Rebirth 1977 Great Era

Chapter 1076 A Lunch with a Stark Difference, This Illness is Called: Thyroid Tract (Two Chapters Combined)
"Please don't get agitated!" Jiao Shude said to the patient.

The patient glared:

"How could I not be agitated? They made me take the blame for such a huge mistake!"

Are you trying to persuade me not to stoop to their level?

Jiao Shude had a headache. There were so many people here, and if they started arguing, the impact would be terrible. It was fine to make a fuss over other things, but if they made a fuss over Western medicine, people would think that traditional Chinese medicine practitioners were instigating it.

Just then, he heard Fang Yan speak softly from the side:

"I'm not trying to persuade you, I just need you to calm down for now. Your wound hasn't healed yet, and getting angry will speed up your blood circulation. You'll probably bleed a lot here later."

patient:"……"

She looked down at her fingers and saw that blood was indeed seeping out. She took a deep breath and said:

"Thank you!"

"You're welcome," Fang Yan waved his hand.

The woman wanted to cause trouble, and Fang Yan had no objection, but she had to clear herself of any wrongdoing.

Originally, this matter had nothing to do with them; it was the patient's own choice to go. But now she keeps talking about it in front of everyone, and when others hear it and spread it, it might become "Jiao Shude and his two apprentices instigated the patient to cause trouble at the hospital."

They didn't even lift a finger, so they're just taking the blame.

He believed that his master must have thought of this as well, which was why he advised the patient to calm down.

These cultural figures wield considerable influence; a single article they publish can have a significant impact.

The dialect they used to say that being careful with one's words and actions was to prevent this kind of thing from happening.

However, when encountering such patients, one cannot say that they are afraid of taking the blame.

We also need to tell her from the patient's perspective that the disturbance here is bad for her health.

This will help to ease his emotions.

Once the patient's emotions had calmed down a bit, Jiao Shude quickly called out to Fang Yan and Li Zhengji:

"Alright, everything's fine now. You guys go and see the other patients."

The two agreed and saw their master, Jiao Shude, off.

Dialects have also returned to their rightful place.

Soon other patients saw that they had a free time and came over.

Today is different from other days; none of the patients here seem to be in a hurry.

They don't wait in line patiently; they only come when they see an empty seat.

The patient had just made a scene, and her friend, who was nearby, immediately pulled her aside and began asking what had happened.

After hearing her accusations, everyone was incredibly curious.

Now she immediately became the center of attention in the crowd. Everyone saw her aggrieved look and wanted to know what had happened.

Fang Yan is fine as long as she doesn't cause trouble here.

Next, Fang Yan continued to see some relatively common patients, and the treatment was not difficult.

By noon, almost all the patients who had arrived that day and were feeling unwell had seen a doctor. Fang Yan had seen a total of twelve patients that morning.

Li Zhengji saw a total of nine patients this morning.

People here may choose their doctors, but they don't insist on seeing a particular doctor.

The difference in numbers between Li Zhengji and Fang Yan is not significant.

Fang Yan had basically discerned Li Zhengji's medical skills; as long as the illness wasn't particularly rare, he could handle it with ease.

In addition, their master instructed them to use classical prescriptions, so they didn't have much room to improvise with their dialects.

The prescribed medications were all pretty much the same.

However, these TCM practitioners who are skilled in the dialectical application of classical formulas are already among the top tier of young TCM practitioners today.

Especially in the area of ​​dialectics, it is very easy to set oneself apart from others.

Of course, if they don't use classical prescriptions and instead use their own interpretations, the difference between them will be even greater.

Fang Yan's biggest takeaway this morning was seeing his master use traditional Chinese medicine surgery techniques. He also got to know many big names in the arts and culture field in China.

Most of the people here today are cultural workers from Beijing or cities that are relatively close by.

This is a national conference, so there will be even more people.

For lunch, Fang Yan and his team were seated in a private room. Everyone present was from the Central Medical and Healthcare Team. Although the medical staff didn't seem like many people when they were spread out, there were actually quite a few people when they were all gathered together.

