Rebirth 1977 Great Era

Chapter 1307 Academic Style, Hellish Start for Lin Hongjun (Bonus Chapter for Monthly Tickets)

Next, Fang Yan led them directly up to the outpatient building. In addition to the six of them, two other people from Fang Yan's original class, Deng Nanxing and Du Heng, were also on duty today.

The two were still chatting at the door when they saw Fang Yan arrive and quickly greeted him.

Fang Yan nodded to them, and then the six of them began to be assigned to different consultation rooms.

To prevent them from being influenced by the people around them, Fang Yan assigned each of them a consultation room.

After the assignments were completed, Fang Yan explained the medical process to them again and then told them.

"It's normal to not know how to treat a difficult or complicated disease. Don't prescribe medicine on your own. You can ask everyone for help, including the doctor next door, me, or even call your school teacher."

"Our ultimate goal is to cure patients, and remembering this is more important than anything else."

After Fang Yan finished speaking, Zou Guoqing's eyes lit up, clearly thinking that Fang Yan agreed with his previous statement.

The others nodded in agreement.

Then they each went into their own consultation rooms.

At this moment, patients who had registered started to arrive one after another. The first to arrive were those who had registered for Deng Nanxing and Du Heng's appointments. There were no appointments available for the other six people yet. Fang Yan had specifically asked them to come so that he could see what they were doing at the moment.

Pu Shijie, a doctor who supports the integration of traditional Chinese and Western medicine, was sitting upright, waiting for people to come to his door. When he saw Fang Yan pass by the door, he nodded to Fang Yan.

Zhu Zhixin was inspecting all the TCM equipment provided by Peking Union Medical College Hospital, including silver needles, moxa sticks, moxibustion boxes, and pulse pillows.

Deng Chunyan was brewing tea for herself. The Department of Traditional Chinese Medicine had prepared tea leaves for each of their consultation rooms. These were all gifts from Qiao Shang, and they were all expensive items. Deng Chunyan was clearly knowledgeable about tea and was already enjoying it.

She felt a little embarrassed when she saw Fang Yan pass by, but Fang Yan didn't say anything and went straight to the next consultation room.

Guo Xiaomei and Zhu Zhixin were classmates from Hebei. Like Zhu Zhixin, she was checking the equipment provided by the Department of Traditional Chinese Medicine. She didn't even notice Fang Yan passing by.

Without disturbing him, Fang Yan continued walking.

Then there's Zou Guoqing, the fence-sitter. He's currently asking the nurse assisting him about the situation at the Peking Union Medical College Hospital's Department of Traditional Chinese Medicine and collecting information. When he saw Fang Yan pass by, he quickly greeted her.

Fang Yan waved casually and then walked towards the last clinic, Lin Hongjun's.

Right now, he's looking at the latest newspaper at the door, which reports on various medical and health conditions across the country. It's updated daily and is part of a project donated by Qiao Shang.

Many patients in the queue sometimes take it to look at.

Lin Hongjun seemed quite relaxed.

After about ten minutes, patients began to appear at their door one after another. The first to arrive was Pu Shijie. The patient was a 23-year-old woman who had just given birth more than ten days ago. She hadn't taken proper precautions and caught a cold. She went to the clinic at her workplace and was prescribed Yinqiao Powder. After taking two doses, there was no effect. She went back to the clinic, and the doctor thought that the medicine was too weak for her condition and increased the dosage to prescribe a third dose. Now she had a headache, fever, and was sweating profusely. She was also sensitive to wind, had an aversion to oily food, and had no appetite. She had been sweating all night, and her underwear was soaked with sweat. Her condition had worsened, and she was also experiencing palpitations. So this morning she went to the clinic, and they told her to come to Xiehe Hospital as soon as possible.

The family panicked, knowing that something must have gone wrong with the treatment, otherwise they wouldn't have sent the patient to Peking Union Medical College Hospital.

Upon arriving at the clinic, she grabbed Pu Shijie and urged him to quickly find a solution.

Pu Shijie probably didn't expect things to turn out this way. He was a little flustered at first, but after a brief moment of panic, he calmed down and diagnosed the patient: pale tongue, thin white coating, and floating and slow pulse.

