I practiced medicine in ancient times

Chapter 200 Face-to-face consultation

Seeing this, Xu Qingyi walked to the bed and began to observe the middle-aged man's expression carefully.

Facial diagnosis in Traditional Chinese Medicine is an extremely meticulous process that requires a deep accumulation of experience. It is done by observing subtle changes in the patient's facial color, eyes, breathing, etc., in order to judge the patient's condition, such as deficiency or excess, exterior or interior, cold or heat.

As the saying goes, "appearance reflects the mind." Pathological changes in the internal organs will eventually manifest themselves in the relevant areas of the face. Therefore, facial inspection can best provide insight into the patient's pathogenesis and understand the patient's condition.

Xu Qingyi's gaze was as sharp as a torch, as if it could penetrate the man's skin.

The complexion of the human body may appear in colors such as blue, red, yellow, white, and black, which correspond to problems with the eyes, tongue, mouth, nose, ears, heart, liver, spleen, lungs, and kidneys, and are also closely related to the five internal organs.

There is a saying among the people that you are what you eat, and it is not without reason.

Eating red things can replenish the blood, eating white things can replenish the lungs, eating black things can replenish the kidneys, eating yellow things can replenish the spleen, and eating green things is beneficial to the liver.

These are the experiences summed up by our ancestors from long-term life practice. Although they may not completely conform to scientific explanations, they reflect people’s understanding of the relationship between food and body functions.

If the liver is out of order, the complexion will often turn blue, especially around the eye sockets. At the same time, the eyes are also the window of the liver to the internal organs. By observing the state of the eyes, we can preliminarily judge the health of the liver.

Red is also the color of the tongue, which represents the functional state of the heart. The heart controls the blood vessels and stores the mind. When the heart fire is strong, the complexion will be red and the tongue will become ruddy. On the contrary, if the heart function declines, the complexion and tongue will become dull.

Yellow corresponds to the mouth and is closely related to the function of the spleen. The spleen is responsible for transportation and transformation, transforming the essence of food and water into qi and blood to nourish the whole body. When the spleen is healthy, the face is yellow and the lips are rosy. If the spleen is dysfunctional, the face will be sallow, the lips will be dull, and there will be bad breath.

White corresponds to the nose, reflecting the functional state of the lungs. The lungs are responsible for controlling the qi and breathing, dispersing qi and descending qi, and regulating the water channels. When the lung qi is sufficient, the face is pale and the nasal passages are unobstructed. If the lung qi is weak, the face is pale and the nasal passages are blocked.

Finally, black corresponds to the ears, which are closely related to the function of the kidneys. The kidneys store essence and are responsible for water metabolism. When the kidney essence is sufficient, the complexion is dark and moist, and the ears and eyes are sharp. If the kidney essence is deficient, the complexion is dark and dark, and there is tinnitus and deafness.

The correspondence between the blue, red, yellow, white and black colors of the face and the eyes, tongue, mouth, nose, ears, heart, liver, spleen, lungs and kidneys is the method of observing the face in traditional Chinese medicine. By observing the changes in the complexion and facial features, we can preliminarily judge the functional status and pathological changes of the five internal organs.

Xu Qingyi narrowed his eyes slightly and looked towards the uncle. It seemed that the scene in front of him was infinitely magnified and he could clearly see the uncle's expression.

His face was dark yellow, his eye circles were dark, and his lips were pale, which was obviously caused by long-term fatigue and insufficient Qi and blood. His forehead was slightly raised, and his eyebrows revealed a tired and stubborn temperament, which showed that he had an irritable temper, great mood swings, and liver Qi disorder.

If there are vertical lines between the eyebrows, which are very deep and the area is red, it may indicate neurasthenia, frequent dreams, poor sleep, palpitations, irritability, etc.

The wings of the nose are red, and when you get close, there is a faint smell of bad breath, which indicates gastritis or gastrointestinal problems.

