Walking into Consultation Room No. 6, Lin Miao saw that the patient was a young woman, with a dical Bureau supervisor sitting beside her.
He was supervising the exam.
There was surprisingly no ’physician’ to oversee the examination, which made Lin Miao feel a bit surprised.
"Lin Miao, let remind you, you only have the ti it takes for an incense stick to burn." The dical Bureau staff reminded him, and he said the sa thing to everyone who ca in.
"Thank you." Lin Miao cupped his hands and sat down in front of the woman, "Miss, could you describe where your discomfort is?"
"My belly hurts." The woman gently stroked her abdon as she spoke.
"Stomach pain, could you describe what kind of pain it is?"
As n and won should maintain propriety, the examination that could usually be perford directly had to be described by the patient herself, which consud quite so effort.
Finally, Lin Miao looked at her tongue coating before proceeding to check her pulse.
There were restrictions on the consultation questions; the physician could not ask if the patient had a specific disease, only about symptoms, otherwise, it would result in a zero score.
After feeling the woman’s pulse, Lin Miao’s brow imdiately furrowed. The diagnosis suggested a slippery pulse but it was not a double pulse, rather it was a subtle pulse.
This issue was serious. Such a pulse indicated pregnancy, but it was highly likely an ectopic pregnancy.
An ectopic pregnancy is extrely dangerous; if there is massive bleeding, it could result in imdiate death, especially in this era, where it would likely be fatal.
Lin Miao was stumped. How should he approach this diagnosis and prescription?
Writing ’ectopic pregnancy’ directly would probably not be understood, and writing ’abnormal pregnancy’ might not make sense either.
An ectopic pregnancy can be treated with traditional Chinese dicine, but surgery is the best option. Here, there are no conditions for that, and even if there were, operating on a woman wasn’t allowed.
The chosen case most likely required the answer: pregnancy.
But this ’pregnancy’ isn’t a real pregnancy. At this mont, the woman doesn’t realize how perilous her condition is and that she’s standing at the brink of life and death.
As ti ran short, the physician couldn’t deliberately make a false diagnosis. On the final paper, he wrote the four characters for ’ectopic pregnancy’ and prescribed a formula that promoted blood circulation and removed stasis based on the woman’s qi deficiency and specific condition.
Ti was just right.
As he put down his pen, the incense stick burned to the end.
Such challenging cases made Lin Miao understand why consultations were so difficult; making a wrong diagnosis as a doctor could cost a life, so naturally, it was important to select genuine talent with expertise.
Lin Miao then proceeded to Room No. 1.
The patient was a six-year-old boy accompanied by his mother, with a bluish complexion, a thin and greasy tongue coating, a rattling phlegm in his throat, and a slippery, rapid pulse. After a detailed inquiry about his condition, he checked the pulse again.
Diagnosed with phlegm confusion.
Used Calming Heart Powder as the main formula and included Amber Embrace Dragon Elixir.
He left the prescription and signed his na, then Lin Miao imdiately left Room No. 1.
By this ti, most people had almost completed their consultations, leaving only three to five still there. Lin Miao cald himself slightly before entering Room No. 3.
The patient in Room No. 3 was a man with a belly as large as a pot, groaning in pain, with a pale complexion, clearly very distressed.
Lin Miao touched the abdon, knocked, and listened closely with his ear, quickly understanding what the condition was.
The pulse was taut, thin, with a white thin tongue coating, sunken eye sockets, and dry mouth.
The patient had not had a bowel movent for half a month; this was a typical intestinal obstruction, commonly known as bowel knot.
Prescribed Dahuang Decoction, to be boiled with water for drinking, additionally aided by enema for bowel movent, naturally the dicine would cure the disease.
Lin Miao first wrote the prescription and dosage as well as usage, then left, taking less than half the ti it took for an incense stick to burn.
Among the three patients, apart from the first one, he nearly used the full ti of an incense stick, while the conditions of the other two, although not simple, did not take him too much ti.
The ti for an incense stick to burn was about twenty minutes, with variability in dical consultations; so conditions could be resolved in a few minutes, while others might take longer.
Excluding the previous waiting ti of over an hour, all consultations were completed in about two hours.
The results of the examination wouldn’t need to wait until the next day. They could be announced in the afternoon around You ti.
With only ten cases, these were diagnosed by famous physicians and were correctly established, making it easy to judge right from wrong.
Lin Miao was not the last one, but the second to last; the last was Xia Zhu, the only one who entered the top forty of the written dical examination this session.
Seeing Xia Zhu co out of Room No. 6 with an unusual expression, it was clear that this female patient was also challenging for her.
"Everyone, leave Jinxian Tower and co back in two hours for the results announcent!" An official from the dical Bureau announced, "Disperse now."
"Sanshui." Su Chen naturally went together with Lin Miao, "Co, let treat you to a al."
"Shall we go to Cuiyun Pavilion again?"
"I won’t go. I know a little restaurant that serves excellent donkey at. Let’s go and try it," Su Chen said with a smile.
...
Inside the Jinxian Tower, the top ten renowned doctors of Dongshan City gathered, along with the heads of various clinics, the deputies of the dical Bureau, and even the magistrate of Dongshan Prefecture.
The dical examination in Dongshan City, held every two years, is a grand event that not only affects the future of hundreds of dical students but also the health of Dongshan City’s citizens, and during each examination period, it also boosts the city’s economic consumption.
Everyone, from the magistrate to every common citizen, showed great concern.
