Rebirth 1977 Great Era

Chapter 760: Sure enough, it's still Lao He's style, an honest peer (two chapters in one)
As soon as this question came up, people around me became curious.

Yup!

He Xiu has been dead for so many years, and no one taught him the dialect, but how could he have learned the techniques?
This is incredible.

Little did they know that Fangyan had learned Taoist medical massage, bone setting, and martial arts. These things combined were enough for him to analyze the actual usage based on the text.

But Fangyan didn't want to explain to them.

I came here today to show them what they inherited, not to decrypt it for them.

In fact, it would be enough if they just admitted that they used the He family's methods.

Old man Wang Pengfei beside him also reacted, and without even speaking in dialect, he said to Yang Yinong:
"This is his business. Why do you care how he learned it?"

Yang Yinong was not angry either, and said:

"I'm just curious. Old He has been gone for so many years. Could he still send a message to his grandson in his dreams?"

Zhu Boquan on the side reminded:

"Don't forget who he is."

His meaning is very clear. He is a genius in dialect. You will not be able to guess his meaning by using your own thinking.

When Yang Yinong heard this, he suddenly understood.

Smiling and nodding:
"Oh, yes! I almost mistook him for an ordinary junior."

"He is now working for the Overseas Chinese Affairs Office in Xiehe Hospital. He is no longer an ordinary person."

After these words were spoken, the expressions of the three young juniors immediately became interesting.

Those who admire still admire, but those who are dissatisfied and those who are eager to try have calmed down a lot.

If they want to compete with dialects, they should really think about their own weight.

At this time, Fangyan had already asked the patient's parents to hold their child and wait aside. After the needle retention time was over, they could take the medicine and leave.

"Next!"

Because of his previous experience working at Tongrentang, Fangyan's efficiency in this small clinic has improved unconsciously.

Soon the next child was brought up by his parents.

This is a big kid, he looks to be at least eleven or twelve years old this year, he is short, underdeveloped, and has dry and yellow hair.

"Hello, Doctor Fang!" The other party's father greeted Fang Yan first.

Then he sat down with the child and said to the dialect:

"Ten years ago, our child accidentally fell into the water. After being rescued by his grandfather, he has been left with sequelae. He would scream loudly in fear and then his whole body would twitch for a long time before stopping. This condition often occurs. Every time he has an attack, he would scream and twitch, lose consciousness, curl up his hands and feet, and spit out white foam from his mouth. After a while, he would wake up with a scream in his throat. We also went to a mental hospital in the city for examination, and he was diagnosed with epilepsy at that time."

After that, he took out a medicine box from his pocket, put it in front of Fangyan, and said:

"I used this...phenytoin sodium, but the effect was not ideal."

Fangyan frowned slightly. Phenytoin sodium is a commonly used anti-epileptic drug. Its adverse reactions include nausea, vomiting, loss of appetite, and possible symptoms such as dizziness, headache, vertigo, insomnia, and mental tension. In severe cases, nystagmus, ataxia, and confusion may occur.

Long-term use may also cause osteoporosis, hypocalcemia, etc.

If it was being used ten years ago, the child might be older than his actual age.

So Fangyan asked:

"How old is he?"

"Fifteen," the patient's father responded.

Fangyan is speechless. It took so long to bring the child here, and now the child’s development has been seriously affected.

But treatment still needs to be done.

Fangyan said to the child:

"Open your mouth so I can see your tongue."

The child opened his mouth obediently, and Fangyan saw that his tongue was gray and greasy and his tongue was dull.

It's pretty much the same as his outward appearance.

Huanying then said to the patient:
"Put your hand up here, I'll take your pulse."

The boy obediently stretched out his hand. Fangyan felt the pulse of both hands and found that the pulse was deep and thin.

The disease name of epilepsy in traditional Chinese medicine is "epilepsy syndrome".

He had drowned and was frightened ten years ago, which damaged his heart and kidneys, causing a lack of heart yang and weak kidney qi, followed by internal production of phlegm and turbidity. His illness lasted ten years. Long-term use of phenytoin sodium damaged his spleen and stomach, causing dysfunction of transportation and transformation, and accumulation of phlegm and dampness. The "Huangdi Neijing Suwen Zhizhen Yaoda Lun" said: "All wind-induced dizziness and vertigo belong to the liver." Convulsions and loss of consciousness are caused by liver wind carrying phlegm to disturb the clear orifices.

The tongue and pulse also confirm this point. A dull tongue with gray and greasy coating indicates yang deficiency and phlegm and dampness, while a deep and thin pulse indicates insufficient yang and obstruction of phlegm.

