Rebirth 1977 Great Era

Chapter 717: Traditional Chinese Medicine Treatment for PTSD (Monthly Ticket Plus)
"what!!!"

Yang Jingxiang was frightened by the child's shout. Seeing the other party trembling all over and shouting at him, he was confused.

Finally, I had to turn my attention to dialects:

"Brother Fang, this..."

Fang Yan said to him:
"It's okay. The child has been traumatized. You go out first and I will take care of it."

"Oh, okay, okay!" Yang Jingxiang agreed and hurriedly retreated.

This shout almost frightened him to death.

As soon as the door was closed, the little girl stopped immediately as if she had turned off a switch.

But I was still shaking all over.

My hands started to show signs of chicken claws, cold sweat soon covered my forehead, and my whole body became stiff.

The patient's parents seemed to be familiar with the process at this point. They immediately took out thermos cups and pills from their pockets and were about to feed them to their child.

When Fangyan saw the pills, he immediately called out to them:
"Don't worry, let me handle it!"

While speaking in dialect, he had already rolled up his sleeves and removed the silver needle from his wrist.

He came to the child and without saying a word, inserted a needle into the Baihui acupoint on the top of the child's head.

Then the second injection is at the hairline.

The third and fourth needles are Benshen.

Then he lifted the child's clothes from behind and placed the fifth needle on the body column.

With each needle placement, the child's body would relax a little. After the fifth needle was placed, the little girl suddenly felt relaxed.

Fangyan quickly supported him.

And said to her:
"It's okay, it's okay, you are safe now."

Afraid that she might not understand, I continued speaking in dialect and then repeated it in English.

The child seemed to have just come to his senses. Seeing his parents beside him, he called out:
"mom!"

Then he opened his arms to hug me.

Seeing the needle stuck in the child's head, Mrs. Liang hurriedly grabbed the child under the armpits and hugged him.

He said in Chinese:

"Okay, okay, it's safe now, don't be nervous."

Mr. Liang was surprised to see his child recover from his panic state in an instant. He was also extremely surprised and asked:
"Doctor Fang, how did you do it?"

The dialect said:

"I just pierced the Du Meridian's mind-regulating group, which can relieve her symptoms."

In fact, Fangyan originally planned to pierce the four Guiyan acupoints, namely Shaoshang and Yinbai, using three-pointed needles to let blood, and then use the draining method on Taichong and the tonifying method on Neiguan.

Unexpectedly, the child recovered just after acupuncture was performed on these acupoints.

Then Fang Yan said to them:

"What medicine did you give him? Let me take a look."

When Mr. Liang heard this, he hurriedly handed the western medicine in his hand to Fangyan.

And said:
"Amitriptyline, Diazepam, and Haloperidol."

After looking at the explanations of those drugs in Fangyan, I found that they were amitriptyline, which relieves depression and anxiety symptoms by inhibiting the reuptake of norepinephrine and serotonin.

Diazepam for short-term control of acute anxiety and panic attacks.

Fluphenazine for patients with agitation, dissociative symptoms or concomitant psychotic symptoms.

But none of their descriptions are very accurate. The girl's condition is post-traumatic stress disorder, which is what Western medicine calls PTSD plus panic disorder.

However, it is worth mentioning that the diagnostic criteria for PTSD were not included in DSM-III (Diagnostic and Statistical Manual of Mental Disorders) until 1980. Before that, children would most likely be misdiagnosed with other conditions.

In addition, among the drugs here, amitriptyline has limited effect on the core symptoms of PTSD (such as flashbacks).

Although diazepam can quickly control the patient, it can easily lead to dependence. It is noted above that the course of treatment cannot exceed 2 weeks. Obviously they should not have taken this into consideration, or they have no choice but to use it.

That's why the child's condition is getting worse and worse.

The last antipsychotic drug, fluphenazine, does have a similar effect, but it can easily cause drowsiness and decreased cognitive function.

Most of the child’s current symptoms are actually caused by the couple’s failure to give the child the medicines as prescribed.

But the dialect is understandable, they have no choice, so they do this.

There is no way a family like theirs couldn't understand the instructions.

Mrs. Liang said to Fang Yan:

"Doctor Fang, these medicines are purchased by us based on the ones previously prescribed by American doctors. They are all imported and produced in the United States. They are very effective."

"It's fast, but look at what the child has become. He can't take any more medicine. When he comes to me, I stop taking these Western medicines."

"Otherwise, the drugs will conflict with each other. Not only will the disease not be cured, but other side effects will also occur." Fang Yan returned the medicine to Mr. Liang and said to him.

