After some introductions, Li Shan, who was listening on the sidelines, said to Qian Zhongxiang and others: "Mr. Qian, everyone is here now, do you think we should start too?"
Qian Zhongxiang looked at Mr. Liang and others and saw that they all nodded, and then said: "Let's get started."
After receiving Qian Zhongxiang's approval, Li Shan stood up and shouted to the twenty-three candidates in the room: "Students, please be quiet."
Hearing Li Shan's words, the originally noisy room immediately became quiet. At this time, Li Shan said again: "Dear students, I am the person in charge of the assessment. You can call me Mr. Li or Deputy Li."
Dean! Let me introduce to you the relevant regulations of this assessment."
Speaking of this, Li Shan paused for a moment and then said: "This assessment is mainly divided into two groups. As for the assessment method, I think your teacher has already introduced it to you. I will say it again here!"
In fact, on the way to the hospital, Chen Fan heard Mr. Qian introduce him to the process of this examination. In fact, it is very simple. It means diagnosing the patient's condition and prescribing the right medicine for the disease. The invigilator examines the medicine prescribed by the candidate.
Whether the medicine can cure the patient.
If you can do it, you are considered qualified. On the contrary, if you cannot do it, you cannot pass this assessment. During the assessment, students can also use acupuncture and other methods to treat patients. However, when acupuncture is used, an examiner must be present to supervise. If the examination is
If the acupuncture points are inaccurate or there is any accident, your qualification for this assessment will be immediately cancelled.
The invigilators this time were Qian Lao, Liang Lao and other five people, plus Li Shan, the deputy director of the People's Hospital and several people from the Health Bureau.
After explaining the assessment regulations again, Li Shan shouted loudly: "Does everyone understand?"
"Understood!" All the students in the room said in unison.
"Okay, the hospital staff will divide you into two groups and take you to the assessment venue. Let's start the grouping!" After speaking, Li Shan nodded to several hospital staff.
I saw six doctors in white coats standing out.
Chen Fan discovered that Xiao Beifeng was among them, which made him smile at Xiao Beifeng. Soon Chen Fan and others were divided into two groups, and the group Chen Fan was in had a total of twelve people.
A woman named Feng Xue and Zhou Bin, who had blonde hair, were also assigned to the same group as him.
Xiao Beifeng smiled at Chen Fan and then said: "Okay, Group 1, follow me!" After saying that, Xiao Beifeng walked out of the room.
Under the leadership of Xiao Beifeng, everyone first changed into the white coats worn by doctors and put on masks, and then came to the door of a relatively large ward. Through the glass of the ward, they saw ten people in the ward.
There are two beds, and there are patients lying on them.
"I didn't expect you to be so good-looking! Are you nervous about this assessment?" A handsome boy said to Chen Fan standing aside.
When they were introduced just now, Chen Fan knew that the boy's name was Xu Hui and that he was Liu Minghai's student. When he heard Xu Hui suddenly talking to him, Chen Fan shook his head and said, "No, I just feel that this assessment seems a little weird."
Although he was not familiar with Xu Hui, Chen Fan still expressed his doubts. After all, such an assessment was completely different from what Chen Fan had imagined. Even though Qian Zhongxiang had told him, he still had some doubts.
I don't understand the place.
Xu Hui smiled and said: "Haha, actually this time it is an assessment for related households. As long as you pass the assessment, you don't need to take the rest of the written exams. You can just wait to get the certificate!"
Seeing that Chen Fan still didn't understand, Xu Hui continued: "If it were a normal exam, I don't know how many subjects would be tested. It gives me a headache just thinking about it. Anyway, I will never take such an exam. It's just a test.
Human life. So the people who can come here to take the exam are all students with good talents in Chinese medicine."
Although Xu Hui had not taken a normal examination, he had heard about the troubles of obtaining a Chinese medicine qualification certificate through normal channels. Then Xu Hui told Chen Fan some of the things he knew.
Only then did Chen Fan suddenly realize that this assessment seemed simple, but it was actually very difficult. The difficulty lay in the selection of patients. All of these patients were suffering from chronic diseases, or they were seriously ill anyway.
Those ailments such as fever and cold.
As long as you are a little bit unlucky and pick a terminally ill patient, this assessment will be over in minutes.
"Oh!" Chen Fan nodded with some understanding, looked at Xu Hui and said, "Then your medical skills must be very good."
"Haha, just so so!" Xu Hui scratched his head a little uncomfortably and said: "It's you, as a disciple of Mr. Qian, the doctor must be much better than the rest of us. I think you will definitely pass this test.
."
"You are too generous. Maybe you will be the first one to pass the test." Chen Fan just smiled at Xu Hui's compliment.
However, from the simple conversation with Xu Hui just now, Chen Fan knew that when he was in the car just now, Qian Laohui said: "Although your medical skills are very high, Xiaofan, the assessment this time is not that good."
