Traditional Chinese medicine must first distinguish the "syndrome" when seeing a doctor.

That is, to identify the etiology and pathogenesis of the patient.

By means of looking, smelling, and inquiring, according to the various symptoms and pulses and tongue signs shown by the patient, we can distinguish why the patient is sick, where the disease is now, and what characteristics it manifests.

This is called "proof".

In Western medicine, the specific name of a disease is only a symptom, not a "syndrome" in Chinese medicine.

For example, colds, myocardial infarction, pancreatitis and other Western medicine names are just a symptom in Chinese medicine.

Why do patients get colds, why do they get myocardial infarction, and what are the specific characteristics of patients' colds and myocardial infarctions, which are the "syndromes" of traditional Chinese medicine.

According to this concept of treatment, Western medicine has been treating symptoms, while Chinese medicine has been treating deeper etiologies and pathogenesis.

The most important thing in TCM is the differentiation of the six meridians and the eight outlines.

The differentiation of the six meridians is to distinguish which organ the disease is in and how the disease is transmitted.

The six sutras refer to the sun, the less yang, the yangming, the taiyin, the less yin, and the yin.

The eight-gang dialectic refers to yin and yang, and the surface and the inside are void, real, cold and hot.

The advantage of the six meridian syndrome differentiation is that it is more convenient to judge the transmission of the disease.

It is rumored that after the real great doctor combines this technique with the five luck and six qi, he can accurately determine when a patient's illness began and when he will recover.

Or, when the patient will die.

But now there are very few doctors who really know this dialectic.

The eight-outline syndrome differentiation is relatively concise and clear, and it is the main means of syndrome differentiation for doctors now.

Eight outlines of syndrome differentiation, yin and yang as the general outline, the disease is in the surface, the virtual is real, the cold is hot, and the doctor must distinguish it when he sees a doctor, otherwise it will be difficult to prescribe medicine.

For example, cold and heat, cold and heat treatment, heat and cold treatment, if you can't distinguish between cold and heat, how to prescribe medicine?

Should I prescribe cold medicine? Or should I prescribe a hot pill?

At this time, Li Maoyang couldn't tell whether Ouyang Xiaomei was cold or hot.

So his expression was slightly paused at this time, and his clenched fists were sweating.

"Eldest sister, you let Xiaomei show the knife edge and let's take a look."

Qiao Guoguo on the side saw Li Maoyang's expression paused slightly, and his fists were clenched, knowing that he was in a dilemma at this time, so he said to WeChat.

"Okay, okay!"

Ouyang Li on the opposite side hurriedly said.

Then Ouyang Xiaomei left the video, and after a while, the knife and drainage of Ouyang Xiaomei's chest and ribs appeared in the camera.

The incision is about 9 centimeters long, and the lower drain is also 3 centimeters long, and the color is red and flat, and a thin brown pus flows out.

Around the wounds and drainage, there is a 1.5 cm wide black halo.

In addition, the right upper quadrant was faintly bulging.

"How's this draining taste?" Qiao Guoguo asked.

This is also a way not to let the cold field ask.

"It stinks."

In the shot, Ouyang Li sniffed her daughter's drainage mouth with her nose.

"Eldest sister, you press and knock on that part of Xiaomei's liver like me, and ask Xiaomei how she feels?" Qiao Guoguo said again.

In the shot, Ouyang Li pressed and knocked her daughter Xiaomei's liver according to Qiao Guoguo's instructions, and Xiaomei's cry of pain came from across the screen.

This indicates significant tenderness and percussion on palpation of the liver.

Then Qiao Guoguo asked Xiaomei about the pain again, and learned that it was a dull pain during the day and a serious pain at night.

In the end, Qiao Guoguo asked Ouyang Li to pass over Xiaomei's film and test sheets before and after the operation, as well as the medication prescription list at the back.

"In this way, Sister Ouyang, let's analyze Xiaomei's situation and give you an answer, okay?"

Qiao Guoguo saw that Li Maoyang's face was still a little confused, so he said to Ouyang Li.

"Okay, okay!" Ouyang Li said.

Then hung up the video call at both ends, and Alia saw that Li Maoyang was in a dilemma, so she quickly turned off the live broadcast under the pretext that the live broadcast time was up.

Li Maoyang sat quietly, like a piece of wood.

He couldn't tell the difference between cold and heat, and he couldn't report it to the system.