Upon hearing this, Mr. Liang nodded without any hesitation.

They come back to get rid of these drugs.

He said:
"That's great. I don't want to use these medicines anymore. They're almost driving my daughter crazy."

After saying that, he took the medicine and threw it into the office's trash can for medical waste. He had just seen Fang Yan inject a few times and his daughter "woke up" immediately.

This situation has never been seen before.

If the dialect says no, then no.

He believes in one thing: professional matters should be left to professionals.

Look, now the child has recovered beside his wife.

And looked back at him.

Seeing this, Mr. Liang immediately approached the child and asked:

"Xiao Jiao, how do you feel now?"

"Do you still recognize Dad?"

“……” The child looked at him and said nothing, but nodded.

Although he held his mother tightly, he had recovered a lot.

Even so, Mr. Liang was still very happy as the situation this time was much better than before.

It has not progressed to the stage of stiffness and convulsions. I still have self-awareness and am still in a conscious state.

There's just a needle stuck in his head.

Fang Yan came to the little girl at this time and called out to her tentatively:
"Xiao Jiao."

The little girl heard the voice and looked at Fangyan.

Didn't show fear.

Seeing this, Fang Yan tentatively placed his hand on her wrist and gently pinched it.

The child did not respond, as if ignoring Fangyan's touch on her body.

Fangyan took the opportunity to start taking the patient's pulse.

Pulse string.

When the child screamed just now, Fangyan had already seen the tongue in her mouth, which should be pale with white coating.

When combined, the dialect has made a judgment.

He returned to the consulting room and began to write the medical records:

When the patient is frightened, his qi becomes disordered, and when he is afraid, his qi descends, which leads to disharmony between the heart and kidney, insomnia, panic attacks, and urinary incontinence; liver depression and wind movement lead to limb cramps and frequent cold sweats; spleen and stomach disharmony leads to increased flatulence and loss of appetite; phlegm and blood stasis blocking the meridians lead to dull consciousness and drug dependence.

The treatment method should be to stop taking western medicine first, calm the nerves, eliminate phlegm and dredge the meridians, and then harmonize the liver and spleen, and connect the heart and kidneys.

"Treatise on Febrile Diseases" uses Guizhi Decoction without the peony root and with Shuqi Longmu Decoction or Guigan Longmu Decoction to treat symptoms of fright, madness, restlessness and irritability when lying down or getting up, so Guizhi Decoction without the peony root and with Longmu and other drugs is used first.

Prescription: 12 grams of cinnamon twig, 24 grams of roasted licorice, 9 grams of ginger, 6 dates, 30 grams of raw dragon bone, 30 grams of raw oyster, 9 grams of polygala, 60 grams of longan meat, and 60 grams of wheat.

After doing all this, Fang Yan looked at Lao Fan who was watching him prescribe medicine.

Asked him:
"Calming down the mind, is there any saying about that in home decoration?"

Lao Fan was startled, then immediately said:

"Have!"

"The bedroom is decorated in indigo blue, and a copper wind chime is hung at the door, and you can listen to Yu-tiao music at 3 p.m. every day."

From 15:17 to : in the afternoon, the Yu tune is actually the water sound.

After listening to this, Fangyan nodded:
"it is good."

Then he wrote a note on the medical record and asked someone to set up the ward.

After writing, Fangyan came to the child.

He stretched out his hand and quickly removed the silver needles on her back and head.

After the needle was removed from the child, all his energy seemed to be drained away, and he quickly returned to his previous dazed state.

Seeing that his daughter had returned to her previous state, Mr. Liang was about to speak when he heard Fang Yan explaining to him:
"These acupuncture points cannot be stimulated for too long. Stop taking Western medicine now, and prepare to be admitted to the hospital and take the medicine I prescribed."

After he finished speaking, he paused and then added:
"I expect the treatment to take more than a month."

Hearing this, Lao Fan's eyes behind Fangyan immediately widened.

This disease is different from other diseases. Who dares to tell the approximate time before treatment?

Only an experienced doctor with a lot of experience would dare to say that.

Is Fangyan an old doctor?

Lao Fan felt that Fangyan’s words were a bit irresponsible.

Not only did Old Fan feel that Fangyan's timing was wrong, Mrs. Liang beside him also asked in surprise:

"Doctor Fang, you said my child's illness can be cured in just over a month?"

Fang Yan nodded and said:
"If nothing unexpected happens, that's it."

PS: I got 100 more monthly tickets, so after updating this chapter I still owe you 82000 words.

No more today. Please come early tomorrow.

Lao Feng is working hard on coding for tomorrow.

(End of this chapter)