newbobooks Chapter 112: Doctor-to-be Assessment Continued
Chapter 112: Doctor-to-be Assessment Continued
"Thank you, three doctors." After hearing that he had passed the first round of assessment as a prospective doctor, Wu Yao suppressed his surprise, bowed to Doctor Ye and the other two, and slowly left.
"how?"
"how's it going?"
After Wu Yao came out, Manager Zhou and Bai Yan went up to him and asked.
"We have passed the first round of assessment, and they said the second round will be held tomorrow." Wu Yao said with a big smile on his face.
Upon hearing this, Manager Zhu, who was standing by, looked at Wu Yao with some surprise in his eyes.
"Good! Very good." After hearing this, Shopkeeper Zhou showed joy on his face and patted Wu Yao's shoulder.
Wu Yao had already been chosen as his son-in-law, so Manager Zhou naturally wanted him to pass the assessment to be a prospective doctor.
He also hopes that the greater Wu Yao's achievements, the more honor his father-in-law will have.
"Bai Yan, it's your turn."
Bai Yan nodded, straightened her clothes, and walked in calmly. Shopkeeper Zhou and others were waiting outside, with different moods. Butler Zhu looked calm, as if he was used to all this.
"Bai Yan was born in Zhangli Village under Qingshui Town. At the age of seven, he was sold to the Qingshui Town Medical Clinic and was indentured to death.
He was promoted to apprentice at the age of eleven and disciple at the age of twelve. He is thirteen years old this year.
Last year, Goumen Town was hit by a landslide, and you went there to help with the disaster relief. You were specially approved to be promoted to a disciple and go to Chuanshan County to study medicine. Am I wrong?" After Doctor Ye checked Bai Yan's information, he was immediately surprised.
Because Bai Yan's promotion speed is so amazing, compared with Xu Qingyi, it is not much slower.
According to the promotion speed of Qingshui Town Medical Clinic, it takes at least three years for an apprentice to be promoted to a disciple, but Bai Yan completed this leap in just one year.
Moreover, Bai Yan performed outstanding contributions in the dragon disaster in Goumen Town last year, and was specially approved to be promoted to disciple ahead of schedule, and was selected to go to Chuanshan County to continue his medical studies.
"That's right. Please give me some advice, doctors." Bai Yan nodded calmly.
"Okay, today you are here to take the full-subject exam.
Although you are young, you have a lot of wounds. I wonder if you are very capable. Let us see how good your medical skills are today. "When Doctor Qian heard Doctor Ye talk about Bai Yan's experience, he instantly became interested in Bai Yan.
"Please enlighten me."
"The patient was eight years old. He developed cough and vomiting after having a fever, but his cough got worse after he ate cold food. He coughed more often at night. His symptoms did not improve significantly after treatment.
Take 10g of Poria cocos, 3g of dried ginger, 3g of asarum, 9g of Schisandra chinensis, 6g of roasted Licorice root, 9g of Pinellia ternata, 6g of Tangerine peel, 4g of Cicada shell, 8g of stir-fried Bombyx batryticatus, 6g of Saposhnikovia divaricata, 10g of Peucedanum chinense, 10g of Aster tataricus, and 10g of Coltsfoot flower........
Seven days later, the patient came for a follow-up visit and had no fever, nasal congestion, runny nose, cough, itchy throat, choking cough, paroxysmal cough, no shortness of breath, good appetite, normal bowel movements, pale and moist tongue, white tongue coating, and a deep and fine pulse.
Dialectical analysis. "Doctor Ye came up and directly used a big move on Bai Yan.
Asking her to analyze the syndrome and symptoms by combining pulse cases and prescriptions is much more difficult than analyzing pulse cases or prescriptions alone.
Because this requires doctors to have profound medical theoretical knowledge and rich practical experience in seeing patients in order to accurately conduct a comprehensive analysis. However, such analysis is crucial to the effectiveness of treatment.
In the analysis of the pulse case, the doctor not only needs to carefully observe the patient's pulse, but also understand the patient's physical condition and changes in the disease.
The changes in pulse can reflect the patient's qi and blood, yin and yang, internal organs, five elements and other conditions, which is of great significance for determining the condition and treatment plan. At the same time, doctors also need to consider factors such as the patient's age, gender, and physical constitution in order to analyze the pulse case more accurately.
