Rural Chinese Medicine Li Maoyang

Chapter 377 The difficulty of hearing and diagnosis is as difficult as going to the blue sky!

After a short nap for nearly half an hour, Li Maoyang continued to see patients in the afternoon.

Regarding the video and materials of Qin Bei's patient that Alia sent him, he looked at it, thought about it for a while, and didn't think too much about it.

On the one hand, it’s time to continue seeing the patients in the afternoon; on the other hand, now that he encounters such patients who are willing to pay a lot of money for treatment of difficult diseases, he will no longer see Temur, Sijin and Zhao Wanni. that tension.

Today, his medical skills have improved and his mentality has stabilized.

Even if he can't accurately differentiate the symptoms when he sees the patient, formulate the treatment plan accurately, and come up with the accurate prescription, he will not panic.

Then tell the patient and his accompanying family members the truth, does he need to think about it.

If you have to pay such a large amount of money for a patient, if you cure him in the blink of an eye, wouldn't that be an insult to his IQ, and make him feel that the money was wronged!
Therefore, it is normal for him to think hard about the disease, and it will make the patients feel that they are not wronged to pay for it.

Therefore, even though he knew that Qin Bei's patient would arrive here before dark, Li Maoyang did not panic at all.

He was still stern, and treated the patients in the afternoon extremely calmly and seriously.

Now, the overall level of his four-diagnosis has risen a lot, and Ge Gen, the second-diagnosis, has gradually stabilized his psychology and emotions, and his level of consultation has also risen steadily. The four-diagnosis and syndrome differentiation conclusions, treatment and medication plans provided to him are relatively Pertinent, it can provide him with great help and greatly narrow the scope of his thinking.

Therefore, in general, their daily consultation volume should have increased.

But Li Maoyang still controlled their daily admissions to 20 patients.

Moreover, for the time being, he has no plans to increase the number of patients received.

Now the time he spends on seeing each patient has not only not decreased, but has also increased!

Because he is now more detailed in diagnosing patients.

The time of inspection did not change, the time of interrogation decreased, the time of pulse diagnosis increased, and the time of auscultation increased the most.

Overall, his consultation time with patients has lengthened.

The reason for this is naturally that he regards every patient he sees as an opportunity to learn and improve his medical skills.

Especially the opportunity to learn and improve the level of four diagnosis.

As the system raised the threshold for him to earn points higher and higher, it became more and more difficult for him to earn points. Now he no longer expects to use points to exchange for the improvement of his four-diagnosis skills.

The points he usually earns during his consultations are mainly used to exchange for the system's drug effect deduction and patient perspective functions.

Other doctors can only "introspect from the outside" when seeing a patient, but sometimes he sees the patient while seeing the patient's body, while observing the patient's face, diagnosing the pulse, watching the tongue, smelling the taste, and listening to the voice (transmitted from the body). coming sound).

Closely connect the internal situation of the patient's body with the external characteristics of the patient, find out its laws, distinguish its characteristics, analyze and summarize, and improve step by step!
This process is naturally very difficult.

Even if a car mechanic opens the hood of a car, he may not be able to find the fault point of the car immediately, let alone the human body, which is thousands of times more complicated than the internal structure of a car!
But because it is impossible to mainly rely on points to exchange for four-diagnosis skill upgrades, this "stupid method" is Li Maoyang's most important way to improve his four-diagnosis skills at present!
Disaster!Disaster!Disaster!
Among the four diagnosis methods, pulse diagnosis is generally recognized by doctors as the most difficult, but in fact, inspection by inspection is also quite difficult!It is also quite difficult to smell and diagnose!

The difficulty of auscultation and diagnosis is generally ignored.

In fact, this is caused by the fact that ordinary doctors do not pay attention to auscultation and diagnosis at all.

If you really want to pay attention to auscultation, the difficulty is no less than inspection and pulse diagnosis!

Auscultation involves listening to sounds and smelling smells.

In terms of olfactory diagnosis, because the human sense of smell is far inferior to that of a dog's nose, objectively it is impossible to distinguish the condition of the patient's body through smell, so it can only be ignored.

(If a person's sense of smell is better than a dog's nose, this olfactory diagnosis will definitely be valued by famous doctors in ancient and modern times, and there must be a lot of things that can be excavated.)
So this auscultation is mainly to listen to the sound.

Listening to the sound can also play a very important role in the process of diagnosing diseases.

Of course, ordinary doctors can only listen to the strength and thickness of the patient's voice, and whether there is any obvious abnormality, so that they can distinguish whether the patient's throat and lungs, the two vocal organs, have diseases.

A slightly smarter doctor can distinguish whether a patient has excess syndrome or deficiency syndrome based on the patient's voice.

Empirical evidence is characterized by "shortness of breath and thick voice".

Such patients are often accompanied by chest tightness, coughing, wheezing and excessive phlegm.

These symptoms are mostly caused by phlegm retention and food accumulation hindering the movement of qi, and the movement of qi is unfavorable.

Deficiency syndrome is mainly characterized by "shortness of breath and slight breath".

Patients are often accompanied by symptoms such as mental fatigue, fatigue and spontaneous sweating.

No matter how clever the doctor is, he can tell the specific condition of the patient from the sound!
It's like a smart car mechanic who knows what's wrong just by the sound of the car!
And it is not easy for a doctor to reach this level!

First of all, you need to know what the normal sound of the five internal organs is like!
"Four Diagnosis Decisions" says: "The five internal organs have their own positive voice.

