Chapter 263: Actually nervous

Six rookies, although some people seem a little arrogant. But they are still very humble and polite.
The staff brought a box to sign, and after everyone pushed each other out, they stepped forward and touched a note from the box.
Xu Ze went to the third and touched a note. After opening it, he could see a name written on it: Yang Liming.
Suddenly, Xu Ze understood that this must be the name of one of the patients. It seems that this practical assessment is really to test the true skills. If you write down everything, you will see it for the patient, which is completely based on the truth. When it comes to medical treatment, don't try to be a coincidence.
Xu Ze looked at the name at hand, and then looked at the six patients in front of him, but he really didn't see that his patient was that...
The first six patients at this moment are all male, old and young, from the age of 60 to the age of 30. It is reasonable to say that the name is generally between 30 and 40 years old. .
However, at least three of the six people in front of him met this condition, and one was covering his stomach. Frowning tightly, it seems to be a patient with abdominal pain.
A pale face, sweating on his head... the situation is not clear...
And someone who seems to be fine...
Originally, Xu Ze wanted to find out his patient earlier, but this time he was not sure...
He’s not afraid of seeing a patient, but if this patient is going to be treated with Chinese medicine, that...it’s a little bit...overhanging...
Xu Ze felt that it was a very appropriate thing to use the word dangling to tell himself now. If he was to be treated with Western medicine, he wouldn’t worry at all. He learned this thing...
But he really wants to come to the TCM diagnosis in the face of so many people. He really doesn't have much knowledge in his heart. Although it is said that this is a family story, and the school has also learned a year of TCM courses, it is really worth seeing When he was a patient, he really didn't use it much...
So, at this moment, he grinned, suspended his heart, and waited with a strange face for the exam...
Seeing that everyone had finished drawing the lottery, Dean Guo caressed Fuhua Baichang's long beard, and then nodded: "Okay, now the practical assessment begins..."
"The first one, Li Berlin..."
Hearing the shouting of Dean Guo, the oldest patient came up and sat down at the medical table in the middle, waiting for the doctor to see the doctor!
"Who got it? Let's start..." Dean Guo Guo sipped his tea lightly, and then said slowly.
Now. A young man with a small head stood up next to him, nodded, and then walked up and sat down on the main table.
"Oh... Wu Lin, um... you can start!" Old Guo looked at the young man and nodded.
"Yes...Guo Lao!" This young man named Wu Lin, began to work...
Looking at this Wu Lin's methodical examination of the patients according to Wang Wenwen's four-diagnosis method, Xu Ze nodded secretly at the side. These people who can participate in this assessment are really amazing roles...
Wu Lin finished the examination quickly, and said respectfully towards the seniors in front: "Dear teachers, the patient has been diagnosed..."
Dean Guo nodded gently, then asked slowly: "Okay...please tell me the diagnosis, basis and treatment of this patient..."
"Patient Li Bolin, male, 62 years old, the main symptoms are: pain in the upper abdomen for half a year, and then worsened for three days, accompanied by pantothenic acid, burning pain... Signs: stomach pain, dry mouth, bitter mouth, red tongue and yellow fur , The number of pulses; consider the liver and stomach heat accumulation syndrome of gastric ulcer; the treatment method should use sparse liver and qi, relieve heat and stomach; add and subtract Danzhi Xiaoyao pill... Acupuncture points can be used: Zhongwan, Neiguan, foot Sanli... Needling with Xiefa..." Wu Lin answered carefully.
Hearing Wu Lin's answer, several senior national players nodded one after another. In particular, Jiang Yibo, a famous doctor in Jiangnan, smiled happily at this time. Wu Lin was his disciple, and he was able to answer smoothly. Wang Yibo was naturally very happy, because this is not only a question of whether the disciple can pass the level, but also related to him. The master's face...
Dean Guo also caressed his jaw gently, and then smiled: "It's good... The symptoms, the cure and the prescription are very good..."
