Chapter 263: Actually Nervous
Six rookies, although some seem a little arrogant. But they are still very humble and polite to each other.
The staff brought up a signing box, and after everyone gave way to each other, one of them stepped forward and touched a note out of the box.
Xu Ze took the third step and touched a piece of paper. When he opened it, he could see a name written on it: Yang Liming.
After being taken aback for a while, Xu Ze understood that this must be the name of one of the patients. It seems that this practical assessment really needs to test real skills, write down everything clearly, and let you see it for a patient. It is completely based on the real situation. When it comes to seeing a doctor, diagnosis and treatment, don't try to take advantage of it.
Xu Ze looked at the name in hand, and then at the six patients in front of him, but he really didn't realize who his patient was...
The six patients in front of me are all men, old and young, ranging from sixty to thirty years old. It stands to reason that the person with this name is more likely to be between thirty and forty years old. .
But among the six people in front of me, at least three meet this requirement, and one is clutching his stomach. Frowning tightly, it seems that he is a patient with abdominal pain.
A pale face, sweating... the situation is unclear...
Another person who seems to be fine...
Originally, Xu Ze wanted to find out who his patient was, but now he is not sure...
If he sees a patient, he is not afraid, but if the patient needs to be treated with traditional Chinese medicine, that... is really a little... suspenseful...
Xu Ze feels that it is very appropriate to use the word "hanging" to tell himself now. If he is asked to use Western medicine for treatment, then he is not worried at all, that is what he learned...
But if he really wanted to take the examination of Chinese medicine diagnosis in front of so many people, he really didn't have much confidence in his heart. When he was a patient, he really didn't use it much...
So, at this time, he was grinning, hanging his heart, and waiting for the exam to start with a strange face...
Seeing that everyone had already finished drawing lots, old Dean Guo stroked his long white beard gently, then nodded and said, "Okay, now the practice assessment begins..."
"The first one, Li Bailin..."
Hearing Old Director Guo's shout, the oldest patient came up, sat down at the consultation table in the middle, and waited for the doctor to come to see him!
"Who got it? Let's start..." Old Dean Guo took a sip of tea,
Then said slowly.
present. A young man with a short cut stood up next to him, nodded in response, then walked up and sat down on the main seat of the consultation table.
"Oh...Wu Lin, um...you can start!" Mr. Guo looked at the young man and nodded.
"It's... Old Guo!" The young man named Wu Lin started to fight...
Watching Wu Lin methodically examine the patient according to the four methods of observation, hearing, questioning and cutting, Xu Ze secretly nodded from the sidelines. Those who can participate in this assessment are indeed extraordinary characters...
Wu Lin quickly finished the examination, and respectfully said to the seniors in front of him, "Teachers, the patient has been examined..."
Old Dean Guo nodded slightly, and 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: epigastric pain for half a year, and then aggravated for three days, accompanied by pantothenic acid, burning pain... Symptoms: burning pain in the epigastric cavity, dry mouth, bitter mouth, red tongue with yellow coating , pulse strings and pulses; it is considered to be the syndrome of heat accumulation in the liver and stomach of gastric ulcer; the treatment method should be to soothe the liver and regulate qi, expel heat and harmonize the stomach; the prescription uses Danzhi Xiaoyao pills to add and subtract...Acupoints for acupuncture and moxibustion can be selected: Zhongwan, Neiguan, Foot Sanli...does acupuncture with the purging method..." Wu Lin replied carefully.
Hearing Wu Lin's answer, several senior national players nodded their heads one after another. Especially Wang Yibo, a well-known doctor in the south of the Yangtze River, smiled with satisfaction at this time. This Wu Lin is his disciple, and Wang Yibo was naturally very happy to be able to answer the question smoothly, because this is not only a question of whether the disciple can pass the test, but also concerns him. The face of this master...
Old Dean Guo also stroked his beard and chin lightly, then smiled and said: "That's right... the symptoms, treatment methods and prescriptions are all very good..."
Hearing Dean Guo's words, Wu Lin heaved a sigh of relief, and nodded with a smile.
Mr. Guo continued to speak: "Okay, I passed the examination of traditional Chinese medicine; the clinical examination of western medicine will be carried out next, do you still need to do the examination?"
"Western medicine clinical assessment... I really need to take this test!" Wu Lin's complexion changed a little when he heard it. He was not worried about taking the Chinese medicine test, but it was really a serious test for the western medicine test; but he was still secretly glad that this patient Western medicine treatment is not too complicated. If it is a heart disease, it will be troublesome. Western medicine heart disease is a complicated thing, we don't understand...
Naturally, there is no need for an examination. After thinking about it for a while and organizing his words, Wu Lin said: "The diagnosis of Western medicine is considered: gastroduodenal ulcer is possible, and the medicines are amoxicillin for anti-inflammatory, cimetidine, and pectin. Bismuth protects the stomach, when the abdominal pain is severe, you can use 654-2 to relieve spasm and relieve pain..."
After finishing speaking, Wu Lin thought for a while, and it seemed that he had nothing to add. Then he looked up at the seniors above him, waiting for their judgment.
