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Chapter 360 Ask for advice

Huang Weijie is not a quack, he is simply careless.

Quack doctors refer to doctors with poor medical skills.

The poor medical skills are also divided into different levels, just like the level of education. Some people have not studied at all, some have studied for two or three days, some have high school diplomas, and some have college diplomas.

There is no end to learning. No one dares to say that his or her level is the highest and that he or she can cure any disease. Even graduate students with a master's degree will still encounter difficulties.

So speaking more objectively, quack doctors refer to people who are not good enough, have poor medical skills, low medical ethics, and do not have a correct understanding of themselves. They are obviously only half-skilled, but they think they are great and can cure any disease. They often misuse drugs and harm others.

life.

Like Qi Yuanshan and Chen Heping, whom Fang Le met in Jinbao City a few days ago, their skills are not low, but they have a clear understanding of themselves. If there is a disease that they are powerless to do, they will never show off. When encountering a disease that they are sure of, they will act decisively.

Take action and never sit idly by when encountering critical patients.

The profession of a doctor is actually quite difficult to control. You are faced with the lives of patients. You must be courageous, have a clear understanding of yourself, and be vigilant at all times.

Therefore, when many interns enter the hospital at this time, the superior doctors of many hospitals will warn: "You have entered this door, put on this white coat, and stepped into the hospital with one foot, which also means that you have stepped forward with one foot."

To jail.”

Generally speaking, the professional ethics of doctors in this era are more stringent than in later years. Many doctors are indeed quite responsible and responsible.

As the director of the Department of Traditional Chinese Medicine of the Provincial Hospital, Huang Weijie is quite good. So after hearing Fang Le's words, Huang Weijie was stunned for a moment, then looked at the patient: "Are you thirsty? How about drinking water?"

"I'm not thirsty, and I don't drink much water." The patient's voice was very low, which was caused by having been ill for so many days.

Huang Weijie's expression changed, and he quickly came to the bedside: "Open your mouth."

The patient opened his mouth, and Huang Weijie looked at the patient's tongue coating again, then sat down again and felt for the pulse again.

Fang Le didn't say a word, just stood watching Huang Weijie's performance.

Fang Le believes that Huang Weijie was confused by the appearance, did not think carefully for a while, and was careless. However, Fang Le does not believe that Huang Weijie made a mistake in diagnosing his pulse before.

The reason why Chinese medicine is difficult is that many times there are many contradictory phenomena even in diagnosis, such as reverse pulse syndromes.

It is not uncommon in clinical practice to see a patient with a heat syndrome, but the pulse is that of a cold syndrome, and a patient with a clear syndrome, but a pulse with a deficiency syndrome.

That's why it is said that in actual clinical practice, doctors must combine the four diagnosis methods, patiently ask questions, and not miss any detail, so as to make correct judgments.

Seeing mountains as mountains and water as water is the most superficial. It is completely based on the teachings of medical books. The evidence is the evidence, and the deficiency syndrome is the deficiency syndrome.

Seeing a mountain is not a mountain, seeing a water is not water, a mixture of empty and real, and contradictory pulse syndromes requires a certain level of skill.

Seeing mountains as mountains, water as water, seeing the essence through the appearance, and not being confused by the appearance, that is another level of realm.

Huang Weijie's negligence was that he did not ask too many questions, drew more decisive conclusions, was serious about empirical dogmatism, and was still wandering in the second realm.

It's just that Huang Weijie's inspection showed that he still couldn't let go of his figure.

To put it bluntly, it's a bit of an act.

It feels like I saw it wrong before, now I will take a closer look.

However, being able to recognize the mistake in time can be a saving grace. After all, he is the head of the department, so it is okay to explain it.

"Sure enough, it's a deficiency syndrome caused by weak defense."

After feeling for his pulse for a long time, Huang Weijie stood up and said with some emotion: "It was indeed my negligence."

As he spoke, Huang Weijie glanced at Fang Le and saw a smile on Fang Le's lips, and a trace of embarrassment flashed across his face.

It was seen.

"I'll make a new prescription."

Huang Weijie said to Dr. He: "Add or subtract Yupingfeng San and Ganmai Dazao Decoction. I told you to remember."

Dr. He took the folder again and took out a pen to prepare for recording.

Huang Weijie told him about the prescription. After Dr. He memorized it, Huang Weijie looked at it, thought for a moment, and then handed the prescription to Fang Le: "Doctor Fang, let's see if it's feasible?"

"Yeah, okay."

Fang Le didn't look at it and said, "I remembered what Director Huang said just now. Yupingfeng San plus Ganmai Dazao Decoction is indeed the right medicine."

"Follow this prescription and take the medicine."

Huang Weijie handed the prescription to Dr. He, pondered for a moment, and then said to Fang Le: "Dr. Fang is indeed a disciple of Mr. Sun, and his skills are indeed extraordinary."

Adults, how can they be so serious? At this moment, Director Huang has become very forgetful and has forgotten the warning he just gave to Fang Le.

Some people are concerned about face and do not regret their mistakes. Some people also care about face, but they can still distinguish between right and wrong, but they just like to pretend.

Huang Weijie obviously belongs to the latter.