Secret gambling also took place among the populace.
Each of the top forty dical apprentices had odds, attracting many participants. So gained overnight fa and prospects, while others went bankrupt and disappeared without a trace.
"Let’s begin, everyone!" With the order from Magistrate Pei, the final scoring of the face-to-face diagnostic tests comnced.
"Ridiculous, clearly it was just an upset stomach, yet he diagnosed it as an intestinal abscess!"
"Absurd, completely off the mark. What was a simple case of heart palpitations, he diagnosed as a loss of soul symptom, and his prescriptions were full of errors..."
"This one is not bad; not only was the diagnosis accurate, but the prescription was also quite refined. It appears there are indeed so talents among this year’s candidates."
"This one is also acceptable, but the prescription is far too cautious. If the treatnt follows this prescription, the patient might have to endure more suffering, deducting one point from this one..."
"This diagnosis is extrely accurate, a promising talent!"
...
"Ectopic pregnancy, this is ridiculous. Pregnancy is just pregnancy, why add ’ectopic’? And saying it could cause a hemorrhage, using a blood-activating decoction for treatnt. Whose absurd prescription is this? It’s not saving lives; it’s harming them!" A furious doctor suddenly slamd the table while reviewing the prescriptions.
"Mr. Xia, what’s happened?"
Everyone turned toward the voice; it was Xia Yuan, the vice-chair of the Benefit People Pharmacy, and one of Dongshan City’s top ten doctors. Xia Yuan, over fifty years old and known for his fiery temper, spoke candidly without restraint.
"Look at this, such a diagnosis, this is the first ti I’ve seen sothing like this!" Xia Yuan rudely denounced Lin Miao’s dical case (unbeknownst to him, all case records and diagnoses were transcribed and submitted for review anonymously).
All the renowned doctors put down their work and leaned in to look.
"Ectopic pregnancy, a condition where a woman’s pregnancy occurs outside the uterus. There are three diagnostic symptoms: missed nstruation, abdominal pain, and slight bleeding, with a slippery pulse that is not distinct. This condition is dangerous and could suddenly lead to a severe hemorrhage..."
"Isn’t this the case of the lady Xiaolian? I have checked her pulse, and she is indeed pregnant. As for the abdominal pain and slight Tiankui, these are normal and only require a dose of fetus-preserving dicine!" Another renowned doctor comnted. Every patient was cross-examined by three distinguished doctors before being recomnded for the face-to-face diagnostic test to ensure no errors.
"Indeed, I’ve also examined her pulse. It is as such; this candidate is just being alarmist, trying to grab attention. I suggest we remove them from the list imdiately!" Chen Handian, the Hall Master of Qingyu Hall, chid in.
"Since everyone is in agreent, then zero points it is." Xia Yuan picked up a brush and drew a big zero on the paper in front of him.
The group of renowned doctors was about to disperse and continue grading.
Just then, a scribe from the dical Bureau rushed over, whispered sothing into Mr. Sang’s ear.
Mr. Sang’s face changed instantly, and he sprang up from his seat: "Madam Xiaolian has suddenly suffered a hemorrhage. Ladies and gentlen, who will go and check on her?"
The Judges’ Hall fell silent.
Especially Xia Yuan, upon hearing this, collapsed into his seat. Just monts ago, he declared Lin Miao’s dical case as nonsense and sensationalizing.
Then ca the news of Xiaolian’s sudden hemorrhage. This was a swift slap in the face.
Chen Handian of Qingyu Hall, along with another doctor who agreed with Xia Yuan, appeared very embarrassed. It was bad enough for one doctor to be wrong, but all three were incorrect.
"Could Xiaolian’s hemorrhage really be caused by this so-called ectopic pregnancy, or could there be another reason?" At this point, Ye Shengyuan interjected, attempting to shield Xia Yuan and the others.
"Yes, Mr. Ye is right, a hemorrhage is unpredictable, and we haven’t heard of ectopic pregnancy..."
"I have heard of it," Xu An of Baoan Hall suddenly stood up and said, "In Li Jing’s Imperial Pharmacy during the previous dynasty, I encountered records of such cases in Xin Yuanzi’s ’Miscellaneous Records.’ The na is different, but the description aligns with this candidate’s dical case."
"Mr. Xu, are you sure?" Mr. Sang asked.
"In matters such as this, do you think I would dare to recklessly speak nonsense?" Xu An replied, "If you don’t believe , you can send soone to check the archives of the Imperial Pharmacy."
"The issue now is not confirming that, but what to do. If sothing happens to Xiaolian during our dical examination, what will be the consequences?" Magistrate Pei intervened, seeing how grave the situation had beco.
The renowned doctors of Dongshan City gathered at Xinglin Institute, and if a patient died in their care, it would not only be a disgrace for the dical community but also for himself, Pei Jian, the magistrate.
If the court review brought this matter up, well...
"Whose case is Xiaolian’s?"
"It was recomnded by ," Xia Yuan replied, his face pale.
"Mr. Xia, since she is your patient, please take action."
"Lady Xiaolian is a woman, and I am a man; it is inconvenient. I request permission for my daughter to accompany to assist?" Xia Yuan knew he couldn’t back down; if he retreated, his reputation would be ruined for life.
"Agreed, special cases warrant special asures."
No one was foolish; hemorrhage is extrely dangerous, and the chances of saving her are slim. Anyone who disagrees, let them go!
User Comments
0 comments from readers