Rebirth 1977 Great Era

Chapter 603: Dr. Fang, the gynecologist! His medication style has changed again!
This is not an ordinary illness.

The ectopic pregnancy was improperly treated and the disease lasted for more than two years.

There is also a lump on the right side of my abdomen, about the size of a duck egg. It is now so serious that it has to be treated.

It’s much more serious than the oral ulcer I had ten years ago.

The three people standing behind Fang Yan all looked at Fang Yan at the same time, wanting to see how he would treat this disease.

Traditional Chinese medicine gynecology occupies a pivotal position in the traditional Chinese medicine system.

As early as in the "Yellow Emperor's Internal Classic", there were relevant discussions on women's physiology and pathology. In the Han Dynasty, Zhang Zhongjing's "Golden Chamber" set up three chapters "Women's Pregnancy Diseases, Pulse, Symptoms and Treatments", "Women's Postpartum Diseases, Pulse, Symptoms and Treatments", and "Women's Miscellaneous Diseases, Pulse, Symptoms and Treatments". It discussed the syndrome and treatment of various gynecological diseases and pioneered the diagnosis and treatment of gynecological diseases in traditional Chinese medicine.

Since then, successive generations of doctors have continuously enriched and improved the theory of TCM gynecology, ensuring its orderly inheritance and making it an indispensable and important part of the TCM theoretical system.

There are also many famous contemporary Chinese medicine gynecologists, such as: Qian Boxuan, Wang Weichuan, Zhu Xiaonan, Han Bailing, Ha Litian, Luo Yuankai, Liu Fengwu, and He Zihuai.

Traditional Chinese gynecology has formed a unique diagnosis and treatment method and theoretical system based on the special physiological and pathological characteristics of women.

Women go through special physiological processes throughout their lives, including menstruation, uterine bleeding, pregnancy, childbirth, and lactation. These processes are closely related to the internal organs, meridians, qi and blood. When studying Chinese medicine, Chinese gynecology has always been a major subject that cannot be avoided.

Therefore, from this we can also see the approximate level of the dialect.

At this moment, Fangyan ignored the burning gazes of the three people behind him.

Observe the patient.

The patient is about 1.5 meters tall, thin, with a dull complexion on his face, as if covered in dust, and his lips are purple. This facial feature indicates internal blood stasis.

Simply put, blood stasis blocks the meridians, Qi and blood flow poorly, and the facial skin does not receive sufficient Qi and blood nourishment, resulting in a dull complexion.

Blood stasis is like an obstacle on the road, blocking the smooth flow of the "traffic line" of qi and blood.

At this time, the complexion is not only dull, but in severe cases it is also dark, and even bruises may appear on the tongue.

So Fangyan said to the patient:
"Stick out your tongue so I can see it."

The girl obediently stuck out her tongue. Fangyan took a look and found that there was indeed purple on her tongue, and there were also purple bruises.

Her moss is thin, greasy and moist.

Then Fangyan took her pulse on both hands and found that it was thin and stringy, and slightly dry when pressed.

Based on the patient's own description of the course of his illness, Fangyan came to this conclusion.

The current situation is caused by blood stasis in the lower abdomen, which causes damage to the Chong and Ren meridians. The condition is relatively clear and easy to understand.

However, the condition of irregular menstruation has lasted for more than two years. The evil yin and cold energy has stubbornly condensed in the body, and the body's positive energy has also been damaged. This situation cannot be improved in the short term.

Therefore, we should adopt a method that takes into account both eliminating pathogenic factors and supporting positive energy, and carry out treatment step by step.

The relationship between evil qi and righteous qi should be considered and treatment should be carried out step by step.

At this time, the patient next to him asked Fang Yan cautiously:

"How is it, Doctor Fang? Is this disease easy to treat?"

Fangyan's expression remained unchanged, and he said very calmly:

"It is not uncommon in gynecological clinics for women to have pelvic masses due to improper treatment of ectopic pregnancy. Your disease affects menstruation and even causes infertility and irregular menstruation for more than two years. The treatment may be relatively slow."

"I plan to treat you in three steps. First, I will regulate your liver and spleen while removing the blood stasis in your body. Only after the meridians are unblocked can the medicine break the coldness of your three yin meridians and eliminate the lump in your abdomen."

"After completing these two steps, I will slowly regulate the liver, spleen, blood and meridians to solve your infertility problem. I estimate that it will take about 70 to 80 days to complete the entire treatment."

After hearing Fangyan's treatment plan, the patient nodded as if he understood it, and then asked the same question as the first patient:

"That means you can cure my disease, right?"

Fang Yan said to the patient:
"Yes, it can be cured, it just takes a little longer."

The three people behind Fangyan had different expressions.

Xiao Chengzhi looked calm and composed, and it was impossible to tell what he was thinking.

After listening to Fang Yan's three treatment methods, Zhang Yanchang looked thoughtful.

As for Yang Jingxiang, he stroked his chin, glanced at the other two people, and then said to Fang Yan:

"Then Doctor Fang, what is your specific treatment plan?"

"If you take it slow, it's not impossible, but the problem is that this is a free clinic. How will the patients come to you?"

The dialect said:

"It's okay. It doesn't matter if she doesn't come to me. I will write down all the subsequent medication plans. She can go to other doctors for prescriptions, or she can come to me." Yang Jingxiang frowned.
"You don't know how to use quick medicine?"

Fangyan glanced at him:
"It can't be faster."

Yang Jingxiang opened his mouth and wanted to refute, but suddenly thought of something and closed his mouth.

