Chapter 710 Bimanual and Trimanual Diagnosis
Because of Li San Niang's appearance and tone, the girl who was originally too shy to raise her head now straightened up and looked at Li San Niang on the stage.
Li San Niang stood on the platform, looking at every face below the stage from left to right.
She let out a long sigh. "I know you have never been educated in this area and therefore consider it shameful."
However, the rites of the Duke of Zhou have existed since ancient times, and the reproduction of human relationships is a normal process.
This painting depicts a woman's breasts. You and I are both women, and what's in the painting is what we all possess.
We doctors relieve patients' pain, and all we do is help them regain their health.
In the future, if this method can help a woman relieve her pain, then this method is correct, effective, and should be promoted.
If you are too ashamed to look or learn, when you are faced with a patient in the future, you could have saved her, but because you are too embarrassed today, you will be unable to save her and will only be able to watch her suffer and die. Is that really the case?
Is that really the right way?
Li San Niang's words rang in the ears of the women, and the last two questions were particularly striking.
Li San Niang observed the expressions of the crowd below the stage. Just as she had thought, the young women who were still unmarried and childless were still a little embarrassed, while ambitious married women like Yao Qingqing were now looking at Li San Niang with their heads held high.
"Ahem," Li's mother coughed lightly twice, attracting the attention of the young women, and then slowly spoke: "You are all still young and haven't seen much."
In the countryside, it's just a midwife, who is also a woman, looking at their genitals. As long as it can relieve their pain, what's wrong with taking a look and touching them?
Only people in this city care more about saving face.
But sometimes, when faced with life and death, what do these trivial matters matter?
"Ah, isn't that right?"
When I was young, there were male doctors in my village who would deliver babies for women. In the end, we were always grateful to them for ensuring the safety of both mother and child.
What do human lives matter in the face of these things?
As soon as Sun the midwife said this, the awkward atmosphere in the room seemed to disappear instantly. Jin Zhenbao raised her still slightly red face and said, "What Li and Sun are saying is right. We are all women and will all be doing this kind of work in the future. Why should we be so concerned about such trivial matters?"
After saying this, Jin Zhenbao straightened his posture and nodded to himself, holding the charcoal pencil in his hand and looking at Li San Niang on the stage.
Seeing that the audience's attitude had changed and their emotions had been stirred up, Li San Niang quickly winked at her mother and midwife Sun to thank them for their cooperation.
Li's mother was able to conceal her expression, but the midwife, Sun, smiled smugly at Li San Niang.
"Okay, next I will focus on explaining these two examination techniques to you. One is called bimanual examination, and the other is called trimanual examination."
Li Sanniang put down the jujube tree branch and came to the painting. "Three points: First, before the examination, you must wash your hands thoroughly and wipe them with a clean cloth before you can perform the examination."
Secondly, you must remember that this kind of examination should never be performed on unmarried women!
Third, the most direct way to conduct an examination is within three to seven days after the woman's menstruation ends.
Li Sanniang extended her right index and middle fingers to point at the picture, and then extended her left hand in the same way. "In this way, in conjunction with the examination of the lower abdomen, we can determine whether there are any abnormalities in this area or even the area above it, up to the uterus."
Is it pain? Or is there a lump, bleeding, etc.?
The three-way examination involves inserting the index finger into the uterus, the middle finger into the anus, and the other hand palpating the abdomen. "This method can determine the condition of the pelvis and uterus by checking for pain or bleeding."
Li San Niang stepped down from the platform and circled around the group of women twice, explaining her techniques in detail to them.
In fact, if you really want to understand this technique, practice is the best way.
However, Li San Niang also considered the current problem: firstly, unless a certain situation arises, there may not be any young women willing to be her students;
Secondly, while it sounds good now, in the end, they may not actually make it to that point.
But Li San Niang believed that this method still needed to be taught, since not everyone was as sensitive as her and had X-ray vision, able to find the problem simply by glancing at it.
"You've probably seen clearly how he did it."
In the future, if I have the opportunity to guide you in practice, I will demonstrate it to you. Medicine is inherently a practical profession; with enough experience, you won't be afraid of not knowing how to treat patients.
While they were at it, Li San Niang went over the entire physical examination procedure with the women again.
"...I haven't finished making that stethoscope yet. If I can get my hands on it in the future, I'll tell you about it."
If you can learn this percussion technique, you'll be able to understand the symptoms when you encounter similar cases in the future.
We ate lunch at the midwifery school; it was soup noodles ordered from the street, and Li San Niang was the one who treated us.
While eating soup dumplings, Li San Niang also shared some of the things she could say about her time at the drug rehabilitation center in the suburbs of Beijing with everyone.
"...Thanks to Linglan, I finally had some free time after she helped me. Otherwise, you would see that I would be even thinner now."
Haha, then you'll all feel even more sorry for me!
Song Fuling looked at Li Sanniang with great concern, probably because she felt that her disciple couldn't help Li Sanniang much. Li Sanniang naturally noticed this and quickly waved to Song Fuling: "Don't overthink it, Master didn't mean you're bad."
You're still too young; that place is definitely not suitable for you.
You're young, so learn from me carefully first. Your future master will be counting on you, be good."
Song Fuling is such a sweetheart. With just a few kind words and a gentle pat on the head, the little girl is completely energized by Li Sanniang. She's destined to become a female doctor like Li Sanniang in the future.
After calming her disciple down, Li San Niang looked at Yao Qingqing and said, "Qingqing, if you're interested, I think you'd be a suitable candidate."
Judging from the current situation, the drug rehabilitation center in the suburbs of Beijing will be open for at least six months to a year, and more women will definitely be sent there afterward.
From what I heard from Physician Ning, it seemed that people addicted to opium, caught in places outside of Chang'an, would also be sent here for detoxification.
The woman who was sent here must have more than just opium poisoning; she must have other ailments as well. This is truly a great opportunity for you to put your knowledge into practice.
Most importantly, now that you're here, you can stay by my side and I can give you more pointers and guidance.
Otherwise, once I've finished my business at this rehab center, I can return to the clinic and find an opportunity to give you practical experience, which will put that process on hold for a long time.
Facing Yao Qingqing's gaze, Li Sanniang continued, "However, even though I'm here, I'm afraid you might be afraid of what people will say and wouldn't dare go to that drug rehabilitation center. If you don't think so..."
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