Hearing Dean Guo's words, Wu Lin felt relieved and nodded with a smile.
Guo Lao continued his words: "Okay, the Chinese medicine examination is qualified; the following is the Western medicine clinical examination, can you still do the examination?"
"Clinical assessment of Western medicine...I really want to test this!" Wu Lin heard that his face changed a little. He was not worried about Chinese medicine, but it was really a serious test for Western medicine; but he was still secretly thankful for this patient The treatment of Western medicine is not too complicated. If it is a heart disease, it is troublesome. The heart disease of Western medicine is a complicated thing, we don’t understand...
It is naturally unnecessary to check it. Now I thought about it a little and organized the speech. Wu Lin said: "Western medicine diagnosis considerations: gastroduodenal ulcers may be possible. Drugs use amoxicillin to reduce inflammation, cimetidine, pectin. If bismuth protects the stomach and the abdominal pain is severe, use 654-2 to relieve spasm and relieve pain..."
After talking about it, Wu Lin thought about it, and there seemed to be nothing to add. He looked up at the seniors who were heading up, waiting for their judgment.
Hearing that Wu Lin seemed to have finished answering, Dean Guo turned his head to look at Tang Wuyou and Professor Jiang Lingyun of Capital Medical University...
These two professors are experts in Western medicine invited by Guo Lao, and they are naturally judged by them.
The two old professors glanced at each other, and then Professor Tang Wuyou nodded: "There is not much problem in diagnosis, and the medication is moderate. However, modern medicines for treating gastroduodenal ulcers have been renewed and generally used. Good clarithromycin anti-infection, omeprazole stomach protection... overall qualified!"
"Ok...Thank you Lao Tang..." After Dean Guo nodded his thanks to Professor Tang, he then said: "Wu Lin, the overall evaluation is good..."
"Next... Lin Dongping!"
Looking at the assessment of the first few patients, there are two people who are qualified and one is excellent. In general, the assessment is extremely strict, and if there is a small deviation, only one will be passed...
Therefore, Xu Ze also squeezed a little sweat. These seniors sitting on top are all expert-level. Their traditional Chinese medicine is also a half-hanger. If they are really admitted, they will be wrong one or two points. I’m afraid it’s just the beaten...
Hanging a heart. I watched the rookies around me go one by one to participate in the assessment. In the end, only Yu Yujian, who was the first in the theoretical examination, was left, and the other four were almost dangerous. Xu Ze this time It was even more tense.
At this time, Dean Guo read out the name of the fifth patient: "Hu Jiang..."
Hearing the name, Xu Ze couldn't help but sigh again, not himself. This kind of waiting was really a kind of torture.
The appraisal rookie corresponding to Hu Jiang is Guo Yujian...
Looking at Guo Yujian's inspection technique, Xu Ze looked envious on the side. This is Guo Yujian's dedicated Chinese medicine practice for more than ten years. Sure enough, it is extraordinary.
This patient was extremely easy for Guo Yujian. He quickly explained the diagnosis, basis and plan, etc., and then clearly made the diagnosis and treatment of this patient's Western medicine to the two of Capital Medical University. Professors answered and asked the two professors to nod frequently. Only by the time of the final evaluation, Professor Jiang Lingyun corrected a little deviation...
In the end, Guo Yujian's evaluation was: "Excellent..." This made Dean Guo above his head comfortably smile.
With the completion of Guo Yujian's assessment, everyone turned their attention to the last rookie and also the most anticipated rookie: classmate Xu Ze.
The seniors who were sitting here all knew some of the details of Xu Ze through Wang Laoguo, so they were extremely curious at this time. They wanted to know how the young man who was so badly recommended by Wang Laoguo actually…
At this time, Xu Ze has been staring at the last patient for a while, because there is no doubt that this last patient must be Yang Liming who has been waiting for a long time.
