Rebirth 1977 Great Era

Chapter 944 Gift Upgrade: A Different Kind of Qihuang Inheritance Fund (Two Chapters Combined)
Fang Yan quickly sorted out his thoughts on prescribing medicine.

Mr. Wang's condition is indeed complicated, and he needs to accurately grasp the key to his symptoms in order to prescribe the right medicine.

From the root cause of the illness, Mr. Wang's spleen and stomach functions are very weak. This is because he had a gastrectomy 20 years ago, which damaged the spleen, stomach and other middle parts of the body, causing problems with the functions of digestion, absorption and transportation of nutrients.

This is a fabrication.

Then came a series of chain reactions.

Firstly, he still had residual damp-heat toxins in his body from the infection he had in India years ago that hadn't been completely cleared out.

Then, his long-term anxiety exacerbated the stagnation of liver qi, making the flow of qi and blood stagnation even more difficult. This, in turn, led to blood stasis blocking the blood vessels and inflammation of the anastomosis, which is why he experienced repeated stomach bleeding.

This is the truth.

There are two major contradictions in the treatment.

Firstly, to clear damp heat, one must use bitter and cold medicines, but Old Wang's spleen and stomach are already weak, and such medicines are likely to further damage his spleen and stomach; however, if the damp heat is not cleared, the inflammation will be difficult to subside.

Secondly, stopping bleeding requires astringency, but the stagnant blood in the body also needs to be dispersed.

If you only focus on stopping the bleeding, the bruises will remain in your body and cause other problems.

However, if the blood-activating and stasis-removing effects are too strong, it can easily cause bleeding again.

Therefore, treatment must address both the symptoms and the root cause, requiring both attacking the pathogenic factors and replenishing the deficiencies; a two-pronged approach is necessary.

Fang Yan thought about it and believed that the first thing to do was to address the root cause by using methods that strengthen the spleen and replenish qi to gradually improve the function of the spleen and stomach and enhance the body's vital energy.

At the same time, it is also necessary to soothe the liver and regulate qi, resolve liver qi stagnation, and reduce its damage to the spleen and stomach.

Then, to clear away the remaining damp-heat toxins in the body, one must clear heat and eliminate dampness.

Finally, in treating gastric bleeding and blood stasis, it is necessary to resolve the blood stasis and stop the bleeding. It is important to stop the bleeding but not to leave any blood stasis in the body. This will promote the repair of the gastric mucosa and allow Mr. Wang's body to gradually recover his health.

Fang Yan finally picked up his pen and started writing down the prescription.

Old Fan, standing behind Fang Yan, perked up and began to ponder the intricacies of the prescription. He realized that he was unconsciously following Fang Yan's line of thought, and he also felt that this prescription... was indeed difficult to write.

There are too many things to consider when making a prescription.

If the patient is young, strong, and in good health, the treatment standards can be relaxed a bit.

Just like when Fang Yan gave that young girl with carbon monoxide poisoning acupuncture, he inserted twelve needles directly.

Why did you dare to do that?

Firstly, because the girl was young, and secondly, because her illness had been present for a short time and her body could withstand it.

But this Mr. Wang in front of me is different.

He had stomach surgery twenty years ago, and then suffered from stomach bleeding for two consecutive years, leaving him physically exhausted.

When treating illnesses, if you're not careful, you might solve one problem only to have another one pop up.

It's like building a house. A new brick house is sturdy and solid. Even if there are some minor problems, you can just tap it with a sledgehammer and it won't be a problem.

But Old Wang's body is like an old, dilapidated house that leaks air everywhere; although it hasn't completely collapsed, there are hidden dangers all over it.

During repairs, even the slightest improper force can cause the entire house to collapse.

Therefore, there is no room for carelessness in this treatment.

At this point, he began writing in dialect, and he wrote:
Main prescription: Modified Sijunzi Decoction plus Chaihu Shugan Powder plus Zuojin Pill.

Codonopsis pilosula, Atractylodes macrocephala, and Poria cocos, 15 grams each, tonify the spleen and stomach, and restore digestion (the core of Sijunzi Decoction).

Buddha's Hand, Bupleurum, Cyperus, and Tangerine Peel, 10 grams each, to relieve liver stagnation and regulate Qi (modified Chaihu Shugan San).
Coptis chinensis, Scutellaria baicalensis, and Taraxacum mongolicum, 6 grams each, clear damp-heat in the stomach and intestines, and have anti-inflammatory and detoxifying effects (light doses may harm the stomach).
Panax notoginseng powder (taken with water), 3 grams of Bletilla striata, and 6 grams of Salvia miltiorrhiza are used to stop bleeding, promote tissue regeneration, and accelerate ulcer healing.

