Under, Chinese medicine flavin

Chapter 90 Conversation

As soon as he entered the internal medicine inpatient department, Huang Su saw Zhang Yuan leaning on the workbench from a distance, chatting and laughing with two nurses.

When he got closer, Huang Su could hear Zhang Yuan bragging to two nurses about saving lives in the barbecue bar yesterday.

Hearing the sound of footsteps, Zhang Yuan turned his head to see Huang Su who was coming, grabbed Huang Su, and introduced to the two nurses, "This is the Huang Su I just told you about, Dr. Huang."

The two nurse sisters secretly glanced at Huang Su, then lowered their heads and covered their mouths and muttered softly.

Huang Su broke free from Zhang Yuan's hand holding her arm, and asked, "Where's Professor Wang?"

Zhang Yuan replied: "I went to talk to the doctor on the night shift. There seems to be a patient in the inpatient department who has a problem. I guess he won't be back for a while."

Huang Su continued to ask: "Then why didn't you follow?"

"Is there someone guarding the internal medicine office? What if a patient comes." Zhang Yuan looked Huang Su up and down and asked, "Huang Su, you haven't worked the night shift yet, right?"

Huang Su nodded silently.

What Huang Su said was indeed the truth. Since he was reborn, he had never been on night shift at the People's Hospital of Grassland City.

Zhang Yuan put his hand on Huang Su's shoulder again with a smile, and said to Huang Su in an experienced tone: "Relax, don't be nervous. Usually, there will be no major incidents in the night shift of our internal medicine department. At most, it is to temporarily deal with the conditions of the patients in the inpatient area. You know Chinese medicine, there are no side effects of western medicine, and there will be no life-threatening situations easily."

Zhang Yuan walked into the room with Huang Su in his arms, and continued to explain: "The really busy ones are patients who are suddenly admitted late at night, or there are urgent patients in the emergency department who can't handle them and need to consult with our internal medicine department."

Huang Su returned to her workstation, put down her backpack and just sat down.

Zhang Yuan moved the chair over and sat down, and asked mysteriously: "Huang Su, I want to ask you something?"

Huang Su glanced at Zhang Yuan, saw that he looked serious and serious, and didn't know what kind of medicine he was selling in his gourd, so he asked, "If you have any questions, just ask?"

Zhang Yuan looked at Huang Su hesitantly for several times, and finally made up his mind to ask: "Huang Su, I think you are about the same age as me, why is your dialectical diagnosis so accurate, do you have any secrets?"

From Huang Su's ability to lend him his medical practice notes without hesitation, Zhang Yuan felt that Huang Su was a doctor with medical ethics and might be able to solve the problems he had been perplexed for a long time.

After two days of contact, Huang Su felt that Zhang Yuan's biggest problem was lack of self-confidence, which can be seen from his hesitation in staring at Wang Xinlu's eyes when he was treating Yan Mingzhong.

I always have doubts about the results of my syndrome differentiation. No matter how solid my basic skills are, it is difficult to improve my medical skills.

Huang Su didn't answer Zhang Yuan's question directly, but asked, "Zhang Yuan, how long have you studied this year?"

Zhang Yuan replied: "I just finished my second study."

"Then you are amazing. You are so proficient in pulse diagnosis just after the second year of graduate school. Think about it, the two doctors I brought to the People's Hospital of Grassland City have been seeing me for half a year, and they still can't take the pulse."

Huang Su could see that Zhang Yuan was indeed a talented person, since Zhang Yuan took the initiative to find him, he could be a teacher for others.

The first thing is to help Zhang Yuan regain his self-confidence. If he doesn’t rebuild his self-confidence, no matter how much he says, he will have many doubts, and in the end he will slowly deny everything by himself.

When Huang Su said this, Zhang Yuan scratched his hair, and said a little embarrassedly: "I'm not as good as you said! It's said that it's difficult to feel the pulse. When I was in college, I worked hard on pulse diagnosis. You see I can’t even discern the evidence now.”

