Rebirth 1977 Great Era

Chapter 627: Staged treatment, what kind of acupuncture is so impressive? (Happy New Year!)
Fangyan opened the file bag, which contained the prescription for the medicine given at that time.

He found that the most common substance in it should be antibiotics.

He sighed in his heart, wow, this is exactly the same as the three tricks of the small clinic!

These include antibiotic eye drops, such as levofloxacin eye drops and tobramycin eye ointment.

There is also intravenous ceftriaxone sodium and vancomycin.

There are also glucocorticoids, which have anti-inflammatory, anti-allergic and immunosuppressive effects, and can reduce inflammatory responses and tissue damage. However, intraocular pressure needs to be closely monitored because complications such as steroid-induced glaucoma are likely to occur when used.

Then there are other vitamin drugs, which help promote nutritional repair of the retina, as well as vasodilators to improve blood circulation in the fundus and promote the absorption of inflammation.

Fangyan also saw something else, which was dexamethasone injection.

Fangyan asked:

"The hospital also injected dexamethasone into your vitreous body?"

The patient shook his head and said:
"No, they prescribed some medicine, but I didn't dare to agree to their treatment."

"At the time, I thought that my eyes were just a bag of water, and if the needle was inserted, wouldn't it burst directly? So no matter what they said, I refused to get the injection."

Fangyan didn't know whether to laugh or cry when she heard this. However, she also confirmed that her previous treatment plan was indeed for treating suppurative inflammation of the fundus.

At this time, the patient continued to describe her current condition. She said:
"Now my head, eyes, and shoulders all feel swollen and painful, whether I'm awake or asleep, standing or lying down. Four months ago, I couldn't see the largest words on the newspaper. Now I can only see faint light with both eyes."

"In addition, the person who has abdominal distension and pain all day long is upset. He eats less than one or two ounces of food a day. He is very anxious, afraid of hearing noises, and afraid of complicated things."

Dialect observation revealed that the patient spoke in a weak and slow voice, and appeared anxious and impatient when speaking.

He asked the patient:
"How's your bowel movement going?"

"My bowel movements are normal, but I urinate frequently and only a little each time," said the patient.

"What about menstruation?" Fangyan asked again.

The patient hesitated for a moment, then answered honestly:

"My menstrual flow is light and I can't see my husband. It is accompanied by the discharge of dirty things mixed with black blood clots. In addition, my menstrual period will only come once every two to three months."

After hearing the patient's description, the two people standing behind Fangyan felt a little overwhelmed.

Why are there so many confusing symptoms?
The whole thing is like a hodgepodge, and the dialectic alone is enough to make people drink a pot.

At this point, they could already predict that the patient's pulse would be absolutely excellent, and that the pulse on both hands would definitely be different.

If they were asked to sit in the dialect position to treat patients at this time, they would definitely take out a piece of paper, write down all the questions, and then slowly think and dialectically analyze the symptoms.

Because there are so many symptoms, you might forget them all after a while.

But at this time Fangyan did nothing, instead he was stroking his chin and thinking.

It was as if he had memorized all the symptoms the patient had just mentioned.

At this time, the patient's husband said in dialect:
"No matter how much medicine I take at the hospital outside, it won't work. They have recommended surgery to replace the cornea. I heard about your story on the radio a few days ago, so we thought of coming to you for treatment."

Fang Yan nodded and said to the patient:
"Come on, stick out your tongue for me to see."

Upon hearing this, the patient obediently stuck out his tongue for Fangyan to observe carefully.

Fangyan found that the tongue coating was thin and grayish white.

There are generally three possible colors of this tongue coating. The first is exogenous cold and dampness, that is, when the human body is affected by exogenous cold and dampness, the cold and dampness are trapped on the surface and have not yet entered the interior, which is reflected on the tongue as this kind of tongue coating.

Another type is internal accumulation of dampness and turbidity, which is caused by dysfunction of the internal organs, especially the spleen's dysfunctional function of transporting and transforming, which leads to the accumulation of dampness and turbidity in the body, hindering the normal operation of Qi, blood and body fluids, and then manifested on the tongue.

The last type is spleen and stomach deficiency and cold. The spleen and stomach are the foundation of acquired constitution. If the spleen and stomach yang qi is insufficient, deficiency and cold are generated endogenously, the transportation and transformation functions are abnormal, and water and moisture cannot be metabolized normally, it may rise to the tongue surface and form a thin grayish-white tongue coating. Patients usually also have symptoms such as loss of appetite, abdominal distension, abdominal pain, preference for warmth and pressure, and loose stools.

