Rebirth 1977 Great Era

Chapter 749: Using Huangqi Chongteng Drink Again, a Patient with Bulimia Under Pressure (Two-in-One Chapter)
After writing the prescription, Fang Yan didn't ask for any conditions and directly handed it to Wei Geng.

"Start treatment according to the prescription above. The symptoms of the first stage will improve in about a week, and then you can move on to the second stage of treatment." Fang Yan said to Wei Geng.

"Okay!" Wei Geng nodded repeatedly.

Now he was really grateful to Fang Yan.

Even my master has never achieved this level.

This is simply a godfather!

"Doctor Fang, you are really... really a person of noble character!" Wei Geng really didn't know how to use appropriate words to express his gratitude to Fang Yan.

He could only say this, Fang Yan smiled and said:

"Comrade Wei, you're welcome. I often deal with the troops, and we're all one of us."

Wei Geng was slightly startled, then nodded and said:
"Yes, yes. I heard that Comrade Fangyan was awarded the 50th Anniversary Medal of the Army by the General Logistics Department. It's not wrong to say that you are one of us."

Everyone else was stunned when they heard this. They didn't expect that Fang Yan was actually awarded the "50th Anniversary Medal of the Founding of the Army". Many of them didn't know about this.

"When did it happen? How do you know?" the old soldier asked Wei Geng.

Wei Geng said:

"Just a while ago, I heard the leader say that it was specially awarded by the General Logistics Department to thank him for providing the Taoist massage technique and acupuncture and moxibustion pulse cutting and hemostasis technology."

"They are medical researchers with special contributions, and they meet the performance considerations for awarding the commemorative medal."

At this time, the old soldier looked at Fang Yan in surprise:

"Oh, Comrade Fangyan, I am so disrespectful!"

Dialect waving hands:
"Well, don't be polite, go get treatment right away!"

Everyone nodded quickly, and without further delay, they took the patient out.

Before leaving, Wei Geng told Fang Yan that if there was any help he needed, he would be happy to help, and he also left Fang Yan his address and phone number.

Of course Fangyan didn't hesitate and accepted it.

After they left, Lao Fan at the side asked Fang Yan:

"Are you deliberately doing someone a favor?"

Fangyan responded:
"It's not intentional. It's mainly because this patient would be better treated there."

"What do you mean?" Lao Fan asked curiously.

After Fang Yan returned to his seat and sat down, he began to supplement his medical records and said mysteriously:

"We can leave them with a typical medical case."

"Huh?" Lao Fan was stunned. He didn't expect this to be the answer.

Fangyan smiled at him:

"You figure it out for yourself."

Then he began to concentrate on writing medical records.

After a while, Lao Fan finally came to his senses, and then he took a deep breath:
"hiss……"

Then he said:
"Fang Yan, I find that you really never suffer any loss!"

"It seems like I'm giving benefits to others, but I'm also benefiting myself, and I don't have to worry about not being able to cure the disease and ruining my reputation."

The dialect said:

"I'm not as complicated as you think."

"But, just consider it as a compliment to me."

Lao Fan came over and said:
"Of course I'm complimenting you."

"Look at you. You've sold favors and transferred risks, but the ultimate influence still lies with you."

"If the patient is not cured, then the patient is treated by the Western doctor. You are just a consulting doctor, and the patient will not be blamed on you."

"If the patient is cured, everyone will know that the military doctor is a Western doctor and that he asked you to prescribe the medicine. Although the patient is registered under his name, everyone will know that the patient was cured with your help."

"Moreover, soldiers are prone to similar illnesses. If you have this classic medical case as a role model, your reputation in the army will improve."

"Wow, this is killing three birds with one stone!"

Fangyan shook his head. Old Fan thought too badly of himself.

At this time, Lao Fan asked him:
"How confident are you that your prescription can cure that soldier?"

"About 90%." Fangyan responded.

Lao Fan was surprised:

"so tall?"

Fang Yan had said before that this case was the most serious one he had ever seen, but now he said that there was a 90% chance of cure.

"I have confidence in myself." Fangyan replied.

“……”Lao Fan suddenly felt that all this was arranged by Fangyan.

Everything is in his calculation.

Fang Yan said to Lao Fan:

"Okay, hurry up and call the next one in. Stop dawdling. After seeing the patient, I have to go back and make lunch for my second sister!"

When Lao Fan heard this, he immediately agreed:
"okay."

