Medical Master
Chapter Twenty-eight: Look, hear and ask!
Open for business.
Xu Miaolin naturally sat at the only examination table.
Fangqiu was sitting next to him.
"Today, we are going to talk about the four clinics. How Chinese medicine understands the patient's physical condition by looking, smelling, asking, and knowing the patient's physical condition. I am here to sit for a consultation, and you will watch it carefully by the side."
Xu Miaolin said to Fangqiu.
"it is good."
Fang Qiu nodded, this was something he had been waiting for for a long time.
He didn't let him wait long, and soon a patient came.
Looking up, this is a middle-aged man about forty years old, with a rickety back and a haggard face. It should be an energetic age, but it gives people a feeling of haggard.
Came to the hospital.
When the patient looked up, he was stunned.
He came to this hospital to see that he was ill several times, and he was fairly familiar with Feng Xuexin, but how did he change his seat at the examination table today?
This change, or two?
Suspicious.
The middle-aged man turned his head and looked around, looking for Fengxuexin.
there.
Feng Xuexin, who had been standing at the counter of the medicine cabinet, walked out immediately and asked, "What are you looking at?"
"Cough, cough..."
"Doctor Feng, what's the situation?"
After coughing twice, the middle-aged man pointed at Fangqiu and Xu Miaolin and asked Feng Xuexin.
"Today, I won't sit in the clinic."
Feng Xuexin smiled and said, "However, you are lucky, this is a genius doctor, much better than me."
While speaking, he quickly pointed to Xu Miaolin.
"Really?"
The middle-aged man raised his brows and beamed with joy.
This new wind and snow, although the medical skills are very good, but it is not a master after all, so although he can treat some difficult diseases, he can't get rid of it.
This middle-aged man’s disease is.
This disease has troubled him for a long time.
Although Fengxuexin can be cured every time he comes to find Fengxuexin, it will relapse soon afterwards. This makes the middle-aged person very helpless. He even wondered if Fengxuexin used any means to earn him more. After some money, I finally went to another hospital to dispel my doubts.
Now when I heard that Xu Miaolin was worse than Feng Xuexin, wouldn't it be possible to cure this disease?
"Of course, this is my old man's friend, can you say it's great?"
Here.
When the middle-aged man was talking to Feng Xuexin, Xu Miaolin had already started to explain to Fang Qiu.
"Look at this patient."
Xu Miaolin looked at the middle-aged man carefully and said: "From the face up, this man is sluggish and haggard. While his back is a little rickety, he often coughs."
"In addition, if you look carefully, when he walked into the hospital, he breathed more frequently than the average person, which means he was short of breath."
"Look at his lips again. They are different from ordinary people's lips. His lips are a little purple. These are symptoms."
Having said that, Xu Miaolin stopped and looked at Fang Qiu.
"Yep."
Fang Qiu nodded, and he clearly saw everything Xu Miaolin said, but he also found some things Xu Miaolin hadn't found, and he opened his mouth and said, "He hurt his lungs."
Hear the words.
Xu Miaolin was taken aback.
Even Feng Xuexin on the side stared at him.
"Uncle Xu, didn't you say that he never studied?"
Feng Xuexin looked at Xu Miaolin suspiciously and asked.
however.
Xu Miaolin also looked at Fang Qiu with surprise and asked, "How would you know?"
"I can order martial arts, and I can hear him coughing."
Fang Qiu explained with a smile.
indeed.
He can tell from one person's voice that something is wrong with the other person.
of course.
This is also limited.
Not all illnesses can be heard, only sound-related illnesses work. The most important thing is that what Fang Qiu can hear is only a problem, not a disease.
For example, when he heard the cough of the patient, Fang Qiu knew that the other party had a lung problem, but he didn't know what disease the other party had.
"Okay!"
Xu Miaolin's eyes suddenly lit up and said, "Unexpectedly, you still have this hand."
Fang Qiu smiled humbly.
He didn't tell anyone about martial arts.
If it hadn't been for the omission of the words just now, he might continue to hide it forever.
Here.
"Genius doctor."
The middle-aged man's eyes flashed, and he immediately walked over to the clinic table and said hurriedly, "Doctor, you can help me see it quickly and cure this disease."
It was the first time he saw him, and he didn't even have a consultation, so he could see the doctor who was sick.
Now he believed it.
These two doctors are really better than Fengxue.
This good opportunity for medical treatment cannot be missed.
"sit."
Seeing the patient running, Xu Miaolin smiled slightly and motioned for him to sit down.
"Tell me more carefully, where is your body?"
Xu Miaolin opened his mouth and asked when the other party sat down.
"I can't tell."
The middle-aged man frowned and said, "I always feel uncomfortable all over, sometimes I am afraid of the cold, sometimes I have a fever, I feel very hot, and I often feel weak and don't want to use energy."
Hear the words.
Xu Miaolin nodded, and asked, "How is your appetite?"
Fang Qiu listened quietly and carefully, studying.
"not too good."
The middle-aged man shook his head and said, "I can eat, but I always don't want to eat, and I have no appetite."
"Do you sweat a lot?"
Xu Miaolin asked again.
"many."
The middle-aged man nodded quickly and said: "Sometimes a lot, sometimes not so much. Anyway, overall, I sweat more than before."
Aside.
"Chill, fever, general weakness, loss of appetite, excessive sweating..."
Fang Qiu listened carefully to the dialogue between Xu Miaolin and the patient, and kept recording the symptoms the patient said.
Xu Miaolin finished asking.
"Ahem!"
