Chapter 229 Looking, Listening, Questioning and Feeling the Pulse!
The clinic was open.
Xu Miaolin, of course, sat before the only consultation table.
Fang Qiu sat beside him.
“Today, I’ll talk about the four ways of diagnosis to you, and tell you how our doctors of Chinese dicine understand a patient’s physical condition through looking, listening, questioning and feeling his pulse,” Xu Miaolin said to Fang Qiu.
“Okay.”
Fang Qiu nodded. He had been expecting this for a long ti.
He didn’t wait a long ti, and a patient entered the clinic soon.
Seen from afar, he was a middle-aged man at about 40. He had a little hunchback, and his face consud away. He should have been at his vigorous age. However, he looked totally gaunt.
Entering the clinic, he raised his head and then got stunned imdiately.
He had been here several tis and was familiar with Feng Xuexin. But to his surprise, the man sitting at the consultation table today was changed.
And there were two people before the table?
Confused, he began to look around for Feng Xuexin.
At the sa ti, Feng Xuexin, who had been standing in front of the dicine counter, imdiately walked out, asking, “What are you looking for?”
“Cough, cough...”
“Doctor Feng, why are there two n sitting at your table?”
After coughing, the middle-aged man reached out to point at Fang Qiu and Xu Miaolin and asked Feng Xuexin.
“I don’t see patients today.”
Feng Xuexin grinned and answered, “You’re lucky today. That is a highly skilled doctor who is much better than .”
While speaking, he hurriedly pointed at Xu Miaolin.
“Really?”
The middle-aged man arched his eyebrows, looking happy.
Although Feng Xuexin’s dical skills were very good, he was still not a famous doctor after all. Therefore, he knew so diseases of difficulty, but he couldn’t cure them.
The middle-aged man suffered such a disease, which had troubled him for a long ti.
Although Feng Xuexin could control his condition every ti, it would relapse after a short period, which made him very helpless. He had even suspected that Feng Xuexin had done so tricks on him to earn more money from him. It was after he had gone to another doctor that his suspicion had dissipated.
Now, he heard that Xu Miaolin was more skilled than Feng Xuexin, so he would have the opportunity to cure his disease, wouldn’t he?
“Of course yes. He’s my father’s friend. How can’t he be skilled?”
Over there, while the middle-aged man and Feng Xuexin were chatting, Xu Miaolin was explaining to Fang Qiu as well.
“Look at this patient.”
Studying the middle-aged man carefully, Xu Miaolin said, “It can be told from his face that he is listless and gaunt. His back is a little bent, and he often coughs.”
“Besides, looking carefully, you will find he breathes more than average people on his way into the clinic, which ans he is short of breath.”
“Look at his lips. Unlike normal lips, they are purple. These are all symptoms.”
Xu Miaolin stopped here to look at Fang Qiu.
“Yes.”
Fang Qiu nodded. Everything that Xu Miaolin had ntioned was seen in his eyes clearly. But he also discovered sothing that Xu Miaolin didn’t. He uttered directly, “He is hurt in the lung.”
Upon hearing that, Xu Miaolin was stunned.
Even Feng Xuexin at the dicine counter also turned his head to Fang Qiu.
“Uncle Xu, didn’t you say that he hasn’t learned dicine?”
Feng Xuexin asked Xu Miaolin while looking at him with suspicion.
However, Xu Miaolin was looking at Fang Qiu with surprise, asking, “How do you know that?”
“I know martial arts. I can hear it from his coughs,” Fang Qiu explained with a smile.
Indeed, he could tell from a person’s voice that sothing was wrong with him.
Of course, it was limited.
He couldn’t tell all the diseases, but only those related to voice. The most critical thing was that he could only tell the problem, but he didn’t know the disease.
For example, upon hearing the patient’s coughs, he knew that the other side was suffering from a lung problem, but he didn’t know what disease he was suffering.
“Good!”
Xu Miaolin’s eyes lit up. He said, “I never thought you could do that.”
