Rebirth 1977 Great Era

Chapter 832 Heart Attack, Died Suddenly Upon Entering the House! (Bonus Chapter for Monthly Tickets)
Yang Jingxiang and Chu Qiaonan knew that the old man in front of them had a problem; he looked like the type with excessive liver fire, so they quickly made way for him.

I have important business to attend to now, and I can't let this argument with the sick old man waste time.

Then the old man was brought in by his family, and Fang Yan said to Yang Jingxiang and Chu Qiaonan:
"You guys go ahead, I'll take care of things here."

Upon hearing the dialect spoken, the two nodded in agreement.

Next, Fang Yan addressed the patient's family members who had entered:
"Tell me the specifics."

“My dad is seventy years old this year, his surname is Zhan, and he retired from the Bureau of Commerce…” the patient’s family member said to Fang Yan.

"No, I meant the illness," Fang Yan quickly interrupted. It was clearly not the right time to talk about these things; the old man was practically ready to eat people right now.

One of the patient's family members, a man in his forties who looked somewhat like the old man, responded:
"Let me tell you, Dr. Fang. My dad recently had a fight with my sister and brother-in-law over family matters, and then he became quite agitated and couldn't control himself. He couldn't sleep all night, and now, he just wants to curse whenever something happens."

"After he swore at someone, he would feel a little better, but that was all."

As he spoke, the man was clearly observing his father's emotional changes. The old man stared at him, whether he was dissatisfied with what he said or because he hadn't said something right.

She was glaring at him, but she was trying hard to suppress her anger.

"Are you the eldest son?" Fang Yan asked the man who spoke.

The other person was taken aback, probably not expecting Fang Yan to ask this, but he still nodded and replied:

"Yes, I am the eldest son in my family. I have two older sisters."

Upon hearing the dialect, I realized it was the same as mine.

The person who can make an old man refrain from cursing is definitely the pillar of the family.

She's still the most popular one.

At this moment, another woman, who appeared to be the man's wife or sister, muttered something:
“We asked him to come for a medical checkup, but he wasn’t willing.”

The old man immediately couldn't hold back:

"I'm not sick, it's all because of you guys! Cough cough cough..."

He had barely uttered a curse when the old man started coughing.

It looks like he choked on his own saliva.

The woman who had been scolded shrank back and dared not say anything more.

The others quickly patted the old man's back.

Fang Yan was observing the old man at this moment. The old man's face was very red, and his eyes were bloodshot. He looked like a mad bull.

Fang Yan asked their family members:

"Has he been experiencing dry mouth and dark yellow urine lately?"

When asked, the children looked at each other in bewilderment.

It's obvious they don't usually live together; they only came together today because they brought their elderly parents to see a doctor.

At this moment, the patient's eldest son asked the old man:
"Dad, do you get a dry mouth easily?"

Upon hearing this, the old man said:
"Cough cough... dry mouth, dark urine, he's right, but I'm not sick, I'm just angry!"

Fang Yan observed the old man's tongue at this point, and he basically understood what was going on.

He has a bad temper and can't control his temper. He can't sleep at night, his face is flushed and his eyes are red. He has a dry mouth and likes to drink. His urine is dark yellow. His tongue is red with little coating. In addition to his irritability, there is no need to take his pulse.

This is because the liver's yang energy is usually quite strong, and due to emotional depression and discomfort, it transforms into a heat evil that rushes upwards without restraint, resulting in symptoms such as mania, restlessness, and insomnia.

His eyes and face were red, his mouth was dry, and he was in an uncontrollable state of agitation. This was caused by a deficiency of liver and kidney function, which led to an excess of yang energy in the heart and liver, resulting in a severe outbreak of fiery evil energy.

In the "Six Books of Hejian: Madness and Lewdness", it is believed that "when the heart fire is excessive and the kidney yin is deficient, one loses his will and becomes mad and lewd".

This patient is likely naturally short-tempered, meaning he has a constitution characterized by excessive liver yang.

Furthermore, due to emotional distress, qi stagnation transforms into fire, heart yin is depleted, and heart fire flares up violently, resulting in mania, irritability, and sleeplessness for several days and nights.

At this point, a formula that nourishes Yin, cools the liver, and calms the mind should be used.

However, the old man must cooperate with the treatment.

“Grandpa, you’re right, you were indeed angered,” Fang Yan said, echoing the old man.

The old man, who was initially reluctant to see a doctor, was taken aback. He didn't expect Fang Yan to stand on his side.

Then he yelled at his sons, daughters, or daughters-in-law:
"Listen to that, even the doctor said it!"

"It's all because of you troublemakers..."

The patient's family members looked at Fang Yan one by one. It was fortunate that it was Fang Yan; if it were anyone else, they would have definitely started making a scene. Wasn't this just adding fuel to the fire?

