Chapter 287: Take the students to check the ward

Outpatient room.

After Xiao Bufan explained the treatment ideas of traditional Chinese medicine for viral infections with Li Junze and others, he prescribed a prescription for patient Tan Degui.

"Okay, you take this prescription and the payment slip to the registration office to pay the money, and then go to the Chinese medicine pharmacy to pick up the medicine."

Xiao Bufan handed the printed recipe and payment slip to Tan Deguidao.

Tan Degui nodded his head again and again and thanked him: "Thank you, Dean Xiao, thank you so much." ”

"Well, alright, let's go!"

Xiao Bufan smiled and waved his hand, and then walked towards the canteen of the hospital with Li Junze and the others.

It's been a busy morning, and they haven't had lunch yet!

After taking Li Junze and others to lunch in the canteen of the hospital.

Xiao Bufan returned to his outpatient room to take a lunch break, but Lin Yifei followed up and asked:

"Teacher, I still have some questions about the treatment of viral infections in Chinese medicine that you mentioned before, I wonder if you can give me some questions, teacher?"

"Huh? If you have any questions, just ask, isn't the teacher just used to teach you and solve your doubts? Xiao Bufan looked at Lin Yifei with a smile on his face.

Hearing this, Lin Yifei hurriedly asked: "Teacher, what you said before is to help the right and dispel the evil, pay attention to the whole, how should this treatment of viral infection be dialectical?" ”

"Western medicine can determine whether a person is infected with the virus through examination, but how can we determine the pulse of Chinese medicine? After all, there are so many types of this virus, how do we determine what kind of drugs should be used to sort out and treat this virus? ”

Hearing Lin Yifei ask.

Xiao Bufan explained with a smile: "For viral infection, Chinese medicine has four arguments, one is to be obedient and reverse, and its traces are either explained from the outside, or from the inside, those who are solved from the outside are obedient, and those who are invaginated are reversed."

"The second identification of internal injuries, those with internal injuries and chronic diseases, mostly present the coexistence of internal injuries and external feelings"

"The third is to distinguish the evil qi, the location and disease of the evil qi in the surface, and to distinguish the combination of wind, heat, cold, and dampness."

"The fourth distinguishes shortness of breath, the source of recognition, the source of biochemistry, the spleen and stomach are the source of viscera and biochemistry, Wu Jutong's "Differentiation of Warm Disease" has a saying: "Carefully press the hundred ends of the temperature illness and death, and the outline does not exceed five articles." There are two in Shangjiao: one is that the source of the lungs dies; Second, it is said that the mind is closed inside, and those who are closed inside and out die

After Xiao Bufan gave Lin Yifei a general explanation of the dialectical method, he smiled and waved his hand and said: "Okay, there are more patients of the same kind who you have seen about these dialectical concepts, and you will be able to easily feel the difference between them in clinical practice, see more, learn more, and do more!" ”

"Yes, teacher, I see."

Lin Yifei nodded thoughtfully.

Soon, the lunch break passed.

Xiao Bufan took Lin Yifei and others to continue to go out of the outpatient clinic, and then taught them how to dialectically and prescribe treatment while watching the patients.

Zhou Yejun and Yang Xizhao, the two interns, are also very good!

From the perspective of daily clinical teaching, these two people have learned quite well, and their comprehension skills are not bad, maybe they are a little worse than Lin Yifei's talent in traditional Chinese medicine!

But from the perspective of the system, talent is still very Chinese medicine.

This talent in traditional Chinese medicine is almost a little worse, and the difference may not be obvious when learning the basics, but when you step into the threshold of the master of traditional Chinese medicine, the difference between the two is not just a star and a half.

Outpatient room.

After Xiao Bufan gave a brief look at a patient, he asked Lin Yifei and others to give the patient a number and pulse, and then asked:

"Well, what do you think of this patient's pulse? A few of you talk about your own dialectic, and then try to come up with a prescription! ”

Intern Zhou Yejun was the first to stand up and replied: "The patient's pulse image can be obtained by taking it lightly, and if it is slightly reduced by pressing it again, it is a floating pulse, which may be a symptom of false yang floating over." ”

"Well, yes, the patient is indeed floating."

