NovelBonte Chapter 287 Taking the Students to Check the Ward
Chapter 287 Taking the Students to Check the Ward
Chapter 287 Taking the Students to Check the Ward
Inside the clinic.
After Xiao Bufan explained to Li Junze and others the treatment ideas of Chinese medicine for viral infection, he prescribed a prescription for the patient Tan Degui.
"Okay, take this prescription and the payment slip to the registration office to pay, and then go to the Chinese pharmacy to pick up the medicine."
Xiao Bufan handed the printed prescription and payment slip to Tan Degui.
Tan Degui nodded his head repeatedly and thanked: "Thank you, Dean Xiao, thank you so much."
"Well, all right, let's go!"
Xiao Bufan waved his hand with a smile, and then led Li Junze and others towards the canteen of the hospital.
It's been a busy morning, and they haven't had lunch yet!
After having lunch in the hospital cafeteria with Li Junze and others.
Xiao Bufan went back to his clinic to take a lunch break, but Lin Yifei followed him in and asked:
"Teacher, I still have some questions about the treatment of viral infections in traditional Chinese medicine that you mentioned earlier. I wonder if you can explain it to me, teacher?"
"Huh? If you have any questions, just ask them directly. Isn't the teacher just there to teach you the truth?" Xiao Bufan looked at Lin Yifei with a smile on his face.
Hearing this, Lin Yifei quickly asked: "Teacher, what you said before, strengthening the body and eliminating evil, focusing on the whole, how to dialectically treat the virus infection?"
"Western medicine can determine whether a person is infected with the virus through examination. How can we determine the pulse of Chinese medicine? After all, there are too many types of viruses. How do we determine which drugs should be used to sort out and treat this virus?"
Hearing Lin Yifei's question.
Xiao Bufan explained with a smile: "Traditional Chinese medicine has four arguments for viral infection. The first argument is obedience and inversion.
"Second identification of internal injuries, those with underlying internal injuries and chronic diseases often present the coexistence of internal injuries and exogenous pathogenesis"
"The third is to identify evil qi, the location and condition of the disease on the outside and inside of the evil qi, and to distinguish the combination of wind, heat, cold, and damp evil qi."
"The fourth is to identify the source of shortness of breath, to know the source of change. The source of change is the source of biochemistry, and the spleen and stomach are the source of biochemistry of viscera. There is a saying in Wu Jutong's "Discrimination of Warm Diseases": "According to the death symptoms of febrile diseases, there are no more than five outlines.There are two things in the upper energizer: one is death when the source of lung transformation is cut off; the other is death when the mind and spirit are internally closed, and internal closure and external release.”
After Xiao Bufan briefly explained the dialectical method to Lin Yifei, he waved his hands with a smile and said, "Okay, when you see more patients of the same kind about these dialectical concepts, you can easily feel the difference between them clinically. Read more, learn more, and do more!"
"Yes, teacher, I know."
Lin Yifei nodded thoughtfully in response.
Soon, the lunch break time passed.
Xiao Bufan took Lin Yifei and others to continue going out to the clinic, and while seeing patients, he taught them how to dialectically and prescribe treatments.
The two interns Zhou Yejun and Yang Xizhao are also very good!
Judging from the daily clinical teaching, both of them are quite good at learning, and their comprehension skills are not bad, maybe they are only a little bit worse than Lin Yifei's talent in Chinese medicine!
But from the perspective of the system, talent is still very traditional Chinese medicine.
This Chinese medicine talent is just a little bit worse. The difference may not be obvious when learning the basics, but when you step into the threshold of a master of Chinese medicine, the difference between the two is not just a star and a half.
Inside the clinic.
After Xiao Bufan gave a patient a brief look, he asked Lin Yifei and others to take the patient's pulse and look at the tongue coating, and then asked:
"How about it, what do you think of this patient's pulse condition? You guys talk about your own dialectics, and then try to prescribe a prescription!"