Fang Qiu revealed a humble smile.
He never told anyone that he knew martial arts.
If he hadn’t let it slip unwittingly, he might have kept it secret.
“What a skilled doctor!”
The middle-aged man’s eyes lit up. He ca over to the consultation table imdiately and said hurriedly, “Doctor, you must take a look at and cure my disease.”
It was the first ti he had seen a doctor who could tell his disease without even questioning him.
Now, he had believed that these two doctors were both more skilled than Feng Xuexin.
He couldn’t miss such a good opportunity to cure his disease.
“Sit down, please.”
Looking at the patient, Xu Miaolin smiled and invited him to sit down.
“Tell more about your physical condition, please.”
After the patient had sat down, Xu Miaolin opened his mouth and asked.
“I can’t tell it clearly.”
The middle-aged man replied with a frown, “It’s just that I always feel uncomfortable. Sotis, I would be very afraid of coldness. Sotis, I would have a fever and feel very hot. And usually, I would feel weak, refusing to use strength.”
Xu Miaolin nodded and continued to ask, “How about your appetite?”
Fang Qiu, at the sa ti, was sitting to the side, listening and learning quietly and carefully.
“Not so good.”
The middle-aged man shook his head and said, “I can eat. But always, I don’t want to eat, because I have no appetite.”
“Do you sweat a lot?” Xu Miaolin asked again.
“Yes.”
The middle-aged man quickly nodded and answered. “Sotis, there would be a lot, but sotis not so much. Anyway, in general, I sweat more than before.”
“Afraid of coldness, suffering fevers, weak and effortless, short of appetite, sweating...”
Sitting to the side, Fang Qiu was listening to the dialogue between Xu Miaolin and the patient carefully, and recording the symptoms the patient said constantly.
“Cough, cough!”
After the questions, the patient made a heavy cough and spat his sputum into the nearby trash can.
“Now, it’s ti to look.”
Xu Miaolin reminded Fang Qiu.
Fang Qiu imdiately looked into the trash can.
Upon that, he discovered imdiately that the patient had coughed with a lot of purulent sputum. Besides, the patient had the symptom of hemoptysis, because blood could be clearly seen in the purulent phlegm. Since the trash can was near Fang Qiu, he could even sense a stench.
“Have you seen it clearly?” Xu Miaolin asked.
“Yes.”
Fang Qiu imdiately nodded.
“Good.”
Xu Miaolin smiled satisfactorily, and then explained, “From these symptoms, it can be basically concluded that he has a lung carbuncle. In Western dicine, it is called a lung abscess, and it has developed into a carbuncle.
“Lung carbuncle is ford due to toxic heat in the lung, resulting in sores in the lung, developing into abscesses. Its main symptoms include fever, cough, pain in the chest, hemoptysis, slly purulent sputum, and even blood sputum.
“There are three stages of this disease—the early stage, the carbuncle stage, and the fester stage.
“The symptoms of the carbuncle stage are coughing with a lot of blood sputum suddenly, or abnormally slly porridge-like sputum. Sotis, patients will have hemoptysis and pain in the chest out of vexation. So will even be short of breath and can’t lie flat. Their body will be heated and their faces red. They will be thirsty and prefer drinking. Their tongue will be red with yellow coating. Moreover, their pulses will feel slippery or vigorous.”
Then, he asked Fang Qiu to diagnose.
“Please open your mouth and let see your tongue,” Fang Qiu uttered.
The patient opened his mouth wide.
With a close look, Fang Qiu indeed found that the patient’s tongue was red with yellow coating.
After that, he imdiately reached out to feel the patient’s pulse.
As expected, his pulse felt slippery and also rapid!
Looking at the performance of Fang Qiu, Xu Miaolin, beside him, began to nod with satisfaction.
Then he said, “To cure this disease, the main treatnt is to drain the purulence to detoxify.”
He started writing a prescription while speaking.
