Chapter 291
The people of Xiaoyan Dynasty, because of the "medical environment" they lived in since ancient times, no matter whether they are ordinary people or princes and nobles, they all have a different kind of awe and respect for doctors, because there are too few doctors here. A good doctor who has the art of rejuvenation is even more difficult to meet!

So they are very rare doctors, especially doctors from other countries, and think that their medical skills are all superb, at least, they are better than doctors in their own country!
The doctors of Xiaoyanchao went to the rooftop one after another, feeling ashamed to see Jiangdong's elders again...

While the lady was still thinking about things, Sima Qing had already started to "check the doctor".

What is inspection?

Inspection of the four diagnostic methods of traditional Chinese medicine: It is a method to diagnose diseases by observing the patient's external spirit, color, shape, posture, and various excreta with the naked eye.

To put it simply, inspection includes two parts: general inspection and tongue inspection. General inspection includes inspection of spirit, inspection of color, inspection of shape, inspection of five sense organs, etc. Tongue inspection includes inspection of tongue quality and tongue coating.

The first thing in inspection is to look at the spirit. The spirit is the embodiment of the life activities of the human body, such as clear mind, clear speech, bright eyes, and quick response.

If the spirit is weak, the expression is indifferent, the eyes are dark, the reaction is slow, and even the mind is not clear, it is called no mind, which means that the condition is serious.By looking at the gods, one can make an estimate of the patient's condition and prognosis, and be aware of it.

Color inspection mainly observes the color and luster of the face. According to different colors, we can see the ups and downs of Qi and blood and the development and changes of diseases.

The complexion of normal people is yellowish, rosy and lustrous. If there is abnormal color, it is called disease color. The common ones are: white, which dominates deficiency and cold, and indicates blood loss; yellow, which dominates deficiency and dampness; Convulsions in children; red, the main heat; black, the main kidney deficiency.

Looking at the shape refers to looking at the shape and movement. If the shape is fat and the food is less, it means spleen deficiency and phlegm.

Thin and hungry, because there is fire in the stomach.

Lying and lying down like quietness, most of them belong to cold syndrome.

Irritable and active, mostly fever.

Opening the mouth and lifting the shoulders, wheezing and unable to lie flat is asthma, strong nape and back, opisthotonos are convulsions; prolonged illness is a critical symptom of touching the bed by touching the clothes and pulling the air.

The experience of traditional Chinese medicine believes that the five internal organs are opened to the five sense organs, and the five internal organs should be in the five internal organs. By looking at the five sense organs, we can know certain internal organ diseases, such as redness and swelling of the eyes, which are mostly caused by liver fire or wind heat. Dry and scorched helixes are depletion of kidney essence, swollen nose wings are pathogenic heat accumulation in the lungs, swollen or bleeding gums are hyperactivity of stomach heat.

"Stick out your tongue and let me see." Sima Qing said with a faint smile.

The lady stuck out her tongue cooperatively, muttering to herself, this face under the veil should be pretty.

Tongue observation is a unique diagnostic method to detect the changes of the disease by observing the changes in tongue quality and tongue shape, color, moistening and dryness, etc. There are five main observations.

First, look at the tongue quality: From the appearance of the tongue quality, we can detect the lesions of viscera.Generally, the tip of the tongue is used to diagnose heart and lung lesions, the center is used to diagnose spleen and stomach lesions, both sides of the tongue are used to diagnose liver and gallbladder lesions, and the root of the tongue is used to diagnose kidney lesions.

The tongue color is mainly divided into four types: light red, pale white, red crimson, and blue purple.

Second, look at the shape of the tongue: the shape of the tongue refers to the shape of the tongue.

The normal tongue is of moderate size.Abnormal tongue is divided into old tongue, tender tongue, fat tongue, thin tongue, cracked tongue, prickly tongue, tooth-marked tongue.

Third, look at the state of the tongue: the tongue is normal, the tongue body moves sensitively, and stretches freely.

Pathological tongue state has severe changes such as rigidity, tremor, and crookedness.

Fourth, look at the tongue coating: mainly observe the changes in the thickness, moistening, rot, and peeling of the tongue coating.

Fifth, look at the color of the moss: the color of the moss can be divided into white, yellow, gray and black.

……

"Are you thirty-two this year?" Sima Qing asked suddenly after reading the tongue.

"Um, how do you know?" The lady was startled.

It may not be unusual to be able to tell the basic age, but she said her exact age all at once, how did she do it?Will she meet?

"I don't know how to meet each other." Sima Qing spread her hands, "Doctors can sometimes tell a person's age through inspection."

The lady looked skeptical and surprised.

And what Sima Qing said next made her expression never change.

"May I ask you, is there anything unpleasant recently? Do you have symptoms of being upset and losing your temper? Cough cough, is your little life not very normal?"

"How did you see that?!" The lady opened her mouth so wide that a duck egg could be stuffed in.

It turned out that her philandering husband had a brothel outside, and even had a child, and insisted on welcoming him into the mansion. She and her parents-in-law were fighting against him, and she was in a terrible mood.These days her stomach is always hurting, and she is always nauseous and retching. Before she came here today, the imperial doctor of the imperial hospital diagnosed her with shortness of breath and stagnation, stomach fire and anger.

