Rebirth 1977 Great Era

Chapter 869 Quack Doctor Digs a Hole to Save Lives with Dialect, Secret Recipe for Treating Epilepsy (Two Chapters Combined)
After the patient recovered, Fang Yan also prescribed medicine.

This is to address his liver qi stagnation, phlegm-fire accumulation, and malnourishment of heart blood.

The treatment method is to first clear the liver and resolve phlegm, regulate qi, nourish the heart, and calm the mind.

The prescription given in dialect is:

炒酸枣仁48g、夜交藤12g、山药24g、枸杞子15g、菟丝子30g、珍珠母36g、磁石15g、天竺黄9g、龙齿12g、淡豆豉15g、栀子12g、香附12g、陈皮9g、清半夏9g、茯神12g、龙眼肉9g、生白术15g、木香12g。

Boil twice in water, and take once at 3 pm and once before bedtime.

Separately grind 1.2g of amber, 2.4g of ginseng, and 1.8g of horse bezoar into a very fine powder, and take it in two divided doses.

This prescription may seem a bit bulky, but not a single ingredient is superfluous.

After writing it down, Fang Yan also wrote down his thoughts on how to use it.

Those who couldn't understand the prescription wanted to know what Fang Yan was thinking, given the alarmingly high dosage of jujube seed, the rare use of amber, and the presence of valuable medicinal materials like horse bezoar.

All that was seen was a sentence written in dialect:

Tianzhuhuang clears heat and resolves phlegm, Qingbanxia dries dampness and resolves phlegm, and Chenpi regulates qi and resolves phlegm. The three work together to resolve phlegm-fire stagnation.

Gardenia and fermented soybean, combined in Gardenia Soup, can clear the mind and relieve irritability, and dispel stagnant heat in the chest and diaphragm, which is consistent with the symptoms of phlegm-fire disturbing the heart.

The combination of stir-fried jujube seeds (48g), Polygonum multiflorum, Poria cocos, and longan pulp has the effect of regulating qi, nourishing the heart, and calming the mind.

Among them, jujube seed is the principal ingredient, and it is used in large doses to nourish blood and calm the mind; Polygonum multiflorum and Poria cocos enhance the calming and soothing effects; longan pulp nourishes the heart and spleen, and also addresses the deficiency of qi and blood.

The combination of mother-of-pearl, magnetite, and dragon's teeth has the effect of calming the mind and suppressing yang, soothing the liver and calming the nerves, and is effective against irritability and restlessness caused by phlegm and fire disturbing the mind.

Yam, wolfberry, dodder seed, and raw atractylodes macrocephala are used to strengthen the spleen and kidneys, and replenish qi and blood.

Taking the medicine at the end is to enhance its therapeutic effect.

Amber calms the nerves and promotes blood circulation, thus improving qi stagnation and blood stasis.

Ginseng replenishes qi and strengthens the body's resistance to pathogens.

Ma Bao clears heat and resolves phlegm, calms the nerves and opens the orifices, and helps to resolve stubborn phlegm.

Amber and horse bezoar are the most precious ingredients in this formula. Grinding them into powder and taking them with water can improve their efficacy. Horse bezoar is specifically used to treat phlegm-heat convulsions and epilepsy, which corresponds to the patient's mental symptoms and is an indispensable finishing touch.

After he finished writing the prescription in dialect, everyone else understood its meaning.

Then, while writing the medical record, Fang Yan said to Li Zheng, who was eating, and Sun Menghong, who was standing guard beside him:
"Mr. Li's liver qi stagnation and phlegm-fire have not been cleared. In terms of diet, he should avoid eating mutton, chili peppers, fried foods and other foods that aggravate heat and generate phlegm, so as to prevent the phlegm-fire from recurring. In addition, his appetite has been restored after treatment, but his spleen and stomach are still weak. He should eat small meals frequently, mainly light and easily digestible foods, such as porridge and steamed vegetables, to avoid aggravating the burden on his spleen and stomach."

