Rebirth 1977 Great Era

Chapter 667: The rare disease acknowledged in writing by Fangyan for the first time
After hearing the patient's last sentence, Fangyan was speechless.

Could it be that this patient has a bad reputation?

Or maybe the original doctor simply didn't have much confidence in the operation?

Or... when you were making the analysis, you didn't make an accurate analysis at all, and you just wanted to cut it to try it out, but you didn't expect that there was someone behind the other person, so you stopped in a hurry?
At this time, the patient said with his big tongue:

"Later, we heard about your deeds, Doctor Fang, but they said you were always busy and didn't have time, so I asked my family to help me get an appointment with you. I heard that you could cure any disease, and a group of overseas Chinese came back to China to see you."

"Please help me figure out what the problem is."

He began to complain in dialect:

"Now I can't sleep well, and I often feel anxious and easily frightened. For example, even though I know someone is in the kitchen, I always get scared when I see someone in the kitchen."

"I feel like it's not just a dental problem, there may be other issues. People say you're a miracle doctor, so I want you to take a look."

Fangyan waved his hand and said to the patient:
"Since you have my number, I must be responsible for you. Regarding the symptoms you just mentioned, do you have any other similar symptoms?"

"For example, whether your bowel movements and urination are normal, and whether you have a bitter taste in your mouth or feel thirsty?"

The patient thought for a moment, then said with his big tongue:
"I don't have a bitter taste in my mouth, but I always feel a dry throat in the middle of the night. It's not that my mouth is thirsty, but my throat feels very dry, but I don't want to drink water."

The patient wrote while speaking in dialect.

The patient thought for a moment and continued:
"Also, every time I urinate, I always feel a little dizzy, and it has become more and more serious recently. I can't finish my urine and I feel like I can't stand up."

"Don't worry if you laugh at me, but before I came here today, I urinated in three parts."

"After going to the toilet, I lay flat at home for a long time before I recovered."

"Dizziness when urinating?" Fang Yan stopped writing and looked at the patient with a slightly puzzled expression.

Several possibilities flashed through his mind quickly.

When it comes to urinary dizziness, the first thing that comes to Fangyan’s mind is that it is related to low blood pressure or low blood sugar.

For people who already have low blood pressure, the above-mentioned changes in abdominal pressure and other factors will further reduce their blood pressure when urinating, leading to insufficient brain perfusion and causing dizziness. Some elderly people with poor vascular elasticity, or those who have been bedridden for a long time and have weak constitutions are also prone to blood pressure fluctuations when urinating, causing dizziness.

There is also a small chance that urinating on an empty stomach may induce hypoglycemia and cause dizziness.

This is because the body consumes a certain amount of energy during urination, and the blood sugar level in the body is relatively low when fasting. At this time, the energy supply is insufficient, the brain is very sensitive to hypoglycemia, and dizziness symptoms are likely to occur.

But the patient's condition was obviously not right. He was only 55 years old, looked tall and strong, and did not look like he would have low blood pressure or low blood sugar.

What's more, he said that he would feel dizzy no matter when he urinated.

So what is going on?

This question suddenly popped up in Fangyan’s mind?

Is it cardiovascular disease, a nervous disorder, or just excessive stress?

Zhang Yanchang was also a little confused.

Do you feel dizzy or even faint when you urinate?

What's wrong with this?

Why do I feel like this person today has all kinds of problems that I can't understand?

After understanding the dialect question, the patient rubbed his left cheek and said with a thick tongue:

"Yes, I feel very dizzy. It's like this every time, without exception, and it's getting worse and worse."

After hearing this, Fangyan wrote down the above symptoms in the medical record.

A thoughtful look appeared on his face.

But not long after, his brows relaxed again and he asked the patient:
"What about poop?"

The patient nodded:

"The bowel movements are quite normal."

Dialect Question:
"I mean, did you find blood in your stool?"

The patient thought about it, then shook his head:
"No, there is definitely no such thing, I am sure."

"Okay." Fang Yan nodded, and then recorded this in the medical record.

At this time, the patient asked in dialect:

"Doctor Fang, what do you think is wrong with me?"

Fangyan put down his pen, looked at the patient, and said:

"Your situation is indeed quite rare... I have to take a closer look to confirm what the problem is."

Perhaps because of the reputation of the dialect, there has never been a disease that cannot be cured, so the patient did not feel anxious. He nodded seriously and said:

"Okay, I will definitely cooperate with you to the fullest and do whatever you ask me to do."

Fangyan opened the drawer and took out a silver-white flashlight with batteries.

Then he turned on the flashlight and said to the patient:
"Open your mouth and let me see what's inside."

When the patient heard Fangyan's request, he immediately obediently tried to open his mouth, and even used his hands to pry open his swollen left cheek so that Fangyan could see inside more clearly.

When he opened his mouth, Fangyan pointed the flashlight into his mouth and observed it.

The light from flashlights these days is not particularly bright, but fortunately, Fangyan’s eyesight is pretty good and he can observe clearly with just a little help.

The first thing we observed was that the gums at the patient's left lower molar, connected to the root of the tongue, had swollen.

He said to him in tongues:

"I'll touch it with my hand. If it hurts, let me know."

The patient nodded.

Then Fangyan reached in and touched his swollen gums and the root of his tongue and found that they were a bit hard.

However, because I have practiced the palpation technique of Roche's bone setting method, I am particularly sensitive to touch. Although it feels hard, it is not the kind of hardness that is lumpy, so it can basically be ruled out as a tumor.

