Rebirth 1977 Great Era

Chapter 805 My grandfather's old friend, Wang Boyue, the patient's family has so many clever ideas (Bonus chapter for monthly votes)

Not only them, but everyone else in the class had the same attitude. After thinking about it for a while, Liu Duzhou, who was in charge of the team, agreed to their request and assigned everyone to the same department.

But deciding which specific departments to assign them to is a bit of a challenge at this point.

After much deliberation, the person was ultimately assigned to the Department of Traditional Chinese Medicine Pediatrics.

It was handed over to Wang Boyue, the deputy director here.

This is also an old acquaintance of Fang Yan's family. (See Chapter 295)
Wang Boyue was born into a family of traditional Chinese medicine practitioners for three generations in Zhongjiang County, Sichuan Province. His grandfather, Wang Kunshan, fled to Chengdu during the late Qing Dynasty and dedicated himself to saving lives with medicine, without seeking fame or fortune. His father, Wang Pucheng, was an expert in pediatrics and treated patients like family, earning him the nickname "Little Wang" among the people of Chengdu.

That's right, this is Xiao Er Wang from Sichuan.

Wang Boyue was influenced by his family from a young age. At the age of six, he studied at a private school under Mr. Liu Zhuyuan at Sichuan Higher Normal School, which laid the foundation for his classical Chinese studies.

At the age of sixteen, he aspired to study medicine. He first became an apprentice at the "Liangyihe" pharmacy in Chengdu to learn about Chinese medicine and its processing methods, and read extensively introductory books on traditional Chinese medicine.

After completing his apprenticeship in three years, he became a disciple of Liao Mingjie, a famous doctor in Chengdu, to learn the theories of Zhang Zhongjing and his experience in treating febrile diseases. At the same time, he accompanied his father to see patients in the mornings, and his medical theory and clinical skills continued to improve.

He officially obtained his Chinese medicine practitioner qualification in 1935.

In 1955, Wang Boyue and his father went to Beijing. The person in charge of them was his maternal grandfather, He Xiu. When they first arrived in Beijing, they stayed at his home.

After his maternal grandfather passed away, he helped his two uncles' cousins ​​find jobs.

He is currently the deputy director of the Department of Pediatrics at Xiyuan Hospital, a member of the editorial board of the Chinese Pharmacopoeia Committee of the Ministry of Health, and a member of the editorial board of the Chinese Materia Medica Processing Science compiled by Fang Yan.

When Fang Yan was preparing to renovate the front yard of the courtyard house, his father-in-law went to a trust store to buy antiques. He bought two antique vases from Wang Boyue, who are now kept in his younger brother's room. (See Chapter 299)
Of all these people, the one most familiar with Wang Boyue was undoubtedly Fang Yan.

When he met Fang Yan, Wang Boyue greeted him warmly, almost offering to pour him tea. After all, he was the grandson of an old friend, and as an elder, he had to be enthusiastic.

Fang Yan quickly told him to stop, saying that it was unreasonable for an attending physician to pour tea for a trainee.
This is complete chaos!

The others could also tell that Brother Fang had run into someone he knew again.

Since they arrived early, and there wasn't a line in any of the pediatric clinics yet, Wang Boyue started chatting with Fang Yan:
"I heard you've already taken over your grandfather's mantle?"

“My uncle found some of his medical case notes, and I learned a lot from them. Later, with the help of four old men, Song Zuomin, Wang Pengfei, Yang Yinong, and Zhu Boquan, it was announced that I had inherited my maternal grandfather's mantle. Then I got my hands on some of the medical case notes and books from my maternal grandfather's eldest disciple…”

Fang Yan briefly recounted what had happened, which was basically the same as what Wang Boyue knew.

Several pediatricians in the capital were already famous before he came to the capital, so he no longer had the title of "King of Pediatrics" after he arrived.

However, the old man didn't mind. After hearing Fang Yan finish speaking, he smiled and said:

"That's good too. It can be considered that your grandfather is watching over you from heaven."

He said with emotion:

"After so many years, you are still able to carry on his legacy. Not everyone can do that."

"Knock knock knock..." Just as I finished my reflection, there was a knock on the door of the consultation room.

A young man, holding his child, stood at the doorway. Seeing about twenty people in white coats inside, seemingly holding a meeting, he asked somewhat uncertainly:
"Is this Dr. Wang's consultation room...?"

Upon hearing the noise outside, Wang Boyue immediately called out:

"Yes, it's me. Come in quickly!"

The patient's parent said to Mr. Wang Boyue:
"Dr. Wang, we're here again."

Old Wang nodded:

"Yes, yes, I remember you. You came at the end of February."

The patient's family member forced a smile and said:
"Yes, that's right, you have a good memory."

Without wasting any words, Old Wang adjusted his glasses and said:
"Wait a minute, let me look through the medical records..."

As she spoke, she pulled out last month's medical records from the drawer, asking questions as she flipped through them:

"What's your name? How old are you?"

“Zhu Rong, one and a half years old,” the patient’s parent responded.

