Rebirth 1977 Great Era

Chapter 1080 Affordable Treatment Plan, the Face of Dialect (Bonus Chapter for Monthly Tickets: 28K)

A budget-friendly version was written directly in the local dialect.

The recipe is as follows:

熟地15g、山茱萸12g、枸杞子9g、生牡蛎30g（先煎）、龟板15g（先煎）、地龙6g、僵蚕9g、浮小麦30g、煅龙骨20g（先煎）、桂枝6g、白芍12g、玄参9g、芦根15g。

Rehmannia glutinosa, Cornus officinalis, and Lycium barbarum can replace placenta and deer antler glue. Rehmannia glutinosa nourishes the kidneys and replenishes essence, Cornus officinalis consolidates and astringes essence, and Lycium barbarum gently tonifies the liver and kidneys. All of these are low-priced basic medicines.

Raw oysters and tortoise shells are inexpensive and can help reduce facial swelling.

Earthworms and silkworm pupae are relatively inexpensive insect-based medicines that can clear the meridians and detoxify.

The use of floating wheat and calcined dragon bone to replace soybean husks for their function of strengthening the exterior and stopping sweating was only applicable in 1978. In the future, the price of calcined dragon bone would rise sharply for various reasons, and there were also some unscrupulous counterfeiters profiting from it.

Cinnamon twig and white peony root harmonize the body's vital energy and improve the contradictory symptoms of "being afraid of cold and sweating," and they are also relatively inexpensive.

Scrophularia clears heat, nourishes yin, and reduces deficiency fire, while reed rhizome generates fluids and protects yin.

After the affordable version was released, Fang Yan wrote an acupuncture treatment plan.

The main issue is that this affordable version of the medicine is definitely not as potent as the original, so to compensate for this, the dialect needs to work on other aspects.

Of course, acupuncture is a bit more complicated.

Fang Yan thought about it and decided to assist from three aspects.

Therefore, I wrote three sets of acupoint combination schemes, which are obviously much more complicated than the scheme he used at Peking Union Medical College Hospital.

Yang Jingxiang had seen Fang Yan get prescriptions at Peking Union Medical College Hospital.

Although the styles of dialects vary, there is generally a principle in prescribing medicine: use the best medicine if possible, and use as few acupoints as possible.

However, the style of the dialect has changed this time. Not only are all the medicines used inexpensive ones, but there are also more acupoints to be added.

The first set of acupoint combinations: replenish essence and marrow, nourish the liver and kidneys.

Main acupoints:

Kidney Shu (bilateral): Nourishes the kidneys and replenishes essence, repairing kidney qi damaged by drug toxicity.

Taixi (double): Nourishes kidney yin and reduces deficiency fire, targeting tinnitus and dizziness.

Sanyinjiao (bilateral): Regulates and nourishes the liver, spleen, and kidney yin, and improves poor appetite and constipation.

Procedure: Supplementation method, gentle stimulation, needles retained for 20 minutes.

The second set of acupoint combinations: suppressing yang and consolidating the body, regulating ying and wei.

Main acupoints:

Baihui (GV20): It raises clear yang and calms floating yang, resolving facial and head swelling, aversion to cold, and spontaneous sweating caused by "deficient yang floating upwards".

Guanyuan plus Qihai: consolidates vital energy, stops sweating and reduces urination.

Zusanli (bilateral): Strengthens the spleen and replenishes qi, harmonizes ying and wei.

operate:

Baihui (GV20) is used for both tonification and purgation. Guanyuan (CV4) and Qihai (CV6) are treated with moxibustion (to tonify Yang Qi and consolidate the body). Zusanli (ST36) is treated with tonification to enhance the source of nutrition and health.

The final set of acupoint combinations: detoxification, unblocking of meridians, and repair of nerves.

Main acupoints:

Fengchi (bilateral): Clears the head and eyes, unblocks the meridians, and improves dizziness and tinnitus.

Tinggong (bilateral): Directly unblocks the meridians in the ear and repairs the auditory nerve.

Hegu (bilateral) and Taichong (bilateral): calm the liver, extinguish wind, detoxify, and unblock the meridians.

operate:

Fengchi (GB20) and Tinggong (GB21) should be treated with a balanced approach of tonification and purg
Hegu and Taichong are used with purgative methods to relieve the toxicity and heat of the medicine.

Those who didn't know better might think that Fang Yan's medical skills had regressed, but Yang Jingxiang understood after a moment's thought: Fang Yan was simply considering the cost of long-term medication for the patients.

From an economic perspective, the goal is to treat the illness while minimizing costs.

"Alright, that's about it. Just pay attention to your diet in the meantime." Fang Yan finished writing the prescription and then said to the two people in front of him.

"Chili peppers, liquor, and chives can exacerbate internal heat, worsen night sweats and dry mouth, and also damage yin and deplete qi. Avoid these foods."

"Salted vegetables, fermented bean curd, cured meat and salted meat should also be avoided, as excessive salt intake can damage the blood and worsen her edema and the burden on her kidneys."

"Also, avoid eating cold and raw foods, as they can damage the spleen's yang energy and worsen diarrhea and chills."

"Finally, the medications you were taking have also been stopped."

"Besides..." Fang Yan hesitated, originally intending to offer the other person something good to eat to replenish their energy, but realizing that the other person was unlikely to have the financial means, he changed his words:

"Apart from what I just mentioned, please eat whatever you like."

Upon hearing the dialect spoken, the patient's husband quickly nodded repeatedly.

