Rebirth 1977 Great Era

Chapter 714: Fumai Decoction Modified Recipe, a Gift from 1787
After the dialect examination, it was found that the dark-skinned Ms. Li had a pale tongue with little coating.

Then Fangyan took her pulse again.

The pulse is fine and intermittent.

This is a kind of pulse that I haven't felt recently.

They are thin pulse, knotted pulse, and substitute pulse.

Thin pulse is very common. It refers to the pulse that is small in shape and feels thin and soft like a line. The pulsation force is weak. When you touch it with your fingers, it feels like pressing on a thin silk thread, and the ups and downs are not obvious.

Knotted pulse is a type of irregular pulse pattern, characterized by irregular pauses in the pulse beat and irregular intervals.

Similar to the knot pulse, the substitute pulse is also an irregular pulse pattern. The characteristic is that the pulse beats regularly and the pause time is relatively long, just like there is a replacement.

It is also worth mentioning that the appearance of substitute pulse often indicates the decline of internal organ qi, and can also be seen in pain, panic, trauma, etc.

For example, people with severe heart disease, where heart function is impaired, may have a pulse.

Based on the symptoms of “pale tongue with little coating, thin and knotty pulse”, clinically, it is common in various chronic diseases, such as cardiovascular diseases such as arrhythmia, coronary heart disease, chronic wasting diseases such as tuberculosis, advanced malignant tumors, etc., which lead to deficiency of qi and blood, yin and yang, and impaired heart function.

The patient said before that the first diagnosis was arrhythmia, frequent junctional premature contractions, and intraventricular conduction abnormalities.

In traditional Chinese medicine, it is generally classified into the categories of "palpitations" and "heart palpitations".

This is relatively easy to understand, but after she fainted for the second time, the judgment that appeared on the report paper became a bit complicated.

The examination results showed that the number of premature beats increased after activity, sometimes showing bigeminy and trigeminy. 24-hour ECG monitoring showed frequent junctional premature beats, accompanied by intraventricular conduction abnormalities, some of which showed bigeminy. Chest X-ray and echocardiography showed no abnormalities.

First, premature beats increase after activity. Premature beats, or premature contractions, refer to heart beats that occur prematurely outside of the normal rhythm.

Generally speaking, normal people may experience premature beats when they are overworked, emotionally excited, doing strenuous exercise, or in certain pathological conditions.

Then there is "sometimes bigeminy and tripeminy." The bigeminy here refers to the heart rhythm phenomenon in which each normal sinus beat is followed by a premature beat, and this pattern occurs repeatedly.

The trigeminy is a regular heartbeat pattern in which one premature beat occurs after every two normal sinus beats.

This regular premature beat phenomenon reflects, to a certain extent, the abnormal state of the heart's electrical activity.

If premature beats occur frequently in the form of bigeminy or tripeminy, it may affect the normal pumping function of the heart, causing the patient to experience uncomfortable symptoms such as palpitations and chest tightness.

In addition, there is a 24-hour ECG monitor that she uses.

This is an examination method that can continuously record the heart's electrical activity for 24 hours, providing a more comprehensive understanding of the heart's rhythm changes.

During the test, there were frequent premature junctional contractions, accompanied by intraventricular differential conduction, and some of them showed bigeminy.

Frequent premature junctional contractions indicate that premature beats originating from the atrioventricular junction occur frequently, possibly more than 5 times per minute.

Intraventricular differential conduction, also known as intraventricular differential conduction, refers to the abnormal depolarization sequence of the ventricles due to the inability of the ventricular conduction system to conduct the electrical impulses of the heart normally under certain circumstances, which will have specific manifestations on the electrocardiogram.

Partial bigeminy further indicates that during the monitoring process, there is a period of time when premature beats show a regular pattern in which each normal heartbeat is followed by a junctional premature beat.

"Chest X-ray and echocardiogram showed no abnormalities"

That is, a chest X-ray examination to observe the general shape and size of the heart and the condition of the lungs.

An echocardiogram looks at the structure and function of the heart, including how the heart's chambers and valves work.

No abnormalities were found in these two examinations, indicating that there were no obvious organic lesions in terms of the structure and general morphology of the heart.

However, the patient still has symptoms of arrhythmia. Western medicine believes that this is caused by abnormalities in the electrophysiology of the heart, rather than problems with the heart structure itself.

So in the end, Western medicine suggested that the patient stop cycling and take medication for life.

Then Fang Yan asked her again:

"Do you feel anything unusual during your daily life?"

The patient said in dialect:

"If I do some normal activities for a while, I start to feel anxious and uneasy. I always feel on edge and I don't know if it's a psychological effect or a heart problem. Anyway, I feel anxious and uneasy and can't calm down."

Fang Yan nodded and asked:

"Will these symptoms disappear immediately after taking a break?"

The other party shook his head and said:

"No, after I rest, I will feel inexplicably irritable for a while, feel thirsty, and have a stuffy chest."

Then she added:

"Oh, by the way, now even if I sit and do nothing, as long as I get a little emotional, I will occasionally feel pain in my chest and shortness of breath."

"Since I fainted last time, I haven't felt well. I don't want to talk on weekdays and I don't dare to exercise. I feel sore, weak, tired and lazy all over."

Fangyan wrote down all her symptoms.

At this time the patient said:

"To be honest, if you hadn't saved Zhou Zhaoqin, I would definitely not have come back."

