Rebirth 1977 Great Era

Chapter 947 The consultation was a favor, but the illness has relapsed? (Two chapters combined)
Seeing the somewhat surprised look in his eyes, Yuan Qingshan immediately understood that Zheng Liming wanted Qin Kang, the head of ophthalmology, to diagnose him.

Yuan Qingshan had to explain:
"Secretary Zheng, who is this...?"

Just as they were saying this, Yuan Qingshan was slapped on the shoulder, and then Qin Kang said:
"This is Dr. Fang from the Department of Traditional Chinese Medicine at our hospital. After he examines you, I will examine you, and then we will consider the treatment plan comprehensively."

Yuan Qingshan wasn't stupid either. He immediately understood that since Zheng Liming didn't know the dialect, they should just leave it at that and wait until the dialect diagnosis was done before making any decisions.

Regardless of whether it can be cured or not, Fang Yan will be able to get away with it.

So Yuan Qingshan nodded and said:
"Yes, yes, we'll have a traditional Chinese medicine doctor examine you first, and then a Western medicine doctor."

Upon hearing this, Zheng Liming smiled and said:

"Peking Union Medical College Hospital is so particular about this. Actually, for me, traditional Chinese medicine and Western medicine are the same. As long as I can be cured, that's fine."

Fang Yan said to Zheng Liming:
"Come on, tell me where you feel unwell."

Zheng Liming thought for a moment and said:
"I've noticed that my eyes are constantly producing discharge lately, my vision is getting increasingly blurry, and my eyesight is not as good as before. If I stare at documents or books for too long, my eyes and head start to hurt, and I also feel dizzy in waves."

"Moreover, my mouth always feels bitter, my throat is dry and uncomfortable, and my ribs ache from time to time."

After saying that, he added:
“My father had this condition when he was still alive, but we didn’t have the means to get it checked back then. A few years ago, my older brother had the same condition. After a check-up at the hospital, he was diagnosed with ‘white spot retinitis’.”

“I knew it must be related to our family’s genetics. Then I went to the city hospital in Changzhou for a checkup and found that it really was. Ugh, thinking about this makes me really upset.”

After saying this, he sighed:

"This thing is so torturous. What you can see gets narrower and narrower, like there's a barrier in front of your eyes. It slowly shrinks every day until you can't see anything at all."

Fang Yan nodded and then began to observe. Zheng Liming's face was yellowish-red. His eyes looked normal, but there was a lot of eye discharge. In just a short while, yellowish-white discharge appeared in the corners of his eyes.

Fang Yan didn't notice when he arrived, but while he was talking, he blinked and tears started to secrete from the corners of his eyes.

This indicates that there is excessive internal heat in the body.

In addition, his lips were very red, almost as if he were wearing lipstick.

Fang Yan already had a guess in his mind.

Then, Fang Yan said to Zheng Liming:
"Secretary Zheng, stick your tongue out so I can see it."

Zheng Liming stuck out his tongue and examined it closely. The tongue was red with a yellow coating and was slightly dry, looking more like a piece of sandpaper than a tongue.

Fang Yan then said to Zheng Liming:
"Secretary Zheng, please extend your hand so I can take your pulse."

Upon hearing Fang Yan's words, Zheng Liming glanced at Yuan Qingshan and then did as he was told.

Then Fang Yan began taking the pulse, and Zheng Liming also started talking:

"Young man, you sound quite young. Working at Peking Union Medical College Hospital at such a young age?"

Fang Yan glanced at Zheng Liming and said with a smile:

"I'm on temporary assignment, not a permanent position."

Upon hearing Fang Yan's words, Zheng Liming gave him a knowing look.

Then he asked Fang Yan with great interest:

"Then your master must be very powerful, right?"

Fang Yan thought for a moment and said:

"Yes, the Central Health Care and Medical Group."

Zheng Liming sighed:
"Wow, no wonder! His future is limitless!"

Fang Yan said with a smile:

"Lend your auspicious words."

Qin Kang and Yuan Qingshan, who were standing around, were really scratching their heads. They knew the truth and could tell how misleading the words were, but the key point was that the dialect they were speaking was telling the truth.

Zheng Liming said with a smile:

"Haha, Xiao Yuan, did you see that? You have to work hard too! You can't let Changzhou people down."

