readsfreenovel Chapter 326 Teaching
Chapter 326 Teaching
Song Ying read it carefully and memorized it silently in his mind. Then he felt that his so-called learning of prescribing medicine was just like the previous test of memorizing prescriptions.
The most important steps in seeing a doctor, including taking the patient's pulse, asking questions, determining the symptoms, and then deciding what prescription to prescribe, are all decided by Dr. Ma. She is like a ghostwriter.
No wonder the master only tested her on fifty prescriptions before asking her to learn how to prescribe medicine. Everything is under the control of her uncle, so nothing will go wrong. But in this case, how long will it take her to truly learn how to prescribe medicine?
Doctor Ma naturally did not notice her change of mind and worry. He handed the revised prescription to the woman and said, "Twenty cents, take it to the pharmacy to get the medicine. Add a bucket of water when boiling it and drink it warm."
The woman was a little worried at first about the fact that the prescription was written by an apprentice of Song Ying. But when she saw that Doctor Ma had personally read it and made some revisions, she immediately put her mind at ease.
She carefully wrote down what Doctor Ma said, then paid twenty cents and took the prescription to the pharmacy to find Lin Wenxuan.
After they left, Doctor Ma said to Song Ying, "Don't write so neatly when you prescribe medicine next time."
"Why?" Song Ying was puzzled. "Wouldn't it be easier to read if the handwriting was neat?"
Doctor Ma's face flashed with an unnatural look, and then he said seriously: "The prescription should be given to the patient. In order to save a few cents in consultation fees, some people will find out the previous prescriptions when the symptoms are similar, and go directly to some so-called cheap pharmacies to get the medicine.
If something goes wrong after eating this, some shameless people will blame our clinic for prescribing something wrong. "
Song Ying was stunned for a moment, remembering that Li had wanted to do the same thing before.
At the beginning, Song Tian went to school for half a year. Li thought that in half a year, there were only a few words on the prescription, and Song Tian should be able to recognize them all. So she asked Song Tian to identify the medicines on the prescription. She planned to go to various pharmacies in the city to ask how each medicine was sold and which pharmacy had the cheapest medicine.
As a result, Song Tian couldn't recognize a single word of the prescription, which made Li so angry that she said he didn't study hard. Song Ying also felt so at the time. Now thinking about it, Song Tian was indeed wronged on this point.
When she first came to the clinic, it took her a long time to get used to the way Dr. Ma wrote each word and recognize what was written on the prescription.
After figuring it out, Song Ying became a little worried, "What about my prescription? Should I go get it back from them and rewrite it?"
Doctor Ma shook his head: "Forget it this time. Just be more careful when you write prescriptions next time."
Song Ying was still very worried. She remembered that the asarum in this prescription was poisonous. What if this family member took the prescription and made the medicine themselves, and something went wrong after taking it?
Doctor Ma coughed lightly and said, "Don't worry too much. We are just taking precautions. After all, only a few people would do this.
Besides, the prices of medicines in various pharmacies in the city are similar, and the sellers are all people who know some medical skills. If they really take the prescription to get the medicine, this Xiaoqinglong Decoction is common, and there won’t be any big problems. "
Song Ying blinked, pondered his words, and slowly came to his senses. It turned out that the illegible handwriting was not only to prevent patients from taking the prescription directly to the pharmacy to get the medicine in order to save the medical fees, but also to prevent certain precious prescriptions from being circulated.
No wonder there are so few medical books on the market, even the circulation of common prescriptions is restricted.
After further thought, Song Ying guessed that if it was a prescription developed by an individual and was effective for certain diseases, not only would the handwriting be sloppy, but he would not even give the prescription to the patient.
There were a lot of patients today, so for the next day, Song Ying wrote down the prescriptions from memory. Doctor Ma would read them and use some of them directly without making any changes, while for others, he would increase or decrease the dosage of certain medicines accordingly.
After a whole day of memorizing prescriptions, many of which were repeated, Song Ying was very frustrated. He was still a long way from becoming a real doctor. When he went back home, he looked listless, like a cabbage wilted in the sun.
Doctor Lin took out food from the lunch box and asked, "Did you prescribe any medicine for anyone today?"
Song Ying nodded, then said disappointedly: "But I feel that this is no different from the previous assessment. I am still memorizing the prescription."
"What prescription was prescribed today? What did your uncle change?"
"There are quite a lot of them. The first patient was a little boy with lung and stomach coldness. I prescribed Xiaoqinglong Decoction. My uncle said he was young, so he changed the amount of asarum to 1 liang."
Doctor Lin said, "You have gained a little more experience. This is different from the previous assessment where you just memorized the prescription."
Song Ying was dumbfounded. Is this her accumulated experience? Everyone's situation is different. How long does she have to accumulate experience to become a doctor who can prescribe medicine?
She frowned: "But it doesn't mean that the younger you are, the less medicine you need. There is another young man who also has the symptoms of lung and stomach deficiency and coldness, but the uncle gave him the lung cold soup with coltsfoot flower and aster as the main ingredients.
There are many ingredients in these two decoctions that are the same. The only difference in Xiaoqinglong Decoction is the peony, while the differences in Feihan Decoction are the coltsfoot flower, aster and almond.
The young man was obviously much older than the little boy, but except for 1 liang of asarum in the Feihan Decoction, the rest were 2 liang, while except for asarum, the rest were 3 liang in the Xiaoqinglong Decoction. The dosage of the medicine was obviously more sufficient and the effect was stronger.
By the way, when decocting the lung cold soup, you need to add 5 slices of ginger and 2 pitted jujubes. "
Doctor Lin patiently explained to her: "In terms of age, young men are indeed older than boys, but they both suffer from lung and stomach deficiency and coldness. Different degrees of coldness require different medications, and each person's physical constitution is also different.
From what you described, the little boy's illness is very serious, and it has lasted for several days. At this time, the medication needs to be stronger to quickly remove the cold from his body.
There are two possibilities for the young man to use Fei Han Tang. One is that the disease is relatively mild and can be cured by Fei Han Tang. The other is that he is very weak and cannot take too strong a medicine, so Fei Han Tang is used.
Song Ying suddenly realized: "I see that young man is full of energy, he doesn't look weak, it should be the former, his illness is not serious. And he only showed symptoms yesterday."
Doctor Lin nodded and said, "Let me ask you again, what is the difference between fresh ginger and dried ginger?"
Song Ying thought without hesitation: "Dried ginger is hot in nature, and its main effects are warming the middle and dispersing cold, restoring yang and unblocking meridians, warming the lungs and transforming phlegm, and treating internal cold; while fresh ginger is mild in nature, and its main effects are warming the middle and stopping vomiting, transforming phlegm and relieving cough, dispersing the surface and relieving cold, and treating external cold."
"You remember it very well." Doctor Lin first praised her, and then said: "It is one thing to remember these medicinal herbs and medical theories, and it is another thing to use them."
PS: The author is not a medical professional, and all things related to traditional Chinese medicine are made up based on Baidu Encyclopedia. Just take a look at it and don’t believe it.