Cuttlebone and calcined oyster shell, 12 grams each, neutralize stomach acid and protect the mucous membrane.

Licorice root and jujube, 6 grams each, harmonize the other herbs and relieve pain.

Then, Fang Yan wrote down the strategy for this medication.

To balance damp-heat and spleen deficiency:

The strategy is to use light amounts of Coptis chinensis and Scutellaria baicalensis in combination with dandelion, which can clear heat without being too cold; and to combine Atractylodes macrocephala and Poria cocos to strengthen the spleen and resolve dampness, forming a combination that "clears and resolves damp heat without harming the spleen".

To address the contradiction between stopping bleeding and removing blood stasis,
The strategy for selecting ingredients in this dialect section is to use Panax notoginseng powder to "stop bleeding without leaving blood stasis" and Bletilla striata to "astringe and promote tissue regeneration". The combination of these two ingredients can both stop bleeding and promote tissue repair.

In addition, a small amount of Danshen (Salvia miltiorrhiza) is added to promote blood circulation and clear the meridians, preventing blood stasis.

To address the interaction between liver stagnation and spleen and stomach deficiency, Fang Yan's solution is to control the dosage of Bupleurum in Chaihu Shugan San to less than 10g to avoid excessive dispersion, and to add Citrus medica to regulate Qi without harming Yin, thus preventing aggravation of gastric mucosal dryness.

As for the local repair of the surgical site anastomosis, the local dialect uses calcined oyster shell to astringe and neutralize acid, combined with other corrective drugs to complete the repair.

The short-term goal is to control bleeding and alleviate abdominal distension.

The long-term goal is to completely resolve the anastomotic inflammation and restore the site to a normal state as much as possible. (Since the surgery has already been performed, it is impossible to completely restore it to a normal state.)
After writing it this time, Fang Yan paused for a moment, and then made some revisions.

He added 6g of Curcuma zedoaria after Salvia miltiorrhiza to enhance its blood-activating and meridian-clearing effects, while avoiding excessive purging.

The licorice was also changed to roasted licorice to reduce stomach irritation.

One gram of Evodia rutaecarpa was added after Coptis chinensis. Don't underestimate this one gram of Evodia rutaecarpa; it is used to counteract the bitter and cold nature of Coptis chinensis and to relieve nausea and vomiting and harmonize the stomach.

I'm really afraid that the medicine might be too strong and make the person worse.

This was the first time Lao Fan had seen him revise a prescription he had just written, after reading Fang Yan's prescriptions several times. This showed that he was being extremely cautious about this prescription.

At this moment, Lao Fan was looking at the prescription written in dialect, and he understood it immediately.

This prescription is clearly formulated, with each ingredient having its own specific function:
Nourishing the spleen and stomach: Use the Four Gentlemen Decoction as a base, which contains Codonopsis pilosula, Atractylodes macrocephala, and Poria cocos, along with prepared licorice root and jujubes, specifically to replenish the vital energy of the spleen and stomach and improve digestive function.

To soothe the liver: Bupleurum, Cyperus, Tangerine Peel, and Buddha's Hand are combined to soothe the liver and regulate qi without harming the body's yin fluids.

Clearing damp heat: Coptis chinensis, Scutellaria baicalensis, and Taraxacum mongolicum are specifically used to deal with damp heat and toxic evils. To prevent them from being too cold and damaging to the spleen and stomach, Evodia rutaecarpa is added to harmonize the medicinal properties.

To resolve blood stasis and stop bleeding: Panax notoginseng powder and Bletilla striata can quickly stop bleeding, while Salvia miltiorrhiza and Curcuma zedoaria are responsible for resolving blood stasis. The combination of these herbs can stop bleeding and resolve blood stasis at the same time.

Protecting the gastric mucosa and inhibiting gastric acid: Cuttlebone and calcined oyster shell are like putting a protective coat on the stomach, and can also neutralize excess gastric acid.

The prescription also contains ingenious solutions for those difficult-to-resolve conflicts:

Using small amounts of Coptis chinensis and Scutellaria baicalensis with Evodia rutaecarpa can reduce the damage of cold and cooling medicines to the spleen and stomach; Atractylodes macrocephala and Poria cocos help to strengthen the spleen and remove dampness, thus fundamentally enhancing the function of the spleen and stomach.

While Panax notoginseng stops bleeding, it prevents blood stasis from remaining in the body. Salvia miltiorrhiza and Curcuma zedoaria are responsible for promoting blood circulation and clearing the meridians. The combination of these herbs achieves a balance between stopping bleeding and removing blood stasis, just like walking a tightrope, steadily and without making any mistakes.

