A rookie. WwW. qUAnbEn-xIaosHuo. cOm is worried that this person looks arrogant, but he is extremely humble and polite.
The staff brought one over and signed the box. After everyone gave in to each other, one person stepped forward and took out a note from the box.
Xu Ze took the third step and touched a piece of paper. After opening it, he saw a name written on it: Yang Liming.
After being stunned for a moment, Xu Ze understood that this must be one of them, the name of the patient. It seems that this practical assessment is really a test of real ability. Write down all the situations clearly, and I will show you the patient. It is completely based on the truth. When it comes to medical diagnosis and treatment, don’t even try to take advantage of it.
Xu Ze looked at the names on his hand, and then at the six patients in front of him. He really didn't see who his patient was.
The six patients in front of me are all men. There are young and old, ranging from sixty to thirty years old, so it stands to reason that this one should be chosen. Those with the same name are generally more likely to be between thirty and forty years old.
However, among the six people in front of me, at least three met this condition, and one was holding his stomach. With a frown, he seemed to be a patient with abdominal pain.
A man with a pale complexion and sweating, whose condition was unclear,
A person who seems to have nothing wrong with him.
Originally, Xu Ze wanted to find out who his patient was earlier, but now he was not sure.
If he sees a patient, he is not afraid, but if the patient needs to be treated with traditional Chinese medicine, then it is really a little bit...
Xu Ze felt that it was very appropriate to use the word "Xuanhu" to talk to him now. If he was asked to use Western medicine to treat it, he wouldn't worry at all. This was what he was talking about.
But he really didn't have much confidence in taking the Chinese medicine diagnosis test in front of so many people, even though it was a family tradition. Moreover, I also studied traditional Chinese medicine for one academic year in school, but when it came time to actually see patients. He really hasn't used it much yet,
So, at this time, he kept his mouth open and his heart hanging. Waiting for the start of the exam with a weird look on his face,
Seeing that everyone had finished drawing lots, Dean Guo gently stroked his long white beard, then nodded and said: "Okay, now the practical assessment begins,"
"The first one, Li Pailin"
Hearing Director Guo's shout, the oldest patient came up and sat down at the central consultation table, waiting for the doctor to see him! "Who drew it? Let's get started. Dean Guo took a sip of tea and said slowly.
At that moment, a young man with a short hair stood up next to him, nodded in agreement, then walked up and sat down at the head of the examination table.
"Oh, Wu Lin, well, you can start." Mr. Guo looked at the young man and nodded.
"Yes, Mr. Guo!" The young man named Wu Lin started to take action.
Seeing Wu Lin methodically examining the patient in accordance with the four diagnostic techniques of inspection, hearing, inquiry, and cut, Xu Ze watched from the side and nodded secretly. These people who can participate in this assessment are indeed extraordinary characters.
Wu Lin quickly completed the examination and said respectfully to the seniors in front: "Dear teachers, the patient has been examined.
Dean Guo nodded slightly, and then asked slowly: "Okay, please tell me the diagnosis, basis and treatment method of this patient."
"Patient Li Pailin, male, 62 years old. The main symptoms are: upper abdominal pain for half a year, which worsens for three days, accompanied by pantothenic acid and burning pain. Symptoms: stomach pain, dry mouth and bitter mouth, red tongue Yellow coating and stringy pulse; considered to be a syndrome of stomach disease due to heat accumulation in the liver and stomach; the treatment method is to soothe the liver and regulate qi, relieve heat and harmonize the stomach; use Danwei Xiaoyao Pills for the prescription, and acupuncture points can be used: Zhongyuan, Neiguan , Zusanli, use the purgative method to perform acupuncture," Wu Lin replied carefully.
After hearing Wu Lin's answer, several senior national players. Everyone nodded, especially Wang Yibo, a famous doctor from Jiangnan. At this time, he smiled happily. This Wu Lin was his disciple and he could answer it smoothly. Wang Yibo was naturally very happy because of this. But it's not just a question of whether the disciple can pass the test, but it's also a matter of his master's face.