Hearing that Wu Lin seemed to have finished his answer, Dean Guo turned his head to look at Tang Wuyou and Professor Jiang Lingyun from the Capital Medical University next to him...
These two professors are experts in western medicine specially invited by Mr. Guo, so it is natural for them to judge.
The two old professors looked at each other, and then Professor Tang Wuyou nodded and said, "There is no big problem in the diagnosis, and the medication is moderate, but the modern medicines for the treatment of gastric and duodenal ulcers have been updated and generally used. Better clarithromycin for anti-infection, omeprazole for stomach protection... Overall it is qualified!"
"Okay...thank you, old Tang..." Dean Guo nodded his thanks to Professor Tang, and then said: "Wu Lin, the overall evaluation is excellent..."
"Next... Lin Dongping!"
Looking at the assessment of the first few patients, two of them passed the assessment and one was excellent. Generally speaking, the assessment is extremely strict, and if there is a small deviation, only one will be given a pass...
Therefore, Xu Ze sweated a little. The seniors sitting on top are all experts, and his own Chinese medicine is only half-baked. I'm afraid it's because of being beaten...
A heart hangs. Watching the rookies around him go forward one by one to take part in the assessment, in the end, only himself and Guo Yujian, who took the first place in the theory test, were left, and the other four almost all narrowly passed. It's getting more and more tense.
At this moment, old Dean Guo read out the name of the fifth patient: "Hu Jiang..."
Hearing the name, Xu Ze couldn't help sighing again, it's not him, this kind of waiting is really torture.
This 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 has been practicing Chinese medicine for more than ten years. It really is extraordinary.
For Guo Yujian, this patient was extremely easy, and soon he explained the diagnosis, basis, and plan, etc., and then clearly explained the patient's Western medicine diagnosis and treatment, both of which were related to the two doctors of Capital Medical University. The two professors answered the questions, causing the two professors to nod frequently. Only when it came to the final evaluation, Professor Jiang Lingyun corrected a little bit of deviation...
In the end, Guo Yujian received the evaluation: "Excellent..." This made the old Dean Guo on his head stroke his beard and smile in relief.
After Guo Yujian's assessment was completed, everyone turned their attention to the last rookie, and also the most anticipated rookie: classmate Xu Ze.
The senior national players sitting above all knew some details about Xu Ze through Wang Lao Guoshou, so they were also extremely curious at this time, wanting to know the real skills of this young man who was so exceptionally recommended by Wang Lao Guoshou...
At this time, Xu Ze had already been staring at the last patient for a while, because there was no doubt that the last patient must be Yang Liming who he had been waiting for for a long time.
Xu Ze has already started preparing for the upcoming assessment. From the patient's gesture of covering his stomach, he can tell that the patient's main symptom is epigastric pain;
The most common cause of upper abdominal pain is usually a problem with the stomach, liver and gallbladder, or the pancreas...and a little is caused by the heart.
Therefore, Xu Ze had already started to conduct a preliminary examination on this patient, and under his order, the functional color B ultrasound of the tripolar system had already been turned on.
Although there was a distance of two meters, under the powerful function of the system, the condition of the patient's upper abdomen quickly appeared in front of Xu Ze in the dark field of vision.
Looking at the patient's slightly swollen gallbladder and the light spot in the gallbladder with some white flames, Xu Ze was sure that the patient's abdominal pain was mainly caused by a gallstone.
After basically determining the cause of the disease, although Xu Ze vaguely remembered some things about gallstones in traditional Chinese medicine, just in case, Xu Ze immediately went through the encyclopedia of the knife and searched for the information on the diagnosis and treatment principles of gallstones in traditional Chinese medicine. …
Traditional Chinese medicine divides gallstones into: liver depression and qi stagnation type, damp-heat accumulation type, heat-toxin flaming type, blood stasis internal resistance type...
Treatment principles: 1) Liver depression and qi stagnation type: soothe the liver and relieve stagnation, regulate qi and relieve pain; 2) Damp-heat intrinsic type: clear heat and remove dampness. 3) Exuberant heat-toxin type: clearing away heat and detoxification, clearing away heat and purging fire; 4)….
Looking at these materials, Xu Ze began to quickly review and deepen his impressions with the materials in his mind. These are all necessary for the next assessment, and now he must deepen his impressions and understanding, so as to reduce mistakes. Chance…
"Yang Liming..." Following the old Dean Guo's words, the last patient also came on the stage, and Wang Laoguo's expression began to become a little nervous at this time...
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 see how well this student who specializes in Western medicine has attained in Chinese medicine? Is it really as amazing as Wang Laoguo said?
At this time, Xu Ze had some confidence in his heart, so he was able to maintain his calmness as before, sat down at the consultation table, and started the familiar process of examining patients...
Now he can basically determine what kind of disease it is, so if it is natural to conduct an examination on this patient, then the examination will naturally be extremely smooth...
Looking at Xu Ze's proficient interrogation skills and examination methods, although many of them are biased towards the examination of Western medicine, 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 still very familiar with Chinese medicine diagnosis, not only know Western medicine, but I also nodded secretly at the moment...
