Rebirth 1977 Great Era

Chapter 9: Look, smell, ask, and palpate, all of them will be promoted!
The four methods of observation, auscultation, questioning and palpation first originated from the 61st difficulty in the "Nanjing".

The earliest use of the four-character phrase was in the Ancient and Modern Medical System: "Look, listen, ask, and feel, these four words are truly the guiding principles of medicine."

It is an essential step in TCM diagnosis of diseases.

However, in previous lives, Fang Yan and his generation of Chinese medicine students rarely used these four procedures.

Most of the time in hospitals, Chinese medicine doctors focus more on looking at the patient's physical examination reports.

It was during the free medical consultation in the countryside that Fang Yan and his colleagues picked up the four diagnostic methods again, but they had too little experience and the judgments were not accurate enough. Most of the time, they needed to consult with several people to diagnose the disease, and sometimes they could not make an accurate judgment.

When I was in school, I heard about an old Chinese doctor in Julu County, Hebei Province. He was very accurate in taking pulses. He could know the patient's condition just by feeling the pulse without the patient saying anything. He could even know the details that the patient had not noticed.

This old Chinese doctor is called Liang Xiuqing. His family has been practicing Chinese medicine for nine generations and is good at treating tumors. His Liang method of pulse diagnosis involves drawing a simple diagram of the patient's internal organs while taking the pulse, and then marking the problematic areas one by one, indicating where the disease is and where the pain is, all in clear writing.

After doing all this, he would communicate with the patient and then tell him in detail the cause of the disease, how to treat it, and what effect it would have. Every patient was amazed after hearing this.

Moreover, its treatment effect is very outstanding. Most diseases can be cured at a very low price. When encountering difficult diseases such as tumors, the treatment course will not be too long and the treatment effect is excellent.

When Fangyan first heard the story of Mr. Liang, he had just started studying Chinese medicine at school and found it incredible. Some classmates even said frankly that Mr. Liang must have a system.

At this moment, Fang Yan was wondering whether he could also master this ability that was like perspective with the help of the system.

He walked out of the inner hall and sat in front of the doctor's desk. He pointed three fingers at the Cun, Guan and other parts of Mr. Chen's pulse, then pressed with three fingers simultaneously to begin to diagnose the pulse.

When the others saw Fangyan treating Old Chen, they all came over.

Seeing Fangyan looking so calm and composed, everyone inexplicably felt that he really had the temperament of a doctor.

But Fang Yan was not in the mood to pay attention to the outside world at the moment. He was taking the patient's pulse seriously and trying to trigger the system.

The Yellow Emperor's Classic of Internal Medicine has a theory of three parts and nine signs for pulse diagnosis, which are: the upper part of the forehead, two cheeks, and in front of the ears, the middle part of the hand Taiyin, hand Yangming, and hand Shaoyin, and the lower part of the foot Jueyin, foot Shaoyin, and foot Taiyin.

Modern Chinese medicine only uses the wrist, inch, guan and chi parts, and the other two parts are basically useless, and they are not even learned in dialect.

After taking the pulse for a while, he had some idea of ​​Old Chen's symptoms when the system voice finally sounded:
[Ding! Divine Skill Experience System, Pulse Diagnosis Experience +10 Years! ]

Suddenly he felt the information conveyed by the pulse in his hand became clear in his mind.

The information continuously conveyed by the pulse was directly converted into words in his mind, just like he had practiced this many times. He didn't even need to think about it. He could turn it into accurate information and summarize it in his mind.

After gaining experience in taking pulses, Fangyan only needed to observe, smell and ask. He did not waste the opportunity to observe Old Man Chen. As the saying goes, "Those who know by observation, can know the disease by observing the five colors." Or "Observe the external response to know the internal organs, and then know the disease."

Sometimes a good Chinese medicine practitioner only needs to take a look at a patient to know what symptoms he has. A fortune teller who can read the patient's face and physiognomy is likely to be a good Chinese medicine practitioner as well.

