I practiced medicine in ancient times
Chapter 77 General Practitioner
Then a prescription for external bathing was prescribed, which included purslane, Dictamni and other detoxifying and antipruritic Chinese medicines for fumigation and washing.
External washing for eczema can have the effects of clearing away heat and dampness, purging fire and detoxifying, dispelling wind and relieving itching. Sometimes external washing prescriptions are more effective and relieve itching faster than internal prescriptions.
"One for internal use and one for external use for bathing. Please give me some advice, Doctor Zhou." After Xu Qingyi wrote the prescription for Miss Liu, she did not give it to Mrs. Liu immediately. Instead, she respectfully held up the two prescriptions with both hands and handed them to Doctor Zhou, asking him for some advice.
Although it was Madam Liu who suggested that she prescribe medicine for Miss Liu, and Doctor Zhou agreed, Xu Qingyi still showed respect to Doctor Zhou.
Doctor Zhou was also satisfied with Xu Qingyi's attitude. He had good medical skills, was humble and polite. He nodded to Xu Qingyi with satisfaction, then took the prescription and read it carefully. His brows were slightly wrinkled, as if he was thinking about the combination and dosage of certain herbs. After a while, he put down the prescription and looked at Xu Qingyi. He said excitedly: "This prescription is wonderful. Urticaria is caused by wind-heat or rheumatism invading the human body and invading the blood vessels. It cannot be discharged from the inside and cannot be penetrated from the outside. It is caused by stagnation between the skin and pores, so the skin rash is red and itchy, or the body fluid overflows.
Treatment should focus on dispelling wind and relieving itching, supplemented by clearing away heat and removing dampness. Since itching comes from wind, it is necessary to dispel wind first to relieve itching. The prescription uses Nepeta, Saposhnikovia, Burdock Seed, and Cicada Shell as the main ingredients to dispel wind and relieve itching, so as to eliminate the wind evil on the surface.
Atractylodes lancea is used to dispel wind and dampness, Sophora flavescens is used to clear heat and dampness, and Akebia is used to penetrate dampness and heat, all of which are assistant drugs. Anemarrhena asphodeloides and Gypsum are used to clear heat and purge fire, while Angelica sinensis, Radix Rehmanniae, and Sesame Seed are used to nourish blood and promote blood circulation.
Raw licorice clears away heat and detoxifies, harmonizes the other medicines, and is the guiding medicine. The characteristics of this prescription are mainly to dispel wind, and it is combined with products that dispel dampness, clear heat, and nourish blood. In this way, it can both dispel evil and strengthen the body. It can dispel wind and dampness, and nourish blood to help dispel wind. Rheumatism can be eliminated, blood vessels can be harmonized, and itching will stop. "
Doctor Zhou nodded, pointed to another external wash prescription and said, "This external wash prescription is also very good. It can quickly relieve itching and is very helpful for the treatment of eczema. However, I suggest you add another herb, mint, to it. Mint can not only soothe the liver when taken internally, but can also relieve itching when applied externally. Adding mint can enhance the efficacy of the medicine."
"Madam Liu, take these two prescriptions and get the medicine. Boil them for Miss Liu to drink." After Doctor Zhou commented on the two prescriptions written by Xu Qingyi, he added mint to the external washing prescription and handed it to Madam Liu.
"Doctor Zhou, Miss Liu's eczema can still be treated with acupuncture.
Her eczema occurs mostly all over the body, and acupuncture can be performed on the Fengshi, Fengchi, Dazhui, and Dachangshu acupoints.
After acupuncture treatment, Miss Liu's itching will be relieved quickly, which will help her recovery." Xu Qingyi continued.
"Okay. I'll leave it to you." Doctor Zhou pondered for a moment and nodded after hearing this.
.........
"Mom, this Doctor Xu is really amazing. Not only did she find the cause of my rash, but the prescription she wrote also won Doctor Zhou's praise.