Originally, around the four "square formations", there were many people watching and studying. These people were the imperial doctors of Xiaoyan Chaotai Hospital and some Xinglin contestants selected from the folks. Their purpose here today is to "exchange and learn" Yes, ahem, in layman's terms, they are here to "steal a teacher".

But this time, this teacher really stole it aboveboard.

Therefore, the lady's relatively large reaction also attracted the attention of many people, and Wan Taiyi, who had been watching by the side, also had a surprised look on his face.He was the imperial doctor who had treated this lady before.

So he couldn't help but ask, "How did you find out?"

Sima Qing glanced at him without asking anything else, and said, "I checked her tongue and found that her tongue was dark purple and bluish. I thought she had blood stasis. Then I looked again and found that the 'Jinjinyuye' under her tongue was in the shape of Dark purple, the wood is the liver, and the spleen is the soil. If the liver is stagnant and qi stagnant, spleen and stomach discomfort will often occur. This is called 'wood overcomes soil'. Although the patient shows symptoms of spleen and stomach discomfort, the cause is actually in the liver. The liver governs blood, and liver blood Stasis often causes sunflower water to be out of balance or dark purple blood clots."

When it came to the more private part of a woman, the lady lowered her head in shame.

But Sima Qing, that doctor Wan, and even the few doctors next to him didn't notice anything, they were shocked by her diagnosis.

You must know that she has seen the existence of two diseases just through the step of "examination", one is a gynecological disease that Doctor Wan did not diagnose through detailed interrogation before...

After "peeking" at Sima Qing's prescription, Doctor Wan and the others felt even clearer. Although the patient hadn't even taken the medicine yet, they were convinced that it must be symptomatic.

Her prescription is not aimed at the spleen and stomach, but a decoction that promotes blood circulation, removes blood stasis, soothes the liver and regulates qi. However, such a prescription is directed at the core. Once the crux of the disease is found, it can be easily resolved whether it is internal medicine or gynecology.

With this outburst, Doctor Wan looked at the veiled young girl in front of her with a bit of admiration.

The first patient was given a prescription after one step of "examination". Although Sima Qing was very confident, when she thought that this link was "seeing, hearing and asking", she felt that it would be better to proceed safely.

So next, Sima Qinghe carefully and rigorously demonstrated the four steps she had mastered of "seeing, hearing, asking, and knowing".

Auscultation of the four diagnosis methods: through hearing and smell, collecting the voice of the patient's speech, as well as the smell emitted by breathing and coughing, etc., as a reference for diagnosing the disease.

Inquiry of the four methods of diagnosis: It is a method to understand the patient's subjective symptoms, disease occurrence and evolution process, treatment experience, etc. by communicating with the patient or an insider, as the basis for diagnosis.

The palpation of the four methods of diagnosis: mainly palpation of the pulse, but also palpation of certain parts of the patient's body surface.TCM pulse detection is mostly to use fingers to cut and press the patient's radial artery (cunkou of the wrist), and to understand the patient's syndrome based on the patient's surface arterial pulsation location, frequency, intensity, rhythm, and pulse wave shape. Intrinsic changes of disease syndrome.

The four diagnosis methods of looking, smelling, asking, and cutting do not exist in isolation, but are interrelated. They are the specific application of basic theories such as yin and yang and five elements, Tibetan image meridians, etiology and pathogenesis.

Of course, the most important thing is not the process, but the results obtained through this process.

As I said before, among these patients, there are actually some who have been diagnosed by the imperial physicians and doctors before, but they just mixed in to make up the number, just to test whether they will diagnose the disease in people who are obviously not sick, but in general Speaking of these 24 people, there are only two, which is a double-edged sword for those assigned.

The advantage is that if they can be successfully eliminated, then their team does not need to treat him, and it will be directly counted as the one that can be cured in the shortest time; Come on, prescribe the medicine, then it will be exposed on the spot, and then it will not only be a problem of "losing points", but also losing face.

I don't know whether to say that Sima Qing's group was lucky or unlucky, but one of the only two was assigned to them.

But it's not in the hands of Sima Qing, but on the side of Imperial Physician Shi.

Doctor Shi didn't lose the chain, he "eliminated" him, and directly said that he was in good health, there was no disease at all, and he didn't need to take medicine at all.

This was recorded before, and Taiyi Wan immediately came to confirm it, and asked three doctors from the other Three Kingdoms Medical Group to come over and diagnose it together to see if it was true.

As a result, the other three doctors did not see any illnesses, and they were barely envious and jealous to show that they had passed the test.

Originally, such a result, for the Golden Dragon Kingdom, was definitely a bargain. Didn't you see the envious and jealous eyes from other countries?

But at this time, the one who came out to disrupt the situation was none other than Doctor Ah Qing from his own country!
Forgive her, she had struggled a little bit in her heart, but in the end her conscience overcame her reason. As a doctor, she really couldn't just leave her alone!

(End of this chapter)

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