Then he called in the next person.

This time it was a young man who came in. As soon as he entered the door he shouted in dialect:
"Brother Fang!"

Fang Yan looked up and found that it was Xiao Zhang from the Municipal Bureau, Zhang Zhichao.

He was previously arranged by Qin Nong to be his personal bodyguard and driver.

At that time, I also taught him how to judge people.

"Hey, Xiao Zhang?!"

"What's wrong with you?"

Fangyan looked him up and down.

Xiao Zhang waved to the door and said:

"It's not me, it's my boyfriend's dad, he's sick."

"Oh, your father-in-law." Fangyan suddenly realized.

As a result, Xiao Zhang waved his hands and said a little embarrassedly:
"No, no, I'm not married yet. I call you uncle now."

As he spoke, a girl with pigtails and an old man who looked a little fat, with his head lowered and a bit hunched over walked in.

Xiao Zhang introduced them:
"Uncle Sun, Xiaolian, this is my instructor, Brother Fang. I told you I'm very familiar with him."

"Hello, Brother Fang!" Xiaolian greeted Fangyan politely.

Fangyan nodded. It was obvious that the girl was from a nearby village. Her face turned red when she smiled, and she and Xiao Zhang looked a bit like a couple.

Xiao Zhang said to Fang Yan:

"Brother Fang, this is my girlfriend Sun Xiaolian and her father."

Fangyan greeted them:
"Hello!"

Then he said to Xiao Zhang:

"Xiao Zhang, quickly bring Uncle Sun over to sit down."

Xiao Zhang brought the two of them over and sat down. Old Sun raised his head at this time and made two strange noises in the dialect, "Um...Um," as if he was greeting him.

Only then did Fang Yan realize that something was wrong with his face.

"Uncle Sun, what's wrong?" he asked.

At this time, Xiao Zhang glanced at his girlfriend Sun Xiaolian, who immediately took over the conversation:
"Brother Fang, this is what happened. During the Chinese New Year, my dad suddenly felt his tongue stiffen after dinner one night, and his speech became unclear. The next day, he said that he couldn't walk steadily, and his left hand couldn't hold things tightly, so he would drop them to the ground without noticing."

"On the third day, he started drooling and his tongue tilted to the left, so Xiao Zhang took us to a nearby hospital for diagnosis. The diagnosis was that it was called...what was it called?"

Sun Xiaolian looked at Xiao Zhang.

Xiao Zhang said:

"Occlusive cerebrovascular disease!"

Sun Xiaolian nodded:

"Oh, yes, it's this occlusive cerebrovascular disease. I used kallikrein, niacin, and acupuncture to treat it, and it has improved slightly. But Xiao Zhang said he knows you, so he plans to contact Union Hospital and ask you to take a look."

Fang Yan nodded, and then said to them:

"If you have any problems in the future, just ask Xiao Zhang to call. As long as I have time, you can come directly. There is no need to make an appointment with anyone."

Sun Xiaolian said:
"No, that won't work. That would break your rules, Brother Fang."

Xiao Zhang also said:
"Brother Fang, I just want to see if Uncle Sun's illness can be cured quickly. After such a long period of treatment, his face feels more and more crooked."

Fangyan nodded:
"Yeah, okay, I'll take a look first."

Fangyan went forward and observed that the patient was slightly fat, the right eye was less open than the left, the lines from the right nose to the corner of the mouth became shallower, that is, the nasolabial groove became shallower, and in addition, the mouth was slightly tilted to the left.

Then Fang Yan said to the patient:
"Uncle Sun, open your mouth now and stick out your tongue for me to see."

"Hmm." Uncle Sun nodded, then opened his mouth and stuck out his tongue.

Fangyan discovered that when he stuck out his tongue to the left, the tongue coating near the root of the tongue was slightly thicker than other places.

Then Fang Yan stretched out his hand again and said to the patient:
"Use both hands to squeeze my arms. Squeeze hard."

The patient was a little confused.

Fang Yan said to him:
"Don't worry, just squeeze it hard and don't be afraid of breaking it."

The patient nodded, reached out and grabbed Fangyan's arm, then squeezed it hard. His calloused hands pinched Fangyan's arm, and he found that Fangyan's arm was as hard as an iron rod.

The doctor, who looked weak and frail, had tense muscles in his hands.

It seemed as if just a little force could shake his entire arm off.

