Song Yi

Chapter 95
Du Wenhao said: "Let me tell you first how a doctor treats a doctor. ——Facing a patient, to find out what's going on with his illness, we need to conduct an overall review and cooperate with the diagnosis method.

It is to examine the condition from the four angles of looking, smelling, asking, and cutting, and to judge the syndrome and disease of the patient based on the four aspects.What is the location and nature of the disease, and then prescribe the right medicine.

Therefore, one must be familiar with the four diagnostic methods of seeing, hearing, asking, and cutting, and must be able to obtain enough information to help syndrome differentiation. "

The second daughter nodded, and Pang Yuqin said, "How can I see, hear and ask?"

"Watching is to observe the external condition of the patient, including the whole body, head and face, facial features, limbs, excrement, especially the condition of the tongue. Different diseases will have different changes;
Smell means to listen to sounds and smells, including breathing, talking, coughing, heart sounds, stomach sounds and some special smells. Different diseases will cause some specific changes. Observe these and you will know what the disease is.A good doctor must be familiar with all these changes.

Questions are to ask about the patient's main feeling, past medical history, cold and heat, pain, sleep, diet, stool and so on.

To cut is to cut the pulse, which is one of the most important means for doctors to understand the condition.

I can’t finish talking in a short while, so how about it, when I meet a specific patient, I will find time to tell you. "

Of course Xue Fei'er was not satisfied, and said: "Then you can teach us how to make a diagnosis first, okay? Next time a patient comes, I'll check the pulse."

"Okay." Du Wenhao casually grabbed Pang Yuqin's hand and put it flat, pointing at her wrist and said:
"Blood runs through the whole body, connecting internal organs and external muscles, so the pulse condition can reflect the comprehensive situation of the whole body's internal organs functions, qi and blood, yin and yang, etc. The types of pulse conditions have always been different. The "Multiple Classic" written by Wang Shuhe of the Western Jin Dynasty is divided into three Jiuhou, Cunkou pulse method, there are 24 kinds of pulse conditions.

In the Ming Dynasty..., um no, in the later generations..., the study of pulse conditions has increased, and there are 28 types in total.It's just a refinement of it. "

Xue Fei'er felt her wrist pulse, and wondered: "Just by touching it like this, you can know what's wrong? It's amazing!"

Du Wenhao said with a smile: "Of course I'm not so clever. You can know what's wrong just by closing your eyes and feeling the pulse. That's a genius. Detecting is only one of the four diagnostic methods. Syndrome differentiation must be based on the method of diagnosis. You can't catch sesame seeds and lose watermelon. If you don't care about your head and tail, you will become a quack doctor who treats head and foot pain.

None of the four diagnosis items should be missed. Of course, for specific diseases, one or several types may be emphasized. "

"You should talk about how to diagnose the pulse."

"You, you are so impatient. This personality is not suitable for practicing medicine. A doctor must not move in front of the mountain collapse, and stay calm in the face of danger. Even if you encounter a patient who is about to die in an emergency, you must not mess around. Only in this way can you diagnose the disease accurately. , to find effective first aid.

Pulling away, back to the palpation, there are many methods of palpation, such as "Su Wen", there are three "Nine Hous" diagnostic methods, which are to examine the pulse of blood in various parts of the human body. The medical sage Zhang Zhongjing wrote in "Treatise The Cunkou, Fuyang, and Taixi diagnostic methods are also proposed in "On", and the most commonly used by doctors is the Cunkou diagnostic method.

From the palm to the elbow, the Cunkou pulse is divided into three divisions: Cun, Guan and Chi. There are three divisions in each hand, a total of six divisions. "

"There are so many blood vessels in the whole body, why do you only use the incision for diagnosis?"

"Good question! In fact, the reason is very simple. Cunkou belongs to the hand Taiyin lung meridian, which is the beginning of blood circulation. The twelve meridians of the whole body return to Cunkou, so Cunkou is the place where the meridians gather.

