Rebirth 1977 Great Era

Chapter 1039 You said your butt oozes pus when you walk? (Bonus chapter for monthly votes: 4K chapters)

I was too tired last night to check this thing.

In addition, Fang Yan also used three needles during the acupuncture treatment. He didn't really experience the special features of the needles. Apart from feeling that they were a bit heavy, Fang Yan didn't feel anything.

However, since it's called the "Prairie Fire Needle," it's most likely related to fire.

Just like the fire needles that He Puren researched before.

However, these are all just guesses based on dialect; we'll only know the truth after communicating with Mr. Li Chunfang this afternoon.

Fang Yan put the needle away again and took out the sea dragon needle again.

"Why didn't you use the needle just now?" Director Liao asked curiously when he saw Fang Yan's actions.

“That needle was given to me by Grandpa Li Chunfang. I don’t know if it’s anything special. It’s better to use the one I’m familiar with first,” Fang Yan replied to Director Liao.

Director Liao suddenly realized what was going on when he heard this.

He nodded and said:

"Then it's definitely better to use the needles you're good at."

Actually, for a long-term illness like the old man's, the most appropriate treatment according to the local dialect is the Tiangong needle. The Hailong needle is more efficient, but it doesn't claim to be able to isolate the pathogenic factors. The Tiangong needle is specifically designed for this purpose.

However, there were limited things he could bring, so Fang Yan only brought a sea dragon needle.

Hopefully it can hold up.

Fang Yan picked up the sea dragon needle, and Deng Cai on the other side volunteered to come over and help him.

After what happened yesterday, he is now experienced.

After arriving at Fang Yan's side, they had already obtained the flashlight, disinfectant alcohol, and cotton balls from the room.

He acted like an assistant.

Fang Yan pointed to the sofa and said to the old man:
"Grandpa, you need to lie down so I can administer the acupuncture."

The latter nodded, got up, and lay down on the sofa.

Fang Yan then gestured for him to unbutton his shirt, which he immediately did.

He then carefully wiped the sea dragon needle with an alcohol swab; the tip gleamed with a cold metallic luster under the light.

According to the local dialect, this needle was burned yesterday during Sun Kai's emergency treatment, and now, the needle tip hasn't changed color at all.

I don't even know what material this thing is made of.

At this moment, the old man lay flat on the sofa, unbuttoned his shirt, revealing the skin from his collarbone to his ribs.

Fang Yan held the needle and gently pressed the tip of his other ring finger 1.5 inches to the side of the spinous process of the third thoracic vertebra on the old man's body to feel the tension of the subcutaneous muscles.

The illness had lasted too long, and the condition of his muscles was no longer that of a normal person. Master Lu Donghua's muscles were like blocks of iron, while his felt like a thin layer of rubber.

Fang Yan said to the patient, "Sir, you'll feel a little sore and numb when you get the needles, just bear with it."

Some people who haven't had much traditional Chinese medicine treatment actually have a better sense of Qi than those who have.

Therefore, we need to give him a heads-up beforehand, so that he won't panic when he feels the heat in his body.

At this moment, Deng Cai, holding a flashlight, followed closely behind Fang Yan, the beam of light moving with Fang Yan's finger.

Fang Yan pinched the needle handle with three fingers of his right hand, his wrist slightly lowered, and the tip of the sea dragon needle was at a 45-degree angle to the skin. He quickly inserted it 0.5 inches into the Feishu acupoint. He lightly flicked the needle tail with his fingertip, and the needle body immediately trembled slightly. The next second, a red halo appeared around the sea dragon needle.

"Hiss..." The old man felt a surge of air rising in his chest and couldn't help but gasp.

Fang Yan said to him, "This is the Feishu acupoint, which regulates lung qi and is specifically for clearing the phlegm in your lungs."

As he spoke, he slowly began to insert the needle.

The old man felt a strange chill.

"Why does this needle feel so cold?" the old man asked.

Fang Yan knew that the Sea Dragon Needle had the strongest Qi sensation and the fastest effect, so he said:
"This is normal."