Fang Yan's approach to medication is clear, and the revised prescription addresses both the root cause and symptoms, with appropriate tonification and purgation. Lao Fan can say that this is a textbook-level TCM prescription for complex diseases.

If you ask him to make the changes, he won't be able to find the correct parts.

After writing down the dialect, I checked it twice to make sure there were no problems, and then I said to Mr. Wang:

"Alright, the prescription is ready. You'll need to stay in the hospital for about two months to recuperate. Is that alright with you?"

Before Mr. Wang could answer, Wang Jin spoke on behalf of his father-in-law:
"No problem, no problem. The most important thing now is to get well. Health is the most important thing. We young people can take care of everything else."

Mr. Wang nodded and said:

"Yes, yes, two months isn't a long time, I'll definitely cooperate."

"Dr. Fang, please just tell me how I should cooperate with you."

Seeing how cooperative they were, Fang Yan was naturally delighted.

He thought for a moment, then said to Mr. Wang:
"Since you are hospitalized, in addition to cooperating with the treatment, you need to pay attention to your diet and monitor your own condition."

"There are some things you absolutely cannot touch, such as spicy foods like chili peppers and black pepper, cold drinks like iced drinks and raw fish like sashimi, fried foods, alcohol, and coffee. Avoid them all, or they will definitely upset your stomach!"

"There are some things you have to be careful about eating, such as vegetables with too much fiber like bamboo shoots and celery, sticky glutinous rice foods like rice cakes, and things like citrus fruits and vinegar that can cause acid reflux. If you really crave them, you can only have a small bite."

"I recommend that you eat more foods that nourish your spleen and stomach. For staple foods, choose millet porridge, yam porridge, or pumpkin porridge; for protein, eat steamed fish or egg custard, which are easy to digest and nutritious; for vegetables, eat carrot puree or winter melon soup, which can clear heat and remove dampness."

"For extra meals, you can mix some lotus root powder, which is good for stopping bleeding, or soak some monkey head mushroom powder, which can be used as a 'protective film' for the gastric mucosa."

"In short, remember two principles when eating: First, eat small, frequent meals, about 5 or 6 a day, and don't eat too much at each meal, just eat until you're half full. Second, chew slowly and thoroughly, chewing each mouthful of food at least 20 times before swallowing. This will make your stomach work less and allow it to recover more quickly!"

Upon hearing Fang Yan finish speaking, Wang Jin quickly instructed his assistant to write down all the precautions Fang Yan had just given him.

Then the dialect was repeated.

After saying that, Fang Yan continued:
"Besides what you eat, you should also pay more attention to changes in your body!"

"First of all, it's about the stool; I have to check its color and shape every day."

"If you find that your stool is black, like tar, you should tell the medical staff immediately, as this may be a sign of stomach bleeding. If your stool is loose and unformed, or you have not been able to pass stool for several days, you should also remember to tell the medical staff or me during morning rounds."

"You also need to remember how your stomach feels. Is your stomach bloated usually? If it is, rate it on a scale of 1 to 10. 1 point is mild bloating, and 10 points is unbearable bloating."

"In addition, you should also pay attention to the frequency of stomach pain. You need to know how many times a day it hurts and how long each pain lasts."

"Most importantly, if you suddenly vomit blood, experience severe abdominal pain, or feel dizzy, lightheaded, or break out in a cold sweat, don't hesitate to contact the doctors and nurses in the inpatient department immediately!"

"Don't delay for a moment, these are all warning signs, we must deal with them immediately!"

After he finished speaking in dialect, the person on the other end nodded repeatedly.

Mr. Wang spoke in the dialect:

"Okay, I've written it down."

After waiting for the assistant to finish taking notes, Fang Yan continued:
"Finally, there were some reminders about daily routines."

"Half an hour after your meal, don't rush to sit or lie down. Take a leisurely ten-minute walk, either in the corridor of the inpatient building or downstairs in the inpatient department. Just treat it as a walk in the neighborhood. This will help your blood and qi flow more smoothly."

"Remember, don't sit still for too long, and don't lie down all the time either, it's not good for your recovery." "Yes, yes, yes..." Mr. Wang nodded repeatedly.

Fang Yan continued:

"In addition, you must never bend over to lift things or carry heavy objects! When you exert force, the pressure in your stomach increases, which can easily cause stomach bleeding. If you want to reach something high up, ask your family for help and don't try to do it yourself."