Intern Zhou Yejun was the first to stand up and replied: "The patient's pulse condition can be obtained easily, and the pulse condition will be slightly reduced by heavy pressing.
"Well, yes, the patient is indeed a floating pulse."
Xiao Bufan nodded with a smile, and then changed the subject: "But are you sure the patient is suffering from Yang deficiency syndrome? You must know that there are many types of floating pulse syndrome. Have you noticed the patient's tongue coating?"
"Ah this."
Zhou Yejun couldn't help being stunned for a moment, and then quickly looked at the patient's tongue coating again.
The patient's pulse condition is superficial, tight and firm, and the tongue coating is thin and white. This symptom is mostly seen on the surface of exogenous cold pathogens, or pain caused by wind-cold arthralgia.
Zhou Yejun quickly changed his words again: "Teacher, I didn't notice the patient's tongue coating just now. I think it should be a symptom of exogenous cold evil."
"Then you try a prescription?"
Xiao Bufan said with a smile, then turned his head to look at Lin Yifei and the others and said, "All of you can make a prescription, let me have a look!"
"is teacher!"
Lin Yifei and the others nodded their heads in unison, and then each took out a pen and paper to write a prescription.
Taking advantage of the time when a few of them opened the prescription.
Xiao Bufan pressed the computer keyboard in front of him and printed out the prescription he had prepared, and then handed it to the patient in front of him, "Okay, take this prescription and the payment slip and go to the registration office to pay the fee, and then go to the Chinese pharmacy to get the medicine. I have written the usage and dosage on it."
"Okay, I see, thank you doctor!"
The patient nodded his head happily and thanked him, took the list from Xiao Bufan and got up and left here.
It just so happened that Lin Yifei and the others also prescribe their own prescriptions.
Xiao Bufan turned around and looked at the prescriptions prescribed by several of them, and couldn't help criticizing one by one: "Your prescription is more conservative than aggressive, and there are too few main medicines in the ministers and envoys. It seems that your prescriptions are a bit conservative!"
"Your prescription seems quite satisfactory, but the problem is that it is too conventional, without your own ideas and testimony at all."
"The prescription you prescribed is not bad, but is the dosage too high? The patient is just a simple manifestation of exogenous cold pathogens. Why do you give such a strong medicine to the patient?"
"Your recipe."
Xiao Bufan pointed out the prescriptions prescribed by Lin Yifei and others one by one, then looked at the time and said:
"Okay, I don't think it's too early, everyone pack up and get ready for get off work. Remember to read more "Shen Nong's Materia Medica" after you go back. It's not enough to memorize the ministers and envoys in it. You have to learn to use it flexibly and know what is the key point of dialectics."
"Yes, teacher, we understand. After we go back, we will definitely re-study Shennong's Herbal Classic."
Several people quickly nodded their heads in response.
Seeing this, Xiao Bufan nodded in satisfaction, and then asked everyone to take off their white coats and get off work.
A few days passed in a flash.
Soon, it will be Thursday!
Xiao Bufan didn't go to the outpatient clinic on Thursday, so Lin Yifei and others could only be arranged to practice in the inpatient department of the Department of Traditional Chinese Medicine.
Step on.
Xiao Bufan was walking in the corridor of the inpatient department in a white coat, followed by several interns in white coats, who looked a bit like the chief physician of the emergency department in TV dramas.
Xiao Bufan directly found Wang Zangshan, the director of the inpatient department, and introduced to him several interns behind him, saying:
"From Thursday to weekend, let the three of them practice here in the inpatient department. Director Wang, if you are free, you can take them with you. If you are not free, I will come to take them later. It seems that our inpatient department has also recruited a few new residents during this period, right?"
Wang Zangshan smiled and nodded, "Yes, Dean, we have two new residents in the inpatient department. They are both very young and capable doctors. I think they are pretty good."
"Well, I see. If you have something to do, go and do it first. I'll take these interns to check the room."
Xiao Bufan said another word to Wang Zangshan with a smile, and then led Lin Yifei and others to check the ward.
