Rebirth 1977 Great Era

Chapter 547: Falling into the logic trap of Western medicine! We should follow the Chinese medicine!

This person is the niece of my mother's friend.

Moreover, Aunt Wang Huiyuan helped me arrange a job when I just returned to the city.

This is more or less a favor.

Now that my niece has been called over for medical treatment, it's time for me to repay the favor.

The patient's surname is Zhang. She spoke in dialect:

"The Western doctor checked my liver function and digestive tract and found nothing abnormal."

"Just diagnosed my problem as nervous vomiting."

"They said that my physical illness was caused by my own mental disorder and that I needed to reduce stress in my life and adjust my mood."

She said to Fang Yan with some excitement:

"But the problem is that I didn't have any mental stress at all before."

"Later they said it might be because of the hormonal changes in my body, which affected the regulation of my gastrointestinal system, because my menstruation stopped."

"I took some drugs to treat anxiety and regulate gastric motility. After taking them, I kept feeling sleepy. I don't know if it was because of the drugs. Now I don't want to talk anymore. My personality has become dull and I don't want to move. I get angry for no reason from time to time. I feel very unhappy."

"So I took the initiative to stop taking these medicines, but the situation still did not improve, and I often felt dizzy."

After hearing this, Fangyan already had some guesses in his mind.

But the direction has not been determined yet, but his expression is still very calm, and he asked:
"Do you remember what you ate before this happened?"

The patient seemed to have prepared for this question long ago, and responded immediately after being asked:
"I reviewed this incident later. It was just a very ordinary meal, with steamed buns, pickles, millet porridge, and nothing else."

"I didn't even drink water that day."

"I also recalled my diet for a period of time before that. It was very normal. I ate and lived with other people."

It's normal to think about it. If a patient suffers from this disease and it can't be cured, he will definitely think about what he did before.

So when Fangyan asked, she answered immediately.

The other doctors around were already a little dizzy at this time.

There were no abnormalities in liver function or respiratory tract, and the patient herself said that there were no abnormalities in her mental and emotional state, but she experienced amenorrhea and vomiting.

No matter which one it is, it is a very serious matter for a 20-year-old girl.

Judging from the girl's figure, she had hardly taken in any nutrition due to vomiting after eating in the past year and a half.

Now he is so thin that he is almost as thin as a bamboo pole, and it is obvious that he is malnourished.

The complexion is dull and the body is thin.

Fangyan observed the patient's tongue coating again, which was thin at this time.

After taking the pulse, it was found to be thin and stringy.

The normal tongue coating is thin, white and evenly distributed, with moderate dryness and wetness.

The tongue coating is produced by stomach qi. Under normal circumstances, a thin white coating means that the stomach qi is sufficient, the spleen and stomach function normally, the biochemistry of qi, blood and body fluids is orderly, and the body is in a healthy state.

But the patient is definitely not in a healthy state, which brings up another situation of thin tongue coating, that is, the patient's weak constitution can also cause thin tongue coating.

The characteristic of string pulse mainly appears in physiological conditions such as liver and gallbladder diseases, pain, phlegm and fluid.

In addition, the human body's pulse is slightly stringy in spring.

Thin pulse corresponds to deficiency of both Qi and blood, and various deficiencies and strain. This pulse pattern appears when the human body suffers from long-term illness, damages Qi and blood, has insufficient nutrition intake, has hardened spleen and stomach, and is weak in function, making it unable to produce enough Qi and blood.

Comprehensively speaking, the thin and stringy pulse may indicate that the patient has liver depression and qi stagnation, or long-term emotional depression leading to liver qi disharmony and insufficient spleen and stomach function.

It may also be due to weak constitution and deficiency of Qi and blood.

Judging from the tongue coating and pulse, the patient at this moment is just very weak and needs to replenish his qi and blood.

As for nourishing the body, it means eating food, but she would vomit it out after eating it.

Wow, after going around in a circle, I ended up back here.

This is like a Russian nesting doll.

When others saw Fangyan write down the tongue coating and pulse condition in the medical record, they didn't know how to treat this disease for a moment.

Even Fangyan himself was a little confused.

Combining the four examinations with the Western medicine diagnosis previously provided by the patient, all signs indicate that the patient has no other problems except weakness.

Fangyan glanced at the time and found that it was still more than 20 minutes before lunch time.

Is he thinking of taking her to the cafeteria for a meal later?
Let's see if vomiting will be triggered within 10 minutes to half an hour after eating?

However, he always felt that something was wrong.

I feel like I've reached a dead end.

Especially the hints that appear in the mind after various things come together.

So Fangyan continued to question the patient, he wanted to collect more useful information:
"Do you feel anything before you throw up?"

"Like bloating or stomach cramps or feeling nauseous."

The patient shook his head and said:
"There were no warning signs before vomiting, no nausea, no bloating or nausea in the stomach, and no other discomfort."

Fangyan touched his chin, thought for a moment and then asked him:
"So after eating, do you feel nothing? Like you feel a little bloated, or you still feel hungry?" The patient said in this dialect:
"I feel very thirsty after eating. Does this count?"