The patient coughed, then spit out into the trash can next to him.
"Now, it's time to watch."
Xu Miaolin reminded Fang Qiu.
Fang Qiu immediately looked into the trash can.
This look.
It was immediately discovered that the patient had coughed up a large amount of purulent sputum and was also accompanied by hemoptysis. From the purulent sputum, bloodshot eyes could be clearly seen. Because the trash can was nearby, Fang Qiu could even smell a trace. Fishy smell.
"Did you see clearly?"
Xu Miaolin asked.
"Yep."
Fang Qiu nodded immediately.
"it is good."
Xu Mianlin smiled with satisfaction and said, "From these symptoms, it can be basically judged to be lung abscess, which is called lung abscess in Western medicine, and it has reached the stage of carbuncle.
"Pulmonary carbuncle is caused by heat toxin congestion in the lungs, resulting in sores in the lobes of the lungs, sepsis, blood rot, and abscesses. One of the main clinical manifestations is fever, cough, chest pain, hemoptysis, smelly sputum, and even hemoptysis and blood Kinds of diseases."
"This disease has three stages: the initial stage, the carbuncle stage, and the ulcer stage."
"The symptoms of carbuncle stage are: sudden vomiting of a large amount of bloody sputum, or sputum like rice porridge, abnormal fishy smell, sometimes hemoptysis, fullness and pain in the chest, and even wheezing cannot lie flat, still hot body, red face, polydipsia like drinking , Red tongue, yellow and greasy fur, slippery pulse or real number."
Finished.
Xu Miaolin signaled Fangqiu's diagnosis.
"Please open your mouth, let me look at your tongue."
Fang Qiu said.
The patient opened his mouth wide.
Fang Qiu saw that the patient's tongue was red and the tongue coating was yellow and greasy.
After reading it, he immediately reached out to get his pulse.
This pulse is really slippery, and there are slippery pulses and several pulses!
Seeing Fang Qiu's performance, Xu Miaolin nodded in satisfaction.
Then he said: "This disease, the most important treatment is to remove sepsis and detoxification."
Talking.
Xu Miaolin started the prescription.
"Add Flavored Bellflower Soup."
"Eight points for bellflower, 5 points for coix seed, 5 points for fritillary, 8 points for orange, 5 points for honeysuckle, 5 points for hay, 8 points for Tinglizi, 8 points for white and 8 points."
Written here.
Xu Miaolin paused, and said as he wrote, "Because of the hemoptysis, you can add some Paeonol, Shanzhi, Puhuang, Oujie, and Panax notoginseng to cool the blood and stop the bleeding.
Finished.
The prescription is also finished.
"This disease is not urgent. You have to take it slowly. Take this medicine first. After the illness enters the recovery period, you can change the medicine according to the situation."
While passing the prescription to the patient, Xu Miaolin instructed.
"Okay, thank you doctor."
The middle-aged man nodded immediately, picked up the prescription, and ran towards the medicine cabinet where Feng Xuexin was.
In front of the medicine cabinet.
Feng Xuexin has been observing Xu Miaolin's consultation.
Looking at Fang Qiu sitting next to Xu Miaolin, he was very envious.
It would be great if he could sit in Fangqiu's position!
"Doctor Feng, grab the medicine."
The patient brought the prescription.
Feng Xuexin immediately took over, and happily copied the prescription, and then started to grab the medicine for the patient according to the prescription.
He has seen this patient many times.
But it has not been able to help people eradicate the disease.
Now that Xu Miaolin has a cure, he naturally has to study hard, at least to write down all the prescriptions to cure the disease.
It is still impossible to cure it after the province is able to meet it again.
Xu Miaolin didn't accept him as an apprentice, but would you not allow me to secretly learn?
After grabbing the medicine, the patient hurriedly left. Seeing the hope of healing, he went home and decocted the medicine quickly.
While waiting for the second patient, Fang Qiu quickly reviewed all the scenes in his mind, jot down and refines.
After he had done all this, the second patient also came in.
He is also a middle-aged person.
With the experience of the previous one, Fang Qiu and Xu Miaolin watched from a distance before the patient entered the door this time. From the patient's face to walking posture, to all kinds of subtle movements, he observed very carefully.
but.
This patient seems to be in a hurry.
After three steps and two steps, he rushed to the clinic table and sat down.
Start seeing a doctor.
Xu Miaolin did not rush to follow the steps of looking, smelling, asking, and cutting, while diagnosing, and constantly explaining to Fang Qiu.
This time.
The patient is not happy.
"Doctor, can you hurry up?"
Looking at Xu Miaolin, the patient urged.
"of course can."
Xu Miaolin smiled and nodded, then said, "However, if you have a quick consultation, you will be charged. If you slow down, the doctor will be free. You only need to pay for the medicine."
"Yep?"
The patient was stunned, and when he heard that there was still such a good thing, he quickly said: "Then, or... you should watch it slowly, not in a hurry, I have time, and watch it carefully. I also listen to my illness. what's going on."
"Well."
Xu Miaolin nodded in response and continued.
Fang Qiu also listened very carefully.
As long as the details and main points mentioned by Xu Miaolin are all remembered.
A blink of an eye.
One morning passed.
During this period of time, Xu Miaolin saw more than ten patients in total.
"Next you come, I'll be listening."
Feeling that Fang Qiu has learned almost too, Xu Miaolin stood up and said.
"it is good."
Fang Qiu nodded.
The two changed positions.
there.
Feng Xuexin was also interested, and while walking out of the counter, he laughed, "I want to see, what can you learn this morning."