Generally speaking, outpatient visits, Chinese medicine doctors to receive and handle patients relatively slow. I have experience in the outpatient clinic: a half-day clinic volume of 20 patients is the most appropriate, not too fast, under the premise of ensuring the quality of care, almost on time to leave work, if the half-day more than 30 patients, time will be a little tight, to ensure the quality of patient care, usually almost almost an hour overtime to successfully leave work. I often hear patients complain outside the clinic, “Why is the doctor so slow? I understand the patient’s anxiety to wait, but I also ask the patient to put himself in his position and think, “Do you want the doctor to see you in three or five minutes with a few words and a perfunctory response?” . Many of the patients who can come to the provincial Chinese hospital are in the local and municipal hospitals or in the major western hospitals in the provincial capital to see a lot without obvious results, and finally thought to come to the Chinese hospital to see, all with the last hope to come. The actual fact is, we must take a more serious and responsible attitude to patients. The slow speed of male Chinese medicine is mainly slow in the four diagnoses of Chinese medicine, “look, smell, ask and cut” on the detailed, thorough examination, physical examination, tongue and pulse, for the correct identification of Chinese medicine is crucial to typing, the questioning is not careful, two words, cut pulse, tongue diagnosis perfunctory, the patient’s four diagnostic information is not comprehensive, not detailed, identification of Chinese medicine evidence is not Accurate, that means not using the right medicine, and no curative effect. Many patients will have such doubts: “I look for you to see male patients, you ask me so many questions on my body other departments should be managed why, is not a lot of surplus, in and I idle chatter?” . In fact, for a Chinese medicine doctor, especially a serious and responsible Chinese medicine doctor, these are not superfluous at all, and very necessary, as long as the detailed doctor-patient communication, detailed “look and feel”, understand, master the patient’s physical condition information, only from the overall situation to grasp the patient’s physical condition, in order to accurately Chinese medicine The more information we have about the patient’s physical condition, the more we can understand and understand the patient’s physical condition. So, outpatient Chinese medicine male, I hope patients have to be patient and wait! The first affiliated hospital of Henan College of Traditional Chinese Medicine, Li Juntao, cited three cases below, and sincerely hope that patients can experience the meticulous 拢墩餉捶咽奔洹1 patient Wu, 28 years old, to “impotence for 2 years” to consult. The patient’s symptoms include: weak erection, poor hardness, dizziness, recurrent mouth ulcers, dry stools, vague pain in the stomach and epigastrium when eating cold things, short urine, light red and tender tongue, white and greasy tongue coating, and sunken and thin pulse. The first and second time the patient visited the clinic, the effect of medication was not good, and the third time the patient visited the clinic, he thought about it and wondered what the problem was with the poor effect of medication. During this consultation, I inadvertently learned that “every time the patient sweats profusely in the afternoon after playing basketball, he gets irritable and hot at night, especially his face is hot, and it is difficult to sleep”. After careful consideration, the patient was identified as: liver and kidney deficiency cold, Yin fire floating over. The reason why the body gets hot and bothered at night and the face gets hot after sweating from strenuous exercise is because: according to Chinese medicine, “in a normal human body, yin and yang are balanced and live in harmony to maintain the normal physiological state of the human body; if, for some reason, yang is extremely weak and unable to maintain a balance of forces with yin and coexist peacefully, the weak yang will be expelled from the body by the powerful If for some reason Yang Qi is extremely weak and is unable to maintain a balance of power with Yin Qi and coexist peacefully, the weak Yang Qi will be expelled from the body by the powerful Yin Qi, leaving its normal position and producing disease. After the activity, Yang Qi comes out with sweat, causing the already deficient Yang Qi in the body to become even more deficient and discouraged, and eventually the Yin and Cold Qi in the body forces the remaining Yang Qi to float further up and out. Weak yang qi makes the penis insufficiently infused with yang qi and prevents normal use of the penis, thus creating the problem of “impotence”. He was treated with the method of “warming the liver and kidneys and subduing floating yang”, and was given the basic framework formula of Radix Aconiti, Ginger, Magnetic Stone and Raw Oyster, which was cured in 3 weeks. 2 Patient Chi, 35 years old. He presented to the clinic with “frequent and urgent urination for 1 year”. The patient’s symptoms were: frequent urination, urinating about once every 40 minutes during the day, 4-5 times a day at night, small volume of urine each time, unable to wait for the urge to urinate, and urgency to urinate. Scrotal dampness, night sweats, constipation, stools 2-3 times a day, small amount, difficult to relieve, sticky stools, the urinal is not easily flushed after each stool, hair loss, facial oil, red tongue, thin and greasy tongue coating with cracks, red and red tongue tip, smooth pulse. In the first two visits, there was no obvious effect of medication, and in the third visit, the patient mentioned that he had a characteristic of night sweats, that if he did not drink water after dinner, he would not sweat, but if he drank 2 or 3 hundred milliliters of water, regardless of hot or cold water, he would inevitably sweat at night, and his body would sweat like a wash, and he would often feel drowsy and weak, with a poor appetite. I feel that this night sweating characteristic of the patient is very interesting and worthy of consideration, and after pondering for a long time, I think that the patient’s Chinese medical diagnosis should belong to: damp heat within the evidence type. The reason for this kind of night sweating is that the dampness and heat in the body are stagnant, the dampness is blocked, the qi is not smooth, and the evil heat is internally depressed and cannot reach outside. Chinese medicine believes that “yang plus yin for the sweat”, after drinking water at night, the external and internal moisture together, the heat of internal depression more can not be reached outside, permeable, depressed heat steam damp, overflowing skin couples, and the development of night sweats. Dampness and heat inside the body, the body’s “three jiao” excretion of water is not normal, while the lung Qi is not conducive to the source of water above the blockage, resulting in frequent urination, but each time the urination is very little problem. He was treated with “aromatic, pungent, warming, cathartic, opening up the yu, resolving dampness and draining heat” and given “almond, raw barley, slippery stone, sericea, soapberry, etc. as the basic formula with addition and subtraction, and was cured in 4 weeks. 3 Patient Zhang, 25 years old. He presented to the doctor with “incomplete urination, weak urination and white dripping from the urethra for 8 months”. The patient’s symptoms were: incomplete urination, weak urination, white dripping from the urethra after stool, dizziness, chest tightness, shortness of breath, poor appetite, easy sweating, unshaped stool, 2-3 times a day, red tongue with thin and greasy tongue coating, red and red tongue tip, sunken and thin pulse. He was treated with the method of “tonifying the middle qi and raising the clear yang”, which was ineffective for 3 weeks. Later, when the patient visited the clinic, he said that his sweating was very strange, with the upper half of his body sweating during daytime activities in the upright position, and the upper side of his body sweating when he slept in the supine or lateral position. After careful analysis of the evidence, we concluded that the patient had a urination problem caused by “dampness and heat fumigation, poor circulation of the three jiao, and inability of Qi to transform”. The reason for this is that the patient sweats on the upper side of the body because, according to Chinese medicine, “dampness and heat have a tendency to fumigate upward. Therefore, the patient always sweats significantly on the upper side of the body. Damp-heat blocks the water channels of the three jiao, the lung qi is unfavorable, and the water in the body cannot be metabolized and discharged normally, thus the symptoms of unfavorable urination appear. With the method of clearing heat and resolving dampness, he was given Job’s Tear, Poria, Atractylodes, Scutellaria, Huang Lian, Slippery Rock, and Ruscus, etc. for 10 days and was cured. This article is authorized by Dr. Li Juntao.