"Yes, of course." Fangyan nodded.

The patient continued:
"I only discovered this later. After eating, I always felt very dry in the mouth and wanted to drink soup or water, but if I drank it, I would vomit more violently."

Fang Yan nodded, and did not continue to ask questions on this issue, but asked her:

"After you vomited, how was your bowel movement in the toilet?"

The patient thought for a moment, then said:
"The amount is relatively small and dry, like a sheep dung ball."

Fangyan snapped his fingers, and then said to the Chinese medicine practitioners who were watching around him:

"I understand now. The main cause of the disease is the liver, and the affected area is the stomach!"

After hearing Fangyan's conclusion, everyone else looked at him in confusion.

One of them said:
"But isn't there anything wrong with her condition? The Western doctor also checked and found that her liver function is normal and her stomach and intestines are also normal."

Fangyan shook his head and said:
"We just fell into this logical trap. Western medicine's diagnosis is Western medicine's. We cannot rule out that there is no problem with the liver from the perspective of traditional Chinese medicine."

In fact, at the beginning, Fangyan should not have considered the diagnosis from Western medicine. He habitually put himself into the state of diagnosis from his previous life.

What did he need to do when he practiced Chinese medicine in his previous life?
That is to look at the diagnosis report first!
And use this thing as an important reference.

If the scenario is changed, Fangyan will never listen to the patient's Western medical diagnosis report.

Putting aside the misleading information from Western medicine, it is actually very easy to judge based on the patient's current condition.

Fang Yan said to the puzzled Chinese medicine practitioners around him:

"The problem of nausea is actually due to the failure of stomach qi to descend."

"In traditional Chinese medicine, the first possibility of stomach qi not descending is overeating and overeating fatty and sweet foods, which causes food to stagnate in the stomach, causing stomach qi not to descend. Obviously, she vomited after eating, so this is not the case."

"The other possibility is that phlegm and dampness block the flow of gastric qi, but it is obvious that her tongue coating does not belong to this category."

After that, he raised a finger and said with certainty:
"Then there is only one possibility left, and that is liver depression and qi stagnation."

Everyone looked at each other in bewilderment. If we followed Fangyan's logic and ignored the previous diagnosis and treatment, it seemed to be true.

Fangyan continued:
"And the dull complexion, sullen temperament, taciturnity and irritability, and absence of menstruation are all symptoms of liver qi stagnation and qi dysfunction."

"The Western doctor diagnosed it as nervous vomiting and thought it was related to emotions."

"In fact, this diagnosis is half correct, but the method they used is wrong."

"Using drugs to treat anxiety and depression doesn't treat the root cause."

"So we have made this matter complicated. This is a disease of liver depression and stagnation of the middle movement and failure to descend."

Fangyan said very affirmatively:
"Liver depression and qi stagnation are the root cause of nausea and vomiting."

At this time, someone expressed a different opinion:
"That's not right. Why did her period also stop? Could it be that it's a problem with her lower abdomen?"

Fangyan shook his head and said:

"The cause of the disease is still in the liver. Long-term illness will cause qi stagnation and blood stasis. She has been vomiting for so long that her stomach yin has been damaged, and the liver depression is even more serious. By the time her menstruation is due, the Chong meridian has been blocked, so she will not have her menstruation that month."

"So I judge this disease to be a disease of the liver, stomach, and Chong meridians. The organs that store blood are depressed and not unblocked, the sea of ​​water and food is stagnant and cannot be absorbed, and the sea of ​​menstrual blood is blocked and cannot be filled."

After hearing Fangyan's judgment, the others went through it from beginning to end and immediately felt that it made sense.

This seems to be the more normal solution at present.

Of course, this is normal and excludes Western medical diagnosis.

The patient probably understood what was going on at this time. The dialect meant that the Western medicine diagnosis was correct, but the treatment method was wrong.

It should be treated with traditional Chinese medicine.

Thinking about what Fangyan said and these things, although she didn't quite understand them, she was more inclined to trust Fangyan in her heart.

"Then Brother Fangyan, just prescribe medicine for me according to your idea." Xiao Zhang did not call him Doctor Fang, but called Fangyan as his friend's child.

By then, even if Fangyan made a wrong judgment on the matter, it wouldn't have much of an impact.

In this regard, the children of these cadres are much more sensitive than most ordinary people, and they always leave a way out when they speak.

Fangyan is not stupid, and of course he immediately understood the other party's thoughts, but he is very confident.

Said to the girl:
"Sister Zhang, I will use Xuanfu Daizhe Decoction combined with Xiaobanxia Decoction to treat your illness."

"I'll write a prescription right now and have someone make the medicine. After we finish taking the medicine, we'll go to the cafeteria to eat together."

"Then let's see if the situation of vomiting immediately after eating will occur again."

After hearing this, the girl was stunned. She was stunned for several seconds before asking:

"You mean, I only need one dose of medicine to be cured?"

PS: The 6000-word basic chapter has been updated.

I got 100 more monthly tickets, so I currently owe you 100000 words.

There will be more updates later.

(End of this chapter)