Chapter 277 - There Was a Last-Minute Change to the Rules! (2/2)
It was only 3:40 PM!
He had meticulously and painstakingly seen and diagnosed his patients from 8:30 in the morning, but he had only seen his tenth patient at this point. How could Fang Qiu have seen so many patients?
Could he be deliberately accelerating his speed of seeing patients because his skills were subpar?
”This candidate's speed has surpassed our expectations, so we have decided to let both of you see the final patient,” the round-faced elderly man said. ”This time, we will require both of you to write down your observations from your four methods of diagnosis since you will both be seeing the patient at the same time. This is no longer just about writing down your prescription, do you understand?”
Fang Qiu and Yu Ziyuan both nodded and expressed that they had no further questions.
”Very well. Who would like to go first?” the round-faced elderly man asked.
”I'll go first,” Fang Qiu said and pursed his lips.
He was rushing for time.
More importantly, he felt as though the examination was conducted in a very disorganized manner.
How was inviting 49 patients related to both of them undergoing the examination at the same time?
Why couldn't they select one of the 25 patients that Fan Qiu had seen after he had finished seeing them all for Yu Ziyuan to diagnose as well?
He already thought that it was odd how the examiners were only requesting them to write a prescription without observing its effects on the patients, and now, they had even summoned them to the meeting room?
More importantly, even after they announced the change in rules, the examiners were still requesting them to see the sole patient one by one. Hence, how was this any different from them seeing the patient in their own separate examination rooms? In any case, one patient couldn't possibly eat two types of medicine.
Fang Qiu had already figured out what was going on.
He guessed that these elderly men must have suddenly decided to change the rules in order to test them both.
However, he didn't have any time to waste arguing with them, for he still had to attend the gathering at the manor.
”Go ahead,” the round-faced elderly man said with a nod.
Then, the middle-aged man walked up to them and led them to a room on the second floor.
The windows of this room were covered with black cloth.
”Go in,” the middle-aged man said to Fang Qiu after he opened the door.
Then, he told Yu Ziyuan, ”There are benches over there. You may sit there while waiting for your turn.”
The middle-aged man then went to call for the patient.
Soon, the middle-aged man led the patient into the room.
At the moment, Fang Qiu was already seated at the desk and was ready to see the patient.
Fang Qiu immediately started observing his patient the moment the patient entered the room.
He saw a woman who seemed to be in her forties; she was a medium-sized woman, and her complexion seemed ruddier than usual.
The patient took her seat.
Fang Qiu asked, ”May I know if you're experiencing any discomfort?”
”The right side of my waist hurts,” the woman said as she pinched her right waist. ”It has been hurting for almost two years. Moreover, I have a poor digestive system and have chronic constipation. I feel numbness in my fingers occasionally, and sometimes my legs cramp, but it doesn't happen as often.”
”Do you have a regular period cycle?” he asked.
”No,” the middle-aged woman said as she shook her head.
”Are you taking any forms of medication at the moment?” he asked.
”I'm taking contraceptive pills because it can regulate my period,” she said.
”Do you sleep well?” Fang Qiu asked as he wrote his observations down.
”Not, not well,” the woman replied. ”I'm able to fall asleep, but I'm easily awakened, and once I wake up, I find it hard to fall back asleep.”
”How long have you been constipating for? Do you pass out gas?” Fang Qiu asked.
”No, I haven't. Not for a while,” she answered.
”What's the color of your urine?” he asked.
”Dark yellow,” she answered.
”Does your stomach give you any discomfort?” he asked.
”I burp very often, and sometimes, I do get acid reflux,” she answered.
”How is your appetite?” he asked.
”It's pretty good. It is much better, and I find myself eating more than before as well,” she said.
”You mentioned that you feel numbness in your fingers. Could you elaborate a little more?” he asked.
”I would feel a sudden numbness in my fingers and legs, and my legs will go cold,” she answered.
”Do you feel thirsty often?” he asked.
”No. In fact, I often forget to drink water.”
Fang Qiu continued to take notes as he made queries.
Soon, he had already noted down all the information he gathered during the interrogation part of the four diagnostic methods.
”Please open your mouth,” he said.
He concluded the interrogation portion and continued with the observation part of the four diagnostic methods.
Soon, he noticed that the patient's tongue had a yellow tinge and was thicker than usual.
He concluded his observation and took the patient's pulse.
One minute later.
Her pulse was slow and weak.
He recorded his observations.
Fang Qiu continued to speak as he took down notes.
His diagnosis: there is a deficiency of the patient's bladder meridian and there is extra heat in her stomach meridian. Thus, her urine is dark yellow in color and she can't pass gas. Her appetite is stronger than usual because of the heat in her stomach meridian. However, the patient does not feel thirsty which shows that she has an interior cold syndrome. She is losing sleep because of the lack of new blood.
This patient had an internal stasis of heat and cold.
His recommendation for treatment: acupuncture of the Yingu and Weizhong points on her left foot and the lumbar-leg point. It would be a treatment by targeting symmetrical acupunctural points.
He finished writing his diagnosis and conclusion.
He thought for a moment before he started to write his prescription.