Early in the morning, Ji Xiuwen felt a bit embarrassed.
After all, in other places, such treatment is usually reserved for one's own son.
He's just an adopted son.
However, Ji Xiuwen quickly convinced himself that learning skills is not shameful; this is no time to be vain; the thicker the skin, the better.
What's more important than skills?
"Okay."
Ji Xiuwen didn't hesitate and directly placed his hand on the child's wrist.
Seeing Ji Xiuwen's method of taking the pulse, Lu Xuan instantly knew this guy couldn't differentiate between adults and children.
But it's hard to blame Ji Xiuwen. This kind of thing, the school mentors might mention it in passing, but who would think these fresh graduates would have the skills to diagnose children?
After all, they can't even accurately sense an adult's pulse, let alone a child's.
Furthermore, there aren't such young children at school for them to practice on.
Over time, everyone didn't pay much attention to it, and it was forgotten.
When he first started, he didn't know about these things either, so it's normal for Ji Xiuwen not to remember.
As expected, not much later, Ji Xiuwen couldn't help but glance at Lu Xuan, feeling very guilty.
How could he not feel guilty!
It's too complicated; he found that he couldn't sense much useful information. Three fingers felt all over the place.
"Confused?" Seeing Ji Xiuwen's awkward expression, Lu Xuan asked earnestly.
Ji Xiuwen was stunned: "How did you know?"
Obviously.
How could I not know?
Lu Xuan gave him an exasperated look but didn't say anything, instead signaling Su Kenan to try.
Clearly, even though Su Kenan was quite a good student and studied earnestly, she knew very little about diagnosing children's pulses and made the same mistake as Ji Xiuwen.
After both of them had checked, Lu Xuan calmly said, "Is it that you can't make a judgment?"
Ji Xiuwen nodded repeatedly. If Lu Xuan hadn't let Su Kenan try, he would have asked about it long ago.
Su Kenan, on the side, also looked puzzled.
The child's father, although he couldn't understand much, was also attentively listening, not worried at all.
He had heard from other patients that Dr. Lu had brought two interns along, and if the interns were allowed to have a try, it usually meant it was a minor issue that Dr. Lu could easily fix.
Now, with Dr. Lu having both interns take a look, doesn't it mean that his child's rectal prolapse is a minor issue?
With that, why be anxious?
Might as well just wait.
And listen too.
Lu Xuan explained with a smile, "Actually, this knowledge was mentioned by our teachers at school. Of course, it's mentioned briefly, and there's no chance to practice, so it's easy to forget."
He said this while gently holding the child's hand, "A child's wrist is small and compact, making it difficult to distinguish the locations for pulse taking. So, for children under three, the pulse diagnosis generally uses the 'one-finger-determines-three-gates' method to observe the child's pulse overall instead of using three fingers, like this."
Lu Xuan introduced this as he demonstrated for the two to see.
Ji Xiuwen scratched his head, "No wonder it felt weird. I seem to remember the teacher mentioning it once in passing, but who remembers that clearly?"
Su Kenan seemed deep in thought.
She wasn't much of a talker and seldom asked questions unless truly puzzled. Otherwise, she would usually quietly think by herself.
Lu Xuan looked at him, "That's why these things require self-study."
Hearing this, Ji Xiuwen couldn't help but roll his eyes. He looked at Lu Xuan, wanting to say, "Do you think everyone is a genius like you?"
And that's exactly the case. So little time since graduation, and even with self-study, how much can one really learn?
Ji Xiuwen thought he had some talent in this area, but that tiny bit of talent is nothing compared to the vastness of traditional Chinese medicine!
In half a year, he hadn't managed to learn anything useful on his own.
Without practice, anything he learned was easily forgotten.
Lu Xuan gave Ji Xiuwen a brief look and continued, "A child's pulse is different from the 28 pulse conditions of an adult. It's typically divided into six types: floating, sinking, slow, rapid, strong, and weak.
But note that a child's slow and rapid pulses differ from an adult's. In traditional medicine, these are counted based on the doctor's breath.
Because a child's and an adult's breath rates differ, a child's normal pulse is one breath for the doctor equals six beats; five beats per breath is slow, more than seven beats is rapid. This is something you must remember. Other pulse distinctions are not much different from those of adults.
As for differentiation..."
At this point, Lu Xuan hesitated, then slowly said, "We all know that a floating pulse felt at the skin level indicates an exterior condition;
A deep pulse felt between muscles and bones indicates an interior condition; a rapid pulse with more than seven beats per breath indicates heat; a slow pulse with fewer than five beats per breath indicates cold;
If a child's pulse in all three positions is strong, it indicates excess; if weak, it indicates deficiency.
So with more than a minute of pulse assessment, after determining the child's pulse, a comparison can quickly assess whether the child has a hot or cold, excess or deficient condition. This pulse diagnosis method is actually faster in diagnosing than in adults.
Of course, while there are fewer pulse forms in children, to experienced practitioners in Chinese medicine, this is easy, while beginners still find it somewhat challenging.
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