Chapter 57: Finally found the feeling of being a master
"Do you have faith?"
An Yuanming asked Chen Luo with a smile.
"To be honest, when I was a freshman in high school, I was still a little lacking in confidence to do the questions of my junior year of high school."
Chen Xiao groaned for a while.
Ning Shihai: "......"
No wonder the master said that this junior brother is not ordinary, and it is indeed unusual.
Doing the topic of the third year of high school in the first year of high school, but a little lacking in confidence?
Replaced him, that is completely unconfident, right?
"Did you see that?"
An Yuanming gradually got used to the character and habits of his disciple, and he was not very surprised.
For others, this answer must be proud, but for Chen Luo, it is just telling the truth.
"Let's get started."
An Yuanming looked at the time and said to Ning Shihai with a smile.
Ning Shihai smiled and began to call the number.
Although it is only a small medical hall, it is now a fully automated office, and the clinic is also a computer, with an automatic calling machine and automatic registration.
There are many patients in the hospital, if there is no automatic call, it is really quite chaotic, the patients don't know who they are, and there are basically a lot of people at the door of the clinic.
Now, some patients have registered, guessed the time, and can go out to eat or even find a place to rest.
Yishantang has been open for more than ten years, and in addition to local patients, there are not many patients from other places.
Now on the Yishan Hall side, in addition to Ning Shihai himself, there are also doctors and students invited by Ning Shihai.
When the patient entered the door, An Yuanming looked up, then sat the patient down and began to check the patient's pulse.
Chen on the side looked at it seriously, but he didn't ask, didn't he say that it was himself?
After all, the patients who came to the hospital had different conditions, some were more complicated, and some were relatively simple, and An Yuanming was a test of Chen Luo's level, not a difficult one.
At An Yuanming's level, the patient entered the door, and when he looked at it, he could basically see the approximate situation.
"Touch your pulse."
After An Yuanming's diagnosis, he let Chen slightly diagnose the pulse, which can be regarded as a kind of exercise.
After all, when An Yuanming diagnosed, what symptoms, pulses, and illnesses did the patient have, An Yuanming had already been diagnosed, which was equivalent to telling Chen Luo the answer, and Chen Luo compared the answers, and then familiarized himself with what pulse and what it felt.
When it was time for the fifth patient, An Yuanming said to Chen Luo: "Xiaoluo, you can take a look." ”
The patient was a man, about 30 years old, who coughed when he entered the consultation room, and subconsciously tightened his coat.
It's late October now, and Chen Luo has been in class for two weeks after the National Day.
Although the climate in Zhongping City is starting to get cooler, it is not very cold, this time is actually the most comfortable climate of the year, you may need to wear a coat in the morning and evening, and even short sleeves can be used when it is hot at noon.
"Is it a little cold?"
Wait until the patient sits down, Chen asked.
"Well, it's a little cold."
The man nodded, not saying anything because Chen was slightly younger.
In the clinic, An Yuanming is there, and Ning Shihai is also there, obviously it is an old doctor who takes the students.
Especially looking at An Yuanming, the patient even felt that he was lucky.
Looking at traditional Chinese medicine, the older you are, the more reliable it is, this is the cognition of most people, of course, generally speaking, this is also a more reliable evaluation standard.
"Fever, 39.1 °C, sore neck, juniors and joints in the limbs, especially the neck, it seems that it is uncomfortable to turn your head."
When the patient came in just now, Chen Luo noticed that the patient's neck seemed to be a little stiff, which turned out to be the reason.
"Runny nose?"
"Hmm."
"Is there phlegm in the cough?"
"Occasionally spit out a little white phlegm and sneeze."
"Where's the throat, does it hurt?"
"It doesn't hurt in the throat."
Chen asked a little carefully, and then touched the patient's pulse.
"It's a tight pulse."
Chen Luo said to An Yuanming.
The veins are tight, and the veins are tightly bundled, just like a hemp rope being pulled and twisted.
An Yuanming didn't speak, and Chen Luo continued to look at the patient's tongue.