"You also need to establish a regular sleep schedule. You must go to bed before 10 p.m. and get up around 6 a.m. This timing coincides with the flow of the spleen and stomach meridians, which is especially good for nourishing the spleen and stomach. Between 11 a.m. and 1 p.m., even if you don't fall asleep, you should lie in bed for half an hour. This is when the heart meridian is dominant, which can nourish the heart and spleen and greatly help the body recover!"

Having said all that, Fang Yan had basically covered everything he wanted to say. The reason he went into so much detail was that this "dilapidated house" was truly a dangerous place to live. He had vomited blood five times and frequently had black stools, making it even more dangerous than the last time he treated that veteran with stomach cancer. (See Chapter 725)
If he were in better health, there would be plenty of ways to use dialects.

Fang Yan said to Comrade Lao Wang again:

"Taking medication on time is fundamental, but dietary moderation and relaxation are key to a complete cure. For the next two months, we'll care for your stomach like we would an antique porcelain piece, handling it with utmost care at every step. Remember: stomach problems require 30% treatment and 70% maintenance. With this two-pronged approach, we're sure to repair your stomach completely!"

Listening to this from the side, Lao Fan felt that this was not just a doctor's order of love, but rather like protecting an old cultural relic, with care evident in every detail.

However, Wang Jin and Mr. Wang could also sense how earnestly Fang Yan was speaking.

Even if other doctors are wealthy, their medical instructions are not as detailed as those given in dialects.

I just gave them a couple more reminders than others.

This was the first time they had ever seen such a responsible attitude from Fang Yan.

It felt more like a close relative was doing their best to treat the patient.

Although it did take a lot of money to invest back, investments always pay off; they're not just thrown away. Besides, the dialect doesn't owe them anything.

To say you're not moved by someone who's gone to such lengths would be somewhat heartless.

But then something awkward happened.

They had prepared a red envelope beforehand, but now that Fang Yan is being so dedicated and responsible, and considering that he will be receiving treatment here for another two months, this red envelope seems a bit ridiculous.

After thinking for a moment, Wang Jin said to Fang Yan:

"Dr. Fang, I don't know how to repay you for your trouble. I came in a hurry this time and didn't bring you a gift. Well, I'm an investor. Although I've already discussed two investment projects with Director Liao, I feel that I can invest in some other things."

"So, what do you want me to invest in?"

Fang Yan was somewhat taken aback; this had truly caught him off guard.

He confirmed:

"You mean you want me to suggest an investment direction?"

Wang Jin said:

"Yes, I will invest whatever you say, and the amount will not be less than the previous two projects."

"I'll invest my money no matter what you say, no matter how outrageous it is."

"..." Fang Yan was speechless.

Do I seem like an unreliable person?

He tore off the prescription and said:

"This is a bit sudden, let me think about it."

Wang Jin said with a smile:

"It's okay, you can take your time to think about it. There's no rush."

"You can even give this opportunity to your superiors. I will explain it to them and make sure they give you credit."

Fang Yan cupped her hands in a respectful gesture towards him:
"You're too particular."

Wang Jin said:

"No, no, it's not that I'm particular, it's that I feel your sincerity and want to be friends with you."

He paused after speaking, then added:

"Before coming here, I heard that the eldest wife of the Huo family had been cured of her illness by you and had long since recovered and been discharged from the hospital. To express their gratitude, the Huo family set up a special fund to support traditional Chinese medicine."

“I was thinking that if you find investing too troublesome, I could also create a similar fund, just with a different name to differentiate it.”

At this point, he stated with considerable confidence:
"To be honest, my abilities are no less than those of the eldest branch of the Huo family. If I can help more traditional Chinese medicine practitioners in this way, it will be a meaningful good deed."

Upon hearing this, Fang Yan's mind quickly began to analyze the situation.

Option one is to let the dialect specify an investment direction. Now is really like before the reform and opening up. The country desperately needs these investment projects. They are trying to attract people to invest. These projects have all been planned by experts from their think tank. There are just too many projects in the whole country that need investment.

If the dialect agrees to this plan, it will undoubtedly be another contribution to the country.

Wang Jin also demonstrated absolute trust and respect for Fang Yan here, practically sparing no expense to improve Fang Yan's image in front of his superiors.

Of course, dialects can also be used to promote areas of personal interest, such as medical technology research and development.

However, if the project fails, his relationship with Fangyan will basically end there.

Of course, if the dialect isn't chosen, it would be equally awkward if the leader found out.

Therefore, the best-case scenario is:

Choose now, before you leave this room, to avoid any unforeseen complications.

The fewer people who know about this, the better.