Soon, Old Wang opened one of the pages:
"Okay, found it."

He glanced at the students around him, then said loudly:

"At the end of last year, we noticed that our child was urinating frequently and thirsty. He was diagnosed with diabetes insipidus at the hospital where he worked, but the treatment was ineffective. Someone recommended him to me, and he asked for Wu Ling San (a traditional Chinese medicine formula), saying he'd heard it was effective and wanted me to try it. When I examined him, his complexion, pulse, and tongue coating were all normal, so I prescribed two doses. Three days later, your wife and mother brought him back for a follow-up visit. They said his bowel movements had decreased from five or six times a day to twice a day, and his water intake and urine output had also decreased, but not significantly. His appetite was still the same as before." "So I prescribed three more doses for you."

"You took the medicine and left, but you didn't come back for a follow-up appointment."

After finishing his sentence, Old Wang paused and asked:
"Why are you bringing the child back now?"

The child's parent said:

"After taking your three doses of medicine, my child's thirst at night is not as severe, but he still says he is thirsty during the day, and the thirst has worsened at night in the last few days."

Old Wang frowned slightly and asked:
Have you seen any other doctors or taken any other medications?

The child's parent took a box out of their pocket and said:

"Oh, my wife also took the child to see a Western doctor and got an injection of Western medicine, like this..."

Old Wang took the box, looked at it, and said:

"Long-acting Diabetes insipidus".

"How many injections did you get?" Old Wang asked.

The child's father said:

"I received two injections in total, one injection per week."

“Each vial of this medicine is supposed to provide 7 days of relief. Judging from the dates, it's currently the time when the injections should wear off. Our family suspects that the traditional Chinese medicine might not be working, and the previous effects were actually produced by the Western medicine?”

"Now that the effects of the Western medicine have worn off, and the traditional Chinese medicine is no longer working, the child's condition has worsened again."

"..." The people around were speechless. The most frightening thing was this kind of patient. Although he didn't understand anything, he had more and more tricks up his sleeve. He was clearly taking Chinese medicine, but at the same time he wanted to go to the Western medicine doctor for an injection. After the injection, he found that it was ineffective, so he ran back to the Chinese medicine doctor and started to analyze the Chinese medicine doctor's judgment.

"Sigh, you parents just mess things up every day." Old Wang also had a headache.

The patient's parents were still somewhat confused when, in dialect, they said:

"The child is thirsty in the middle of the night because the effects of the long-acting Diabetic Indomethacin have worn off, and the body's fluid regulation system is overcompensating. In addition, Wu Ling San and this medicine are conflicting."

Upon hearing this, the child's father panicked:
"Huh? Then...then we don't know either?"

Old Wang said:
"You don't know anything and you're still doing things recklessly!"

The child's father said with some grievance:
"My wife heard it from her colleagues, and that the injection helped her recover faster."

Old Wang said to him:
"Stop messing around! Your unauthorized adjustments to medication dosages and types, and the mixing of different medications, could very likely lead to an accident for the child!"

"Stop taking the Western medicine right now!"

The child's father nodded repeatedly upon hearing this.

Then Wang Boyue examined the child's condition again and finally prescribed a classic formula from the "Essential Prescriptions of the Golden Chamber," namely the Trichosanthes and Dianthus Pill.

This prescription is mainly used to treat the symptoms of "difficulty urinating, water retention, and thirst".

The term "difficulty urinating" here refers to oliguria or dysuria, but the patient's condition is diabetes insipidus, which involves large amounts of urine, seemingly contradictory.

Patients with diabetes insipidus typically experience polyuria and thirst, which, according to traditional Chinese medicine, may be due to kidney yang deficiency or qi and yin deficiency.

Wang Boyue had previously used Wuling Powder, but the effect was not obvious. The main reason is that Wuling Powder is suitable for internal retention of dampness, but this patient seems to have more kidney yang deficiency, which prevents the qi from transforming fluids, resulting in the inability of body fluids to ascend and causing thirst. At the same time, the lower jiao is not stable and causes frequent urination.

In the Gualou Qumai Pill, Aconitum warms the kidney yang, Poria and Dianthus promote diuresis, Trichosanthes root generates fluids and quenches thirst, and Dioscorea tonifies the spleen. Although Dianthus has a diuretic effect, the overall mechanism of action of the formula is to warm yang and promote qi circulation, generate fluids and quench thirst, rather than simply promoting diuresis.

Therefore, Wang Boyue used this prescription to address the root cause, regulate kidney yang, and restore the balance of fluid metabolism, rather than directly reducing urine output.

This is completely different from the Western medicine approach to urine.

After the prescription was written, the patient took the prescription and rushed off to get the medicine with their child. At this moment, Wang Boyue turned around and asked the crowd:

"Classmates, can you tell me why I prescribed the medicine the way I did just now?"

P.S.: I still owe you 50000 words after finishing this chapter.

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

Lao Feng is working hard to write tomorrow's code.

(End of this chapter)