Chapter 172: The less distractions you have in learning Chinese medicine, the better

Listening to the young man's story, Lin Wan'er was like a student when she was in school, and subconsciously looked at the teacher on the side.

"Look what I'm doing, you're a doctor now." Fang Yan said.

"Oh!"

Lin Wan'er responded and asked the young man to stretch out his arm and check the young man's pulse.

"When diagnosing the pulse, you should have a steady mind, breathe evenly, feel it with your heart, and pay attention to the strength of your fingers." Fang Yan reminded on the side.

In fact, there is a certain threshold for the cutting of the pulse in traditional Chinese medicine.

Of course, it's not just palpation, it's also the same for visits.

This is one of the reasons why many people find it difficult to learn Chinese medicine.

Because the four diagnoses of looking, smelling, asking, and cutting in traditional Chinese medicine really have certain talent requirements, which is a bit similar to feeling.

It's like giving you a glass of water, so that you can feel how many degrees this glass of water is, and you can't use a thermometer.

If you want to feel accurate, in addition to long-term experiments, there is also the accuracy of a person's evaluation of feelings.

Moreover, palpation is not the same as simply judging the water temperature, because the water temperature is fixed, and the number of times you feel it is that you can always get started, but the pulse is different from each other, in addition to the feeling, there are also techniques.

The so-called pulse seeking consultation can be understood from the literal meaning, and the pulse is not so easy to feel.

There is also a special "search method" in the palpation examination, which refers to the method of referring to the method of finger force from light to heavy, or from heavy to light, and adjusting the most suitable method for finger force when cutting the pulse.

Lin Wan'er and Zhang Yueyue's palpation level has not yet started, and the two of them have just touched a little threshold with Zhao Chengwen and An Yao in the past few days.

Fang Yan could see that Lin Wan'er was still a little nervous when she was diagnosing her pulse.

The newlyweds who have just started to sit in the clinic are like brides who are on the sedan chair for the first time, both excited and nervous.

With a little eagerness, with a little longing, but because of lack of experience, I don't know how to start.

"Hmm!"

Lin Wan'er took a deep breath, adjusted her breathing, put three slender fingers on the young man's wrist, first found the inch ruler, felt the pulse, then closed her eyes, and began to cut the pulse according to what she had learned.

After a full seven or eight minutes, Lin Wan'er opened her eyes and looked at Fang Yan: "Doctor Fang, the pulse is heavy..... Number! ”

Fang Yan nodded: "Well, continue." ”

Lin Wan'er looked at the young man's tongue coating again, the tongue was red, and the color of the tips was more serious, and there was no moss.

"How to argue?" Fang Yan asked with a smile.

Lin Wan'er groaned slightly, and stammered: "The testament proves that there is a difference between a dream and a slippery essence, when you dream, it is a dream, and when you wake up, it is a slippery ........"

"Although there are differences, the causes of the onset are almost the same, most of them are kidney deficiency and cannot be fixed, the king is hot, or damp and hot...... Thermal disturbance of the sperm chamber ......"

Saying that, Lin Wan'er said again: "The Shen Pulse is the main evidence, and the number of veins is the main heat certificate, which is also seen in the cold certificate and the cold certificate of the surface......."

As she spoke, Lin Wan'er's eyes lit up: "Brother Fang, the patient's pulse is heavy, and the tongue is red, then it should be that the heart fire is moving downward, and the heat disturbs the sperm room......"

"Not bad, not bad."

Fang Yan smiled and nodded, and asked, "Traditional Chinese medicine is actually not as difficult as imagined, is it?" ”

"Brother Fang, do you mean I'm right?" Lin Wan'er said happily.

When Zhao Chengwen looked at Lin Wan'er from the side before, he didn't really let go completely, but pointed out from time to time, if you use writing as an example, Zhao Chengwen is a bit similar to grabbing Lin Wan'er's hand and writing with Lin Wan'er.

Fang Yan's side is completely open, let Lin Wan'er write it by herself first, and then correct it if it is wrong.

Compared with the first method, the second way is more difficult, but the sense of accomplishment is also high, and Lin Wan'er is happy like a child in her twenties.

"Yes, you're very accurate."

Fang Yan said with a smile: "In fact, Chinese medicine is not as difficult as imagined, sometimes the less interference, the easier it is to learn." ”

For Fang Yan, who has thousands of years of experience, he knows better whether Chinese medicine is difficult to learn, and he is also aware of the interference of some external factors on Chinese medicine.

Like many college students nowadays, if they have a solid foundation and can memorize many theories when they are in school, then in clinical practice, as long as they follow the syndrome differentiation ideas of traditional Chinese medicine, at least some superficial diseases are easy to dialectically and clearly.

Just like the disease just now, Lin Wan'er first talked about the main point of this disease, that is to say, what form and what kind of condition this disease will manifest in clinical practice, and then Lin Wan'er analyzes and judges according to the patient's pulse syndrome.

Shen pulse main syndrome, several pulse main heat syndrome, but also main cold syndrome, but combined with some manifestations of this disease, such as tongue quality and feeling, Lin Wan'er can easily judge that the patient is moving down the heart fire and disturbing the sperm room.

Of course, if Lin Wan'er was alone, even if she judged it, she wouldn't be sure, but after many times, she gradually gained confidence, and confidence and experience were constantly accumulated in the clinic.

"Uh-huh."

Lin Wan'er nodded: "When I was in our hospital before, I thought Chinese medicine was so difficult, but when I arrived at Fushengtang, I really felt that it was not so difficult." ”

This symptom is dialectically clear, which makes Lin Wan'er very happy, and she is instantly more interested in Chinese medicine.

"Brother Fang, I still don't have the ability to prescribe a prescription." Lin Wan'er said embarrassedly.

"It's okay, one step at a time."

Saying that, Fang Yan prescribed a prescription on the side, and at the same time explained it to Lin Wan'er.

"Since the heart fire is moving downwards and the heat disturbs the sperm room, then it is necessary to start from the heart fire and nourish its kidney yin, and you can use the guide red to disperse ......"

After speaking, Fang Yan signed the prescription, handed it to the young man, and asked Lin Wan'er to take the young man out to grab the medicine.

"Dr. Fang, thank you."

The young man thanked him again and again.

Fang Yan stood on the side and looked at Lin Wan'er from the perspective of a teacher, and finally explained, which also made the young man more confident in Fang Yan, if Fang Yan's level was not good, he would definitely not be able to be so arrogant.

In many cases, the attitude shown by the doctor can also affect the patient's mentality.

"Brother Fang, can I see a few more patients?"

After leading the young man out to grab the medicine, Lin Wan'er came back and asked Fang Yan.

"Well, right here, I'm watching." Fang Yan nodded.

Lin Wan'er called another patient into the treatment room, Fang Yan watched from the side, Lin Wan'er continued to treat, with the experience of the last time, this time Lin Wan'er's mentality was at least a lot more stable.

Unconsciously, when it was time to eat at noon, Lin Wan'er looked at the three patients under the guidance of Fang Yan, and they all seemed a little excited, and they kept chatting with Zhang Yueyue during lunch.