The pulse at Cunkou is the most vigorous, and the pulse condition is also the most representative.

Moreover, the Cunkou is on the wrist, so it is more convenient to diagnose the pulse. If it is diagnosed in other places, such as Zhang Zhongjing’s Diagnosis Yang and Taixi points, these two acupoints are on the feet. If it's a big girl or a little daughter-in-law, you can't hug other people's golden lotus and touch them around, right? "

"Hee hee hee..." The second daughter covered her mouth and smiled.

Xue Fei'er said strangely: "If sister Yuqin is ill, sir, you can hold her golden lotus to see Fuyang and Taixi. It's all right, she is willing."

"You son of a bitch! Looking for a beating!" Pang Yuqin blushed and reached out to pinch her.

Xue Fei'er giggled and avoided: "Okay, stop making trouble, sir is teaching medicine!"

Pang Yuqin gave her a hard look, sat down and looked up at Du Wenhao with her flushed face.

Du Wenhao was also a little embarrassed, coughed lightly, and continued: "There is another reason for cutting the pulse and opening the mouth, that is, the mouth can also reflect the ups and downs of the human body. You must know that the lungs and spleen belong to the Taiyin meridian..."

"What is Taiyin meridian?" Xue Fei'er asked again with her pretty face upturned.

"The Taiyin Meridian is just... I was talking about Qimai, but you went to ask about the meridians again, and it got messed up. Come one by one, so many things you don't understand have to be explained, and you can't finish talking about Qimai at dawn tomorrow."

Pang Yuqin smiled and said, "That's right, Fei'er, don't interrupt, just listen to what Mister has to say."

"Okay, I won't interrupt, you can continue."

"Um..., where did I say it?"

"The lungs and spleen belong to the Taiyin meridian!" Xue Fei'er smiled, "Forget it, don't explain it, just tell us how to cut the pulse, I really want to try it."

"Okay, among the six viscera of Cunkou, the left and right Cun, Guan, and Chi all have a corresponding relationship with the internal organs. The changes in Cun Guan Chi reflect the changes in the internal organs."

Then, Du Wenhao briefly explained the characteristics of the 28 pulse conditions and the symptoms they reflected.

After talking about pulse diagnosis, Du Wenhao briefly introduced the essentials of tongue diagnosis, talked about the significance of tongue quality, tongue shape, tongue state and sublingual collaterals in tongue diagnosis, and focused on the types of tongue coating and main diseases. It also briefly explains the basic symptoms and characteristics of the eight principles of syndrome differentiation.

As soon as I said this, two patients came in one after another.When you ask, it's all a cold.

The first patient sat down and coughed.

After Du Wenhao cut his pulse first, he said to the two women: "You two, try what I just taught you, and see what diseases they are."

"Okay!" Xue Fei'er asked the patient, "What's wrong with you?"

The patient looked at Du Wenhao suspiciously: "Didn't Dr. Du sit in the hall?...cough cough"

Du Wenhao smiled and said: "That's right, these two girls are studying medicine with me. Let them try. Don't worry, I'll listen to you. I'll follow up with you in person later. Is that okay?"

"Oh, yes. Thank you, Doctor Du. I feel very uncomfortable...cough coughcough..., I got up last night to go to the latrine, maybe I wore a little less clothes, and it turned out to be cold. I had a fever all day, and my forehead It was so hot that I shivered all over my body, even covered with two cotton sheets, it was so cold, and I still coughed..."

Pang Yuqin also asked, "How do the joints feel?"

"Soreness! Every joint in the whole body is sore. Cough cough cough..."

Xue Feier asked again: "Are you sweating?"

"If you don't sweat, your whole body is hot."

Xue Fei'er pointed to the finger pulse pillow: "Here, put your hand here, and I will cut your pulse."

