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Chapter 313 Reverse Diagnosis

"I am half of Mr. Chen Tongzhou's students. It should be reasonable for me to take the place of the teacher for comparison, right?"

After Han Wanchun raised his hand, he already walked to the front of the main stage.

He first bowed to Chen Tongzhou, then looked at Shui Changlu and asked with a serious face.

Shui Changlu nodded and smiled: "Indeed, very reasonable."

"Well, let me replace the teacher and teach this arrogant young man a lesson and let him know that the path of Chinese medicine is not that easy!"

Han Wanchun snorted coldly, then stared at Jiang Fei with a lesson in his eyes.

This Jiang Fei disrespects his teacher so much, how dare he refute the teacher's words? I really don't understand.

Who doesn’t know that teachers are the authority in the entire Songjiang area? The entire Songjiang area’s traditional Chinese medicine community must recognize the status of teachers.

You, a county-level doctor who comes from below, dare to challenge the teacher's authority? What a shame to you?

Jiang Fei didn't know that Han Wanchun was thinking so much in his heart. He didn't think about anything now and didn't need to think about it.

It may seem a bit absurd to speculate on medical prescriptions and pathologies, but in fact, people who really understand Chinese medicine can indeed prescribe a simple prescription by looking, hearing, asking, and understanding.

There is no fixed prescription, and there is no fixed answer, but according to the prescribed prescription and through syndrome differentiation, you can know whether the prescription is useful and whether it can treat the disease.

"There are no patients now, so I will take out two private medical records, namely pediatric medical records and gynecological medical records."

"I only give the medical history of the main complaint. You need to make dialectics, prescriptions, and pulse according to the medical history."

"Whoever is more accurate and answers more questions wins."

After Shui Changlu said this, he stood up and came to stand in front of the main stage.

If he continues to sit down and write questions, he will inevitably disrespect Jiang Fei and Han Wanchun.

Even though he could do that given his status, he would not do it.

"Do you understand?"

Shui Changlu asked again and looked at the two people.

At this moment, the entire conference room was silent, and people in the front rows even stood up, just to have a clear view.

Sun Jianmin stared at this scene with a solemn expression and did not stop him.

Logically speaking, an officially organized meeting cannot allow such nonsense.

But he just wanted to see how much Jiang Fei weighed. A Chinese medicine doctor who could be related to many leaders in the province must not be simple.

If Jiang Fei is really powerful, it wouldn't be a big deal if I give him a platform to show off his skills and let him completely become famous in the Songjiang area starting from this meeting.

Even if he failed in the end, it would be regarded as a kind of compensation, as compensation for his previous plot against Jiang Fei.

"Got it."

Jiang Fei nodded, indicating that he understood.

Han Wanchun frowned, wondering if this was a bit of a joke?

Is it too difficult to deduce syndromes, pulse conditions, and even prescribe medicine based on just one medical record?

But he couldn't raise objections at the moment, otherwise he would embarrass the teacher and make Jiang Fei look down on him.

"I'm fine."

Han Wanchun immediately raised his hand to indicate that there would be a long way to go.

Shui Changlu nodded, and after thinking for a moment, a classic folk medical record, a pediatric medical record, automatically appeared in his mind.

"Medical Case 1. The patient is a male, eight years old. The year of admission is unknown. The main complaint is that eight days ago, the patient was irritable and confused, had trouble sleeping, was easily frightened, had loss of appetite, disliked greasy food, wanted to vomit when smelling oil, and had dark urine.

Dark yellow like tea…”

"Ahem..." An old Chinese medicine doctor who was drinking strong tea next to him suddenly started coughing violently when he heard this. He looked at the strong tea in his thermos cup again and felt a little nauseous. He hesitated several times and never took a sip again.

.

Shui Changlu frowned and glanced at the old Chinese medicine doctor, and then continued: "Four days ago, the patient went to the hospital for a check-up and found that the liver was enlarged half an inch below the ribs and there was tenderness."

"The initial examination at the hospital showed jaundice hepatitis, but the hospitalization treatment was ineffective and the patient was like water."

"Excuse me, what is this patient's syndrome? What is his treatment? How is his pulse?"

After Shui Changlu said this, he looked at Han Wanchun and Jiang Fei, waiting for their answers.

No one spoke immediately, and there was a brief silence in the conference room, but this was a very normal practice.

It is impossible to give an answer after listening to it, unless it is a stolen question.

It is really difficult to deduce syndrome differentiation based on symptoms and chief complaints, or even to prescribe a prescription based on pulse symptoms.

For ten full minutes, neither Jiang Fei nor Han Wanchun spoke, they both frowned in thought.

