Rebirth 1977 Great Era

Chapter 747: Opening the Ghost Gate Cleansing House, Air Force General Hospital Seeking Help (Monthly Tickets Plus)
"I haven't urinated for three days. This is because moisture is accumulating in my body!"

Yang Jingxiang on the side said in a low voice.

Zhang Yanchang also nodded, his expression becoming a little more serious.

At this time, Fangyan touched the child's skin and found that it had swelled up completely. When he touched the abdomen, he found it was hard, and the child was wheezing, indicating that he was in a very difficult condition.

Then he took off the patient's child's pants and checked his entire lower body. He found that the situation was more serious than the upper body, and the skin was swollen and shiny on the surface.

Both calves were so swollen that the ankles were no longer visible.

Then Fangyan put the child's pants back on him.

Think about it for a moment.

"Give me the flashlight." Fang Yan then said to the three people behind him.

Lao Fan immediately handed the flashlight beside him to Fangyan.

After Fangyan took the flashlight, he said to the child:

"Open your mouth and let uncle see your tongue."

The child gasped and opened his mouth obediently.

Fangyan turned on the flashlight and took a look at the child's mouth and found that the tongue coating was thin yellow.

"Okay." He turned off the flashlight.

Then I took the child's pulse at the Cun, Guan and Chi points. Fortunately, the swelling here was not as severe as under the feet. I could still feel the pulse, which was deep, fine and smooth.

Judging from the dialect, this is the remaining evil of sha poison that has not been cleared: after scarlet fever (dansha), damp-heat poisonous evils have been trapped in the body and combined with water and dampness, so that the lung and kidney qi transformation functions are disrupted, the lungs fail to descend, "wind blocks water", the kidneys fail to open and close, that is, there is no urine, and finally the triple burner is blocked.

The evil is severe and the symptoms are urgent: water and dampness permeate the inside and outside, and the disease progresses rapidly ("dangerous path").

This syndrome is a severe case of Feng Shui (water and dampness accumulation type), and it is necessary to treat the symptoms urgently and clear the water and dampness.

According to dialect analysis, the child's condition has developed to this point and has entered a dangerous situation.

Then he returned to his seat, thought for a moment, and began to write the prescription:

3 grams of Ephedra sinica, 5 grams of Rhizoma Phytolaccae, 10 grams of Scutellaria baicalensis peel, 10 grams of Alisma orientalis, and 10 grams of adzuki bean.

Boil 1 small bowl of river water, add a little sugar, and drink it all at once.

And the dialect also noted in the medical records:
'This prescription is a "risky move" and requires strict differentiation of symptoms. It cannot be used for common nephritis edema! '

The people standing behind Fang Yan knew that the patient's condition was very urgent when they saw the prescription Fang Yan wrote.

Fangyan's prescription is completely different from the one for the little girl just now. Although both are caused by swelling, the previous one was relatively mild. Therefore, the medicine Fangyan prescribed took into account the child's fragile body and tried not to harm her as much as possible.

This is called "slow treatment to cure the root cause" in traditional Chinese medicine.

Now, this prescription uses the "dual method of sweating and diuresis" to rescue the critical symptoms of sha poison obstruction and lung and kidney qi failure, reflecting the decisive thinking of traditional Chinese medicine of "treating the symptoms in an emergency".

Western Ephedra 3g: pungent and warm, induces sweating, clears the lungs and promotes diuresis, “opens the ghost gate” to make water dissipate through sweat;

Rhizoma Phyllanthus 5g: bitter and cold, diuretic, facilitating bowel movements, “cleansing the organs”, guiding dampness out from below (use with caution when using in severe cases);

Chilingpi 10g: specifically for removing moisture from the skin, for swelling of the head, face and lower body;

Alisma orientalis 10g + adzuki bean 10g: synergistically promote diuresis, guide dampness and heat out through urination;
However, Rhizoma Coptidis is poisonous, and 5g is the upper limit of safe dosage for adults. Using this strong medicine to attack the evil is like walking on a cliff. One needs to grasp the relationship between the evil and the good, and carry out careful monitoring in order to win in danger.

"Take it and boil the medicine according to the prescription." Fang Yan handed it to Zhang Yanchang.

Zhang Yanchang lowered his voice and asked:

"Brother Fang, do we need river water? Can't we use well water or tap water? Now we have to break ice to get water from the river."

Before Fangyan could answer, Lao Fan at the side said:
"You have to use river water. At least this recipe has to use river water."

"Why?" Zhang Yanchang asked.

Yang Jingxiang reminded him:

"Don't you know? All the doctors before were particular about the water used for decocting medicines. Different water has different properties."

"River water is considered a type of 'flowing water', and its nature is 'heavy and tends to flow downwards'. Compared with other types of water, flowing river water is considered to be more dynamic and unblocked."

"Using river water to decoct medicine can enhance the efficacy of medicines and guide the medicine to work better for some diseases that need to be cleared and dredged, such as edema and meridian blockage."

