Rebirth 1977 Great Era

Chapter 609 If You Don't Forsake Me, I Will Be Your Little Brother (Monthly Tickets Plus)
"Next person!"

Xiao Chengzhi was already a little impatient, so he took the initiative to help Fang Yan shout out something.

Fang Yan didn't take it as an offense. Instead, he felt that Xiao Chengzhi was gradually getting closer to Jia Dapeng and was taking on the role of assistant without him having to ask for permission.

Soon the patient came up. He was a young man in his 20s or almost 30.

"Hello, doctor!" He greeted Fang Yan, who nodded and asked him to sit down.

Xiao Chengzhi had already started staring at the patient and began to use his family's unique skills to diagnose him.

The dialect method is to let the patient talk about what exactly makes him uncomfortable.

The patient touched his waist and began to narrate:
"I am a transport driver for my company. I made a long trip some time ago. Because of the delay on the road, I stayed in the car instead of getting off. Later, I developed cold and painful back and waist. It was very difficult to turn and bend. As the weather got colder, the pain got worse. Now I have numb legs, hunched back, and cold limbs."

As the patient narrated the story, the situation in Xiao Chengzhi's mind became clearer and clearer.

At this moment, Zhang Yanchang suddenly said:
"It looks a bit like rheumatoid spondylitis!"

Hearing his words, Xiao Chengzhi and Yang Jingxiang both looked at him.

Fang Yan also looked back at him at this moment.

Zhang Yanchang scratched his head a little embarrassedly and said:
"I didn't mean to interrupt. It's mainly because my family specializes in treating similar diseases."

After hearing this, the patient nodded and said:

"That's right. Later I went to the hospital and had an X-ray of my lumbar spine. It showed that the bones of the fourth and fifth lumbar vertebrae were deformed and porous, and the rheumatoid factor was positive. Western medicine said it was rheumatoid spondylitis."

Zhang Yanchang was startled:
"Has it been diagnosed?"

The patient said:
"Yes, it was diagnosed as rheumatoid spondylitis at that time."

Zhang Yanchang would not be able to handle this matter directly.

It turns out that the diagnosis has already been confirmed at the hospital, so it seems a bit like hindsight for me to say this.

He was suddenly extremely embarrassed.

The one who felt even worse than him was Xiao Chengzhi.

Just as he was about to speak, Zhang Yanchang beat him to the punch. Not only had he beaten him to the punch, but the patient had already been diagnosed.

This made him feel like he had been gathering strength for a long time and then punched cotton.

Only Yang Jingxiang felt mentally balanced at this time. He had embarrassed himself by rushing to speak just now, and now Zhang Yanchang was also embarrassed by standing up.

But at this time, Fang Yan thought about it and asked:
"Although you were diagnosed, your condition hasn't improved since you came here today. Does that mean their treatment is ineffective?"

Hearing this, the three people behind immediately reacted and looked at the patient.

The patient nodded and said:

"Yes, the hospital gave me Western medicines such as cortisone and indomethacin, as well as Chinese medicine for removing wind and dampness. I also did acupuncture and cupping for more than a week, but it didn't work, so I was discharged from the hospital."

Zhang Yanchang frowned:
"Treatment is useless?"

"Yes," the patient responded.

"..." Zhang Yanchang showed an expression of disbelief.

If the hospital has made an accurate diagnosis but the treatment is still ineffective, either there is something wrong with the Chinese medicine or the patient's condition has changed.

Of course, there is another possibility, which is that there is no dialectical accuracy at all.

Xiao Chengzhi also had the same idea this time.

Although he didn't say a word, he was as excited as Zhang Yanchang in his heart.

Did I make a wrong argument?

Can't you?
Could it be that the information provided by the patient was misleading?

That doesn't seem like it. It looks like he has this disease, right?
Could it be that the doctor who prescribed the medicine in the hospital is a jack of all trades?

Or is there something wrong with the origin of the Chinese medicine, making it less effective?

While Zhang Yanchang and Xiao Chengzhi were thinking about their inner thoughts, Fang Yan treated the patient calmly, just like he had done with other patients before:
"Let's ignore the conclusion drawn by the previous doctor for now. Stick out your tongue for me to see."

"Oh, OK!" The patient nodded and stuck out his tongue obediently. The tongue was pale red with a thin white coating.

Then Fangyan took the pulse of his left and right hands respectively.

The pulse is deep and slow.

Then he asked the patient to stand up and walk two steps, and then Fangyan reached out and began to feel the patient's spine.

He used the palpation method taught by Mrs. Luo, and indeed found that the fourth and fifth lumbar vertebrae were deformed, which was the source of the patient's rickets.

Fangyan nodded and began to write on his medical records.