"Try harder, use all your strength and don't hold back." Fang Yan continued to urge the patient.

The patient tried harder and harder, and his saliva flowed out in lines, and then he finally ran out of strength.

Fangyan nodded and said:

"When the left hand was exerting force, its grip strength was much weaker than that of the right hand, and it showed signs of loosening halfway through."

When a person is using all his strength, if he is in a normal state, his hands will not suddenly relax and then suddenly exert force.

This also confirms what Sun Xiaolian had said before.

Then Fang Yan said to the patient:
"Uncle Sun, let me take your pulse."

After hearing this, the latter obediently placed his left hand on the examination table.

Then the dialect was used on his Cun Guan Chi.

After touching the left hand, he touched the right hand.

The pulse felt was tight and stringy.

Then Fang Yan asked Sun Xiaolian and Xiao Zhang:

"Does Uncle Sun have any chronic illness?"

"Is there?" Xiao Zhang asked Sun Xiaolian.

"Yes." Sun Xiaolian responded.

Then she said:
"He had been examined in the hospital before and was told that he had high blood pressure and arteriosclerosis."

"I also often experience dizziness, tinnitus, insomnia, and numbness in certain parts of my body."

"He also had a lot of phlegm in his mouth and chest tightness. He also complained of inexplicable pains in his body from time to time, as if someone had pricked him with a needle."

"There was another time before when he said he had a dull pain in his chest, and he stuttered for half a month during that time."

After finishing speaking, Xiao Zhang asked Fang Yan:

"Brother Fang, what's Uncle Sun's problem this time?"

"Stroke." Fangyan responded.

"Ah?" Xiao Zhang was surprised.

Fang Yan looked at Xiao Zhang with a surprised face and said to him, "You don't have to be so surprised. The hospital has already found out the cause."

"Isn't it occlusive cerebrovascular disease?" Xiao Zhang said.

Fangyan explained to him:

"Occlusive cerebrovascular disease is classified as "stroke", "hemiploidy" and other categories in traditional Chinese medicine. It's just called differently. You can understand it this way."

Xiao Zhang then showed an expression of sudden realization, realizing that he had made a mistake.

He scratched his head a little embarrassedly, and then asked to Fang Yan:

"What should we do? Is this easy to cure?"

The dialect said:

"His condition is not too serious. The first award I received from the Ministry of Health last year was for treating this condition."

"It's just that we need to make some changes to the recipe."

Yes, Fangyan intends to use Huangqi Chongteng Yin with modifications as a means of treatment.

Uncle Sun's case is characterized by wind-phlegm and blood stasis, as well as liver-kidney yin deficiency. Combined with his history of hypertension, arteriosclerosis, tight pulse, and left-biased tongue, this is a case of underlying deficiency and superficial excess.

Treatment requires invigorating Qi, activating blood circulation, unblocking collaterals, resolving phlegm and calming wind, while also nourishing the liver and kidneys.

Huangqi Chongteng Decoction is known for invigorating Qi and unblocking collaterals. It is suitable for stroke caused by Qi deficiency and blood stasis. However, patients also have phlegm-dampness and liver wind, so it needs to be modified.

Soon Fangyan picked up the pen and started writing the prescription on the table.

The prescription written is the modified Huangqi Chongteng Yin recipe:
Astragalus 30g (replenishes qi and promotes blood circulation, boosts the efficacy of the medicine)
Whole scorpion 6g (ground into powder and taken with water) (to clear wind and dredge meridians, remove blood stasis and stop spasms)

12g earthworm (clears heat and soothes the liver, dredges meridians and lowers blood pressure)

Millettia reticulata 30g (nourishes blood, invigorates blood circulation, relaxes tendons and activates collaterals)
Gastrodia elata 15g (calms the liver and extinguishes wind, stops dizziness)
Uncaria rhynchophylla 12g (added last) (clears liver heat, extinguishes wind and stops spasms)
French Pinellia 9g (drying dampness, resolving phlegm, stopping salivation)
Acorus calamus 12g (opens the mind and eliminates phlegm, improves speech)

Danshen 15g (promotes blood circulation, removes blood stasis, clears brain channels)
18g of Chinese Cyathula (to guide blood downward and nourish the liver and kidneys)

6g of roasted licorice root (to harmonize various drugs and slow down the toxicity of worm drugs)
Decoction method:
Grind the whole scorpion into powder and take it with water twice. Boil the remaining medicine in water. Take 2 dose per day in 1 times.
Add Uncaria rhynchophylla last (add it in the last 5 minutes of decoction).