Xiao Bufan nodded with a smile, and then changed his words: "But are you sure that the patient is the disease of Void Yang Floating?" You must know that there are many kinds of diseases of this floating pulse, have you paid attention to the patient's tongue coating? ”

"Ahh

Zhou Yejun couldn't help but be stunned for a moment, and then hurriedly looked at the patient's tongue coating again.

The patient's pulse is shallow and floating on the surface, the pulse is tight and solid, and the tongue coating is thin and white, which is more common in the external cold and evil surface, or the pain of wind cold paralysis.

Zhou Yejun hurriedly changed his words again: "Teacher, I didn't notice the patient's tongue coating just now, I think it should be the manifestation of external cold and evil." ”

"Then you can try a prescription?"

Xiao Bufan said with a smile, then turned his head to look at Lin Yifei and the others and said, "A few of you can also make a prescription, let me take a look!" ”

"Yes, Teacher!"

Lin Yifei and the others nodded in response, and then each took out a pen and paper and started the prescription.

Take advantage of the time when a few of them are prescribing prescriptions.

Xiao Bufan pressed the computer keyboard in front of him and printed out the prescription he had prescribed, and then handed it to the patient in front of him and said, "Okay, take this prescription and the payment slip to the registration office to pay the fee first, and then go to the Chinese medicine pharmacy to get the medicine, and I will write the usage and dosage on it." ”

"Okay, I see, thank you, doctor!"

The patient nodded happily and thanked him, took the list handed by Xiao Bufan, and got up and left here.

It was just this that Lin Yifei and the others also opened their own prescriptions.

Xiao Bufan turned around and looked at the prescriptions prescribed by several of them, and couldn't help but criticize them one by one: "Your prescription is more than enough to be enterprising, and the ministers are too little to make the main medicine, it seems that your prescription is a bit conservative!" ”

"Your recipe looks decent, but the problem is that it is too decent, and you have no ideas and testimony of your own."

"The prescription you prescribed is okay, but is the dosage too much? The patient is just a simple external cold evil surface, so you give the patient such a fierce medicine? ”

"You're the way."

Xiao Bufan pointed out the prescriptions prescribed by Lin Yifei and the others one by one, and then glanced at the time and said:

"Okay, I don't think it's too early, let's pack up and get ready to get off work, after you go back, remember to read more "Shennong's Materia Medica", it's not enough to remember the ministers and envoys inside, you have to learn to apply it flexibly, and know what is the focus of dialectic."

"Yes, teacher, we know, after we go back, we will definitely re-study the Shennong Materia Medica."

Several people hurriedly nodded in response.

Seeing this, Xiao Bufan nodded with satisfaction, and then asked everyone to take off their white coats and get off work.

A few days passed in a flash.

Soon, it's Thursday!

Xiao Bufan did not go out of the outpatient clinic on Thursday, so he could only arrange Lin Yifei and others to the inpatient department of the Chinese medicine department for internship.

Pedal Pedal Tread.

Xiao Bufan walked in the corridor of the inpatient department in a white coat, followed by several interns who were also dressed in white, looking a bit like the chief physician of the emergency department in the TV series.

Xiao Bufan directly found Wang Zangshan, the director of the inpatient department, and introduced him to several interns behind him, saying:

"From Thursday to the weekend, let the three of them intern in the inpatient department, Director Wang, if you are free, you can bring more of them, if you are not free, I will bring them again, it seems that our inpatient department has also entered a few new residents during this time, right?"

Wang Zangshan smiled and nodded in response: "Yes, Dean, we have two new residents in the inpatient department, both of whom are very young and capable doctors, I think they are both very good." ”

"Well, I know, if you have something to do, go get busy first, I'll take these interns to check the room."