"Zhang Yuan, Dr. Zhang, excessive modesty is pride. Look at how many doctors who study Chinese medicine can't diagnose the pulse. Listening, listening and asking, the combination of four diagnosis and ginseng is the foundation of Chinese medicine. As long as the foundation is solid, the experience of practicing medicine is a brick. With the accumulation of time, your building will get higher and higher." Huang Su said in a joking tone.

Zhang Yuan glanced at Huang Su and argued: "You just graduated, why are you so good!"

Huang Su thought that I had more than 20 years of medical experience, but she said, "How long have you been with Professor Wang?"

Zhang Yuan returned and said, "I've been studying for half a semester, and then I officially started to follow the tutor for consultation."

"Student Zhang, I found that you are very greedy. You have only been in the clinic for half a year, and you want to be like me. I started to see the teacher when I was in my senior year. I have been with the teacher for four years." Huang Su patted Zhang Yuan's Shoulder said: "We are all people with a solid foundation. As long as you gain more experience, you will be like me one day."

After hearing Huang Su's words, Zhang Yuan became more confident, but still hesitated and said: "I also know that I have no experience, so I started to collect cases everywhere and watched them repeatedly. I just wanted to make up for my lack of experience."

Huang Su actually wanted to talk to Zhang Yuan about plagiarism yesterday, but because she was not familiar with it, she was afraid of making shallow conversations. Since Zhang Yuan spoke first tonight, I just took this opportunity to have a good talk with him.

"Copying prescriptions and copying medical records is indeed a way to increase experience. Most beginners in Chinese medicine start from this step." Huang Su said.

Zhang Yuan nodded and agreed: "My tutor said the same thing. I also read your medical practice notes. Most of the notes are your teacher's medical practice records."

"You're right. I also started by copying prescriptions and medical records." Huang Su paused and continued: "However, we can't memorize medical records for the sake of memorizing medical records. We must learn to read medical records."

"Huang Su, what do you mean by being able to read medical records? Tell me, my buddy will invite you to a barbecue bar for ten days." Zhang Yuan asked eagerly, and finally promised, patted his chest.

Huang Su quickly refused: "I'm really not used to that kind of environment. You also study Chinese medicine. You don't know what kind of environment the liver doesn't like the most!"

Zhang Yuan pondered for a while, nodded and said: "How could I forget this, it seems that I will go to bars and nightclubs less in the future."

Afterwards, he continued to ask: "Tell me, how do you know how to read medical records!"

Huang Su said: "There are two ways to look at the medical records: the front view and the reverse view. The front view is to look at the medical records normally, that is, to look at the patient's medical history, symptoms, tongue coating, tongue quality, and pulse condition, then look at dialectics, look at treatment methods, and finally look at prescriptions. Then analyze why you need to use this medicine according to the prescription in the medical record."

Zhang Yuan nodded and said, "Isn't everyone reading medical records like this?"

"That's why I said that in addition to looking at the medical records directly, there is also a way to look at the medical records backwards." Huang Su said sternly.

Zhang Yuan urged: "Huang Su, then quickly tell me what it means to look backwards."

"On the other hand, based on the tongue coating, tongue quality, and pulse conditions, combined with the patient's symptoms, visualize and restore the patient's physical condition in the mind, what the face looks like, what each reflex area of ​​the tongue looks like, and the six pulse conditions What it looks like. Then compare the conditions of the patients during the consultation, what is right, what is wrong, and what is wrong. Then, according to the concrete patient in your mind, you can prescribe your own syndrome, and finally compare the medical records. Diagnosis, treatment and prescription." Huang Su looked at Zhang Yuan who was lost in thought and said: "This is just my family's talk."

Zhang Yuan suddenly patted his thigh hard and said, "Wonderful, it's really wonderful. When I read the medical records of the patients diagnosed by the tutor, it is equivalent to re-diagnosing them myself."

Zhang Yuan stood up happily, pulled Huang Su and walked out: "Brother, I'll treat you to a drink tonight."

Just as the two were walking out, they bumped into a nurse suddenly.

(End of this chapter)