Generally speaking, this type of refractory epilepsy requires treatment for a long time.

But there was a similar case in my grandfather’s medical records before. He cured the patient in only two months. However, the prescription was not the He family’s secret recipe, but a prescription from the Qing Dynasty Taoist doctors Heng Yangzi, Tiandu Zhongling Taoist, and Cheng Zhongling.

Cheng Zhongling was born in 1662 and died in 1735. He was from She County, Anhui Province.

He was weak and sickly since childhood, so he determined to study medicine. He studied hard, such as "Huangdi Neijing", "Nanjing", "Treatise on Febrile and Miscellaneous Diseases" and the Four Great Medical Masters of Jin and Yuan Dynasties, absorbed the essence of ancient medicine, and gradually became a rising star in the medical field during the Kangxi and Yongzheng periods.

In his middle age, he had a dispute with a local tyrant over his ancestral grave. In order not to implicate the villagers, he surrendered himself to the police and was sentenced to death and imprisoned. Later, he escaped the disaster because he cured the illness of the governor's mother and became a monk with the help of the governor's mother.

"Medical Insights" is Cheng Zhongling's representative work, which was written while he was in prison and during his practice after release.

The book is rich in content, covering many fields such as internal medicine, gynecology, pediatrics, etc. It elaborates on his understanding of diseases, diagnostic methods, treatment principles and the use of drugs, etc. He also proposed the famous "Eight Methods of Medicine", namely sweating, vomiting, purgation, harmonization, warming, clearing, elimination and supplementation.

My grandpa He Xiu left behind a book he wrote called "Medical Insights and Annotations". After it was found by my cousin Fangyan, he sold it to Fangyan for $100.

The prescription in that medical case was made based on Cheng Zhongling's method of resolving phlegm and calming epilepsy, and was intended to be taken in pill form.

So Fangyan immediately and quickly wrote down his own dialectic.

The syndrome differentiation is: spleen deficiency causes dampness, dampness causes phlegm, phlegm heat causes wind, phlegm and qi go against the flow and disturb the mind.

Treatment method: Use the method of resolving phlegm and calming epilepsy recorded in my grandfather He Xiu's medical records, make it into pills and take it orally.

Then he wrote the prescription:

Gastrodia elata 30g, Fritillaria cirrhosa 30g, Arisaema ciliata 15g, Salvia miltiorrhiza 60g, Ophiopogon japonicus 60g, Acorus calamus 15g, Polygala tenuifolia 20g, Amomum villosum 30g, Scorpio 15g, Tangerine peel 20g, Bombyx batryticatus 15g, Poria 30g, Amber 15g, Poria 30g, Cinnabar 9g, and Menthus 6g.

Dosage: Grind the above medicines into powder, add 1 small bowl of bamboo juice, 1 cup of ginger juice, and 4 liang of licorice to make a paste. Make the medicine into pills as big as walnuts, coat with cinnabar, take 2g each time, 3 times a day.

After Fangyan finished writing the prescription, several people around him frowned and looked at his prescription.

They had never expected that it could be treated this way.

Just roll the meatballs and let them take it home to eat.

"It's indeed Fang He's style." Old man Wang Pengfei was the first to nod his head.

After he took the lead, others nodded.

"Indeed, this is really his style."

"If it were me, I would just use Di Tan Tang and You Gui Wan with some modifications, but he was good and just went for the easy way."

"Otherwise, he is the one who is weird..."

Several young men around looked at each other in bewilderment. They would never think of doing this. They would definitely prescribe some medicine to try first, and then check after a while. But Fangyan didn't take this step at all.

The meatballs from this recipe can be eaten for a long time after being rolled.

After the dialect was written, he said to the patient's family:
"Avoid eating mutton, leeks and other irritating foods to prevent liver wind recurrence. Also, don't take phenytoin sodium. Taking too much will cause many side effects. You still have a few years to grow, so take advantage of this time to eat more and try to grow taller."

"Okay!" The patient's family nodded repeatedly.

"Okay, take the prescription and ask the counter to make the medicine." Fang Yan handed the prescription to the other party.

The other party nodded repeatedly after receiving it. Although they had not tried Fangyan’s medicine yet, Fangyan was famous after all.

I have never heard that he couldn't cure a disease, so after getting the prescription, I was quite excited.

They have heard the legend in dialect that as long as the medicine is prescribed, it will definitely cure the disease.

Fangyan didn't waste any words and shouted to the next one:
"Go on, next one!"