Xiao Bufan said another word to Wang Zangshan with a smile, and then took Lin Yifei and the others to start checking the ward.

Visiting the ward is also a direction that interns need to learn, and it will also give them a lot of clinical experience, which is no worse than the outpatient department.

You must know that if the inpatient department can be hospitalized according to the standards of traditional Chinese medicine, its symptoms will definitely not be simple, otherwise they will not need to be hospitalized.

Xiao Bufan took Lin Yifei and others to start from the first ward.

Squeak!

I pushed open the door of the ward in front of me.

Xiao Bufan's face was replaced by a gentle smile, because the patients living in this ward and the tenth room in the back were all patients with brain tumors, that is, patients who were the subject of his medical research.

There are three beds in each ward, and there are 30 brain tumor patients, all of whom feel like they have been reborn under Xiao Bufan's treatment, and everyone's gratitude to Xiao Bufan is indescribable.

This time, Xiao Bufan walked in wearing a white coat and walking in with a few young people.

Several patients in the ward sat up together and greeted Xiao Bufan:

"Dean Xiao is early, have you had breakfast? If you haven't eaten it, I'll have a few buns here, why don't you try them? ”

Another patient couldn't help but laugh and retorted, "Go and go, where will Dean Xiao eat your buns?" Let's eat my rice noodles, I specially asked my granddaughter to buy them just now, and I haven't touched the chopsticks yet! ”

"Hehe, a few of you are also early, I won't eat this breakfast, you better keep it for yourself!"

Xiao Bufan rejected the kindness of several patients with a smile on his face, and then said to several of them: "Today, I will bring a few students over to check the ward, and by the way, I will give you all a follow-up." ”

"Yo, these are the students you brought with Dean Xiao?"

The patient's face was overjoyed, and he pointed to Lin Yifei and the others behind him and said: "These children look very good, learn from your Dean Xiao, this Dean Xiao's medical skills are amazing, if you can learn his skills, you will become a famous doctor!" ”

"Yes, yes, this Dean Xiao's medical skills are amazing, you have to study hard with him!"

Another patient also smiled and said to Lin Yifei and the others.

Listening to the words of several patients, Lin Yifei and the others couldn't help but nod their heads to show that they understood, which also proved from the side how high Xiao Bufan's status was in the hearts of this group of patients.

And the reason for this result is nothing more than that Xiao Bufan's medical skills are indeed superb, otherwise there is no other reason to convince this group of patients.

Xiao Bufan chuckled and shook his head, and said to several patients: "Okay, you old men, don't joke with my students, let's let them give you the number pulse!" ”

The patients with brain tumors in front of me were all relatively old, so they were placed in the first ward.

It is the closest to the nurse's station, which is also convenient for doctors to check on their condition.

"Hehe, since you are Dean Xiao's students, then come on, we old guys let you toss and learn, as long as you can learn real skills."

One of the old men surnamed Xu said with a smile, and then simply rolled up his sleeve and stretched out his wrist.

Xiao Bufan turned his head and said to Lin Yifei and the others: "Okay, a few of you go and give these old men a pulse, these old men are all suffering from brain tumors, but now they have improved to a certain extent after my prescribed treatment, you take a look at the situation of these old men, and then tell me what your opinions on the next treatment." ”

These old men are all brain tumor patients?

Lin Yifei and the others couldn't help but glance at each other, this was the first time they had seen that Chinese medicine could treat brain tumors.

Although they have heard some legends that Chinese medicine can cure tumors and cancers before.

But that's just a legend after all, and no one has ever seen it with their own eyes.

And yet now.

They actually saw living examples from the mouths of their own teachers.

This couldn't help but shock Lin Yifei and the others, and at the same time, they were also shocked by the medical skills of Xiao Bufan, a teacher!

Subsequently, under Xiao Bufan's gaze, Lin Yifei and others stepped forward one after another to give the three patients a pulse.

Three patients, three interns.

It just so happened that they took turns to call the pulse three times and they were able to read it.

