Rebirth 1977 Great Era

Chapter 871 Left Hand Has a Pulse, Right Hand Has No Pulse (Bonus Chapter for Monthly Tickets)

Fang Yan has already clearly analyzed the cause and effect. Now, all we need to do is change the focus to prescribe a solution for Gao Mei's current situation.

Fang Yan glanced at the previous prescription, then picked up a pen and began to write.

Those around him saw him write:
天麻9g、钩藤12g、僵蚕6g、全蝎3g、石菖蒲9g、远志6g、清半夏9g、陈皮6g、茯苓15g、胆南星6g、丹参12g、白芍9g、黄芪30g、当归12g、炒酸枣仁30g、夜交藤12g、珍珠母30g、龙骨15g（先煎）、甘草3g。

usage:

Boil twice in water and take the decoction warm, twice a day, morning and evening.

Add 1.5g of amber powder and 3g of ginseng powder, and take in two divided doses to enhance the calming and qi-tonifying effects.

Li Zhengji, who was standing nearby, realized that the dialect was an improvement on the previous recipe.

This formula, based on the original formula for dispelling wind and resolving phlegm, focuses on replenishing qi and blood, and harmonizing the heart and kidneys, addressing both the symptoms and the root cause to deal with the patient's long-term qi and blood deficiency and recurrence mechanism, while avoiding the toxicity of cinnabar in the original formula, "attacking the pathogen while not forgetting to support the body's resistance."

After writing down the dialect, he glanced at Li Zhengji.

The latter nodded, agreeing with his prescription.

Fang Yan then said to Gao Wen:

"During hospital treatment, avoid foods that promote heat and phlegm production, such as mutton, chili peppers, and fried foods, to prevent the phlegm and fire from recurring. Also avoid cold drinks and other cold and stagnant foods. Eat more yam porridge, longan and red date porridge, and red bean porridge to strengthen the spleen and remove dampness."

Gao Wen nodded, then picked up her pen and said:
"Okay, I'll write it down."

Fang Yan remembered that hideously ugly prescription and quickly said:

"Um, I'll write it for you, both in Chinese and English."

Gao Wen was taken aback upon hearing this, then scratched her head somewhat awkwardly. She knew her handwriting was terrible, and thanked Fang Yan profusely.
"Okay... thank you, Dr. Fang."

As he wrote, he gave them instructions:

"In addition, avoid emotional fluctuations, such as anger, depression, and excessive thinking, to prevent liver qi stagnation from aggravating the condition. Also, reduce sensory stimulation, keep the environment quiet and gentle, and avoid strong light and noise that may trigger epileptic seizures. The fractured area needs to rest to avoid secondary injury."

“The previous prescription cannot be used for a long time, especially since long-term use of cinnabar can lead to mercury poisoning. She will be hospitalized for about two months, and we will gradually help her recover.”

"We need to observe her condition before and after at least one menstrual period, which will take a while."

Upon hearing the dialect, Gao Wen said:
"No problem, we came back this time to completely cure my sister."

People in dialects write very quickly; after finishing the Chinese version, they also wrote an English version.

Then they were given the prescription along with the medicine.

Although the prescription says it can't be used, it belongs to them, and how they deal with it is their business.

After receiving the old prescription, Gao Wen hesitated for a moment, but still kept it.

Wang Yuchuan couldn't help but shake his head at the sight.

However, I can understand the dialect. This product treats epilepsy very quickly, so from a businessman's perspective, it does have some commercial value.

Of course, from the perspective of traditional Chinese medicine, this thing is only a semi-finished product.

The one in the dialect is the real, authentic product.

However, people in the dialect are too lazy to talk about such things.

Everything that needed to be said has been said; it's her freedom to do whatever she wants.

Fang Yan said to them:

"Alright, the medicine will be delivered soon. You can take Ms. Gao Mei to complete the admission procedures now."

Gao Wen nodded and said to Fang Yan:

"Then I'll leave the rest of the treatment to Dr. Fang!"

"Yes, of course," Fang Yan said with a smile.

Then they all said goodbye.

Fang Yan began writing her final medical case notes.

At the same time, bone-setting plaster was added to it.

Seeing that Fang Yan had written the prescription and torn it off, Yan Yifan said:
"I'll go this time!"

Du Heng and Song Jianzhong both went there, but Song Jianzhong hasn't returned yet.

Yan Yifan realized that he should go too; he couldn't very well let the vice class monitor go.
Fang Yan nodded and handed it to him directly, then said:
"When you leave, let the last person in."

Yan Yifan nodded, took the prescription, and then walked to the door and called out:

"Next, please come in."

This is the last one for today.

Except for the first patient, whose consultation time was relatively long, the second and third patients had very short consultation times.

Soon, the last patient came in.

He was a thin, bony man.

He looked sickly and emaciated, probably around forty years old. The person who brought him was his wife.

The couple, both surnamed Zhang, export tin products from Malaysia.

"Hello, Dr. Fang."

Zhang Laiyi greeted the patient's wife, whom she had met once before, in a dialect.