Ten minutes later, when many experts in the conference room and many cadres on the main stage could not wait, Han Wanchun took the lead to speak.

Han Wanchun twisted his neck and said with a confident smile on his face: "I hate greasy food, and my urine is yellow like tea, which means liver and gallbladder disease, irritability, sleep loss is caused by heart dryness and disharmony, and loss of appetite is also caused by liver and gallbladder disease."

"So I infer..."

Having said this, Han Wanchun glanced at Jiang Fei, who was still deep in thought, and then said confidently: "The syndrome is stasis of liver and gallbladder qi and elevated heart yang."

"The pulse should be deep and slightly counted."

“You should use Da Bupleurum Decoction and Buxin Decoction!”

After Han Wanchun finished speaking, he raised his head and looked at the leaders of the main stage with smiles in his eyes, and then looked at his peers in the audience, as if he was preparing for applause.

But what made him a little embarrassed was that no one applauded.

Before Shui Changlu spoke, no one knew whether it was correct or not. If he applauded and ended up being wrong, wouldn't it be a slap in the face?

"The pulse diagnosis is wrong, the dialectics are only half correct, and the prescription is inappropriate."

Shui Changlu shook his head and gave the answer without mercy.

At the same time, in order to let the cadres in charge and some Chinese medicine experts also know the situation, he wrote out his answers and handed them to everyone to see.

Several experts on the main stage, including Wu Xinge and Chen Tongzhou, all saw the answer.

Chen Tongzhou shook his head in disappointment. He knew that disciple Han Wanchun's answer was inaccurate without looking at the medical records.

But after seeing the answer, he realized that the answer in his heart was actually somewhat different...

It’s so difficult!

It is very difficult for old Chinese medicine doctors like them to infer dialectics and pulse cases, as well as prescriptions, let alone young doctors.

But since Han Wanchun didn't answer correctly, Jiang Fei couldn't do it even more.

Not even the vice principal of a regional health school, let alone a small county doctor like you.

When Han Wanchun saw that what he said was wrong and his dialectic was only half correct, he waved his fist unwillingly.

Then he hurriedly looked at Jiang Fei and said urgently: "It's your turn now. You are behind me and you already have an advantage, so you are not allowed to tell me the answer I just gave!"

"Otherwise you're cheating!"

If Han Wanchun said it in advance to avoid Jiang Fei's secret answer, it would be a draw.

Jiang Fei kept his eyes closed while analyzing the medical case.

After hearing what the other party said, he opened his eyes, glanced at Han Wanchun, and ignored him.

Jiang Fei looked directly at Shui Changlu and said: "The patient is restless, sleeps poorly, is easily frightened and has fever, is unwilling to eat, hates greasy and oily smells, feels nauseous, has yellow urine, has a large liver half an inch below the ribs, and is

Tenderness, diarrhea and other symptoms.”

"Vice President Han's previous dialectic was half correct. The patient had liver and gallbladder problems. The liver and gallbladder are connected to wood. The heat of wood causes earth and spleen damp heat. To treat the liver, we must first relieve the spleen and stomach."

"Damp and hot evil Qi accumulates in the liver, gallbladder and spleen, and the liver is enlarged, so it needs to be relieved."

"The dialectical syndrome is liver and gallbladder stagnation and heat, and spleen stagnation and dampness and heat."

"The pulse record should be a rough number of the pulse."

"As for what prescription to prescribe, you should choose Bupleurum, Yinchen, Gentian, Sophora flavescens and other medicines, combined with Juluo, Uncaria, Atractylodes and other medicines."

"After taking the first prescription for half a month, the patient should be able to eliminate fever, irritability, panic and other symptoms, and the symptoms of nausea and anorexia should subside."

"Then remove the uncaria, tempeh and gardenia from the original recipe, and add some dogwood and red dates."

"After taking this prescription for three days, the patient should be able to sleep normally and feel at ease, the jaundice will subside, the subcostal liver area will return to normal, and the patient can be discharged from the hospital."

When Jiang Fei said this, he looked straight at the long road in the water.

"Director Shui, am I right?"

"this…"

On the main stage, a traditional Chinese medicine expert's eyes widened and he even tore off a strand of his beard.

He stared at the answer given by Shui Changlu and found that the prescriptions used by Jiang Fei and Director Shui were exactly the same...

It can be said that Jiang Fei's reverse reasoning is surprisingly consistent with Director Shui's.

Nothing wrong with that!

On the main stage, several Chinese medicine experts had different expressions, but they were all shocked by Jiang Fei.

There was a deathly silence in the conference room at this moment.


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