And after she gave me acupuncture, the itchy area on my body is not so itchy anymore?" In the carriage on the way back, Liu Qin touched the redness and swelling on her arm that was gradually fading, and said to her mother sitting next to her.
"Oh? Really?" When Liu's mother heard her daughter's words, she showed a pleasantly surprised expression on her face. "This young Doctor Xu is really quite capable. No wonder Doctor Zhou is quite optimistic about him.
What a pity! There are still too few female doctors in our county, and they are not very good at studying medicine.
Maybe we will need this Doctor Xu in the future."
......
“You performed well today, and I have a better understanding of your medical skills.
I heard from Deputy Manager Li that as soon as you arrived, Qingyi, you inquired about the assessment for prospective doctors. Qingyi, your medical skills have reached the level of prospective doctors, and may even be better than them.
Qingyi, are you planning to go to the city to take the examination for a doctor-to-be or wait until the end of the year to take the examination? "After finishing his morning consultation, Doctor Zhou asked Xu Qingyi with a cheerful face.
As for the skills that Bai Yan demonstrated today, whether it was acupuncture or taking pulses and prescribing medicine, they were far inferior to Xu Qingyi's and were far from meeting the requirements for the assessment of a prospective doctor.
Perhaps, Bai Yan is only talented in surgery.
"Bai Yan and I are used to going out together. I will consider going to the provincial capital to take the assessment for prospective doctors only after Bai Yan's medical skills have improved further." Xu Qingyi glanced at Bai Yan and said.
“Actually, you don’t have to do this.
I heard from Deputy Manager Liu that Bai Yan taught himself surgical skills and when he went to Goumen Town to provide disaster relief, he performed surgery on a person, found the bleeding point in the abdomen, sutured it, and saved the two people.
This shows that Baiyan is very talented in surgical skills. She can go to the provincial capital to take the examination to become a surgeon."
"Doctor Zhou, what do you mean?" Xu Qingyi seemed to understand something, but was still a little confused.
"There are six categories for doctors in a clinic, namely acupuncture, traditional Chinese medicine, gynecology, pediatrics and smallpox, ophthalmology, and surgery. Those who are proficient in all categories are called general practitioners. Those who are proficient in one or two categories are called multidisciplinary doctors. Those who are proficient in one category are called specialist doctors.
Since Baiyan is very talented in surgery, she can take the assessment to become a surgical specialist.
As for you, Qingyi, you can consider choosing that department or general practice." Doctor Zhou explained.
"I see, Doctor Zhou, in the future, Bai Yan will first pass the examination to become a surgeon. After improving his medical skills, can he also pass the examinations to become another specialist?
Also, after passing the exam for a general practitioner, does that mean I can only treat adults and not children?
Besides, how many general practitioners do we have in our clinic?" Xu Qingyi asked.
“We have four general practitioners in our clinic, one gynecologist and three combined specialists.
As for what you said, after you improve your medical skills, if you want to become a doctor in other departments, you can do so. Specialists can treat any disease, and general practitioners can treat any disease."
"Thank you, Doctor Zhou, for telling me. We will consider it." Xu Qingyi had an idea about the assessment of the prospective doctor.
General medicine is for adults, gynecology is for women's diseases, pediatrics is for children, ophthalmology and surgery are easy to understand.
.........
"Bai Yan, what do you think about the categories of assessment for prospective doctors that Doctor Zhou mentioned during the day?" That night, Xu Qingyi asked Bai Yan.
"Qingyi, what do you mean?" Bai Yan asked Qingyi.
“We are still young and have plenty of time. I can also spend time tutoring you. In my opinion, there is no need to rush the assessment of a potential doctor.
We are going to take the prefectural city's quasi-doctor examination, but there is no rush. I will give you some tutoring first, and try to get you to take more exams or general practitioner exams before the prefectural doctor examination." Xu Qingyi also had an idea.
"It's up to you, Qingyi."
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