Li Zheng felt a surge of appetite and had many things he wanted to eat. Hearing Fang Yan's words, he was slightly taken aback, but Sun Menghong, who was standing beside him, nodded and said:
"Okay, I've written it down."

After speaking, he gestured to his assistant to write, indicating that he should write everything down.

The latter quickly took out his notebook and started taking notes.

Fang Yan continued:

"In addition, his current illness is closely related to his mood, so he needs to avoid anger, depression, and excessive thinking to prevent liver qi from stagnating again and affecting the treatment. Finally, although he is no longer afraid of light, he still needs to maintain a quiet and gentle environment and reduce sensory stimulation to help calm his mind. Our hospital will pay close attention to this, and we ask for your cooperation."

"Understood." Sun Menghong nodded.

Fang Yan concluded by adding:
"Mr. Li has been ill for quite some time, and his physical condition has deteriorated significantly. Therefore, his Qi and blood need time to recover after treatment. He should ensure sufficient sleep, avoid staying up late, strenuous exercise, or excessive mental exertion. After acupuncture, his pores are open, so he should pay attention to keeping warm, especially avoiding direct drafts, to prevent external pathogens from taking advantage of his weakened state."

Sun Menghong replied:
"Yes, we have prepared blankets and warm clothes."

After he finished speaking, his assistant took out the clothes and handed them to Sun Menghong, intending to have Li Zheng put them on when they went out later.

Fang Yan handed the written prescription to Song Jianzhong, who was standing to the side:
"Go to the pharmacy and tell them to prepare the decoction and deliver it to the inpatient building."

"I'll go." Before Song Jianzhong could agree, Du Heng stepped forward and volunteered.

Seeing Du Heng's enthusiasm, Fang Yan didn't say much and simply handed him the prescription.

Du Heng went to get the medicine, and Fang Yan said to Sun Menghong:
"You can go and complete the admission process now. Don't go out in the cold wind."

"Okay, thank you, Dr. Fang!" Sun Menghong said, bowing to Fang Yan.

Then she called out to her assistant, who took out a beautifully packaged gift box from his pocket and handed it to Sun Menghong.

"It's just a small token of our appreciation. It's some merchandise we sell in the export business. Please accept it, Dr. Fang." Sun Menghong held the gift box and respectfully placed it on Fang Yan's examination table with both hands.

These days, Japanese foreign trade includes electronics, watches, cameras, cosmetics, and handicrafts, which are all very popular items.

There's no need to worry about a handgun inside, as long as it's in a dialect-based container.

"Thank you, that's kind of you." Fang Yan was already used to this; he was the only officially designated person who could accept bribes without worrying about getting into trouble.

After all, being able to bring in so much investment for the country, as well as buildings, ambulances, and various medical equipment for hospitals, is something that others simply cannot do.

Then Sun Menghong took her first love, Li Zheng, and left for the hospital building.

After they left, Fang Yan began writing the final part of the medical record.

At this moment, everyone around him was looking at the medical records he had written.

The above is a very clear explanation from beginning to end.

There's absolutely no need to ask anything.

After finishing writing, Fang Yan said:

"Call out the next one."

Yan Yifan immediately said:
"I go!"

Then he dashed to the door and shouted towards it:

"Next person!"

Soon, a couple in their thirties, accompanied by two assistants, entered, making a total of four people.

"Hello, Dr. Fang!"

The couple greeted each other in their local dialect as they entered the door.

Fang Yan nodded; he recognized the woman from the banquet.

Her name is Wu Fangfang.

He is 31 years old and a Singaporean businessman.

They are engaged in the steel trade.

They mainly sell steel plates and pipes to Malaysians.

Fang Yan didn't recognize the man and probably hadn't seen him before. Judging from his somewhat listless appearance, Fang Yan guessed that he was probably sick.

Could it be that his first love brought him to the doctor again?

However, Fang Yan quickly dismissed the idea.

