Rebirth 1977 Great Era

Chapter 1060 A stark contrast between hot and cold, showing no mercy (Bonus chapter for monthly votes: 3K chapters)

The dialect they were referring to was that of the children in Xiong Jing's family at the time.

The test results at the time were even more serious than this patient's condition; it was high-risk aplastic anemia complicated by liver failure.

At that time, Fang Yan was treated in consultation with Professor Ren Yingqiu.

However, the treatment mainly relied on dialects, with Professor Ren Yingqiu merely offering encouragement from the sidelines.

It took about a day; I was admitted to the hospital in the morning and out of danger by the afternoon.

For this reason, overseas Chinese businesswoman Xiong Jing even donated a building to Fang Yan's school.

The school is still under construction right now.

Upon hearing Fang Yan's reply, the staff at Chongwen Hospital were momentarily at a loss for words.

Fang Yan continued:

"I can visit the patient, but as for treatment, I can only use my own methods."

The middle-aged doctor at Chongwen Hospital repeatedly rubbed his fingers on the pocket of his white coat, his Adam's apple bobbing as if he wanted to refute the argument.

After about ten seconds, he spoke to Fang Yan:

"Is there a big difference between the previous patient from Singapore and ours? I want to know if you, as a pure TCM practitioner, are 100% confident that you can cure the patient?"

Before Fang Yan could answer, Fang Yaozhong exploded, immediately retorting:

"What are you talking about? We haven't even seen the patient yet, and you're already asking us if we have a 100% guarantee of a cure. Do you think we're gods?"

Another professor present, Chen Keji, also said:
"This is a patient you couldn't cure, and now they've come to us for a consultation. We can't accept your treatment plan, and now you're asking if our people have a 100% chance of a cure? That's completely unreasonable, isn't it?"

"Then let me ask you, if you are now using your method of combining traditional Chinese and Western medicine, are you confident that you can cure the patient 100%? If so, I can cooperate with you in the treatment."

Good grief, these two hot-tempered people got together today and unleashed a torrent of abuse on each other.

Actually, they were caught in the crossfire. Both of them were advocates of integrating Western and Chinese medicine back then, but the project was not completed due to the storm. However, they were still very resistant to this integration of Chinese and Western medicine.

Since we are going to cooperate, we can't let Western medicine dictate traditional Chinese medicine, or let traditional Chinese medicine just do patching things up.

Moreover, the two years of integrated traditional Chinese and Western medicine treatment had already demonstrated the problem.

Their logic is flawed.

In fact, everyone knows that since they've come all the way to Xiyuan Hospital, it means they're out of options.

We want to find a solution.

Xiyuan Hospital also attached great importance to this, not only inviting several experts from the hospital, but also bringing along local dialect experts.

As a result, the person from Chongwen Hospital still wanted traditional Chinese medicine to act as their antidote.

No wonder they got angry when they brought the prescription.

Several young doctors from Chongwen Hospital couldn't help but whisper among themselves in the conference room. One of them, wearing glasses, muttered under his breath, "Isn't Director Fang being a bit too impulsive...?"

"Me, rushing?" Fang Yaozhong suddenly turned to the young doctor. "When you've treated a patient to the point of death and then come to traditional Chinese medicine to 'clean up' the wound, you won't feel like you're rushing!"

The other person immediately shrank back.

The middle-aged doctor said to the prescription:
"Old Fang, you still have such a temper. We've known each other for a long time, and you still explode at the slightest provocation..."

Fang Yaozhong glanced at his watch and then said:
"I'm only angry because we know each other. Do you not understand me? Why bring this up in front of me? Forget it, now is not the time to argue about this. The patient doesn't have much time, and we don't have time to argue with you. In short, either let us take over, or you find someone else who is willing to take over."

After saying that, he threw the medical record in his hand in front of the other person:
"Make your own decision!"

The people at Chongwen Hospital looked at each other in bewilderment. At this moment, Fang Yaozhong stood up, and those who knew his temper knew that he was about to ask them to leave.

"Dean Fang, I was wrong! Comrade Fang, I was wrong!" The doctor was completely stunned this time and couldn't care about anything else. He apologized to Fang Yaozhong.

"We'll hand the person over to you; we won't interfere. You can treat him yourself," the other party said.

Fang Yaozhong glanced at the other person and then said:

"Let's go then, take us to see the patient."

Upon hearing Fang Yaozhong's words, the other party visibly breathed a sigh of relief and quickly nodded repeatedly, saying:
"let's go!"