Upon hearing this, the old man smiled and said to Director Liao, who was watching him from the side:

"I've had acupuncture before, but this time it felt different from the others."

Director Liao also said with a smile:

"Of course, one method won't cure you."

Then, Fang Yan pressed his left thumb against the Kongzui acupoint, located 7 inches above the wrist crease on the palm side of the old man's forearm, and, under Deng Cai's flashlight beam, inserted the needle again, saying at the same time:

"Kongzui is the Xi-cleft point of the Lung Meridian, and it is most effective in stopping hemoptysis."

The sea dragon needle moved with lifelike agility in his hands, barely causing a crease in the skin when it pierced through.

Then, the dialect was used in the same way.

His fingers slid towards the Taiyuan acupoint on the old man's wrist, where the radial artery pulsated. The blood vessels were clearly visible there. He then switched to the finger-cutting needling technique, pinching the acupoint with the nail of his left thumb and inserting the needle 0.3 inches along the edge of the nail with his right hand. The needle tip stopped steadily as soon as it touched the arterial pulsation.

"Taiyuan is the original acupoint of the Lung Meridian. If you always feel short of breath, you can rely on it to replenish your lung qi."

After this acupuncture session, he moved to Zusanli, three inches below the old man's knee, and inserted the needle one inch deep using the lifting and thrusting technique. As soon as he moved the needle, the sensation traveled along the outside of the lower leg all the way to the old man's instep.

"It's so swollen!" the old man couldn't help but exclaim.

As he performed the acupuncture, he said in a dialect:
"Zusanli can strengthen the spleen and stomach. If you don't have a good appetite, you need to rely on it to support your body."

The old man nodded after hearing this.

Finally, Fang Yan located the Taixi acupoint in the depression between the old man's medial malleolus and Achilles tendon. He inserted the needle 0.8 inches obliquely towards the heel, and slowly rotated it forward with his thumb, saying at the same time:
"Taixi nourishes kidney yin, and the root cause of your dizziness is insufficient kidney water."

The sea dragon needles were inserted one after another, with different lengths of the needle protruding from the skin, rising and falling slightly with the old man's breathing.

Fang Yan stepped back half a step to observe the needle placement. Seeing that all the needle tips were shimmering with tiny reflections, like starlight trembling on the water's surface, he nodded to Deng Cai: "Leave the needles in... for twenty minutes. Keep an eye on the needle tips to seep any blood."

In fact, the needles of the sea dragon needle usually only need to be left in for ten minutes, but for this disease, the local dialect suggests leaving them in for a longer time.

Deng Cai nodded.

Fang Yan then returned to his seat and addressed the people behind him:

"Come on, next one."

Director Liao waved to a middle-aged man behind him, signaling him to come up and sit down.

The person who came this time was a man in his early forties, with dark skin and a poor mental state.

Judging from his dialect and skin tone, he resembled someone from Southeast Asia.

However, he has the typical Chinese appearance and speaks with perfect pronunciation.

"Hello, Dr. Fang!" The other person even had a slight Tianjin accent.

Fang Yan asked him:
Hello, what's bothering you?

The other party responded:
"I started working on ships in 76. At that time, I was in charge of the shipping route from Hong Kong to Tianjin. Once, I ate something from the sea and started to have diarrhea. I received treatment on the ship and after I recovered, I felt very tired."

"Later, I developed some other symptoms..." he said, seemingly wanting to say more but then stopping.

Fang Yan asked him:
"Be more specific," the other person said, licking their lips.

"How about we find somewhere else to talk?"

Fang Yan paused for a moment, then nodded:

"Okay! Let's go inside."

He pointed to the room next door.

The middle-aged man gave Fang Yan a grateful look, then stood up and immediately walked towards the master bedroom next door.

The others watched with some curiosity, but they didn't think anything was wrong. Director Liao nodded to Fang Yan, and Fang Yan got up and followed.

After entering the room, the middle-aged man sat by the window, and Fang Yan walked over and urged, "You can talk now."

He glanced at the doorway, lowered his voice, and said with embarrassment, "If I walk for more than ten minutes... my butt starts to ooze pus."

"Huh?" Fang Yan was taken aback; this was the first time he had encountered these symptoms.

