Chapter 28 Controversy

(I will be lazy today, and I will update three times tomorrow. I will continue to update three times tomorrow. There will be another update tonight. I will forgive you.)

Sima Feng walked up to check the patient's expression, then asked the patient a few words, and finally took his pulse and retreated. It took no more than five minutes. However, compared with Wang Zhi's performance just now, it was a verdict, with a little less free and calmness.

The people in the audience still felt it was not obvious, but it was not bad to think that this foreign doctor had delayed more than a minute of his time than Wang Zhi. However, in the eyes of several experts on the stage, it was not the case.

Especially the two masters of Xinglin, Xie Guoqiang and Pan Anmin, naturally saw that Sima Feng was a little reluctant. If it weren't for Wang Zhi's time just now, Sima Feng was worried that he would have been underestimated by the long delay, and that he would have been underestimated by the fact that he had been watching it for too long.

You should know that in traditional Chinese medicine, people should pay attention to looking, hearing, asking, and touching when diagnosing diseases. As the saying goes, those who look at it see the five colors to know the disease. Those who hear it hear the five sounds to distinguish the disease. Those who ask it and know it ask what the five flavors they want to know what the disease is and where the disease occurs. Those who take the pulse and know it, diagnose the inch mouth and look at its deficiency and excess to know what the disease is.

Through observation, doctors conduct purposeful observation of the patient's spirit, color, shape, shape, tongue, etc. to detect internal organ lesions.

By smelling the diagnosis, smelling the patient's scent, listening to the changes in the patient's speech, strength, turbidity, slowness, urgency, etc., we can distinguish the deficiency, excess, cold and heat of the patient's condition.

Through consultation, we understand the history of Jizhi and family history, the cause of the disease, the process of onset and treatment, the main pain, conscious symptoms, dietary likes and dislikes, etc.

By taking the pulse, observe the changes in the pulse, distinguish the pros and cons of the internal organs, the deficiency and stagnation of qi, blood, fluid, and essence, and thus confirm the symptoms.

The four methods of looking, listening, asking, and cutting in the way of traditional Chinese medicine are a systematic diagnosis system that the ancients summarized countless experiences and thus summarized. In the face of different diseases, doctors can adopt different diagnosis methods. Some diseases only require simple qi to be diagnosed, while some diseases require four diagnosis and careful consideration.

Especially the final pulse is the final basis for confirming the disease. You should know that whether it is the patient's complexion, voice, and symptoms, there are always some similar symptoms among many diseases, but this pulse is a slight difference of slightest.

The reason why Wang Zhi was calm is that he had rich experience and experience. The disease he had treated was several times more than the disease Sima Feng had seen. The diagnosis in the past three minutes was not just a scheming gesture, but a true style of a miracle doctor.

Sima Feng naturally didn't know how profound Wang Zhi was. He thought Wang Zhi was deliberately showing off. In order to avoid losing face, the diagnosis was a bit careless. Wang Zhi stood by and watched coldly, and knew that Sima Feng was about to fall in front of the first patient.

First of all, Sima Feng's mentality was already a little impatient at this time. In order to distinguish between Wang Zhi, he could not even suppress his temperament due to diagnosis, and his skill in nourishing qi was still a little worse.

Although it is a competition between two people today, you should be diagnosed wholeheartedly when treating people's illnesses, and there should be no other psychological factors.

This is also the patient that Wang Zhi saw first. If Sima Feng saw first, Wang Zhi would not care about how long he had been. Even if Sima Feng had just glanced and was diagnosed, he would have a clear idea before he would retreat. Not to mention medical skills, just his mentality, Sima Feng was a big difference with Wang Zhi.

"Both have been diagnosed?"

Seeing that Wang Zhi and Sima Feng had finished diagnosis, He Yang asked confirmationally, and when they saw both of them nodded, they said again: "Since they are all confirmed, please ask the two to draw up prescriptions and think about the treatment plan, and then ask several judges to come over to confirm the diagnosis."

Wang Zhi and Sima Feng retreated aside, began to draw up prescriptions, and wrote their own treatment methods. Several judges on the rostrum also came out to check the condition in turn. Some special person also handed over all the patient's laboratory data and medical records from the past few days for reference by several judges.

It will be an hour after several judges have checked and reached an agreement. After all, as judges, they must be more careful, and their diagnosis is the final reference, unless Wang Zhi and Sima Feng can make it difficult to convince the judges with sufficient basis. Otherwise, the party that is inconsistent with the judges will naturally make a diagnosis error.

"Next, please ask two of you to submit your diagnosis and treatment."

After He Yang finished speaking, Wang Zhi and Sima Feng both handed over their own diagnosis and prescriptions. Several judges picked it up and looked at each other.

The diagnosis of the two was similar. This disease was a stroke, which was also correct. The prescriptions of the two were basically the same. However, Wang Zhi's prescription was one of the same medicines as Sima Feng's prescriptions: Astragalus.

Wang Zhi and Sima Feng’s prescriptions are both added and subtracted by Buyang Huanwu Decoction, but the difference between the medicine in the middle is of great significance.

Although the symptoms are both strokes, strokes are divided into many categories. Stroke is a general term for acute cerebrovascular diseases in traditional Chinese medicine. It is a type of disease that is mainly symptom of sudden fainting, unconsciousness, accompanied by crooked mouths, and poor language, and hemiplegia. Because of the sudden onset, many symptoms, and the condition changes rapidly, similar to the characteristics of wind's good deeds, it is called stroke and stroke.

