The third patient also has Shaoyin syndrome, but this is Shaoyin fever syndrome, which is a yin deficiency and excessive fire. Xiao Li prescribed Huanglian Donkey-hide gelatin Decoction.

Zhang Yan took a look and signed it readily.

With two patients in a row, Zhang Yan signed it with ease and said nothing, which made Xiao Li more confident.

Then he treated the fourth patient.

This is a patient with back pain. He said that he had been suffering from back pain for five or six years. In recent times, the pain has not been able to straighten his back, which has seriously affected his life. Then he came to see the doctor.

His face was flushed and his eyes were dull.

Xiao Li Si was diagnosed with ginseng and diagnosed it with blood stasis blocking waist pain. He prescribed Zhuyu Decoction, supplemented with massage treatment.

Zhang Yan took the patient's pulse and changed the prescription for the patient. He added three cents of longan and three cents of wolfberry to Shinu Zhuyu Decoction.

After the patient left with the prescription, Zhang Yan said, "The patient just now had qi stagnation and blood stasis type of back pain. It's not completely true, and he also had kidney deficiency and back pain.

I have said before that you must be careful when seeing a doctor, grasp every detail of the patient, and while integrating the four diagnosis, you must also verify and carefully solve it.

Don't miss any details.

For example, the patient just now had a flushed complexion and his eyes were dull. Have you noticed this? He also had to have a slightly cool palm. Are you sure about this?

The patient is bent down and has limited movement, numbness in the limbs, which is caused by blood stasis and pain in the waist, but his palms are slightly cool, his face is flushed, and his eyes are not so bright. This is another exterior symptoms of kidney yin deficiency.

Therefore, the patient is not simply blood stasis blockage, but also has kidney yin deficiency, so I added longan and wolfberry to your prescription.

To nourish the kidney, one must nourish the liver. Only by nourishing the liver and kidneys together can the effect be achieved.

I will deduct you one point this time, so pay attention next time!"

After Zhang Yan finished his explanation, he announced that the points for this diagnosis were deducted.

"I understand, Brother Zhang!" Xiao Li said with a little frustration.

"Okay, you don't have to belittle yourself, just pay attention next time!

You should know that patients' diseases are often not a single disease. Many times, multiple diseases are mixed together. You must be patient to peel off the threads and clear the disease." Zhang Yan smiled and comforted.

At this time, the time for acupuncture to keep needles was also up. Xiao Li went to get acupuncture for the old man and then continued to undergo pulse diagnosis.

Otherwise, Xiao Li's luck is really good. The elderly's disease is more troublesome. There are two completely unrelated diseases mixed together. If there were no patients just now, Xiao Li might have missed or misdiagnosed.

Now, although she was deducted a point, her thinking was opened. When she went to diagnose the old man's illness, her thinking became much clearer.

"Uncle, your hand pain is accompanied by abdominal pain, which is a symptom of cold and damp arthritis. In addition, your cough is caused by dampness and heat in the lungs. As for your constipation, this is a gastrointestinal disorder caused by alternating cold and heat.

I will prescribe a few medicines for you, and you will do acupuncture again every day. In three or five days, your disease will be much relieved. After about ten days, you will be cured." Xiao Li said confidently.

The condition of this old man is indeed very complicated. His hands are caused by dampness and coldness, and his cough is caused by dampness and heat in the lungs eroding the lung meridian.

The interaction between dampness and cold and dampness and heat in the body further leads to obstruction of the gastrointestinal and intestines and constipation.

If I hadn't deducted that point just now, Xiao Li might not be able to clarify the clues in this complicated condition.

Next, let’s see how Xiao Li prescribes the patient.

After a while, after Xiao Li prescribed the prescription, Zhang Yan took it and took a look, and then gave the old man a pulse.

The dosage of several medicines was adjusted on the prescription prescribed by Xiao Li, and then signed the letter and handed it over to the old man to get the medicine.

"Brother Zhang, is the prescription I just prescribed wrong?" Xiao Li asked nervously after the old man left.

"Mahuang Decoction combined with Aconitum Guizhi Decoction, Mahuang Decoction causes sweating and dispels heat and relieves exterior symptoms, and Aconitum Guizhi Decoction drives away cold and dampness.

You are very bold in taking medicine, but it is very effective.

However, there is a little lack of grasp of the dosage of drugs.

However, this is not a big problem, it’s just that you lack experience, so I won’t deduct your points this time.” Zhang Yan said with a smile.

"Thank you, Brother Zhang!" Xiao Li said happily.

As time goes by, Xiao Li becomes more and more confident in treating a doctor. Some prescriptions are prescribed, which makes Zhang Yan's eyes lit up.

This is a flash of inspiration. Many times, when a doctor prescribes medicine, he can prescribe a wonderful prescription with a flash of inspiration.

This kind of prescription is to add or subtract the meridian prescriptions based on the purpose of using the right medicine.

After three o'clock in the afternoon, no patients came to see the doctor.

Zhang Yan announced that Xiao Li's assessment was over.

Xiao Li successfully passed the practical assessment with a good score of 93 points.

"Yes, I announce that Li Wenjuan has passed the actual test and officially started his career!" Zhang Yan announced loudly.

After saying that, he took out a graduation certificate, signed his name on it, and handed it to Xiao Li with both hands.

Xiao Li took the graduation certificate with both hands, and an excited smile on his face.

"Thank you, Brother Zhang!" Xiao Li bowed deeply to Zhang Yan with his graduation certificate in his arms.

There was a burst of applause in the outpatient room, and everyone was happy that Xiao Li was able to pass the practical assessment.

I am also full of expectations for the assessment I am about to begin.

"Xiao Li, you don't need it here tomorrow. Just go back to Hongxing Hospital to take the clinic!" Zhang Yan then announced.

"Brother Zhang, can I... Can I?" Xiao Li suddenly became a little nervous.

"Remove the word "My" and you can do it!" Zhang Yan said with great certainty.

"Yes!" Xiao Li nodded with a firm look on his face.

"You don't have a doctor's certificate yet, just go back to Red Star Hospital to sign my name." Zhang Yan reminded again.

"Brother Zhang, is this suitable?" Xiao Li signed Zhang Yan's words for one day and became a little nervous again.

This is not just a matter of signing, it means that Zhang Yan provides guarantee for Xiao Li. If there is a problem with the prescription prescribed by Xiao Li, Zhang Yan will be responsible.

"What's wrong with it? You are my disciple. If you don't have confidence in you, I won't let you go back to the clinic!

Do it boldly, I will take care of it if you have something to do!" Zhang Yan said with a hearty smile.

"Thank you, Brother Zhang! Oh, no! Thank you Master!" Xiao Li bowed deeply to Zhang Yan again and thanked him, and officially changed his words, calling him Master Zhang Yan.

"Yeah! Do it well!" Zhang Yan nodded, not correcting Xiao Li's name, so he officially recognized this apprentice.

Although he has always been an apprentice to teach Xiao Li, Zhang Yan has never asked him to call him master, not just because of his age.

More importantly, Xiao Li failed the test.

Now, he has officially passed the test and has been transferred to his subordinates.

This attracted the envy of other apprentices.

The teacher and the master looked almost the same.

But in fact, it's a lot worse.

The teacher corresponds to the students, while the master corresponds to the disciple, who also preaches and learns karma and solves doubts.
Chapter completed!