The pulse is slightly slow and sometimes strong and sometimes weak, reflecting that his Qi and blood are not flowing smoothly and his vitality has declined. In addition, long-term fatigue, irregular diet, and excessive mood swings have damaged the spleen and stomach functions and caused Qi and blood deficiency, which has led to such a pulse.

The diagnosis is insomnia, deficiency of Qi and blood, as well as imbalance of the initial stage and weak gastrointestinal tract.

You should prescribe Astragalus, Atractylodes, Poria, and Ziziphus jujuba seeds...

Xu Qingyi could quickly tell from the uncle's face what illness he had. After he had an idea in mind, he quickly picked up the brush and wrote down the pulse case, diagnosis, pulse condition, and prescription.

"Is she so fast at completing the consultation?" The five imperial physicians who were assessing Xu Qingyi were a little surprised to see that Xu Qingyi only observed the patient for a short while before she started writing down the pulse record and prescribing medicine.

Even if he was seeing a patient in person, it would take at least half a minute.

"When Doctor Xu examined patients by hand before, it took almost the same amount of time as a face-to-face consultation. Seeing how steady and calm she is, and how she writes in one go, it looks like she's a sure winner in the second rematch of the medical competition." The imperial physician from Huichun Clinic, who had assessed Xu Qingyi in the second preliminary round of the medical competition, was also behind him. He explained in a low voice in Xu Yinan's ear.

"It can be seen that she must be familiar with and good at the art of diagnosis by observation. At such a young age, she has such a powerful art of diagnosis by observation. It really should not be underestimated.

It is true that heroes have always emerged from youth. "The imperial physician of the Miaoshou Clinic also had to admire Xu Qingyi.

"Okay, please give your instructions, five imperial doctors." After a while, Xu Qingyi finished writing the pulse case, diagnosis, pulse condition, and prescription on the rice paper. After blowing on it, she handed it over to the five imperial doctors for assessment.

"Very good, very good. We will not ask any questions in this competition. You just need to tell us the basis of your diagnosis and the intention of prescribing the medicine when you observed this person's facial examination. The more detailed you are, the higher the score will be." After Xu Yinan and his group of imperial doctors finished reading the pulse case, diagnosis, pulse condition, and prescription written down by the facial examination, their eyes lit up slightly. Xu Yinan nodded and asked Xu Qingyi with a look of satisfaction.

"This person's nose is red, and when you get close to him, you can smell a faint smell of bad breath. There are deep vertical lines between his eyebrows, and the area is red, which shows that he has...

I prescribed Poria cocos and Atractylodes macrocephala to strengthen the spleen. The spleen and stomach are the foundation of acquired constitution. If you want to replenish qi and blood, you must first regulate the spleen and stomach and absorb nutrients from food to meet the body's needs.

Adding wolfberry, angelica and astragalus can help nourish the kidney and strengthen the essence, replenish qi and nourish blood. In this way, you can cultivate both inside and outside, harmonize qi and blood, and make the body healthy.

Then prescribe Chinese jujube seeds and longan meat to nourish the heart and calm the mind.......

Besides, I........." Xu Qingyi explained the basis of her diagnosis and the purpose of prescribing the medicine in a clear and logical manner. Her analysis was very thorough, as if in her eyes, the patient's physical condition was clearly visible.

"Yes, Doctor Xu, your diagnosis is indeed accurate, and the prescription is just right." Xu Yinan nodded with satisfaction, looking at Xu Qingyi with eyes full of admiration.

“You have a very keen sense of observation. You can discern the condition of patients from their complexion, smell, and even the slightest wrinkles. This is very rare.

It can be seen that you have mastered the art of face-to-face consultation.

More importantly, you can combine these observations to accurately prescribe medicine and regulate the patient's body. This is the real medical skill."

Xu Yinan's words made all the imperial doctors present nod their heads, expressing their affirmation of Xu Qingyi's medical skills.