Xu Yang beckoned: "Come here, treat these two patients." ”

Xu Yuan suddenly panicked in his heart, this is because the teacher is dissatisfied with the scumbag secretly rubbing his homework below, so he has to call the scumbag to the podium to do it on the blackboard.

"Why are you stunned, come here. Xu Yang urged again.

Xu Yuan came over with a hard head.

Xu Yang said: "There are two patients here, you can treat them." ”

"Ah...... Yes...... Good, good. Xu Yuan could only agree.

Xu Yang has already explained to them about the two patients, and they are willing to cooperate.

Xu Yuan hurriedly suppressed the tension in his heart and began to ask: "Hello, where are you uncomfortable?"

These two are a middle-aged couple, the two are quite cheerful, and the husband laughed twice: "It's not particularly uncomfortable, it's been nearly four or five years." I always cough when I get cold, and I don't feel anything uncomfortable, so I just cough. ”

"There are five or six times a year, sometimes it is good to take medicine, sometimes it is not good to take medicine, and after a while it gets better, and then it happens again. Everyone said that the level of Chinese medicine here is good, so my wife asked me to take a look. ”

Xu Yuan suddenly felt a heavy heart. Cough, the doctor's opponent.

Song Qiang, who was sitting in the back, also looked up, revealing a thoughtful look.

Xu Yuan asked again: "Have you done an inspection before?"

Xu Yang, who was sitting, squinted at him.

"Uh......" Xu Yuan immediately changed his words: "That, you don't need to take it out if you bring it." We continue to ......"

He began to inquire about the condition again, and the more he asked, the more uncertain he became, and then he also looked at the medicine of the previous doctor, but he still did not know the pathogenesis in his heart.

"Look at the tongue. Xu Yuan said to the patient.

The male patient sticks his tongue out.

Xu Yuan frowned and looked at it, his tongue was pale red, the moss was thin and white, and it was not obvious.

"Let's take a pulse. Xu Yuan was particularly careful in his pulse this time.

There were no new patients coming over at this time, and Xu Yang took advantage of this gap and began to read the medical book.

After a while, Xu Yuan hesitated to write down the results of the dialectic in his notebook. Then he asked the patient's wife, the female patient, "Hello, where are you uncomfortable?"

The female patient said, "Oh, I'm menstruating, that is, my period is postponed every month, and the amount is very small. I heard that the gynecology treatment here is very powerful, so I came to treat it. ”

Xu Yuan nodded, the amount was still delayed, was it caused by the weakness of qi and blood? Or was it the stagnation of cold and evil?

Her husband said again: "Don't you always say that you have a chill down your spine?"

The female patient nodded: "Yes, I have always felt that my back is very cold." ”

Xu Yuan frowned, his back was cold, and he thought of "Treatise on Typhoid Fever".

"Shaoyin disease, get one or two days, the mouth is neutralized, and the person who has a bad cold on his back should be moxibustion, and the aconite soup is the master. ”

"Typhoid fever has no fever, thirst, upset, and a slight chill on the back, the white tiger and ginseng soup are the main ones. ”

Xu Yuan began to ask again, and then added pulse diagnosis and tongue diagnosis, and finally wrote his dialectical conclusion on paper.

"Teacher Xu, I'm fine. Xu Yuan said to Xu Yang with some confusion.

Xu Yang didn't look at his note, so he asked, "What's the patient's condition?"

Xu Yuan swallowed his saliva and said, "This, the male patient is coughing and dry when he is cold, and other symptoms are not obvious. The tongue is not very obvious, and the pulse is re-diagnosed, which is one breath and four solstice, calm and slow, not slow, and should be a slow pulse. ”

"That...... Slow pulse is mostly wind and dampness, such as external stroke, rheumatism and pain. It can also lead to spleen deficiency and belching...... It's just that normal people can also have a slow pulse...... Hmmm......"

Xu Yuan couldn't say any more.

The two husbands and wives of the patient looked at each other, is it so complicated?

Song Qiang was also confused.

Xu Yang showed a slight smile, he had studied the Four Seasons Ping Pulse with Liang Lao for a long time in the medical practice room, and only by learning to diagnose the pulse of a person could he learn to diagnose the pulse of the disease.

Xu Yang said: "Jingyue Quanshu said, 'There is yin and yang in the slow pulse, and there are three meanings. 'The pulse has three phases of floating, sinking and sinking, and the slow pulse of the middle can be the pulse of a normal person. ”

Xu Yuan fell into thought.

Xu Yang reminded him again: "In addition to the overall pulse, we should pay more attention to the respective pulses of the three parts, and the pulse diagnosis needs to be meticulous." ”

"Oh!" Xu Yuan suddenly shouted.

"Wow, you're scared of me!" the male patient shuddered.

