Rebirth 1977 Great Era

Chapter 694: Your feet are swollen, right? Doctor Fang is amazing!
After hearing what the other party said, Fang Yan did not ask much about the agreement between him and Director Liao.

He just nodded and said:

"Don't worry, I will do my best for all my patients."

After saying this, regardless of the other party's reaction, Fang Yan said to the patient, Mrs. Li:
"Old man, do you have anything to add about your condition?"

"For example, the feeling when the disease occurs, as well as urination and defecation and so on."

After hearing the dialect, the old lady thought for a moment and said:
"My headaches have no fixed pattern and the pain is getting worse and worse. They occur whenever I feel down, depressed or emotional."

"When I have a headache, it feels like there is something pressing down on the top of my head."

"Oh, by the way, the pain has recently spread to the temple area, and the two tendons behind the neck, connected to both shoulders, are sore."

"The urine is a little yellow, and the stool is also abnormal, sometimes dry and hard, and sometimes soft and shapeless."

Fangyan nodded.

At this time, the patient's son said to the dialect:

"Before we returned home, we actually went to the hospital for a checkup. The doctor said that my mother was in a state of long-term depression, and that low mood could also lead to these physical conditions. He prescribed a bunch of antidepressants for us, but after taking them once, my mother became very sleepy and felt drowsy for several days. We were afraid that there might be some problem, so we stopped taking the medicine."

After hearing this, Fangyan frowned slightly and asked:
“Imipramine, phenelzine, or maprotiline?”

The other party said:

"It's an English name. I'm not sure what it translates to."

At this time, the patient said:
"Maprotiline, should it be maprotiline?"

Fangyan nodded after hearing this, and then explained:

"That's a tetracyclic antidepressant, one of the newest antidepressants in the world. It's been published in many medical journals. Common adverse reactions after taking it include dry mouth, blurred vision, constipation, and difficulty urinating. In addition, central nervous system symptoms may also occur, such as drowsiness, dizziness, and headaches."

"A small number of patients may experience adverse reactions in the cardiovascular system, such as tachycardia and orthostatic hypotension. In addition, there may also be allergic reactions such as rash and itching."

Hearing Fang Yan's words, the old lady nodded and said:

"That's right, it's this. It makes me feel sick all over."

"During those days, I didn't know whether I was in a dream or in reality. I don't want to eat that thing again."

Fangyan comforted the old lady:

"Don't worry, now that you've come to me, I will definitely cure you."

Hearing Fangyan's certainty, the old lady and his family couldn't help but smile in surprise.

The patient's eldest grandson said to Fang Yan with admiration:

"I knew you could do it. Just like the rumors say, you can cure any disease!"

Fangyan didn't expect that he had a little fan boy.

She smiled at him, then spoke to Old Lady Li in dialect:
"Come on, open your mouth and show me your tongue."

"Let's try to find the problem as soon as possible and solve it."

"Okay!" When Mrs. Li heard this, she nodded cooperatively, then opened her mouth and stuck out her tongue.

When Fangyan saw the tongue, he was slightly stunned. It was a rare purple-red color.

A purple-red tongue often indicates the presence of blood stasis in the body.

When Qi and blood do not flow smoothly and become stagnant in the body, this can be reflected in the tongue appearing purple-red.

The old lady had experienced a plane crash 8 years ago. She was diagnosed with minor injuries at the time and was discharged from the hospital quickly. Thinking about it, Fangyan thought that there might be other injuries in her body at the time, but they were not discovered.

After all, the old man sitting next to her died instantly, but she was only slightly injured. How could this not make sense?
Of course, Fangyan's guess was just a preliminary one. Then Fangyan discovered that the tongue coating on the back of the old lady's tongue was a little yellow.

Fangyan frowned slightly and asked the old lady:
"Did you brush your tongue before you went out?"

The old lady nodded and said to Fang Yan:

"Yes, I have. I clean my tongue every time I brush my teeth and rinse my mouth."

Then the old lady asked:
"Does it have any impact?"

Of course it has an impact. If I hadn't seen it, I would have thought it was purple and red without any moss.

Fang Yan said to her:
"It's okay. I saw the coating on the back of your tongue. Don't clean the coating on your tongue before seeing a Chinese doctor next time, or it will affect your judgment."

The old lady finally reacted and quickly apologized to Fang Yan.

He said he was used to it and didn’t think too much about it at the time.

I didn’t expect that it almost led to a misdiagnosis due to dialect.

Fangyan waved his hand and told the old lady not to be so nervous. Even if he couldn't see the tongue coating, he could still judge from other places. It's just that he might not prescribe too many medicines when prescribing, so the effect might not be that good.

The old lady heaved a sigh of relief after hearing this.

It can be seen that this person is very strict with himself. At such an old age, he still pays great attention to his image.

Then Fangyan asked the old lady to cooperate with him and diagnosed her pulse on both her left and right hands.

The pulse in both hands is thin and stringy.

In traditional Chinese medicine, string pulse is often associated with liver diseases, mainly liver and gallbladder diseases, pain, phlegm and fluid retention, etc. The stringy and thin pulse indicates that there may be liver qi discomfort, liver depression and qi stagnation. The old lady's long-term bad mood and great mental stress have led to the dysfunction of the liver's drainage function.

A "thin" pulse often indicates insufficient Qi and blood or Yin deficiency.