After all, he is the director of the Department of Traditional Chinese Medicine of the Provincial Hospital. As long as the matter is over, there is no need for Fang Le to not save face for the seniors. He is a man in his fifties. Who else can face a young man in his twenties?

It’s impossible to recognize you easily at first.

"Director Huang is ridiculous, I am just lucky."

Fang Le smiled and pointed out something: "But luck doesn't always happen. Director Huang is a veteran and has rich clinical experience. I still have a lot to learn from Director Huang."

Another trace of embarrassment flashed across Huang Weijie's face.

Fang Le was clearly saying that he was lucky, but actually he meant something. In turn, he was telling Huang Weijie that not every time he had such good luck, and that he could be forgiven for his occasional negligence. If there was another time, he would be forgiven.

Not to mention whether anyone will understand or not, if it really makes a big mistake, then it is not a matter of understanding or not.

"Dr. Fang is so humble."

Huang Weijie is really a bit strange.

Fang Le is obviously young, but his level is not low. He is also very experienced in people's ways, and his words are witty. Such words are really not something that ordinary young people can say.

After the prescription was prescribed, Fang Le, Huang Weijie, and Chen Zhiming did not stay in the ward. The patient was not considered to be in critical condition, and there was no need to wait for the patient to take the medicine.

After walking out of the ward, Huang Weijie pondered for a moment and asked: "Doctor Fang, I have another medical record here. I wonder if I can ask Dr. Fang for advice?"

"Director Huang, please speak."

Fang Le said politely.

"The patient is fifteen or sixteen years old. She is a little girl. She has been suffering from high fever and joint pain for more than a month. The fever has not subsided. She has amenorrhea and a white and greasy tongue coating..."

Huang Weijie explained the patient's situation: "From the perspective of symptoms, the patient has a fever, and Western medicine's use of antibiotics and hormone treatments has been ineffective..."

"High fever, joint pain, amenorrhea?"

Fang Le pondered for a moment and asked: "Did the patient get caught in the rain or take a cold shower before getting sick?"

Huang Weijie was stunned: "I really don't know this."

"You can confirm."

Fang Ledao: "Judging from the symptoms, it should be that stagnation of heat is exposed and cold-dampness is latent. Cold-dampness is the underlying cause and exposed heat is the symptom. Any disease has a cause. Only by understanding the cause can we use the right medicine. If the prognosis is true,

For symptoms such as joint pain, it is specifically determined that cold-dampness is latent and stagnant heat is exposed, and treatment can be based on cold-dampness."

When they weren't talking about the illness, Fang Le and Huang Weijie were still a little polite when talking, but once they talked about the illness, Fang Le's temperament came out. He talked without realizing it, a bit like a teacher explaining to his students.

"Generally speaking, for symptoms of external heat, we need to look at the cause of the disease and internally. Like the patient just now, if it is a real sign of severe heat, it must be from the inside to the outside. There will definitely be thirst and profuse sweating.

, High fever that does not go away, but no thirst, must be a deficiency syndrome. Joint pain after rain, cold and dampness lurking, if the sun is outside, it must be high fever that does not go away, and stagnant heat is exposed."

"I see."

Huang Weijie suddenly realized: "Thank you, Dr. Fang, for your advice."

Before asking just now, Huang Weijie actually didn't have much hope. He just had a casual chat and looked at Fang Legang to find out what the cause of the patient's condition was.

Director Huang was somewhat disbelieving that Fang Le had really seen the patient's reality just now. Maybe it was luck?

This is not because Director Huang is arrogant, but because he is in his fifties, he is not as good as a young man in his early twenties. This is really shocking.

But after questioning, Fang Le explained, and Huang Weijie was completely convinced that this disciple of Mr. Sun was indeed amazing and had real abilities.

"Director Huang, you're too polite. Let's communicate with each other."

Fang Le smiled and spoke, and the three of them had already arrived at the elevator entrance.

"Doctor Fang and Mr. Chen will leave first. I have something to do here, so I won't send you two off."

"Director Huang, you are busy."

Chen Zhiming also said politely, and then entered the elevator with Fang Le.

Huang Weijie was talking to Fang Le just now, and Chen Zhiming was following him. Although he didn't say anything, his heart was not calm at all.

After all, Huang Weijie was the department director and chief physician of the provincial hospital. Unexpectedly, when he communicated with Fang Le, he acted like a student.

Huang Weijie said it was for communication. Chen Zhiming initially thought that Huang Weijie was testing Fang Le, but it sounded wrong. Huang Weijie seemed to really not know how to do it.

Standing in the elevator, Chen Zhiming glanced at the young Fang Le next to him and couldn't help but take a deep breath. This Doctor Fang was even more powerful than he imagined.

"It's amazing."

At the elevator entrance, Huang Weijie also sighed with emotion, and then pressed the elevator. When the elevator door opened, Huang Weijie entered the elevator and went directly to the floor where the special needs ward was located.

Arriving at the door of Mu Qianqian's ward, Huang Weijie took a deep breath and knocked on the door.

"come in."

Boss Mu is still in the ward, and the ward door is open.

Huang Weijie walked into the ward cautiously, took a deep breath, and asked: "Boss Mu, I have a situation that I need to confirm. Is the patient suffering from joint pain and fever after being exposed to the rain?"

"It seems to have been rained on."

Boss Mu thought for a while and then nodded.

"hiss!"


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