Checking the ward is also a direction that interns need to learn, and it can also bring them a lot of clinical experience, which is no worse than the outpatient department.
You must know that those in the inpatient department who can be hospitalized according to the standards of traditional Chinese medicine, their illnesses will definitely not be simple, otherwise they would not need to be hospitalized.
Xiao Bufan led Lin Yifei and others to start the investigation from the first ward.
Squeak!
Pushing open the door of the ward in front of you.
Xiao Bufan put on a gentle smile on his face, because from this ward to the tenth room in the back are all patients with brain tumors, that is, the patients of his medical research project.
There are three beds in each ward, and there are thirty patients with brain tumors. Under Xiao Bufan's treatment, they all feel like they have been reborn. Everyone's gratitude to Xiao Bufan is beyond words.
This time I saw Xiao Bufan walking in with a few young people in a white coat.
Several patients in the ward sat up together and greeted Xiao Bufan:
"Morning Dean Xiao, have you had breakfast? If not, I still have some steamed stuffed buns here, why don't you try it?"
Another patient couldn't help laughing and retorted: "Go, go, why would Dean Xiao eat your buns? You should eat my rice noodles. I asked my granddaughter to buy them just now. I haven't touched my chopsticks yet!"
"Hehe, it's early for you guys, I won't eat this breakfast, you should keep it for yourself!"
Xiao Bufan rejected the kindness of several patients with a smile on his face, and then said to them: "Today, I brought some students here for rounds, and I will give you all a follow-up consultation by the way."
"Hey, these people behind are the students you brought, Dean Xiao?"
The patient's expression brightened, and he pointed to Lin Yifei and the others behind him and said, "These children look pretty good, and study hard with your Dean Xiao. This Dean Xiao's medical skills are amazing. If you can learn his skills, you will become famous doctors!"
"Yes, yes, Dean Xiao's medical skills are amazing, you should study hard from him!"
Another patient also said to Lin Yifei and the others with a smile.
Listening to the words of several patients, Lin Yifei and others couldn't help but nodded their heads to express their understanding, which also proved from the side how high Xiao Bufan's status was in the hearts of these patients.
The reason for this result is nothing more than Xiao Bufan's medical skills are really superb, otherwise there is no other reason to convince this group of patients.
Xiao Bufan shook his head with a light smile, and said to the patients: "Okay, you old men, stop joking with my students, let them take your pulse!"
The patients with brain tumors in front of me were all older, so they were arranged in the first ward.
It's the closest to the nurse's station, and it's also convenient for doctors to check their conditions.
"Hey, since you guys are Dean Xiao's students, come here. We old guys let you study hard, as long as you can learn the real skills."
One of the old men surnamed Xu said something with a smile, then rolled up his sleeves and stretched out his wrists.
Xiao Bufan turned his head and said to Lin Yifei and the others: "Okay, you guys go and take the pulse of these old men. These old men are all suffering from brain tumors, but after my prescribed treatment, they have all improved to a certain extent. Take a look at the conditions of these old men, and then tell me what you think about the next treatment."
These old men are all brain tumor patients?
Lin Yifei and the others couldn't help but looked at each other. This was the first time they saw with their own eyes that Chinese medicine could cure brain tumors.
Although they have heard some legends that traditional Chinese medicine can cure tumors and cancers before.
But that is just a legend after all, no one has seen it with their own eyes.
Yet now.
They actually saw a living example from the mouth of their teacher.
This can't help but shock Lin Yifei and others, but they are also shocked by Xiao Bufan's medical skills!
Afterwards, under Xiao Bufan's gaze, Lin Yifei and others stepped forward to give the three patients their pulses.
Three patients, three interns.
It just so happened that they took turns numbering three times to read the pulse.
Xiao Bufan stood behind and waited quietly for the students to take the patient's pulse, then asked with a smile: "How, what do you think about the patient's later treatment?"
As soon as Xiao Bufan's question came out.