Dean Guo also stroked his beard and gently chinned his head, then smiled and said: "Yes, the symptoms, treatments and prescriptions answered are very good."
Hearing Dean Guo's words, Wu Lin was relieved and nodded with a smile.
Mr. Guo continued: "Okay, I have passed the traditional Chinese medicine examination; now we will proceed to the western medicine clinical examination. Do you still need to do a check-up?"
The "Clinical Assessment of Western Medicine" really requires this test! "Wu Lin's expression changed slightly when he heard that he was not worried about taking the Chinese medicine test, but he was taking the Western medicine test. This was really a serious test; but he was still secretly grateful that the Western medicine treatment for this patient was not too complicated. , if it is a heart disease, it will be troublesome. Heart disease in Western medicine is a complicated thing, and we don’t understand it.
Of course, there is no need for an examination. After thinking about it for a moment and organizing his words, Wu Lin said: "Consider Western medicine diagnosis: gastroduodenal ulcer is possible, and the drugs are amoxicillin, cimetidine, and pectin." Guo protects the stomach. When the abdominal pain is severe, you can use Dan 2 to relieve spasm and relieve pain."
After saying that, Wu Lin thought for a while and seemed to have nothing to add, so he looked up at the seniors above, waiting for their judgment.
After hearing that Wu Lin seemed to have finished answering, Dean Guo turned to look at Professor Tang Wuyou and Jiang Lingyun from Capital Medical University.
These two professors are experts in Western medicine invited by Mr. Guo, so naturally they will make the judgment.
The two old professors looked at each other, and then Professor Tang Wuyou nodded and said: "There is not much problem in diagnosis, and the medication is moderate. However, the medicines for the treatment of gastroduodenal ulcers are generally updated and replaced." Use shares. Sun Xun's Clarithromycin is semi-anti-infective, and Omeira is called Stomach Protection. Overall, it is considered qualified! "
"Okay, thank you, Old Tang. Dean Guo nodded to Professor Tang to express his gratitude, and then said: "Wu Lin, the overall evaluation is excellent."
"Next...Lin Dongping!"
Looking at the assessment results of the first few patients, two of them were rated as qualified and one was rated as excellent. Generally speaking, the assessment is extremely strict. If there is a small deviation, only one will be given a pass.
Therefore, Xu Ze was a little sweaty when he arrived. The seniors sitting above were all experts. His own Chinese medicine was also half-assed. If he really got passed the exam, he would have made one or two mistakes. If you click, I'm afraid you'll be beaten down.
With a suspended heart, he watched the rookies around him go forward one by one to take part in the assessment. In the end, only he and Guo Yujian, who had won the first place in the theoretical examination, were left. The other four people almost narrowly passed the test, and Xu Ze became more and more nervous now.
At this time, Director Guo read out the name of the fifth patient: "Hu Jiang,"
Hearing this name, Xu Ze couldn't help but sigh again. It's not him. This kind of waiting is really a kind of torture.
Hu Jiang’s corresponding assessment rookie is Guo Yujian.
Looking at Guo Yujian's neat examination techniques, Xu Ze looked on with envy. Guo Yujian's more than ten years of dedicated Chinese medicine training was indeed extraordinary.
This patient was really easy for Guo Yujian. He soon explained the diagnosis, basis, plan, etc., and then clearly explained the Western medicine diagnosis and treatment of this patient to two doctors at Capital Medical University. Two professors answered the questions, causing the two professors to nod their heads frequently. Only when it came to the final evaluation, Professor Jiang Lingyun corrected the slightest deviation.
In the end, Guo Yujian received the evaluation: "Excellent", which made Dean Guo above him stroke his beard and smile happily.
With Guo Yujian's assessment completed, everyone turned their attention to the last rookie and the most anticipated one: Xu Ze.
The senior national players sitting above are here. They all know some details about Xu Ze through Wang Laoguo. So I was extremely curious at this time, wanting to know the true abilities of this young man who was so highly recommended by Mr. Wang, a national player.
At this time, Xu Ze had already been observing the last patient for a while, because there was no doubt about it. This last patient must be the Yang Liming whom I have been waiting for for a long time.
