Rebirth 1977 Great Era

Chapter 613: Questioning me? Do you know what six yin and six yang are? (Monthly ticket plus more)

Fang Yan glanced at the patient, then turned around and said to the doctor who had raised the question:

"I just heard that Dr. Liu has been using camphor tincture to refresh his mind for a long time. When I was at Tong Ren Tang, a patient brought that medicine to me. I remember there were a lot of contraindications written on it. The morphine in this opium tincture is an addictive drug. Long-term use can easily lead to dependence, and withdrawal symptoms may occur after stopping the drug."

"Also, you must know the side effects of camphor tincture better than I do. Even if you don't quit taking it, it can still cause nausea, vomiting, constipation, dizziness, drowsiness, respiratory depression and other symptoms. In severe cases, it may be life-threatening, especially for the elderly, children or those with impaired liver and kidney function. The central nervous system depressant effect may be more obvious, especially when used in large doses."

"It's written on the medicine that it should be used with caution by the elderly, children, people with impaired liver and kidney function, and those with hypothyroidism."

"This is from the perspective of Western medicine. It is definitely problematic for Dr. Liu to use it at his current age."

The patient's apprentice nodded after hearing this. His master was taking this medicine, and most people in the hospital knew about it.

He spoke into the dialect:

"You mean to say that my master's current condition is caused by taking this medicine for a long time?"

The dialect said:

"That's just looking at it from a Western medicine perspective, but it's just one of the causes."

"From the perspective of traditional Chinese medicine, he has been using this medicine for a long time to maintain his energy, and a lot of toxins have accumulated in his internal organs."

"He is old now. If he keeps taking the medicine like this, he will definitely have problems sooner or later. Three days ago, he felt like he had a slight cold. I guess it was because of long-term medication that caused yin deficiency and fluid deficiency, which coincided with the start of yang energy growth, so he had cold-like symptoms."

"Then the pathogenic factors changed with the Yang Qi into heat and dryness. The disease had changed from the Taiyang meridian to Yangming Fu Shi syndrome. His limbs were cold, which was caused by the deep heat evil (deep heat and deep cold). His mind was dull and confused because the turbid Qi went up to disturb his mind."

"Plus sweat on the head, the sweat makes the hands sticky, this is also caused by the fumigation of Yangming Fu Shi."

"All these symptoms indicate that this is a case of evil heat blocking the Yangming organs, rather than a case of Yang Qi decline, syncope and collapse."

"Besides, a true cold syndrome will never cause bad breath. His teeth were clenched tightly. I had to use acupuncture to open his mouth. This kind of situation can only occur with a solid syndrome, a hot syndrome, or a closed syndrome."

He looked at the dean while speaking in dialect, and then continued:
"If the cold syndrome leads to the decline of Yang Qi and collapse, the patient's hands should be loose, he should urinate, his mouth should be open, and his eyes should be closed. Dean, you have seen the situation when we rescued Zhou Zhaoqin before. You must remember what the patient looked like at that time."

The dean briefly recalled the situation at that time, nodded and said:
"Yes, it's exactly as you said. Zhou Zhaoqin and Director Liu's situations are different."

Fangyan continued:

"So, at this point, it has been proven that the previous diagnosis of a cold was a misdiagnosis."

After hearing Fangyan's explanation, the crowd who were not very familiar with Chinese medicine did not quite understand what he said, but they knew that the disease Fangyan diagnosed was completely opposite to that of Director Liu's apprentice.

Moreover, there is a way to save him. I have just written a prescription and asked the people in their traditional Chinese medicine office to boil it over high heat to treat him.

At this moment, Dr. Liu's apprentice frowned and suddenly thought of something. After hesitating for a moment, he said:

"Hey, that's not right!"

"Although I don't know much about Chinese medicine, I have learned some knowledge of Chinese medicine's observation, smelling, questioning and palpation. I just felt my master's pulse and it was very weak and fine. You said it was a symptom of evil heat blocking the Yangming viscera, so shouldn't his pulse be very strong?"

After hearing this, everyone looked at Fang Yan, probably because they didn't expect Fang Yan to make such a mistake.

Although the people present did not know much about Chinese medicine, they had all received some training when they entered the industry, and the four diagnostic methods of observation, auscultation, inquiry and palpation were also one of the compulsory subjects.

Therefore, if the dialect is not explained clearly, it will be embarrassing.

However, Fang Yan looked calm and showed no sign of panic. He just pointed at the patient and said calmly:

"Press the Fuyang, Taixi and Taichong points on his feet."

The doctor was startled when he heard this, and asked him awkwardly:
"Hmm? What? Where?"

"Here." Fang Yan came to the patient's feet and pointed to three locations.

Doctor Liu's apprentice came over and looked at the three locations Fang Yan pointed to. He touched them and asked Fang Yan:

"What's the difference between touching here and touching the Cun, Guan, and Chi on your hands?"

