Super hang up system

Chapter 119: Diagnosis

"Since you think it's too easy, let's make it more difficult." Hua Yun gritted his teeth after a moment of silence.

"How to increase the difficulty?" Liu Xing asked.

Hua Yun thought for a moment, and said: "Traditional Chinese medicine diagnosis is divided into four diagnostic methods: observation, hearing, inquiry, and palpation. The combination of the four diagnostics is needed to finally confirm the condition. Among the four diagnostic methods, "interrogation" is the most important. Why don't we discard "interrogation"? , only use the three methods of looking, smelling and cutting to determine the cause of the patient, what do you think?"

Liu Xing thought about it, and felt that this was indeed a challenge, very difficult, so he nodded in agreement.

The other directors, including Hua Jinshi, were very surprised when they heard Hua Yun's proposal. They all thought it was too difficult.

Seeing, hearing, and asking are accurate, and the role of consultation is the most important, and often plays a decisive role.

Take inspection as an example, if a patient turns pale, there are many causes of this symptom, such as physical weakness, shock, lung disease, etc. At this time, it is necessary to ask the patient to determine the cause .

Is it night sweats? If so, it may be caused by physical weakness. If it is frightened, it may be caused by excessive fright. If breathing is not smooth, it may be caused by lung disease.

Therefore, after removing the link of consultation, it will bring great difficulties to determine the cause of the patient. It requires more careful deliberation, analysis and judgment to find the correct cause.

But since both sides agree with this method, it can only be compared in this way.

According to Hua Yun's request, Hua Jinshi and other directors scoured the hospital and found ten patients with difficult diseases. If patients with common diseases such as wind, cold, damp heat, etc. were used for the test, it would be meaningless, let alone asking. Diagnosis, even if only by cutting the pulse, can accurately determine the cause of the disease.

Of course, the patients who were brought in did not know these famous medical directors, but they all knew the director of the hospital. The director told them that the doctor who treated them today was the most famous Chinese medicine doctor in China, and told them that no matter what the circumstances, they could not ask for help. The doctor speaks out.

The patients were divided into two groups, five people in each group, Liu Xing and Hua Yun were diagnosed and treated in different rooms, and they were exchanged after all five patients were diagnosed and treated.

Hua Yun asked Patient No.1 to sit in front of him, and followed his usual habit to conduct an inspection first.

To put it simply, inspection includes two parts: general inspection and tongue diagnosis.

General inspection is mainly to observe the patient's facial features. According to the theory of traditional Chinese medicine, the mouth, eyes, ears, nose, and tongue in the facial features correspond to the heart, liver, spleen, lung, and kidney in the five internal organs. Whether the five internal organs have diseases.

If the eyes are red and swollen, it is mostly caused by liver fire or wind-heat. If the eyes are turned upwards, looking directly or obliquely is regarded as internal movement of liver wind, dry and blackened helix is ​​regarded as deficiency of kidney essence, the alar of the nose is inflamed as evil heat accumulated in the lungs, swollen gums or concurrent bleeding is Hyperactivity of stomach heat.

Tongue diagnosis is to judge the deficiency and excess of the five internal organs by observing the tongue quality and tongue coating.

After Hua Yun finished his consultation, he already had a general understanding of the patient.

The next step is auscultation, including listening to sounds and smelling smells.The main thing is to listen to the changes of the patient's voice and breath, such as the level, strength, turbidity, urgency, etc., so as to distinguish the deficiency, excess, cold and heat of the disease.

Because there was no interrogation, Hua Yun started the examination after the auscultation was over.

Pulsing, also known as palpation and pulse diagnosis, is a method in which doctors use their fingers to press the pulsation of the radial artery at the back of the wrist, so as to observe changes in pulse conditions, distinguish visceral functions, and stagnation of qi, blood, fluid, and essence.

Due to the lack of consultation, Hua Yun pondered for a long time after the examination of the patient, and then carefully wrote down the disease and the prescription for treatment.

In another room separated from him by the wall, Liu Xing was also examining the patients. Unlike Hua Yun's caution, Liu Xing seemed more casual.

After the patient sat down, Liu Xing glanced casually for a few times, then stretched out his fingers like lightning, and the two fingers landed on the patient's wrist accurately. After a moment of concentration, he retracted his hand.

Immediately afterwards, write down the disease the patient is suffering from on the paper, and then give the treatment prescription. The whole process does not exceed 5 minutes.

All the directors of the Hua family are experts in Chinese medicine. They are all well-known doctors in China. They naturally have their own deep understanding of the process of treating patients with Chinese medicine.

But they have never seen anyone who can check up a patient so casually, as if they are at their fingertips, and there is still no questioning, shouldn't they be more cautious?

If it wasn't for the victory in the medicinal material identification competition, they would definitely think that Liu Xing was messing around.