Xiao Chengzhi on the side smiled knowingly, while Zhang Yanchang looked puzzled.

Fangyan was writing something on the medical record while saying:
"The patient has blood stasis in the lower abdomen, which has damaged the Chong and Ren meridians. In addition, the irregular menstruation has lasted for more than two years. The cold pathogens are stubbornly condensed in the body, and the vital energy has also been damaged. This situation cannot be eliminated in a short time. The treatment should not only eliminate the pathogens, but also protect the vital energy, and proceed step by step. The medication can be divided into three stages..."

"First, we need to regulate the functions of the liver and spleen, while taking into account the promotion of blood circulation and the removal of blood stasis. We use Xiaoyao Powder with Guizhi Fuling Pills, and add some medicines according to the specific condition. This step is to first open up the way for the circulation of qi and blood."

"Then, use the strong medicine Po Ni Dang Bao Tang from Qian Jin Yao Fang to eliminate the cold evil and overcome the stubborn blood stasis. But instead of using the decoction to quickly cleanse the uterus, take the strong medicine in a lighter dose and change it into pills, still using the method of slowly eliminating the pathogenic factors."

"Finally, we regulate the liver and spleen again, nourish the blood, dredge the meridians, select Xiaoyao Pills with Heiguipi Decoction, and add appropriate medicine according to the condition. Through this stage, we can consolidate the previous treatment effects and make the body recover better."

After he finished speaking, he paused, and the patient nodded as if he understood. The three people behind him now had serious expressions on their faces, knowing that Fangyan was about to say the key point.

Fangyan turned around and continued to write the medical records while continuing to talk about the "notes". He said:

"During the entire treatment process, we must always pay attention to two key issues. The first is "slow down". Even if we know clearly that the patient is suffering from a disease, we cannot use aggressive methods without restraint. Even if we want to remove blood stasis, we must use a gentle approach. We must always be vigilant and must not damage the patient's vital energy again. In fact, a disease that has lasted for many years cannot be cured by a single medicine. Moreover, if there are adhesions in the surrounding organs, how can the adhesions be loosened in a short period of time? Therefore, treatment should be based on a realistic attitude."

"Another key point that must be paid attention to is to protect the stomach qi. From the very beginning of taking the medicine, it is necessary to gradually protect the stomach qi to help the digestive function. This is because the spleen and stomach in the middle jiao are the source of the body's qi and blood production. Only by protecting the stomach qi like protecting the acquired root can the medicine be effective and recovery can be guaranteed."

Hearing this, Yang Jingxiang's face felt a little hot, and he admitted that his voice was a little loud just now.

Zhang Yanchang showed a look of sudden enlightenment.

Only Xiao Chengzhi did not change and still stared at Fang Yan.

Yang Jingxiang just realized that he had made a mistake, and he felt a little embarrassed being stared at by so many people.

It was only now that Zhang Yanchang understood what was going on after sorting out the dialect. He had been researching family treatments for rheumatism, and he actually had the least experience in gynecology among the group.

After Fang Yan had clearly sorted out the treatment plan, he finally understood how the treatment should be done.

I felt admiration for this peer in front of me, otherwise he would not have gotten full marks. I cannot compare with him in terms of clear thinking.

On the other hand, after Fangyan finished writing the previous theoretical ideas, he wrote the prescription of Xiaoyao Powder and Guizhi Fuling Pills:

There are bupleurum, red peony root, white peony root, angelica, atractylodes, poria, cinnamon, cassia twig, moutan bark, peach kernel paste, tangerine peel, green peel, ginger and Sichuan Pu, scorched hawthorn and scorched Shenqu.

There are 15 herbs in total, seven doses.

No one here questioned that there was something wrong with the prescription prescribed by Fangyan. After the three people looked at it, Zhang Yanchang and Yang Jingxiang immediately showed an expression of sudden enlightenment.

It's like I understand the dialect's school of medicine usage.

But Xiao Chengzhi, who had been calm just now, frowned, because he found that Fangyan's way of using medicine was different from before, so he couldn't help but muttered softly:
"It has changed again..."

"Ah? What changed again?" Yang Jingxiang looked at Xiao Chengzhi in confusion.

Xiao Chengzhi glanced at the other party, regained his calm expression, and responded:

"Heh, it's nothing."

Yang Jingxiang opened his mouth, wanting to scold him for pretending, but when he thought of the other person's identity, he held the words back.

Although he has a bad temper, he is not stupid.

After thinking about it carefully, I guessed that what Xiao Chengzhi meant was that the dialect style of using medicine has changed.

Then Fangyan wrote on the back the "Po Ni Dang Bao Tang" for the second stage of treatment.

And Xiaoyao Powder and Heiguipi Pills used in the third stage.

Then Fangyan said to the patient:
"For the first prescription, you can take it to the pharmacy and pick up the medicine. There are seven doses in total, one dose per day. After seven days, your current physical condition should be improved. Then you can go to the Union Hospital of Traditional Chinese Medicine. I will synchronize your medical records there. Just mention your name when you go, and someone will naturally give you follow-up treatment."

"Of course, if you don't have time, you can take this list to see another doctor."

"For example, our Dongzhimen Hospital can do that. When the people there see my medical records, they will prescribe medicine according to the list in it."

The patient asked in some surprise:

"Didn't you just say slow? Seven days will improve my current condition?"

Fangyan nodded and said:
"Yes, seven days to improve your physical condition, then twenty days to get rid of the bulge in your belly, and the remaining forty to fifty days are to regulate and repair your body and treat your infertility."

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

There will be more updates later.

(End of this chapter)