Next, Fang Yan tore off the copied page of the medical record and prescription and said to them:

"Alright, come with me to complete the admission procedures."

After saying that, he patted Yang Jingxiang on the shoulder:

"You can move on to the next one."

I'm quite familiar with the dialect at Dongzhimen Hospital; I've been here many times, and the medical staff here are also familiar with it.

When the nurses in the inpatient ward saw Fang Yan arrive with people to complete the admission procedures, they asked with some surprise:
"Dr. Fang, what brings you here?"

Fang Yan said with a smile:

"This is a free clinic in the class, I came here this afternoon."

The nurse pointed behind her:
"The one behind you?" he asked in a dialect.

"They are my patients. They came to complete the admission process, and I also came to hand over their duties."

The nurse handling the admission procedures suddenly realized:
"Oh, good! They haven't connected with our hospital's attending physician yet, right?"

Fang Yan shook his head and said:
"Not yet, I'm the one who sees them when they come to the hospital."

The nurse said to Fang Yan:

"Then I'll make a call and ask my superiors."

There must be a doctor to receive patients in the hospital; otherwise, if they are left in the hospital, no one will take care of them because they are not their patients.

If no one really answered, then it's no wonder that Fang Yan transferred the person to Peking Union Medical College Hospital.

"Thank you for your help," Fang Yan said to the nurse with a smile.

The other party smiled and said:

"No trouble, no trouble..."

Then he said to a young nurse who looked to be in her early twenties behind him:
"Xiaoyu, don't just stand there like an idiot, get Dr. Fang a chair!"

The nurse, who had been curiously observing the dialect, snapped out of her daze and immediately said:
"Oh oh, here it comes!"

Then she came out from behind the counter carrying two chairs. One was for Fang Yan, and she even remembered to give one to the husband of the patient behind Fang Yan.

"Dr. Fang!" she said, presenting the document to Fang Yan.

Fang Yan took the chair and sat down, then said to her:
"Thank you, are you new here?"

The nurse, seemingly unaware of the young man's background, said:

"He just joined last month."

Another nurse explained to Fang Yan:

"Educated youth returning to the city".

Fang Yan suddenly realized.

The nurse handling the transaction here has already hung up the phone:
"Dr. Fang, Dean Ouyang is coming right away."

Fang Yan was taken aback:
"How did we disturb him?"

The nurse smiled and said:

"Haha, you're different."

Hearing this conversation from behind, the patient's husband looked at the college student doctor with some curiosity, thinking to himself that college students are indeed different, even when they come to do business, they are treated with high regard by the staff.

Fang Yan chatted with the nurses for a while, inquiring about the changes at the hospital, and then Dean Ouyang arrived, speaking with his familiar Hunan accent.
"The dialect is the same as 'tsk'!"

Fang Yan quickly stood up and greeted Dean Ouyang. Fang Yan hadn't seen the old man since he returned from Japan last time. He seemed to be in good health and his appearance hadn't changed much.

"You seem to be getting younger with age," Fang Yan said to Dean Ouyang in surprise, noticing that he even had some black hair now.

Seeing that Fang Yan noticed this detail, Dean Ouyang said:

"Haha, to be honest, I recently found a great recipe."

"For kidney tonification?" Fang Yan asked.

Dean Ouyang nodded:

"Yes, hair is a reflection of blood and kidney health, so nourishing the kidneys has restored it, haha..."

Fang Yan gave him a thumbs up and said:
"It's all thanks to your good health regimen."

After speaking in dialect, he took out his medical record, pointed to the patient behind him, and said:

"By the way, I've seen a patient here who needs to be admitted to the hospital. She also has some kidney problems."

Upon hearing Fang Yan's words, Dean Ouyang took the medical record and began to read it.

The prescription written in dialect did not specify the person's financial situation, only that they had come from Inner Mongolia to Beijing for medical treatment. However, Dean Ouyang was a shrewd person. Upon seeing the person's clothing and the prescription written in dialect, he immediately understood their financial situation.

He nodded and said:

"Excellent! This prescription is very thorough. It addresses the root cause of liver and kidney deficiency while using affordable medicines to reduce the burden on patients. This is exactly how traditional Chinese medicine should be designed to benefit the people!"

Then he said to the patient's family:
"Comrade, please rest assured and stay here. It's not easy for you to come all the way from Inner Mongolia, so we'll reduce the hospital fees if possible. I'll personally oversee your wife's treatment. Dr. Fang is an expert at our hospital, and I'll personally supervise the patients he sees!"

Hearing the dean say this, the patient's family was pleasantly surprised. They hadn't said anything before, but the dean seemed to know everything and brought it up on his own initiative.

They quickly bowed to Dean Ouyang and Fang Yan to express their gratitude.

Then the dean, holding the medical records, said to Fang Yan:

"You continue with the free clinic. I'll have the research team follow up on the adjustments to the acupuncture and medication here."

"At the next ministry meeting, we should share more stories about these cases of treating serious illnesses with minimal expense with the whole country!"

He laughed in dialect:

"Thank you very much, sir."

The dean waved his hand and said:

"Let's not talk about that. They're all old acquaintances. If there are other patients who need to be admitted, just bring them over. The hospital will find a way to help if the patients have any difficulties."

"We run hospitals to serve the people, so if there's a problem, we'll definitely solve it if we can."

PS: After finishing this chapter, I still owe everyone 20000 words.

There will be more this afternoon.

(End of this chapter)