Rebirth 1977 Great Era

Chapter 721 Pulseless Disease, Touching the Widow's Feet (Monthly Ticket Plus)
"No pulse?" Fang Yan frowned slightly and asked Liu Yu.

Liu Yu nodded and said:
"Yes, about four years ago, when I was in Switzerland, I developed numbness and cold pain in my left forearm. The pain was aggravated by wind and cold water. Then, over three months, it gradually spread to my right arm and lower limbs."

"I went for a checkup at the time, but no cause was found."

After listening to this, Fang Yan was thoughtful, and then said to Liu Yu:

"Well, go on."

Liu Yu said:

"During that time, I was focusing on business matters, so I didn't pay much attention to my health. I thought it was caused by the local climate, so I didn't continue with treatment."

"Then the symptoms continued for more than a year, until one time my car broke down and I went to the roadside for help. I was blown by the cold wind for more than an hour. Then within a year, I started to experience dizziness, blurred vision, blacking out, shortness of breath, weak legs, and even fainting in serious cases."

"Since then, these symptoms have recurred with no fixed pattern and no obvious triggering factors, and they occur more frequently in the summer than in the winter."

"Last year, the above symptoms became more severe. I couldn't measure the blood pressure in my upper limbs, I couldn't feel my pulse, and I often fainted."

"After a diagnosis at a French hospital, they told me that I was diagnosed with 'takayasu arteritis'."

"After being hospitalized, I was treated with drugs such as penicillin, streptomycin, dipyridamole, Pulsetone, papaverine, and low-molecular-weight dextran. My symptoms have improved to a certain extent. My blood pressure can be measured and my pulse can be felt, but it is still not very stable..."

After that, she took out a medical report and handed it to Fang Yan:

“您看……脉压保持在16到20mmHg之间，双上肢无血压，左下肢润窝血压 120/60mmHg，右下肢膕窝血压120/50mmHg……”

After reading it, Fangyan nodded and said that it was large arteritis, which is also known as pulseless syndrome in traditional Chinese medicine. The diagnosis was quite good.

Then Liu Yu continued:
"After I was discharged from the hospital, my condition worsened again. I couldn't measure my blood pressure or pulse, and I would often faint suddenly."

"During my most recent work in Hong Kong, I suddenly fainted. After being rescued, I woke up and had a fever of up to 40 degrees. Later, I sought help from a local Chinese medicine practitioner in Hong Kong and took Chinese medicine for three months. I still could not feel the pulse of the carotid artery in my neck, the cubital artery in my elbow, and the radial artery in my wrist."

"That's why I came back to China to see you."

Fangyan nodded.

There are two views of "pulseless syndrome" in traditional Chinese medicine. One view is that pulseless syndrome is what the "Inner Canon of Medicine" refers to as "pulse not coming and going" or "pulse not coming at all."

For example, Suwen. Sanbu Jiuhou Lun says: "If the pulse is not flowing, the person will die."

"Suwen. Discussion on the Weather of the Normal Person" says: "If the pulse suddenly stops, it means death."

All of these indicate that pulselessness is an extremely serious condition with a very poor prognosis.

Another view is that pulselessness is the so-called "hidden pulse".

For example, the Eighteenth Difficulty in the Difficult Classic says: "The hidden one is where the meridians run under the tendons."

Translated it means: the so-called "hidden pulse" refers to the pulse beating below the tendons, that is, the pulse is located deeper and needs to be pressed hard on the tendons to be felt.

The Pulse Classic says: "If you press the hidden pulse very hard, you will feel it only when it touches the bone."

This sentence has almost the same meaning when translated.

The characteristic of a hidden pulse is that you have to press the pulse very hard until it touches the bone before you can feel the beating of the pulse.

"Nanjing" believes that hidden pulse indicates accumulation, and "Zhenjia Key Points" believes that hidden pulse indicates blockage of the Ying and Wei Qi and syncope, which also shows that pulseless syndrome is difficult to treat and has a poor prognosis.

Fangyan observed the patient at this time.

She has a ruddy complexion and bright eyes.

He doesn't look like a sick person, but Fangyan knows that this must be related to makeup. The three major evil spells in Asia are no joke.
In addition, she may also have "Dai Yang Syndrome", which is actually the external escape of false Yang and she is not truly healthy.

Fang Yan certainly didn't ask Liu Yu to remove her makeup, but said to her:
"Are you feeling anything physically right now?"

Liu Yu said:

"Now I feel tired and weak in my limbs, my head and eyes feel dizzy and dizzy, I feel uneasy when my heart beats, I feel pain in the area in front of my heart (chest area), and my vision is blurry."

Fang Yan was thoughtful after hearing this, and then asked her:
"Is there anything unusual about eating, drinking, sleeping, and going to the toilet?"

Liu Yu thought about it, then shook his head and said:

"There shouldn't be any problem. My daily routine, diet, and toileting are basically normal."

"I am what others are like."

Fang Yan nodded, then said to Liu Yu:
"Okay, stick out your tongue so I can see it."

Liu Yu stuck out her tongue, and Fangyan found that her tongue was pale and had a thin coating.

Then Fang Yan said to Liu Yu:

"Now I need to feel your pulse."

"Okay!" Liu Yu nodded and said in cooperation:

"Where do I start?"

The dialect said:

"On the feet." "On the feet?" Liu Yu was stunned.

