Rebirth 1977 Great Era

Chapter 733 Everyone knows Director Fang. Before leaving, I will burn incense for my grandfather (Monthly ticket plus more)
Fangyan frowned slightly. This case looked a bit complicated.

There is a lot of information.

I still have to sort it out from beginning to end.

First, the patient was in his sixties and the main symptom was a sweet taste in the mouth that lasted for two months, accompanied by esophageal and stomach discomfort, nausea, loss of appetite, fever, frequent and urgent urination, nocturia and sleep problems.

In addition, she had a history of long-term constipation and dependence on aloe vera pills, as well as a history of stomach problems and took soda tablets.

The tongue is light pink and tender, with a thin white coating.

I had tried Western medicine before but it was ineffective and had side effects.

First of all, in Chinese medicine, the condition of sweet mouth is usually related to the spleen and stomach, especially damp heat or spleen deficiency.

However, the patient has a thin white tongue coating and a pale red and tender tongue, which may indicate a deficiency syndrome.

Spleen deficiency and dampness may cause a sweet taste in the mouth, but this is usually accompanied by a thick and greasy tongue coating, which does not quite fit this description for the patient.

In addition, the patient has fever and temperature fluctuations, which may indicate damp heat or yin deficiency fever.

Frequent urination and urgency may involve damp heat in the lower abdomen, but a comprehensive analysis is needed in combination with other symptoms.

There is another important information. The patient suffers from long-term constipation and uses aloe vera pills. Aloe vera is cold in nature. Long-term use may damage the spleen and stomach yang energy and lead to spleen and stomach weakness.

In addition, her long-term use of soda tablets (alkaline) may affect stomach acid, leading to weakened digestive function and aggravating spleen and stomach problems.

In addition, as people age, the functions of their various organs are not as good as before. At this time, weak spleen and stomach may lead to abnormal metabolism, resulting in internal dampness, which turns into heat, causing sweet taste in the mouth and fever.

However, the tongue does not show obvious signs of heat, so it is necessary to consider deficiency-heat or yin deficiency.

From another perspective, a sweet taste in the mouth may be related to spleen disease. The "Inner Canon of Medicine" mentions that "spleen disease" is caused by eating too much sweet and fatty foods, which turns into thirst.

But the patient now doesn't eat sweets, which may be a sign of changes in his condition.

In addition, nocturia and fear may be related to the kidneys, weak kidney qi or kidney yin deficiency. Restless sleep and easy awakening may involve heart-kidney disharmony or liver blood deficiency.

Regarding fever, the old lady said, "I have had symptoms of fever in the past ten days, and my body temperature has fluctuated between 37.5 degrees Celsius and 39 degrees Celsius." This kind of persistent low fever to high fever requires ruling out infection, but Western medicine treatment is ineffective. It may be internal injury fever, such as qi deficiency fever or yin deficiency fever.

Considering the old lady’s own description of fatigue and preference for lying down, she may be suffering from qi deficiency.

However, Yin deficiency can also cause fatigue and fever, so other symptoms need to be considered.

Therefore, constipation may be caused by yin deficiency and dry intestines. In addition, long-term use of aloe vera pills may cause dependence and damage the body's vital energy.

Judging from the tongue appearance, it is not normal that she only has one tender tongue.

Because tender complexion indicates weakness, and thin white tongue coating may indicate mild dampness. Whether the deficiency is mainly due to Qi deficiency or is also accompanied by Yin deficiency, more information is needed to support the diagnosis.

If the pulse is weak and thready, it can be determined that the patient is suffering from qi deficiency.

In an instant, Fangyan quickly analyzed and summarized a bunch of information in his mind, and found the most critical point.

Compared to Zhang Yanchang and Yang Jingxiang who were still doubting the old lady's mental problems, Fang Yan sorted out the corresponding points of all the information in just a few breaths.

"Come, let me take your pulse again." Fang Yan said to the old lady, pointing to the pulse pad on the table.

The old lady placed her hands on the mat, and Fangyan began to take the pulse of her left and right hands.

The information came out soon.

The pulse is thin and weak.

Right!
In an instant, Fangyan analyzed it in his mind.

