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第69章 反省(1 / 1)

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在这两个病例发生之后,文老让林婉儿坐下,静静地与她进行了深入的总结。林婉儿低着头,心情有些沉重,因为她知道自己犯了错误。她用笔记本默默地翻着,看到自己为这两位病人所写的诊断记录时,心中有些茫然和懊恼。她害怕面对文老那严厉的眼神,然而,文老却并没有表现出责怪她,而是选择了耐心地开导她。

文老坐在她对面,微微蹙着眉头,语气依旧温和,但话语中带着一股沉稳的威严。

“婉儿,”文老用他那略显沙哑的声音开口,“你看过这两例病例后,心里明白了什么?”

林婉儿低下头,轻声答道:“我…我没有根据病人的实际情况做出全面的判断,单纯地依赖了书本上的理论。”

文老点点头,嘴角微微扬起,似乎是在肯定她的自觉。“中医的辨证,容不得一丝侥幸,容不得一丝错失。你觉得,你是看懂了脉象,看懂了症状,可它们仅仅是冰山一角。更重要的,是从病人的言语、举止、生活习惯、环境,甚至连细微的情感反应中,去了解他们的病根。”

林婉儿抬起头,眼中闪过一丝困惑。“但是,师父,我到底该如何做呢?我明明看到了症状,可为何还是会错判?”

文老轻轻叹了一口气,目光温和地看着她。“你知道吗?每一份脉象、每一个症状,它们都是活的,都有自己的脉动,像是风中的叶子,忽左忽右,错综复杂。它们是相互作用的,而不仅仅是单一的表现。你要把这些散乱的线索拼接起来,才能真正明了病情。”

他顿了顿,像是下了决心一般,继续说道:“比如,李婷那位病人,咽喉痛并非单纯的上火,实际上,她体内寒气未散,外感风寒才是根本原因。你只看到了喉咙肿痛的症状,忽略了她的生活习惯和身体的寒凉之感,才导致了错误的判断。而对于第一个病例,脉象可能未必能清晰地展现出怀孕与月经的区别,这时候,如果能更加细心地结合病人过去的病史,综合考虑她的体质,就能做出更准确的诊断。”

林婉儿默默地点了点头,心中的疑惑和紧张稍稍消散,但随之而来的是更加深沉的自责。“我还差得远,不够细心。”

“你并不差,”文老依旧语气温和,但他的话却带着深深的期望,“你已经做得很好了。这是中医的精髓,辨证论治,考验的正是医生的耐心、细致、以及悟性。每一个病人背后,都有着千丝万缕的故事,不能单凭表象。你必须学会以更深的眼光去看待他们,去理解他们,去尊重他们。”

他停了下来,似乎在等待她消化这些话。

“从今往后,不管面对任何病例,你都要反复推敲,不放过任何细节。你看人家是如何说的,怎么做的,每一个小动作,每一声叹息,都可能隐藏着关键信息。”文老用指尖轻轻敲了敲桌面,意味深长地说道:“记住,医生的职责不是单纯的治病,而是帮助病人找出他们身体的根本问题。我们不仅要治愈身体的病痛,还要让他们的生命恢复活力。”

林婉儿感受到文老话语中的重量,沉默了片刻。她知道,这不仅仅是一次简单的批评或总结,而是文老对她的期许。

她深吸了一口气,坚定地看着文老的眼睛,“我明白了,师父。我会更加努力,牢记师父的教诲,不断提高自己,认真对待每一位病人。”

文老微微一笑,眼神中透露出满意和期待。“好,一个医者,最重要的就是心要细、眼要亮、手要稳。你做得到,我相信你能成为一名出色的中医。”

此刻,林婉儿心中的压力更大了,但也有了一份更加坚定的信念。她明白了,这条路虽然崎岖,但她绝不会放弃,反而要走得更稳、更远。

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