In addition to observing the spirit, complexion, shape and posture, the visual diagnosis also includes tongue diagnosis. Fangyan asked Old Chen to open his mouth and looked at his tongue coating and under the tongue.

Then he immediately heard the system voice. Then he began to listen to the patient's breath, smelled his scent, and heard the system voice:
[Ding! Divine Skill Experience System, +10 years of experience in olfactory diagnosis! ]

Finally, he started to consult patients according to what he was taught in school.

In line with the spirit of the notice issued by the Department of Traditional Chinese Medicine of the Ministry of Health on the format and requirements for writing TCM medical records, there is a song of ten questions:

"When asking a doctor, one should first ask about the general issues. The general issues should include the relevant issues. One is about cold and heat. Two is about sweating. Three is about the head and body. Four is about bowel movements. Five is about diet. Six is ​​about chest. Seven is about deafness and eight is about thirst. Nine is about old illnesses. Ten is about the cause. Then the diagnosis and treatment process should be reviewed. The individual's family should be fully asked. Women's menstruation and childbirth with diseases. Children's history of infection and vaccination, sha pox, convulsions, malnutrition, and food preferences should be asked."

After Fangyan finished the process one by one, the system prompt sounded again:
[Ding! Magical skill experience system, consultation experience +10 years! ]

Now that all the experience of the four examinations was in place, Fangyan's judgment of the patient's physical condition was clearer than ever before. It was obvious that Old Chen's hoarseness was caused by excessive heat in the lungs and stomach.

He likes to eat spicy food and drink a few sips of wine when he is free. As he gets older, his body's ability to regulate is not as good as before, which leads to heat accumulation in the lungs and stomach, resulting in his current hoarse voice.

After explaining the reason to the old man, he was still a little skeptical. Fangyan then pointed out the symptoms he didn't mention, such as dry mouth, constipation, and short red urine. The old man believed it now and kept saying "that's right", and asked Fangyan to give him acupuncture to solve the problem.

When other people including old and new employees saw Fangyan, they found that he described the patient's symptoms exactly, which convinced the old man. They looked at each other, thinking that this person was indeed different from them! He was a capable person. Especially when they saw Fangyan's calm appearance throughout the whole process, they were inexplicably convinced.

Inviting Old Chen to the back hall, Fang Yan took out a needle bag and alcohol, disinfected the Zhongchong acupoint on his middle finger, and reminded him:

"After I give you acupuncture, you should also pay attention to your daily diet. Stop drinking alcohol and eating stewed food. Otherwise, your throat will become hoarse again soon."

Old Chen didn't care:
"Hey, these are the only hobbies I have at my age. If you ask me to give up for a day or two, I'm fine, but if it lasts for a long time, I'm definitely not going to be able to stand it."

"Old Lu didn't try to persuade me, so you don't have to do that either, little doctor. Just give me a few injections. When I have problems, I can come back to take care of your business."

"..." Fang Yan was speechless, but the needle had already been inserted into the Zhongchong acupoint. Fang Yan relaxed himself and let his feeling do the work. In an instant, he felt that he had "got the energy".

After piercing the Zhongchong acupoint, Fangyan began to insert needles into the Laochentouyuji acupoint, and then moved to the arm-shaped Kongzui acupoint.

Finally, he was asked to take off his shoes and acupuncture was inserted into the Neiting point on his foot again.

When Old Chen saw that the acupuncture points used by Fangyan were completely different from those used by Old Lu last time, and that a cool breeze appeared each time, he immediately became interested and wanted to ask Fangyan why the acupuncture points were completely different from those used by Old Lu.

As soon as I opened my mouth, I found that my voice had returned to normal.

He was stunned and exclaimed: "Well, I'm fine!?"

Now even the friends who were watching around were dumbfounded.

I have seen a lot of acupuncture these days, but this is the first time I have seen such immediate results.

The most important thing is that this was not seen in the hands of a few old doctors on duty, but in the hands of Fangyan, who was on his first day at work today.

(End of this chapter)