Rebirth 1977 Great Era

Chapter 806 A Race Against Time: A Sprig of Coriander Breaks the Paralysis Poison (Two Chapters Combined)
The crowd looked at each other in bewilderment. They hadn't even seen the diagnosis before Old Wang prescribed the medicine.

Analyzing this now would be quite a challenge.

We must consider both Mr. Wang's previous diagnosis and his current achievements to determine why he prescribed this medication.

At this moment, someone even whispered:
"The main symptom of diabetes insipidus in children is polyuria, and the treatment principle should be to astringe and reduce urination. The Dianthus superbus and Poria cocos in Trichosanthes and Dianthus superbus pills are both diuretics. I'm afraid that taking this medicine will increase the amount of urine?"

"I think we should use astringents like Sangpiaoxiao powder, combined with herbs such as Rosa laevigata and Euryale ferox."

Then his viewpoint was immediately refuted by others:

"You've started to doubt Old Wang?"

The student who just asked the question said:

"That's right. The Golden Chamber Prescriptions says that for those who have difficulty urinating and have water retention, and who suffer from thirst, the Trichosanthes and Dianthus Pill is the main treatment. This is a diuretic, isn't it?"

Professor Wang wasn't angry at all; he just watched the students discuss with a smile.

At this moment, he noticed that Fang Yan was not participating in the discussion, so he asked Fang Yan:

What do you think about Fang Yan?

"Do you also think I saw it wrong?"

At this point, others also turned their attention to the dialect.

Fang Yan shook his head and said:

"Although the patient urinates a lot, it is actually because of kidney yang deficiency. The kidneys are unable to vaporize the body fluids as normal and send them upward to moisten the mouth and tongue, so the patient feels bitter taste and thirst."

"At the same time, insufficient kidney yang also causes the kidneys to be unable to control the opening and closing of the bladder well, resulting in clear and copious urine."

"If we simply use urination as a treatment, it's like closing the door and leaving the thief inside. It will only complicate the condition and make treatment more difficult."

"Trichosanthes root can nourish body fluids and relieve thirst in the upper burner; Dianthus superbus can promote the flow of Yang energy and facilitate the metabolism of fluids in the lower burner; Aconitum carmichaelii can warm and tonify kidney Yang, and fundamentally treat a series of diseases caused by kidney Yang deficiency."

After hearing the dialect finished speaking, Li Zhengji, who was standing to the side, also said:

"The squad leader is right. If we simply use astringent treatments, that is, reduce the excretion of urine by using astringent drugs, it is like simply plugging the leak without repairing the damage to the dam. It only treats the symptoms and not the root cause."

"The various symptoms of the sick child indicate that the child has insufficient kidney yang, and the kidney has lost its normal qi transformation function and cannot properly transform the body's fluids and other substances."

"In this prescription, Dianthus superbus and Poria cocos are not primarily used for diuresis. They serve as adjuvants to Aconitum carmichaelii, helping it to exert its warming and qi-transforming effects. Through this action, the body's fluids are transported upwards under the steaming action of kidney yang, becoming body fluids that nourish the body; and downwards to the bladder, enabling the bladder to properly control the storage and excretion of urine and to open and close normally."

"On the surface it looks like it's promoting urination, but in reality it's promoting the flow of Yang energy and restoring the normal Qi transformation function of the kidneys."

Wang Zhijun, who was standing to the side, also nodded:
"Yes, the core principle should be to warm the body, promote the production of body fluids, and quench thirst."

The others who finally understood were surprised to find that even the most taciturn student in the class spoke up first.

After listening to the analysis from the three class leaders, the rest of the class suddenly realized what was going on.

Then, with a look of curiosity, he turned to Elder Wang Boyue and asked him to confirm whether it was correct.

Wang Boyue, the elder, nodded to everyone and said:
"All three students' analyses are correct."

After saying that, he asked with a smile:
Do you know the long-spouted copper kettles in Chengdu teahouses?

Fearing that people wouldn't know about the long-spouted bronze kettle, he even drew a model of it on paper.

Many people didn't see it, and of course they didn't know anything about it. Only Lao Fan and Fang Yan looked thoughtful.

Then Wang Boyue, the elder, explained:

"It's because the longer the spout, the more you need to control the force when pouring tea! This illness is like a teapot lid that's leaking air. Wu Ling San is like adding water to the pot, but if the lid is leaking, no matter how much water you add, you can't retain the heat!"