She had never touched this place during previous examinations.

Fang Yan said to her:
"There are three pulses here: Taixi, Taichong, and Fuyang. They correspond to the kidney, liver, and stomach respectively. Generally speaking, no matter if a person has a pulse elsewhere, at least two pulses here will respond."

"Because this large artery inflammation, also known as pulselessness in traditional Chinese medicine, belongs to the category of "pulse paralysis" and "hidden pulse", it often affects the branches of the aortic arch, such as the subclavian artery and carotid artery, which will lead to pulselessness in the upper limbs, but the arteries of the lower limbs, such as the femoral artery and posterior tibial artery, may not be completely occluded. If the lesion does not involve the blood vessels of the lower limbs, such as the abdominal aorta, the pulses below these three places will be preserved."

"But it's been a while since you did this. I'll have to touch you before I know."

The dialect strategy is to first explore the three meridians on the feet to feel their true and false, and then know which treatment plan to take later.

When Liu Yu heard what Fangyan said, she nodded as if she understood. She understood the general meaning of what Fangyan said, but she had never seen this kind of diagnostic method before.

Then Liu Yu took off her shoes and socks to expose her feet.

She was also a woman who loved beauty, and she even painted her nails with scarlet red polish.

The fair and tender skin of the little feet almost made Xiao Peng's eyes pop out.

When Lao Fan saw Xiao Peng's look, he couldn't help but poke him.

Xiao Peng then quickly gathered his thoughts and thought to himself, “What a shame, what a shame!”

However, Fang Yan ignored them and started touching Liu Yu's feet.

The three meridians of Taixi, Taichong and Fuyang should be pointed out without disorder.

Fortunately, although the disease has lasted for many years, the situation has not developed to the worst extent.

The Taichong pulse is astringent, the Taixi pulse is weak, and the Fuyang pulse is normal.

This was indeed not unexpected to Fangyan.

If long-term illness affects the kidneys, the Taixi pulse will be weak due to deficiency of kidney essence, and the Taichong pulse will be astringent due to deficiency of liver blood.

Then Fangyan took the patient's pulse at other locations.

Because of his profound pulse-feeding skills, although he did not feel the pulse at the beginning, he was able to feel the pulse at a deeper level after increasing his strength.

So far, Fangyan believes that it is more appropriate to regard pulselessness as hidden pulse.

Chinese medicine practitioners of all dynasties believed that the pathogenesis of pulselessness was mainly due to the deficiency of the body's vital energy, which caused the stagnation of qi and blood, resulting in the blockage of qi and blood, and the latent blood circulation that could not be clearly manifested.

Based on the principles of syndrome differentiation and cause finding (finding the cause of the disease through analysis of symptoms) and treatment based on the cause (treating according to the found cause), the treatment method is to help replenish the positive energy, regulate the Qi, promote blood circulation, open blocked meridians, and keep the blood flowing smoothly.

As stated in the Pulse Secrets Collection, "the underlying pulse is often caused by diseases that are deep and hidden, and cannot be broken by light or shallow medicines. All diseases are caused by stagnation of qi and blood."

Translated it means "the diseases caused by Fu Mai are mostly located in deep parts of the body and hidden in deeper places. They cannot be cured by medicines with shallow medicinal properties. Most of the diseases are caused by the stagnation of Qi and blood." The four words "stagnation of Qi and blood" can be said to be the key point, which hits the nail on the head.

According to Fangyan's analysis, Liu Yu's condition is characterized by insufficient qi and blood, qi stagnation and blood stasis, and obstruction of the blood vessels.

The treatment method should be: replenishing Qi and blood, regulating Qi and activating blood circulation, removing blood stasis and unblocking meridians, and nourishing the liver and kidneys, a four-pronged approach.

In addition to prescribing medication, treatment must also be combined with acupuncture, medicated baths and exercise.

In order to achieve better results.

"Doctor Fang, how is it?" Liu Yu asked Fang Yan.

Fang Yan said to Liu Yu:

"Then I'll tell you the truth."

Liu Yu was shocked, her voice trembling, and she asked:

"Is it more serious?"

Fang Yan nodded and said:
"Well, the situation is more serious than you thought. You fainted repeatedly and had no pulse in your upper limbs, which means that your heart and brain are not getting enough blood. You need to be on guard against the risk of stroke recently."

Liu Yu's face turned pale immediately.

She immediately thought of her deceased husband, her young children, and the journey of life that had just begun, and she suddenly collapsed.

I can't die yet, I'm still young! I still have children to raise and careers to complete!

How could I be taken away by such a strange disease?
At this time, Fang Yan also noticed that the other party's expression was a little ugly, and he said:
"You don't have to be too scared. Your pulse in your lower limbs is still good, which means you are still alive. This means you can still be saved if you start treatment now."

"So the next treatment process will take about a month. During this period, you need to stay in the Union Hospital. Can you cooperate?"

Hearing Fang Yan's words, Liu Yu felt like he had grabbed a life-saving straw, and rekindled the flame of hope, saying repeatedly:

"Yes, yes! Doctor Fang, I will do whatever you say."

"No matter what you say, I will fully cooperate!"

PS: I got 100 more monthly tickets, so after updating this chapter, I still owe you 81000 words.

No more today. Please come early tomorrow.

Lao Feng is working hard to code tomorrow.
(End of this chapter)