However, this work lunch is indeed a bit simple, especially considering the local dialect.

Taro and cabbage, stir-fried cucumber and pork, cold shredded carrot salad, a bowl of kelp soup, the staple food is a mixture of millet and rice, and there are also steamed buns and other steamed bread to choose from.

Although it was already quite good in the eyes of many people, Fang Yan had just passed by the banquet hall of the artists and saw that when the leaders inside were giving speeches, the food carts waiting to be served outside were filled with a very sumptuous selection of Huaiyang cuisine.

Fang Yan felt that the work of the Central Medical Care Group seemed to be neglected.

Of course, it's more likely that the previous dialect activities were all organized by Director Liao, and the meals were mainly provided by the Yanjing Hotel, so the situation is different.

Fang Yan and Li Zhengji sat next to their master, Jiao Shude, eating while asking him questions:
What are our plans for this afternoon?

Jiao Shude answered while eating his food:

"The health care team, consisting of both traditional Chinese medicine and Western medicine groups, will hold a summary meeting this afternoon to review the morning's work, check everyone's medical records and prescriptions, and correct any errors promptly."

Fang Yan felt a headache coming on when he heard that a meeting was scheduled, and asked:
"Then let's not go, shall we?"

"You reviewed all our medical records this morning."

After hearing this, Jiao Shude thought for a moment and said:
"It's fine if you don't want to go. After you finish eating, go back to school to register. Remember to be here at 9:30 tomorrow morning."

“Okay!” Fang Yan and Li Zhengji responded in unison.

After finishing their meal, the two said goodbye to their master, returned to the clinic they had been working at that morning, tidied up their medical tools, and then made their escape.

When they arrived at the parking lot and put their things in the trunk of the car, Li Zhengji let out a long sigh of relief and then said to Fang Yan:

"The mission is finally completed today. Fortunately, although there were some twists and turns, at least it was successfully completed."

"To be honest, if you hadn't mentioned surgery today, I would never have suggested it. Her problem is better treated conservatively."

Fang Yan said to Li Zhengji:
“The patient was very emotional at the time. If we had suggested conservative treatment, she might have criticized us as well.”

"That's when things will really get tough."

Upon hearing Fang Yan's analysis, Li Zhengji realized that Fang Yan's words seemed to make sense.

"Let's go, get in the car! Let's go to Dongzhimen Hospital and see how their medical care is going." Fang Yan called out and opened the driver's side door.

After getting in, Li Zhengji also got into the car.

The car started and headed straight for Dongzhimen Hospital. The traffic was noticeably more congested at this time of day. It took about forty minutes to get from Xicheng District back to the entrance of Dongzhimen Hospital.

After greeting the security guard, Fang Yan drove directly into the hospital, parked the car, and then the two brothers went to the outpatient building to find someone.

"Are they still resting at school? It's lunch break now," Li Zhengji asked Fang Yan, shaking his watch.

Fang Yan said to him:
"Probably not. If the free clinic is a full day, there will be patients all the time, and the intensity will be much higher than when we are in the morning."

People like them, who couldn't even form a queue in the morning, would chat on the side first, and then go to see a doctor when they saw an empty spot. These are people who don't lack medical resources.

Free clinics cater to ordinary people, who are the ones who lack medical resources the most.

As long as there is a place for them to see a doctor, they will not be picky about the doctors there. They will just wait in line for an examination, have their ailments examined, get a diagnosis, and then get a prescription.

Traditional Chinese medicine is often perceived as inexpensive and affordable; although the effects may be slower, it can still cure illnesses.

Compared to Western medicine, traditional Chinese medicine does not place a significant financial burden on families.

The school holds free clinics to help people get their ailments treated in the most economical way possible, while minimizing their expenses.

When it comes to free medical clinics, dialects actually have a lot to say.

In his past life, he was a doctor who went to many remote mountainous areas to provide free medical services.

He has firsthand experience with all sorts of problems that can be encountered during free clinics.

