Chapter 8: A Little Worse Again
"Traditional Chinese medicine is a multi-faceted person, not confined to the form, Cheng Wen uses the classic prescription Four Gentlemen Soup, and the prescription is also very exquisite, in fact, there is nothing wrong with a draw, that is, Mrs. Zhao is too harsh."
Bai Cunmin smiled.
"Bai Lao is right, even if it's a draw." Fang Yan said.
With Fang Yan's current level, there is no need to take advantage of Zhao Chengwen, what Bai Cunmin said can be regarded as fair.
This kind of competition is a bit similar to the scoring of Chinese composition, although there is a general direction, it is not so strict, and the personal preferences of the marking teacher will affect the score.
An Yaozhu's lips opened slightly, and she almost didn't say anything to stop it.
What is Fang Yan doing, if he wins, he wins, and he pretends to be generous, does he really not know what level he is?
In An Yao's opinion, Fang Yan won this game very lucky, although he had the advantage, but the result was still difficult to say, what to let go, it was not a friendly match, and the plaque of Fushengtang would be taken away by others if he lost.
"No, thank you, brother."
Zhao Chengwen clenched his fists: "If you lose, you lose, I still lose." ”
Let Fang Yan give in, Zhao Chengwen can't afford to lose that person. ‘
Even if Fang Yan won this game, the ending was already doomed.
"Okay, then go on, both young men are good."
Bai Cunmin smiled and glanced at Li Xiangmin, who led the next patient forward and introduced the patient's condition first.
"The patient has insomnia for more than a year, often sleepless all night, has taken Western medicine, Chinese medicine, acupuncture and other therapies, but there is no obvious effect, at present can only be controlled with sleeping drugs, take three or four tablets a day, but also can sleep for more than two hours........
The patient was a 50-year-old middle-aged man, and while Li Xiangmin was talking about the patient's condition, Fang Yan and Zhao Chengwen were observing the patient.
Because of poor sleep, mental exhaustion, dark complexion, and a little blue when you look closely, the patient should have liver qi stagnation.......
Fang Yan didn't know what was going on on Zhao Chengwen's side, but Fang Yan's side, just by relying on the consultation, he had already judged the patient's condition to the fullest.
The four diagnoses of traditional Chinese medicine, looking, smelling, asking, and cutting, are interdependent, but they are independent of each other, and at Fang Yan's current level, the diagnosis has already reached the point of being superb, and a person's physical condition can be judged at a glance.
It seems that it has reached the supreme state of seeing who is sick and staring at who is pregnant.
"This time, senior brother, please first."
When Li Xiangmin said the general situation of the patient, Fang Yan said politely to Zhao Chengwen.
Before Zhao Chengwen called Senior Brother Fang Yan, now Fang Yan also calls Senior Brother Zhao Chengwen, this is a kind of mutual politeness, although Zhao Chengwen is indeed younger than Fang Yan, but the two of them have never asked each other's age, and they don't know who is older.
In the last game, Fang Yan started first, but this time Zhao Chengwen did not give in and stepped forward to check the patient first.
Compared with the previous patient, this patient's condition is more complicated, the disease period is as long as a year, and there is still no obvious effect after seeing traditional Chinese and Western medicine, and using a variety of treatment methods, which can be seen from this.
"Is there anything else uncomfortable besides insomnia?"
Zhao Chengwen asked while checking the pulse.
"Boredom, dizziness ......."
Under Zhao Chengwen's inquiry, the patient said some symptoms, in addition to insomnia, the patient also had chest and rib irritation, dizziness, bitterness in the mouth and dry throat and other symptoms.
"Count the pulses."
After asking, after feeling the pulse, Zhao Chengwen stood up.
Although Fang Yan had already understood the patient's situation through the consultation, coupled with Zhao Chengwen's inquiry, he was more certain in his judgment, and he also stepped forward to feel the pulse, and then the two of them wrote down their dialectics and prescriptions and handed them over to Bai Cunmin and Peng Youhui again.
This time, Peng Youhui obviously had a little more expectations for Fang Yan's prescription, took the prescription, looked at it carefully, and exchanged it with Bai Cunmin after reading it.
When Bai Cunmin and Peng Youhui looked at Fang Yan and Zhao Chengwen's prescriptions to each other, their faces became a little weird.
This time, Zhao Chengwen no longer had the confidence he had before, although he felt that Fang Yan was just a fluke just now, but he had already missed once, and he was not as calm as before, so he kept staring at the faces of Bai Cunmin and Peng Youhui.
Seeing the expressions on the faces of Bai Cunmin and Peng Youhui, Zhao Chengwen's heart chuckled.
"In this game, Fang Yan and Cheng Wen performed very well, with accurate syndrome differentiation and symptomatic medication, compared to this, Fang Yan is still better."
Bai Cunmin and Peng Youhui exchanged opinions, handed the prescription to Fang Yuanlin and Zhao Jiaxue, and at the same time made a conclusion.
This time, neither Bai Cunmin nor Peng Youhui needed Zhao Jiaxue to speak.
"How is that possible?"
Zhao Chengwen's mentality has collapsed a little.
Why is Fang Yan slightly better?
In the last game, Bai Cunmin and Peng Youhui finally said that it was a draw, and it was his grandfather who said that Fang Yan was slightly victorious, and this time Bai Cunmin and Peng Youhui directly came to a conclusion, which means that this time the victory or defeat is obvious.