Stroke is a symptom of deficiency and excess. It is mainly due to yin and yang, and the qi is in chaos; it is inciting wind and fire, phlegm and turbidity, and blood stasis is internally obstructed. It is generally divided into meridians and internal organs, and there are differences in autism and symptoms of ejaculation.

Common types of meridians include wind evil entering the middle, meridian numbness and obstruction, liver and kidney yin deficiency, wind and yang upset, phlegm and heat, and phlegm upset, etc.

For internal organ closure symptoms, there are often tight teeth, tight hands, and strong limb spasm, etc., which are mostly true. For symptoms, there are often eyes and mouth opening, snoring and breathing, and urination of hands, which are mostly false symptoms.

In addition, of course, there are other diseases. Although these diseases are both strokes, they must not be generalized during treatment. They must be treated differently and clearly identified before they can prescribe prescriptions. If there is a slight deviation, it will inevitably lead to worsening of the condition and even cause other complications.

It can be seen from the prescriptions prescribed by Sima Feng and Wang Zhi that although the two of them were also confirmed to have stroke, their pathological and pathogenesis are inconsistent.

The judges on the stage circulated the diagnosis and prescriptions of the two, but then whispered a few words to He Yang. He Yang looked happy and walked to the center of the rostrum and announced loudly: "Mr. Wang Zhi won the first case of the competition."

"Okay!" Everyone in the audience cheered when they heard this. Most of them were from Jianghuai, so they were naturally looking at Wang Zhi. When they heard that Wang Zhi had won, they all shouted loudly.

Most of the people below can accept this result, but real experts and journalists from various media, those who know Sima Feng are a little unbelievable. The first condition Sima Feng was defeated, and it is simply unbelievable to talk about it.

Not only were they surprised, but Pan Anmin and Xie Guoqiang were also a little sad. If Sima Feng hadn't just worried about making a fool of himself in time, his medical skills would not have made any mistakes. This is the reason for his irritability.

After hearing the results announced by He Yang, Sima Feng's face suddenly looked ugly. If the judges on the stage were not the real everyone and his own friends, he would definitely not be able to rush up and shout.

Of course, even if he doesn't yell, the judges on the stage will give him an explanation to everyone. You can't just be confused and make people admit defeat.

After the scene was quiet, Xie Guoqiang stood up and said, "This patient had stroke, and both of them were diagnosed correctly."

"Strokes occur more than blood and qi. Once you fall and faint again, blood stasis will inevitably accumulate in the meridians of the mind and body. Both of them used Buyang Huanwu Decoction by Wang Qingren of the Qing Dynasty. However, Mr. Nancun was not dialectical and misdiagnosed the stroke of liver yang hypertension as a stroke of qi deficiency and blood stasis. There was an extra ingredient of Astragalus in the prescription."

"Astragalus is a warm and prudent medicine. Now the patient's blood and energy are rising. If you want to use this medicine, the condition will inevitably worsen. Therefore, Mr. Nancun is dialectical and cautious, and must not be neglected."

After listening to Xie Guoqiang's explanation, Sima Feng remembered that the patient did have symptoms such as flushing face and stringy and slippery pulse. However, because he didn't pay attention just now, he thought it was a qi deficiency and blood stasis, so he directly prescribed Buyang Huanwu Decoction. At this time, he wanted to find a crack in the ground to drill down, but he never thought that he had overturned in the gutter.

In fact, although the patient's condition is complicated, it is not very difficult for Sima Feng. The reason why he makes a mistake in judgment is that he is restless and irritable on the one hand, and on the other hand, he is a rival in love, and he is not able to see Wang Zhi.

In Sima Feng's opinion, how complicated is the disease that Wang Zhi diagnosed in three minutes? In addition, he also checked the situation, so he subconsciously ignored other symptoms, which was considered to be careless and lost Jingzhou.

Fortunately, this competition is not something that can be concluded with just one patient. There are four patients below. Originally, five patients were prepared to prevent two people from being diagnosed, and they were ready to go to a tie. Now they can be considered as saving Sima Feng.

The first case of the disease has been decided, and Wang Zhi handed over the prescription to the doctor who came to take care of the patient, which began the diagnosis of the second case.

The second patient is a depression syndrome. The patient has a foreign body blocked in the throat, and cannot vomit or swallow it. This is a disease of both heart and spleen deficiency. Both of them did not make any mistakes this time, and the prescriptions are both correct, and the difference is not large. It can be cured by two doses.

The third patient is an orthopedic disease. This patient was treated by Wang Zhixian. The treatment method is to directly rectify the bone on the spot, and most of the patients were recovered on the spot. Sima Feng was not bad. The fourth patient was also treated on the spot, and the effect was good. The two of them were considered to have a draw.

Through the treatment of these two patients, Wang Zhi and Sima Feng's extraordinary medical skills were shown, which made everyone cheer.

However, the fifth patient is a bit strange. This patient is a fifteen-year-old girl with no symptoms on her body. She is just a simple high fever. She has been hospitalized for half a month and has used various antipyretic drugs such as penicillin, apc, aspirin, etc., but the high fever still does not subside, which is a bit strange.

Wang Zhi and Sima Feng checked and both thought it was caused by deficiency of Qi and Yin, but this continued high fever and the child was already very weak, but there was a problem with how to use the medicine.

Of course, the problem lies with Wang Zhi. Sima Feng's prescription is not bad, but it will take one or two days to achieve the effect. Wang Zhi directly guaranteed that one dose of the medicine would ensure that the fever would be reduced. Now there is controversy.

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Chapter completed!