A young mother came up with her baby in her arms. As soon as she saw me, she spoke hurriedly in dialect:

"Doctor Fang, our child is one year old. She started to get sick two months ago. She has difficulty breathing, coughs and sputum, has a fever, is thirsty, is restless, keeps crying and shouting, has been unable to sleep for several nights, and is unwilling to eat. She can't lie flat yet. Once she does, she starts to make a fuss. Her father and I can only take turns holding her while she sleeps."

"I am losing weight, and I have diarrhea. I urinate more often, but the amount is small and the urine is yellow. We want to see you... Can this condition be cured?"

"You said you've been sick for two months?" Fang Yan was a little surprised. What was going on today? It was ten years just now, and now it's only two months. Are they waiting for me to treat it?
The patient's mother seemed to see the confusion in Fangyan and quickly explained:
"Well, I saw a doctor before, but it didn't have much effect."

Fangyan nodded:
"Okay, I'll check it out now."

Then he left the examination table and went to the patient.

After examination, it was found that the child's tongue coating was white, and the child's fingerprints were thick and large, purple and black in color, and had extended to the vital point.

This condition is a sign of serious illness in traditional Chinese medicine.

Fangyan hurriedly checked the child's nostrils and intercostals. If flaring of the nostrils and sunken intercostals were observed, it meant that the disease had turned into "horse spleen wind", which is severe pneumonia in Western medicine.

Fortunately, this situation did not happen, and Fangyan breathed a sigh of relief.

Then he hurriedly prescribed medicine for acupoint application: grind 1g of white mustard seeds, 0.5g of gansui, and 0.5g of asarum into fine powder, mix it into a paste with ginger juice, and apply it to the lung shu and tanzhong points.

Apply once a day for one hour, and the skin redness will disappear.

After reading it, he handed it to Old Deng and said:
"Mr. Deng, please help me. I will give the child a massage!"

Old Deng didn't take it as an offense. He nodded, took the prescription, and quickly went to help Fangyan prepare the medicine. He was an old Chinese medicine pharmacist and was very skilled at this kind of work.

In the dialect, pediatric massage is used.

Take the child from her mother's hands, and then start massaging her. The method is to use the palm of the ring finger to push from the base to the fingertip. This is to clear the lung meridian, and it should be done 200 times.

Then rub the small horizontal lines on the palm 100 times, which is the ulnar side of the line below the root of the little finger on the palm. Rub here.

Then move the Inner Bagua 100 times, that is, draw circles clockwise on the palm of the child, and do it 100 times for each hand.

Finally, pinch the spine 6 times, from Changqiang to Dazhui.

Everyone else watched Fang Yan do it step by step, and could clearly feel the child's panting, which subsided as Fang Yan did the massage.

Then Old Deng prepared the medicine and Fangyan applied it on the child's acupuncture points.

Then he said to the patient's mother:
"Next, you take the child to the inner hall and let her lie down for an hour. By then, the medicine will be almost ready. Let the child drink it before leaving." The patient's mother said to Fang Yan:
"This...she can't fall asleep while lying down, and she even cries and makes a fuss."

The dialect said:

"It's okay. I can sleep now."

After saying that, he laid the child down, and sure enough, the child did not make any noise, but fell into a sleepy state.

The child's mother was suddenly amazed, and quickly took it, then carried the child to the inner hall.

After finishing here, the previous acupuncture treatment was also completed. Fangyan removed the needles for them and told them that they could go home now.

The patient's parents thanked Fangyan, then took the medicine to negotiate the price, paid the money and left.

And the dialect is to continue the treatment.

Next was the whole family. The patient was a seven-year-old child. The child had been having a fever for several days and suddenly fell into a coma. He was not conscious, his eyes were tightly closed and could not open, his hands were twitching rapidly, his limbs were cold, his teeth were tightly clenched, his body was bent back like a bow, and his bowel movements and urination were difficult to discharge.

I originally planned to come and see Mr. Wang Pengfei, but I didn’t expect Fang Yan to be here too.

They had also heard of Fangyan's name and knew that he was famous, so they immediately asked Fangyan to provide treatment.

During the dialect diagnosis examination, it was found that the child's pulse was hidden and no obvious pulse could be felt. His mouth was tightly closed and his tongue could not be checked. His face was dull and lifeless. When pressing his abdomen with hands, his body hyperextension became even worse.

From this we can infer that he must have abdominal pain.