Simple." It turns out that it is for this reason. It seems that this assessment is really not simple!
"The patients inside are the subjects of your assessment today! Each of you will go in and select a patient to diagnose their condition."
Just as Liang Qingshan finished speaking, several students quickly walked into the ward, apparently wanting to be the first to find patients with mild illnesses for treatment.
"Brother, I'll go in first!" As he said that, Xu Hui quickly ran into the ward.
Seeing Xu Hui like this, Chen Fan felt a little funny and shook his head.
"Xiao Fan, why don't you go in?" Xiao Beifeng saw that six or seven students had already rushed into the ward, but Chen Fan was still standing outside the door with no intention of going in. This made him a little curious.
"Brother Xiao, let them go in first. I'm not in a hurry anyway." Chen Fan looked up at Xiao Beifeng with a smile, and then noticed that Feng Xue and Zhou Bin, like him, had no intention of going in. This made Chen Fan
Fan Ye is also a little curious.
Xiao Beifeng was familiar with Chen Fan's medical skills. He smiled and said: "That's right. With your medical skills, there is no need to worry. But I'm really curious. I didn't expect that your medical skills are so high.
Medical Qualification Certificate.”
Xiao Beifeng's words made Chen Fan smile awkwardly and did not answer. At this time, Xiao Beifeng continued: "By the way, your colleague named Wang Xinyi took her brother out of the hospital, did you know that?"
"Well, I know this. I'm currently treating him. It may take a while to heal!" Chen Fan nodded and said.
Then the two of them chatted at the door of the ward for a long time. At this time, other students had already entered the ward. Even Feng Xue and Zhou Bin, who were not as anxious as Chen Fan just now, had already entered the ward and started treating the patients.
Get diagnosed.
"Xiao Fan, why don't you go in?" Qian Zhongxiang just came out of the ward where Group 2 was located. When he saw Chen Fan in Group 1 still chatting with Xiao Beifeng at the door of the ward, he stepped forward and asked.
"Mr. Qian, I'm going in right now!" Chen Fan nodded when he saw Qian Zhongxiang coming over, said to Xiao Beifeng, and walked into the ward.
Inspection, smell, questioning, and palpation are the four diagnostic methods of traditional Chinese medicine, and they are also an important basis for syndrome differentiation and treatment of traditional Chinese medicine.
These four diagnoses are intuitive and simple. Information can be obtained directly within the reach of the senses, analyzed and synthesized immediately, and judgments can be made in a timely manner.
The basic principles of the Four Diagnostics are based on the concept of wholeness and constant movement, and are the specific application of basic theories such as yin and yang and the five elements, hidden images and meridians, causes and pathogenesis.
It is also the main method for collecting clinical data. The collection of clinical data requires objectivity, accuracy, systematicness, comprehensiveness, and emphasis on key points. This requires "four diagnoses to be used together," "four diagnoses to be paid equal attention to," and "four diagnoses to be combined."
The theory of Shen, Sheng, Gong and Qiao proposed in the "Difficult Classic" does not divide the meaning of the four diagnoses into levels, but emphasizes their respective importance and the difficulty of mastering these skills. This is clearly stated in the "Huangdi Neijing"
The point of view that should not be emphasized is the diagnosis.
The so-called "inspection and diagnosis" is to observe the changes in the patient's expression, color, shape and state. "Shen" refers to the spirit and state of spirit, "color" is the expression of the external prosperity and decline of the five internal organs, qi and blood, and "Xing" refers to the physical form.
The sign of abundance and weakness, "state" is a manifestation of dynamic flexibility and sluggishness. This is to observe the patient's face, mouth, nose, teeth, tongue and coating, limbs, and skin to understand the patient's "spirit".
"Auscultation" refers to listening to the patient's voice, breathing, coughing, vomiting, hiccups, belching, etc., and also using the nose to smell the patient's body odor, bad breath, phlegm, and the smell of urine and urine.
"Consultation" means asking the patient about the onset and transformation of the disease, cold and heat, sweating, head and body sensation, defecation, diet, chest and abdomen, ears, mouth and other conditions.
The final "diagnosis" is pulse diagnosis and palpation. Pulse diagnosis means taking the pulse and grasping the pulse condition. Palpation means touching the diseased part of the patient's body surface with your hands to check the patient's body temperature, hardness and softness, and refusal to press or
Pressure, etc., to aid diagnosis.
As soon as Chen Fan walked into the ward, he saw that many students were already making diagnoses and examinations on the patients they selected. Some were asking about the patient's physical condition, where he felt uncomfortable, and others were checking the patient's pulse.
illness.
And he was the last one to come in. Among the twelve beds, only the bed in the corner had no students. Chen Fan knew that this was the patient he wanted to see, so he walked towards the corner.