“Aconite is like the fire that burns the stove, making the kidney yang fire burn brightly. Poria guides water back to its proper channels, and Dioscorea protects the spleen and stomach, which are like stoves. You think diabetes insipidus is like a leaky pipe that needs to be plugged! But I would say it's like the boiler room has gone out! Western medicine's diabetic cessation treatment is like stuffing cotton into a leaky pot. It can last for seven days, but in the end it doesn't work.”

Upon hearing this, everyone suddenly realized what was going on.

Then Wang Boyue addressed the crowd:

"The student who just mentioned needing to astringe and reduce urination, go home tonight and copy the 'Suwen·Linglan Secret Treatise' ten times! Try to understand the true meaning of 'The bladder is the official in charge of the state capital'!"

The student who had just spoken blushed immediately, then quickly nodded and said:

"Good teacher!"

Wang Boyue addressed the class:

"Remember to check, class monitor."

Xiao Chengzhi and Cheng Baogui also quickly responded:

"Ok!"

The doctors they had encountered before had never asked random questions, so this time the questions were somewhat beyond their expectations.

So it wasn't until Wang Zhijun, the silent one, had finished speaking that the two of them realized what was happening.

Of course, they also understand that this has its advantages.

Moreover, Wang Boyue raised the question more out of consideration for the dialect.

Otherwise, even if he didn't say anything and just shared the medical records later, there would be no problem with that.

A second patient arrived very quickly afterward.

They both only have one child who is a little over one year old.

However, those who came with their children brought the whole family.

Just from this situation, everyone knew that the matter was quite serious.

After the child's mother sat down with the child in her arms, the child's father told Mr. Wang about the child's illness.

"Our child was diagnosed with measles two days ago, but the rash disappeared completely shortly after it appeared."

“Yesterday we were taken to the hospital at our workplace for treatment. The doctor used traditional Chinese medicine to help the rash spread and erupt, but the rash still didn’t appear, so they told us to transfer to another hospital.”

"They said the situation was quite serious and needed to be dealt with as soon as possible. They had no other choice, so we had to come here."

The child's mother also said to Mr. Wang:
"The child has now passed out, and I feel that his body temperature is not as high as before."

"Before I came here, I couldn't defecate."

"Doctor, please take a look at them together!"

Old Wang put on his reading glasses hanging around his neck and walked up with a serious expression.

At this time, Fang Yan and the other students were also observing the child's situation.

Song Jianzhong, standing to the side, lowered his voice and said to Fang Yan:

"Brother Fang, look at my fingernails!"

"Hmm." Fang Yan nodded, noticing that the child's fingernails were now bluish-black.

That's not all.

Where his rash had previously faded, dark purplish-black marks remained.

Furthermore, the child was unconscious, in a dazed and confused state, breathing rapidly, and his nostrils were flaring violently. Despite being in such a severe condition, he did not have a runny nose or tears.

He has entered a deep coma.

Furthermore, if you look closely, you can see that the child's complexion is bluish-gray, the skin is dry and rough, and there is no sign of sweating.

In this situation, the body's yang energy is actually very weak. This is a state that occurs when the child's yang energy is so weak that it cannot effectively push the pathogenic factors out of the body.

At this moment, Old Wang returned to his seat and began writing in his medical case notes:

"The child contracted measles. The rash appeared briefly and then completely disappeared. Despite the use of traditional Chinese medicine to promote measles eruption, the rash still did not appear. Examination revealed: the child's body temperature was not elevated; dark purple marks remained where the rash had sunken; the child was confused, had shortness of breath, nasal flaring, a pale gray complexion, cold nasal breath, dry and ahidrotic skin, cold extremities, dark blue nails, constipation, a pale red tongue with no coating, and deeply sunken, faintly bluish-purple fingernails."

The diagnosis is deficiency of Yang Qi, with pathogenic factors causing numbness and toxicity invading the heart and lungs.

'This condition is critical and severe; treatment should focus on supporting Yang and expelling the pathogenic factors, while warming and promoting the flow of lung Qi.'

Then the old man thought for a moment, picked up a prescription sheet, and quickly wrote down the prescription on it.

However, the prescriptions he wrote were different from those written in the local dialect; they were written in the more commonly used cursive script. This kind of writing can improve the efficiency of prescribing prescriptions. However, the old man had always used regular script before. When he wrote prescriptions in cursive script, you could clearly feel that he was starting to race against time.

After writing it down, he didn't care whether others could see it clearly or not, and tore the prescription off directly.