“After not being able to exercise, I felt like half of my strength was taken away.”

"Talking to you today is probably the most I've spoken to you since I came back."

Fang Yan nodded, observed the patient's face again, and then said:

"Well, I think I understand what's going on."

"Is there a way to cure it?" When the patient heard the dialect, a glimmer of hope appeared in his eyes.

Dialect nod:

"some."

He paused for a moment before continuing:
"It is recorded in our ancient Chinese medical book "Xizhuo of the Origin and Development of Miscellaneous Diseases": "Palpitation is a disease caused by insufficient blood in the heart. The heart is the master of the human body, and the heart is the master of blood. When the blood in the heart is gone and the spirit is lost, the heart will feel empty and shaken quickly, unable to find peace and tranquility, and it will occur all the time." Translated, it means: "Palpitation" is a disease caused by insufficient blood in the heart. The heart is the master of the human body, and the heart is the master of blood. When the blood in the heart is deficient and the spirit and vitality of the person lose their support, the heart will feel empty and without a master, the heart will beat quickly and restlessly, unable to find a peaceful and calm state, and it will occur all the time."

"Your current condition is called palpitations, because you have wasted your Qi and blood, and your heart has lost its focus, so these problems have occurred." "Your previous two diagnoses in France actually did not find the root cause of your illness."

"In Chinese medicine, you have overexerted your body due to two plateau rides. Now you are suffering from a deficiency of both Qi and blood, and damage to the Yin of your heart. Both the Qi and blood in your body are in a state of deficiency, and the Yin fluid needed by the heart has also been damaged."

"I am now going to find a way to nourish your Qi and blood, nourish your Yin and restore your pulse, replenish your body's positive Qi, enhance the generation and circulation of Qi and blood, nourish the Yin fluid in your body, and restore your heart's pulse to a normal rhythm."

These words were actually spoken to Yang Jingxiang and Lao Fan behind him.

They will definitely understand it all.

Although the patient was not stupid, he only seemed to understand what was being said.

But she understood the logic and thought that dialects could be used to treat the problem.

And it is an experience that the ancients already had.

The patient suddenly felt fortunate that he was Chinese and that he had five thousand years of ancient experience to use to treat his illness.

She thought for a moment and asked in dialect:

"Then... can I continue exercising later?"

Fang Yan asked her back:

"You mean the exercise you used to do, riding a bicycle at high intensity on the plateau like a professional rider?"

The patient opened his mouth and was about to say yes, but then he changed his words and said:

"Of course not, I'm talking about normal exercise, running, swimming, cycling."

Fangyan nodded:
"If that's the case, then it should be fine."

After hearing this, the patient immediately asked:
“What if I want to ride at a high intensity in the plateau?”

Fangyan took out the prescription and shook it:
"Then I suggest you keep the prescription I'll write for a long time."

This made the patient laugh.

She smiled and said:
"Haha... Doctor Fang, you are so funny. I really like your sense of humor."

Fang Yan quickly wrote the prescription, handed it to Yang Jingxiang, and said:
"Go pick up the medicine according to this."

Yang Jingxiang took it, and Lao Fan also came over to take a look, and found that the recipe looked familiar:

炙甘草 15g、茯苓 30g、炙黄芪20g、玉竹 15g、当归15g、五味子 10g、寸冬12g、沙参18g、苦参15g、甘松12g、桂枝 10g、肉苁蓉24g。

Take 6 doses, decocted in water.

This is somewhat similar to the Fumai Decoction recorded in "Treatise on Febrile Diseases".

However, there are still many differences in dialects, and Fumai Decoction requires seven liters of sake and eight liters of water. First boil the eight ingredients, take out three liters, remove the dregs, dissolve the gelatin inside, and take one liter warm three times a day.

This dialect can be directly boiled in water.

At this time, Yang Jingxiang had already nodded, took the prescription and went out.

The dialect tells the patient:
"Ms. Li, please go and register for admission now. The medicine will be delivered to your ward in an hour."

The patient was in no hurry to leave. She asked:
"How long will it take to cure me?"

Fangyan responded:
"It depends on your physical condition."

The patient asked curiously:

"When other people see you for treatment, don't you always tell them the approximate time?"

Fang Yan said to the patient:
"You're different. You might run away when you feel better."

The patient was startled, then said happily:

"Hahahaha... Don't worry, I definitely won't."

After saying that, she turned and walked out.

After reaching the door, he called out to the outside, "Come in!"

Then a young woman came in from outside holding a box.

Under Ms. Li's arrangement, the box was placed directly on the dialect diagnosis table.

Ms. Li came over and said:

"It's just a small token of my appreciation. Please accept it, Doctor Fang."

When Fangyan saw the huge box, he was a little stunned for a moment.

Others give red envelopes.

This is the first time I have seen someone give away a box of money directly.

At this time, Ms. Li had already opened the box, and a bottle of wine that looked very old appeared in front of everyone.

Fangyan then realized that the gift was wine.

I thought it was a gift of money.

Ms. Li said in dialect:

“The 1787 Chateau Margaux is an extremely rare vintage wine that was part of the collection of wines selected by Thomas Jefferson, the US ambassador to France at the time. He ranked Chateau Margaux at the top of his list when evaluating the best wines of Bordeaux.”

"Because of its age, there are very few bottles left in the world. It is said that there are only a few bottles left."

"This bottle is for Mr. Fang."

(End of this chapter)