The living conditions of ordinary people in the capital are actually much better than those in other places. The challenge of providing free medical consultations here is not that great. There are so many hospitals in the city, and you can find all kinds of Chinese medicinal herbs. In those remote mountain valleys, some mountains can barely grow any grass, and there are only a few kinds of plants and animals in the area. The prescriptions are usually not enough for the locals to gather.

They have to find ways to treat patients using the resources available locally.

Every time Fang Yan goes to the free clinic, she feels like she's been skinned alive.

Of course, it's also the most challenging time, and at times like this, Fang Yan feels like a traveling doctor.

He doesn't care whether the resources around him are authentic or not; as long as they can be used, that's good enough. He's even used local folk remedies, just like Lei Lian's grandfather in his class. As long as it can cure the disease, folk remedies are good too.

While thinking about the dialect, they arrived outside the outpatient building of Dongzhimen Hospital.

Before they even reached the top of the steps, they saw a group of people eating from lunchboxes, and another group of people busy treating patients.

The two of them immediately realized that they were changing shifts for lunch.

It was clear that things were much busier than they had imagined.

Song Jianzhong, who had just finished eating, looked up and saw Fang Yan and Li Zhengji returning from the bottom of the steps.

I quickly called out to them:
"Brother Fang, Brother Li!"

Upon hearing this call, everyone turned to look at Fang Yan and his group.

"Why are you back? Didn't Lao Liu say you were being transferred to handle some important business?" Meng Jimin asked Fang Yan and the others as he walked over with a lunchbox in his hand.

Fang Yan glanced at the food in his lunchbox.

Goodness, braised pork, braised chicken with potatoes, and huge meatballs.

Li Zhengji was also surprised:
"You're eating so well, it's all meat?!"

Meng Jimin said:
"Don't pretend to be envious here, you guys definitely ate better!" Li Zhengji shook his head:

"To be honest, we didn't eat as well as you guys at lunch."

Deng Nanxing walked over, also carrying a lunchbox, and said:
"You're kidding, that's impossible."

"With Brother Fang around, how could we possibly eat badly?"

The dialect was corrected:
"I'm working under another medical unit today, and the food there is quite healthy."

The dialect didn't mention that they were treating patients in the Central Medical Care Group; if they did, others would be even less likely to believe that the food they ate was bad.

Hearing this in dialect, everyone was certain that Li Zhengji wasn't lying.

Brother Fang's way of expressing himself is rather tactful. Generally, the things he calls healthy food are those that are not very oily and not very tasty.

However, Lao Liu also instructed that people should not ask Fang Yan and Li Zhengji what they were doing.

So they didn't ask any further questions, but the quick-witted ones immediately said:
"I'll go to the cafeteria and get some for you."

The speaker was Du Heng.

Song Jianzhong and Yan Yifan immediately agreed to join in.

Zhang Yanchang and Yang Jingxiang, who were still treating patients, could only glance at it while the others tried to curry favor with Brother Fang.

"Isn't that unnecessary?" Li Zhengji said.

The dialect says:

"I'm still hungry, so please bring me some more."

Du Heng was the first to run over, followed closely by Song Jianzhong, who said, "I'll get Brother Fang another bowl of soup."

Yan Yifan, who acted last, paused for a second before asking Li Zhengji:
"Does the vice squad leader want some?"

Li Zhengji patted his belly and said:
"Then give me less..."

Then Yan Yifan went to get his food.

Seeing Li Zhengji's expression, Meng Jimin, who was standing to the side, almost laughed.

However, he still explained to Fang Yan and the others:
"The hospital knew we were offering free medical consultations here today, so they upgraded the food."

"That's good. Our Dean Ouyang really knows how to care for people." Fang Yan nodded.

After seeing a patient, Xiao Chengzhi asked them:

"By the way, are you free this afternoon? Or did you come over specifically during your lunch break?"

Fang Yan looked at Xiao Chengzhi and, thinking about the telegrams this guy had revealed about returning to Guangzhou, felt that this kid was like a camera that Deng Tietao had installed in Beijing.

"It's alright. I finished my doctor's appointment this morning, and I'm planning to participate in the group activities here this afternoon," Fang Yan replied.