"Fang Yan, take this to the pharmacy and find someone to pick out the medicine, then have them brew it right away."

"Also, bring back another bottle of Jade Pivot Pills."

"Okay!" Fang Yan took the prescription and walked straight out.

After serving as an attending physician for so long, it's his turn to be an assistant today.

On the way, Fang Yan picked up the prescription and glanced at it, finally recognizing all the medicines on it.

Ephedra 1.8g, Cinnamon Twig 1.8g, Apricot Kernel 3g, Prepared Aconite Root 3g, Asarum 0.9g, Kudzu Root 2.4g, Cimicifuga Root 1.5g, Turmeric 3g, Acorus Root 1.5g, Magnolia Bark 1.8g, Aster Root 3g, Polygala Root 2.4g, Morinda Root 3g, Alpinia Oxyphylla 1.8g, Psoralea Root 4.5g.

With the addition of the Jade Pivot Pill from earlier, Fang Yan immediately understood what the treatment plan was all about.

The child contracted measles, but the rash disappeared shortly after it appeared, and despite the use of diaphoretic agents, it did not reappear. The child also developed a series of symptoms, including fever, delirium, and shortness of breath. The diagnosis was weakness of Yang Qi, with the measles toxin invading the heart and lungs. This was because the child's weak Yang Qi was unable to propel the pathogen outwards, leading to the measles toxin invading vital organs such as the heart and lungs, making the condition quite dangerous.

The principal ingredient is 3 grams of aconite root. Although he didn't specify whether it was ginseng aconite root slices or soaked aconite root slices, Fang Yan thinks it should be soaked aconite root slices since it's for a child.

The aconite root is very hot in nature and can restore yang and rescue from collapse. It can quickly warm and replenish the weak yang qi of the child, so as to invigorate the yang qi to fight off the evil. As Wang Lao himself just explained, it is like "the fire of the stove", which makes the fire of kidney yang burn brightly, so that the body's yang qi is sufficient and the resistance is enhanced.

Morinda officinalis 3g, Alpinia oxyphylla 1.8g, Psoralea corylifolia 4.5g, together with Aconitum carmichaelii, enhance the effect of warming and tonifying kidney yang, fundamentally improving the condition of yang deficiency in children.

Ephedra 1.8g and cinnamon twig 1.8g are used as assistant herbs. The two complement each other and can open the pores and open the hair follicles, promote the release of lung qi, and allow the pathogenic factors on the surface to be expelled through sweating.

Three grams of almonds can lower lung qi. When combined with ephedra, they work together to regulate lung qi and restore its smooth function.

2.4 grams of kudzu root and 1.5 grams of cimicifuga rhizome can relieve muscle tension and promote measles eruption, helping the measles rash to emerge and preventing the measles toxin from penetrating deeper.

Turmeric (3g), Acorus tatarinowii (1.5g), and Polygala tenuifolia (2.4g) have the effect of resolving phlegm and opening the orifices, which can improve the symptoms of mental confusion in children, open the heart orifices, and clear their minds.

Because narcotic toxins can penetrate the heart and lungs, they can easily cause phlegm to obscure the mind. These herbs can effectively clear phlegm and restore the heart's function of governing the mind.

Asarum 0.9g warms the lungs and resolves phlegm, helps ephedra and cinnamon twig warm and invigorate yang qi, and can also relieve symptoms such as shortness of breath in children.

Three grams of Aster tataricus can moisten the lungs, lower qi, resolve phlegm, and relieve cough. When combined with other medications, it can improve lung symptoms and restore the lungs' function of dispersing and descending qi.

Magnolia officinalis 1.8g promotes qi circulation and dries dampness, which can facilitate the smooth flow of qi in the middle jiao and prevent qi stagnation caused by yang deficiency and internal dampness. It also helps other drugs to play a better role and can improve the symptoms of constipation in children.

As for Yushu Dan, it has the effects of detoxifying and dispelling foulness, resolving phlegm and opening the orifices, reducing swelling and relieving pain.

Its use here is likely intended to assist the main prescription in enhancing its detoxifying, phlegm-reducing, and mind-clearing effects. It has a certain therapeutic effect on critical and severe cases caused by the internal invasion of anesthetic toxins. In short, it helps alleviate the child's condition before the medicine is fully prepared, and then promotes recovery after the medicine is ready. This prescription has a lot of personal characteristics, and the dialect also shows a bit of Wang Boyue's style.