Xu Ze has started to prepare for the next assessment. Through the patient's behavior of covering his stomach, it can be seen that the main symptom of this patient is upper abdominal pain;
The most common cause of upper abdominal pain is generally a problem with the stomach, liver, gallbladder, or pancreas... and a few are caused by the heart.
Therefore, Xu Ze has already begun the preliminary examination of this patient. Under his order, the tri-polar system color B-mode ultrasound has already been turned on.
Although the distance was two meters, the patient's upper abdomen was quickly presented in front of Xu Ze in the dark vision under the powerful function of the system.
Looking at the patient's slightly swollen gallbladder and the spot in the gallbladder with some white flames, Xu Ze was already certain that this patient was mainly suffering from abdominal pain caused by a gallstone.
After the cause has been basically determined, although vaguely remember something about Chinese medicine on gallstones, Xu Ze immediately passed the encyclopedia of the knife to search for the principles of diagnosis and treatment of traditional Chinese medicine for gallstones, just in case. …
Chinese medicine divides gallstones into: liver stagnation and qi stagnation type, damp and heat intrinsic type, heat and toxic flaming type, blood stasis internal resistance...
Treatment principles: 1) Liver stagnation and qi stagnation type: Shugan Jieyu, regulating qi and analgesic; 2) Damp heat internal type: clearing away heat and dampness. Attacked by Tongli; 3) Hot and flaming type: clearing away heat and detoxifying, and purging fire; 4)...
Looking at these materials, Xu Ze began to quickly review and deepen the impressions with the data in his mind. These are all necessary to use when waiting for the assessment. Now I must deepen the impression and understanding, so as to reduce errors. opportunity…
"Yang Liming..." Following Dean Guo's words, the last patient also appeared, and the old Wang Guoguo above, his face began to get a little nervous...
Seeing that Xu Ze stepped forward slowly, all the seniors smiled and looked at this handsome young man with a trace of anticipation. Want to see, this student who specializes in Western medicine, in the end how good at Chinese medicine? Is it really as amazing as what Wang Laoguo said?
At this time, Xu Ze had some confidence in his heart, so he was able to maintain the calmness like the first one. He sat down at the desk and began the familiar process of examining patients...
He can basically determine what the disease is now, so if the patient is naturally examined, then the examination will naturally be extremely smooth...
Looking at Xu Ze's skilled questioning techniques and diagnosis techniques, although many of them are biased towards Western medical examinations, from Xu Ze's accurate and skillful pulse manipulation, the seniors still see that this young man is indeed I am still very familiar with the diagnosis of traditional Chinese medicine. Not only Western medicine, but also nodded secretly...
Although everyone could see Xu Ze's confidence and calmness on the surface, he could see Xu Ze's heart and heart. Although Xu Ze had determined that this patient was gallstones, the name of Chinese medicine was cholelithiasis, but this Chinese medicine This cholelithiasis needs to be dialectic, through the symptoms, pulse, tongue coating, etc., to determine the different treatment methods...
Although Xu Ze knows a little about the pulse of the pulse, he will actually use this on weekdays. In the past, he used to treat the pulse at home to see the doctor at home, at most it is just to do the appearance, because he does not need to rely on traditional Chinese medicine for treatment...
But now is the time to test the real skills. He must judge the pulse of the patient in front of him. Otherwise, if he has such an important thing, and if he is wrong, then this time it must be 100% unqualified...
At this time, Xu Ze recalled the knowledge of gallstones while he was pulsing for the patient. There are only a few types of gallstones, including string, number of strings, string slip, string thinness and string astringency...
These pulses represent liver qi stagnation type, damp heat internal type, heat poison flaming type, blood stasis internal resistance type, etc...
Poor Xu Ze when he studied such a deep pulse science, but there is no escape route at the moment. I can only try my best to find out what kind of pulse this is.
However, Xu Ze took his pulse for a long time, but he only came out with a string pulse. Whether it is counted or slipped, he is really not sure...
