Font
Large
Medium
Small
Night
Prev Index    Favorite Next

Chapter 26 Unexpected Joy

Whether it is traditional Chinese medicine to treat diseases or Western medicine, doctors cannot just prescribe a prescription for patients to take medicine, telling patients what disease they are suffering from and why taking such medicine is the most basic.

Doctors do not need to explain the principles of the disease or professional treatment plans to patients, but common sense must be informed.

"This situation is formed in several aspects. Long-term constipation causes the large intestine to lack peristalsis, spleen, stomach and kidney deficiency at the same time leads to dryness in the intestines. Moreover, there is cold in your body. Fluid and cold in your body will also cause insufficient stomach motivation and intestinal stagnation. After you go back, take it according to the prescription, eat less raw and cold foods, and eat less fruits or the like."

Doctor Li looked at Fang Zi and compared Fang Han's explanation, he gradually understood a little.

The prescription prescribed by Fang Han is a famous prescription in "Treatise on Febrile Diseases". Adding and subtracting Guizhi Decoction is targeted at the patient's heart and kidney yang deficiency and intestinal motility.

Among them, Fang Han raised the amount of Atractylodesis to 60 grams, which is a heavy use. The purpose is to use fatty Atractylodesis to produce fluid and strengthen the spleen and warm the intestines. At the same time, Atractylodesis also has the effect of not gaining acquired spleen and stomach, and invigorate qi and remove dampness.

Li's hospitalist could not understand Fang Han's prescription at first because he did not understand the pathogenesis. Now Fang Han explained it, he understood it. Li's hospitalist still understood the simple pharmacology. All spleen and stomach deficiency can be used to use raw Atractylodes and nourish the body. Once the spleen is strong, the clear qi will rise and the turbid qi will be transported down.

Li's hospitalization understood a little, but the patient didn't understand: "Eat less fruits or something? Other doctors have told me that eating more fruits, especially bananas, will not help moisten the intestines? And the fruits are rich in vitamins."

Fang Han smiled faintly: "Your illness has not been short. Then, if you eat fruit all day, have your constipation cured?"

The patient was stunned and said nothing.

Sometimes no matter how well you say it, it depends on the efficacy. Which fruit is rich in vitamins and bananas moisten the intestines. If it is useful, it will count. What is the point of eating more?

"Vitamins are the sayings of Western medicine. Traditional Chinese medicine does not talk about this, but only talks about the four qi and five flavors, warm, cold and cold. Look at your fingernails, it is already bruised. This proves that the cold in the body is very heavy, so you can't touch cold things. Although it is still a little hot in this season, fruits and other things are cold foods."

"No matter how good the vitamin is, you must have the ability to absorb and digest it. Now there is cold in your body. Once the raw and cold touches it, it will cause indigestion, which will aggravate the condition. Ginseng is a big tonic, and it has not been seen that patients will take ginseng in all diseases, right?"

The patient looked up at Fang Han. This young doctor was so cold and he didn't have any feelings at all.

"Go back and take the medicine according to the prescription, pay attention to the contraindications. If the three doses of the medicine are not effective after taking it, come to me." Fang Han stood up and said, "My name is Fang Han."

Li's hospitalization hurriedly filed the prescription, signed the prescription, and asked the patient to get the medicine.

The patient just went out with the prescription and met Miao Dalong. Generally speaking, as long as he was not very busy, I heard that Fang Han would come to see him for treatment. On the one hand, he would check Fang Han's ability, and on the other hand, just in case.

"Is this the treatment done?"

Dr. Miao nodded to the patient: "Let me take a look at the prescription."

When the middle-aged man saw that Dr. Miao was old, he hurriedly handed over the prescription, saying that the leader was here.

Dr. Miao took the prescription and looked at it, and was subconsciously stunned. Fang Han's prescription was prescribed very formally, first with symptoms, then dialectics, second with prescriptions, and finally with taboos.

If you don’t look at the patient, just looking at Fang Han’s prescriptions, you can actually see the entire disease clearly.

No matter which Chinese medicine doctor treats the patient, he will dialect the condition based on the patient's symptoms, complaints, and pulse patterns, and then prescribe the medicine according to the symptoms. In other words, if Fang Han's diagnosis is not wrong, that is, the above symptoms, complaints, and pulse patterns are not wrong, this prescription is simply perfect and cannot be more perfect.

Dialectical and skillful in taking medicine, even Dr. Miao prescribes himself and asks himself if he is not as perfect as Fang Han.

"I'll take my pulse." Miao Dalong stretched out his hand, and the patient cooperated very well. When taking the pulse, Miao Dalong also observed the patient's complexion and symptoms.

"Well, there is no problem, go and get the medicine." Miao Dalong nodded with satisfaction, and Fang Han was also accurate in diagnosis.

This kid is simply amazing.

Seeing the patient go away, Miao Dalong stood at the door of the reception room with emotion. The more he understood Fang Han, the more he realized that the one he knew Fang Han was just the tip of his iceberg. This kid seemed to know everything and had a good skill.

To be honest, if he hadn't seen Fang Han's dialectics, he might not have been able to take it down directly.

As a doctor in the emergency department, Miao Dalong is not specialized in some aspects, and his best attitude is first aid.

In Miao Dalong's opinion, Fang Han's ability is definitely the ability to be in the internal medicine clinic.