"They are already waiting in the hospital bed."

At this moment, everyone stood up and followed Fang Yaozhong and the middle-aged doctor from Chongwen Hospital out of the ward.

When Fang Yan arrived at the second-floor inpatient department, she noticed several people in white shirts in the corridor, whose demeanor exuded the air of government officials.

This is a kind of discerning eye that comes naturally to people who have seen many dialects in this area.

Moreover, the ward they entered turned out to be a private ward, and Fang Yan then realized that the patient's identity was special.

No wonder the other party's attitude changed drastically during the consultation, and they hurriedly apologized and softened their stance; it turns out they had some reservations.

Inside the ward, a man in his fifties, dressed in a cadre uniform, sat waiting.

A middle-aged doctor from Chongwen Hospital immediately stepped forward and enthusiastically introduced them:
"Comrade Lu, the expert team from Xiyuan Hospital has arrived. This doctor with a regional accent has previously cured aplastic anemia. We just discussed Comrade Yang's condition in detail during the consultation and ultimately decided to use a pure traditional Chinese medicine treatment plan."

Upon hearing this, the man addressed as "Comrade Lu" responded in a thick Northeastern accent:
"Then I'll have to trouble the experts to do their work."

He had just finished speaking when he suddenly stopped and asked again:
"Who did you just say came?"

The middle-aged doctor at Chongwen Hospital pointed to the dialect:

“Fang Yan, it’s this guy…”

The other person immediately stood up, grabbed Fang Yan's hands with both of them, and said:
"Hey, Fang Yan! Hello, hello!"

"I originally planned to come to the capital to see you, but I didn't expect you to stop seeking medical treatment all this time..."

Fang Yan felt a little uncomfortable with the other person's enthusiasm.

He was certain he did not know this person.

"I'm from the local government in Jilin, and my hometown is Beijing... When your mother-in-law came to our area to do epidemic prevention work, I was assisting her. I had already heard of your great name back then. During the Great Flu in the Soviet Far East, it was all thanks to your traditional Chinese medicine prescriptions that our losses were minimized." Comrade Lu introduced himself, and also mentioned his connection to the dialect.

Although the relationship was indeed somewhat distant, Fang Yan still greeted him:

"Hello, Peking Union Medical College Hospital did not assign me to see patients, but I have been completing my internship at Xiyuan Hospital."

Comrade Lu slapped his thigh:
"Oh dear, if I had known this would happen, I should have come to Xiyuan Hospital sooner." Then he said:
"By the way, you're already working at Peking Union Medical College Hospital, so why are you still..."

Fang Yan waved his hand and pointed to the person lying on the bed whose entire body was yellow:

"Let's talk about other things later, let's give this to this person first..."

“My niece!” Comrade Lu said.

Nodding in dialect:

"Yes, let's check on her condition first."

"Okay, please come and take a look." The other party nodded repeatedly.

Fang Yan glanced at Fang Yaozhong and the other doctors, implying that he wouldn't stand on ceremony with them.

They all raised their hands to indicate that Fang Yan shouldn't be so polite.

Fang Yan rushed to the patient's bedside. Her age was no longer discernible because her entire head and face were swollen, and she had severe jaundice. She was still conscious at the moment.

Fang Yan looked at her eyes; the sclera was yellow.

Touching her forehead, I found she still had a slight fever.

Fang Yan then looked at her limbs. Her hands were still in normal condition, but her feet were in a bad state and had swollen up.

Fang Yan noticed her breathing rhythm, which was very short and rapid.

"How do you feel now?" Fang Yan asked the patient.

The patient said with a pained expression:

"Dizziness, weakness, bitter taste in mouth, and palpitations."

Fang Yan nodded. Although he was not in good condition, he was still conscious and his speech was still coherent.

Fang Yan touched the patient's left hand, and then Fang Yaozhong went to the right side, and the two of them took the pulse at the same time.

He asked the patient in dialect:
Have you gone to the toilet?

"Yes, I have." The other person nodded.

Fang Yan continued to ask:

How are your bowel movements and urination?

The patient said:
"I don't urinate, and my stool is very loose, but it's not the kind of diarrhea."

"Loose stools?" Fang Yan asked.

The other party nodded:

"Ah."

Then, in dialect, he continued:
"Stick your tongue out and let me see."

The other person stuck out their tongue, and in dialect, the tongue was pale red with a thin white coating.