In the analysis of prescriptions, doctors not only need to understand the properties, efficacy and usage of different drugs, but also need to choose the appropriate drug composition prescription according to the patient's condition.
The drugs in the prescription need to be coordinated with each other to achieve the greatest therapeutic effect. Doctors need to choose the appropriate prescription according to the patient's specific condition and constitution to achieve the best therapeutic effect.
In dialectical analysis, doctors need to determine the patient's syndrome type based on the patient's symptoms and signs, combined with pulse analysis and prescription analysis. Syndrome type is the core of TCM diagnosis, which reflects the nature and cause of the patient's condition. Doctors need to formulate corresponding treatment plans based on syndrome type to achieve the goal of curing the disease.
Therefore, she needs to have comprehensive medical knowledge and skills to accurately diagnose and treat patients by combining pulse cases, prescription analysis, and symptoms. This is also an indispensable and important part of TCM treatment, which helps to improve the treatment effect and the patient's recovery rate.
"Six-channel Syndrome Differentiation: Taiyin disease, water and fluid go up against the flow and attack the lungs.
According to the questioning, the patient has no external symptoms at this time, and only has a cough as the main symptom. At this time, we need to see whether it is caused by water retention or long-term illness damaging body fluid (dryness evil)?
Choking cough and paroxysmal cough may also be caused by water reflux after foreign objects in the trachea have been eliminated.
Combining the four examinations, the child's tongue is pale and moist, with a white coating, indicating that he has water retention.
A deep and thin pulse indicates that the disease is internal and is a Taiyin disease.
Throat itching is caused by wind evil invading the throat.
In the formula, asarum and dried ginger warm the middle and expel fluid, while Schisandra chinensis is sour and warm in nature, and can replenish qi and relieve cough, and also restrain the pungent and dispersing effects of asarum and dried ginger. These three ingredients are often used together to treat cough and reverse cough caused by cold fluid.
Poria cocos and licorice can also invigorate Qi, resolve phlegm and eliminate fluid. The five flavors work together to treat cough with phlegm and fluid caused by Taiyin internal cold.
In the formula, Poria and Pinellia, one ascending and one descending, can dry out dampness and remove dampness without producing phlegm;
Tangerine peel can also regulate qi and eliminate dampness, and licorice can harmonize all medicines. If there is wind evil, the teacher often adds wind-dispelling and spasm-relieving medicine, and finally adds aster and coltsfoot flower to descend qi, resolve phlegm and relieve cough.
Both are warm in nature, Aster enters the blood, while Coltsfoot enters the qi. The two medicines can be used together to enhance their cough-relieving effect.
The child recovered after three doses of medicine. The symptoms showed that this was a cough caused by excessive internal cold and dampness. If the syndrome differentiation and prescription are accurate, the effect will be immediate. "After thinking for a moment, Bai Yan spoke calmly and answered slowly.
Doctor Ye and the other two listened carefully and were so absorbed in what they heard that they agreed with what Bai Yan said.
"Next." Doctor Guan saw that Bai Yan's analysis was very logical. Not only did he conduct an in-depth analysis of the cause of the disease, analyze the efficacy of the prescription and the combination of medicines, but he also proposed a targeted treatment plan.
This medical skill is three times stronger than Wu Yao's before.
Wu Yao has been learning medicine from his father since he was young, but Bai Yan is different. She has only studied medicine seriously for five or six years, and has reached her current level of medical skills. It can be seen that she has a very high talent in studying medicine.
"Acupuncture points, where is Lieque, acupuncture techniques and their effects."
"?Lieque is located at the base of the palm of both hands, crossed vertically, and the index finger of one side is pressed on the high protrusion of the radial side of the back of the wrist of the other side. The depression at the junction of the red and white flesh where the tip of the index finger is located is this point.??????????
The method of finding the acupoint by natural marks: Make a fist, with the palm facing inward and the wrist slightly drooping. A high protruding bone can be seen on the posterior radial side of the wrist. The depression above it that can be seen when making a fist with force is this acupoint.
Insert the needle upward obliquely 0.3-0.5 cun. Directly moxibustion 3-7 times, and suspend the moxibustion for half a cup of tea. ??????
It is mainly used to treat lung diseases such as cough, asthma, sore throat, headache, toothache, stiff neck, crooked mouth and eyes, and other head and neck diseases; cervical spondylosis and soft tissue diseases around the wrist joint. ?
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