This doctor is not short of money

Chapter 460 A Mess of Dialectics
"This interview will be conducted for both of you at the same time. All questions will not be answered verbally. You only need to write the answers to our questions on the white paper in front of you."

When Xiao Su called the two students who were interviewing to come in, Du Heng took two pieces of paper and a pen and put them in front of them.

"Are you ready?"

"teacher!"

One of the interviewees raised his hand violently.

"Any questions?"

The boy stood up, raised his chest and raised his head, and asked in a loud voice, "Teacher, we answer the questions on paper, but not verbally. This seems to be the same as our previous written test, and it is different from other people's interviews." Not the same.

And others are one-on-one oral question and answer, why do we have two people to do it together? "

Li Jianwei didn't speak, but put his hands on the table, looked at Du Heng with interest, and wanted to see how he would answer.

Du Heng smiled at the students, and the student who asked the question returned Du Heng with a reserved smile.

"Is there anyone who stipulates that the interview must follow a certain process?"

"...No..." The smile on the student's face was a little stiff. He didn't expect that Du Heng didn't answer his question, but asked him a question instead.

"Well, then can we hold the interview in the way we want?"

"Okay...but the others..."

"If you don't like our interview method, you can go to someone else you mentioned. Graduate interview, this is a two-way choice, we can interview you, you can also interview us, if you think our method is not suitable for you, You can exit now."

"I...."

The smile on the student's face completely disappeared, and he didn't know what to say for a while.

two-way choice?

Are you kidding me?
Except when graduate students can choose a tutor when they first register for the exam, when do they have the initiative?

No, you also have the initiative when you drop out.

The smile on Du Heng's face subsided, and he looked at the student in front of him very calmly, "Student, if you want to continue to participate in the interview, please sit down and prepare to listen to the questions; if you don't want to participate in this interview, you can leave .”

The student who asked the question turned dark. He really didn't expect the interviewer in front of him to be so stubborn.

But he didn't hesitate, and immediately sat back in his seat.

Just kidding, thousands of troops are crossing the single-plank bridge, and they are about to touch the shore and go ashore. Will this make them leave?

What are you going to do?Do you take the exam again next year?

Du Heng glanced at the two, "Do you have any other questions? If not, we'll start."

The two students picked up the pens in their hands and listened carefully to Du Heng's words.

Seeing that the two of them had no problem, Du Heng turned his head and asked Li Jianwei softly beside him, "Teacher, can we start?"

"Just host it."

"Xiao Su, do you have any questions?"

"I'm fine, brother, you can start now."

Du Heng coughed lightly, looked at the two people in front of him and said, "The first question, what are the basic characteristics of Chinese medicine?"

So simple?
The two interviewees were slightly taken aback, but Du Heng didn't look like he was joking, and the other two didn't speak, so they could only bow their heads and start writing.

In about ten seconds, the two of them finished answering, and such a question was not difficult for them.

Du Heng smiled, and did not immediately accept their answers, but immediately asked a second question, "Please explain, what are the four flavors and five flavors of traditional Chinese medicine?"

is it hard?

It is not difficult for students who can pass the postgraduate examination.

At this moment, they are a little confused about what this interview is about.

Li Jianwei also didn't understand why Du Heng asked these two questions.

Watching the students start to write, Li Jianwei asked Du Heng in a low voice, "What are you using these two questions for?"

"It's just to test their overall theory, which is of no great use."

"Oh."

Li Jianwei stopped talking.

After the two finished writing, Du Heng asked Xiao Su to collect the answers.

Both of them answered the first question about the basic characteristics of Chinese medicine, the overall concept and syndrome differentiation and treatment.It's just that the student who asked the question just now added the words "heaven and man and one" and "yin and yang and five elements" to the answer.

The second question, the four characteristics and five flavors of Chinese herbal medicines, the answers of the two are different.

The students who didn't have any questions just answered the four qi: cold, hot, warm, and cool.Five flavors: pungent, sweet, sour, bitter, salty.

The student's answer to the question is four qi: cold, hot, warm, and cool.Five flavors: pungent, sweet, sour, bitter, salty, plus bland and astringent.

Is it wrong to add two flavors?
Of course not, because the light taste has no special taste, it is listed side by side with the sweet taste, which is called "light attached to sweet", and the astringent taste and sour taste have the same effect, so it is not listed separately.

That's right, do you need extra points?
Of course not.