Taken together, a thin and stringy pulse indicates that the liver is depressed and qi is stagnant, while the body's yin fluid is deficient and cannot fill the meridians, so the pulse is thin and weak.

Yin deficiency is prone to internal heat, which also corresponds to the presence of heat evil reflected by the yellow tongue coating.

Later Fangyan noticed that the old lady's face was a little swollen. Although she was getting thinner due to lack of rest and poor diet for a long time, her whole complexion was still a little swollen.

Fang Yan thought for a moment, then asked Old Lady Li:

“Do you have swelling in your feet?”

When Mrs. Li heard this, she was shocked and said:

"Oh, look at my brain, I forgot to tell you! It's true!"

However, as soon as she finished speaking, she came back to her senses and asked Fang Yan in surprise:
"No, Doctor Fang, you just looked at my tongue and felt my pulse. You even knew that my feet were swollen?"

Fangyan said to Mrs. Li:

"In fact, you just said that your bowel movements are irregular. Sometimes they are dry and hard, and sometimes they are loose and shapeless. I thought that this is a typical manifestation of spleen and stomach dysfunction."

"Because your spleen and stomach are weak, they cannot normally transport and transform food and fluids. On the one hand, food and fluids cannot be fully digested and absorbed, resulting in abnormal stool characteristics; on the other hand, water and moisture are not transported properly, and fluids stagnate, which is also one of the reasons for edema."

"The tongue and pulse can certainly reflect certain spleen and stomach problems. A thin pulse indicates deficiency, and combined with spleen and stomach symptoms, it indicates spleen and stomach weakness."

"Taking all of this into account, I would conclude that your feet are probably swollen."

After hearing the dialect, the old lady said in surprise:

"Oh, you are really amazing!"

Although she couldn't understand what the dialect said, the old lady felt it was amazing that he could tell the swelling without even seeing the feet.

At this point Fangyan knew the basic condition of the patient. Combined with the symptoms his son had described before, Fangyan began to summarize the information.

He picked up the pen and began to write on the proposal.

The old lady became ill after the old man in her family passed away. She has been depressed for many years. In addition, there have been many family problems in recent years and she has been in a bad emotional state for a long time.

Traditional Chinese medicine believes that the liver is responsible for regulating emotions, and emotional discomfort is most likely to damage the liver.

"Long-term depression damages the liver," liver depression turning into fire can consume yin blood, leading to liver blood deficiency.

At the same time, the patient has poor sleep for a long time and needs to take sleeping pills every night. Lack of sleep will also secretly consume yin blood, further aggravating the situation of blood not nourishing the liver.

The other information is the same as what Fangyan just said to the old lady.

Because of these reasons, she became increasingly thinner, had no appetite, and had irregular bowel movements, either dry or loose.

You should know that the spleen and stomach are the foundation of acquired constitution and the source of Qi and blood production. Dysfunction of the spleen and stomach, inability to transport and transform, and lack of Qi and blood production can also lead to liver blood deficiency.

Deficiency of liver blood cannot nourish the liver, resulting in a pathological state in which blood cannot nourish the liver.

The patient had been suffering from headaches for 8 years. The pain was severe and unbearable, with irregular onset and becoming increasingly severe. The disease would occur whenever he was depressed or excited.

This is because the liver is responsible for regulating the flow of qi. When the mood is depressed or excited, the liver's function of regulating qi is abnormal, liver qi is stagnant, qi stagnation turns into fire, liver fire rises, and then leads to liver yang hyperactivity. Liver yang hyperactivity is uncontrolled, and the extreme hyperactivity turns into wind, which disturbs the clear mind and causes headaches, and the pain is severe.

In addition, combined with what the old lady's son said before, Mrs. Li had this problem when she was seriously ill last time. Her blood pressure was sometimes high and sometimes low, and she needed a sedative and analgesic injection to relieve the pain when she had a headache.

In traditional Chinese medicine theory, hyperactivity of liver yang can often cause blood pressure fluctuations. High blood pressure is often accompanied by symptoms such as headache. This is related to liver yang turning into wind, disturbing the head and affecting the circulation of qi and blood.

Another symptom when the patient fell ill was vomiting yellow bitter water, which is considered by traditional Chinese medicine to be a manifestation of internal disturbance of phlegm and heat.

When liver yang is hyperactive and liver fire is raging, liquid can be refined into phlegm, and phlegm and heat are intertwined.

Phlegm accompanies the reverse flow of qi, disturbing the clear orifices and obscuring the clear yang, which can aggravate headache symptoms. At the same time, phlegm heat attacks the stomach, causing stomach qi to reverse upward, leading to vomiting of yellow bitter water.

Based on the analysis of all the above aspects, Fangyan judged that the old lady's illness was caused by: blood not nourishing the liver, liver yang turning into wind, and phlegm disturbing the body.

As for the old lady, the Western medical examination in the United States found that three small bones in the inner ear were fused and the blood vessels and nerves were compressed. Famous doctors in the United States, Britain, France and other countries all believed that the disease was untreatable.

If you look at it from the dean's perspective, this patient is indeed quite strange.

In front of Fangyan, he only needed to nourish the blood, calm the liver and relieve depression, relieve the old lady's headache, increase her appetite, and allow her to fall asleep without taking sleeping pills.

By then, her condition will naturally improve.

After writing, Fangyan thought about it for a while, then took out the prescription and started writing again.

(End of this chapter)