Then Fang Yan began to focus on taking the pulse. By the time he finished his diagnosis, the diagnosis of the other side of the prescription had also been completed.

"The pulse is weak and wiry," Fang Yan said to Fang Yaozhong.

The other party nodded:

"I am here too."

Fang Yan nodded.

He began taking out paper and pen and started analyzing and recording the medical cases:
The patient's face and head were puffy as if wrapped in cotton, and his eyelids were swollen and translucent. This is the manifestation of water overflowing into the plateau, as described in the "Suwen Water and Heat Acupoint Theory" which states that "its root is in the kidney and its end is in the lung." The patient's skin was yellowed like an orange but without luster, and the sclera was yellowed with blurred borders. Unlike the bright yellow of Yang jaundice, which is like orange peel, this jaundice is more in line with the characteristics of Yin jaundice, which is "dim yellow like smoke."

The swelling of the limbs is more severe in the lower limbs, and the indentation does not rebound when pressed, indicating that the spleen is not functioning properly and that water and dampness tend to flow downwards. This is consistent with the statement in "Jingyue Quanshu" that "all edema and other diseases are diseases that are related to the spleen, lungs and kidneys".

Shallow and rapid breathing, with difficulty inhaling, is a typical manifestation of "kidney failing to receive qi"; bitter taste in the mouth without dryness, combined with loose stools, suggests obstruction by cold and dampness and upward reversal of gallbladder qi, rather than the bitter taste and dry throat caused by heat.

The patient complained of "palpitations and dizziness," which corresponded to severe anemia with a red blood cell count of 90/μL in a blood test. Traditional Chinese medicine diagnosed this as "deficiency of both qi and blood, and failure of clear yang to ascend," just as described in "Ling Shu Kou Wen": "When the upper qi is insufficient, the brain is not full, the ears suffer from tinnitus, and the head suffers from headache."

The pulse at the cun position is both weak and wiry: a weak pulse indicates severe deficiency of qi and blood, feeling feeble with light pressure and empty with heavy pressure; a wiry pulse indicates pain and blood stasis. Here, the "weak and wiry" pulse is due to insufficient essence and blood and inadequate pulse channels, rather than the strong and forceful pulse caused by obstruction by pathogenic factors. The pulses at both chi positions are deep, thin, and thready, suggesting kidney yang deficiency and an inability to warm and transform dampness, which aligns with the statement in "Binhu Pulse Study" that "deep, thin, and soft pulses indicate weakness, primarily due to kidney qi deficiency and cold."

After a pause, Fang Yan wrote down the core pathogenesis:
The root cause is deficiency of both the spleen and kidneys, while the manifestation is obstruction by cold and dampness.

Upon seeing the content written in dialect, the people nearby all nodded in agreement.

This situation is slightly different from that of Xiong Jing's daughter. The commonality is that both are high-risk aplastic anemia complicated with liver damage. The pathogenesis of both involves spleen and kidney deficiency and the mutual binding of toxins and blood stasis. Both can be treated with the principle of warming yang and resolving dampness, and replenishing marrow and generating blood.

The difference is that the case of Xiong Jing's daughter in Singapore was characterized by excessive damp-heat and toxicity (jaundice index of 120 μmol/L accompanied by high fever), and at that time, Rhinoceros Horn and Rehmannia Decoction was used in large quantities to cool the blood and detoxify.

However, this case is mainly due to "cold-damp stagnation" (no high fever, pale tongue with white coating), so it is necessary to warm and transform the cold-dampness, and the direction of medication is completely different from that of cold and heat.

His condition is now quite critical; his pulse is weak and thready, and his breathing is rapid. There is a risk of his vital energy and blood being depleted, so it is necessary to stop the bleeding and reverse his critical condition.

"How is it? Do you have a solution?" At this moment, the doctor from Chongwen District came over and looked at what Fang Yan had written.

Fang Yan and several other doctors from Xiyuan Hospital looked at him, with Fang Yaozhong and Chen Keji giving him expressions as if he were an idiot. Wasn't that obvious?
The dialectical approach has already been written out, so why are you asking if there's a solution?

He asked again:

"Yes? Then...why don't we discuss it?"

Fang Yan instantly understood... this person wanted to share some of the credit.

He was also speechless.

Fang Yaozhong sneered:

"Do you understand when I tell you?"

That's just his temper; I won't tolerate it.

PS: After finishing this chapter, I still owe everyone 37000 words.

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

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

(End of this chapter)