Fang Yan had never thought that he would have the opportunity to teach TCM emergency medicine knowledge to the western medicine doctors at Union Medical College. He said: "The three pulses of foot diagnosis originated from the Yellow Emperor's Classic of Internal Medicine. Three Parts and Nine Signs Theory. Foot diagnosis was popular before the Western Jin Dynasty. Since Wang Shuhe of the Western Jin Dynasty promoted the Pulse Classic and advocated the "Cunkou diagnosis method alone", the clinical application and research of foot diagnosis have been gradually neglected. Later, it was only used in TCM emergency medicine. Let's talk about these three pulses. Taixi is the kidney pulse. The kidney is the innate foundation. The kidney stores essence, and the essence turns into qi. It is the root of the twelve meridians of the human body and the driving force of the functional activities of various internal organs, meridians, tissues, and organs. It is like the roots of a tree. Although the branches and leaves are dry, as long as the roots are not dead, there is still vitality."

"Taichong is the liver meridian. The liver stores blood and is responsible for regulating qi and blood. It plays a vital role in coordinating the normal functions of the organs, meridians, and organs of the human body."

"Fuyang is also called Chongyang, which is the stomach meridian. The stomach is the root of the acquired constitution and the source of blood. If there is stomach qi in the pulse, the patient will live, and if there is no stomach qi, the patient will die. If the above three pulses are not weakened, the patient can survive even if the disease is serious. If the three pulses are gone, the patient will be in critical condition even if the disease is mild."

The patient's apprentice felt it for a while and suddenly said in surprise:

"This... why is this different from the one in my hand?"

He felt the same pulse that Fang Yan had just felt. The pulse was steady, solid and strong, beating more than six times with each breath.

Fangyan explained to him:

"There are two rare phenomena in Chinese medicine when taking the pulse, called 'six yin and six yang'. These pulse phenomena only occur when taking the pulse of critically ill patients at the cun, guan and chi points, and are very deceptive."

"Doctor Liu's current pulse condition belongs to the "Six Yin Pulse". This pulse condition indicates that the body has serious symptoms and the pulse condition will not change, so it is difficult to reflect the true condition of the disease through the pulse condition."

"There is also a 'six yang pulse', which says that some people have a strong and rapid pulse throughout their lives. Even if they develop deficiency symptoms, their pulse will not change."

After hearing Fangyan's explanation, everyone around him showed expressions of "I see."

Some people are already secretly sighing that Chinese and Western medicine are indeed completely different systems.

The little bit of Chinese medicine they learned didn't mention these things at all.

Fang Yan said to them:

"People's constitutions and endowments vary greatly, and it is impossible to tell at a glance whether an illness is real or fake. Especially in critical and severe illnesses, an extremely weak body may show strong symptoms, while a serious case of real illness may show a thin body. If you are not careful, you will fall into the disaster of misdiagnosis and mistreatment, and in a short period of time, life and death can be completely different."

Everyone nodded when they heard this.

Doctor Fang is right!
Look at this guy, he touched the inch, tube and ruler and found something wrong, he immediately took off the patient's socks and touched the three pulses on the foot. Such keen intuition, definitely an expert among experts!
The dean standing by also secretly breathed a sigh of relief. He was really afraid that Fangyan might accidentally make a low-level mistake. With so many people watching, the news would spread quickly.

It turned out that a genius is a genius and it is absolutely impossible for him to make such a low-level mistake. He explained the problem on the spot and gave everyone some popular science advice.

Even the dean knew for the first time that there was such a strange pulse pattern.

All the logic is smooth.

More importantly, Fang Yan remained calm in the face of doubts, as if he had anticipated the possible doubts. The dean was close and noticed that Fang Yan's tone and breathing rhythm did not change.

This is the kind of person who remains calm even when faced with a mountain collapse.

The dean silently commented:

He is a person who can take on great responsibilities...I really was right about him!

Besides, this disciple of Lao Liu is really a tactless person. He should have pulled him aside when he questioned him! Doesn't he understand the ways of the world?

What's more, he said that his master had to make arrangements for his funeral before he even started treating him. He was so flustered and useless!

At this time, Dr. Liu's apprentice certainly didn't know that he had been blacklisted by the dean, but he was convinced by what Fang Yan said.

What he said makes sense and I have to admit it.

Moreover, he didn't want his master to die like this. If Fangyan was right, then the next medicine should be the touchstone to test his dialectics.

At this moment, a shout came from outside:
"Everyone, make way, make way, be careful of getting burned!"

The medicine that Fangyan had asked to be boiled over high heat just now has been boiled and brought over.

PS: After finishing this chapter, I still owe you 86000 words.

I wish you all a happy Lunar New Year.

(End of this chapter)