The old lady suffers from spleen and stomach deficiency, dysfunction of transportation and transformation, accumulation of dampness and turbidity inside the body, which over time turns into heat, causing sweet taste in the mouth, nausea, and abdominal bloating.

Qi deficiency fever will cause fluctuations in body temperature.

Insufficient kidney qi leads to frequent urination and nocturia.

Deficiency of both the heart and spleen will lead to restless sleep and fear.

Treatment requires nourishing the spleen and stomach, clearing away heat and dampness, and nourishing the kidneys and calming the mind. In addition, her long-term use of cold medicines has damaged her yang energy, so she needs warming and nourishing while also moistening the intestines.

When Fang Yan let go of the patient's hand, the middle-aged man next to him asked Fang Yan:

"How is it? Do you see the problem?"

It can be seen that he still cares a lot about the old lady.

Fang Yan nodded and said:
"Yeah, I can see it."

After hearing that he had figured it out, Zhang Yanchang and Yang Jingxiang were still confused, and quickly turned their gazes to Fangyan, wanting to hear what he had to say.

Fangyan paused and said:

"If my analysis is correct, Professor Zhu's condition should be spleen and stomach qi and yin deficiency, internal dampness and heat, weak kidney qi, and poor communication between the heart and spleen."

Professor Zhu and the middle-aged man who came with him were surprised to hear such a long list of symptoms.

The middle-aged man asked:
"This...how many diseases are these?"

Fang Yan said to him:
"Don't panic. The symptoms sound a lot, but the key is still the spleen, which is where the symptom of sweet taste in the mouth starts."

"In traditional Chinese medicine, the symptom of having a sweet taste in the mouth is also called spleen disease."

"The ancient Chinese medical book "Suwen. Qibing Lun" said: "This is the overflow of the five flavors, and the name of the disease is spleen disease. The five flavors enter the mouth and are stored in the stomach. The spleen is responsible for transporting their essence. The body fluid is in the spleen, so the mouth tastes sweet. This is where fat and delicious food comes from. Such people must eat sweet and fatty food frequently." It means... This is caused by the overflow of the five flavors, and the name of the disease is spleen disease. Foods of various flavors enter the mouth and are stored in the stomach. The spleen is responsible for transporting the essence. When the body fluid stays in the spleen and cannot be transported normally, people will feel sweet in the mouth. This is a disease caused by eating too much fat and sweet food. Such people must often eat sweet, delicious and fatty food."

"Professor Zhu already suffers from stomach problems and chronic constipation, which means his spleen and stomach are not functioning properly." "Aloe vera is an extremely bitter herb with a very cold nature. Its main function is to help digestion rather than nourish the body. If you take it for a long time, the body's vital energy will be more seriously damaged."

After he finished speaking, he paused and asked the old lady:
"If I guess correctly, Professor Zhu used to like sweets very much, right?"

Professor Zhu nodded and said:

"Yes, I do like it. When I'm at work, I can't eat on time, so I rely on eating candy to get by. It's been a habit for many years. It was only after my mouth inexplicably felt sweet that I stopped eating candy."

Fang Yan nodded and said:
"Professor Zhu's love of sweets caused the accumulation of pathogenic heat in his spleen and stomach, which led to the symptom of sweetness in his mouth. In addition, Professor Zhu is nearly 70 years old, has been ill for a long time, and eats very little. His spleen and stomach have been damaged to the extreme, and his heart and kidneys have been damaged."

The middle-aged man who came with the old lady thought for a moment and asked in dialect:

"What about her confusion, her unclear speech, her bedwetting, and her predawn fears?"

The dialect said:

"Weak heart qi leads to mental disorder, so the mind is not clear and speech cannot express the meaning accurately. Weak kidney qi leads to insufficient essence and energy, which leads to urinary incontinence and a feeling of fear before dawn."

"Professor Zhu said that in the past ten days, she has also had fever, frequent urination, and urgency to urinate. These are symptoms of damp-heat in the bladder. So this disease is caused by the extreme weakness of the heart, spleen, and kidneys, which leads to a sweet taste in the mouth."

