Rebirth 1977 Great Era

Chapter 1148 Simmering Pus and Pusting Tendons, Asking for Techniques from North and South (Bonus Chapter for Monthly Tickets)

After the meal, Fang Yan went to Peking Union Medical College Hospital.

The weather was already quite hot in early July, so after lunch, the students would come to the meeting room to cool off instead of going elsewhere.

In the past, when I walked into the hallway, I could hear people talking in the meeting room.

As a result, when the dialect reached the door today, it was still quiet inside.

He thought no one was inside, but when he opened the door, he saw everyone holding pens and notebooks, writing something.

When they saw Fang Yan arrive, everyone greeted him.

"Brother Fang!"

"Monitor!"

The sounds rose and fell incessantly, and for a moment the entire conference room seemed to come alive.

The dialect sounds a bit strange; everyone seems a little different today.

But he immediately understood.

It turned out to be the six people from Guangzhou University of Chinese Medicine. They were gathered in a small circle, holding paper and pens, as if they were writing something seriously before Fang Yan came in.

This atmosphere inspired Fang Yan and his classmates. Since everyone else was studying diligently after meals, they, as competitors, had no reason to relax at this time, so they decided to study together.

This has stirred up a competitive spirit in everyone, Fang Yan thought to himself.

"Dr. Fang!" Xu Jianqiang and the others greeted Fang Yan.

Fang Yan smiled at them and asked:
"How is it? Do you like the food from the north?"

"It's alright, the taste is pretty good," Xu Jianqiang said.

However, Li Hui and her friend were even more direct. Li Hui said:

"It's pretty good. This hospital is indeed worthy of being called Peking Union Medical College Hospital. For lunch, they not only have steamed buns and rolls, but also rice and millet to choose from, and there's even meat."

Lin Xueling stated:

"Exactly, it's much more lucrative than our school, haha, no wonder it's the Imperial Medical Academy! It must be so wonderful to work here."

This is what they truly mean.

Fang Yan has eaten at the school's food before. Although it was okay, the amount of meat was slightly less than that of Xiehe.

Unfortunately, since September 1, 1956, Peking Union Medical College Hospital has been under the leadership of the Ministry of Health, and it remains a hospital directly under the Ministry of Health to this day.

As a key unit in the domestic medical system, it has advantages that other hospitals do not have in terms of medical policy support and resource allocation.

Their benefits and compensation are unmatched by any other organization.

They had a meal here today, and they've seen just the tip of the iceberg, but they're still reluctant to say anything too positive, otherwise they feel like they'd lose face.

Dialects are understandable; after all, it's human nature.

All of them are still university students.

While not as adept at interpersonal relationships as seasoned veterans, Fang Yan was able to discern at a glance what these people were thinking.

Fang Yan didn't dwell on the issue for long. He glanced at his watch and then addressed everyone:

"Alright, it's about time now. How about we start a dozen minutes early?"

Since Fang Yan has said so, no one else has any objections. During lunch today, I heard that Fang Yan saw patients and performed traditional Chinese medicine surgery at noon, and there was also a patient with a brain problem.

These are things that are rarely seen before. This group of overseas Chinese businessmen who returned to China were about to finish their treatment. Logically speaking, the symptoms of patients become milder as they progress, so everyone thought there wouldn't be any special cases. But unexpectedly, today people from Guangzhou University of Chinese Medicine came and actually encountered two such cases.

One of the elderly women even experienced a worsening of her condition after returning home.

These people really got lucky today.

If they had arrived a few days earlier, Fang Yan's medical cases wouldn't have been particularly difficult; most of them could have solved them with a little more time. Seeing that everyone agreed, Fang Yan went to the podium, clapped his hands, and said to the crowd:

"Students, let's now formally get to know our distinguished guests who are here for today's exchange."