Xu Ze had already begun to prepare for the upcoming assessment. He looked at the patient's actions of holding his stomach. It can be seen that the main symptom of this patient is epigastric pain; the most common cause of epigastric pain is usually problems with the stomach, liver, gallbladder, or pancreas, and some are caused by heart problems.
Therefore, Xu Tu had already begun a preliminary examination of the patient. Under his order, the level 3 system function color ultrasound had already been turned on.
Although there was a distance of two meters, with the powerful function of the system, the condition of the patient's upper abdomen was quickly displayed in front of Xu Ze in the dark field of vision.
Looking at the patient's slightly swollen gallbladder and the light spot with some white flames in the gallbladder, Xu Ze was already sure. This patient mainly suffered from abdominal pain caused by gallstones.
After basically determining the cause of the disease, Xu Ze vaguely remembered some things about traditional Chinese medicine for gallstones, but he just wanted to be just in case. I immediately went through Xiaodao's encyclopedia and searched for information on the principles of diagnosis and treatment of gallstones in traditional Chinese medicine...
Traditional Chinese medicine divides gallstones into: liver stagnation and qi stagnation type, damp and heat intrinsic type, heat and toxin exuberant type, and blood disease and internal resistance type.
Treatment principles:! Type of liver stagnation and qi stagnation: soothes the liver and relieves stagnation, regulates qi and relieves pain; 2. Intrinsic type of dampness and heat: clears away heat and resolves dampness, clears away internal heat; 3. Type of excessive heat and poison: clears away heat and detoxifies, clears heat and purges fire; 2.
Looking at these materials, Xu Ze began to quickly review and deepen the impression of the information in his mind. These must be used when waiting for the assessment. Now he must deepen his impression and understanding, so as to reduce the chance of making mistakes. Chance"
"Yang Liming" Following the words of Mr. Guo, the last patient also came on the stage. At this time, Mr. Wang, the national player above, began to look a little nervous.
Seeing Xu Ze walking forward slowly, all the seniors smiled lightly and looked at this handsome young man with a hint of expectation, wanting to take a look. What is this student who majors in Western medicine, and what are his attainments in Chinese medicine? Is it really as amazing as Mr. Wang said
Xu Ze felt somewhat confident at this time, so he was able to maintain the same calmness as before. He sat down at the consultation table and began the familiar process of examining the patient.
He can now basically determine what the disease is, so naturally if he conducts an examination on this patient, his movements will naturally be extremely smooth.
Looking at Xu Ze's skillful consultation skills and diagnostic techniques, although many of them are biased toward Western medicine examinations, from Xu Ze's accurate and skillful movements of feeling the pulse, the seniors can still see that this young man is indeed I am very familiar with Chinese medicine diagnosis and treatment. I am not only familiar with Western medicine. I also nodded secretly at the moment...
Although everyone saw Xu Ze's confident and calm face on the surface, they could not see the anxiety in Xu Ze's heart. Although Xu Ze had determined that this patient had gallstones, and the Chinese medicine name was cholelithiasis, this Chinese medicine doctor besides This cholelithiasis requires dialectical analysis, including symptoms, pulse, tongue coating, etc., to determine the difference in solution therapy methods※
Although Xu Ze has some understanding of the pulse condition, this is not really used on weekdays. In the past, seeing people at home and checking their pulse was just a show-off at most, because he didn't need to rely on traditional Chinese medicine for treatment at all.
But now it's time to test his true skills. He must judge the pulse condition of the patient in front of him. Otherwise, if he makes a wrong judgment on such an important thing, then he will definitely fail this time.
Xu Ze was taking the patient's pulse while recalling the knowledge he had just reviewed about gallstones. There are only a few types of pulse conditions for gallstones: stringy, stringy, slippery, thin, and astringent.
These pulse conditions respectively represent the type of liver stagnation and qi stagnation, the type of internal dampness and heat, the type of excessive heat and poison, the type of blood disease and internal obstruction, etc.
Poor Xu Ze, when had he ever delved into such advanced pulse science, but now there was no way out. We can only try our best to find out what kind of pulse this is.
