The self-reversal of the cannon fodder fat wife

Lu Shi’s level is not low either, he is already a Chinese medicine practitioner. This time, he is taking the assessment in order to advance to the next level and become a top doctor.

(As mentioned in the previous article, the three levels of lower doctors, middle doctors, and upper doctors are determined through medical examinations, but good doctors and great doctors need to be evaluated by the emperor or the Imperial Medical Bureau and the Huimin Medical Bureau based on their years of work, personnel recommendations, and degree of contribution.)

He has been seeing patients for several years, and when he heard patients say they bought and boiled medicine on their own, his first reaction was to ask.

"Did you bring the prescription?"

The patient quickly took out an old and tattered piece of paper from his arms and handed it to Lu Shi: "Yes, yes, this is written by a bell doctor."

"My mother got better after taking two doses."

Lu Shi took the paper, frowned, and took a long time to understand the words on it.

"Erchen Decoction.....Ephedra...Ephedra..."

"Almond... Platycodon..."

The patient smiled and nodded repeatedly: "Yes, yes, these are the ones. The apprentice also mentioned them when I went to buy the medicine."

At this point, he explained embarrassedly: "I have a bad memory and I don't know how to read. I couldn't remember it at the moment, so I didn't tell you, doctor."

Lu Shi smiled and said, "It's okay. I just want to see the medication you used before so that I can prescribe a prescription."

He had just felt the patient's pulse and asked him questions. His initial diagnosis was that he had a cough with phlegm (the cough with phlegm here is a Chinese medicine diagnostic term, and in Western medicine it is called chronic bronchitis, not the verb coughing up phlegm).

But the patient's last words made him doubt the initial diagnosis.

The onset of coughing up phlegm is insidious, the course of the disease is long, with repeated acute attacks and gradual worsening. The cough is mainly accompanied by white sputum. After combined infection, there will be thick yellow sputum or even blood. In severe cases, there will be wheezing or shortness of breath, accompanied by wheezing.

The most important point is that coughing up phlegm is significantly aggravated in winter and spring. The cough is more severe in the morning and lighter during the day. There may be paroxysmal coughing and sputum expectoration before going to bed at night.

The patient in front of me looked very weak, his face was pale, his lips were a little purple, and his breathing seemed a little rapid. His symptoms were exactly the same as those of coughing up phlegm, and his cough was accompanied by violent wheezing, which made people feel sorry for him.

But now he said that he had been suffering from this disease for two months, which made Lu Shi suspicious.

There are three stages of coughing up phlegm: the acute phase, which lasts for seven days, during which purulent sputum will appear, accompanied by fever and wheezing; the chronic phase, which means that the symptoms of coughing up phlegm and wheezing will last for as long as one month; and the last is the remission phase, during which the symptoms disappear or there may be an occasional mild cough after treatment or natural relief, but this lasts for two months.

However, the patient's symptoms of coughing up phlegm and wheezing have not been alleviated in the two months since the onset of the disease, which is unreasonable.

Lu Shi was a little confused, so he had to call his mentor for help.

"Doctor He, I have a question. Please move over."

Doctor He had just finished listening to Yinuo's medical consultation, and his face was still filled with a bright smile. That smile was full of affirmation and satisfaction with Yinuo's medical skills. However, when he heard his student calling him, a hint of surprise immediately flashed in his eyes. His student was also very talented and could be cultivated.

He walked towards the students happily with brisk steps.

For this medical examination, Doctor Bai from the Imperial Medical Bureau brought three chief internal physicians to Pengcheng to serve as examiners. Doctor He was one of them. He was a fourth-rank chief internal physician, at the same level as Female Physician Fang, and half a level lower than Court Judge Liu. This time, he served as the examiner for the third and fourth place winners.

"What's the problem?"

Lu Shi stood up respectfully and handed the medical record he had written to Doctor He. He then recounted the patient's condition and expressed his doubts.

Doctor He nodded with satisfaction. This student was very meticulous and was a good candidate for potential.

"Master, please feel his pulse."

Lu Shi nodded and explained to the patient, asking him not to be nervous and telling him that this was their routine procedure. Ever since he saw how Yinuo interacted with the patient on the first day, he particularly agreed that giving the patient a reasonable explanation would not only calm the patient's emotions, but would also be of great benefit to his work.

The patient said he understood. A few days ago, when he was waiting in line, patrol officer Liu noticed his problem and told him what he might encounter. He relaxed a lot.

Now when the doctor explained it to him again, he was much calmer. The doctor's words were professional and sincere, which made him understand his condition more deeply. He listened attentively to every word of the doctor, his eyes flashing with the desire for knowledge and concern for his own health.

After listening to Lu Shi's explanation, the patient took a deep breath, and the doubts and worries in his heart gradually dissipated. He felt that he had a clearer understanding of his condition and was full of confidence in the treatment.

He looked up at the doctor, smiled gratefully, and said softly, "Thank you, doctor. I understand and I will actively cooperate."

Moreover, the imperial physicians are from the Imperial Medical Bureau, and only high-ranking officials are qualified to see patients by them. He didn't expect that he would have the honor of being seen by an imperial physician. This is really a blessing he has earned in several lifetimes.

"Thank you, Imperial Physician. I am so lucky to have been treated by you."

Doctor He was very surprised by this and was amused by him. He looked at the patient with a smile, his eyes revealing his concern and encouragement for the patient.

The common people were still simple and honest, and would burst into tears of gratitude for even the slightest favor, totally unlike the nobles in the capital. When seeing him, one had to be careful with words and actions, and even if they dared not offend him, they would make small moves behind his back if they were slightly dissatisfied, which was unbearable.

He felt the patient's pulse and listened to his heart, then asked some more questions, and finally asked, "Have you ever had this condition before?"

Without even thinking, the patient said, “I’ve had this problem for three years.”

Doctor He understood clearly that he had already made an accurate diagnosis.

I wanted to answer Lu Shi's questions directly, but then I thought, today is already the tenth day of the assessment, and the difficulty will be random starting tomorrow. Instead of this, it would be better to give them a chance to have a consultation today so that these candidates can discuss their condition together.

This will not only increase the connection between them, but also provide them with an opportunity to maintain their feelings for each other.

Thinking of this, Dr. He looked at the patient and said, "The condition is not serious, but it has been going on for a long time."

"Your disease is quite rare. We, the examinees, probably haven't seen it before. Would you be willing to provide our students with an opportunity to learn from you and have them come and see you?"

The patient nodded dully.

I just wanted to see a doctor for free, but I didn't expect to become the research subject of these medical students?