Xiao Chengzhi said:
"Then I think you should give us some guidance on treating our difficult and complicated cases. We encountered two such cases this morning that we couldn't resolve. We'll have the other patients come over tomorrow so you can take a look at their medical records and give us some feedback. If anyone else encounters a difficult case this afternoon, could you take a look?"

Meng Jimin whispered to Fang Yan:

"The main thing is that you sit here. Once the patients know who you are, they will all line up here with you."

Fang Yan smiled and said to Xiao Chengzhi:

"Okay, Lao Liu, if you're in charge, then of course I'll follow your instructions."

Xiao Chengzhi scratched his head. He had also considered that if Fang Yan was the doctor, other people basically wouldn't be able to see a doctor.

Moreover, using dialects to see a doctor nowadays isn't very challenging.

"Brother Fang, the food is here!" Du Heng ran over with a lunchbox in his hand. Fang Yan took it and found that the food inside was really substantial.

It was literally packed tightly; the food inside was pressed down so hard that Fang Yan felt it could be used as a brick if it were pressed down any further. He took the chopsticks from Du Heng and started eating. As a martial artist, he had a bigger appetite than the average person, so eating was no problem for him at all.

As I practice martial arts every day, my body is gradually improving, and my appetite is also increasing.

After a while, Song Jianzhong and Yan Yifan also returned.

Song Jianzhong was quite good at handling people; when he went to get soup, he also got a portion for Li Zhengji.

Li Zhengji didn't actually eat much at noon. He felt that the exertion from working all morning was much greater than what he would experience seeing and treating patients at Xiyuan Hospital.

Although his lunchbox didn't contain as much food as the local dialect version, it still had a fair amount.

After finishing this lunchbox, Fang Yan and Li Zhengji were finally full.

The two took a sip of soup to clean up the gaps, and then prepared to start their afternoon work.

At this point, Meng Jimin and the others who had finished eating went to take over, and Xiao Chengzhi, Zhang Yanchang, Yang Jingxiang and the others went to the cafeteria to get their food.

Fang Yan and Li Zhengji were somewhat taken aback.

"What's going on? They haven't eaten yet?" Fang Yan asked Meng Jimin.

Old Meng nodded and said:

"Okay, we'll eat first, and they can eat later."

"At first, there were a lot of people here. We wanted to get lunch at noon, but we couldn't leave, so we had to wait until now."

Fang Yan and Li Zhengji then understood.

Old Xiao is definitely a good class monitor.

When Xiao Chengzhi and the others returned with their meals and started eating, Fang Yan went over to them and asked about the two difficult cases from that morning.

"Ah Xing, where's your medical record?" Xiao Chengzhi called out to Deng Nanxing.

Deng Nanxing was already treating someone, and he waved the notebook in his hand as he said:

"Here are the medical records."

Fang Yan walked over and took it, then saw the medical record he had written.

This guy's writing is rather rudimentary:

The patient, Mr. Zhen, is 73 years old.

He was brought in a wheelchair by his family. He was initially conscious and stated that he was capable of movement. The reason he was in a wheelchair was because strange phenomena would occur to his body whenever he made certain movements.

"For example, if I turn my head left or right, I'll experience tinnitus in one ear; turning left, I'll experience tinnitus in my right ear; turning right, I'll experience tinnitus in my left ear, and I'll start seeing stars. Then my calves will start to feel sore and weak."

"If you stop moving around, all the symptoms will subside. But if you continue moving, your vision will suddenly go black and you won't be able to see anything. At this point, you can only recover by lying down for about half an hour."

The tongue is red with no coating, and the pulse is thready, wiry, and slightly slippery.

Xiao Chengzhi said to the dialect:
"The patient said that he had seen both Chinese and Western medicine doctors before. The Western medicine doctor guessed that it was vertebral artery disease or cerebral blood flow autoregulation disorder. The Chinese medicine doctor said that the qi and blood in the neck were not flowing smoothly and the clear yang was not rising. However, the treatment was not very effective, and the hospital was not sure what the problem was."