"I understand." After thinking for a moment, Pu Shijie opened the medical record, paused his pen on the paper, and wrote, "More than ten days postpartum, took three doses of Yinqiao Powder after catching a cold. Now experiencing headache, fever, profuse sweating, aversion to wind, palpitations, and poor appetite." After writing, he looked up at Fang Yan and then said to the patient:
“Your illness isn’t that the medicine is too weak; it’s that the medicine isn’t right for you. You just gave birth, so your body is already weak. Yinqiao Powder is a cooling medicine that clears heat and detoxifies. You might be able to handle one or two doses, but increasing the dosage has damaged your body’s ‘yang energy.’ Your current symptoms are typical of ‘Guizhi Tang syndrome.’”

The patient paused, then asked, "Guizhi Tang? What's that? Can it cure me?"

“It can be cured.” Pu Shijie’s tone became more certain as he circled the words “profuse sweating, aversion to wind, and a floating and slow pulse” on the medical record. “The Treatise on Cold Damage says, ‘In Taiyang wind-stroke, the yang is floating and the yin is weak. When the yang is floating, fever arises spontaneously; when the yin is weak, sweating occurs spontaneously. Slight aversion to cold, slight aversion to wind, intermittent fever, nasal congestion, and dry retching are the main symptoms. Guizhi Tang is the main treatment.’ Your current condition is exactly the same as that. The Yinqiao San you had before was too cooling and damaged your spleen and stomach yang, so you feel aversion to oily food and lack of energy. When the yang is deficient, it cannot retain body fluids, so you sweat continuously. When you sweat a lot, your heart qi also becomes deficient, so you experience palpitations.”

He was actually speaking more to the patient in the dialect, and the patient was confused. At this point, Pu Shijie had already started writing the prescription.

He said as he wrote:
"Cinnamon twig 9 grams, white peony root 9 grams, prepared licorice root 6 grams, fresh ginger 3 slices, jujube 4 pieces. This is the original formula for Cinnamon Twig Decoction. What you need now is to warm and unblock the meridians, harmonize the Ying and Wei, replenish the lost Yang Qi, stop the sweating, and the palpitations and appetite will naturally improve." After writing the prescription, he carefully checked the dosage again, looked up and instructed, "This medicine should be taken warm. After drinking it, cover yourself with a thin blanket and sweat a little. Don't sweat profusely like before. Also, don't eat greasy or cold foods for the next two days. Drink more millet porridge or soft noodles to nourish your spleen and stomach. You just gave birth, so your body is weak and recovery is slow. Don't rush. Finish these three doses first. If you experience severe palpitations in the middle, come back for a follow-up visit immediately."

The patient took the prescription and nodded; they still trusted the traditional Chinese medicine doctors at Peking Union Medical College Hospital.

He stood up, grabbed the medicine, and hurried off to get it.

At this moment, Pu Shijie looked at Fang Yan, only to see Fang Yan walk straight outside without commenting on his treatment methods.

This is actually a very simple symptom, and anyone who has seriously studied the Treatise on Cold Damage can treat it, which shows that his basic skills are decent. Fang Yan didn't say much more.

When they arrived at the second room, Zhu Zhixin's room, he was already chatting with the patient.

"...Western medicine says you have a neurological problem, but in traditional Chinese medicine, there's no such thing. Your illness is due to liver and kidney deficiency, with excess in the upper body and deficiency in the lower body..."

Fang Yan walked in, and Zhu Zhixin paused for a moment before continuing to speak to the patient:
"Headache is a very common ailment in traditional Chinese medicine. Our ancestors wrote long ago: 'Headache and vertex headache are caused by deficiency in the lower body and excess in the upper body. The problem lies in the Foot Shaoyin and Foot Taiyang meridians, and in severe cases, it can even affect the kidneys...'"

"It has also been said that those with liver disease will experience headaches due to qi stagnation."

Traditional Chinese medicine believes that the head is the peak where the body's yang energy gathers. In ancient times, people liked to use wind-dispelling medicines to treat headaches, believing that only wind could reach the head...

Fang Yan listened to his Cantonese speech and looked at the medical records he had written.

It turns out that this patient had been suffering from headaches for over a year.