In the reception room, Dr. Li was humbly asking for advice: "Dr. Fang, your medical record just now is so classic, and you have taken all the situation into consideration."

Wu Lei also interrupted: "Fang Han, teach you some of your abilities to everyone. When will it be the end of the whole day?"

Lin Guangliang and Qin Xiyin also felt the same way.

They couldn't imagine what the interns in other departments were like, but after a few days in the emergency room, they were really doing so. They followed Fang Han's butt all day long, let alone getting started, they could do nothing.

Miao Dalong had taught Li to be a resident doctor before, and his words made sense, but it also had disadvantages for Wu Lei and others.

With the attending doctor or resident doctor, interns still have opportunities for some small things. If they perform well, they can even get the opportunity to start exercising.

But with Fang Han, Fang Han himself is an intern and has no prescription rights. How can he get them started?

Of course, this is not the most important thing. As long as Fang Han is willing, there is Dr. Miao and Fang Han checking behind it. There is no big problem, but Fang Han himself needs opportunities.

Fang Han was a little embarrassed, letting himself teach his experience? His abilities were given by the system.

Dr. Miao pushed the door and said, "Do you all think traditional Chinese medicine is difficult?"

A few people nodded like a chicken pecking at rice. It was so difficult. After studying in college for several years, they were all among the best in the exam. However, when they really came to the hospital, they found that they really didn't understand anything.

Dr. Miao rarely has time and is in a good mood. She sat down on the chair. Dr. Li hurriedly found a disposable cup and poured a glass of water and handed it over. Wu Lei and the three interns were stunned. No wonder Dr. Li was a resident. Look at his strength.

Miao Dalong took a sip of water and then continued: "Actually, you really have to think carefully. Traditional Chinese medicine is not difficult. You all understand the basics of traditional Chinese medicine diagnosis. What you need to do now is how to combine theory with practice."

"For example, the four Chinese medicine examinations, looking at the diagnosis, looking at movements, looking at the eyes, looking at the body, looking at the complexion, looking at the skin, looking at nails, looking at hair, looking at tongue, etc."

"When you are studying in school, what actions represent the patient's shortcomings, what complexion represents the patient's defects, and what color of nails is abnormal. These are all learned. In the hospital, you must constantly combine practice and use them when you see the patient."

"First of all, the patient is here. No matter what treatment the attending doctor is, you must have your own judgment, and then compare your judgment with the teacher's judgment. If it is consistent, it will prove that the judgment is correct. Where is the wrong mistake?"

"Take the patient just now, the nails are blue, which means there is cold in the body. When you see the patient's nails at first sight, do you have this judgment? If there is, it proves that your judgment is accurate. Next time there is a similar patient, this is experience. If not, remember... Some things are unchanged in traditional Chinese medicine. Basic things are used in this way by any doctor. It is not that when you see blue nails, it means there is cold in the patient's body. The attending doctor sees them."

"Traditional Chinese medicine's diagnosis standards for looking, listening, asking, and severing are the same for everyone. It is like the Western medicine test form. What data represents what, these basic basis is actually unchanged. Based on your observations, we can judge the patient's condition..."

Miao Dalong said it very much, and even Fang Han listened with relish.

In some aspects, Fang Han is not even worse than Miao Dalong, but his knowledge is actually the knowledge of interns, and at most it is better than others. In the past few days, Fang Han relies on the intermediate emergency experience he has obtained to compare and judge and analyze, rather than using what he has learned to judge and analyze.

If you use the exam answers as an example, the intermediate first aid obtained by Fang Han is equivalent to the answer. He copied the answer directly and compared the answers to know that the question was done. It turns out that this is the case, not that it was known to do it from the beginning. It turns out that this is the difference.

Miao Dalong may not have a high level, but he has worked in the hospital for so many years and has taught many interns and is experienced. This explanation is really vivid and makes people suddenly enlightened.

For example, when looking for a diagnosis, many graduates from the University of Traditional Chinese Medicine know what the complexion represents, but when they meet patients, these people cannot combine the complexion displayed by the patient with what they have learned. When they see if the complexion of the person is the complexion they have learned, they are hesitant.

After Miao Dalong said this, everyone instantly had a direction, didn’t understand, kept trying, constantly compared, slowly became familiar with and used.

Once you make a judgment, you will remember it deeply. If you make a mistake once and make corrections, you will remember it deeply, so that you can make continuous progress.

While listening to Miao Dalong's explanation, Fang Han referenced the basics he learned in the school and combined his experience and understanding in the intermediate emergency department, many things suddenly became clear.

"Ding...Congratulations to the host for breaking through the primary level of his diagnosis skills, and rewarding 50,000 worship points. I hope the host will continue to work hard."

A sudden system prompt sound interrupted Fang Han's thoughts.

"Watching the diagnosis and diagnosis breaks through the primary level, and the worship points rewards 50,000?" Fang Han was stunned at first, and then ecstatic. He did not rely on the system, but the observation and diagnosis reached the primary level, but the system rewarded himself with 50,000 worship points that need to be redeemed for permanent primary skills. In other words, if he does not rely on the system, he will reach a certain level of his own skills, and the system will reward him with a certain amount of worship points?
Chapter completed!
Prev Index    Favorite Next