Rebirth 1977 Great Era

Chapter 918 Hokkaido Deep-Sea Rainbow Pearls, Singapore's Widowed Shipping Magnate (Bonus Chapter for Monthly Tickets)
The urgency of the illness can be seen from the order in which the treatment plan was written in dialect.

The patient, Gu Zhilan, has developed late-stage scleroderma, exhibiting severe symptoms such as hardened, leathery skin, cold and purplish extremities, difficulty opening her mouth, and even kidney damage.

Only by first applying external treatments directly to the affected areas on the body surface, and by dispelling wind and cold, warming and unblocking the meridians, can we quickly improve local blood circulation and the hardened state of the skin, thus creating better conditions for subsequent oral medication.

Oral medications need to be digested and absorbed to take effect, but Gu Zhilan has already suffered kidney damage, so drug metabolism is likely to be limited.

External treatments are absorbed directly through the skin, bypassing the metabolic burden on internal organs and improving local symptoms more safely and effectively.

In addition, the use of external treatments in dialects can also play a targeted role in treating cold-induced blood stasis.

Patient Gu Zhilan had been living in the cold environment of Hokkaido for a long time, which led to kidney yang deficiency and blood stasis. The external treatment included Aconitum carmichaelii and Aconitum kusnezoffii, which can strongly dispel wind and cold. Herba Clematis chinensis combined with white wine can enhance the penetration of the medicine and promote skin softening.

The Fire Dragon Moxibustion, applied to the Du Meridian from Dazhui to Yaoyangguan, combined with ginger and musk, can warm and invigorate the Yang Qi of the Du Meridian, and strengthen the rise of Yang Qi throughout the body.

This is based on the traditional Chinese medicine theory that "the Du meridian is the sea of ​​Yang meridians".

External treatments and external moxibustion are considered "treating the symptoms," which can quickly relieve skin symptoms caused by cold and dampness. Internal prescriptions, such as kidney-tonifying and yang-warming medicines containing aconite and deer antler glue, target the fundamental pathogenesis of "kidney yang deficiency," which is considered "treating the root cause."

The order of treating external ailments first and then internal ones is actually the traditional treatment strategy of "treating both the symptoms and the root cause, and addressing the symptoms first in urgent cases." External treatments quickly open up a breakthrough in the treatment, while internal medications consolidate the therapeutic effect.

In the past, most of the external treatment plans written in dialect were supplementary to internal conditioning.

That's basically what Lao Fan does.

Many tasks on-site required needlework, and Fang Yan immediately stepped in to help.

However, Gu Zhilan's situation requires some preparation, so the dialect performance cannot be conducted on-site.

Moreover, the oral medicines prescribed by the local dialect also need to be decocted for a long time, otherwise they can easily cause poisoning.

We can only proceed in this order.

After it was written, Juliana came up without even speaking in dialect.

Yuan Qingshan acted quickly and got the opportunity given by Fang Yan. Now that she's up here, she doesn't have that chance anymore, but she's still trying to win Fang Yan's favor next time.

Fang Yan understood immediately and handed her the written prescription.

Then, addressing the patient Gu Zhilan and her family, he instructed them:

"I'll mention a few points to note; please take note of them, as they are quite important."

The Gu family members nodded.

He said in dialect:

"The fumigation medicine contains aconite and aconitum carmichaelii, which are highly toxic. Please do not ingest them or let them come into contact with your mouth or nose. If Ms. Gu experiences redness, swelling, or itching of the skin after the fumigation, please stop using it immediately and inform the medical staff in our inpatient department."

"Also, maintain a prone position during moxibustion to avoid movement that could cause the ginger paste to slip. If the skin along the Du meridian becomes unbearably painful during moxibustion, the procedure must be stopped immediately. Avoid wind and cold for 24 hours after moxibustion and refrain from taking cold showers. Treatments should be administered twice a week with an interval of at least 48 hours between sessions."

"Also, although she has difficulty opening her mouth now, she should recover to the point where she can eat quickly after taking the medicine. However, I must remind you that she must absolutely avoid raw or cold seafood and drink green tea, coffee, and other things that deplete Yang energy while taking the medicine."

"Mmm..." The Gu family nodded repeatedly, even with some surprise. Fang Yan actually said that they could eat soon, which was great news.