After finishing writing, Fangyan asked them again:

"I suggest that you stay in the hospital for a period of time and receive acupuncture and massage rehabilitation treatment. Do you have any questions?"

After saying that, look at Xiao Zhang.

The latter immediately understood and said:
"No problem, no problem. I'll pay for the medical expenses."

Hearing this, Sun Xiaolian looked at Xiao Zhang with gratitude in her eyes.

Fang Yan knew that after this moment, Xiao Zhang and her marriage should be stable.

Most girls these days are pretty good.

Once you are moved by something like this, you will want to get married.

When it comes to things like marriage, you have to be a little impulsive to get it done.

Since the other party had to be hospitalized, Fang Yan continued to write his follow-up treatment plan:

Acupuncture program:

Face: Dicang (right), Jiache (right), Yangbai (right) - light stimulation, leaving the needle in for 20 minutes;

Limbs: Quchi (left), Hegu (left), Zusanli (left), Taichong (both) - balanced tonification and balanced purgation;
Opening the orifices: Lianquan, Jinjin, Yuye (puncture to induce bleeding).

There is also massage rehabilitation:

Face: Massage the affected side muscles (from the jaw to the temples) for 10 minutes daily;

Left hand: Grip strength training, 10 minutes each time, 3 times a day.

Fangyan thought about it, then opened another page and wrote a dietary recommendation on it:

Suitable: black fungus (to invigorate blood circulation), celery (to lower blood pressure), yam porridge (to strengthen the spleen);

Avoid: fatty, sweet and greasy foods, spicy foods and alcohol (which cause phlegm and wind).

After finishing writing, he gave the paper directly to Xiao Zhang.

After seeing this, Xiao Zhang nodded repeatedly and said to Fang Yan:

"Okay, Brother Fang, I will prepare food for Uncle Sun according to the instructions above."

Fangyan smiled and nodded.

Now both father and daughter should be done with it.

The next step is to ask them to check in at the hospital and then prepare to take medicine and receive treatment.

Before leaving, Xiao Zhang gave Fangyan a grateful look.

Fangyan understood what he meant and made a cheering gesture to him.

Then Lao Fan discovered that acupuncture and massage was his job, and he had one more patient to take care of.

The world in which only Lao Fan was injured was achieved.

……

After Lao Fan went for acupuncture, there were no other assistants in Fangyan's clinic.

Fangyan called another nurse in from outside.

Have a nurse on standby at all times.

The young nurse was suddenly delighted when she received such an assignment. This was an opportunity that she had not come across with great difficulty.

Everyone knows that the longer you follow Director Fang, the more benefits you will get.

There is no benefit today, but maybe next time you go to other places and get called up, you will get benefits.

"Director Fang, my name is Li Xuejiao, you can just call me Xiao Li." The young nurse introduced herself to Fang Yan with an excited look on her face.

Fang Yan finished writing the proposal and closed the pen. Then he glanced at the time on his hand, nodded, and said to the nurse:
"Okay, Xiao Li, help me call the next person in."

The young nurse immediately ran out and called in the next patient.

The person who came in this time was a woman in her early thirties.

The people who accompanied her here should be her parents.

When I first met this patient, I noticed that his body shape was relatively rare in this era.

The patient's face was as fat as a full moon, his belly was bulging, and his limbs and body were plump and strong.

It just seemed that his breathing was a little rapid, and his face looked dark and stagnant.

Fangyan asked her to sit down.

She didn't say anything polite. She came and sat down in front of Fang Yan, then let out a long sigh, as if the previous action had already cost her a lot of effort.

"Excuse me, where do you feel uncomfortable?" Fang Yan asked her.

The girl spoke in dialect:

"Doctor Fang, you can tell what my problem is just by looking at my body shape."

Fangyan was a little amused and confused. Could it be that he came here to lose weight?

The girl continued:

"Here's the thing. I've developed a symptom in the past six months, which is a craving for food."

"I eat a lot and have bowel movements a lot. I have to eat more than ten times a day. My mouth is almost always open. I am always eating. If I don't eat, I will feel flustered and confused. I eat about three and a half kilograms of food a day."

