Rebirth 1977 Great Era

Chapter 731 "Doctor Fang, you are going to teach at the university, right?"

Sleepwalking.

When I was working at Tong Ren Tang, Fang Yan had treated several patients.

Compared to the two heavyweights just now, sleepwalking is not really a serious disease.

Fangyan believes that the main reason why she was able to get a number is because of her family connections.

Fangyan still remembers that the girl inadvertently revealed that her parents worked in the health department.

The patient in front of them was lucky enough to get help from their family.

Otherwise, there would be no reason for the dean to rank him third.

There are human relationships and social conventions everywhere!

After listening to the patient's family's story, Fang Yan asked:

"What happens after sleepwalking? He should have other symptoms as well, right?"

"That's right. Ever since he started sleepwalking, we gave him some medicine. Then his mental state became worse. His personality became withdrawn and unsociable. His sleep patterns became irregular. At first he couldn't sleep, and then he became extremely sleepy. He slept all day and didn't even eat."

Fang Yan frowned slightly and asked the patient's mother:
"What medicine did you give him?"

The patient's mother shook her head and said:

"I don't remember. Anyway, the doctor prescribed a lot of medicines, and we just followed the doctor's instructions and gave the child the medicines."

"It's been so long now, the child hasn't gotten any better, and we've thrown away all those bottles and jars."

At this time Dong Yi said to Fang Yan:

"Mr. Fangyan, do you need to check the medicine? I can ask someone to find a way to retrieve the records from that year."

Fangyan shook his head and said:
"That's not necessary."

He said to the patient's mother:
"Go on and tell him what happened next?"

The patient's mother thought for a moment, then continued:

"Later, the child's intelligence declined significantly compared to before. He could no longer persist in studying and could not concentrate on reading. Finally, he was forced to stop studying, but the situation did not improve. In the past six months, it has become more and more serious. We have sought treatment in many hospitals, but the condition has not improved at all. Recently, he has even lost his appetite and eats less than before. Look at him now. He only drinks some water every day. He won't say anything when asked, and even glares at people when asked urgently."

"And his sleepwalking became more and more serious. When he was sleepwalking, he would startle and jump as if he was being chased by something. When we asked him after he woke up, he couldn't remember anything."

After she finished speaking, she paused, then lowered her voice and said to Fang Yan:
"To be honest, we don't really believe in those feudal superstitions. If this can't be cured, we plan to find someone to exorcise the ghost and call back the soul."

Fangyan didn't laugh at him after hearing this. He asked:
"Is he able to communicate now?"

The patient's mother said to her child:

"Xiao Song, say something to Doctor Fang."

“……”The patient did not respond at all.

"This child is like this. Sometimes he doesn't react to the outside world."

Fang Yan walked forward and asked the patient:
"Xiaosong, can you hear me?"

The patient raised his head and looked at Fangyan, staring at him blankly:
"..."

Yang Jingxiang and Zhang Yanchang, who were standing behind Fangyan, felt their hair stand on end at the look.

I don't know why, but it doesn't feel like a human's eyes, it feels very empty.

With his listless spirit, dark yellow face, dark blue areas around his eyes and a circle of dead skin on his lips, he looked like a walking corpse.

"@&*!@..." A series of meaningless whispers uttered from his mouth, like he was mumbling to himself, or like he was answering questions in dialect.

Fang Yan didn't know what this guy meant, so he asked him tentatively:
"Can you open your mouth so I can see your tongue?"

There was some light in the patient's empty eyes, and then he slowly opened his mouth.

This scene stunned the people around.

I originally thought that this kid wouldn't understand, but I didn't expect that he could understand.

Even the patient's mother was a little surprised. She really didn't expect that her son could still respond to the outside world in this state.

As he stuck out his tongue, Fangyan looked at it and saw that it was red with a thin white coating.

All the dialects took the patient to his seat and began to take his pulse.

After checking the pulse of both hands, it was confirmed that the pulse was deep, thin and weak.

In traditional Chinese medicine, sleepwalking falls into the category of "night crying" and "insomnia".

The Complete Works of Jingyue states: "Although there are different symptoms of insomnia, if you know the two words 'evil' and 'righteous', you can understand them all. Sleep is based on yin, and spirit is its master."