This also made Fang Yan feel a little relieved. At the same time, he also observed the patient's tongue coating.

The tongue is slightly pale and the tongue coating is tender yellow.

Then Fangyan touched his horizontal tooth and found that it was quite sharp. It felt like a saw blade.

Fang Yan then touched his other normal teeth and found that some of them were slightly loose.

Finally, Fangyan took his hand out and turned off the flashlight in his hand.

Zhang Yanchang had already handed a piece of paper to Fang Yan and asked him to wipe his hands. Fang Yan took it, wiped his hands, and then returned to his own desk.

The patient touched his swollen left face and said to the dialect:

"A small tooth has pierced the root of my tongue. Now my tongue can't move flexibly. It hurts every time I speak."

"Yeah, I saw it." Fang Yan nodded and said.

"So what's the problem?" the patient asked in dialect.

He did not answer him either, but pointed to his hand and said:
"Let me take your pulse now."

After hearing this, the patient quickly and obediently stretched out his hand.

Fangyan then spent 10 minutes taking the patient's pulse and found that it was weak and large, and felt powerless when pressed hard, especially at the two-foot position.

At this moment, the patient's daughter-in-law suddenly said:
"By the way, Doctor Fang, I also brought our old Zhang's teeth from previous visits."

"Some of these teeth were extracted in the hospital, and some were broken by him himself."

"Look, it's all here."

After saying that, he took out a handkerchief from his coat. After opening the handkerchief, there were 6 bone "teeth" inside, about five or six centimeters long and shaped like knives.

There is also a serrated edge on it.

At this time, Zhang Yanchang, who was watching from the side, had his mind completely confused.

I really don't know where the problem lies.

I read over and over again the medical books I had memorized since childhood, but I couldn't find a treatment for this disease.

It doesn't even seem to be related.

In the end, he had no choice but to turn his attention to dialects.

After all, Brother Fang is indeed well-read and has an amazing memory.

Maybe there really are some treatments out there.

At this time, the patient's daughter said:

"My dad's illness, is it what the doctor said last time, that the medication he took caused changes in his body's hormones, which then induced gingival tumors?"

This is also what other people want to ask, including Zhang Yanchang.

Fangyan shook his head and said:
"No, gingival tumors are mainly related to local irritants, such as long-term stimulation from tooth roots, dental calculus, or poor restorations. His case was a sudden onset and has nothing to do with these. In addition, changes in female hormone levels during pregnancy may induce gingival tumors. The hormones in the medicine are different from this one."

“Also, since epinephrine tumors grow on the gums, they can be mistaken for growing teeth.”

"And gingival tumors appear as round or oval lumps at the gingival papillae, of varying sizes, some with pedicles like polyps, and some without pedicles with a wide base. Generally, the color is similar to the gums or slightly red, and the texture is soft. Your father's is knife-shaped, and it is indeed bone, which is completely inconsistent."

The patient and his family members suddenly understood and nodded:

"So that's it."

Although Zhang Yanchang didn't say anything, he also showed a look of sudden enlightenment. Then he realized that Brother Fang actually knew so much about Western medicine. He really deserved to be the one who could take up the responsibility of traditional Chinese medicine in Union Hospital...

However, after admiring him, he fell into doubt again.

Because it is different from before, this time Fangyan did not say how to treat it. Instead, he showed a thoughtful look, which means that Fangyan has not found a breakthrough yet.

Zhang Yanchang thought:
"Is Brother Fang going to lose his golden body today?"

He frowned as well.

Then I thought:
"But then again, for such a strange disease, I believe few people know how to treat it, right?"

"Could it be that Brother Fang is thinking about how to say that he can't cure it?"

"Why don't you give him a way out yourself, that is,..."

"No, no, ordinary stairs won't be enough to hold it up. We have to think of a foolproof plan this time."

"It would be great if Yang Jingxiang was here. He could come out and cause some trouble to disrupt this matter, maybe that would work?"

"Anyway, Brother Fang must not fail. If his reputation is ruined, the impact will be too bad..."

"But then again, shouldn't we ask the dean to come over at a time like this?"

Just when Zhang Yanchang was thinking about these random things.

Fangyan suddenly picked up the pen again and began to write:
"This is an extremely rare disease. After careful consideration, I remembered that the Yellow Emperor's Classic of Internal Medicine mentioned that "the kidneys are responsible for bones" and "the kidneys are the innate foundation of the human body and are in charge of urination and defecation"; it also pointed out that "teeth are the continuation of bones." Based on this basic theory, the symptoms that patients are experiencing now are: the kidney essence is unstable, and the virtual fire rushes upward, causing the teeth to become loose. In the upper part, it manifests as excess bone growing in the mouth; in the lower part, it manifests as loss of urination control and symptoms of fainting during urination..."

"The treatment method should be to warm and nourish the kidney yang, so that the floating virtual fire returns to its origin. It is appropriate to use decoctions and acupuncture together. The prescription should be Jinkui Shenqi Pills, and some other medicines can be added on this basis."

When Zhang Yanchang saw the contents of the letter, his eyes widened.

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

I got another 100 monthly votes, so after updating this chapter, I still owe you 96000 words.

There will be extra money later... to pay off your debts.

I also have a good news for you all, we won again in the PK recommendation.

Today’s guide on the 16th.

Brothers, you guys are awesome!

(End of this chapter)