"Eat a pound in one meal?" Xiao Li, who was standing behind Fangyan, couldn't help but exclaim in surprise.

The other party looked at the nurse's figure with some envy, then nodded and said without getting angry:
"Well, one pound is an understatement. Sometimes it's even more than that."

Hearing this, Xiao Li didn't know how to answer, so he had to say:

"Well... that's indeed a bit too much."

The girl nodded and said:

"I can't help it. I can't control it."

"Also, I feel a dull pain in my stomach right after eating, and I have a strong urge to defecate. I have to go to the toilet more than ten times a day. The amount of bowel movements each time is not large. What's even more strange is that recently, I faint after each bowel movement, and I wake up after a while. So when I go to the toilet, I must have someone to help me."

"Now my physical strength is even worse. I often feel anxious and have trouble sleeping. My chest feels stuffy and my abdomen is bloated."

"Because of the weight gain, I am now short of breath, have pain in the right rib area, dizziness in the head and eyes, and am too weak to get out of bed. Even when I fall asleep, I am woken up by my own snoring."

"Just look at me. I just walked a few steps and I feel like I'm about to collapse."

After that, her parents asked in dialect:
"Doctor Fang, is there any way to cure this disease?"

"Our daughter's current condition is really scary. If it continues like this, I'm afraid there will be big problems. I don't know if you are knowledgeable and have ever seen such a situation?"

Fang Yan nodded and said:
"This situation is indeed rare in this era, but it has happened before. There are ways to treat it, but we still need to find out what is going on."

Then he said to the patient:
"Open your mouth so I can see your tongue."

"Ah!" The patient opened his mouth obediently.

Fangyan saw that her tongue was yellow and dry.

Then Fangyan said to the patient:
"Put your hand here again, and I'll take your pulse."

The patient then put his left hand up and Fangyan felt the deep and sluggish pulse.

Then he asked her to raise her right hand and felt a slow and smooth pulse.

Fangyan asked her:

"Do you still have numbness in your arms, dry mouth, and swelling?"

Hearing the dialect, the patient asked in surprise:

"Hey, Doctor Fang, how did you know?"

Fang Yan said to her:
"Because other people have had similar situations."

After hearing this, the patient asked with some surprise and curiosity:
"Oh, really? There is actually someone with the same symptoms as me. Has this person been cured?"

Fang Yan nodded and said:

"Of course it has been cured, and the symptoms and treatment plan have been written down in the medical book."

He added in his mind, 'It's just that this patient is not from this era, but from more than 40 years later.'

Yes, the medical case mentioned in the dialect is not from ancient books or other books.

But it was a medical case that I saw from a colleague in my previous life.

With the advent of the Internet age, people's material lives have been greatly satisfied, but mental and physical problems have arisen.

Some people have such great work pressure that they can only relieve stress by eating, which leads to similar symptoms of binge eating.

So when Fangyan saw this patient, he remembered the medical case. The situation was exactly the same.

Fangyan had seen that case and still remembers it vividly.

He remembered that his colleague was very simple and rough and directly prescribed Sanyi Chengqi Decoction.

That is: 9 grams of raw rhubarb, 4.5 grams of ginger Chuanpu, 4.5 grams of stir-fried Citrus aurantium, 3 grams of Yuanming powder (for drinking), and 6 grams of raw licorice.

At that time, the patient had only taken four doses and had bowel movements at least 7 to 10 times a day.

Then after returning, the patient was prescribed four more doses, after which the patient's bowel movements gradually decreased to three times.

The stools are all soft and contain thick, dirty, gelatinous matter.

The patient's food intake and frequency also began to decrease, but his bowel movements became delayed and took half an hour to defecate.

It is said that after taking the medicine for 10 days, the patient excreted a lump in his stool, which was about one foot long and dark brown in color. However, the patient did not find out what it was and simply flushed it away.

After that, the patient felt much more relaxed in his stomach.

However, the symptom of overeating has not been completely eliminated. In fact, because of the stress, the desire to eat to relieve anxiety has become more and more intense.

Later, the patient was taken over by another colleague for follow-up treatment, and then he recovered.

Therefore, that medical case is not a successful example that can be fully used as a reference for dialects.

He now needs a more reliable method to treat the patient with the same symptoms as this one.

PS: The 6000-word basic chapter has been updated. Lao Feng is out of town for a meeting and can only write at night.

No more today. Please come early tomorrow.

(End of this chapter)