Seeing Fang Yan's stunned expression, the middle-aged man felt somewhat embarrassed. But Fang Yan quickly regained his professional demeanor: "What color is the pus? Besides weakness, do you have a stomachache?"

The patient breathed a sigh of relief and said in a low voice, "It's like white snot, and besides being tired, I also feel a feeling of pressure in my anus."

He asked in dialect:

"It bleeds after walking for ten minutes? Can you see pus when you go to the toilet?"

The other person shook their head: "Most of the time it doesn't. I've observed it carefully; it's more like it flows out of thin air."

Fang Yan frowned slightly: "Have you seen any other doctors?"

"I'm too busy with work to leave," the middle-aged man sighed. "I have to keep an eye on the transportation, but I figured it wouldn't have much of an impact on my work, so I didn't go."

Without commenting on the dialect, they continued, "Is it still flowing now?"

The other party nodded:

"It's leaking, and it's gotten worse. The farther I walk, the more I leak. I have to wear pads now."

Fang Yan's mind raced with thoughts.

In this situation in a man, there are several possibilities: perianal purulent hidradenitis, rectal-anal fistula, or chronic dysentery.

Fang Yan stared into the patient's eyes and asked again:
Are you sure the pus came out of nowhere? Did you feel anything protruding from your anus when you walked?

The middle-aged man paused, then scratched his head. "It hasn't prolapsed... but my butt gets damp when I walk fast, I need to find a place to sit down quickly." He suddenly remembered something and lowered his voice, "By the way, Dr. Fang, this pus looks like snot, but it's a bit sticky on the tissue, and sometimes it has a little blood in it. Some people say I have an anal fistula..."

"Blood streaks?" Fang Yan pressed. "Are they mixed in with the pus, or just attached to the surface of the pus?"

"It seems...it seems like there are some red streaks in the pus, not much, but you can see them when you wipe it." The middle-aged man recalled, "Also, my stomach isn't actually not painful, it's just very bloated, especially after eating and walking a few steps, I always feel like something is going to fall out, and I have to clench it tightly."

He paused in his dialect, then suddenly remembered something:
"After you had diarrhea in 1976, did you often experience bloating? Did you get diarrhea after eating greasy food, and were your stools always loose?"

"Oh! Yes, yes, yes!" The middle-aged man's eyes lit up. "Especially when I'm on a ship, I eat cold food and vegetables, and I'll have diarrhea for days afterward. Now, if I eat anything spicy, it flares up. My stool sticks to the toilet and I can't flush it away. Sometimes I can even see clear mucus..." He suddenly stopped talking, his face turning a little pale. "Dr. Fang, is this related to the pus discharge from my buttocks?"

Instead of answering directly, Fang Yan asked, "When you say 'pus discharge,' does it usually worsen before or after diarrhea? For example, during the days when you have diarrhea, is there a lot of rectal pressure and discharge?"

The middle-aged man suddenly slapped his thigh:
"Yes! How come I didn't think of that! Every time I have diarrhea, it's like there's a leak down there. If I walk for a long time, there's always mucus coming out. I always thought that the diarrhea had damaged my anus..." He became more and more anxious as he spoke, "But sometimes the mucus is white, and sometimes it's a little red. What's wrong with me?"

Fang Yan said to him:
"Open your mouth so I can see your tongue."

The patient complied.

After reading the red letter, Fang Yan nodded, then got up, poured a glass of water, and handed it to him, his tone softening:

"This is not an anal fistula."

He just noticed that the patient's tongue was pale and swollen with a white, greasy coating.

We now have a general idea of ​​what happened.

He spoke to the patient in a dialect:
"Do you remember how you cured your diarrhea? Did you use anti-inflammatory drugs, which helped at the time but then recurred?"

"I used the antibiotics from the ship, and the diarrhea stopped after two days, but it came back after less than two months..." The middle-aged man glanced at the door and lowered his voice, "Dr. Fang, please tell me, what exactly is wrong with me?"