Yuan Qingshan nodded awkwardly:
"Of course! Don't worry, Secretary Zheng."

After saying that, he reminded Zheng Liming:
"Please don't speak yet, it will affect the accuracy of the pulse diagnosis."

Zheng Liming nodded, feeling that this young doctor spent far more time taking pulses than others.

After examining one hand, they began examining the other.

Zheng Liming didn't know why it was taking so long; he was just looking forward to the Western medical examination later.

After completing the diagnosis, Fang Yan stood up, not mentioning Zheng Liming, but instead addressed Qin Kang, saying:

"Director Qin, I've finished my examination here, please come over."

Qin Kang knew immediately that Fang Yan didn't want to discuss the patient's condition in front of him, so he nodded and said to Fang Yan:

"Then I'll do it."

Then he said to Zheng Liming:
"Secretary Zheng, you've already had a physical exam, but the results aren't out yet. I'll just ask you a few simple questions."

Zheng Liming nodded upon hearing this. Fang Yan had taken a while earlier, and now he was eager for Qin Kang to make a faster diagnosis.

Next, Qin Kang asked some simple questions about issues that Western medicine practitioners need to pay attention to.

For example, ask:
Have you ever experienced flashes of light, a sudden increase in floaters, or a fixed dark shadow in your field of vision?

This is to check for signs of retinal detachment.

For example, when asked Zheng Liming:
"How far have your father's and elder brother's conditions progressed? Have you kept records of the rate of change in their vision or any complications?"

Are there any other relatives in the family who have similar symptoms? For example, cousins ​​or children?

These are all supplements to confirming family medical history.

Do you have high blood pressure, diabetes, or an autoimmune disease?

These are other underlying conditions that may accelerate retinopathy.

There are also inquiries:

Have you recently experienced fatigue, weight changes, or other systemic symptoms?

This is to check for the influence of metabolic diseases.

Next comes the inquiry about lifestyle habits and drug allergy history.

Finally, he checked the condition under Zheng Liming's eyelids.

Fang Yan and Yuan Qingshan watched the whole thing. Fang Yan was able to understand Qin Kang's intentions, but Yuan Qingshan was completely confused.

After completing the inspection, Qin Kang stood up and said to Zheng Liming:
"Secretary Zheng, let's go outside and discuss this first, summarize the information we've gathered, and organize our treatment recommendations. You can rest now."

Zheng Liming nodded, indicating that Qin Kang and Fang Yan should go ahead.

Then Qin Kang, Fang Yan, and Yuan Qingshan walked out of the ward.

He had only taken a few steps when Zheng Liming's secretary, who had come to Beijing with him, caught up with him.

He said to them:

"How is Secretary Zheng doing? I'm his secretary. You can tell me about any discoveries you make and any subsequent treatment plans."

Fang Yan asked Qin Kang:

"Director Qin, how is it?"

Qin Kang glanced at the secretary who had followed him and said:

"This is a typical case of white spot retinitis. The onset has been going on for some time. Based on my assessment, it is most likely caused by genetic factors."

"Fortunately, his development is relatively slow."

"The lesions are mainly distributed in the right eye. The left eye is relatively normal, although it also has lesions, just fewer in number."

After he finished speaking, he asked in dialect:

"And what about you? What do you say?"

He said in dialect:

"Huang Ze's complexion is yellowish-red, his eyes appear normal, but he has a lot of eye discharge, his lips are red, his tongue is red, his coating is yellow and slightly dry, and his pulse is wiry, thready, and rapid."

"In traditional Chinese medicine, we believe this condition is caused by the patient being affected by various emotions over a long period of time, such as happiness, anger, worry, anxiety, sadness, fear, and fright. This disrupts the flow of Qi in the body and obstructs blood circulation, preventing the body's essence from nourishing the eyes. In addition, the stagnation of Qi in the liver also generates liver fire. This liver fire rushes upward and damages the meridians of the eyes, which are the openings of the liver, resulting in blurred vision."

Qin Kang asked:

"What is this disease called in Traditional Chinese Medicine? Is there any way to treat it?"

Fang Yan explained to him:

In traditional Chinese medicine, this is called "blurred vision, which can lead to night blindness over time."

Qin Kang asked curiously:
"Such a long name?"