The three of Lin Yifei couldn't help but looked at each other, and everyone didn't speak for a long time, it seemed that they were really not sure about the pulse of a disease like a brain tumor.
Xiao Bufan smiled and waited for 2 minutes, then pointed to Lin Yifei and said, "Yifei, tell me first, you have been with me the longest, tell me what do you think about the pulse conditions of these patients?"
This time I saw my teacher roll call.
Lin Yifei couldn't help being slightly taken aback, so he had to say: "The pulse conditions of these three old men are different, and I think the prescriptions will be different when it comes to treatment. Uncle Xu's pulse condition is floating and flooding. It is a tumor lesion caused by long-term illness and loss. I think the follow-up treatment should focus on nourishing yang."
Listening to Lin Yifei's answer, Xiao Bufan nodded with a smile, then pointed to Yang Xizhao who was beside him and asked, "What do you think of these three old men's patients?"
Yang Xizhao couldn't help but took a deep breath, and replied: "I think Senior Brother Lin is right. The pulse conditions of the three patients are different. Although they all suffer from brain tumors, the causes of brain tumors are different. The cause should be the main cause, and the cause should be eliminated before the tumor can be treated."
"Well, it's pretty good, and you're right."
Xiao Bufan smiled and turned his gaze to the last Zhou Yejun and said, "What do you think?"
Zhou Yejun thought for a while and said: "The pulse conditions of the three old men are different. My point of view is similar to that of Junior Sister Yang. The cause of the disease can be eliminated first, and then the tumor can be treated."
Hearing this, Xiao Bufan couldn't help raising his eyebrows slightly, looked at Zhou Yejun and said, "You must have your own ideas in treating diseases, you can't follow others' opinions, and you can't just copy other people's ideas without your own ideas. This will have disadvantages for you to consult independently in the future."
"Uh"
Zhou Yejun froze on the spot with embarrassment on his face, as if his little thoughts were suddenly seen through.
In fact, Zhou Yejun really didn't feel the pulse of these three old men at all, he just copied what Yang Xizhao said just now.
Xiao Bufan could see this at a glance.
But again, it is not easy for the three students in front of them to be able to do this.
After all, if ordinary patients came to take the pulse of these three patients, it would be more difficult to control the brain tumors that were already undergoing treatment, and the pulse would be more cumbersome.
Among them, there are not only the cause of the patient, but also the superficial symptoms caused by brain tumors, as well as the improvement after treatment, etc.
Xiao Bufan took a deep look at the three students in front of him, sighed lightly and said, "Okay, it's already pretty good that you can name these, I'll take you to see other patients!"
Saying that, Xiao Bufan greeted the three old men in front of him, and then led Lin Yifei and the three to continue towards the back ward.
Fortunately, there are still many brain tumor patients here, enough for Lin Yifei and others to prove the difference.
Xiao Bufan taught them the difference in pulse condition and the difference in theory while leading them to make ward rounds, and the time passed by like this bit by bit.
After Xiao Bufan took them to check all the wards of the Department of Traditional Chinese Medicine.
The morning time has passed.
After all, Xiao Bufan is leading apprentices to study, not general hospital rounds, so the time will naturally be longer.
Fortunately, despite this morning's ward rounds, Lin Yifei and the others learned a lot.
For that matter.
Still very worth learning.
noon!
After Xiao Bufan took three students to have lunch in the hospital cafeteria, he returned to his dean's office for a lunch break.
In the afternoon, Lin Yifei and the three of them followed Wang Zangshan, the director of the inpatient department.
Because Xiao Bufan still has his own affairs to deal with, it is impossible to teach them all the time, and it is more important for them to know how to learn and improve themselves.
As soon as he came to his dean's office.
Xiao Bufan stretched his waist and lay down on the sofa, and ordered to the system:
"System, sign me in immediately!"
PS: Begging for a wave of recommendation tickets, monthly tickets, and rewards to hit the list! ! ! !
I have something to do in the hospital these two days, the update is a bit slow, I hope everyone will forgive me! ! !
(End of this chapter)