However, Xu Ze felt the pulse for a long time, but he could only get a string pulse. He was really not sure whether it was counted, slippery, etc.
Xiaodao, "Do you have any idea about this?" Xu Ze frowned and thought for a long time, and finally helplessly asked Xiaodao for help; but now he was not sure whether Xiaodao, as a future medical auxiliary system, would be able to do this. Toy
Sure enough, Xiaodao replied very depressedly: "Well, there is no corresponding virtual data in my database. I can't make an accurate judgment based on the text data I just found."
Hearing Dao's words, Xu Ze could only sigh helplessly and began to continue working hard.
The people in front of them who were watching expectantly saw Xu Zeqing frowning and taking the patient's pulse without letting go for a long time. Everyone knew at this time that this young man might have encountered a problem.
But everyone also sighed secretly, even though the young man in front of them had good research on Chinese medicine theory. But after all, he is a practitioner of Western medicine. How can he so easily understand the pulse condition, which is the most difficult thing to learn in Chinese medicine
And there are several rookies who have passed the test next to them. At this time, he also looked at Xu Ze with curiosity and confusion. They really couldn't figure it out. The person in front of them had performed well in the theory test, but how could he be stuck on this pulse for so long? Could it be that he studied Chinese medicine and didn't even learn the most important pulse theory? Or is this patient's pulse really so weird that it's difficult to judge
The rookies were a little skeptical, but they didn't dare to really think it was the first reason, because this rookie assessment, which only happens once a year, and only has a few places at a time, is not just for fun; these senior teachers. If you don't have enough confidence in your disciples, you will definitely not easily recommend them to take this assessment.
If he didn't even learn pulse science, how could this senior teacher allow him to participate? Then it must be that this patient's pulse is indeed difficult to grasp, so the rookie named Xu Ze in front of him is so hesitant.
The rookies thought of this, and they all secretly rejoiced that they did not get this patient. If this patient's pulse is so difficult to determine, then I might make a fool of myself in this assessment.
It's a pity that they are making excuses for Xu Ze. But he didn't know that Xu Ze really didn't know much about pulse science, which was why it was so difficult to make a decision. Xu Ze frowned and thought for a long time, and finally he came up with a trick.
There are only a few types of cholelithiasis, and these types have their own unique pulses, symptoms and signs that can be used to judge. Since you can't determine the pulse yourself, you can also use other symptoms and signs to help judge which patient this is. type.
As long as the type is clear, then just ask what type of pulse is recorded in the data, and it will probably not be wrong."
So Xu Ze quickly turned a corner and began to avoid the pulse to diagnose this patient by type.
In addition to upper abdominal pain, this patient also has a bitter taste in the mouth and a fever. His tongue coating is slightly yellow, but the tongue coating is not thick, so the tongue coating should be thin and yellow.
Well, I have a bitter and oily mouth, fever, and thin and yellow coating; there are no other symptoms of tight stools or yellow and greasy tongue coating. Comparing with the information just sent by Xiaodao, the most consistent type is liver stagnation and qi stagnation type, and several other types. They are all somewhat different from this.
It should be this, the type is correct, Xu Ze felt happy, he finally confirmed the type, and the pulse recorded in the type data is just a string, there is no sliding, counting, etc., so it is simple now Yes, just answer the pulse string directly, it shouldn’t be wrong,
As for the diagnosis and basis of traditional Chinese medicine, as well as treatment principles, etc., after he completes the type identification, that is, dialectics, there will no longer be any problems. As long as he answers based on those standard information, there will naturally be no big problems.
Xu Ze was about to stand up and signal that he had finished the inspection. Suddenly my heart was startled, and I suddenly remembered that I had just been focusing on dealing with the traditional Chinese medicine exam, but I had forgotten that in western medicine, in addition to abdominal pain caused by gallstones, there are other diseases that need to be distinguished.
Although it has been determined that this patient has gallstones, and it should be considered that this patient has abdominal pain caused by stones, there is no 100% guarantee that he does not have any other diseases that cause abdominal pain. For example, gastritis, pancreatitis, etc.
One to five thousand words has arrived, and will be continued tomorrow.