Although everyone can see Xu Ze's confident and calm face on the surface, they can't see the anxious color in Xu Ze's heart now. Although Xu Ze has confirmed that this patient is gallstones, and the Chinese medicine name is gallstones, but this Chinese medicine does not only This cholelithiasis has to be dialectical, and the treatment methods are determined by symptoms, pulse condition, tongue coating, etc...
Although Xu Ze has some understanding of the pulse condition, he would really use it on weekdays. In the past, when he saw a doctor at home, it was just a show at most, because he didn't need to rely on traditional Chinese medicine for treatment...
But now is the time to test his real skills. He must judge the pulse condition of the patient in front of him. Otherwise, if he misjudged such an important thing, then he must be 100% unqualified this time...
At this time, Xu Ze was taking the patient's pulse while recalling the knowledge about gallstones that he had just reviewed. There are only a few types of pulse conditions for gallstones, string, pulse number, string smooth, string thin and string string...
These pulse conditions respectively represent liver depression and qi stagnation type, internal damp-heat type, flaming heat-toxin type, blood stasis internal resistance type, etc...
Poor Xu Ze had studied such advanced pulse science, but now he has no way out, so he can only try his best to find out what kind of pulse it is.
However, Xu Ze felt the pulse for a long time, but he only came out with a string pulse. He is really not sure whether it is counted, slippery, etc...
"Xiaodao... Is there anything you can do about it?" Xu Ze frowned and thought for a long time, and finally turned to Xiaodao helplessly; but he is not sure now, whether Xiaodao will be a future medical assistance system know this thing?
Sure enough, Xiaodao replied very depressed: "This... I don't have the corresponding virtual data in my database. I can't make an accurate judgment based on the text data I just found..."
Hearing Xiaodao's words, Xu Ze had no choice but to sigh helplessly, and continued to work hard...
The seniors who were looking at him expectantly looked at Xu Zeqing, frowning and holding the patient's pulse, and he didn't let go for a long time. At this moment, they all knew that this young man was probably encountering a problem. Already...
However, everyone also sighed secretly. Although the young man in front of him is good at studying the theory of Chinese medicine, he is a Western medicine practitioner after all. How can he easily learn the most difficult Chinese medicine pulse condition so easily?
And the rookies next to him who have passed the test also looked at Xu Ze with curious and different expressions at this time. They really couldn't figure it out. Pulse stuck for so long? Could it be that he studied Chinese medicine, but he didn't even master the most important pulse condition? Or is the patient's pulse really weird to the point where it's hard to judge?
The rookies were a little skeptical, but they didn't dare to really think that it was the first reason, because this rookie assessment, which was only once a year, and with only a few places at a time, was not just for fun; If you have enough confidence, you will definitely not easily recommend you to take part in this assessment.
If he didn't even master the art of pulse, how could the elder teacher who taught him let him participate? Then it must be that the patient's pulse is really hard to grasp, that's why the rookie named Xu Ze in front of him is so hesitant...
Thinking of this, all the rookies secretly rejoiced that they didn't get this patient. If the patient's pulse condition is really so difficult to determine, then they might make a fool of themselves in this assessment...
It's a pity that they are so looking for reasons for Xu Ze, but they don't know, Xu Ze really doesn't know much about pulse science... That's why it's so difficult to make a decision...
But Xu Ze frowned and thought for a long time, but he really came up with a tricky way.
There are only a few types of cholelithiasis, and each of these types has its own unique pulse and symptoms that can be used to judge. Since I can’t determine the pulse, I can also use other symptoms and signs to help determine which patient it is. type.
As long as the type is clarified, then you only need to answer which type of pulse is recorded in this material, then most of the time you will not be wrong...
So Xu Ze quickly turned a corner and began to avoid the pulse condition to diagnose the patient by type...
In addition to epigastric pain, this patient also has symptoms of bitterness and oily mouth, and fever; his tongue coating is slightly yellow, but the tongue coating is not thick, so the tongue coating should be thin yellow...
Hmm... Bitter and oily mouth, fever, thin yellow fur; no other symptoms of dense stools, yellow greasy tongue fur, compared with the information from the knife just now, the most consistent type is liver depression and qi stagnation, and several other types It's all different from this...
It should be this type, Xu Ze was overjoyed, finally determined the type, and the pulse condition recorded in this type of data is just a string... There is no such thing as slipping or counting... Then it's easy , directly answer the pulse string, it should not be wrong...
TCM diagnosis and basis, as well as treatment principles, etc., after he completes the type identification, that is, dialectics, there is no problem anymore... As long as he answers according to those standard materials, naturally there will be no major problems...
Xu Ze was about to stand up to indicate that he had completed the examination, but suddenly he was startled. He suddenly remembered that he had only been focusing on this Chinese medicine examination, but he had forgotten that in Western medicine, besides abdominal pain caused by gallstones, there are other diseases that need to be checked. distinguish…
Although it has been confirmed that this patient has gallstones, it should also be considered that the abdominal pain is caused by gallstones, but it cannot be guaranteed 100% that he does not have any other diseases that cause abdominal pain, such as gastritis, pancreatitis, etc...
————Five thousand words arrived, tomorrow will continue———
. (!)