"In terms of symptoms, the patient sneezed, had a runny nose, had a headache, had body aches, followed by a fever, and sweated after taking cold medicine....."

Chen Luo said slowly: "Judging from the symptoms, it seems to be a typical manifestation of solar typhoid fever, because there are few chills at the beginning of the disease, and then there is a fever, and I don't sweat after the chills and fever, but I sweat after the cold medicine......"

"Smack!"

The pen in Song Yuankai's hand fell on the table.

Not to mention whether Chen Luo's analysis is right or not, Chen Luo's analysis at least shows that Chen Luo has an understanding of this case.

Freshmen who have just entered the school are already very good at such a level.

Some of the students who came to the auditors were a little surprised.

"I'm going, at least the analysis of the symptoms is quite pertinent, and to do this, at least a certain understanding of the basics is required."

"How long have I been in class since my freshman year, and it's only half a month, right?"

Chen Luo continued: "The patient has headache, fever, and sweating, which does not seem to be exactly a solar stroke syndrome, but also a symptom of solar typhoid fever syndrome......

"Yes, judging from the patient's performance, it is really difficult to distinguish whether it is solar stroke or solar typhoid epiphysis."

Some juniors are also whispering.

Although the students who participated in the activity were the protagonists, other people on the side could also solve problems and think.

"Does the patient have a headache, yes, does he have a fever, does he have sweating, and likewise, he is afraid of cold.....

Chen Luo said: "Judging from the patient's performance, it is in line with Article 13 of the "Treatise on Typhoid Fever", sun disease, headache, fever, sweating..... Guizhi soup master. ”

"Actually, I think that at this point, there is no need to worry about whether the patient has a solar stroke or solar typhoid fever, because the article does not need to clarify whether it is a stroke or typhoid fever."

"it!"

"Awesome!"

The students who were listening on the side couldn't help but admire, Chen Luo's analysis can be said to be completely fine.

If you want to say that some students initially thought that it was not quite in line with solar stroke, then Chen Luo now gave a plan and applied the provisions, which is indeed not wrong, judging from the provisions, there is really no need to distinguish whether it is solar stroke or solar typhoid syndrome, because the symptoms of this patient are completely consistent.

"What about the 12?"

Some classmates said loudly.

"The sun strokes, the yang floats and the yin is weak, the yang floats, the heat is spontaneous, and the yin is weak, and the sweat comes out spontaneously. Those who are stingy with cold, stingy with bad wind, fever, nasal sound and retching, the ...... of the owner of Guizhi soup"

Chen Luo said the original text of Article 12: "Article 12 is a typical sun disease stroke, which belongs to the indications of Guizhi Tang, but Article 13 does change the development of the disease from real to virtual, and there is still no category of Guizhi Tang." ”

Chen Luo paused and said: "The description of the development and change of the disease in the "Treatise on Typhoid Fever" is very detailed, and Article 13 is actually a process of the development of the disease in Article 12, which is not only the sun disease, but also in some other diseases, "Treatise on Typhoid Fever" also describes, and you can find the law by reading the book carefully. ”

Chen Luo has now read "Treatise on Typhoid Fever" in its entirety, especially because this disease is very similar to Chen Yuntao's situation at that time, Sun Wanqing specially explained the relationship between the articles to Chen Luo.

In the explanation and description of similar diseases in the "Treatise on Typhoid Fever", the articles next to each other are often the process of the development of the disease and what drugs are used at what stage.

"Chen Luo is right."

Dai Yang said: ""Treatise on Typhoid Fever" is indeed sorted like this, the freshman students may not have paid attention to it, but the sophomore and junior juniors should be able to notice. ”

As he spoke, Dai Yang also subconsciously glanced at Chen Luo.

Chen Luo analyzed this case very well, and also explained the question of the classmate on the side just now.

Song Yuankai looked at Chen Luo's eyes with a little disbelief, the expression on his face seemed to be a little frozen, and the whole person was completely confused.

Can this case be analyzed?

This case is actually ambiguous, and for new students, it is easy to get entangled between solar stroke and solar typhoid syndrome.

There is a transition between solar stroke and solar typhoid syndrome, with Guizhi decoction used for solar stroke syndrome and ephedra decoction used for solar typhoid syndrome, and the prescriptions are different.

So for beginners, you must fight on this issue, and if you don't figure it out, then whether to use ephedra soup or cinnamon soup?

Chen Luo was not confused by this appearance, and directly compared the 13 items, the disease is still in the category of Guizhi Tang, and there is no need to worry about whether it is a solar stroke or a solar typhoid syndrome.

This case is difficult, it is indeed simple, and the original text of "Treatise on Typhoid Fever" can be analyzed after understanding.

To say that it is simple and confusing, this case is Song Yuankai's thoughts.

It not only does not make others feel that the topic is too outlined, but also makes Chen Luo who has a solid foundation and has not been exposed to clinical confusion.

"This is Chen Luo!"

Lu Yunhai sighed in his heart.

Song Yuankai wanted to make Chen slightly ugly, but he really miscalculated.

Chen Luo analyzed this first case so brilliantly, even if there are things that I don't understand and analyze wrongly, they are actually flawed.

Song Yuankai has lost this game.