Then, in dialect, he continued:
"Finally, the softening and wrinkling of the skin after fumigation is a good sign that the yang energy is gradually recovering, but you should not increase the number of fumigation sessions on your own."

Upon hearing the dialect spoken, Mr. Gu nodded repeatedly and then had his assistant write it down.

Fang Yan thought for a moment and then added:

"Currently, she has difficulty opening her mouth. When you feed her, choose warm porridge or soup that is easy to swallow, such as millet porridge or yam and goji berry porridge. Add less salt, otherwise it will cause edema and increase the burden on her kidneys. Also, avoid eating too much at once, which will increase the burden on her gastrointestinal tract."

Upon hearing this, the Gu family members all wrote it down.

"Alright, now you can go and complete the admission procedures. The fumigation and moxibustion will be performed shortly, and the oral medicine will be prepared and delivered to the ward around noon," Fang Yan told them.

Mr. Gu said to his family:

"You take Zhilan to the hospital first. I have something to discuss with Dr. Fang."

The Gu family quickly left with Gu Zhilan. At this moment, Mr. Gu nodded to his assistant who had stayed behind with him.

Then the assistant put down the shoulder bag he was carrying and took out a very Japanese-style wooden box.

“We’re in the seafood business, and we brought some local specialties for Dr. Fang. We hope he likes them.” Mr. Gu placed the box on Fang Yan’s consultation table.

"Thank you for your thoughtfulness!" Fang Yan nodded with a smile.

However, Mr. Gu did not leave; instead, he continued his introduction:

"This is a rainbow abalone pearl from the deep sea of ​​Hokkaido, produced from the wrinkled abalone that is thousands of meters deep in the waters off the Shiretoko Peninsula in Hokkaido."

"Only when the abalone shell is permeated by deep-sea hydrothermal vent minerals, forming an iridescent halo between the nacreous and prismatic layers, can this process take more than 20 years of slow mineralization. Only a very small number of abalone can naturally form this type of aberrant pearl."

As he spoke, he opened the box, and a pearl with a diameter of 15mm and a surface displaying seven colors appeared before everyone.

Its color is indescribable; it's multicolored and vibrant. Even the local dialect has never seen anything like it before.

Juliana, standing nearby, couldn't help but raise a question:
"Can abalone produce pearls?"

Upon hearing the question, Mr. Gu chuckled and said:

“Abalone can produce pearls, but they are quite rare. Abalone pearls are different from common shell pearls. They are usually irregular in shape, with wrinkles or bumps on the surface, and their colors are also more varied. This pearl is so regular, which is very rare.”

"Thank you, Mr. Gu!" Fang Yan said to him.

"Then I'll have to trouble you, Dr. Fang!" Mr. Gu said to Fang Yan, and bowed deeply to her.

He said in dialect:

"You're too kind, I'll do my best."

After hearing Fang Yan's assurance, Mr. Gu smiled and nodded, saying:

"Then I'll take my leave first!"

Fang Yan stood up and said to him:

"I'll see you out."

After seeing Mr. Gu off, Fang Yan waved goodbye to him, while Zhu Lina immediately took the prescription to the pharmacy.

Then, speaking in dialect to the last, eighth patient and their family:

"Sorry to keep you waiting, please come in."

Soon, the last patient and their family members came in.

The patient being treated this time is the widow of a Singaporean shipping tycoon who sat at the same table as Fang Yan at the welcome banquet last time.

She came back specifically to bring her ten-year-old daughter for heart treatment, and she finally arrived today.

However, after seeing her daughter, Fang Yan discovered that she had more than just heart disease.

Aside from her face, all other visible areas of her skin had redness, scales, and pustules.

It looks like psoriasis.

Heart disease accompanied by psoriasis? This situation is definitely not simple.

In later medical systems, this combination of diseases was summarized into a set of conditions, including congenital heart disease with psoriasis, rheumatic heart disease with pustular psoriasis, and drug-induced heart damage with psoriasis, all of which are difficult to treat.

I just don't know what kind of situation this person is.

P.S.: I've gained 100 more monthly votes, so I owe you all another 2000 words.

After finishing this chapter, I currently owe everyone 135000 words.

There will be an extra update this afternoon!

(End of this chapter)