Rebirth 1977 Great Era

Chapter 796: Ren Laoduo's Medical Cases, Class Monitor's Lecture (Bonus Chapter for Monthly Tickets)
Upon hearing that Fang Yan wanted to see the medical records he had copied that morning, Du Heng smiled and said:

"Brother Fang, I knew you would definitely read this, so I made a copy for you using carbon paper. Look, it's all here."

As he spoke, Du Heng took out a new notebook, which was full of medical records written on carbon paper that day.

This kid has such good judgment!

Fang Yan said to Du Heng:

"Oh, thank you so much."

Du Heng said with a smile:

"Brother Fang, you're too kind! We're practically family! Come, come, take a look, I've copied it all down perfectly, not a single word is wrong!"

He then handed it to Fang Yan.

After glancing at the results of the dialect study, I was surprised to find that there were eight medical cases.

Several densely written articles, each describing a different treatment method.

It has a strong sense of a local dialect person prescribing their own remedy.

The treatment methods are all different.

He carefully observed:
A case of asthma cured by using Wendan Decoction with added ingredients as the main ingredient.

After carefully reviewing the medical case, Fang Yan analyzed that the Wendan Decoction in this case originated from "San Yin Ji Yi Bing Zheng Fang Lun" and mainly clears heat and resolves phlegm, harmonizes the stomach and promotes bile secretion. It is often used for phlegm-heat disturbance syndrome. This medical case reflects the diagnostic approach of the Wenbing School for phlegm-heat syndrome.

The second case is: a modified version of the Qu Kou Yin formula that cured stomach pain.

The name "Qu Kou" (驱寇) implies the expulsion of evil influences such as cold, heat, and blood stasis. Zhang Zihe, a member of the "Gong Xie" (攻邪) school, emphasized "the righteous will be at peace once the evil is gone." This formula focuses on expelling evil and harmonizing the stomach, so it should belong to the "Gong Xie" school.

The third medical case is:
A case of treating consumptive disease by simultaneously tonifying the spleen and kidneys.

The Yishui School, including Zhang Yuansu and Li Dongyuan, emphasized the spleen and stomach. This case combines the treatment of both the spleen and kidneys, reflecting Li Dongyuan's idea that "internal injury to the spleen and stomach leads to a hundred diseases" and the later emphasis on the spleen and kidneys. It is a typical medical case of the Yishui School.

Next is the fourth medical case:

A case of pulmonary arthritis complicated with cardiac arthritis was cured using the method of benefiting the lungs and strengthening the heart.

The lungs govern qi and the heart governs blood. In this case, the treatment aims to benefit the lungs and strengthen the heart to harmonize qi and blood. There is no clear information, but Fang Yan believes that this should be influenced by the theory in the "Inner Canon of Medicine" that "when the heart and lungs are diseased, the nose will be affected." It belongs to the school of thought that integrates the differentiation of qi, blood and body fluids. As for which school it belongs to, Fang Yan is really not sure.

The fifth medical case is:

A case of intractable headache cured by the method of clearing dampness and turbidity and unblocking the meridians.

Liu Wansu of the Hejian School was known for his theory that "all six qi transform from fire," but he also emphasized the treatment of damp-heat syndromes. Old Ren's case focused on resolving dampness and turbidity, which aligns with the Hejian School's diagnostic approach to diseases caused by dampness.

The sixth medical case:
A case of chest pain cured by warming and tonifying the heart yang.

Zhang Jingyue, a scholar of the warming and tonifying school, emphasized that "yang should not be in excess." This medical case, which treats chest pain (heart yang deficiency syndrome) by warming and tonifying heart yang, is in line with his academic characteristic of "tonification must be combined with warming."

As for the seventh and eighth medical cases, they are grouped together and called:

"The Xixian Zhiyang Decoction and the Xixian Zhiyin Decoction cured two cases of stroke respectively."

Although the names are similar, Zhiyang Decoction is for stroke due to Yang deficiency and the treatment method belongs to the warming and tonifying school, while Zhiyin Decoction is for stroke due to Yin deficiency and the treatment method belongs to the Danxi school.

These two prescriptions were also created by Master Ren and became quite famous in later generations.

I've never seen the other recipes before, but I learned this one in my past life.

The two formulas created by Master Ren target different pathogenesis of stroke: Zhiyang Decoction uses the warming and tonifying school of thought to tonify Yang Qi, while Zhiyin Decoction nourishes Yin and extinguishes wind using the Danxi school's theory that "Yang is often in excess and Yin is often insufficient".

As the system notification sound rang, Fang Yan recorded, enhanced, and fully understood these medical cases.

“Not bad, not bad!” Fang Yan nodded repeatedly.

These are all typical medical cases selected by Professor Ren, spanning from 1961 to 1975, with relatively close time intervals. Although he spent most of his time teaching, he also participated in clinical projects. Basically, he would not intervene unless he was sure of a cure.

Fang Yan discovered that, in some ways, he was quite similar to Mr. Ren.

These days, they're the kind of specialists who are hard to get an appointment with, but their treatments are absolutely reliable.

However, Professor Ren's situation is that he has many students and little time for academic research, so his use of dialect is simply due to official restrictions.