At first, I just felt a little numbness in the back of my head, but the pain slowly spread upwards to the top of my head.

When the pain is severe, it feels like your head is being roasted on fire, cut by a knife, or stabbed by an awl. You might even lose consciousness. The pain is indescribable.

Moreover, when suffering from headaches, patients may lose their sense of direction while walking, and even standing in broad daylight may feel like they are in a dream, their minds are unclear, and the headache will worsen at the slightest sound.

In addition, the patient has a poor appetite, can't eat, has difficulty sleeping at night, and always experiences heat in the palms and soles. They have already visited several hospitals, but without success; the initial diagnosis from previous doctors was tension headache.

Now that patients have lost faith in Western medicine, they turn to traditional Chinese medicine at Peking Union Medical College Hospital for treatment. Zhu Zhixin took this opportunity to educate patients about traditional Chinese medicine.

He has just made a diagnosis: the patient looks haggard, is mentally confused, has a red tongue, and a deep, rapid, and slightly wiry pulse.

After Zhu Zhixin finished speaking, he asked the patient:
"...Think about it, over the past year or so, haven't you always felt a bit of lower back pain, and have you been getting up more often at night than before? Have your palms and soles felt hot, especially in the latter half of the night?"

The patient paused for a moment, then nodded repeatedly: "Yes, yes, yes! When I lie in bed at night, it feels like there's a small stove in the soles of my feet, and I can't fall asleep no matter how much I toss and turn; my back also aches, and sometimes I can't straighten up after standing for a long time. I thought it was a normal reaction to old age (the patient is 42 years old this year), so I didn't take it seriously."

“That’s right,” Zhu Zhixin continued. “The Yellow Emperor’s Inner Classic says that headaches and dizziness are caused by deficiency in the lower body and excess in the upper body. Your deficiency in the lower body means that your liver and kidneys are deficient. The kidneys store essence and the liver stores blood. When essence and blood are insufficient, it’s like a tree without roots. The top of the head is where yang energy gathers. Without the nourishment of essence and blood, the yang energy rushes upward without any restraint, which causes a burning pain on the top of the head. The excess in the upper body means that the deficient fire rises and gets stuck in the head. So when you hear a sound, your qi and blood sway wildly, and the pain becomes even more severe.”

The patient seemed to understand but not quite. Previously, with Western medicine, the doctor had only mentioned "neurological abnormality," without going into such detail. He asked, in a sense:
"Doctor, can this be treated? I've taken a lot of painkillers before, but they only work for a short time, and the pain returns as soon as I stop taking them."

“It can be cured, of course it can be cured. This is the Department of Traditional Chinese Medicine at Peking Union Medical College Hospital. If Western medicine can't cure it, that's because they're incompetent. But your illness needs to be treated slowly; you can't just rely on painkillers.” Zhu Zhixin's tone was certain as he drew a prescription on the paper. “In your case, we need to first ‘nourish yin and subdue yang’... tonify the liver and kidneys below, and then bring down the excess heat above. I'll prescribe a formula for you…”

After he finished speaking, he had already prescribed a formula combining Liuwei Dihuang Decoction and Siwu Decoction with added ingredients. It was very academic in style, as he was prescribing medicine based on classic Chinese medicine formulas.

Fang Yan continued to look at the people behind him.

The treatment styles of the patients were all similar, and their basic conditions were all quite good. However, when it came to Lin Hongjun, he was a little unlucky and a heavyweight patient came to him.

After being hospitalized for three months due to a cerebral hemorrhage, the patient was mistakenly given an overdose of chlorpromazine by Western medicine, resulting in a complete coma, paralysis, incontinence, speechlessness, and inability to eat. He can only be fed liquid food and medication through a nasogastric tube. Now, due to the changing weather, he has caught a cold, has a fever and sweating, and is vomiting incessantly. His condition has not improved after taking Western medicine, and the vomiting has worsened. His family has now brought him to Peking Union Medical College Hospital from another hospital, hoping that the legendary traditional Chinese medicine at Peking Union Medical College Hospital can help treat him.

Unlike the other five basic models, Lin Hongjun started with a big one.

PS: I've gained another 100 monthly votes, so I still owe you 10000 words after finishing this chapter.

(End of this chapter)