Because Wu Fangfang has already introduced herself:

"This is my husband, Hu Pengyuan. He came to see a doctor today."

"Hello, Mr. Hu!" Fang Yan greeted Hu Pengyuan.

The latter nodded weakly at him.

Without wasting time speaking in dialect, she asked him:
"Mr. Hu, what's wrong?"

“Let me speak, he’s not feeling well right now,” Wu Fangfang said to Fang Yan.

"Okay." Fang Yan nodded.

He actually prefers the patient to speak for themselves; if someone else relays the information, some important details may be missed.

However, Wu Fangfang, like Sun Menghong earlier, came prepared.

He immediately took a notebook from his assistant and said to Fang Yan:

"My memory isn't very good, so I wrote it all down on paper... Here's what happened: last year, my husband started experiencing palpitations, tremors, a low-grade fever, night sweats, and bulging eyes..."

While listening to Wu Fangfang speak, Fang Yan was also observing the patients.

Protruding eyes?

I couldn't really tell the dialect, but the patient was swollen all over and had a blank expression, as if he was in a lot of pain.

At this moment, Wu Fangfang was still saying:

"I was very busy with business at the time, so I didn't pay much attention. Later, in November of that year, his condition became more serious, so I took him to the hospital for a checkup, and the results showed..."

After saying that, she pulled out a medical report and said:

"Here... their basal metabolic rate exceeded the normal level by 60%, and their thyroid iodine uptake rate was 60.1% within 24 hours. As a result, the hospital diagnosed them with hyperthyroidism."

"Then we received isotope therapy at a local hospital. After the treatment, not only did it not get better, but my husband felt even more uncomfortable. When we told the doctors, they said it was normal. We didn't believe them, so we went to another hospital. Before the treatment even started, my husband gradually developed edema in his face, limbs, and body. His facial expression became stiff and he could hardly move. He also lacked energy and his skin was dry. His heart rate was slower than normal after the test. He was also accompanied by fatigue and weakness, and his mental state was poor. In Singapore, where we live, he is particularly afraid of the cold. His limbs were frighteningly cold. He also had symptoms of dizziness, tinnitus, and eventually, he developed weakness in his limbs and a poor appetite."

Fang Yan nodded and began to record the symptoms she had just described.

Wu Fangfang continued:
"After being sent to the hospital, they conducted another thyroid iodine uptake test, called... thyroid iodine uptake test. The test results confirmed that my husband's hypothyroidism was caused by an excessive dose of isotope therapy. Now, my husband has to take levothyroxine tablets every day just to maintain a normal life. I have to take care of the business. He can only offer suggestions occasionally."

"Later, at the beginning of this year, I heard about you, Dr. Fang. After asking around, I confirmed that many people had sought your medical treatment. So I contacted the Overseas Chinese Affairs Office and got the opportunity to come back together this time."

After saying that, she took out the report and handed it to Fang Yan:

"By the way, this is the inspection report from back then."

"No need," Fang Yan waved his hand.

He asked her:
"Is your husband able to speak now?"

“Yes…” Hu Pengyuan opened his mouth and made a very unpleasant sound.

Fang Yan asked him:
Are you still taking thyroid hormone tablets?

"Mm." Hu Pengyuan nodded.

Fang Yan asked him:
"Is there anything else you'd like to add regarding the information your wife just provided?"

"My throat hurts," Hu Pengyuan said, pointing to his throat.

Fang Yan nodded, wrote it down, and then asked:
"Um, any more?"

Are your bowel movements and urination normal?

Hu Pengyuan said:
"My stool is a little dry, but my urination is normal."

He asked in dialect:

"What about your eyes? Do they feel bulging or swollen?"

Hu Pengyuan shook his head:

"I can't feel it."

This is a case of a quack doctor committing a heinous act.

This is the first time in my life I've encountered a case where a misdiagnosis led to a serious illness.