Fang Yan said to him:
“You have ‘chronic dysentery’,” Fang Yan said, emphasizing each word. “Back then, the diarrhea wasn’t cured, and damp heat accumulated in the intestines, eventually leading to chronic dysentery. What you call ‘pus discharge’ is actually mucus and a small amount of pus and blood secreted by the intestines. Because of the chronic dysentery, the anus has become relaxed, and the increased abdominal pressure when walking causes the mucus to overflow from the anus. It doesn’t just flow out of thin air.”

The middle-aged man opened his mouth, but couldn't speak for a long time: "But...but I didn't see any pus or blood when I went to the toilet?"

“Prolonged dysentery can be caused by either cold or heat patterns. Your condition is ‘damp-heat accumulation combined with spleen deficiency,’” Fang Yan explained. “Dampness and turbidity make the stool sticky and difficult to pass. The pus and blood mixed in the stool are not easy to detect. Instead, they leak out from the relaxed anus with intestinal secretions. In addition, your long-term hard work at sea has weakened your spleen and stomach, which is why you feel weak and have anal distension.”

The middle-aged man suddenly realized, and then asked the man in the dialect:

"Is my illness easy to cure?"

Fang Yan took out paper and pen, his gaze falling on the patient's face, and said:

“Your illness is like a ditch clogged with silt. Just clearing the surface won’t help; you have to dredge it from the root.” He got up, took a few books from the side, placed them on the table as a pulse pillow, pointed to the patient’s left hand, and gestured for him to take them.

Then he said:

"Although chronic dysentery is stubborn, it is not incurable; it just requires a bit of 'slow and steady treatment'."

"First, we need to clear the damp heat from the intestines,"

The patient then reached out to take his pulse.

Then the scene fell silent, and Fang Yan began to take pulses.

The left hand comes after the right hand.

After Fang Yan understood the situation inside his body, he said:
"Your pulse is soft and slippery, which is a manifestation of dampness and turbidity affecting the spleen."

After saying that, he picked up his pen and said:
"I'll prescribe a formula for you, using Ge Gen Qin Lian Tang as the base, adding stir-fried Atractylodes macrocephala and Poria cocos to strengthen the spleen and remove dampness, and adding some Aucklandia lappa to regulate the flow of Qi in the intestines, just like opening a 'flood outlet' for a clogged canal."

Seeing the patient's brow furrow slightly, Fang Yan continued:
"The pus discharge you are worried about is actually a problem with your intestines."

“Prolonged dysentery damages the spleen and stomach, causing the sphincter muscles to relax. It’s like a city gate that can’t be closed properly, so intestinal mucus will naturally ‘leak’ out.”

He pointed to the patient's body and said, "When I give you acupuncture later, I will focus on replenishing the original acupoints of the spleen and stomach meridians to raise the Qi so that the body's 'gate' can close tightly."

“Of course, this disease is most afraid of being overworked and eating the wrong things,” Fang Yan said as he wrote, adding, “When you were on the ship, you always ate cold food, and cold and dampness easily affected your spleen. You must avoid raw, cold and greasy foods in the future. Cook some yam and lotus seed porridge every morning, which will not only nourish your spleen and stomach but also strengthen your intestines. This is like reinforcing the dikes of a canal.”

"Dr. Fang, how long will this treatment take?" the middle-aged man asked in a low voice, rubbing his hands together.

“It can’t be rushed,” Fang Yan paused, then handed over the written prescription:
"Take seven doses of medicine first, along with acupuncture treatment. You may feel increased anal distension for the first three days. Don't panic, this is a good sign that damp heat is being expelled. Once there is less mucus in your stool and your buttocks are no longer 'damp' when you walk, you can gradually replenish your body."

He paused, then said solemnly, "But there's one thing you have to remember: even if the symptoms are gone, you still need to consolidate the treatment for another three months, just like after dredging a canal, you still need to inspect it regularly, otherwise the silt will accumulate again."

The middle-aged man nodded after hearing this, but immediately asked again:

"If you leave tomorrow, who will I look for afterwards?"

PS: After finishing this chapter, I still owe everyone 63000 words.

That's all for today, please come early tomorrow.

Lao Feng is working hard to write tomorrow's code.

(End of this chapter)