第二十八章 争议
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经络类常见类型有风邪入中,经络痹阻型,肝肾阴虚,风阳上扰型和痰热腑实,风痰上扰型等。
脏腑类闭证多见牙关紧闭,两手握固,肢体强痉等,多属实证。脱证多见目合口张,鼻鼾息微,手撒尿遗,多属虚证。
除此之外,当然还有其他的病症,这些病症虽然同属中风,但是治疗时绝对不能一概而论,必须辨证施治,认清病因病源,才能开方下药,要是稍有偏差,必然会导致病情加重,甚至引发其他并发症。
从司马峰和王志两人所开的方子就可以看出,两人虽然同样确认为中风,但是其病理病机却不一致。
台上的评委将两人的诊断结果和药方传阅了一遍,但后对何阳低语了几句,何阳脸色一喜,走到主席台中央大声宣布道:“第一例病症比试结果,王志先生胜。”
“好!”台下的众人闻言都是欢呼了起来,他们大都是江淮人,心中自然是向着王志的,听闻王志赢了,都是大声的呼喊了起来。
对于这样的结果,下面的大多数人都可以接受,不过真正的行家和各媒体的记者,了解司马峰的人都是有些难以置信,这第一个病症司马峰就败北了,说出去简直让人难以置信啊。
不仅是他们诧异,就是潘安民和谢国强几人也是有些唏嘘,要不是司马峰刚才担心在时间上出丑,以他的医术这个病症还不至于出错的,这就是心浮气躁的原因了。
听闻何阳宣布出来的结果,司马峰顿时脸色难看,要不是台上的评委都是真正的大家,而且还有他自己的请来的好友,他绝对会忍不住冲上去叫嚷一番。
当然,即便是他不叫嚷,台上的评委也会给他和大家一个解释,总不能就这样迷迷糊糊的就让人认输不成。
等到现场都静下来,谢国强才站起身来说道:“这一位患者是中风之症,两位都诊断都算正确。”
“中风之发生多于血与气有关,一旦又摔倒晕厥的现象,头脑和身体经络必然会有淤血积留,两位都采用的是清代王清任的补阳还五汤,不过南村先生却是辩证不清,将肝阳上亢之中风误诊为气虚血瘀之中风,药方中多了一味黄芪。”
“黄芪为温开补齐之药,如今病人原本就血气上升,要用此药,病情必然加重,所以说南村先生辩证还虚谨慎才是,切不可疏忽。”
听完谢国强的解释,司马峰这才想起病人确实有面红,脉弦滑等症状,不过因为他刚才没有留意,因此认为是气虚血瘀之症,直接开了补阳还五汤,此时想起恨不得找个地缝钻下去,没曾想他竟然在阴沟里翻了船。
其实这病人的病症虽然复杂,但是对司马峰来说算不得多么困难,之所以会判断失误,一方面是心浮气躁,另一方面就是情敌,没看的起王志。
在司马峰看来,王志三分钟就确诊的病症有多复杂,再加上他也查看了情况,因此下意识的忽略了其他的症状,也算是大意失荆州了。
不过还好,这一次的比试并不是一个病人就可以下结论的,下面还有四个病人,原本预备五个病人是为了防止两人诊断一样,打成平手预备的,如今可算是救了司马峰。
第一例病症输赢已定,王志将药方交给边上前来照看病人的医生,这就开始了第二例病症的诊断。
第二个病人是郁证,患者咽部有异物堵赛,吐之不出,咽之不下,属于心脾两虚之症,两人这一次倒是都没有出错,方子也都对症,相差不大,两剂即可痊愈。
第三个病人属于骨科疾病,这个病人是王志先看的,治疗方法是直接当场正骨复位,现场就让患者恢复了大半,司马峰也不赖,第四个病人也是当场治疗,效果不错,两人算是打成了平局。
通过这两个病人的治疗,算是显示出了王志和司马峰的医术不凡,让众人不住叫好。
不过这第五个病人却是有些奇特,这个病人是个十五岁的小姑娘,全身并无任何症状,就是单纯的高烧,已经住院半个月了,各种退烧药,像青霉素,apc,阿司匹林等都用过了,但是依然高烧不退,可是有些奇怪。
王志和司马峰两人进行了查看,都认为是气阴两虚造成的,不过这持续高烧,孩子已经很是虚弱了,如何用药却是出了问题。
当然,问题又出在了王志这儿,司马峰的开出的方子倒也不错,不过要见效果也要一两天时间,王志却直接保证,一剂药下去,保证退烧,这下可是有了争议。
……
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