After a brief nap of nearly half an hour, Li Maoyang continued to treat patients in the afternoon.

Regarding the video and information about Qin Bei's patient that Alia sent him, he looked at it and thought about it for a while, without thinking too much about it.

On the one hand, it was time to continue to treat patients in the afternoon. On the other hand, now that he encountered such patients who were willing to spend a lot of money to seek treatment for difficult diseases, he would no longer treat Temul, Sijin and Zhao Wanni.

That kind of tension.

Today, his medical skills have improved and his mentality is stable.

Even if he cannot accurately identify the syndrome, accurately formulate a treatment plan, and come up with an accurate prescription when he sees the patient, he will not panic.

Then tell the patient and his accompanying family members the truth, does he need to think about it?

If you treat a patient who has to pay such a large sum of money in a blink of an eye, wouldn't that insult that person's IQ and make them feel that the money was wasted?

Therefore, it is normal for the patient to have a hard time thinking about this disease, so that the patient feels that it is not unfair to pay for it.

Therefore, even though he knew that the Qinbei patient would arrive here before dark, Li Maoyang was not panicked at all.

He was still serious, treating the afternoon patients extremely calmly and seriously.

Now, his overall level of four-diagnosis diagnosis has improved a lot, and his psychological and emotional state in the second-diagnosis diagnosis of Pueraria lobata has gradually stabilized.

It is more pertinent and can provide him with great help and greatly narrow the scope of his thinking.

Therefore, overall, their daily patient volume should have been able to increase.

But Li Maoyang still limited their daily treatment volume to 20 patients.

Moreover, he has no plans to increase the number of patients for the time being.

Now the time he spends treating each patient has not only not decreased, but has increased!

Because he diagnoses patients more carefully now.

The time for inspection has not changed, the time for consultation has decreased, the time for pulse examination has increased, and the time for smell and examination has increased the most.

Overall, his treatment time for patients has lengthened.

The reason for this is naturally that he regards every patient he treats as an opportunity to learn and improve his medical skills.

Especially the opportunity to learn and improve the level of four diagnostics.

As the system raises the threshold for him to earn points higher and higher, it becomes more and more difficult for him to earn points. He no longer expects to rely on points to redeem the improvement of his four-diagnosis skills.

He mainly uses the points he earns from regular consultations to redeem the system's drug efficacy deduction and patient perspective functions.

Other doctors can only "guess from the outside to the inside" when they see a patient, but he sometimes looks at the patient's body while observing his face, checking his pulse, watching his tongue, smelling his taste, and listening to his voice (transmissions from the body).

sound coming).

Closely connect the patient's internal conditions with the patient's external characteristics, find their patterns, identify their characteristics, analyze and summarize, and improve step by step!

This process is naturally very difficult.

Even if a car mechanic opens the hood of a car, he may not be able to immediately find the fault point of the car. What's more, the human body is thousands of times more complex than the internal structure of a car!

But because he can't mainly rely on points to redeem his four-diagnosis skill upgrades, this "stupid method" is currently Li Maoyang's most important way to improve his four-diagnosis skills!

Difficult! Difficult! Difficult!

Among the four diagnostic procedures, doctors generally agree that pulse diagnosis is the most difficult, but in fact, inspection is also quite difficult! Smell diagnosis is also quite difficult!

The difficulty of smelling and diagnosing is generally ignored.

In fact, this is caused by the fact that most doctors don’t pay attention to smell and diagnosis at all.

If we really want to pay attention to smell diagnosis, it is no less difficult than inspection and pulse diagnosis!

Auscultation includes listening to sounds and smelling odors.

In terms of sniff diagnosis, because the human sense of smell is far inferior to that of a dog's nose, it is objectively impossible to identify the conditions in the patient's body by smelling the smell, so it can only be ignored.

(If the human sense of smell is better than that of a dog's nose, this olfactory diagnosis will definitely be valued by famous doctors in ancient and modern times, and there will definitely be a lot of things that can be unearthed.)

