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Chapter 150 Prescribe the right medicine

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Li Xiaofei glanced at the middle-aged man, then looked down at the prescription in his hand.

Symptoms: blindness, soreness and weakness of limbs.

Dialectical analysis: Irregular diet and running around all year round, which leads to the loss of luck of the spleen and stomach, and the clear yang does not rise, so it should be clear and beneficial to the stomach...

Prescription: Add and subtract...

"blindness?"

Li Xiaofei looked at the middle-aged man again. This man was blind, but this prescription?

Although he didn't understand something very well, Li Xiaofei didn't dare to ask more questions. Fang Han was no longer the two days he had just arrived. As more and more patients were treated in this wave of Fang Han, his aura became stronger and stronger, and his every move gave people an unquestionable confidence.

A few days ago, when Fang Han was treating someone, Miao Dalong occasionally asked and checked. Now Dr. Miao doesn’t ask much about it, because sometimes Miao Dalong also feels powerless and he doesn’t know very well about some of the diseases himself. How about checking Fang Han? What a joke?

Not just Miao Dalong.

Nowadays, many doctors in the emergency department, even some attending doctors, dare not regard Fang Han as an intern.

Fang Han now has no corresponding title, and in terms of treatment or authority, it is even better than some senior attending doctors.

As Fang Han complained himself, he has not obtained the medical qualification certificate now, and he has to find someone to sign when prescribing prescriptions and taking medicines. Apart from this, there are really no restrictions on other things.

Li Xiaofei quickly picked up his pen and signed his name on the prescription, and then returned the prescription to Fang Han.

"Doctor Fang, can I get a checkup?"

Li Xiaofei was really curious about this disease. How did Fang Han diagnose it? He could actually start from the external symptoms of blindness to the inability to the spleen and stomach.

"Yes." Fang Han nodded, and was not in a hurry. He stood up and let Li Xiaofei go.

Li Xiaofei sat down at the place where Fang Han originally sat, and smiled and said to the patient: "Can I show you again?"

"Yes." The middle-aged man couldn't see it, but he didn't mind having another doctor to check it out for himself. One more person can always give him a glimmer of hope.

Li Xiaofei reached out to diagnose the middle-aged man's pulse, then checked the middle-aged man's complexion, tongue coating, eyes, and then asked about his previous medical history. Then he got up, with a little confused on his face, but he didn't ask much.

Fang Han handed the prescription to the middle-aged woman and told her: "After going back, take the prescription according to the prescription, insist on taking the five doses and follow up immediately, don't delay."

In fact, this medicine is prepared to prescribe ten doses at a time. After ten doses, he can ensure that middle-aged people will improve significantly.

But considering the actual situation, he changed the dosage to five doses.

Before coming to Jiang Intermediate People's Hospital, middle-aged people had already seen many doctors and took a lot of medicines, but it was useless. This also led to middle-aged people no longer having the initial patience. This period of time is the time when patients are most impatient and eager to achieve success.

As a doctor, you not only need to diagnose the disease, but also try to understand the patient's psychology. Otherwise, even if the medicine is right, it will often backfire.

This is like the little boy Li Xiaofei saw a few days ago. The prescription was correct, but the family members just did not follow the doctor's advice, which eventually led to the little boy's development from childhood to serious illness, and eventually became a critical evidence. He is still hospitalized in the observation room.

For some sudden diseases, the psychology of many patients will change as the condition continues to develop.

Take the middle-aged man for example. He is blind at first. Although middle-aged man is impatient, he has a certain degree of patience. He will be very concerned when he first sees a doctor. He will take the medicine prescribed by the doctor as much as possible and will not be discounted.

In the early stage of a disease, patients actually have the highest trust in the doctor, and at this time they also have the greatest hope of cure.

But with the continuous treatment, the effect is not significant. At this moment, they will begin to question the doctor, and their patience will gradually fade. They also pay attention to quick results when taking the medicine. If they take it for two days, they will subconsciously think that the medicine is useless and the doctor has poor level. Then they will continue to look for the doctor, and from then on, they will fall into a vicious cycle, which will eventually lead to their increasing distrust of the doctor and becoming more anxious during treatment. Unless it will be immediate, they will start to question.

Fang Han guessed this, so he didn't prescribe many medicines, and he cut ten doses in half and changed to five doses.

Five doses of medicine will give the patient a different feeling. There are not many medicines. Even if the first two doses are not effective, he may insist on taking them. What should he do after taking them? Come to the doctor and ask questions.

Fang Han also has confidence that after taking the five doses of medicine, middle-aged people will definitely feel the improvement, and then insist on taking the medicine to ensure recovery.

If he had prescribed ten doses at the beginning and two doses were ineffective, he might not have the patience to insist on taking the medicine and then go to a new doctor.

This is like a teacher assigning homework to students. A smart teacher will not assign too much homework, and will not assign the kind of copying the text ten or twenty times, and often copying it twice and three times.