Xiao Bufan stood in the back and waited quietly for these students to finish giving the patient pulse, and asked with a smile: "How is it, what do you think about the later treatment of the patient?" ”

With Xiao Bufan's question coming out.

Lin Yifei and the three of them couldn't help but glance at each other, everyone didn't speak for a long time, it seemed that they were really a little unsure about the pulse of brain tumors.

Xiao Bufan smiled and waited for two minutes, then pointed at Lin Yifei and said, "Yifei, let's talk first, you have been with me for the longest time, tell me what you think of the pulse of these patients?" ”

This time, I saw that my teacher was named.

Lin Yifei couldn't help but be slightly stunned, so he had to speak: "The pulse of these three old men is different, and I think the prescription will be different when treated.

Listening to Lin Yifei's answer, Xiao Bufan nodded with a smile, and then pointed to Yang Xizhao on the side and asked, "What do you think of these three old men's patients?" ”

Yang Xizhao couldn't help but take a deep breath and replied: "I think Senior Brother Lin is right, the pulse of the three patients is different, although they all suffer from brain tumors, but the causes of brain tumors are different, we should focus on the cause, eliminate the cause first, and then treat the tumor lesion."

"Well, that's good, that's right."

Xiao Bufan smiled and turned his gaze to the last Zhou Yejun and said, "What do you think?" ”

Zhou Yejun thought for a while and said: "The pulse of the three old men is different, my opinion is similar to that of Senior Sister Yang, first eliminate the cause, and then treat the tumor lesion." ”

Hearing this, Xiao Bufan's eyebrows couldn't help but raise slightly, looked at Zhou Yejun and said: "You must have your own ideas for treatment, you can't follow the crowd, and you can't copy other people's ideas without your own ideas, which is disadvantageous for you to consult independently in the future." ”

"Ugh"

Zhou Yejun was stunned on the spot with an embarrassed face, as if his careful thinking had been seen through all of a sudden.

In fact, Zhou Yejun really didn't feel the pulse of these three old men at all, he just copied Yang Xizhao's words just now.

Xiao Bufan saw this at a glance.

But then again, it's not easy for these three students to be able to do this.

After all, if the patient is an ordinary person to give these three patients a pulse, it is more difficult to control the brain tumor disease that is already being treated, and the pulse is more cumbersome.

Among them, there are not only the causes of the patient, but also the symptoms caused by brain tumors, as well as the improvement after treatment

Xiao Bufan took a deep look at the three students in front of him, sighed lightly and said, "Okay, it's already very good that you can name these, I'll take you to see other patients!" ”

As he spoke, Xiao Bufan said hello to the three old men in front of him, and then took Lin Yifei and the three of them to continue towards the ward behind.

Fortunately, there are still many brain tumor patients here, which is enough for Lin Yifei and others to dialectically understand the differences.

Xiao Bufan took them on ward rounds and taught them the difference between pulse and theory, and time passed bit by bit.

Wait until Xiao Bufan takes a few of them to check all the wards of the Chinese medicine department.

The morning was over.

After all, Xiao Bufan is studying with apprentices, not ordinary hospital rounds, so this time is naturally a little longer.

Fortunately, despite this morning's rounds, Lin Yifei and the others learned a lot.

In that regard.

It's still very much worth learning.

Midday!

After Xiao Bufan took three students to lunch in the hospital cafeteria, he returned to his dean's office for a lunch break.

In the afternoon, it was natural for Lin Yifei and the three of them to follow Wang Zangshan, the director of the inpatient department.

Because Xiao Bufan still has his own things to deal with, it is impossible to have time to teach them all the time, and it is more important for them to know how to learn and progress on their own.

As soon as I came to my dean's office.

Xiao Bufan stretched his waist and lay down on the sofa, and commanded to the system:

"System, sign me in immediately!"

PS: Kneel and beg for a wave of recommendation tickets, monthly passes, and rewards!!!

There is something in the hospital in the past two days, and the update is a little slow, so I hope you will forgive me!!

(End of chapter)