Rebirth 1977 Great Era

Chapter 658: Urinary tract stones are treated in the Orthopedic Hospital, which used to be a farewell hospital

"Have you been to the toilet since you became ill?" Fangyan asked the patient.

"Yes." The patient nodded.

Fangyan asked again: "Is it normal?"

After hearing this question, the patient said somewhat uncertainly:

"It should...it should be normal, right?"

Fang Yan said to him:
"You're not sure yourself?"

The patient frowned and said:
"You asked me this question suddenly... I... I didn't really have the energy to observe at that time, and I'm in so much pain right now."

Fang Yan nodded and took out the silver needle he carried with him:
"I'll give you a few injections to relieve the pain first, and you should recall it carefully."

"Okay!" When the patient heard Fangyan asking for pain relief, he agreed immediately.

The other orthopedic doctors around were all looking at Fang Yan curiously as he was about to give acupuncture to the patient.

Most of the patients received by their orthopedic hospital are orthopedic injuries. Although they also accept other diseases, orthopedic hospitals are mainly orthopedic hospitals. When receiving other patients, they will be limited by the hospital's medical equipment, professional personnel, etc.

For some diseases that are beyond their own treatment capabilities, such as serious cardiovascular diseases, complex internal medicine diseases, etc., orthopedic hospitals will promptly refer patients to general hospitals or related specialist hospitals to ensure that patients can receive more professional and effective treatment.

But the dialect was different, so he started treatment on the spot.

Next, Fangyan inserted needles into the patient's kidney point, bladder point, and Zhongji point respectively.

The patient's frown suddenly relaxed a lot.

Fang Yan asked the patient:

"Does it still hurt now?"

The patient said in dialect:
"Doctor Fang, you are amazing. I don't feel so much pain anymore."

When Fangyan heard this, he knew that the patient was probably still in some pain.

Fangyan then found the patient's Weizhong point and inserted acupuncture into it. It is the meeting point of the Bladder Meridian of Foot-Taiyang. The Bladder Meridian runs through the waist and lower limbs. The pain caused by urinary stones often involves the waist and lower limbs. Acupuncture at the Weizhong point can dredge the Qi and blood in the bladder meridian and relieve the pain caused by Qi and blood blockage.

Sure enough, after the injection, the patient's brows immediately relaxed.

He tried a few movements on the stretcher and was surprised to find that it didn't hurt anymore.

"I'm fine?!" the patient asked in surprise to Fangyan.

"Not yet, it just doesn't hurt now." Fang Yan shook his head and said.

However, judging from the patient's reaction after he gave the injection just now, Fangyan could basically conclude with 100% certainty that the patient definitely had urinary tract stones.

When the other doctors who were watching saw Fang Yan's method, they immediately exchanged glances.

It was like a group of poor students suddenly saw a top student.

Many of them only studied Chinese orthopedics and did not learn anything else. Even if some of them did learn it, they only touched upon it superficially.

Today, after seeing a few injections of dialect, they immediately developed the desire to learn it.

At the same time, I was also impressed that this junior master was really amazing.

The rumors in the newspapers are not exaggerated at all.

Before, they all thought that Fangyan had not studied orthopedics for a long time, so he was not very proficient in this area. However, after looking at the first few medical cases today, they all realized that they were wrong. This person is truly a genius.

No wonder he got full marks in five subjects.

It can be said that the old lady was quick to act. It is said that Fangyan was noticed by the old lady before he took the exam, and she insisted on giving him a secret book that only his direct disciples could get.

Fangyan had no idea what his fellow apprentices who were watching him were thinking. They were already wondering how to cure his urinary stones.

He asked the patient:
"Can you think clearly about urination and defecation now?"

After hearing this, the patient scratched his head and his expression seemed like he was lost in memories.

The patient's family members asked in dialect:

"Doctor Fang, you just asked if urination and defecation have anything to do with his back pain?"

Fang Yan nodded and said:
"It is related. I now judge that his symptoms are not simple back pain, but pain caused by urinary tract stones. Judging from the reaction after acupuncture just now, I can almost conclude that it is urinary tract stones."

"So I want to know if he has blood in his urine, or is unable to urinate, or has little urine..."

Before Fangyan could finish speaking, the patient slapped his forehead and said:
"Oh! Doctor Fang! I remember now. You are right. It is true. I remember that I only urinated a little at that time. But I didn't pay much attention to it at that time. I thought it was caused by pain."

After saying this, he scratched his head again:
"But I really didn't pay attention to whether there was bleeding or not."

Fangyan asked him again:
"Is there no constipation in the stool?"

The patient wanted to say: "A little bit. After winter, there will be some constipation during this time every year."

After a brief thought, Fang Yan said to the patient:

"Okay, I'll prescribe some medicine for you. I'll have someone boil it for you to drink in the hospital."

"Oh, okay!" the patient nodded and agreed.

Then Fang Yan turned around and asked the group of older nephews who were watching:
"Who treated this patient?"

At this time, a man stood out from the crowd and said:
"I, Uncle Fang, it's me! I'm Chen Hongran!"

Fang Yan looked at the smiling little fat man with a round face and said to him:
"I'll tell you the prescription, and you write it down yourself."

"Okay!" Chen Hongran hurriedly picked up the paper and got ready.

