I practiced medicine in ancient times

Chapter 113: Doctor-to-be Assessment Continued

Doctor Ye and two other people gave a series of assessments on Bai Yan, starting from the assessment of case and prescription, to the assessment of acupuncture points on the human body, acupuncture techniques, traditional Chinese medicine theory, and general pulse case assessment.

Just like the Eight Immortals crossing the sea, each showing their magical powers.

After a fierce competition, Doctor Ye and his two companions finally completed all the assessment items on Bai Yan.

The three of them were somewhat dissatisfied with some aspects of Bai Yan's assessment, and they discussed it in whispers for a while.

“Except for ophthalmology, I passed the other five subjects.

I will take part in the second round of assessment tomorrow." Doctor Ye gave Bai Yan a reply.

Bai Yan had some expectations for her own assessment. Being able to pass five subjects in the first round was a pleasant surprise. She had originally planned to pass at least four subjects.

Shopkeeper Zhou and his friends were waiting outside for Bai Yan to come out. When they saw Bai Yan finally come out of the room, Shopkeeper Zhou hurriedly went up to him and asked, "What happened?"

"I passed. I passed five subjects." Bai Yan replied calmly, her voice revealing an indescribable confidence and calmness.

"Good! That's great!" Shopkeeper Zhou patted Bai Yan's shoulder happily, his eyes full of admiration and pride. He knew that Bai Yan had always been very hardworking and motivated, and he knew that she could pass the exam to become a qualified doctor, but before the results came out, Shopkeeper Zhou still felt a little worried.

"Xu Qingyi was born in Zhangli Village under Qingshui Town. At the age of seven, she was sold to the Qingshui Town Medical Clinic and was indentured to death.

At the age of eleven, I was promoted to an apprentice. In the same year, I participated in the medicine competition and won the first prize for our Huichun Medical Clinic. Then I was promoted to a disciple. The next year, I was promoted to study medicine at the county Huichun Medical Clinic. I am thirteen years old this year. Am I wrong?" Doctor Ye looked at Xu Qingyi, his eyes lit up slightly, and told Xu Qingyi's experience in the clinic.

"good."

"Are you taking the general exam today?" Doctor Guan asked.

"Yes, please three doctors examine me."

"What is the function of 'adjuvant medicine'?" Doctor Ye asked first.

“Adjuvant drugs generally include three types of drugs: adjuvant drugs, adjuvant drugs, and anti-adjuvant drugs.

Adjuvant drugs: adjuvant drugs are mainly drugs that play a reinforcing role in the prescription, mainly in conjunction with the monarch and ministers for auxiliary treatment. Generally, adjuvant drugs belong to a large category of adjuvant drugs, which can usually assist the monarch and ministers in treating the secondary symptoms of the disease, thereby consolidating the recovery of the disease.

Auxiliary drugs: Auxiliary drugs can usually eliminate the toxicity and strength of the main and auxiliary drugs to the body, thereby improving the side effects of the drugs and harmonizing the medicinal properties.

Counteradjuvant: Because patients may experience resistance and aversion when taking the main and auxiliary drugs, they can take counteradjuvant to alleviate the symptoms.

Therefore, when we prescribe, we need to choose according to the properties and efficacy of the main and auxiliary drugs to achieve a synergistic effect. "Xu Qingyi spoke without any consideration or pause.

On the contrary, Doctor Ye and the other two were very surprised to hear Xu Qingyi's answer, which was very detailed and complete. They did not expect Xu Qingyi's understanding of the composition of drugs and the application of monarch, minister, assistant and envoy was very exquisite, thorough and in-depth.

"The patient, male, 35 years old, had sore throat without obvious cause 1 month ago, no fever, chills, oral ulcers, no treatment at that time, and the sore throat worsened 3 days ago, the throat was dry and unbearable, the mouth was dry and wanted to drink warm water, no bitter taste in the mouth, no nasal congestion and runny nose, normal bowel movements, able to sleep, red tongue with yellow coating, fat and slippery tongue, deep and thin pulse on the right, stringy and thin pulse on the left.

