Rebirth 1977 Great Era
Chapter 1234 Helping Elder Zhu with Triage Treatment, Dean Ouyang's Hidden Hope in Tumor Medica
Chapter 1234 Helping Elder Zhu with Triage Treatment, Dean Ouyang's Hidden Hope in Tumor Medical Cases (Bonus Chapter 3K for Monthly Tickets)
With things settled here, Fang Yan bid farewell to Zhao Xiwu and Cheng Lao.
Instead of returning to the secret formula research institute, they went directly to the Dongzhimen Hospital next door.
Old Zhu should be seeing patients in the morning, but judging from the dialect, it will probably be the same as before, lasting until two or three in the afternoon.
Sure enough, when Fang Yan arrived, there was still a queue here.
There are at least a dozen more people waiting to see a doctor.
When Fang Yan entered the clinic, she saw Zheng Yi eating an apple.
There was also a box of snacks next to me.
"You haven't had lunch yet?" Fang Yan greeted them.
"Hey, Fang Yan is here!" Chen Youqing was the first to see Fang Yan and quickly greeted him.
Old Zhu was taking a pulse at that moment. He nodded to Fang Yan and then continued examining the patient.
"Master!"
"Master!"
Anton and Zhao Zhengyi responded in dialect.
At this point, the other patients also noticed the dialect and began to whisper among themselves.
"Hey, it looks like it's the one from Peking Union Medical College Hospital..."
"It's him! It's him!"
"..."
Fang Yan asked An Dong, and sure enough, they had been working until now without having lunch, and Dean Ouyang was still waiting for them.
Fang Yan asked Zhu Lao for his opinion, asking him to help with the flow of people, just like last time, otherwise it would take them at least another hour to finish.
Old Zhu agreed to Fang Yan's request to help him see a doctor.
Fang Yan took out his key, opened a drawer, took out a white coat, put it on, and then said to the people still in line:
"Come on, I can watch it here too."
Old Zhu also addressed the people in line:
"Let's all split up and go watch the dialect section."
"It looks exactly the same to him as it does to me."
That's a very high compliment.
"Are you Dr. Fang from Peking Union Medical College Hospital?" someone asked Fang Yan uncertainly.
Fang Yan nodded.
Upon seeing him confirm it, most people rushed to his row.
Anton and Zhengyi instinctively ran to Fang Yan's side.
Prepare your dialect, take out paper and pen, and then begin the consultation.
The first patient was a 20-year-old young man who said he had been suffering from chronic nephritis for two years. He did not have edema, and his main symptom was proteinuria. He had been examined at the hospital many times, and his results were usually one plus to three triples.
The main symptoms were lower back pain, fatigue, and poor sleep. I had previously taken Western medicine, but the symptoms were intermittent and never disappeared. I heard that Zhu Liangchun was here, so I came to see him.
I'm thinking of trying traditional Chinese medicine instead.
After examining his dialect, it was found that he had nicks and cracks around his mouth and corners, little tongue coating, a bright red tongue tip, and a wiry and rapid pulse.
My recent Western medical report showed two pluses for protein in my urine, but my kidney function was normal.
He then described symptoms such as having lost money and being unable to sleep at night.
The diagnosis, based on local dialect, is deficiency of Yin in the heart and kidneys, excessive fire in the heart, and leakage of essence.
The treatment should focus on nourishing Yin and reducing internal heat, as well as harmonizing the heart and kidneys.
The dialect provided a prescription.
Anemarrhena asphodeloides 10g, Phellodendron chinense 10g, Coptis chinensis 3g, stir-fried Ziziphus jujuba var. spinosa 12g, Rehmannia glutinosa 12g, Ophiopogon japonicus 10g, Schisandra chinensis 5g, Alisma plantago-aquatica 12g, Albizia julibrissin bark 12g, Polygonum multiflorum 20g.
He has been in this condition for two years. Clinically, his main symptoms are insomnia, impotence, and seminal emission. In traditional Chinese medicine, this is caused by kidney yin deficiency, excessive fire of the monarch and minister, and disturbance of the seminal chamber. Therefore, the prescription is to nourish yin and reduce fire, and to harmonize the heart and kidneys.
"If there are still problems after a week, go to the Department of Traditional Chinese Medicine at Peking Union Medical College Hospital. There are people there every day, and I will explain the situation to them." After writing the medical record, Fang Yan tore off the prescription and gave it to the patient.
The patient nodded in agreement after hearing this.
When Fang Yan worked at Tongrentang, the three diseases he treated most often were stroke, hepatitis, and various types of nephritis. He had encountered almost every type of nephritis he could get his hands on, and his experience was extensive. Except for acute cases, which could be treated immediately, most cases required a relatively long period of treatment.
Moreover, it's not just about taking medicine; you also need to make some changes to your lifestyle.
Fang Yan instructed him:
"This medicine can help you sleep, but medicine alone is not enough. You need to change three things in your life, otherwise no matter how many doses you take, it will be difficult to cure the disease completely."
The young man quickly leaned forward and pulled out a crumpled notebook: "Dr. Fang, please tell me, I'll write it down."
"First, don't touch books or the radio before bed." Fang Yan tapped lightly on the examination table. "Your tongue is bright red, which means your heart fire is too strong. Reading those mentally taxing things or listening to loud noises is like adding fuel to the fire. Drink a glass of warm water half an hour before bed, lie in bed and just close your eyes. Don't think about anything."
He paused, then noticed the watch mark on the young man's wrist:
"And this watch, I take it off when I sleep. The strap constricts my wrist, hindering blood circulation, making it even harder for my already weak kidney yin to rise. How can I sleep soundly?"
The young man hurriedly took off his watch and clutched it in his hand, his pen scribbling rapidly on the paper.