Option two is familiar to us; it involves establishing a fund to support traditional Chinese medicine.

This has significant social benefits and aligns with the public welfare nature of the medical industry.

In addition, there are already successful cases involving the Huo family, and the model is mature.

Choosing now can avoid disputes over conflicts of interest.

However, the fund requires long-term management, which will definitely increase Wang Jing's operating costs. Of course, Fang Yan believes that he has the ability to manage it.

In addition, like the Huo family's foundation, short-term returns are not immediately apparent, and one must patiently wait for the social value to become apparent.

The fund can provide targeted support for the training of TCM talents, such as scholarships for young physicians, the collation of endangered ancient books, research on folk remedies, and various medical techniques of Daoist medicine.

In addition, there are donations of medical equipment to grassroots communities, such as acupuncture and moxibustion tool kits being sent to rural areas, as well as the popularization and promotion of traditional Chinese medicine knowledge. In the long run, the foundation is even better, as it can improve the overall level of the traditional Chinese medicine industry.

Therefore, Fang Yan believes that establishing a TCM support fund is a better choice, as it avoids conflicts of interest, amplifies social value, and creates a dual positive image for both the Wang Jin family and Fang Yan.

Fang Yan, having thought this through, stopped worrying and said to Wang Jin:

“Mr. Wang, I understand your good intentions, but treating patients and saving lives is a doctor’s duty. If my advice leads you to invest outside your area of ​​expertise, it would be a betrayal of your trust.”

"The inheritance of traditional Chinese medicine is a great undertaking for generations to come. I think it would be better to turn this fund into a lamp to illuminate the path for more successors. Let's work together to run this 'fund' well and let the wisdom of our ancestors benefit people all over the world. This is the true merit!"

Upon hearing this, Wang Jin laughed loudly:
"Haha! I think Dr. Fang's words make sense too. Let's set up a fund to support traditional Chinese medicine."

Then he thought about it:

"Since the Huo family's fund is called the 'Dialect Traditional Chinese Medicine Development Fund,' how about we call ours the 'Qihuang Inheritance Dialect Fund'?"

Qihuang Dialect Heritage Foundation?

The name sounds a bit strange to people in this dialect.

He thought for a moment and said to Wang Jin:

“Mr. Wang, the name ‘Qihuang Dialect Heritage Foundation’ sounds like a research fund for various local dialects, which may cause misunderstandings.”

“I have an idea – how about calling it the ‘Qihuang Xin Huo Fund’, meaning ‘passing on the torch’? You’re investing in the future of traditional Chinese medicine, which means the torch of traditional Chinese medicine will be passed on.”

Wang Jin stated:
"But your name isn't on it, that won't do."

Mr. Wang, who was standing nearby, heard this and said:
"Oh, that's easy. Just set up sub-projects. For example, the program to fund advanced training for young doctors can be called the Dialect Traditional Chinese Medicine Talent Program, and the program to support research in traditional Chinese medicine can be called the Dialect Traditional Chinese Medicine Research Project."

"This method is much more convenient than the Huo family's. They decided on the name from the beginning: Development Fund, which means it can only do development-related things. But what if they want to do something else?"

Wang Jin initially nodded as if he suddenly understood, then asked with a puzzled look:

"What else is there besides development?"

Mr. Wang said:

"Well, there are many. For example, we invite famous TCM masters to give lectures, just like the professional managers we train, to popularize TCM knowledge, to hold public lectures in universities and communities, and to record videos for grassroots doctors to learn from."

"You can call it the Dialect Medical Forum."

"Providing free or low-cost traditional Chinese medicine to impoverished patients, setting up designated pharmacies in rural areas, and subsidizing the price difference of medicines through a fund, is called the Fangyan Charity Pharmacy."

"Providing assistance to patients who suddenly fall seriously ill and are unable to pay for treatment is called dialect emergency relief..."

“There are many of these things. Through the setting of multi-dimensional sub-projects, the ‘Qihuang Passing on the Torch’ Fund can cover both the ‘highbrow’ and ‘lowbrow’ aspects of the inheritance of traditional Chinese medicine, while also promoting industry upgrading through innovation.”

"This 'sky-high and ground-level' design is far more strategically valuable than a single development fund."

Fang Yan listened to Mr. Wang's eloquent speech and thought to himself that he truly deserved to be called a big shot in professional manager training; his vision and perspective were indeed different.

Wang Jin also showed a look of sudden realization.

"I admire you!" Even Old Fan, who was standing to the side, sincerely bowed to Mr. Wang.

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

There will be an extra chapter later.

(End of this chapter)