medicine it was.

In his memory, there was no record of this herb!

At this time, Li Xiuli looked at the taproot of the herb.

The taproot is seen to be stout, conical, sometimes twisted, and yellowish-brown in the skin.

Leaves basal, 3-lobed, apical lobes with short stalks, lateral leaves sessile, sparsely covered with hairs above, densely hairy below.

"What is this?"

Li Xiuli suddenly felt that there was an impression in his mind.

"It's buttercup—" he muttered.

Li Ju, who was watching the play on the side, was slightly stunned, how to say this herb, it is both rare and common.

There is no such herb in the TCM hospital, but there are rhizomes of the herb.