The syndrome differentiation is: Jueyin disease

Disease nature: Heat on the upper body and cold on the lower body, spleen yang deficiency, and body fluids cannot be transported upward.

How to treat it and what prescription to prescribe?" Doctor Guan asked immediately.

“It should warm the yang and transform dampness, warm and transform water and dampness, clear the upper heat, strengthen the middle burner, and strengthen the spleen and stomach.

You can prescribe steamed aconite root, dried ginger, roasted licorice, Poria cocos, raw Atractylodes macrocephala, cinnamon bark, raw dragon bone and oyster shell, black plum, Codonopsis pilosula, Coptis chinensis, Scutellaria baicalensis, gypsum...

Take 2 doses, 1 dose per day, decoct in water and drink while warm.

Dry mouth, thirsty and want to drink water, irritability, sore throat, dry and uncomfortable throat are symptoms of upper-jiao heat. Swollen and slippery tongue, deep and fine pulse on the right are symptoms of lower-jiao deficiency and cold. Therefore, it is diagnosed as Jueyin disease. The patient's tongue coating is white and slippery, the tongue is swollen with teeth marks on the edge, and the pulse is deep and fine, indicating water retention and spleen yang deficiency. Water retention goes up, blocking the qi, causing qi to be blocked and turn into heat, and yang deficiency and qi transformation are weak, unable to evaporate body fluids and carry them upward, resulting in red tip of tongue, dry mouth, thirsty and want to drink water, irritability, dry and unbearable throat and pain.

Adding gypsum, coptis root and scutellaria root to the formula can clear internal heat, and adding black plum can enhance the warming effect of water. "

.........

"Okay, you have passed the first round of the general practitioner assessment. You will come for the second round tomorrow." Doctor Ye, Doctor Guan, and Doctor Qian all asked Xu Qingyi a question.

The questions they were testing on seemed simple, but they covered a wide range of areas. As soon as they asked the test questions, Xu Qingyi thought for only a moment and answered them immediately. His answers were very comprehensive, not only covering the direct answers to the questions, but also further explaining the relevant medical knowledge and practical applications.

She also conducted in-depth analysis and interpretation from multiple angles, which made Dr. Ye and the other two look at her with admiration.

Judging from the medical skills Xu Qingyi demonstrated today, he has already achieved considerable accomplishments, and is not much inferior to those doctors who have been practicing for many years.

There is no problem with the first round of assessment, it all depends on how the practice goes tomorrow.

"Qingyi, why did you come out so soon?" Wu Yao and the others didn't have to wait outside for long before they saw Xu Qingyi coming out of the examination room. Wu Yao didn't know what happened, so he asked Xu Qingyi curiously.

"Did you pass the assessment? Or did something happen?" Shopkeeper Zhou looked at Xu Qingyi suspiciously and asked uncertainly.

"I passed. Doctor Ye and the other two asked me to go back and prepare for the second round of assessment tomorrow." Xu Qingyi nodded with a faint smile.

"Okay, very good. Let's go to the tavern to celebrate. Congratulations on passing the first round of assessment today. Keep up the good work tomorrow." Upon hearing this, Shopkeeper Zhou showed great joy on his face.

After Manager Zhou and his group left, Manager Zhu entered the examination room and asked Doctor Ye and the other two who were taking the examination today, "How are the three disciples from Chuanshan County doing today and how are their medical skills?"

"Among the three of them, Xu Qingyi has the best medical skills. Judging from the first round of assessment, she has a solid foundation in medical knowledge. Based on her written skills alone, she is better than doctors who have been trained for many years.

I just don't know how good her skills are in practice.

Secondly, Bai Yan is not weak either, followed by Wu Yao.

Even Wu Yao, who is second to none, has a strong medical background. If nothing unexpected happens, at least two of the three of them will be able to pass the assessment for prospective doctors. "Doctor Ye was also quite optimistic about Xu Qingyi and the other two.