The patient put her hands down, and Xue Feier put three fingers on the patient's wrist in a grand manner, and closed her eyes to feel the pulse beating:

"This is..., it seems to be... Shenmai! What does Shenmai mean? By the way, Lizheng! Besides, this pulse is... a bit astringent! It should be stagnation of qi and blood stasis! Mr. Du, I said right?"

Du Wenhao shook his head with a smile and said, "Playing the piano randomly! Yuqin, come and see."

"Ok!"

After concentrating on taking the pulse, Pang Yuqin looked at Du Wenhao and hesitated for a moment:

"The pulse is like floating water and drifting wood. If you carry a boat on the water, you can get it lightly. If you press hard, it will not be empty. According to what Mr. said just now, it should be a floating pulse! Moreover, the pulse is like a rope that is firm and strong, and it should be a tight pulse!
Du Wenhao nodded approvingly: "Yuqin is really smart, Lan Xin is intelligent, and she sees things very accurately."

Xue Fei'er pouted at the side and said: "Yes, she is blue-hearted and intelligent, I am a big fool!"

Du Wenhao said: "It is true that you are stupid. I have said it before. The diagnosis method is combined. Since you already know that he is caused by cold in the previous consultation, it has already pointed to exogenous wind and cold. At this time To diagnose the pulse, you need to see whether his pulse conforms to the characteristics of exogenous wind-cold. The pulse of exogenous wind-cold is a floating pulse, but you come out and sink the pulse. Isn't this contradictory?

What's more, when the wind and cold are caused by exogenous wind and cold, the cold is mainly drawn in, and the blood vessels are naturally tightened, which is naturally a tight pulse, but you run out of astringent pulses, what is Qi stagnation and blood stasis, what is going on! "

Xue Fei'er's pretty face flushed slightly, and she said with a giggle: "Just pretending, anyway, I'm learning to play with Sister Yuqin, you just need to teach her!"

"If you don't learn, don't learn. If you want to learn, you have to work hard! Well, look at his tongue again. -- Please stick out your tongue." The patient sticks out his tongue.Du Wenhao said: "Take a look, how does his tongue look?"

Xue Fei'er took a look, and said first: "The tongue is thin!"

Pang Yuqin also nodded.

Du Wenhao praised: "It's all right this time!"

"Hee hee, looking at the coating of the tongue is much easier than feeling the pulse. The pulse is just so dotted, it jumps in a mess, and there are dozens of pulse conditions. Who can tell them all at once. From now on, you can only look at the tongue condition when you see a doctor."

Pang Yuqin said: "No way, the master said that the combination of diagnostic methods and reference methods should be used, and all four methods should be used. You can't just use one method, or you will make mistakes."

Du Wenhao nodded: "Yes, you go on, besides the thin tongue coating, what is the color of the coating?"

"It's easy!" Xue Fei'er said, "You said just now that the fur is white, yellow, and gray-black. His tongue fur is yellow at first glance!"

Pang Yuqin took a closer look, shook his head, and said, "I really think something's wrong! Look, the sides of his tongue are white, and only the middle is yellow. Huh? I really think there are some yellow bumps, what are they?"

The patient scratched his head in embarrassment: "I'm sorry, when I came here, I heard that grapefruit peels can cure colds and coughs, so I took a piece in my mouth and just spit it out before I came in."

Du Wenhao burst out laughing, pointed at Xue Feier and said, "You are just not careful! Well, tell me how to explain his illness?"

Xue Fei'er coughed lightly, shook her head and said, "Look, he is depressed and has a sick look on his face. Hearing, he speaks slowly and feebly. Ask, he catches cold at night. Cut, his pulse is tight. So, it belongs to accidental cold at night." Cold syndrome!"

Pang Yuqin couldn't help laughing, and gave her a push: "What are you talking about? There's no such thing as getting up at night and accidentally catching a cold."

"Then tell me, what kind of disease is he? - Let's talk about it from the four clinics."

(End of this chapter)