"Ear ......"
An Yao almost cheered, halfway through the word "yes", and hurriedly stopped.
This ruffian, who actually won again?
This time, the competition is divided into prescriptions and acupuncture, and each game is two wins in three games, Fang Yan has won two games in a row, which means that one game has been won, even if the next game is lost, the two are drawn.
The competition has reached now, which means that Fang Yan has stabilized.
An Yao had a smile on her face, her eyes staring at Fang Yan, and her eyes were a little red.
This ruffian, in addition to hooking up with the little nurse in the hospital, has really learned a lot of things, and usually pretends to be in front of himself.
Glancing at Fang Yan, An Yao secretly looked at Fang Yuanlin and found that the old master also had a smile on his face.
For two games in a row, Fang Yuanlin also found that he didn't seem to know this grandson very well.
From Fang Yuanlin's point of view, through the two prescriptions, he could see more things.
Whether it is the previous patient or this patient, in fact, it is a more troublesome disease, and it is the kind of disease that the previous doctor failed to look forward to, Zhao Chengwen and Fang Yan can dialectically and clearly, and the symptomatic medication can already explain the level of the two people.
And Fang Yan can have an advantage twice in a row, it is not simple.
Zhao Chengwen's prescription is already very standardized, and Fang Yan's prescription is better than Zhao Chengwen's, which means that Fang Yan is stronger than Zhao Chengwen in terms of understanding the symptoms and pathogenesis.
In fact, at this point, whether it is Fang Yuanlin or Zhao Jiaxue, or Bai Cunmin and Peng Youhui, who served as referees on the side, they are already very clear, as far as internal medicine is concerned, Fang Yan is stronger than Zhao Chengwen, and no matter how much it is compared, this is still the result.
Seeing that Zhao Jiaxue and Fang Yuanlin had already exchanged prescriptions, Bai Cunmin said, "Then let Fang Yan explain this condition to everyone, right?" ”
"Let Fang Yan come, judging from the prescription, Fang Yan has indeed thoroughly understood the patient's condition."
Zhao Jiaxue nodded.
Zhao Chengwen only felt that his face was hot.
This time he came over to express himself, he didn't look at Fang Yan in his eyes at all, but he didn't expect it to become Fang Yan's stage.
Fang Yan has been unknown all these years, and he has been called a bastard and a waste in the Chinese medicine department of the First Hospital of Qingcheng City, but today he wants to step on him Zhao Chengwen to become famous?
He, the first day of Haizhou Provincial Hospital of Traditional Chinese Medicine, couldn't compare to Fang Yan, a bastard waste?
"Then I'll tell you about it."
Fang Yan nodded and said, "Judging from the pulse pattern, the patient is obviously caused by liver depression and blood deficiency in the heart, liver, and blood. ”
Saying that, Fang Yan asked the patient, "Did you encounter anything before the insomnia?" ”
"At that time, the company lost something, and everyone thought it was me, but it wasn't me, and then the thing was found.......
The patient gave a general account of the situation.
"The cause is also very simple."
Fang Yan nodded and continued: "It is precisely because the patient has been wronged that he has been depressed, his liver qi is stagnant, and his liver is depressed and ......."
"There are clouds in the "Neijing", sleep is yin, God is its master, God is peaceful, God is restless, and God is restless."
Saying that, Fang Yan paused and said: "Based on this analysis, the patient's condition is caused by emotional failure, liver qi stagnation, liver and spleen blood deficiency, fire and heat, depression and heat disturbance and restlessness........
"Those who have insomnia such as liver depression, fire disturbance, and restlessness can be cured."
When Fang Yan said this, Zhao Chengwen immediately said: "What I use is Dan Yu Yaosan." ”
Zhao Jiaxue glanced at Zhao Chengwen, and Zhao Chengwen immediately shut up.
Fang Yan continued: "Generally speaking, liver depression must have qi stagnation, and qi stagnation will lead to blood stasis, so according to the patient's condition, adding salvia on the basis of Dan Yu Xiaoyaosan can dispel blood stasis and clear the channel, and at the same time, it can also clear the heart and remove troubles, and it can achieve quick results in the treatment of upset and insomnia, and the dosage is generally large. ”
Zhao Chengwen: "......."
"Let's see."
Zhao Jiaxue handed Fang Yan's prescription to Zhao Chengwen, Zhao Chengwen took it and saw that Fang Yan's prescription was almost the same as his, that is, a taste of salvia was added at the end, and the dosage was not small, a full 20 grams.
After listening to Fang Yan's analysis, and then looking at Fang Yan's prescription, Zhao Chengwen finally knew why Bai Cunmin and Peng Youhui judged Fang Yansheng so directly this time.
Although it is only a difference between one medicine, the effect of the whole prescription is completely different.
If the effect of the previous prescription was the same, Fang Yan only took advantage of Jian Lian, then this time, Fang Yan's prescription had the advantage of quick effect.
"Almost again!"
The green tendons on Zhao Chengwen's neck were about to be exposed.
The last game was a little close, and this game he was a little bit worse.
For a while, Zhao Chengwen didn't give himself a slap, why didn't he think about it anymore, and if he thought about it a little more, he might be able to think of it.
Losing two games in a row, Zhao Chengwen knew that if he wanted to win this time, he couldn't lose a single game in the back, although he won two games in three games, but six patients, as long as he didn't lose the next game, he still had an advantage on the field.