Therefore, the main part of auscultation is to listen to sounds.

Listening to sounds can also play an important role in diagnosing diseases.

Of course, the average doctor can only listen to the intensity and thickness of the patient's voice and see if there are any obvious abnormalities, so that he can identify whether there is any disease in the patient's throat and lungs, the two vocal organs.

A slightly smarter doctor can distinguish whether the patient has positive or negative syndromes based on the patient's vocalizations.

The main characteristic is "shortness of breath and rough voice".

Such patients are often accompanied by chest tightness, cough, wheezing and excessive phlegm.

These symptoms are mostly caused by phlegm and food accumulation that block Qi movement and make Qi movement unfavorable.

Deficiency syndrome is mainly characterized by "shortness of breath".

Patients are often accompanied by symptoms such as fatigue, fatigue, and spontaneous sweating.

No matter how brilliant a doctor is, he can identify the specific condition of the patient just by listening to his voice!

It's like a skilled car mechanic who can tell where the problem is by listening to the sound the car makes!

It is extremely difficult for a doctor to reach this level!

First of all, you need to know what the normal sounds of the five internal organs sound like!

"Four Diagnosis and Juewei" says: "Each of the five internal organs has its own correct voice.

If it is in the middle, the Qi will be strong; if it is in the middle, the Qi will be weak.

The spleen corresponds to the palace, and its voice is slow and slow.

The lungs respond to Shang, and the sound is promoted to clear.

The liver responds to the angle, and its voice becomes longer.

The heart responds to the challenge, and its voice is loud and clear.

The kidneys respond to the feathers, and the sound is deep and thin.

This correct sound of the five internal organs means that the five internal organs are protected."

These discussions are in the same vein as the relevant discussions in the Huangdi Neijing.

In other words, these have been handed down from ancient times!

For a doctor to learn this, you must first understand ancient music!

What is a "Gong Shangjiao Yu"?

What are the various sounds, tones, pitches, volumes and timbres of this "Gong Shang Jiao Tuo Yu"?

Li Maoyang’s eyes turned dark!

So during this period of time, he was still supplementing his knowledge of ancient music and listening to ancient music online!

Is it difficult?

If Li Maoyang hadn't been so courageous and hard-hearted, he would have been made to cry and look for his mother!

After you understand what the sounds of "Gongshangjiao Tuoyu" are and the normal sounds of the five internal organs, you also have to understand what symptoms the various different sounds of the five internal organs represent!

This is another complex set of things!

Is it difficult?

It’s hard to reach the sky!

Moreover, the key point is that Li Maoyang has never heard of any doctor in the country - including the master of traditional Chinese medicine - who is a master in smell and diagnosis.

Well, maybe Li Maoyang is too ignorant.

Anyway, if he wants to improve his sniffing and diagnosis skills, he can't even find a target for touch!

At present, it seems that he can only explore it slowly while studying ancient medical books...

(Well, fortunately, he can often see through patients, which undoubtedly provides him with great convenience!)

…

Therefore, inspection, pulse diagnosis, and smell diagnosis are all difficult.

Among the four types of diagnosis, consultation is actually the simpler one.

Naturally, there are many skills involved in consultation.

What about closed consultation and open consultation? We should pay attention to the systematic nature of consultation, avoid suggestive questions, pay attention to the authenticity of consultation answers, and avoid using medical terminology...

Li Maoyang has a background in psychology from Li Hongbai, so he is not too afraid of the skills of consultation and improving the skills of consultation.

Although his consultation skills have not yet been upgraded to intermediate skills, this is related to the fact that the level of his other three consultations has not been generally improved.

In other words, due to the fact that his level of the other three diagnoses is not very high, in many cases his inquiries are not able to get to the point properly.

Once his level of other three diagnoses reaches a certain level, his consultation skills will naturally improve.

Therefore, improving the level of consultation skills is the only thing Li Maoyang does not worry about at the moment...

…
To be continued...