The patient has a pale complexion, emaciated body, cold and painful waist, difficulty turning and bending, weak leg flexion and extension, numbness, sweating, hunched movements, cold limbs, deep and pooled pulse, pale red tongue with thin white coating.

The syndrome differentiation is: cold arthritis.

Because the patient stayed overnight in a car while traveling, he accidentally attacked the cold and dampness, which accumulated in his kidneys, causing damage to the kidney yang, stagnation of tendons and veins, and poor circulation of qi and blood.

The treatment plan is to dispel cold and dampness, dredge meridians and relieve arthritis.

After seeing what was written in Fangyan, Zhang Yanchang and Xiao Chengzhi had different expressions.

Zhang Yanchang showed a look of sudden enlightenment.

Xiao Chengzhi, on the other hand, was stunned.

Isn’t this dialectic similar to the one we used in the hospital before?
Fangyan didn't care what they thought and started writing the prescription.

Ephedra, Aconitum, Geranium, Lycopodiella, Stephania, Papaya, Scutellaria, Rehmannia, Astragalus, Amomum, Licorice, Cibotium barometz, Viscum album, Codonopsis pilosula, Salvia miltiorrhiza.

There were 15 herbs in total, and the prescription for 13 herbs was not followed. However, the three people behind did not pay attention to this. Xiao Chengzhi looked at the prescription written by Fangyan and found that the first two herbs were poisonous Chinese medicines.

I finally discovered some patterns in prescribing medicine in dialects, which is that they like to use poison.

At this time, Zhang Yanchang on the other side couldn't help but ask Fang Yan:

"Doctor Fang, is there anything particular about your prescription?"

In fact, he wanted to know Fangyan’s ideas on using medicine.

His family has a tradition of treating rheumatic diseases. There are many ways to do this, but the prescription he gave in Fangyan has a special style.

It gives people a sense of heaviness and stability.

Zhang Yanchang, who was used to learning prescriptions from his family, couldn't help but want to learn new ideas.

At this time, he no longer called Fang "classmate", but Doctor Fang. This meant that he felt in his heart that this man's methods were not on the same level as his own.

After hearing this, Fang Yan did not hide anything and said to Zhang Yanchang:
"The patient's cold and dampness invaded and accumulated in the kidneys, and the waist and back were not easy to turn, and the pain was the main problem. Chinese medicines such as ephedra and aconite must be used to expel the cold and dampness."

"The root of this disease is in the kidneys. It is not like the skin being invaded by external evils. It can't be cured by sweating, acupuncture, or cupping. Although I don't know the prescription he used before, when I heard that the hospital used acupuncture and cupping, I guessed their treatment ideas. So I use astragalus and raw rehmannia to nourish the body's vitality and slowly carry out conditioning treatment."

"Use Stephania tetrandra and papaya to remove moisture from the body, open up joints, and relieve limb pain and numbness. Geranium and sedum can remove moisture and dredge meridians. Scutellaria baicalensis and liquorice are used to prevent the pungent and hot nature of ephedra and aconite from spreading too much, so as not to damage the body's positive energy."

"In addition, Amomum villosum can dry out dampness, restore the spleen and stomach's function of transportation and transformation, and prevent the original dampness in the body from mixing with the dampness from the outside. It should also be noted that the invasion of cold and dampness into the kidneys will inevitably damage the kidneys, so we add Cibotium barometz and Viscum album to nourish the liver and kidneys, strengthen the spine, and enhance kidney function. Finally, we use Codonopsis pilosula and Salvia miltiorrhiza to replenish qi, dredge the meridians, consolidate the treatment effect, and prevent the disease from recurring."

After hearing Fang Yan's explanation of his thoughts on prescribing medicine, Zhang Yanchang suddenly understood.

I didn't expect Fangyan could guess the hospital's previous treatment strategy from the patient's brief description just now.

The key point is that I have to admire him, what he said makes a lot of sense.

At this moment, Zhang Yanchang seemed to have made up his mind. He bowed to Fangyan and said:
"Listening to your words is worth ten years of reading. Brother Fang, I heard that you are still practicing medicine at Union Hospital. If you don't mind, I will be your assistant."

Fang Yan was stunned and looked at Zhang Yanchang in surprise.

This man, who was a nationally renowned expert in traditional Chinese medicine, an expert in the inheritance studio, and vice president of the Rheumatology Branch of the Chinese Medical Association in his previous life...now he is taking the initiative to be his assistant?

Xiao Chengzhi and Yang Jingxiang also looked at Zhang Yanchang in confusion.

No... buddy, we've only met for less than half a day, and you're already trying to curry favor with someone?
Do you really want to improve?

PS: After finishing this chapter, I still owe you 88000 words.

No more today. Please come early tomorrow.

(End of this chapter)