"How is Brother Fang?" Du Heng asked Fang Yan.

Fang Yan nodded:
"It's well written, the handwriting is clear, and there are no corrections. Thank you."

After receiving the praise, Du Heng said happily:

"From now on, whenever you're not around, I'll write out your notes during breaks, and you can just look at them later."

He said politely in dialect:
"I'm so sorry..."

Du Heng said:

"Hey, don't be so polite. If you ever need anything in the future, just think of your brother."

Fang Yan smiled and nodded upon hearing this.
"Easy to say! Easy to say!"

Such a perceptive young man deserves to be nurtured!

Fang Yan did not refuse the other party's kindness at all.

Hearing Fang Yan agree, Du Heng was overjoyed. He knew that Brother Fang was a man of principle, and he was sure that Brother Fang would not waste his time.

Du Heng had figured it out: nothing was better than clinging to Brother Fang's coattails.

No matter how skilled a doctor is, can they compare to Brother Fang?
The most important thing is that it's useful to the other person; that's where the value lies. Competing with others for medical skills is too stressful; it's better to find another way, to take a less crowded path.

Just because everyone is crowding onto a particular road doesn't necessarily mean it's the right one.

Look, they only listened to a couple of pointers from Brother Fang a while ago, and now they're living a much more comfortable life.

……

Time flew by and it was time for afternoon classes.

None of the people who went to Xiyuan Hospital have returned. Everyone is a bit confused about why they haven't come back. When the teacher arrived, there were only about twenty people in the classroom.

With only half the people here, it's not right to lecture, nor is it right not to lecture.

In the end, he had no choice but to let Fang Yan and the others study on their own while he went to make a phone call to find out what was going on.

After a while, when they came back from asking around, they learned that there was a free clinic being held there today, and Lao Liu had taken his group to the countryside to participate in the free clinic.

I estimate I won't be back until tonight.

Now, the teacher has no choice but to arrange for Fang Yan and the others to study on their own this afternoon.

There's no way to teach them since there are only half the students.

The current situation indicates that the teaching tasks have been arranged in a somewhat chaotic manner.

After the teacher left, only Fang Yan and about twenty others remained in the large classroom.

At this moment, someone spoke in dialect:

"Class monitor, why don't you give me a lesson?"

"Me?" Fang Yan turned around.

The other party nodded:
"Yes, we've heard that you've treated many difficult and complicated cases at Peking Union Medical College Hospital. Could you tell us about those cases?"

Others began to chime in:
"Yes, yes, anyway, we're just killing time, and you're the chief editor of 'Traditional Chinese Medicine Processing,' so there shouldn't be any problem with you giving lectures."

“I heard that the senior students in their fifth year will also share their clinical experience, could you please share it with us?”

"Yes, Brother Fang, tell us about it!"

"Tell me! Tell me!"

The requirements for lecturing are becoming increasingly stringent.

Fang Yan glanced around. Anyway, there were more than twenty people in the class. These people were the elites selected from Group A and Group B, and they were considered the strongest group this year.

There's no doubt that they can understand the lessons.

Fang Yan heard everyone urging him to speak, glanced at his watch, and figured he still had plenty of time in the afternoon.

So he nodded and said:
"Okay, then I'll just talk about some medical cases from Peking Union Medical College Hospital."

"Great!" the crowd cheered.

Then someone raised their hands:

"Clap clap clap!"

The twenty-odd people in the classroom began to clap enthusiastically:
"Clap clap clap..."

Amid applause, Fang Yan stepped onto the stage and picked up a piece of chalk to write on the blackboard.

They are:
'Pulselessness.'

'Tongue dance.'

Compensatory menstruation.

After finishing writing, Fang Yan turned to the students below the stage and said:
"Alright, students, next I'm going to talk to you about pulselessness, which, as the name suggests, means there is no pulse."

"The *Suwen* (Plain Questions) chapter on the Three Divisions and Nine Pulses states, 'If the pulse does not flow, death is imminent.' But I encountered a patient who was alive and kicking even though she had no pulse. Moreover, this patient was quite beautiful. I remember clearly that when I observed her, I noticed her complexion was rosy, and her eyes were bright; she didn't seem ill at all. The only thing that didn't happen was that she had no pulse..."

Upon hearing this medical case, everyone immediately became interested.

They listened intently.

They had only been talking for a short while when the professor who had just left returned with another professor, Yue Meizhong.

The two of them were planning to take the rest of the class to class with the fifth-year students.

I want to see if they can keep up.

As soon as I got to the door, I heard someone inside talking about medical cases in a dialect.

The key point is that it deals with difficult and complicated diseases.

Moreover, judging from the dialect and the way the teacher was speaking, how could he be a student?
Both his tone and rhythm were exactly like those of a mature lecturer.
Immediately, Yue Meizhong grabbed the professor standing next to her.

He lowered his voice and said:
"Hey, don't go in yet, let's hear what this kid has to say first."

PS: I've gained another 100 monthly votes, so I still owe you 54000 words after finishing this chapter.

That's all for today, please come early tomorrow.

Lao Feng is working hard on the code; he's going to work on tomorrow's.

(End of this chapter)