"Secondly, there are three things you must avoid in your diet." Fang Yan counted on his fingers, "Chili peppers, leeks, and mutton—you can't touch them at all. Your freckles are caused by yin deficiency and internal heat. Eating these hot foods is like pouring oil into a red-hot pot."
He remembered the apple on the doctor's desk and added:
"You can eat pears and watermelons, which are good for nourishing yin, but don't eat them cold. If you take them out of the well, let them cool down before touching them. Raw and cold foods can damage the spleen, and if the spleen is weak, it's even harder to nourish the kidneys."
The young man suddenly looked up:
"I don't really like those foods, but... is it okay to eat eggs? My mom always tells me to eat more of them."
“One boiled egg a day is enough, don’t eat tea eggs.” Fang Yan shook his head. “Tea is astringent and will hinder the absorption of medicine. Also, don’t drink meat soup, especially old hen or pig’s trotter soup. You are currently deficient in kidney yin and cannot tolerate tonics. Those greasy things will only become a burden.”
Finally, Fang Yan's gaze swept over the young man's slightly hunched back:
"Third, don't always stay indoors. Every evening when the sun is about to set, go to the park for half an hour. Just walk slowly, don't run or jump. Your illness is due to a disharmony between the heart and kidneys. You need to let the yang energy slowly descend and the yin energy rise, just like the sun setting and the moon rising. Heaven and earth need to take a breath, and so does your body."
He picked up a pen and drew a simple timetable on the back of the prescription: "You must lie down between 9 and 11 p.m. and get up as soon as you wake up between 5 and 7 a.m. Don't stay in bed. If you stay up all night, even ten doses of medicine can't make up for it."
The young man's notebook was already full, and he couldn't help but ask at the end:
"Then... about the inheritance?"
“With these changes, the essence will naturally be strengthened.” Fang Yan closed his medical record:
"Remember, the kidneys are like a water jar. Now there's a crack at the bottom. Not only do you need to repair it, but you also need to minimize leakage. Think less about trivial matters and avoid looking at those exciting things. That's more effective than anything else."
As soon as he finished speaking, a burst of laughter erupted in the consultation room.
Although this is not the internet age, there are still many handwritten copies, some of them yellowed and worn, circulating among various young people.
The young man blushed slightly, but Fang Yan wasn't entirely wrong about him.
He could only scratch his head and say:
"Then I'll go get the medicine."
"Alright, go ahead!" Fang Yan said.
Next, Fang Yan continued to treat patients, mostly with common illnesses. He finished treating them very quickly, and by the time he finished, there were still two people left at Zhu Lao's place.
Fang Yan called over another person to continue watching, and only then did Old Zhu finish his work.
It was already three o'clock, so they hurried to have lunch. Fang Yan was called over by Dean Ouyang to go with him, saying that they wanted to talk about the mid-year conference in a few days.
Fang Yan then remembered that he hadn't shared his research findings with Dongzhimen Hospital, where he was on secondment, this year. They paid him a salary every month, and he also received bonuses and other benefits during holidays.
I should at least make a contribution, but I've already submitted most of the reports to the research institute and Peking Union Medical College Hospital. The only reports I have left are the useless traditional Chinese medicine prescription and the brain glioma, for which I don't even know if it can be cured.
At the dinner table with Dean Ouyang, Fang Yan thought for a moment and then told him about his work treating gliomas.
“If this is settled, I can jointly report it with Dongzhimen Hospital,” Fang Yan said to Dean Ouyang.
Fang Yan didn't hide it from Dean Ouyang; she was still waiting for Tao Guangzheng to return.
After hearing the details from Fang Yan, Dean Ouyang, although knowing that the hospital was too late for the mid-year conference, still expressed his opinion:
"If this patient can be cured, our hospital will be able to establish itself in the field of TCM oncology! Fang Yantong, just let me know if you need any support. Beds, medicines, research funding—I'll personally go to the hospital to coordinate!"
"It has the support of the Ministry of Health, and it is still being carried out in secret. The higher-ups do not want too many people to take care of it, after all, they need to keep it as secret as possible. It can only be reported if it succeeds."
Dean Ouyang knew this was to take into account the cure rate of dialect cases, and he nodded repeatedly:
"understand!"
"Whether it works out or not, I appreciate your kind intentions."
Dongzhimen Hospital is actually one of the affiliated hospitals of the university, but some resources are allocated more to Xiyuan Hospital. Fang Yan receives so much salary from Xiyuan Hospital, so he has to give them some benefits.
"I still hope it will be successful. If Dongzhimen Hospital has doctors who treat tumors and are willing to provide some reference medical cases, that would be even better!" Fang Yan said to Dean Ouyang.
Upon hearing Fang Yan's words, Dean Ouyang paused with his chopsticks, then suddenly laughed:
"What a coincidence! I spent five years in the oncology department when I was young, and then I switched to administration, but I never threw away those medical records."
Fang Yan was taken aback; it was so far away, yet so close at hand!
Dean Ouyang put down his chopsticks and wiped his mouth with his sleeve:
"But let me make it clear first, the prescriptions I have are all old ones for lung cancer and stomach cancer, and at most two are for brain tumors, which are meningiomas, not the gliomas you mentioned. Back then, conditions were poor, there were no CT scans or MRIs, we relied entirely on feeling the pulse and looking at the tongue coating, and all I remember are old symptoms like 'splitting headache' and 'vomiting like a projectile'."
Upon hearing this, Fang Yan immediately responded:
"No problem, as long as there are medical records! I'll study them and maybe I'll find something useful!"
Cases of cancer cures are extremely rare; I need to take a look, there must be something special about them!
P.S.: Now that I've finished updating this chapter and given back all the monthly tickets, please keep voting!
(End of this chapter)
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