The dialect also says:
"Yes, this recipe uses river water and sugar to boil it. The purpose is to use the "flowing water" to help the medicine flow, and the sugar can alleviate the dryness of ephedra and the toxicity of rhubarb."

"It's about ten minutes from here, and you can get water from the Imperial River." Zhang Yanchang finally came to his senses and nodded:
"Oh, I remember now. I see!"

Having said that, he ran to arrange for fetching river water to boil the medicine.

Fang Yan said to Yang Jingxiang:
"You go and help, too."

Yang Jingxiang nodded and immediately trotted out.

After he left, Fang Yan said to the patient's family:
"You guys go to the inpatient department now, the medicine will arrive soon."

The patient's family nodded:

"Okay, thank you, Doctor Fang."

After they left with the child, Lao Fan said to Fang Yan:

"Open the Ghost Gate and cleanse the house. These four herbs are quite strong!"

The dialect said:

"I learned it from the medical records in the old man's hands."

"I have read his medical records. He treated edema caused by acute nephritis mainly by relying on the effects of two herbs, ephedra and smilax china."

"In fact, there are similar records in ancient medical records. Ephedra has three major functions: sweating, relieving asthma, and diuresis. It can mainly open up the lung qi. The lung is called the upper source of water flow. It has the function of regulating water metabolism and transporting water downward to the bladder. Ancient doctors often used ephedra as the main drug for treating edema."

"Shanglu can specifically enter the kidney meridian and play a role in diuresis. The "Famous Doctors' Records" says that it can "treat edema and swelling". It is used as the main drug for treating edema in the prescription of Shuzao Yinzi, which shows that the experience accumulated by the ancients in long-term medical practice is correct."

"Don't worry, everything will be fine." Fang Yan said to Lao Fan.

Lao Fan nodded.

He really didn't have much experience in this area of ​​surgery, but he was knowledgeable in dialects, and now he had his grandfather's medical records, so there must be a reason for him to do this.

Now Lao Fan also has a learning attitude and absorbs the empirical medical cases that are purified and summarized from the dialect.

In fact, these days it has been proven that the medicines prescribed by Fangyan are all correct.

"Okay, call the next person in." At this time, Fang Yan had already written the medical record, and then he said to Lao Fan.

Then Lao Fan came to the door and called the next patient in. This time the patient was a soldier in uniform, about thirty-seven or thirty-eight years old.

He needed help to walk and seemed to have some problems with his eyes.

The people who came in with him included one who should be his wife, a middle-aged man with a square face, and another acquaintance who spoke the dialect.

It was the veteran from Changjin Lake who had come to treat frostbite and gangrene last time. (See Chapter 622)
He was now able to move freely, and as soon as he entered the door he greeted Fangyan:
"Doctor Fang, I'll bring my comrades to see you."

Fang Yan looked the old soldier up and down, then said to him:

"You seem to have recovered well. How is your comrade?"

At this time, a soldier who came with them said:
"Let me tell you."

The veteran nodded and let him continue.

The soldier nodded to Fangyan and said:
"The specific situation is this: in May 1972, Comrade Kuang Wei braved heavy rain and snow to go up the mountain to put out a fire. After working hard for several days, he completed the task. After coming down the mountain, a series of problems began to occur."

"I had a headache and couldn't move my neck. My neck was swollen and my eyes were painful. Later, I started vomiting and had difficulty moving my lower limbs. Then, in the following years, my vision gradually deteriorated. After examination at the military hospital, it was suspected that I had an intracranial space-occupying lesion. Later, after an electroencephalogram, ultrasound, and pneumoencephalography, I was diagnosed with skull base arachnoiditis."

"Although I have received multiple treatments and consulted with many experts, my condition has been recurring, sometimes mild and sometimes severe. In May last year, it recurred with more severe symptoms, including headaches, dizziness, and a lump in my neck. I also had numbness in my limbs and difficulty moving. Later, at the end of last year, my right eye had blurred vision and my left eye was completely blind."

"After that, I went back and forth to various military hospitals for examinations. After EEG, ultrasound, and other specialized examinations of the nervous system, I was finally diagnosed with subarachnoid hemorrhage, extensive adhesions, and arachnoiditis."

"I was transferred to the Air Force General Hospital at the beginning of this year, but the effect of treatment was not obvious. I even had intermittent speech and consciousness disorders. I am currently afraid of cold, have panic attacks, dizziness, and insomnia. When I am awake, I report that my left upper and lower limbs are numb, and my right eye is becoming increasingly blurred."

"And from what we've observed, when his hands are hanging down, they almost turn purple."

"Since the patient's condition was gradually deteriorating and there was nothing we could do to stop it, we began to seek help from other experts."

"But after consulting many people, there is still no good treatment advice."

"Afterwards, we learned from various sources within our army that you might have a solution, so we came to you."

After saying this, he saluted to Fangyan:
"Hello, Comrade Fangyan, I am Wei Geng, a doctor at the Air Force General Hospital, and I would like to request your assistance."

PS: I got 100 more monthly tickets, so after updating this chapter I still owe you 94000 words.

There will be more later.

(End of this chapter)