Fang Yan said to the old man:
"But now you're so angry you've fallen ill. Don't you think it's very difficult to control your emotions right now?"

The old man said:
“When I think about what happened at home, I get angry, and I can’t help but want to curse! It’s all because of those unfilial children!” Fang Yan smiled and said slowly.
“Getting angry damages your liver. The most important thing for you to do now is to take care of yourself and get back in shape. Otherwise, if you get angry again, you will have serious health problems.”

The old man calmed down slightly after hearing Fang Yan's words, but only for a moment before he fell into an even more agitated state.

"They're making me so angry because they want this old man to die sooner. Why did I ever give birth to such a bunch of bastards!"

I'm speechless about dialects.

This person's situation is more complicated than he thought; if it continues to develop, he will fall into a state of mental instability.

Therefore, treatment must begin now.

"Now I'll give you a prescription. Go back and brew the medicine, and you'll be able to control your temper."

After speaking in dialect, he picked up a pen and started writing. Zhang Yanchang, who was standing next to him, saw that he had written in dialect:

Coptis chinensis 8g, Scutellaria baicalensis 12g, Colla corii asini (stir-fried with clam powder) 9g, Paeonia lactiflora 9g each, Gentiana scabra 9g, Mother-of-pearl 30g, Ziziphus jujuba var. spinosa 9g, Ophiopogon japonicus 12g, Rehmannia glutinosa 24g.

Zhang Yanchang recognized it immediately; it was a modified version of Huanglian Ejiao Decoction from the Treatise on Cold Damage.

Huanglian Ejiao Decoction is often used to treat insomnia, neurasthenia, anxiety, menopausal syndrome, and other conditions caused by yin deficiency and excessive fire.

In addition, this formula can be used appropriately on the basis of syndrome differentiation and treatment when some chronic diseases such as hypertension and diabetes present with symptoms of yin deficiency and fire excess.

"Hey, I already told you, I'm not sick!" The old man was being stubborn again, but Fang Yan could tell that he wasn't as confident as he had been before.

If he really thought he wasn't sick, he would definitely start cursing.

Fang Yan smiled, handed the prescription to the family members, and said to them:

"Take it to the Chinese medicine pharmacy to get the medicine, then go back and boil it in water to drink a bowl. I should be able to sleep tonight."

"Drink another bowl tomorrow morning, and the bloodshot in your face and eyes should go down."

"If you still have a bad temper, take the gentian root from the original prescription and add 6 grams each of calamus and turmeric, 20 grams of dinosaur teeth, and 24 grams of calcined magnetite to open your heart, relieve liver stagnation, and calm your mind. It's okay if you can't remember them all; I've written them all down below the prescription. You can adjust them according to your situation."

Upon hearing the dialect spoken, the patient's family members nodded repeatedly:
"Okay, okay! Thank you, Dr. Fang!"

“We’ve written it down.”

Fang Yan said to them:

"Alright, go get the medicine!"

Then he said to Zhang Yanchang:
"Yanchang, let the next one in."

Zhang Yanchang nodded. Now that he had been following Brother Fang for so long, he finally understood the prescription.

He saw the family to the door and called out to them:

"Next, please come in."

Soon, the second patient of the day came in with his family.

The patient was probably around seventy years old. Unlike the old man from before, this man looked very listless and didn't even want to talk.

His daughter spoke in dialect:

"Dr. Fang, my father has been experiencing intermittent stabbing pain in the left side of his heart area for over ten years. Recently, it has been flaring up frequently. He used to see a Western doctor and take medication, which relieved the pain, but recently it's no longer effective. The medication isn't working anymore, and now it's not just his heart area that hurts, but also his left shoulder."

"Yesterday he also said that it felt like someone was pulling his nerves near his elbows on the inside of his arms, in waves, and that he also felt tightness in his chest and palpitations. He tossed and turned all night and didn't sleep well."

"We rushed over here very early this morning."

Fang Yan nodded, then said to the patient:
"Old man, stick out your tongue so I can see it, and give me your hand so I can take your pulse."

The old man nodded and walked over. But as soon as he sat down, he suddenly felt as if his bones had been removed, and he slid off the chair and onto the floor.

Everyone else was stunned.

"..." Everyone was stunned for a moment.

Fang Yan was the first to come to his senses. He jumped up and immediately went to the old man's side, saying to Zhang Yanchang, who was still standing there in a daze:

"The patient's Qi and blood are in disarray, and the heart's Yang energy has suddenly collapsed!"

"Help me support him!"

Zhang Yanchang then realized what was happening.

They rushed over and found the patient pale, covered in cold sweat, and his lips rapidly turning purple.

P.S.: I still owe you 77000 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)