My grandfather He Xiu's medical records previously wrote:
'The child's mouth is closed, limbs are cold, eyes are closed, face is dark, and pulse is unresponsive, which seems to be attacked by Yin cold. By touching his abdomen, the hyperextension is even worse, and his bowel movements are difficult and astringent, it is determined to be a sign of "heat in the middle".'

Translated, it means:
The child's mouth was tightly shut, his limbs were cold, his eyes were closed, his face was dark, and his pulse was not noticeable. He looked like he was attacked by cold qi. By touching his abdomen, we found that his body was stretched back more and more, and his bowel movements and urination were not smooth. Therefore, we judged that this was a manifestation of strong heat evil in the body.

Based on the parents' description, Fangyan concluded that it exactly matched what was written in his grandfather's medical records. He had treated so many different illnesses during that period that there was always a match.

As long as you remember the dialect clearly, you can just copy the answers.

The treatment advice for this situation is to use the method of urgent purgation and preservation of Yin.

The prescription is also very simple.

Stir-fried Citrus aurantium 5g, processed Magnolia officinalis 5g, Rhubarb (soaked) 10g, Xuanming powder (soaked) 10g.

It’s easy to prescribe medicine, but the child’s mouth is tightly shut.

The old man’s original medical records did not mention how he opened the child’s mouth.

This made Ran Fangyan a little troubled.

Adult dialects can be treated directly with physical methods, or in a large hospital, by directly inserting a nasal tube.

But these are kids, and this is also a small drugstore.

So there are only two methods left. The first is enema. If oral administration is difficult, you can consider administering the medicine through the rectum, which was also used in ancient times.

Another way is to stimulate the acupoints to help relax the masseter muscles and open the mouth slightly.

Fangyan thought about it, and then asked Lao Dengtou to help get the medicine out, and then he started the operation.

In the end, I did not choose enema, but instead used the acupoint stimulation that I was best at.

First press the philtrum with your thumb nail vertically down for about three seconds, then wait for two seconds and repeat three times.

Soon, the intensity of the stimulation caused the child to frown and twitch his limbs.

Then Fangyan took out a silver needle and pierced it directly into the Hegu point at the base of the palm of the hand, quickly inserting it about 5mm. He used the twisting and draining method, rotating it two circles per second and vibrating it rapidly. After about 30 seconds, the child's mouth opened a one-centimeter gap.

“It opens already?!” The patient’s family members were also seeing this technique for the first time and were extremely surprised.

Just now they thought Fangyan was going to pry open the child's mouth.

Unexpectedly, I just pinched his lips twice and then gave him acupuncture on the back of his hand, and his tightly closed mouth opened immediately.

Several senior people who were watching around looked at each other.

If it were them, they would definitely not do it this way. Enema would be the end of the problem. But what Fangyan did was still risky. It was not a risk to the child but a risk to Fangyan himself. If the needle insertion technique was not good enough, the child would definitely not be able to open his mouth.

There are so many people watching here, but he dares to start acupuncture without any hesitation. It is obvious that he has strong confidence in his acupuncture techniques.

He Xiu's acupuncture skills were only average back then, but he didn't expect his grandson to be even better than him.

Mr. Wang Pengfei, who had already inquired about the dialect news, revealed to his old friends:
"You may not know this, but he learned acupuncture from Cheng Xinnong and is also a consultant for the Acupuncture Research Institute of Huaxia Research Institute."

Immediately, the other three people and the younger generation behind them were stunned.

Some of them couldn't believe it and asked Wang Pengfei:

"Ah? Cheng Xinnong? Not the one I thought of, right?"

"It's what you were thinking!" Old Wang nodded.

"He...he is also a consultant?" Yang Yinong pointed at Fangyan.

Wang Pengfei said:
"Why would I lie to you? He is very capable. He has been doing research there before he went to Union Medical College."

Zhu Boquan exclaimed:

"My goodness... there are sparks coming out of the He family's ancestral tomb!"

"..." Song Zuomin's pupils trembled and he was speechless for a moment.

The other three younger generations were also stunned at this moment.

Will this guy be their classmate in the future?
How can we play with a monster like this around?
On the other side, Old Deng quickly took out the medicine and gave it to the child.

Fortunately, although the child was unconscious, his eyes were tightly closed and unable to open, and his hands were twitching rapidly, he was still able to swallow subconsciously. As the medicine entered his mouth, he swallowed it subconsciously.

Fangyan was relieved when he saw this. As expected, his grandfather was right. It was indeed possible to feed the medicine to the child in this state.

After taking several sips of medicine, the child started to become restless.