His mind was in chaos now.

Qiao Guoguo began to drink the medicine, and while she drank the medicine, she looked at the content of the visit and consultation she had recorded by herself, and pulled the logical line, trying to analyze whether Ouyang Xiaomei's body was cold or hot.

She didn't dare to disturb Li Maoyang, so she let him sit there in a daze.

Alia didn't dare to disturb Li Maoyang, just like that, Qiao Guoguo didn't bother Li Maoyang at this time, so Li Maoyang at this time must not be disturbed.

Li Maoyang stood up and walked out, he wanted to take a walk in the yard alone, which might help him sort out Ouyang Xiaomei's condition.

The face is dark yellow, the body is thin, the belly is swollen and the stomach is small, the mouth is bitter and the throat is dry, the thirst does not want to drink, the urine is yellow and the stool is loose, and the tongue is pale......

He thought over and over what he had gotten through these visits and inquiries, and then gradually realized that if he got caught up in these specific symptoms and discerned the overall cold and heat according to whether there were more symptoms of fever or chills, it might be difficult for him to sort it out......

So he had to jump out of these trivial symptoms and look at Ouyang Xiaomei's situation from an overall perspective!

What is Ouyang Xiaomei's overall situation?

She is thin and small, looking weak in qi and blood, and after another operation, her qi and blood are greatly injured, and then she is in endless pain, pus is constantly flowing from the drainage port, and there is liver and spleen and stomach, and her appetite is poor.

Therefore, on the whole, Ouyang Xiaomei must be weak in qi and blood!

This can be seen from the dark yellow face and white tongue, as for the yellow urine, dry mouth and bitter mouth, some fiery signs mixed with it, it is just some floating false fire.

Therefore, even if she has some heat, it is also a deficiency heat, which is generated when the righteous qi in the body fights against the evil qi, and it is also caused by the torture of illness, the uncomfortable liver qi, and the cold, dampness, stagnation and heat in the body.

The overall condition in her body is cold.

Therefore, it is natural to use hot medicine!

Thinking through this key question, Li Maoyang suddenly felt relaxed and his thinking became more flexible!

He pondered and sorted out Ouyang Xiaomei's condition again, carefully organized the language, and reported to the system in three categories: observation, inquiry and smell.

He reported in detail, and the general meaning was that Ouyang Xiaomei's illness was that the disease and evil poison were not cleaned up after the operation, and the righteous qi was weak and could not defeat the evil, resulting in the disease and evil poison entrenched into carbuncles, and the skin ulcerated and pus.

But unfortunately, although he reported very carefully and carefully, his two items of consultation and smell diagnosis were still not approved by the system, and he only received a reward for drug efficacy deduction when he reported on the visit.

When reporting the conclusion of the olfactory diagnosis, one sniffing was missing, and he only reported the diagnosis of the patient's Ouyang Xiaomei's voice, which was determined by the system to be incomplete and did not receive a reward.

When he reported the conclusion of the consultation, he was assessed by the system as not detailed enough, and as a result, his conclusion was not approved by the system and he was not rewarded.

In the end, he was only rewarded for the efficacy deduction once when he reported the conclusion of the visit.

After the system gradually raised the standard of judging him, this result is also normal.

Remote reception of patients is already less pulse diagnosis, and there is also less smell diagnosis in the smell diagnosis, so it is unlikely that the smell diagnosis will be rewarded, so that the four diagnoses can only be expected to receive system rewards in the visit and consultation.

This makes it difficult for him to get two successive efficacy deduction rewards in a single remote patient.

However, if you can't get two drug effect deduction rewards, it is impossible to synthesize a system to prescribe drugs on your behalf.

So, this time he had to prescribe the medicine himself!

The reward for prescribing medicine on behalf of the system that he still retains in his system is reserved for the four catties, and it is easy to use.

After all, the four-pound man who came all the way to the doctor couldn't let the family run empty.

……

A chance to deduce the efficacy of the drug, this time he must be careful when prescribing medicine!

In addition to thinking about it yourself, I'm afraid it is inevitable to ask the second master once.

The law does not prohibit it, and the system does not prohibit him from asking other doctors for prescriptions!

Li Maoyang hurriedly used his brain to think about what medicine to prescribe to Ouyang Xiaomei.

He didn't want to consult the second master in advance, he had to think about it himself first and prescribe a prescription before asking for advice!

That's how he can really learn!