This means that, although the symptoms of this disease vary, as long as we know the two key aspects of "evil" and "righteousness", we can basically cover its essence. Generally speaking, whether sleep is normal or not depends on the yin of the human body, and the spirit is the key factor that dominates sleep.

The patient suffers from alternating insomnia and drowsiness, and has a red tongue, which is a manifestation of disharmony between the heart and the kidney.

Traditional Chinese medicine believes that the heart belongs to fire and the kidneys belong to water. Under normal circumstances, the heart fire descends to the kidneys and the kidney water rises to the heart, restraining and coordinating each other to maintain the physiological balance of the human body.

If factors such as staying up late for a long time, overwork, emotional fluctuations, etc. lead to kidney yin deficiency and cannot nourish the heart, heart fire will be hyperactive, which will cause heart-kidney disharmony.

The heart governs the mind. Excessive heart fire will cause the mind to be uneasy. Insufficient kidney yin will cause the brain marrow to be malnourished. During sleep, the spirit will lose its ability to stay in the body, thus causing sleepwalking.

In addition, the patient is sleepwalking, restless, and has dull eyes, which are caused by phlegm and fire disturbing the mind.

The spleen and stomach are weak, the transportation and transformation functions are abnormal, the water metabolism is disturbed, the moisture accumulates and produces phlegm, which turns into heat over time, and the phlegm and heat disturb the mind.

Phlegm-heat disturbs the mind, causing restlessness, wandering thoughts during sleep, and sleepwalking symptoms.

Finally, he also developed loss of appetite and a deep, thready pulse, which are manifestations of liver depression and spleen deficiency. Long-term emotional distress, liver qi stagnation, qi stagnation turning into fire, liver fire rising, disturbing the mind, overwork, long-term illness or improper diet can all damage the heart and spleen.

Although Fangyan didn't know what the kid had been through, the movie he watched was probably not a good one and was most likely a foreign internal reference film.

Some of the stuff is pretty pornographic.

This can also be seen from his sleepwalking state.

It might be related to the movie.

"Doctor Fang, how is it?" the patient's mother asked in Fangyan.

Fangyan waved his hand and said confidently:

"Don't worry, it's not a big problem."

"I have treated several people for sleepwalking before, so I think I have some experience in this area."

Hearing the dialect say this, the patient's mother immediately smiled and her eyes brightened.

He turned around and said to Dong Yi:

"Xiaoyi, I should have listened to you and come to Doctor Fang earlier..."

Dong Yi smiled and looked at Fang Yan, and found that the other party had already started writing medical records.

At this time, Zhang Yanchang and Yang Jingxiang on the side also looked at the medical records written by Fangyan.

I only saw dialect written:

The patient is of normal development, but is listless, with a dark yellow and dry complexion, dark blue areas around the eyes, dry lips, a red tongue with a thin white coating, a low voice, and a deep, thready, and weak pulse.

The pathogenesis is that long-term emotional frustration leads to liver depression turning into fire, which in turn turns into phlegm. The phlegm and fire disturb the heart and eventually lead to a loss of consciousness.

Also, due to long-term illness and kidney damage, the water and fire become unbalanced, and the brain marrow is malnourished.

It should nourish the heart and kidney, clear away heat and resolve phlegm, strengthen the spleen and replenish qi, and calm the liver.

Prescription: 24 grams of Chinese jujube seeds (half raw and half cooked, pounded), 9 grams of stir-fried pine nuts, 12 grams of Cuscuta seeds, 3 grams of Arisaema consanguineum, 9 grams of Atractylodes macrocephala, 6 grams of White Cardamom, 9 grams of Poria, 9 grams of Uncaria rhynchophylla, 9 grams of raw dragon teeth, 9 grams of Gardenia jasminoides, 9 grams of orange peel, 6 grams of ginseng, 9 grams of light black beans, 12 grams of raw chicken gizzard lining, 4.5 grams of Gardenia jasminoides, and 1.5 grams of rush.

Take the medicine for 3 days and stop for 1 day.