If it weren't for Hu Pengyuan's wife being able to handle things, all of his businesses would have collapsed by now.

"Open your mouth so I can see," Fang Yan said, approaching Hu Pengyuan with a flashlight.

Hu Pengyuan opened his mouth and stuck out his tongue.

Fang Yan noticed that he looked noticeably heavier due to edema, and his tongue was pale with a thin white coating.

Then Fang Yan took a flashlight and checked inside his mouth.

Then she touched the area below his neck.

Because it's swollen, I can't feel anything. Fang Yan turned off the flashlight and said to Hu Pengyuan:
"Please take my pulse."

When Fang Yan touched his slightly swollen hand, she found that it wasn't too swollen.

After examining both hands, it was found that the pulse was slow, weak, short, and hesitant.

In other words, the pulse is slow, weak, short, and not smooth.

Fang Yan returned to his seat and quickly wrote down the information he had just analyzed.

Then he paused and wrote his conclusion on the medical record.

The patient suffers from a complex syndrome caused by radioactive iodine therapy leading to damage to Yang, along with hypothyroidism resulting in Yang deficiency with water retention and malnourishment of Qi and blood.

Traditional Chinese medicine diagnosis: It belongs to Yang deficiency combined with Qi and blood deficiency and cold.

The treatment should focus on warming and tonifying the spleen and kidneys, replenishing qi and blood, and dispelling cold and promoting diuresis.

Soon, Fang Yan started writing prescriptions.

Those around him were taken aback when they saw that Fang Yan had already started to write the prescription; they hadn't expected him to have come up with a solution so quickly.

All that was visible on the prescription was the dialect:
Aconite 12g (Core ingredient: warming the kidneys and assisting yang)
Cinnamon twig 9g (promotes yang and qi circulation, assists Poria in promoting diuresis)

15g of stir-fried Atractylodes macrocephala (to strengthen the spleen and dry dampness)
Poria cocos 30g, Alisma plantago-aquatica 15g (to enhance diuretic effect)
9g of fresh ginger (warms the stomach and dispels cold, assists aconite in removing dampness)
Astragalus 30g (Greatly tonifies the spleen and lung qi)
9g dried tangerine peel (regulates qi and prevents greasiness)

3g of cinnamon (to enhance its warming and yang-tonifying effects)
The medicine should be taken at 7 a.m. when the stomach meridian is dominant and at 3 p.m. when the bladder meridian is dominant, in accordance with the rising Yang energy.

Drink a bowl of hot porridge after taking the medicine to help the medicine work gently.

Compared to the previous prescription, Fang Yan's prescription only contains eight ingredients.

This was the first time Wang Yuchuan had seen someone whose style had changed so drastically. He recalled the rumors circulating at school about Fang Yan, who said that he, like Ren Yingqiu, could speak fluently about all the major medical schools. Although it seemed unbelievable, the style Fang Yan was currently displaying did resemble those rumors.

Just then, Fang Yan added 12g of Epimedium to the front.

The crowd was somewhat surprised.

I don't know why they added the fairy spleen.

The text above was written in dialect:
"This usage is derived from the modified Shenqi Wan formula in the Jin Gui Yao Lue. The original formula uses a small amount of cinnamon twig with aconite to generate qi with a little fire. Here, epimedium is added to assist cinnamon twig. With the gentle nature of herbs and the strong power to replenish primordial yang, it is suitable for patients with long-term yang deficiency, apathy and lethargy. The Ling Shu says that "the kidney stores the will". Epimedium invigorates the mind by tonifying the kidney, which is more in line with the essence of "yang deficiency and mental fatigue" than simply using sedative drugs.

This is the most common explanation he gives, as if he's afraid others won't know what he's thinking.

After seeing this, others finally understood the dialect's intentions.

Continue reading.

In fact, if Wang Yuchuan were to prescribe the medicine, he would directly use the Ten-Ingredient Tonic Formula and remove Chuanxiong (Ligusticum striatum).

