I practiced medicine in ancient times

Chapter 192 Hand Diagnosis

Soon it was time for the second round of the medical competition.

As early as the day before, Xu Qingyi had received her test number and was divided into a group. There were forty-nine other doctors taking part in the competition with her. Unfortunately, none of them had anyone she knew in her group.

They were taken to a spacious hall. From the outside, they saw a long table and three chairs in the middle of the hall, which seemed to be for the examiners to sit on.

In addition, on one side of the hall, there is a separate chair and writing brushes, ink, paper, and inkstone.

"Doctors, the content of this assessment is to diagnose the disease and prescribe medicine. You will take turns to diagnose the patient and prescribe medicine. The prescription will be judged by the three of us, the efficacy and rationality of the medicine.

In addition, we will also ask about the reasons and problems during the process, and give a comprehensive score. The higher the score, the greater the chance of entering the second round of the medical competition.

However, the second round of the medical competition is not simply about taking pulses, diagnosing illnesses and prescribing medicines.

Observation, auscultation, questioning, and palpation are the first steps. Observation should not only focus on the patient's complexion, but also on his/her facial expression, posture, and even his/her clothing. You need to observe with your eyes and understand with your heart to truly understand the essence of the disease.

There are three methods of inspection: observing the spirit, observing the appearance, observing the tongue, and observing the hands.

Observing the patient's spirit mainly means observing the patient's mental state. When observing the patient's spirit, you should focus on observing the patient's gaze, expression, words, breath, etc.

There is also a method of diagnosing the condition by observing the color changes of the patient's skin (mainly the facial skin). The skin color of the human body will change due to the rise and fall of the internal organs and blood, so observing the changes in color can understand the rise and fall of qi and blood and the development and changes of the disease.

Observation of the patient's body shape and posture is a method of diagnosing the condition. The human body is closely related to the internal organs. By observing the patient's body shape, strength, fatness and thinness, we can preliminarily judge the nature of the disease, the severity of the disease and the prognosis.

Tongue observation, also known as tongue diagnosis, is a method of observing the patient's tongue to understand the condition and determine the nature, location and severity of the disease. The changes in tongue can objectively reflect the strength and weakness of the body's vital energy, the depth of the pathogenic factors, the nature of the pathogenic factors, and the progress of the disease, and is also one of the important contents of observation diagnosis.

Finally, there is palmistry, which can infer the patient's physical health status by observing and analyzing the shape, color, temperature, and veins of the hands.

Hands are a microcosm of the human body, and the five internal organs, twelve meridians, etc. are all reflected in the hands. Therefore, hand diagnosis plays an important role in diagnosing patients' diseases.

Therefore, the second round of assessment in the medical competition is to test your ability to diagnose and prescribe medicine for patients.

During the assessment, you can only diagnose the patient with your hands. You are not allowed to ask the patient any questions or look at the patient's complexion. The assessment lasts for a quarter of an hour.

We will give you scores based on your performance and prescriptions. ” At this time, an imperial physician dressed in the imperial physician's official uniform came in from outside and said loudly.

Tell everyone the rules of the second round.

Xu Qingyi's heart moved, she knew that this was the time to test her medical skills.

The process of palmistry usually includes observing the overall shape of the hand, such as the size and thickness of the palm, the length, thickness, redness and lines of the fingers, etc.

At the same time, you should also observe the color of your hands, such as whether they are pale, red or yellow, as these may reflect problems with blood circulation, metabolism, etc.

In addition, palmistry will also focus on the temperature of the hands. Cold hands may mean a cold constitution, while hot hands may reflect the presence of heat evil in the body or hot flashes due to yin deficiency, etc.

In palmistry, the most important thing is to observe and analyze the veins in the hand, especially the Sancai lines.

The Sancai lines are also called the three talents of heaven, earth and man. The color changes and depth can be inferred from the functional status and pathological conditions of the corresponding internal organs by observing the shape, direction, color and other characteristics of these veins.

For example, if a meridian on the hand has obvious bulges or depressions, or changes in color, depth, or other issues, it may mean that there is a lesion in the internal organs corresponding to the meridian.

Although palmistry seems simple, it requires profound theoretical knowledge of traditional Chinese medicine and rich clinical experience. Only doctors who have studied medicine for many years and have a lot of practice can accurately diagnose diseases through palmistry and provide effective treatment suggestions for patients.

Some young doctors have not yet learned all the skills of taking the pulse and observing the patient's spirit. Learning palmistry takes a lot of time and practice. Many young doctors keep a distance from palmistry or think of learning it slowly.

In the second match of the Medical Competition, a big trick was suddenly released. At least 99% of the doctors who had not learned the full hand diagnosis technique would be eliminated.

Perhaps this was done intentionally by the Imperial Hospital, because there were 800 participants in the second round of the Medical Competition, and 99% of them had to be eliminated again. Eighty people had to be selected within one day to enter the second rematch of the Medical Competition. There was obviously not enough time, so they had to use a big move.

Besides, the Imperial Hospital obviously wanted to select doctors with real ability, so it did not hesitate to use such a rigorous test to test them. As the foundation of a doctor's foundation, the importance of hand diagnosis is self-evident. However, there are very few people who can really learn it thoroughly.

The atmosphere at the competition site suddenly became tense, and the doctors all showed solemn expressions. They knew that the difficulty of this competition was far beyond their imagination, and it would not be easy to pass it.

Many young doctors' faces changed drastically.

"It's terrible. I haven't started learning palm diagnosis yet and my master hasn't taught me either. All I know now is what I learned from medical books." One doctor immediately had a sad face and realized that he would be eliminated in the second round of the medical competition.

"Me too. If I had known this earlier, I would have asked my master to teach me palm diagnosis."

"I'm out of luck."

Where some are happy, others are sad. After hearing these discouraging words, those participating doctors who had learned palmistry and were confident had smiles on their faces and their mood improved.

The more people are eliminated, the more chances they will have to enter the second round of the Medical Competition.

For a moment, the atmosphere in the arena became extremely depressing. The doctors who had not yet mastered the hand diagnosis technique were now deeply remorseful and regretful. They beat their chests and stamped their feet, wondering why they had not consulted their masters earlier, or studied medical books more diligently.

The imperial physician didn't care about that and continued, "Hand diagnosis is not a skill that can be mastered overnight. It requires a long period of accumulation, honing, and practice to master the essence of it.

You all know the rules of the competition. The first contestant is Zhu Ling, and the next one is Xia Yuwei. Get ready. After one person comes out, the next one will go in immediately. "