My stomach started to growl.

Seeing this, Fangyan asked them to go to the backyard to prepare for the child's defecation.

The parents hurriedly did as they were told, and the store staff took them to the backyard.

It only took a few minutes.

A staff member ran out from the backyard and said to Fang Yan:
"Doctor Fang, the baby is out!"

He added nervously:
“There’s… there’s blood!”

"Don't panic." Fang Yan said, then stood up and walked over.

Others followed.

In this case, either the dialect cures the patient or it causes problems.

Everyone followed Fangyan to the backyard with their own thoughts.

Soon they saw the child's excrement.

It was a lot of sticky, soft feces mixed with blood.

Song Zuomin asked Yang Yinong who was standing beside him:
"Old Yang, what do you say?"

Yang Yinong frowned slightly and lowered his voice, saying:

"The child's convulsions have stopped, which should be a good thing."

He then added:
"But he still hasn't woken up. I can't say for sure."

At this time, Fang Yan said to Old Deng:
"The condition of my cold limbs has improved. Elder Deng, give me some more medicine."

"Okay!" Old Deng and Fang Yan are old partners. He knows Fang Yan's working style very well. He didn't waste any words and went to get the medicine directly.

Fangyan's calmness also reassured the child's family. They were scared to death because the child had just passed so much blood.

"Why is he bleeding?" At this time, the young man behind Song Zuomin finally couldn't help but ask.

As soon as he said this, everyone around him looked at him.

This man looks 70% similar to Song Zuomin and should be his grandson.

This person was also the only one who showed admiration for Fang Yan. Seeing that everyone was looking at him, he also said calmly:
“I really don’t understand, so I want to ask.”

After hearing the other party's question, Fangyan took over the conversation and said:

"The patient's body is full of heat evil, and dry stool and heat toxins are entangled in the intestines, causing damage to the intestinal network. The bloody stool is dark red and mixed with mucus, which confirms that this is caused by heat toxins burning the blood network. "Yangming febrile disease, diarrhea, delirium, and weak pulse are caused by heat accumulation and collateral flow." This means that it is a febrile disease belonging to the Yangming meridian, with diarrhea and symptoms of delirium. If the pulse is not firm and strong when pressed, this is a symptom of heat accumulation and collateral flow."

"After strong bowel movements, the accumulated dry stool is expelled along with the blood stasis, which is similar to the expulsion reaction of "blood stasis syndrome". This comes from Article 106 of "Treatise on Febrile Diseases": "If the Taiyang disease is not resolved, the heat will accumulate in the bladder, and the person will be like a madman, and blood will flow out. The person will recover if the blood flows out." The amount of blood in the stool gradually decreases, indicating that the heat toxins are discharged with the blood stasis, and the intestinal damage is repaired. The continuous warmth of the limbs proves that the Yang Qi is flowing and the heat syncope is turning into Yang."

"As long as there is no spurting blood in the stool, it means there is no problem. Only when you see spurting blood in the stool can it be caused by intestinal perforation. As long as you observe carefully, you can tell it apart."

"This case of bloody stool is a reaction to the treatment of "heat accumulation and side flow", which is a normal pathological process of heat accumulation. It is necessary to dynamically observe the changes in blood output and vital signs, and flexibly adjust the treatment in accordance with the principles of traditional Chinese medicine of "no change of prescription if effective" and "stop when the disease is cured."

After the dialect was explained, Song Zuomin's grandson suddenly understood and nodded:

"I see!"

Then he smiled and bowed to Fangyan:

"Thank you for your advice, Brother Fang!"

Fangyan waved his hand and told him not to worry about it.

After speaking in dialect, I was afraid that the patient's family members might not understand me, so I turned around and explained to them:

"The blood in the child's stool is the blood stasis brought out when the heat toxins and dry feces accumulated in the body are attacked by the medicine. It is like silt being stirred up when a blocked river is unblocked. This is a sign that the treatment is effective. As long as the child's convulsions stop and his hands and feet become warm, it means that the heat toxins are being discharged. Next, we will closely observe the changes in the stool color and adjust the medicine to strengthen the cooling of the blood and protect the intestines."

After hearing the explanation in dialect, they finally understood.

I thanked him repeatedly in dialect.

As for the other two people of the same age present, they had become completely obedient by this time.

If it were them, they would have been at a loss, but they were aware of this.

PS: I have 100 more monthly tickets, and I owe you another 2000 words.

I owe you a total of 82 words.

The 6000-word basic chapter has been updated.

There will be more later.

(End of this chapter)