Once the patient's edema subsided and his spirits improved, he began using Dang Gui Bu Xue Tang (Angelica Blood-Nourishing Decoction) to replenish qi and blood, and then instructed the patient to reduce their intake of thyroid hormone tablets.

The dialects are clearly different, and the first thing they mention is a potent medicine like aconite, with specific times for taking it.

It's clear they intend to enhance the drug's potency and reduce treatment time.

Professor Wang Yuchuan also sighed, realizing that he was indeed getting old and couldn't keep up with the vigor of these young people.

After writing it down, Fang Yan tore off the prescription and said to Song Jianzhong:
"Should I make a trip to Jianzhong?"

Knowing he would have to go himself this time, Song Jianzhong nodded and said:

"it is good."

Fang Yan instructed Song Jianzhong:
"Tell them not to rush. The aconite needs to be decocted for a sufficient amount of time. It should be delivered to the ward at 3 p.m. sharp."

Song Jianzhong nodded and agreed.

Just as he left, Du Heng returned.

He looked around the ward in a daze; it was obvious that Fang Yan had already seen the second patient.

Fang Yan gave the couple some advice:
"Please take note: take the medicine at 7:00 AM and 3:00 PM every day. It is best if you sweat slightly and your hands and feet become warm after taking the medicine. You can eat some warming foods such as mutton soup, stir-fried shrimp with chives, longan and red date porridge, diuretics such as winter melon and barley soup, red bean and carp soup, and qi-tonifying foods such as astragalus stewed chicken and yam and millet porridge."

"Cold drinks, raw fish, bitter melon, watermelon and other cold foods should not be eaten. Foods that hinder the flow of Yang and cause stagnation of Qi, such as tofu and kelp, can be eaten in small amounts, but it is best not to eat them at all."

Upon hearing this, Wu Fangfang quickly asked her assistant to write it down.

Fang Yan turned to look at Hu Pengfei and said to him:
"In addition, Mr. Hu, please remember to observe your urination frequency. It is best to gradually increase from less to more, 4 to 6 times a day. The color should change from clear to light yellow, and the stool should change from dry and hard to banana-shaped."

Hu Pengfei nodded.

He hadn't expected that Fang Yan would have finished reading so soon after he came in.

Moreover, judging from Fang Yan's nonchalant manner, it seemed as if his illness wasn't a particularly serious matter.

Fang Yan said to them:

"You can go and complete the admission process now. You won't need to take your medication at noon; our nurses will bring it over at 3 PM."

“Okay!” Wu Fangfang nodded.

Then he took out a red envelope from his pocket and placed it on the table with the dialect accent.

"Dr. Fang, this is just a small token of our appreciation. Please don't find it offensive."

Fang Yan smiled and nodded:
"Your kind thoughts are appreciated. Wishing you a speedy recovery."

This amount of money is indeed not much for Wu Fangfang and her group; the real reason they were able to get this opportunity was thanks to Director Liao.

The two then said goodbye to Fang Yan and left.

Fang Yan handed the red envelope directly to Du Heng, who had just returned, and said:
"Distribute it. Everyone who sees it has worked hard today, so there should be a share."

Du Heng was somewhat bewildered.

He was just wondering how he finished watching so quickly, but now that a big red envelope has been handed to him and he's being asked to share it, he's completely stumped.

"Brother Fang, this is for you..." Du Heng said to Fang Yan.

Fang Yan said to him:
"That's the rule here. We can't let everyone work for nothing, and since there's not much to go around, we should share it."

Du Heng then took the money, counted it out for the people present, and divided it into portions for each person.

"Isn't this a bad idea?" Wang Yuchuan was taken aback when he saw the US dollars being stuffed in front of him.

He hadn't expected that he still had it.

Fang Yan said with a smile:

"Based on what you just said, that I'm your friend, you should take this."

"That's one of my good points; I never let my friends suffer a loss."

Wang Yuchuan was both amused and exasperated.