From the time when Dai Yang replaced Shang Xuewen, the situation was actually unfavorable to Song Yuankai.

This stupid kid provided Chen Luo with a platform.

"I said the great god is powerful, right?"

Lin Haoxuan turned back to Luo Hongfei and said, "Look at how professional the Great God is. ”

Luo Hongfei opened his mouth, speechless.

This time, Chen Luo's performance was actually even more amazing than in class.

At that time, after all, it was just an introduction to the consultation, and this time Chen Luo was an analysis of the symptoms, and the two were not the same level.

"Okay, is there anything else anyone else would like to say?"

Dai Yang asked Song Yuankai a few people.

Song Yuankai and the others didn't say anything, Chen Luo said everything that should be said, what else could they say?

The first answer is that there is a risk, and if you are wrong, the people behind you can learn a lesson, but if you answer correctly, the people behind you don't have much chance, at most they can check and fill in the gaps.

There are pros and cons in succession.

After all, it is a community exchange, and it doesn't need to be too formal, and everyone's purpose is to make progress together.

"Chen Luo's answer is really good, and there is almost nothing missing."

Dai Yang summed it up: "In this case, Chen is slightly considered a full score, everyone has no opinion, right?" ”

Naturally, the referees had no opinion, and there were spectators on the side, and there were also senior students in the audience.

"Okay, then go ahead."

Some students stepped forward to send the second case to Chen Luo and others, and the blackboard was also replaced with a new case.

Chen Luo took over the case, this case is sweating, the patient is healthy, but he loves to sweat, eating, whether it is spring, summer, autumn and winter or at night, sweating is quite serious.

"This case can be analyzed according to the patient's symptoms, and you only need to distinguish the syndrome and say the treatment."

Dai Yang said: "After all, they are all freshmen and sophomores, and there is still a lack of pharmacology, so there is no need to prescribe accurately, of course it is better to have a prescription." ”

"Lack of pharmacology?"

Some of the onlookers on the side were speechless: "Are Chen Luo and others just lacking in pharmacology, they have just entered the school, and they have only been in classes for half a month, so they are lacking in all aspects, okay?" ”

At this time, the onlookers also learned about some of the situation of Chen Luo and others, and asked each other about it.

Lu Yunhai and Song Yuankai and several others have a foundation, and there are elders in the family who are originally doctors, and they have early contact.

Chen Luo is a blank slate, but Chen Luo performs the best.

In the first case just now, Chen Luo did perform the best.

Just as the classmates were communicating, Wu Canyang walked into the classroom of the case club.

At this time, everyone basically paid attention to Chen Luo and the others, no one noticed Wu Canyang who came in, Wu Canyang stood at the end, and did not say a word, and also looked at Chen Luo and the others.

"Who wants to say this first?"

Dai Yang asked.

Song Yuankai and the others still tacitly understood that no one spoke, and continued to wait for Chen Luo.

This case is already more difficult than the one just now.

"Or did Chen Luo say it first?"

Dai Yang was not surprised, after all, they were all freshmen and sophomores, and it was normal for them to have no score in their hearts.

As for Song Yuankai, Lu Yunhai and others, maybe they don't want to talk about it first.

"Then I'll talk about it."

Chen Xiao groaned for a while.

Chen Luo had really not been exposed to this case before, and it was really difficult.

However, Chen Luo also analyzed it carefully just now, Sun Wanqing is right, he must have the habit of facing some problems independently.

Seeing a doctor is not the same as doing a question, even if it is Chen Luo, in fact, it is also cautious, talking on paper, meeting patients, I will definitely think, what if I eat badly?

But now it's just talking on paper, and Chen Luo is not afraid of making mistakes.

"Sweating is a normal physiological phenomenon of the human body, so it is necessary to first determine whether sweating is normal sweating or abnormal sweating."

Chen Luo said: "Patients sweat all year round, regardless of the season, it is already a pathology, so it is necessary to analyze the causes of sweating, normally there are many causes of sweating, but in general, most of them are yin and yang imbalance. ”

"It is recorded in "Su Wen: Yin and Yang Farewell" that yang is added to yin, which is called sweat ......"

When faced with this case, Chen Luo finally realized the benefits of Sun Wanqing letting him read the "Book of the Three Worlds" first.

"The Yellow Emperor's Neijing" is divided into two parts: "Su Wen" and "Lingshu", and Chen Luo is the earliest to read.

Traditional Chinese medicine was born very early, but the medical theory of later generations was basically based on "Yi", "Huangdi Neijing" and "Shennong's Materia Medica".

It's like the status of the Analects in Confucianism.

The third book is like the general outline of traditional Chinese medicine, read these books first, and in many cases you can grasp the general direction clearly, and some of the subsequent medical books are actually more like supplements and analyses of several books such as "The Yellow Emperor's Neijing".

When seeing a doctor in traditional Chinese medicine, the first thing to distinguish between yin and yang, virtual and real, cold and heat...... This is a big category, and the "Book of the Three Worlds" is what allows Chinese medicine practitioners to distinguish yin and yang, virtual and real, cold and heat.

"Combined with the patient's other symptoms, sweating but not thirsty, and urinating less, the appearance of deficiency should be considered......"

Without Sun Wanqing's help this time, Chen Luo could only analyze from the general direction and express his cognition.