Also use 0.75 g of monkey gall, 1.2 g of hawksbill turtle, and 0.9 g of antelope horn powder, grind them into fine powder, and take them in 2 doses.

In addition to prescriptions, dialects are also combined with acupuncture treatment.

Main point:

Four Gods of Wisdom, the Original God (calming the mind and settling the spirit)

Shenmen, Daling (clearing the heart and reducing internal heat)

Taixi, Zhaohai (nourishing kidney yin)
Fenglong, Zhongwan (resolving phlegm and strengthening the spleen)

Matching points:

During the sleepwalking attack period: leave needles in Jiuwei and Yongquan at night (to prevent attacks)

Severe sleepiness: Shenmai (tonifying) and Zhaohai (purging) to adjust sleep rhythm
Operation: Use the method of equal tonification and equal drainage, retain the needle for 40 minutes, 5 times a week.

Another dialect note:
"Hang dark curtains on the doors and windows of the ward to avoid direct moonlight."

Zhang Yanchang was somewhat confused. It looked normal at the beginning, but why did it seem a bit like Zhuyou at the end?

So he looked at Yang Jingxiang beside him, wanting to see if the other party also felt something was wrong.

However, Yang Jingxiang seemed to have been waiting for Zhang Yanchang for a long time. When he saw him coming over, he immediately explained to him in a low voice:

"This is not feudal superstition, because Chinese medicine believes that the waxing and waning of the moon affects the mind."

"In the original text of Suwen Bazheng Shenming Lun, it is recorded: 'When the moon is born, the blood and qi begin to be refined, and the defensive qi begins to flow; when the moon is full, the blood and qi are strong, and the muscles are firm; when the moon is empty, the muscles are reduced, the meridians are empty, the defensive qi is gone, and the body is alone.'"

"It means that when the moon begins to wax and wane, the blood and qi in the human body also begin to become pure, and the defensive qi begins to function normally; when the moon is full, the blood and qi in the human body are enriched, and the muscles become firm; when the moon wanes and the outline of the moon becomes empty, the muscles in the human body become thin, the meridians become empty, and the defensive qi also dissipates and leaves, leaving only the body alone."

"This clearly explains the effect of the waxing and waning of the moon on the circulation of qi and blood and the defensive qi in the human body. When qi and blood are abundant, the mind is stable, while when qi and blood are weak, the mind is deprived of nourishment. This indirectly explains that the change of the moon phase affects the mind through the waxing and waning of qi and blood."

After saying this, Zhang Yanchang opened his mouth in surprise, and Yang Jingxiang suddenly felt that he had pretended.

He also asked in dialect:

"Am I right, Brother Fang?"

Fang Yan nodded and said:
"Yes, and it's not just what you said. There is also an original text in the Lingshu Sui Lu Lun: Human beings are in harmony with the heaven and earth, and correspond to the sun and the moon. Therefore, when the moon is full, the sea water is abundant in the west, and human blood and qi accumulate... When the moon is empty, the sea water is abundant in the east, and human qi and blood are deficient, their defensive qi is gone, and the body is alone. It further emphasizes the synchronization of the state of human qi, blood, and skin with the changes in the phases of the moon, and points out that when the moon is empty, "qi and blood deficiency" may lead to abnormal mental state, such as mental depression and slow reaction."

"In addition, the changes in the moon phases affect women's menstrual cycles, delivery time, and mental illnesses such as bipolar disorder are more likely to relapse during the full moon period, which also confirms the logical connection between the moon, qi, blood, and consciousness."

"We in traditional Chinese medicine advocate adjusting treatments according to the phases of the moon, such as 'no purgation when the moon is full, no supplementation when the moon is full, and no treatment when the moon is empty', to avoid excessive intervention when qi and blood are deficient, so as not to aggravate mental disorders. This is the concept of 'correspondence between heaven and man' in traditional Chinese medicine."

After hearing the dialect, Zhang Yanchang and Yang Jingxiang nodded.

Dong Yi on the side also showed a look of enlightenment.

At this time, the patient's mother asked uncertainly:

"Doctor Fang, I heard that you were admitted to the Capital University of Chinese Medicine. With your level, I'm afraid you should go to teach at a university, right?"

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

There will be more updates later.

(End of this chapter)