He stepped aside, gesturing towards Xu Jianqiang and the others, his tone shifting to the solemnity of an introduction:

"This is Xu Jianqiang, and this is Zhou Huiwen,"

Fang Yan first pointed to two somewhat composed young men sitting side by side:
"Their teacher is Professor Huang Yaoshen, the director of the Department of Traditional Chinese Medicine Surgery in Guangzhou! Professor Huang's external treatment methods of 'suppressing pus and removing necrotic tissue' and 'nibbling away at necrotic tissue' are at the top level in China. These two are direct disciples who have inherited Professor Huang's true teachings and are very accomplished in traditional Chinese medicine surgery."

Xu Jianqiang and Zhou Huiwen quickly bowed, their faces showing both pride at having their lineage revealed and shyness at being thrust into the spotlight.

"This is Xu Zhiyuan," Fang Yan said, pointing to the refined-looking Xu Zhiyuan beside him.
"He studied under Professor Liu Shichang, a renowned expert in febrile diseases in Lingnan. Professor Liu had a unique insight into the diagnosis and treatment of febrile diseases damaging Yin and damp-heat syndrome." Xu Zhiyuan adjusted his glasses and nodded steadily.

"This is Chen Zhongping," Fang Yan said, pointing to another student.
"This is Professor Liang Naijin's prized student. Professor Liang is skilled in treating difficult and complicated spleen and stomach diseases, especially in the relationship between gastrointestinal dysfunction and arthralgia. He regulates the spleen and stomach to treat all kinds of diseases."

“These two female students,” Fang Yan said with a gentle smile, turning to Li Hui and Lin Xueling:
"This is Li Hui, a student of Professor Zhao Sijing, a renowned expert in traditional Chinese medicine and known as the 'Living Encyclopedia of Lingnan Herbs'; Lin Xueling is the niece of Professor Situ Ling, the 'King of Acupuncture' in Lingnan, and has also inherited Professor Situ's acupuncture skills." Li Hui smiled generously, while Lin Xueling nodded quietly in acknowledgment.

After the brief introduction, Fang Yan clapped his hands:

"As you can see, these gentlemen are all from prestigious families, bringing with them the strengths of various schools of thought in Lingnan. The highlight of this afternoon is to invite them to share their perspectives and the skills they have learned with us. In particular, the three cases I handled this morning, as well as Xiao Chengzhi's case of heat paralysis, will provide us all with valuable learning opportunities by hearing insights from different schools of thought!"

As soon as he finished speaking, enthusiastic applause rang out in the conference room. Li Zhengji, Cheng Baogui, and the others stared intently, filled with a desire to learn. They, like Fang Yan, were eager to absorb something from these people.

The six-person group from Guangzhou exchanged glances, and Xu Jianqiang, as the "leader," was ultimately chosen to speak on behalf of the group. He said:

"Dr. Fang, students, you're too kind. It's our honor to exchange ideas with you all. The cases you handled this morning were all excellent, especially the surgical treatment of that diabetic gangrene, which was exquisite and truly eye-opening. Dr. Fang, would you like to tell us which aspect you'd like us to share your thoughts on?" His words were both humble and subtly passed the buck back to Fang Yan, demonstrating his tact.

Fang Yan wasn't afraid of his tricks at all, and smiled as she said:

"We only have a few types of patients this morning, so let's divide the work. The surgery department will handle the elderly woman's diabetic gangrene. Xu Jianqiang and Zhou Huiwen, you two are both students of Professor Huang, so you must have a deep understanding of debridement and necrotic tissue removal. Based on the patient's condition and my treatment methods at the time, could you explain the Lingnan surgical approach to us? Or do you think there's any room for improvement? Feel free to speak your mind!"

"Xu Zhiyuan and Chen Zhongping, Ms. Xu from Canada has 'fishnet spots,' which is a blood disorder, but it presents in a special way, with blood stasis induced by cold."

"There was also the 'heat paralysis' that Xiao Chengzhi later treated, which was aggravated by taking tiger bone wine."