"Ah Xing didn't figure out what was going on either, so he told the old man to come back tomorrow, thinking that you would definitely come back, and he might find out by asking you."

While stuffing something into his mouth, Yang Jingxiang asked Fang Yan curiously:

"Brother Fang, have you ever seen this disease in medical books?"

Fang Yan frowned, looked at it, and asked:

"Does he still have a slight fever, and are his hands and feet still twitching?"

Deng Nanxing, who was receiving treatment nearby, turned around and exclaimed in surprise:
"Hey, there really is!"

"Then why didn't you write it down?" Xiao Chengzhi asked him.

The dialect also says:
"Yeah, then why don't you write it down?"

Deng Nanxing was somewhat speechless. He scratched his head and said:

"We weren't sure at the time..."

"Brother Fang, if you know about this, you must know what kind of disease it is, right?"

"I know," Fang Yan nodded.

Everyone perked up immediately upon hearing the answer in dialect.

I just want to know what this problem is.

Some people have already started praising it:
"As expected of Brother Fang, he knows everything just by asking."

Fang Yan said to them:

"This disease is called 'chìzòng,' which is a severe spasm or convulsion in traditional Chinese medicine."

The phrase originates from the *Huangdi Neijing* (Yellow Emperor's Inner Classic): "When the tendons and vessels are tense and pulled together, the disease is called 'chilu' (瘛疭)." It also states, "Feverish episodes of fright, chilu, and madness." Song Dynasty scholar Jin Chengwuji, in his *Shanghan Mingli Lun* (Treatise on Cold Damage), also wrote: "Chilu (瘈) refers to tense tendons and vessels, while chu (疭) refers to relaxed tendons and vessels. When tense, the tendons and vessels contract; when relaxed, they extend and relax. This contraction and extension, this continuous movement, is called chilu. Commonly known as convulsions, this is what it refers to."

"In addition, there is a record of this disease in the Ling Shu. I don't know if you remember it. The original text is: 'When the marrow sea is insufficient, the brain will spin, the ears will ring, the legs will be sore and dizzy, the eyes will be unable to see, and one will feel lethargic and want to lie down.'"

"The content here actually describes the symptoms of this disease. Try to recall if it matches up with your own experience."

After recalling what the speaker said and then looking at Deng Nanxing's records, many people slapped their thighs in realization:
"Wow, it actually matches!"

"Good heavens, so that's where I was hiding..."

"I didn't even notice it at the time, I just felt like I had a vague impression of it. Brother Fang's memory is really sharp, he remembers it all so clearly."

At this moment, Cheng Baogui, who was also the class monitor, came over and asked Fang Yan:

"So, Brother Fang, you mean his illness is a problem with his marrow and sea of ​​bones?"

Fang Yan nodded and said:

"This is a syndrome of 'water failing to nourish wood, causing internal wind to stir.' The liver is like an organ belonging to the wood element, relying on kidney water for nourishment. The kidney is an organ belonging to the water element, with the function of storing essence and generating marrow. Now the patient is over seventy years old, the kidney qi has declined, the true yin is deficient, the marrow sea is not nourished, and in addition, the yin deficiency cannot restrain the yang qi, the deficient yang floats upward, rotating and disturbing the orifices of the mind, so dizziness and vertigo will occur with any activity."

"When kidney water is deficient, it cannot nourish liver wood, which in turn leads to a deficiency of liver blood."

"When the collaterals lose the nourishment of yin blood and the tendons and veins lose their moisture, they will show signs of stiffness and discomfort. This can be seen as involuntary twitching of the hands and feet, and even occasional twitching and spasms."

"The medical record also states that his tongue is red without coating, and his pulse is thin, wiry, and slippery. A thin pulse indicates insufficient Yin and blood, a wiry pulse suggests excessive liver Yang, and a slippery pulse indicates internal heat. In such cases, the tongue usually appears as a bright red surface without coating, or with cracked lines, which matches the description."

PS: The basic chapter of 6000 words is now complete. There will be an extra chapter later.

(End of this chapter)