Fangyan then took the patient's pulse.

The pulse diagnosis took longer than the previous ones, because the pulse condition this time was the same as that previously determined by Zhang Yanchang and Yang Jingxiang, which was really quite exciting.

Of the left hand, Cun, Guan and Chi, Cun is heavy, rough and weak, Guan is floating, stringy and slippery, and rough when pressed, while Chi is heavy, rough and weak.

Of the right hand's Cun, Guan and Chi, Cun is floating, long and strong, Guan is floating, stringy and astringent, and Chi is slightly sinking, slippery and weak.

The inch pulse on the left hand generally corresponds to the heart and small intestine. A deep pulse indicates that the disease is located internally. An astringent pulse indicates poor circulation of qi and blood, lack of blood and essence, etc. A weak pulse indicates insufficient vital energy.

The Guan pulse on the left hand corresponds to the liver and gallbladder.

Floating pulse indicates superficial symptoms or external escape of false yang, but combined with its stringy, slippery and astringent characteristics when pressed, the situation is more complicated.

Stringy pulse is often seen in liver disease, pain, phlegm and fluid, etc. Slippery pulse is mainly caused by phlegm and fluid, food accumulation, and real heat, etc. The rough feeling when pressed indicates that the circulation of qi and blood is not smooth.

On the whole, it may be due to liver depression and qi stagnation, qi stagnation turns into fire, and liquid is refined into phlegm, forming a phenomenon of phlegm and fire. It means that the patient is emotionally unstable, easily irritable or depressed, accompanied by symptoms such as chest and flank distension, bitter mouth and dry throat.

This is almost consistent with what the patient said before.

The left hand radial pulse corresponds to the kidney and bladder. A heavy, astringent and weak pulse indicates a deficiency of kidney yin or kidney yang, insufficient qi and blood, and inability to nourish the lower body.

It is due to deficiency of kidney essence, which is unable to transform into qi and blood, or insufficient kidney yang, which weakens the warming and promoting functions, leading to slow circulation of qi and blood.

The inch pulse on the right hand corresponds to the lungs and large intestine.

A floating pulse indicates superficial symptoms, but a long and strong pulse is mostly a sign of excess heat.

The Guan pulse on the right hand corresponds to the spleen and stomach.

A floating and stringy pulse indicates that liver depression is affecting the spleen or exogenous evil qi is affecting the spleen and stomach. A pecking pulse has irregular rhythm and a rapid pulse. A wiry pulse indicates that qi and blood are not flowing smoothly.

In summary, it may be spleen and stomach dysfunction, and Qi and blood stagnation.

The radial pulse on the right hand corresponds to the Mingmen and Sanjiao.

A slightly deep pulse indicates that the disease is located deeper. A slippery pulse generally indicates solid evils such as phlegm, food accumulation, etc., but the pulse here is slippery and weak. Combined with the above, it means that the fire of the Mingmen is weak, the qi transformation function of the triple burner is abnormal, which leads to water retention in the body, and the vital energy is weak.

After finding out so many situations at once, we need to carefully connect and analyze them dialectically to find the main cause of the disease.

He remained calm and began to observe the patient's expression.

The patient's face is a dull white, lacking in blood color, significantly paler than that of a normal person, and is accompanied by a sickly yellow hue, appearing withered, dull, and without luster, just like the color of a plant that has withered due to lack of water and nutrients.

A pale and sallow complexion often appears at the same time, indicating that the body may have problems such as insufficient Qi and blood, weak spleen and stomach, etc.

After combining the four diagnostic methods of observation, auscultation, questioning and palpation, Fangyan came to a conclusion.

Under the eager gazes of Zhang and Yang, he began to write on the medical record in front of him:

"The patient's face was pale and sallow, and he often felt short of breath and chest tightness. Through pulse examination, it was found that the pulse in the right hand was long and strong. This situation is caused by the stagnation of lung qi, which is fumigating upward but cannot descend smoothly. This abnormal state of lung qi affects the eyes, causing blurred vision in patients."

"If this continues for a long time, it will lead to insufficient kidney water. The lungs belong to metal, and the kidneys belong to water. Metal produces water, so lung dysfunction will affect the kidneys. The liver belongs to wood, and insufficient kidney water cannot nourish the liver wood, which will hinder the flow of meridians. The eyes rely on blood to nourish them in order to see clearly. When the meridians are blocked, the eyes cannot get enough blood supply, so the symptoms of blurred vision or even blindness appear."