"Knife...Is there any way for you to do this?" Xu Ze frowned for a long time, and finally reluctantly asked for help from the knife; but he was not sure now. As a future medical assistance system, the knife will not Will this stuff?
Sure enough, Xiaodao replied very depressedly: "This... There is no corresponding virtual information in my database. I can't make an accurate judgment based on the text information I just found..."
Hearing the words of the knife, Xu Ze sighed helplessly and began to work hard...
The seniors who were looking forward to this side saw Xu Zeqing frowning and looking at the patient's veins for a long time, and he did not let go for a long time. At this time, he also knew that this young man was only afraid of encountering difficulties. Now...
However, everyone also secretly sighed. Although the young man's theory of Chinese medicine is in front of him, he is engaged in Western medicine. After all, where can he easily learn the most difficult pulse study of traditional Chinese medicine?
The next few rookies who had already passed the level were also looking at Xu Ze with curiosity and difference. They really couldn't understand it. The man in front of him just performed well during the theoretical examination, but how could he be here The pulse has been stuck for so long? Could it be that he studied Chinese medicine, and he didn't even learn the most important pulse science? Or is the pulse of this patient really strange to the extent that it is difficult to judge?
The rookies have some doubts, but they dare not really think that it is the first reason, because this is only once a year, and the rookie assessment that only counts a few places is not for fun; these senior teachers are not right about their disciples. With enough confidence, it is definitely not easy to recommend to come to participate in this assessment.
If you don't even have the knowledge of pulse theory, how can the elder teacher of this teaching let him participate? So it must be that the patient's pulse is really difficult to grasp, so this rookie named Xu Ze is so hesitant...
The rookies thought so, and now they are secretly thankful that they have not drawn this patient. If the patient's pulse is really so difficult to determine, then his assessment may be ugly...
Pity that they found reason for Xu Ze so much, but they didn't know that Xu Ze really didn't understand pulse science...so it was so difficult to decide...
Xu Ze frowned for a long time, but he really came up with a trick.
There are only a few types of cholelithiasis, and these types have their own unique pulses and symptoms and signs that can be used to judge. Since you cannot determine the pulse, you can also use other symptoms and signs to help determine which patient this is. Types of.
As long as you know the type, then you only need to answer what kind of pulse is the type recorded in this material, then most of them will not be wrong...
So Xu Ze quickly turned a corner and began to avoid the pulse to diagnose the patient by type classification...
In addition to upper abdominal pain, this patient also has a bitter and oily mouth, and fever; seeing that his tongue coating is slightly yellow, but the tongue coating is not thick, then this tongue coating should be thin yellow...
Hmm...the mouth is bitter, oily, fever, thin yellow fur; there are no other symptoms of dense stool, yellow tongue fur, compared with the information passed by the knife just now~EbookFREE.me~ The most consistent is liver depression and stagnation Type, several other types are slightly different from this...
It should be that this type is right. Xu Ze was very happy, and finally determined the type, and the pulse type recorded on this type of data is a string... there is no slippage, counting, etc... then this is simple. , Answering the pulse directly is not wrong...
The diagnosis and basis of traditional Chinese medicine, as well as the principles of treatment, etc., after he completed the type identification, that is, dialectical, there are no more problems... as long as the standard information is answered, there will be no major problems...
Xu Ze was about to stand up and signaled that he had finished the examination. Suddenly he was shocked. He suddenly remembered that he was only concerned about the assessment of traditional Chinese medicine, but he forgot about Western medicine. In addition to gallstones causing abdominal pain, there are other diseases to be carried out. distinguish…
Although it can be determined that this patient has gallstones, it should also be considered that the patient has abdominal pain caused by stones, but it cannot be guaranteed 100% that he has no other diseases that cause abdominal pain, such as gastritis, pancreatitis, etc...
—Five thousand words arrive, Minger continues
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