After reading it, Chen Luo pondered for a while and said: "Article 3 of "Treatise on Typhoid Fever", sun disease, or fever, or no fever, will have chills, body pain, vomiting, and tight pulses, which is called typhoid fever, which can be treated with ephedra soup. ”
On the side, Ning Shihai was dumbfounded.
Is this little junior brother really just a freshman?
At this level, this judgment is believed by people who say that they have graduated with a master's degree.
What is the level of the current university of Chinese medicine Ning Shihai knows very well that there may be nothing wrong with the theory, but the practice is really poor.
No matter how many doctors who have graduated with a master's degree and entered the hospital, they may not be able to feel the pulse.
The introduction of pulse diagnosis in traditional Chinese medicine generally takes two or three months for the faster ones, and the slower ones may not be able to do it for a lifetime.
But this speed is also conditional, and it can be practiced.
I only learn theories, but I don't really feel the pulse of the patient, how can I get started?
This is the case with most medical students today.
After the junior and senior years, the things I learned began to be clinical, and this clinical bias only began to involve medical records and other aspects, and theoretically combined the basic and medical records, rather than the clinical practice.
Even when you go to the hospital, there are not many opportunities to get started.
Most people don't have that kind of awareness, saying, whether someone takes it or not, I will diagnose the patient's pulse, and I don't even need to be limited to the patient, as long as someone is willing, I can practice.
Most people's consciousness is that there is a doctor with it, and the senior doctor says you try, and then you try, and the senior doctor doesn't say, and then you just watch.
Is there any risk in diagnosing pulse and looking at qi instead of prescribing medicine, and the senior doctor is worried about the risk if he does not let the newcomer get started casually, and what is there to worry about when practicing normally?
This is the matter of consciousness.
Scholars are bored to do questions to pass the time, happy to do questions to help fun, ordinary students are, I don't do homework if the teacher doesn't assign homework, and I don't want to do it if I don't check it.
That's where the gap comes in.
At the current level of medical school, Ning Shihai knew it very well, so he was even more surprised.
No wonder the master let the little junior brother go to the clinic, it turns out that he is really capable.
"Let's open it."
An Yuanming said to Chen Luo.
Chen Luo wrote the prescription on the side, and then handed it to An Yuanming, An Yuanming looked at it, added kudzu, peony, and jujube to the back, and then signed.
"Article 31, sun disease, a few strong necks, no sweat, evil wind, kudzu root soup master."
Chen Luo's reaction was very fast, and when An Yuanming wrote about Gegen, Chen Luo understood.
"I neglected the patient's main back pain and neck......"
Chen Luo communicated with Sun Wanqing in his heart.
"It's good that the husband realizes his mistake."
Sun Wanqing said.
"Why didn't you remind me?"
Chen slightly complained.
"The husband is now learning from An Lao, he is not afraid of mistakes, and if he makes mistakes, he can deepen his impression, why should the concubine remind him?"
Sun Wanqing said and joked: "Do you continue to help your husband grow face in front of An Lao?" ”
Chen Luo: "......."
It makes sense.
"An Lao now wants to understand the true level of her husband, if the concubine helps her husband, won't there be water?"
Chen Luo muttered in his heart: "I'm a man, how can I have water, and it's ...... if I have."
"Know it's wrong?"
An Yuanming asked with a smile.
"Yes, I ignored it." Chen nodded honestly.
It is easy for a scholar to make mistakes, and he is very honest when he makes mistakes.
"You remember "Treatise on Typhoid Fever" very well, but you still have to be careful when you are specifically testifying."
An Yuanming took the opportunity to knock: "You shouldn't make a mistake this time, because you also know Article 31, that is, you are too confident and too careless." ”
This stinky boy, I usually don't dare to say it, and you feel uncomfortable when you choke on a word, but today is honest.
An Yuanming finally has a feeling of being a master again.
"The disciple remembered."
Chen Luo said honestly.
If you are wrong, you must be wrong, you must stand up when you are beaten, and if you are wrong, you must admit it, there is no excuse.
And the most important thing is that An Yuanming said it well, this mistake is not that he won't, it is overstepping, but negligence, if he thought about it for a while just now, he should be able to think of it.