In fact, there were similar patients in my grandfather He Xiu's medical records. However, my grandfather's method was more down-to-earth. He directly used 50g of fresh coriander, 20g of purple gromwell root, and 15g of duckweed to wash the whole body, focusing on the chest and back. He took advantage of the fact that coriander can dilate the capillaries in the skin to promote the expulsion of the rash toxin.

At the same time, use a three-edged needle to prick and bleed the ear tip, Shaoshang, and Shangyang points.

Then use pediatric massage: clear the Tianhe water 300 times, push the three passes 200 times, rub the Feishu acupoint 100 times, and finally pinch the Laolong acupoint 5 times.

(PS: Qing Tianhe Shui is a common technique in pediatric massage. On the inner side of the forearm, in a straight line from the wrist crease to the elbow crease, use the pads of your index and middle fingers to push from the wrist crease to the elbow crease. It is mainly used to treat febrile diseases in children such as fever, irritability, thirst, and mouth ulcers.)
That's how he saved the child in that medical case.

This method, which prioritizes expelling evil and protecting yang, was probably modified by the old man from Taoist medical techniques.

It is more suitable for emergency use in places where medical resources are scarce.

The treatment approaches of Wang Boyue and Wang Lao, which focus on supporting Yang and dispelling pathogens and warming and dispersing lung Qi, are two completely different directions. However, it cannot be said that one is superior; it can only be said that each has its own advantages.

After comparison, the dialect came to this conclusion, which can be considered fair.

Fang Yan then got busy, picking out medicine from the pharmacy at Xiyuan Hospital, having them help her decoct the medicine, and then hurriedly running back with the Yushu Dan.

Once they arrived, Old Wang began to figure out how to feed the child the medicine.

However, the child was somewhat disoriented at the moment, making it difficult to administer the medicine.

Mr. Wang tried to wake the child with acupuncture, but the child remained fast asleep.

Finally, Old Wang started "pinching the old dragon".

This technique is mainly used to awaken the mind and spirit, and is often used to treat infantile convulsions, coma, spasms, and other ailments. It is a first aid method.

When a child experiences a febrile seizure, sudden coma, or other emergency, pinching the "Old Dragon" (a point on the back of the neck) can help the child regain consciousness and buy time for further treatment.

The Lao Long point is located on the crease at the tip of the child's left ring finger. Press and pinch the Lao Long point with your thumb nail for 3 to 5 times, and the child will wake up.

This time, Old Wang pinched the fifth time, but there was still no response.

He struck the seventh time with a serious expression, and the child finally groaned and woke up.

Fang Yan had already crushed the Jade Pivot Pill and then handed it to Old Wang with a glass of water.

Old Wang glanced at Fang Yan with satisfaction, then took the water and fed it to the child.

After that, the child became drowsy and fell asleep again. Fortunately, his parents quickly started talking to him because they needed to give him his medicine later. They didn't know if he would wake up again if he fell asleep now.

The other students watched nervously, already aware that the child's condition was critical.

At this moment, the child's complexion had changed from a barely noticeable bluish tinge to a distinctly grayish-blue.

In terms of facial features, he looked deathly pale.

Old Wang could also see that the child was probably not able to hold on much longer.

Although his expression remained calm, the beads of sweat on his forehead betrayed his true state of mind.

"How about I give it a try?" Fang Yan said.

"Hmm?" Old Wang looked at Fang Yan.

“My grandfather handled a similar situation,” Fang Yan said.

Hearing this, Old Wang thought for a moment, then nodded to Fang Yan and said:
"Then come!"

Song Jianzhong, standing behind, said:

"Brother Fang, I'll be your assistant!"

Yang Jingxiang immediately patted him on the shoulder, stepped forward, and said:

"Don't be so polite, Lao Song, we're professionals at this!"

“That’s right, we’re the ones who get paid, so step back a bit!” Zhang Yanchang patted Song Jianzhong on the shoulder and went straight to Fang Yan’s side.

"Brother Fang, what do you want?" Zhang Yanchang asked.

He said in dialect:

Prepare 50g of fresh coriander, 20g of alkanet root, and 15g of duckweed.

"Huh?" Zhang Yanchang was taken aback.

Wang Boyue was also taken aback at this moment, then he quickly reacted and said to Zhang Yanchang and Yang Jingxiang:
"Purple gromwell and duckweed are available in pharmacies, and fresh coriander is cilantro, which is available in the cafeteria."

Upon hearing this, the two immediately split up, one going to the cafeteria and the other to the pharmacy.