Hua Jinshi was also in Liu Xing's room. He frowned and made a comparison in his heart. If it was him, it would take at least twice as long to make a judgment. No wonder his father praised Liu Xing when he talked about it. Meaning, beyond words.

So he admired Liu Xing even more from the bottom of his heart, it was a blessing he had cultivated himself to have such a master.

It didn't take long for Liu Xing to finish the examination of his five patients and give him the prescription for treatment. He didn't encounter any difficulties. At this time, Hua Yun had just finished the examination of the second patient. Still thinking about how to use it.

This kind of speed is really astonishing, the directors of the Hua family have already had waves in their hearts, and they looked at Liu Xing with a little awe in their eyes.

After waiting patiently for a long time, it was finally the patient's turn to be exchanged. Still, it only took a short time for Liu Xing to complete all the examinations.

Someone specially timed the time. Except for one patient, Liu Xing, who took a little longer, the other patients only took about 5 minutes. This is a terrifying speed. If the diagnosis results are all correct, it will be even more astonishing.

These people all guessed in their hearts, where did Liu Xing come from, because they really couldn't think of a family that could compete with the Hua family in the field of Chinese medicine. Could it be that Liu Xing came from some hidden family that hadn't been born for a long time?Like the Sun family?But his surname is Liu, not Sun!

Countless questions appeared in their minds, but they could not find the answers at all.

Liu Xing walked from the house to the corridor, Hua Jinshi brought a cup of tea, and came to Liu Xing: "Master has worked hard, it's okay."

Liu Xing took the tea, thought about it, and said, "It's not a big problem, only one patient is a little more difficult, and the others are easy."

After hearing this, Hua Jinshi was relieved. After all, this was related to the entire capital's industry, and he was still a little uneasy.

After drinking a cup of tea, Hua Yun finally finished diagnosing and treating all the patients. He walked out of the room and saw Liu Xing standing in the corridor. Hurry up, I thought I would finish it first, but I still fell behind Liu Xing.

"Since it's all done," Hua Jinshi said, "Dean, go and get the cases of these patients and compare them."

"Yes, Mr. Hua." The dean left in a hurry, and came back with two nurses after a while, carrying a thick case.

Hua Jinshi took over the case and said, "Then let's start the verification. Let's look at patient No. 47 first, Zhang Yulan, female, [-] years old, suffering from chronic metritis."

After checking the diagnosis of the two, the director in charge of the inspection said in unison: "The description of the condition is correct, and there is no problem with the medication."

Hua Jinshi nodded: "Patient No. [-], Li Long, male..."

As each patient was verified, Liu Xing still admired Hua Yun in his heart. As expected of a person from the Hua family, his medical skills were indeed superb, and he was able to accurately judge the patient's condition even without an interrogation session. , such an ability is absolutely impossible to achieve without decades of immersion.

Hua Yun was also incredulous. Seeing that Liu Xing was only in his 20s, not only his ability to identify medicinal materials was outstanding, but also his ability to diagnose and treat patients. He hadn't made any mistakes so far, which was beyond his expectation.

Those directors were also surprised. Chinese medicine is the most difficult medical skill to master. It is impossible to improve it without years of tempering. Liu Xing's performance brought them too much surprise and bewilderment.

Only Hua Jinshi's heart is calm. In his opinion, how could such a test stump Master.

Finally came the last patient, just when everyone thought that this competition would be a tie, a problem arose.

In the diagnosis of this patient, the two came to completely different conclusions, and they were not the same as the diagnosis in the medical records.

Hua Yun was overjoyed, and sneered: "It seems that you are still too young to be able to make mistakes with such an obvious disease."

Liu Xing said: "Why do you think you are right? Don't forget, your diagnosis is different from the diagnosis in the medical records."

Hua Yun said confidently: "If my diagnosis result is different from that in the medical record, it can only mean that the result in the medical record is wrong, and the hospital has made a wrong investigation of the patient's cause."

Liu Xing sarcastically said, "I really don't know where your confidence comes from."

Hua Yun was furious after hearing this, and was about to refute, when Hua Jinshi interjected, "Let the patient come and have a re-diagnosis, so it will be clear? Could it be that with so many of us, we still can't find out the real cause of the disease?"

Hua Yun waved his sleeves and said, "Then call, so that some people will not cry when they see the coffin."

The patient was a 60-year-old man, dressed plainly, even a bit shabby, with white hair on his head and deep wrinkles on his face, all traces of time.

The old man didn't seem to be in good spirits, he was a little sluggish, and his right hand would tremble a few times from time to time.

The director of the hospital introduced to everyone: "This patient was admitted to the hospital yesterday. His main symptom is intermittent tremor of the right hand. After various examinations in the hospital, it is now judged to be early Parkinson's."

Hua Jinshi brought the diagnosis results of the two. Hua Yun's diagnosis was: nerve compression hand tremor, while Liu Xing's diagnosis was a bit surprising, because he concluded that he was not sick.

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