The dialect said:

"60g of Centella asiatica, 12g of Sea Sand, 6g of roasted chicken gizzard powder, 15g of Radix Rehmanniae, 12g of Scrophulariae, 9g of Asparagus cochinchinensis, 12g of Gastrodia elata, 9g of Polygonum multiflorum, 9g of Dianthus superbus, 9g of Polygonum multiflorum, 12g of Plantago, 12g of Talcum, 4.5g of Akebia, 4.5g of Licorice, 4 pieces of fried walnut kernels. In addition, the patient is suspected of having hematuria, so add Imperata cylindrica and Agrimoniae. After the first dose of medicine, if the patient's back pain has not been relieved, remove Akebia and add the same amount of Dipsacus as before, add 600ml of water, simmer for 30 minutes, pour it out and set aside, add ml of water for the second decoction, and the decoction method is the same as before. Mix the juices of the two doses and give it to the patient."

This prescription is actually a summary of Fangyan's experience based on the medical books he has read, and then he came up with it just now.

Although urinary stones are extremely painful, they are not a particularly difficult disease to treat.

Medicinal materials such as Centella asiatica, Lycopodiella ciliata, Smilax glabra, Polygonum multiflorum, Dianthus superbus, Plantain, Talcum, and Akebia are the key to the effectiveness of this medicine.

"Supplement to Compendium of Materia Medica" records that Centella asiatica can clear away heat and dampness, relieve stranguria and reduce swelling; Galactomyces galangus can clear away damp heat and relieve pain; Glehnia littoralis can also clear the lungs and relieve cough; Polygonum multiflorum and Dianthus superbus have outstanding heat-clearing effects; Plantago can also clear away heat; Talcum can clear away heat and relieve summer heat; Akebia trifoliata helps expel damp heat through urine.

They work synergistically to effectively clear away dampness and heat in the lower abdomen, improve the symptoms of dampness and heat in the urinary system, and relieve discomfort such as frequent urination, urgency, and pain when urinating.

Roasted chicken gizzard lining powder and fried walnut kernels play an important role in this regard. Roasted chicken gizzard lining powder has the effect of clearing the stranguria and dissolving stones, which can help dissolve stones; fried walnut kernels can nourish the kidney and consolidate the essence, and also have a fossilizing effect.

The two work together to help promote the excretion of stones.

The three medicinal herbs of Rehmannia glutinosa, Scrophularia ningpoensis and Asparagus cochinchinensis work together to nourish yin and tonify the kidney.

Shengdi clears heat and cools blood, nourishes yin and produces body fluid; Scrophularia clears heat and cools blood, nourishes yin and reduces fire; Asparagus nourishes yin and moistens dryness, clears lungs and produces body fluid. They can nourish kidney yin and prevent heat-clearing and dampness-removing drugs from being too bitter and cold to damage yin. At the same time, they also target the pathogenesis of "kidney deficiency and bladder heat" and play a role in treating both the symptoms and the root causes.

Chinese Rhizoma Achyranthis Bidentatae can lead the drugs downward, directing the medicinal power of other drugs to act on the urinary system in the lower abdomen, and can also nourish the liver and kidneys, and strengthen the tendons and bones; licorice harmonizes the various drugs, moderates the medicinal properties between the drugs, and makes the medicinal properties of the whole prescription more peaceful. At the same time, licorice itself also has a certain effect of clearing away heat and detoxifying, relieving acute pain.

Originally Fang Yan thought that the little fat man Chen Hongran would ask him about his thinking behind prescribing medicine, but the other party immediately said:

"Okay! I'll get it done right away."

Fangyan immediately called him:
"Wait, you're not finished yet."

Chen Hongran was startled and stopped, only to hear Fang Yan asking him:
"Do you have any nut paste here?"

Chen Hongran opened his mouth. Actually, he wanted to say that he had never heard of this thing, but when the words came to his lips, they turned into:

"I...I have to go ask."

But Fangyan soon saw his embarrassment and said:
"It's okay. It doesn't matter if you don't have it. Just use 500 grams of steamed walnut kernels and 250 grams of roasted chicken gizzard lining. Grind them all into powder, then mix them with 500 grams of boiled honey to make a paste. Take one teaspoon of it with warm water every time after taking the medicines just now."

Hearing this, Chen Hongran immediately started recording it.

When he was halfway through writing, he suddenly saw the prescription in front and asked curiously:
"Uncle Master, don't you already have these two medicines in your previous prescription? What is the effect of this ointment?"

After saying this, he felt a little regretful.

Isn't this a disguised admission that you don't understand?

However, Fangyan pretended not to know and explained immediately:

"Chicken's gizzard lining has the function of dispelling stones and helping to dissolve stones, while walnuts can nourish the kidneys, enhance kidney function, and assist chicken's gizzard lining in playing its role. When the two are made into a paste, it can help relieve symptoms and promote the discharge of stones for patients with urinary stones."

Fang Yan held back and said, "After the medicine is processed, its medicinal properties will change."

However, I have basically understood the basics of traditional Chinese medicine for this little fat guy in front of me.

It can be seen that Chen Hongran's master does not seem to be particularly particular about accepting disciples.

Fang Yan didn't know whose apprentice he was, but it seemed that these nephews' medical skills were quite limited except for orthopedics.

However, it is understandable that when orthopedic hospitals are seeing patients, as long as they find that the patients have other conditions, most of the time they will choose to transfer the patients to other hospitals.

It’s just that I encountered dialect today.

That's why patients come here to treat urinary stones.

"Next." Fangyan shouted.

As the next patient enters the room.

Fangyan started to diagnose the next difficult and complicated case.

(End of this chapter)