"This febrile disease emphasizes the differentiation of syndromes based on the Wei Qi, Ying Qi, and Xue, as well as the San Jiao. The spleen and stomach are related to the production of Qi and blood. These two cases involve the intertwining of wind, cold, dampness, heat, and blood stasis, and there is also some deficiency syndrome involved. I would like to hear how you, the Lingnan school of febrile disease and experts in spleen and stomach treatment, view the transformation of this pathogenesis and your medication preferences?"

"Li Hui and Lin Xueling, that patient with multiple sclerosis, was diagnosed with dampness obstruction in the Triple Burner, blood stasis, and Yin deficiency of the Liver and Kidneys. I have prescribed a formula, which mainly focuses on clearing the Triple Burner, removing blood stasis and unblocking the meridians, while also nourishing Yin and strengthening the Spleen."

“I know that Professor Zhao is proficient in medicinal herbs unique to Lingnan and even those imported from Southeast Asia, and Professor Situ is skilled in using acupuncture to connect the exterior and interior of the body. This disease is chronic and difficult to cure, and the lesion has penetrated deep into the marrow. Are there any commonly used and uniquely effective herbs from Lingnan that we can refer to? Or do you have any supplementary suggestions on treatment strategies or auxiliary methods, such as combining acupuncture and medication?”

This division of labor is extremely clear, perfectly combining the advantages of the six people's mentorship with the key cases in the morning. It can be said that everyone has been arranged very clearly.

The group exchanged glances, knowing they would have to reveal all their secrets today. They had originally intended to speak casually, but Fang Yan's short speech had covered almost all the skills of their sect. If they didn't reveal some real talent, it wouldn't be fair.

As for the other students present, their eyes lit up after hearing Fang Ge's analysis, clearly he had outlined all the key points that everyone was about to hear.

What these six people should listen to is something they were talking about. Before, everyone was completely confused, but now a few words in the dialect have made everything clear.

Now that they've started speaking in dialect, there's nothing anyone can do. Xu Jianqiang picked up what he had written—a summary he had made after seeing patients speaking in dialect that morning. It even included something resembling a surgical diagram. He walked to the podium, cleared his throat, and said:
"To be honest, Dr. Fang's technique this morning was too fast and too precise, especially the combination of parallel cutting and blunt dissection when treating necrotic fascia, which really impressed me."

“My master, Professor Huang, highly recommends the ‘suppressing pus’ method, which involves applying ointments like Babao Dan around the wound to soften the necrotic tissue, reduce bleeding, and minimize damage to new tissue. He emphasizes ‘suppressing pus to promote tissue regeneration,’ where the necrotic tissue softens and naturally separates, and the entire process has minimal impact on the blood and qi circulation of the wound.”

"The 'tendon-picking method' used by the local doctor originated from 'Orthodox Surgery,' and it is indeed superior in speed and precision, but it requires extremely high finger strength and pulse diagnosis skills from the practitioner. Given that old man's constitution of deficiency of both Qi and Yin, if it had been me and my junior brother Zhou who handled the case, we might have considered first allowing the pus to simmer for two days, combined with the effects of internal support medicine, and then thoroughly cleaning the deep fascia once the boundary of the necrotic tissue was clearer and the patient's condition had improved somewhat, to ensure complete safety..."

"Now I'll explain our thought process and methods..."

He then began to explain in detail.

Traditional Chinese medicine surgery is something that very few people here have access to. As a top expert in the Lingnan school of medicine, Professor Huang's techniques were clearly presented to everyone under Xu Jianqiang's explanation, which gave many people present a shock.

Of course, Fang Yan definitely benefited the most from the presentation, because after Xu Jianqiang finished speaking, he combined the traditional Chinese medicine surgery content he had seen before, and his mind went blank again.

PS: After finishing this chapter, the accounts are balanced again.

I'll continue updating this afternoon if I feel like it.

(End of this chapter)