Chapter 12: Mastery 'Auscultation'
Department of Traditional Chinese Medicine.
Inside the Director's Office.
Xiao Bufan listened to Director Wang's praise of himself, and couldn't help but touch his nose and said:
"I said, Director, you don't need to praise me like that, do you? Isn't it just a patient with internal bleeding, if you continue to boast about this, I don't know how to answer you. ”
"Hehe, in fact, it's okay for me to call you over, I just want to ask you about the authenticity of this matter."
Wang Tiancheng smiled and took a sip of the wolfberry tea in front of him, and said lightly: "If you don't want to talk about this issue, Doctor Xiao, then you can go back and get busy, I don't have anything to do here." ”
"Well, okay, then I'll go back to work."
Xiao Bufan nodded and glanced at the thermos cup in Director Wang's hand, and couldn't help but suddenly joke to Director Wang:
"I said director, you started soaking wolfberries in a thermos cup so early in the morning?"
"Are you so vain? Why don't I give you a look? ”
"Go, go, do I need you to show me?"
Wang Tiancheng rolled his eyes at him speechlessly, waved his hand and said, "Hurry up and hurry up your go, am I not vain?" I still want you to talk about it! ”
"Yes, yes, you're right, then I'll go and get busy first!"
Xiao Bufan replied with a smile, then turned around and left Director Wang's office.
Bang!
After watching Xiao Bufan leave with the door of the office.
Wang Tiancheng couldn't help but chuckle and shook his head, muttering in his mouth:
"This Xiao Xiao doesn't look like it's the same as before, huh? Seems to be more confident than ever? ”
You must know that after all, Xiao Bufan has been working in the Chinese medicine department of the Fifth Hospital for several years.
As the director of the Department of Traditional Chinese Medicine, Wang Tiancheng is naturally very familiar with his subordinates, otherwise he would not be able to sit firmly in the position of the director of this department.
In the past, when Xiao Bufan faced him, he didn't dare to joke with him like this.
Are you kidding yourself today?
Wang Tiancheng really didn't expect it, so he suddenly felt that Xiao Bufan seemed to be a different person.
Here, Xiao Bufan just returned to his outpatient room and sat down.
He suddenly remembered that he didn't seem to have checked in today?
Thinking of this, Xiao Bufan did not hesitate at all, and shouted directly to the system in his heart:
"System, check me in."
[Ding, the sign-in is successful, congratulations to the host for obtaining auscultation (proficient level).] 】
"Proficient auscultation?"
Xiao Bufan couldn't help but be stunned for a moment, as if he was a little dissatisfied with this sign-in reward.
You must know that this skill is generally used only by doctors in Western medicine and internal medicine.
And for a true TCM doctor.
AUSCULTATION IS A BIT TOO LOW.
In fact, in traditional Chinese medicine, auscultation is only a branch of looking, hearing, asking, and smelling.
At that time, Western medicine felt that there was no way to learn the dialectical theory of traditional Chinese medicine when it entered China, but it was the stethoscope that was invented by learning the auscultation in the smell.
Western medicine uses a stethoscope to auscultate a patient.
In fact, it is just to listen to the patient's heart rate, murmurs, and breath sounds in the lungs.
In fact, it is not possible to make a very accurate judgment about the patient's condition.
But the smell and diagnosis of Chinese medicine is different!
Olfactory diagnosis in traditional Chinese medicine includes not only auscultation, but also olfaction.
Therefore, auscultation in Chinese medicine is still very different from auscultation in Western medicine.
There is a saying in "The Yellow Emperor's Inner Canon, Lingshu, and Evil Guest":
"The liver is wood, the sound is the horn, and the will is angry; The heart belongs to fire, in the sound is the song, and in the will is joy; The spleen belongs to the soil, the sound is the palace, and the zhi is the thought; The lungs belong to gold, the sound is business, and the ambition is worried; The kidneys belong to water, the sound is the feather, and the ambition is fear. ”
As the saying goes: "The five internal organs emit five sounds, and if there is anything inside, it will form all outside!" ”
An inner illness will inevitably have an external sign.
A wise healer is not only good at taking the pulse, but also proficient in "observing words and feelings".
The "Treatise on Typhoid Fever and Miscellaneous Diseases" completely describes the pronunciation of many diseases, including snoring and snoring, difficulty in speaking, thunder in the abdomen, silence and exclamation, and other symptoms.
Buzz!
The next moment, Xiao Bufan's mind was systematically instilled with a period of knowledge and experience about 'auscultation'.
Fortunately, the auscultation rewarded by the system is auscultation in the TCM category.
After digesting the 'auscultation' knowledge he had gained, Xiao Bufan instantly felt that his hearing seemed to have become more sensitive than before, and even the footsteps outside the outpatient clinic could be heard clearly.
And for familiar people, he can even tell whose footsteps it is!
So is this also a passive reward given by the system?
Then when I auscultate patients in the future, I won't be able to use a stethoscope?!
Xiao Bufan couldn't help but suddenly turn his worries into joy, and suddenly felt that today's sign-in reward seemed to be very good.
After all, this sign-in reward not only gave him proficient 'auscultation' knowledge and experience, but also gave him the hearing to be used with proficient 'auscultation'.
That's a lot of gains, isn't it?
A smile suddenly appeared on Xiao Bufan's face, and the whole person's mood suddenly became extremely beautiful.
Bang bang bang!
That's just at this time.
A patient knocked on the door of the outpatient room, then walked in and said to Xiao Bufan:
"Hello doctor, could you please help me take a look?"
As he spoke, the other party handed the registration list and the case in his hand to Xiao Bufan's eyes.
Xiao Bufan smiled and took the other party's registration list and medical records and glanced at them.
I saw that the registration slip read:
[Name: Ho Kang-rui.] 】
[Age: 45.] 】
[Registration: Chinese medicine outpatient clinic.] 】
[Additional information: Medical records attached.] 】
..............
Then, Xiao Bufan opened the other party's medical records and looked at them carefully.
I saw that the other party's medical record read:
[Patient: He Kangrui, age 45, diagnosed with indirect insomnia for two months by Western medicine, the patient had been treated with drugs such as lorazepam, oxazepam, and midazolam maleate, but could not meet the treatment expectations. 】
This lorazepam, oxazepam, midazolam maleate and other drugs are all sedatives of sleeping pills.
But judging by the cases of the other side.
None of these medications seem to be able to solve the other person's insomnia problem.
In fact, in a sense, Western medicine sleeping pills are just a mandatory sedative.
This tranquilizer does not have a direct effect on regulating the body's own sleep, it is purely a mandatory sedative sleep.
And once the body develops antibodies to these drugs.
Then these so-called tranquilizers will lose their effect and will no longer be able to calm sleep.
The anesthetic used by Western and Western doctors in surgery is actually similar to this.
Therefore, the anesthetics used in Western medicine also have great side effects.