After finishing writing, Fangyan stopped writing in the treatment plan column.

Turn your attention back to the patients.

This action was immediately captured by Zhang Yanchang and Yang Jingxiang behind him.

They immediately had some ideas.

You should know that eyes are an important organ of the human body. In traditional Chinese medicine, "eyes are where the main meridians gather" and they are closely connected with the organs and meridians of the whole body.

Ophthalmic diseases not only affect the local function of the eye, but may also be the manifestation of systemic diseases in the eye. At the same time, eye diseases may also affect the body's qi and blood, internal organs function, etc.

Therefore, in clinical practice, the diagnosis and treatment of ophthalmic diseases is crucial to the maintenance of overall health. It is interrelated and mutually influential with the diagnosis and treatment of diseases in other departments. If other departments are not well developed, they will be restricted in treatment.

So they were very curious, since the dialect had already been dialectically explained, what was he thinking about when he stopped writing?

For a moment they thought that Fangyan might be stumped by some problem.

But immediately they subconsciously denied this idea.

From the current perspective, Fangyan would definitely not be stumped by this kind of problem. In fact, according to his dialectical thinking, Zhang Yanchang and Yang Jingxiang already have some ideas about treatment.

At this moment, they saw Fangyan move the pen back to its previous position and write a summary:

The patient suffers from lung depression, spleen deficiency, kidney water deficiency, and water cannot contain wood.

Then he moved on to the treatment method and wrote:
Strengthen the spleen and clear the lungs, nourish and soothe the liver.

Then he quickly wrote the prescription:
15g of Scutellaria baicalensis, 9g of Morus alba bark, 12g of Perilla seed, 3g of Citrus aurantium, 6g of Schizonepeta tenuifolia, 6g of Saposhnikovia divaricata, 15g of Taraxacum mongolicum, 6g of Equisetum arvense, 6g of Sarcandra chinensis, 10g of Vitex rotundifolia, 6g of Angelica dahurica, 3g of Asarum, 10g of processed Angelica sinensis, 15g of Ligustrum lucidum, 7g of donkey-hide gelatin, 6g of peach kernel, 10g of chicken gizzard lining, 6g of stir-fried Areca nut, 15g of Codonopsis pilosula, 15g of Atractylodes macrocephala, 10g of Prunus mume, and 10g of processed Polygonum multiflorum.

There were a total of twenty-two herbs, which made Zhang Yanchang and Yang Jingxiang's eyes dizzy.

Then they saw Fangyan continued to write:
"In order to treat the problem of lung qi being stagnant upwards and unable to descend, we use Scutellaria baicalensis, Morus alba bark, and Citrus aurantium to dissipate the stagnation, make the lung qi descend, open up the blockage in the chest, eliminate irritability, and keep the eyes from being fumigated by the hot air. The patient had symptoms of blindness, red cataracts in the corners of the eyes, white cataracts on the eyes, and swelling and pain in the head and eyes, so we used Nepeta tenuifolia, Saposhnikovia divaricata, Taraxacum officinale, Equisetum arvense, Vitex rotundifolia, Angelica dahurica, and Asarum to open up the qi and blood in the eye veins and eliminate the stagnation. Remove cataracts, stop the pain in the head and eyes, and reduce intraocular pressure. Use processed angelica, Ligustrum lucidum, and donkey-hide gelatin to nourish yin fluid and replenish qi and blood, and use peach kernel and schizonepeta to remove blood stasis and regulate menstruation. Use chicken gizzard lining, bitter orange peel, Codonopsis pilosula, Atractylodes macrocephala, Alpinia oxyphylla, and processed Polygonum multiflorum to strengthen the spleen and stomach, regulate stomach function, eliminate irritability, and stop frequent urination. First eliminate the patient's irritability, increase appetite, and replenish vitality and physical strength, and then perform acupuncture treatment. "

Although these medicines use twenty-two ingredients, they are linked together to target all the symptoms the patient mentioned previously.

But when they saw the last few words, they were stunned. It was written in the medical record that the treatment of this disease had to be divided into stages?

And it seems that all the previous treatments are laying the foundation for the subsequent acupuncture treatments.

An idea popped into their minds:
What kind of acupuncture technique is so grand?

PS: The 6000-word update has been completed. Through everyone’s efforts, before the end of January, we finally got 1 more monthly tickets, so I owe you another 300 words.

I currently owe you a total of 113000 words.

February has begun, and Lao Feng continues to work hard on writing.

There will be more updates tomorrow during the day.

(End of this chapter)