135、挖墙脚
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顾煊和李西墙还在琢磨顾仲伦说的“鸡汤”和“火腿”是什么意思，徐小乐却已经很开心地享用这盅熬制了两个时辰的斑肝汤。龙腾小说ltxs520.com因为这汤的成本不低，醉月楼每天也只预备十盅，到了晚上肯定是供不应求的。
杨成德偷看了一眼顾仲伦，觉得时机差不多成熟了，就操着一口北方官话道：“小乐啊，我看你天资过人，实在是千万人中难得一见的英才呀！”
徐小乐抬起头嘿嘿一笑：“杨大夫这话说得很有见地。”
顾仲伦被徐小乐逗乐了，笑道：“小乐还真是率真，率真呐！”
杨成德暗道：这小子有些刺，不能当普通少年看待啊！
他就提起精神，小心道：“小乐啊，虽然你天资过人，但是恕我直言啊，医术可不是你想的那么简单。你的医术嘛，恐怕也未必真的胜过了那几位老医生。”
徐小乐好胜心强得很，当时就来了斗志，目光犀利如箭，朝杨成德射了过去，硬邦邦道：“请指教。”
杨成德看也不看李西墙，只对徐小乐道：“你之所以能救那几位医生所不能救，并非胜在医术精湛，只是胜在思路对。这思路就跟马路一样，走对了路，自然就到了该到的地方。若是走错了路，自然就南辕北辙。他们那些医生，医术虽高，但是思路错了，自然越治越糟。然而你未必能常对，他们也未必会常错，所以这不能说明你的医术就比他们高。”
徐小乐昂起头，放下手中的勺子，心中暗道：杨成德这话有点意思啊！
治病无非三个步：判断病症，对症下药，调理善后。最后一步且不用说，难就难在前面两步。
就判断病症和对症下药比较下来，前者乃是地基。若是断病就断错了，还谈什么对症下药？诚如朱丹溪说的：治病难在辨证。
席上四人见徐小乐沉思不语，同时止住了话头，各有盘算。
徐小乐突然笑了一声，对杨成德道：“杨先生说的‘思路’二字很有意思，北人在用词遣字的功夫上，的确很有造诣。”
杨成德身子一僵，很不适应。在他看来，自己一个快五十岁的前辈长者，给晚辈后生指点道路，这是何等令人唏嘘赞叹的事！谁知道这后生竟然不感恩戴德不以为荣，反倒出口嘲讽了所有北方人。
徐小乐哼了哼，道：“医生见了病人，从四诊入手，到开方落笔，这里头七分功夫在辨证，三分功夫在配伍诸药。辨证高低可谓医术高低的标杆。辨证考校的就是思路。你把辨证‘思路’从医术里割裂出来，说我医术不精，这个思路也是蛮厉害的。”
杨成德被噎得毫无还口之力。
顾仲伦见自己手下大将被个少年打败，嘴角抽动，强笑道：“哈哈哈，杨先生，人家年轻人可不乐意听这话啊！”
杨成德尴尬笑了笑，道：“小乐，你这话有道理，却不全对。医术精湛与否，还得看见识经验。老医生四诊娴熟，经验丰富，辨证上就更为精准。只要思路对头，就没有治不好的病。”
徐小乐眯着眼睛：“辨证精准了，怎么会思路不对头。”
杨成德总算有些扳回一城的感觉，提了口气道：“自然是有的。譬如那个燕锁儿，他父亲和赵大夫的辨证其实没错，但就是思路不对头，所以没能治好。”
徐小乐道：“单说那个案子，他们错得离谱，还杜撰了个惊风出来，这叫辨证没错？”
杨成德呵呵笑道：“惊风是有的，起码有两百年啦。这就是你经验不足的缘故。不过他们思路不如你清晰，不知道该用夹食伤寒例治病，从而差点害了那孩子。”
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