He returned shortly afterward with the items.

Fang Yan crushed the three ingredients in his palm and then began to quickly wipe them on the child's body.

Soon, the child's skin gradually changed from bluish-gray to slightly red.

His complexion improved, and beads of sweat appeared on the tip of his nose.

This immediately gave Wang Boyue, who was standing to the side, a jolt of energy.

“It works!” he said with absolute certainty.

The other students were also seeing this technique for the first time, and they all looked at each other in bewilderment.

Finally, their gaze fell upon Wang Zhijun.

If we're talking about who's the best at pediatrics besides speaking dialects, it's this quiet guy.

Only then did Wang Zhijun speak:
"Coriander can promote blood circulation and help the rash toxins to seep out."

"I've only heard of it, but I've never used it."

At this moment, Lei Lian picked up the conversation and said:

"It's a traditional method; we have similar folk remedies in our area."

Fang Yan rubbed the child for a while longer, and finally the child's face turned slightly red, and the child began to cry, though the crying was still weak. Fang Yan turned to Lao Fan and asked:

"Old Fan, did you bring your prism?"

Fang Yan only carries silver and gold needles with him, while Lao Fan, who does physiotherapy every day, carries a box with a complete set of ancient nine needles.

"Yes!" Old Fan replied, then immediately took out his needle case and handed the three-edged needles to Fang Yan.

Fang Yan said to him:
"What are you going to do with this? Start the bloodletting! Ear tip, Shaoshang, Shangyang, prick and bleed!"

"Oh, oh..." Old Fan almost forgot his old profession when he got nervous.

He quickly punctured the spots the child had requested, releasing three or four drops of blood from those areas.

The blood that comes out from that place is dark red.

However, after the blood was drawn, the child's crying became noticeably louder.

Then, Fang Yan started using massage techniques.

First, clear the Heavenly River water 300 times. Fang Yan can only do one arm at a time. For the other arm, Fang Yan called over Song Jianzhong, who had been waiting to do the work, and together they cleared the Heavenly River water.

After the two of them finished doing this, the child's crying returned to normal.

The boy seemed to have been rubbed until he cried, wailing loudly, but his parents and others were very happy.

The child's breath felt warm to the touch, and his hands and feet were starting to warm up as well.

However, the dialect still dampened their enthusiasm:

"His fingernails are still bluish-black, and the measles rash hasn't appeared on his body yet."

After saying that, he turned to Song Jianzhong and asked:
"Jianzhong, do you still have the energy?"

Song Jianzhong wiped the sweat from his forehead and said:

"Yes! Brother Fang, what's the next step?"

He said in dialect:

"Push through three barriers, two hundred times."

Upon hearing this, Song Jianzhong nodded and said:

"Open up!"

The three points are located on the thumb side of the child's forearm, along a straight line from the wrist to the elbow.

The action involves using the radial side of the thumb or the index and middle fingers to push from the wrist towards the elbow, a movement known as pushing the three gates.

This technique is warm in nature and can effectively support the body's Yang energy and dispel cold pathogens. It can be used to treat various cold-related conditions.

For example, symptoms such as chills, fever, and lack of sweating in children caused by external wind-cold.

In addition, it helps to promote the circulation of qi and blood, enhance the flow of qi and blood, and ensure that all organs of the body receive sufficient nourishment from qi and blood.

It can also improve symptoms such as pale complexion and poor health in children caused by insufficient qi and blood.

Finally, this point can also regulate the body's sweat secretion, helping the body expel pathogens through sweating. In the early stages of a child's cold, especially a cold caused by wind and cold, pushing the three points can help induce sweating, relieve symptoms, and alleviate the exterior syndrome.

It is a pediatric massage technique that every pediatrician should learn.

Song Jianzhong's technique is also highly skilled; he must have practiced a lot.

As the child was being pushed, the bluish-black discoloration on his fingernails gradually faded away.

After the massage, the child started sweating and began to make phlegm noises in his throat.

It was very obvious when the crying appeared.

Next, a person in the dialect began to rub the lung acupoint 100 times. As the rubbing stopped, the flaring of the child's nostrils ceased, and the child began to cough up phlegm, sweat profusely, and faint red spots appeared on the skin.

The onlookers shouted in surprise:
"It's here! The measles has appeared!"

PS: The basic chapter of 6000 words has been updated.

I've gained another 100 monthly votes, and I owe you all another 2000 words, for a total of 52000 words.

There will be an extra chapter later!

(End of this chapter)