Xu Yuan immediately said in surprise: "I know, "Jin Kui Yaolu" once said, 'The pulse of the inch mouth is slow and slow, late is cold, and slow is empty.'" The patient's pulse is slow, especially the ulnar of the right hand is insufficient, and the ulnar of the right hand corresponds to the life gate, which is the cough caused by the fire failure of the life gate and kidney yang deficiency. ”

The corners of Xu Yang's mouth curled slightly, and he bowed slightly.

Song Qiang was also surprised when he heard this, as if this young man had really found the disease!

The male patient was stunned: "What, I have kidney deficiency?"

His wife nodded approvingly, and glanced at him.

Xu Yang said: "Don't keep equating kidney deficiency with that aspect, it's not exactly the same. Children will also have kidney deficiency. ”

Hearing this, her husband immediately straightened his waist. Oh yes, it's different!

Xu Yuan was affirmed by Xu Yang, and he was a little excited all of a sudden: "That...... It should be the main one with Gui Attaching Rehmannia Pills, right?"

Xu Yang nodded: "That's right, what about this female comrade?"

Xu Yuan fell into thought again, and his mouth was still reading softly: "Menstrual disease, small amount, late stage, cold on the back, aconite soup? or white tiger and ginseng soup? Yin or yang, ......."

Xu Yang looked at Xu Yuan, this patient is also very ingenious, because of the cold on the back, it has appeared in typhoid fever, but the treatment plan is completely different, aconite soup is for cold, while white tiger and ginseng soup is for heat.

This can be two completely opposite pathogenesis, cold belongs to yin, heat belongs to yang, and the pathogenesis is completely opposite, but the symptoms it shows are the same, which is to confuse the doctor.

Now it depends on whether Xu Yuan can break through the fog.

"Hiss......" Xu Yuan was still pondering.

The husband of the couple asked, "Dr. Xu, can you prescribe me the medicine first?" ”

Xu Yuan subconsciously raised his head and looked at the male patient, and his mind suddenly flashed: "Oh!"

"Wow! You're scaring me again. "The male patients are in a hurry!

But Xu Yuan didn't care so much, he said excitedly: "I know, the patient's pulse is also slow, and it is also the right ruler deficiency, and it is also the same life gate fire failure, kidney yang deficiency, and it is also dominated by Gui Attached Rehmannia Pill." ”

Xu Yang finally smiled.

The female patient was stunned: "I also take this medicine?"

The male patient also asked, "Our two diseases are completely different, are we taking the same medicine?"

Xu Yang smiled and said, "This is Chinese medicine, don't look at your symptoms are completely different, and the names of your diseases are also different." But your pathogenesis is the same, this is the syndrome in traditional Chinese medicine, the symptoms are different but the syndrome is the same, and the symptoms are naturally abandoned. ”

"So sometimes two completely different diseases, but we use one medicine. The symptoms are exactly the same, but we use two medicines, which is the dialectical treatment of Chinese medicine. ”

"Symptoms can be deceiving, and there is no cure for them. Be sure to break through the fog and get to the root of the disease, and if you find it, you can solve it. Once the external symptoms and other diagnoses are not clear and unclear, the pulse diagnosis can be used as evidence. ”

"Therefore, when diagnosing the pulse, it is impossible to be too meticulous. What we doctors need to do is to minimize misdiagnosis and win the trust of patients with real curative effects. ”

Xu Yuan nodded deeply, he knew that this was what Xu Yang said to him, and he said, "Teacher Xu, I wrote it down." ”

Xu Yang said to Xu Yuan again: "There is also a summary of the relevant records of the cold in "Zhang's Medical Tong", and when you go back later, remember to read it." ”

"Yes. Xu Yuan promised in a deep voice, he has a lot of homework, it doesn't count to copy two books, he still has to read books. However, he was still quite excited, at least these two patients were dialectically dialectical by him using pure Chinese medicine methods.

And the pathogenesis of these two people is very deep, but he still broke through the fog and grasped the cunning pathogenesis. This sense of accomplishment is so refreshing!

Xu Yang also stood up, he pointed to his computer, and said: "The previous cases, you compare them one by one to see if your dialectics are correct and where they are wrong, and mark them one by one." ”

"Huh?" Xu Yuan, who was excited, suddenly collapsed, yes, the scumbag still can't avoid the answer.

......

Song Qiang's mouth was a little dry when he looked at it in the back, since Xu Yang suddenly became powerful, he didn't even play fighting the landlord. I used to play with confidence, but now I'm weak.

Especially Xu Yang has now begun to take the apprentices from the Chinese medicine hospital, and the apprentices are so powerful, Song Qiang is even more uncomfortable......

After thinking about it for a while, he finally secretly found a few old customers and sent them WeChat: "Boss, do health care today? ”