If it is moderately prosperous, the Qi will be full, and if it is moderately weak, the Qi will be weak.

The spleen responds to the palace, and its voice is slow to slow.

The lung responds to business, and its sound is accelerated to clear.

The liver responds to the horn, and its voice grows.

The heart responds to the sign, and its voice is loud and clear.

Kidney should feather, its voice is deep and thin.

The sound of the five viscera is correct, and the keeping of the five viscera is obtained. "

These expositions are in the same line as the relevant expositions in the "Huangdi Neijing".

In other words, these are all handed down from ancient times!

If a doctor wants to learn this, you must first understand ancient music!

What is a "Gongshangjiao 藢羽"?
What are the pitches, pitches, volumes, and timbres of each sound in the "Gongshangjiao Shayu"? ?

Li Maoyang's eyes are blackened!
So during this period of time, he is still learning about ancient music and listening to ancient music on the Internet!
Is it difficult?
If Li Maoyang hadn't been so courageous and hard-hearted, he would have been beaten to the point of crying for his mother!

But after understanding the sounds of "Gongshangjiaojiaoyu" and the normal sounds of the five internal organs, you also need to understand the symptoms of the various sounds of the five internal organs and the special meows!

This is another set of complicated things!
Is it difficult?
It's hard to get to the sky!
Moreover, the key point is that Li Maoyang has never heard of any doctor in the country—including a master of traditional Chinese medicine—who is a master in auscultation.

Well, maybe he, Li Maoyang, is too ignorant.

Anyway, to improve his auscultation and diagnosis skills, he can't even find a target person to dig out at present!
At present, it seems that he can only study the ancient medical books while slowly groping...

(Well, fortunately, he can often see through patients, which undoubtedly provides him with great convenience!)

……

Therefore, inspection by inspection, pulse diagnosis, and auscultation are all very difficult.

Among the four diagnoses, the consultation is actually a little simpler.

There are naturally many skills in interrogation.

What are closed-ended and open-ended inquiries, what should pay attention to the systematicness of the inquiry, avoid suggestive questions, pay attention to the authenticity of the answers to the inquiry, and avoid using medical terminology...

Li Maoyang has Li Hongbai's background in psychology, so he is not too afraid of this questioning technique and improving his skills.

Although his consultation skills have not yet been upgraded to intermediate skills, this is related to the fact that the level of his other three consultations has not generally improved.

In other words, limited to the fact that his level of the other three consultations is not too high, many times his consultations cannot properly ask the point.

When the level of his other three consultations reaches a certain level, the skills of consultation will naturally be improved.

Therefore, improving the level of consultation skills is the only thing Li Maoyang doesn't worry about at present...

……

As Li Maoyang slowed down his consultation, Pueraria also slowed down his consultation.

But to be honest, he suspects that Li Maoyang slowed down the speed of receiving patients not simply because of the complex conditions of the patients. He always felt that Li Maoyang seemed to be using some patients to "practice"...

The doubt is that he didn't use the stethoscope hanging around his neck much when he saw Li Maoyang before. It used to be just a decoration, but recently Li Maoyang used the stethoscope very frequently.

He saw that Li Maoyang used this stethoscope to listen to almost every patient now, pressing on the patient's side for a while, and pressing the patient's there for a while, listening with his chest and belly full, even for young female patients. And let people lift their clothes to listen...

This kind of thing, Ge Gen can't learn from Li Maoyang, he is not as thick-skinned as Li Maoyang in his 30s...

But he didn't know that it was Li Maoyang's thick skin, coupled with his extremely diligent and dedicated learning attitude, that was pushing this guy to improve day by day to "humanoid CT" and "humanoid B-ultrasound" !

……

Whenever Li Maoyang focused on auscultating a young female patient, Ge Gen couldn't help but take a sneak peek at Alia, and then he saw that Alia was also a little "slanted"...

Well, now because of Bai Xiaoyun's consultation, Alia's "position" is a bit fluctuating. Sometimes she will have a consultation with Bai Xiaoyun, but if there is a patient who needs acupuncture, she will be under the guidance of Li Maoyang or Ge Gen , actively gave patients acupuncture...

Her current goal of studying medicine is obviously to learn acupuncture and moxibustion first.

Moreover, her learning speed in acupuncture is really getting faster and faster, sometimes so fast that Ge Gen suspects that she didn't learn so fast at the beginning.

The reason for this is that Ge Gen feels that firstly, the girl Alia is really bold; secondly, Ge Gen feels that this girl seems to have a soft spot for acupuncture, and is much more interested in learning medicine.

She seems to like to use a needle to prick people's bodies. Such a simple method can cure people's diseases. She seems to be fascinated by this...

Well, Ge Gen feels that Alia is similar to Li Maoyang in some ways, but he is a little unclear about the specific aspects. It seems that the two of them are quite able to dance and are very energetic...

Anyway, if Aliya and Li Maoyang form a couple, Ge Gen feels that the family will be a very dynamic family, and interracial marriages will generally give birth to children of higher quality...

And—Ge Gen thought bitterly—there is a high probability that Alia will be subdued by Li Maoyang, and she will never treat Li Maoyang like Wang Xiaoxian treats Ge Gen...

Li Maoyang is not a person like Ge Gen, this guy is a guy who doesn't rub a little sand in his eyes...

　The second update today.7 chapters plus more are owed.The remaining 1.88 meters are rewarded and 8 monthly tickets.

　　
　
(End of this chapter)