After listening to this, Zhang Yanchang and Yang Jingxiang showed a look of sudden enlightenment.

Although the middle-aged man and the old lady only understood half of what was said, they basically understood the situation.

Then Fangyan asked Professor Zhu to prepare for hospitalization.

Although Fangyan didn't mention her illness just now, her problem is actually quite serious and she must be hospitalized.

Fangyan said to the old lady:
"In terms of diet, avoid sweet and spicy foods, and eat millet porridge, yam, lily, etc. to strengthen the spleen and nourish yin."

"Also stop taking aloe vera pills immediately and use honey water or sesame seed pills to moisturize the intestines instead."

"In addition, Professor Zhu, don't think about your work for now. Relieve your anxiety and avoid excessive thinking that may damage your spleen. You will have plenty of time to think about these things after you recover from your illness."

Professor Zhu nodded after hearing this. She also understood her own health condition. When it comes to professional matters, you should listen to the experts. He is an expert in dialects, so of course you have to listen to him.

Only after they left did Fang Yan start prescribing medicine.

He chose a prescription of Shenling Baizhu San combined with Jiaotai Wan with modifications.

Shenling Baizhu Powder: Nourishes the spleen and stomach, eliminates dampness and stops diarrhea. It contains Pseudostellaria baicalensis, Atractylodes macrocephala, Poria cocos, Chinese yam, lotus seed, lentil and Coix seed.

Jiaotai Pills contain coptis root and cinnamon bark, which can connect the heart and kidney, clear heart fire, and warm kidney yang.

The additions and subtractions are: add Dendrobium and Ophiopogon to nourish the stomach yin; add Alpinia oxyphylla and Silkworm Cocoon to strengthen the kidney and reduce urination; add Ziziphus jujuba seeds and Polygala tenuifolia to calm the mind and stabilize the spirit; finally, add a small amount of Coptis chinensis and Scutellaria baicalensis to clear away dampness and heat and prevent bitter cold from damaging the stomach.

After writing the prescription, Fang Yan gave it to Zhang Yanchang and asked him to pass it to the medical staff outside.

Then continue to call the next one in.

……

This morning, Fangyan diagnosed several more patients, but they were basically all diseases he had encountered before. It was just that some people received the wrong treatment, so it was delayed until now.

After Fangyan gave the acupuncture on the spot, the symptoms of several people disappeared on the spot. He then prescribed some medicine to consolidate the effects, and the treatment was completed.

Eventually, several more inpatients were added to the hospital.

Fangyan's new official's medical consultation today came to a successful conclusion.

The next step is the follow-up treatment of these patients.

After lunch, the news that Fang Yan was the honorary director of the Department of Traditional Chinese Medicine at Peking Union Medical College had spread.

It seems that it was Concord Medical College itself that spread it.

Just after one o'clock in the afternoon, Fang Yan's home received several calls, all asking him whether the story was true or not.

The China Academy of Traditional Chinese Medicine, Dongzhimen Hospital, Capital University of Chinese Medicine, and even Master Lu Donghua, who was preparing to leave for Sichuan to film a movie tomorrow, all heard the news and called to inquire about the dialect.

They are all confirmed here in dialect.

As for what will happen next, Fangyan is not clear.

There is something more important happening at home now. His second sister received a telegram from Gansu saying that her notice has arrived.

So she will set off for Gansu soon, and after receiving the admission letter, she will move to Shanghai.

Before this, the family discussed it and decided to go to my uncle’s house to burn some incense for my grandfather.

Then my second sister will plan to buy a train ticket and leave Beijing tomorrow.

She started her college journey.

Of course, Fangyan and his friends will also start school soon, and the same goes for his brothers and sisters.

Going to burn incense for grandpa will be their last family activity this time.

Of course, Fangyan had some other ideas. He wanted to see if it was true as his mother said, that all of his grandfather He Xiu’s pediatric Chinese medicine books and related He family medical records were destroyed.

PS: I got 100 more monthly tickets, so after updating this chapter I still owe you 91000 words.

No more today. Please come early tomorrow.

Lao Feng is working hard to code for tomorrow.

(End of this chapter)