Li Zhengji was also greatly shocked. He had been abroad and seen US dollars before, but this was the first time he had ever encountered such a straightforward way of dividing money.

He thought that at most, having lunch provided would be considered good treatment, but now he's got this amazing deal.

It's true what they say, comparisons are the thief of joy.

After the distribution was completed, Du Heng handed Song Jianzhong's and Fang Yan's portions to Fang Yan.

Then Fang Yan said to him:
"Go and call someone in. We only need to treat two more patients before we're done."

Du Heng was overjoyed to have received the money. He immediately ran to the door and shouted outside:

"Next, please come in."

The woman who came in this time was in her forties. She was dressed very elegantly, but she was pushed in by her family in a wheelchair.

"Dr. Fang! We meet again."

Behind the woman was another woman who looked exactly like the woman in the wheelchair.

The scene left Fang Yan and everyone else in the room stunned.

Then it dawned on me that they were twins.

"Hello, Ms. Gao!" Fang Yan remembered that this was an overseas Chinese businesswoman from the UK.

Her name is Gao Wen, she is 43 years old and works in the textile trade.

They also import tea, spices, cheese, and biscuits for export.

Unlike the others, Gao Wen took out an exquisite box and presented it to Fang Yan as soon as she came in.

"It's just a small token of my appreciation, brought from England. A gift from afar carries great meaning." Fang Yan recognized the words; yes, Li Chengzhu had said the same thing before.

At this moment, Gao Wen had already turned to the side and began to introduce Fang Yan:

"This is my older sister, Gao Mei. I brought her here for a medical checkup."

After saying that, he pointed to the man behind Gao Mei and said:

"This is my brother-in-law."

Fang Yan nodded and said:

"Tell me about your symptoms!"

Gao Wen glanced at her brother-in-law and then said:

"Let me tell you."

The latter nodded.

Then Gao Wen began to speak:
“My sister has had epilepsy since she was 7 years old. Western medicine treatments weren’t very effective at the time. The turning point came when she was 13. An old gentleman came to our house, examined my sister, and gave her a prescription. After taking that prescription, my sister was cured…”

"Actually, that's not right. It should be that it hasn't flared up yet."

"She completed her studies healthily and normally, then got married, but when she was 23 years old and giving birth, her epilepsy suddenly relapsed."

“Let me tell you the rest,” the patient’s husband said at this point.

Gao Wen glanced at him and nodded.

The latter picked up the conversation, speaking in somewhat broken Chinese:

“Since then, it has always happened before or after her period. Before the attack, she would first become dazed, then shout loudly, then faint on the ground, her limbs would twitch uncontrollably, she would foam at the mouth, and sometimes she would bite her tongue.”

"After waking up, I will have a severe headache, accompanied by nausea and vomiting."

“We went to the best local hospital for examination, and through an electroencephalogram (EEG), we were diagnosed with a recurrence of epilepsy.”

"Then we took the prescription again, found all the medicines, and took them all again. As a result, the condition improved again."

"However, it wasn't completely eradicated."

"After having her third child, her condition has become more severe in recent years, and she can even have two attacks a day."

"The previous prescription for epilepsy is becoming less and less effective the more we use it."

“Now, she often feels dizzy, has headaches, chest tightness, and anxiety. She also doesn’t sleep well at night.”

Hearing this, Fang Yan frowned. He knew his wife would have a seizure during childbirth, yet she still gave birth to three children?

You feel uncomfortable if you don't give birth, right?
And what is that prescription? It seems quite effective for treating epilepsy.

After mentally venting her frustrations, Fang Yan heard the patient's husband say:
“A while ago, she suddenly had a seizure on the stairs and fell down the stairs. No one was with her at the time. When they found her, she had already broken her bones and could only sit in a wheelchair.”

"We heard that your medical skills are very advanced, so we came back to China specifically to find you and hope that you can help treat her fracture and epilepsy."

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

There will be an extra chapter later.

(End of this chapter)