"Hello, Ms. Zhang." Fang Yan nodded to her.

The other party was a little surprised that Fang Yan still remembered her surname, considering there were so many people there that day.

However, she didn't forget the important matter and introduced her husband to the dialect speaker: "This is my husband, Zhang Shen, he's 41 years old, and he used to suffer from this..."

She paused, then took a notebook out of her bag and said:
"It's called... damage to the mitral valve caused by rheumatic heart disease."

“Mitral valve damage due to rheumatic heart disease,” Professor Wang Yuchuan subconsciously corrected.

Zhang Laiyi was taken aback, then suddenly realized:
"Oh, right, right! That's how it should be translated."

Wang Yuchuan happens to be a leading expert in cardiovascular and cerebrovascular diseases, and he knows the names of these diseases very well.

Fang Yan also knew that this was caused by rheumatic heart disease, which led to abnormalities in the structure and function of the mitral valve. This disease also has two branches.

One type is mitral stenosis.

When the leaflets of the mitral valve adhere and fuse at the junction, the valve thickens and stiffens, and the valve orifice narrows, obstructing the flow of blood from the left atrium to the left ventricle.

Patients may experience difficulty breathing, such as exertional dyspnea, orthopnea, and paroxysmal nocturnal dyspnea, as well as symptoms such as coughing, hemoptysis, and hoarseness. In severe cases, it can lead to right heart failure.

Another type is mitral regurgitation.

This is caused by damage to structures such as the mitral valve leaflets, annulus, chordae tendineae, or papillary muscles, which prevents the mitral valve from closing completely during cardiac systole, causing some blood to flow back from the left ventricle to the left atrium.

In the early stages, there may be no symptoms. As the disease progresses, symptoms such as fatigue, palpitations, and difficulty breathing may appear. In the later stages, symptoms of left and right heart failure may appear.

If mitral valve damage caused by rheumatic heart disease is not treated in time, it can lead to serious damage to heart function and complications.

The patient's wife continued:
"Then, more than ten years ago, my husband underwent surgery in Japan for mitral valve diastasis. At that time, the hospital assessed that his recovery was very good. For more than ten years, although my husband had some discomfort in his heart, he quickly got over it because our business was doing very well and we were so busy that we didn't pay much attention to it."

"He was feeling unwell recently, and he started to lose weight rapidly, so we put aside our business and went to the hospital for a checkup. We found out that he had atrial fibrillation, congestive heart failure, and cardiac cirrhosis. We went to Japan for treatment, but his condition did not improve. Then we heard about you in China and that many overseas Chinese businessmen in Southeast Asia were receiving treatment from you, so we contacted the Overseas Chinese Affairs Office of the State Council and came back to see you."

At this moment, the patient also spoke weakly:
"Dr. Fang, I actually heard that the eldest daughter of the Li family was treated for heart disease by you and is almost recovered, so I wanted to make a trip here."

Fang Yan was taken aback, and after a moment's thought, asked:
"Miss Li...you mean Li Chengzhu?"

"Yes." The patient nodded.

Fang Yan never expected that Li Chengzhu would become his living advertisement.

"She's definitely almost better," Fang Yan confirmed the news.

Upon hearing this, the couple in front of them visibly became happy.

He asked the patient in a dialect:
How are you feeling right now?

The patient thought for a moment and said:

"Um... palpitations, cough, phlegm, can't lie flat to sleep, can only sit up, my abdomen is bloated as if there is a stone pressing on it, after I came back I found that my calves were swollen, and I have pain in my right side, which is the liver area, and it is now very difficult to urinate, and even if I do urinate, it is very little."

Fang Yan nodded and wrote all of this down.

Then asked:

"Are you eating?"

The patient thought for a moment and said:

"I get full very quickly after eating, but I eat very little anyway, so I feel pretty normal."

“Stick out your tongue so I can see it,” Fang Yan said to him.

The patient obediently stuck out his tongue, and Fang Yan examined it; the tongue was dark red with a thin yellow coating.

Fang Yan then pointed to his hand and said:

"Let me take your pulse, starting with your left hand."

Fang Yan took a pulse and found that the three pulses on the left were thin and slow.

“Come with your right hand,” Fang Yan said to him.

The patient obediently picked up his right hand.

The dialect, once spoken, became incredibly subtle, and suddenly he paused, taken aback.

Then continue touching and pressing.

"what happened?"

“Yeah, what’s wrong?” Wang Yuchuan and Li Zhengji noticed Fang Yan’s expression and asked him.

After a slight hesitation, Fang Yan said to them:

“I…can’t feel his right pulse.”

Both of them were taken aback.

He said with a look of utter disbelief:

"You mean, you can feel the pulse in the left hand, but not the right?"

"Yes." Fang Yan nodded.

"How is that possible?" Li Zhengji didn't believe it and was about to take action.

Fang Yan didn't say much, just stepped aside so he could touch it. After touching it, Fang Yan also had a look of disbelief.

He said to Wang Yuchuan:
"This... I really can't touch it!"

PS: After finishing this chapter, I still owe everyone 46000 words.

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

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

(End of this chapter)