Questions that seem to be nonsense can be understood clearly. The students who did not ask questions are more honest and down-to-earth, while the student who asked questions is a little tactful and more cautious.

But this is not the key point, Du Heng immediately asked the third question.

"There is a female patient who complained that two days ago, she had a bad wind, a slight fever, no nasal congestion, runny nose, no nausea and vomiting after catching a cold. Today, when she went to the doctor, she developed dizziness, headache, body aches, nasal congestion, chest tightness, nausea, etc. symptom.

After investigation, the patient's body temperature was 37.6°C, the tongue was pale, the fur was white and slightly greasy, and the pulse was floating and slight.

Please write a complete medical record in a standard format.

Requirements, write down the diagnosis, dialectics, treatment and the prescription name of the medicine, please start. "

Afterwards, Du Heng repeated the patient's signs and examination results again.

Soon, both of them gave their own answers, and Xiao Su consciously stepped forward to collect their answers.

Du Heng glanced at it, and handed the two answers to Li Jianwei and Xiao Su blankly.

And Li Jianwei and Xiao Su also became expressionless after watching it.

Students were not asked for answers,

Diagnosis: a cold.

Dialectical: Yang deficiency exogenous pathogenesis.

Method for the treatment of: warming yang and expelling cold.

Prescription: Addition and subtraction of Shensu Decoction
student answers to questions,
Diagnosis: a cold.

Dialectical: Deficiency of qi and exogenous pathogenic wind evil.

Governing law: Replenish Qi and relieve the exterior.

Prescription: Modified Zhenwu Decoction
Except for the diagnosis of a cold, the two of them were right, and everything else was wrong, and even the dialectics and prescriptions couldn't match.

Du Heng first took the answer from the student who didn't ask a question, "Student, let me ask you, what are the characteristics of the recipe of Shensu Yin?"

"Treating colds caused by wind and cold. Symptoms include aversion to cold and fever, headache and stuffy nose, chest tightness and vomiting."

The student who was asked the question answered very fluently, he could match everything, and he thought it was right.

But he was very puzzled, why the three interviewers all had such expressions on their faces.

Du Heng took a deep breath, pursed his lips and said, "The function of Shensu drink is to nourish qi and relieve the appearance, regulate qi and reduce phlegm, and your treatment is to warm yang and dispel cold, and the bull's head is not right."

Du Heng didn't want to talk too much, but after a pause, he added, "By the way, is your argument fabricated? Have you listened carefully to the symptoms of the disease just now?"

Uh~~ The honest student looked stunned, all wrong?
At this time, another cautious student secretly smiled, then quickly restrained his smile, and sat down solemnly.

Du Heng could also see his small movements clearly. He stretched out his hand to take what he wrote, and his whole body seemed to be constipated. Can you explain why you didn't dispel wind and cold after diagnosing exogenous pathogenic wind, but only tonify qi and relieve the exterior.

Do you mean that you only need to open the watch, and Fengxie will come out by itself? "

The careful student was also numb, and stared blankly at Du Heng in front of him.

Du Heng sighed and asked again, "Do you know what Qinglong soup is for?"

Just as the student was about to speak, Du Heng asked again, "Qinglong soup is divided into big Qinglong soup and small Qinglong soup. Excuse me, is your Qinglong soup big or small?

Or do you think the effects of the two prescriptions are the same? "

Be careful and the students just shut up.

"Daqinglong Decoction, which can sweat and relieve symptoms. If you use the prescription of Daqinglong Decoction, it will really make you a blind cat and a dead mouse. If you use it correctly, although it is not completely symptomatic, it will work." .

But what if you are Xiaoqinglong soup? "

Du Heng sighed, "Two classmates, one just has a cold, it's all wrong."

What's the use if you learn it well but don't know how to use it?

"Teacher, what is the correct answer?" The careful student was unconvinced, he wanted to know how far his answer was from the correct answer.

Du Heng turned his head and glanced at Xiao Su beside him, "Are you coming?"

Xiao Su also sighed, and then said little by little, "I'll do it."

Immediately, the two face-to-face said, "Diagnosis: a cold; syndrome differentiation: wind evil clamping dampness offending the exterior syndrome; treatment method: dispelling wind and dampness to relieve the exterior; prescription: Qianghuo Shengshi decoction."

Evidence of wind evil and dampness?
Is this a cold?
The two students looked at each other.

Du Heng sighed, "I originally prepared a slightly more difficult question, but it seems that it is unnecessary. Let's go straight to the last question."