“Platycodon Grandiflorus Soup.”
“Platycodon grandiflorus, 2.5 grams; sen coicis, 15.6 grams; Fritillaria, 4.7 grams; dried orange peel, 2.5 grams; honeysuckle, 15.6 grams; licorice root, 4.7 grams; sen lepidii, 2.5 grams; rhizoma bletillae, 2.5 grams.”
Suddenly, Xu Miaolin paused for a while, and then began to speak while writing, “Since the patient has hemoptysis, we can add so dicine materials which are helpful with cooling blood, removing blood stasis and helping hemostasis, such as moutan barks, gardenia jasminoides, cattail pollen, lotus roots, panax pseudo-ginseng.”
As soon as he stopped speaking, the prescription was also finished.
“Don’t be urgent to cure it. You have to be patient and get cured slowly little by little. Take the dicine three tis first, and I’ll change the prescription according to the situation after you reach the recovery stage.”
Xu Miaolin instructed as he handed the prescription to the patient.
“Okay. Thank you, doctor.”
The middle-aged man nodded imdiately, took the prescription and hurried to the dicine cabinet where Feng Xuexin was.
Before the dicine cabinet, Feng Xuexin had been observing Xu Miaolin’s treatnt.
He was very jealous to see Fang Qiu sitting beside Xu Miaolin.
It would be so good if he could sit at Fang Qiu’s place!
“Doctor Feng, fill the prescription.”
The patient handed over the prescription.
Feng Xuexin took it over imdiately, copied it out jovially, and then began to fill it up for the patient according to the prescribed dosage.
This patient had co to him many tis.
But he hadn’t cured him thoroughly.
Now that Xu Miaolin had a way to cure him, Feng Xuexin must learn it. At least, he had to write down all the prescriptions to cure this disease for fear that he still couldn’t cure it if he t it again in the future.
Xu Miaolin refused to accept Feng Xuexin as a disciple, but he couldn’t stop Feng Xuexin learning from him secretly.
After filling his prescription, the patient left imdiately. Seeing the hope of a cure, he went ho to boil dicine quickly.
In the middle of waiting for the second patient, Fang Qiu seized the ti to keep in mind what had happened just now, and then refined it.
After he had done with that, the second patient ca in.
He was also a middle-aged man.
With the experience of the previous one, Fang Qiu began to observe this patient with Xu Miaolin from afar, before the patient entered the door this ti. From the patient’s face, his walking posture, to a variety of small movents, he observed every detail carefully.
However, seeming to be in a hurry, the patient rushed to the consultation table and sat down after just a few steps.
The diagnosis began.
Xu Miaolin started to explain to Fang Qiu while diagnosing slowly, in accordance with the process of looking, listening, questioning, and feeling the pulse.
The patient was unsatisfied with Xu Miaolin’s speed.
“Doctor, can you hurry up?”
Looking at Xu Miaolin, the patient urged.
“Sure.”
Xu Miaolin nodded with a smile and then said, “But quick diagnosis is not free. If you allow to slow down, the treatnt is free, and you just need to pay for the dicine.”
“Really?”
The patient got stunned. Encountering such a good thing, he hurriedly replied, “Then... You can slow down. Don’t be urgent. I have ti. Slow down, and you can observe carefully, right? I can also listen carefully to what disease I have exactly.”
“Okay.”
Xu Miaolin nodded and continued.
Fang Qiu also listened carefully.
He kept all the details and points Xu Miaolin ntioned in his mind.
After the blink of an eye, the morning passed.
During this period, Xu Miaolin had seen more than ten patients in total.
“You diagnose the next one, and I’ll sit beside you and listen.”
Feeling that Fang Qiu had learned enough, Xu Miaolin stood up and said.
“Okay.”
Fang Qiu nodded.
The two switched their seats.
Over there, Feng Xuexin also beca interested in it. He ca out from the dicine counter with a grin and whispered, “I’d like to see what you have learned this morning.”
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