Most students will write on both sides three times, but not much, so why bother being scolded by the teacher? It will be easier after writing.

But if you hear ten or twenty times, you will be overwhelmed and you may even feel that you cannot complete it at all. At this time, some students simply can’t write a word. Anyway, they can’t finish it. Is there any difference between writing it once and not writing it? They are all scolded.

The same is true for Fang Han to reduce the dose by half.

"Yeah, thank you." The middle-aged man stood up and thanked him.

Fang Han also stood up and reminded again: "The five doses of medicine have not been long. If you are from other places, I suggest that it is better to stay in the river for a few days, so you won't be hospitalized and save you some money."

"Thank you." The middle-aged man thanked again.

Watching the middle-aged couple leave, Li Xiaofei couldn't wait to ask: "Doctor Fang, this person was blind just now. Are you diagnosed?"

"Blindness is just an exotic symptom. What is the cause of blindness?"

Fang Han glanced at Li Xiaofei: "You are also a senior resident. You should know that as a doctor, you must not treat the head or foot pain. What is the purpose of traditional Chinese medicine diagnosis? It is to seek the cause of the disease and use the right medicine. If you are confused by the exogenous symptoms and get the wrong direction, then you will never reach the end."

Li Xiaofei nodded repeatedly: "I know, I'm just a little confused. How can you directly enter the key? If I changed this disease, although I would not be confused by the symptoms, it would not be so easy to enter the key. I might also have to worry about blindness and judge whether it is liver qi stagnation or something."

The five internal organs are against the five senses, the liver is against the eyes, and the patient is blind. Li Xiaofei's judgment of a liver problem is not unfounded. In fact, Fang Han did not judge the situation of middle-aged people so quickly by taking the pulse alone.

He smiled and said, "Traditional Chinese medicine is not as simple as it seems. Whether it is looking, listening, or asking, or asking, you must be patient. The more detailed the better, especially when you are not dialectical, communicating more with patients will have unexpected results."

Fang Han continued: "I just chatted with the patient. The patient is a businessman who often travels on business trips and wanders around the country. He has no place to live. It is common for him to eat hunger and full. Such living habits can easily cause the spleen and stomach to be inconsistent. If the spleen and stomach are inconsistent, the clear yang will not rise, and it will be blind. In addition to blindness, the patient also has symptoms of soreness and weakness in the limbs, which just shows this. With the diagnosis of pulse, complexion, tongue coating, and various symptoms, the diagnosis will be correct."

While explaining to Li Xiaofei, Fang Han also thought about it himself. It seemed that his temperament had been tempered a lot because he had been recuperating in the duty room these days. He had nothing to do in the past two days. In addition to browsing his circle of friends, he also reads books. In the past few days, he has not gained nothing for him.

Li Xiaofei also pondered, looked, smelled, asked, asked, asked, not only asked about medical history, symptoms, but also found problems that were difficult to detect before...

Fang Han ignored Li Xiaofei and instead summoned the skill panel. This disease just now added a lot of skill points to his consultation skills. Now the experience value of the consultation skills has reached 49,957, and there are only less than fifty skill points left at 50,000.

Similarly, because of Fang Han's delay in the past few days, his temporary mission is only two days left.

In two days, it should be a big problem to get to the primary level of the consultation. However, the diagnosis is still more than a thousand skill points away.

"Maybe if the temporary task is defeated!" Fang Han was a little unwilling, but he was useless. These more than a thousand skill points may be obtained quickly. If you are not lucky, it will probably be difficult to increase in one week, not to mention two days.

"bite......"

Suddenly, the system's prompt sound rang in Fang Han's mind: "With the help of the host, Li Xiaofei's consultation skills reached the primary level, and rewarded the host with a random skill gift package."

Fang Han was stunned and suddenly looked at Li Xiaofei. His consultation skills had not reached the primary level yet, but did this kid actually reach it?

After being surprised, Fang Han felt relieved. Li Xiaofei is a senior resident. In fact, the water in all aspects is not too low. It is normal for some skills to reach the critical point long ago. Today, it is normal for them to suddenly understand that it is normal to reach the primary level of consultation.

"Doctor Fang, thank you." Li Xiaofei also came back to his senses from his thoughts and hurriedly thanked Fang Han.

He did not have a systematic prompt, so he naturally didn't know how much his level had grown, but Fang Han's explanation just now also opened a door for him.

He usually diagnoses and treats the doctors, and most of them follow the procedures to check the pulse and ask questions. He didn't think too much. Fang Han just reminded him and realized that sometimes the consultation is not so deliberate, but very casual. The question and answer with the patient is like chatting with friends, not inquiring between doctors and patients.

The more casual the chat, the less alert the patient is, the more he can ask something that is not easy to ask.

"Okay, you go." Fang Han was not in the mood to say more to Li Xiaofei at this moment. His consciousness was immersed in his mind, and a glittering box was suspended in the center.
Chapter completed!
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