What does this mean?
One question negates them all?

For postgraduate interviews, it may be more troublesome to recruit one more, but if you can't do it, it's not too troublesome.

Thinking of the possible consequences, the honest child became dishonest, and hurriedly said, "Teacher, tell me, give me another chance."

Li Jianwei also said at this time, "Xiao Du, just talk about it, it doesn't matter if you can't answer, it's good for young people to gain more knowledge."

Hearing what Li Jianwei said, of course Du Heng wanted to save face, "Then listen to the teacher."

After coughing, Du Heng said slowly, "Listen, there is a 30-year-old female patient who developed fever, chills, and a slight dry cough without any obvious cause. However, the heat has been repeated, especially in the afternoon.

After examination, the patient had no nausea, vomiting, abdominal pain, diarrhea, frequent urination, urgency, or dysuria.Dry mouth and desire to drink, dark tongue, thin and greasy yellowish fur, rapid pulse, body temperature fluctuating between 37.5°C and 40°C, it should be emphasized that the patient does not have any inflammation or infection. "

After finishing speaking, Du Heng glanced at the two of them, "You don't need to write this question, whoever has thought it over can just raise his hand to answer."

After 2 minutes, the careful student raised his hand first, "Teacher, you just said that the patient has no obvious cause of fever, and the patient has no internal infection and inflammation, which means that the patient may have unintentionally contracted external pathogenic factors.

It's just that the symptoms were not obvious at the beginning, and it took a long time to become like this.So I diagnosed it as exogenous fever. "

Du Heng didn't say anything, but just asked, "What is the dialectical thinking?"

"The battalion and the guard are at odds."

"Very well, sit down."

The careful student was a little confused, he didn't understand what Du Heng meant.Whether what he said was right or wrong, he didn't give a reply.

But with the experience just now, he no longer dared to open his mouth to ask.

This is the honest student who also raised his hand, "Teacher, can I speak?"

"Okay, you can say it."

"The patient has no external symptoms, but has the characteristics of repeated fever, dry mouth and desire to drink. I think this is internal injury fever."

Du Heng's eyes lit up, "There are many types of internal injuries and fever, which one is it?"

"Fire depression."

"sit down."

Du Heng's eyes that had just lit up regained his composure again.

I didn't want to talk about it at first, but now I have to say it desperately, now it's all right, let me be disappointed again, why bother.

"You guys adjust your mood well, let's move on to the last question."

"Teacher, you haven't said how we answered just now?"

"Teacher, please comment."

The two students really panicked. Du Heng's attitude was obviously disappointment.

But even if it is death, you have to let yourself die to understand.

The two students looked at Du Heng eagerly, and even Li Jianwei said beside him, "Xiao Du, please explain to these two children, otherwise they will not be convinced and think we did it on purpose."

Du Heng habitually stretched out his hand and began to knock on the table, but suddenly realized that Li Jianwei was beside him, his teacher, so he quickly took his hand down again.

After clearing his throat, he said, "Pulse Syndrome Heshen, I believe you two should be familiar with it, and your teacher should have said and emphasized this in class.

But in this case just now, you didn't achieve the combination of pulse and syndrome, just like Western medicine, you deduced the cause of the patient from the symptoms. "

Du Heng's voice was very soft, he didn't reprimand loudly, nor made fun of frivolous jokes, but just talked calmly.

"The patient's symptoms are not obvious now, except for fever, there are no symptoms for reference, but the patient's physical examination, I just said very clearly.

The tongue is dark, the fur is thin and greasy and yellowish, it can be seen that the patient has damp heat in the body, and it is exuberant heat.

There are records in "Pinghu Pulse Science", "Mai Jing", "Su Wen" and so on. The numbers are yin and yang, and the number of pulses dominates the internal organs. Phase, fire to the doctor.Or it is a saying that the mouth is angry and angry.

And the pulse condition is all empty and weak, all belong to the type of moistening, and moistening the pulse is often seen in the stomach qi is not full, or exogenous dampness. "

Du Heng paused slightly, took a breath and continued, "In addition, the patient's mouth is dry and he wants to drink, and the two complement each other, the patient is suffering from internal injury and fever caused by deficiency of spleen and stomach qi.

Of course, there is also the recurrence of the disease in the afternoon, and this is related to the Ziwu Liuzhu said that the spleen, stomach and stomach correspond to such a time, so I will not explain further. "

(End of this chapter)