Fang Yan said to him:
"Actually, it is two stages of the disease. The 'Standard for Diagnosis and Treatment of Miscellaneous Diseases' mentions that 'there are no other symptoms inside or outside the eyes, but one's vision is blurred and unclear,' which describes the characteristics of blurred vision."

"The name 'blue blindness' was first recorded in the Shennong's Classic of Materia Medica. The Treatise on the Causes and Symptoms of Various Diseases records 'blue blindness,' describing its characteristics as: 'The eyes are not different, the pupils are clearly black and white, but one cannot see anything.' Because this disease is relatively rare, there are not many records in ancient times. Of course, our traditional Chinese medicine has been around for thousands of years, and there are still treatments available."

Upon hearing this, Qin Kang said:
"Does that mean there's a cure for this disease?"

Fang Yan nodded:
"Well, since we can identify the root cause of the problem, let's start by addressing the root cause of his illness."

"In terms of treatment, it is appropriate to take medicine that clears liver heat and improves eyesight at the beginning, followed by medicine that can regulate the liver and harmonize the spleen, while also using medicine that can unblock the meridians and improve vision."

"I don't think his condition has progressed particularly seriously, so now is a good time to start treatment."

Hearing that dialect could come up with a solution, Qin Kang was truly impressed.

Speaking in dialect:
"Okay, I'll transfer him to your side right now."

Dialectal wave:
"No, I'm here right now. I'm here for a consultation."

"Besides, the patient trusts you, and since I can't fit everything on my side, I'll treat him here!"

Fang Yan wouldn't steal anyone's place; she came here to help. Let Qin Kang from the ophthalmology department handle it himself.

Anyway, I'm just helping Yuan Qingshan, so it doesn't matter where the patient is or what dialect they speak.

Qin Kang was also a little excited when he heard Fang Yan say this. If it could really cure the disease, it would be a breakthrough in ophthalmology.

He said:
"Alright, you prescribe the medicine, I'll take care of it."

"Okay." Fang Yan nodded.

Then Fang Yan took out paper and pen and began to write.

Everyone saw that he had written a prescription in his notebook:

栀子15g、黄连15g、生地20g、车前20g、蒲公英50g、草决明30g、菊花20g、蝉蜕15g、蒺藜20g、木贼20g、茺蔚子20g、甘草10g。

Decoct in water and take orally. One dose is decocted twice, and the resulting liquid is 300ml. Take it warm twice a day, morning and evening.

The patient was prescribed 10 doses of medication.

After writing down the dialect, he handed it to Qin Kang and said:
"The prescription I wrote mainly uses herbs such as gardenia, coptis, and dandelion to clear the fire in the liver, while combining them with rehmannia to nourish the body and replenish yin fluids, so as to clear the fire while conditioning the body at the same time."

"In addition, plantain seeds can be used to guide the rising fire downwards; cicada molts and horsetail can disperse the wind-heat on the body surface, reducing the internal fire from multiple angles. Leonurus japonicus seeds can promote blood circulation and clear the meridians around the eyes, specifically targeting the problem of retinal blood vessel damage."

"This formula can not only relieve symptoms that are difficult to treat with Western medicine, such as irritability and bitter taste in the mouth, which are signs of excessive liver fire, but also improve blood circulation in the retina of the eye through the blood-activating effect of Leonurus japonicus, thus helping to restore vision."

"After 10 doses, we'll adjust the dosage based on the situation. If there's improvement, we'll reduce the proportion of bitter and cold herbs and increase the yin-nourishing and blood-tonifying components... Anyway, just come to me when the time comes."

Qin Kang took it, nodded, and said:

"Okay, then drink ten doses as you wish."

Fang Yan said to Qin Kang:

“These past few days I’ve had Qingshan come over to check on the patients in the mornings. He and Secretary Zheng are from the same hometown and have known each other before. Is it alright for him to show concern for a fellow townsman?”

"Of course, no problem," Qin Kang said with a smile.

After saying that, he glanced at Yuan Qingshan.

Although I don't know why Yuan Qingshan is so valued by the dialect, it's always good to build a good relationship for now.

Then I talked to Yuan Qingshan about the precautions for ward rounds here.

There are some differences between ward rounds in ophthalmology and traditional Chinese medicine. Ophthalmology ward rounds are data-driven and prioritize emergencies, while traditional Chinese medicine ward rounds are centered on syndrome differentiation and emphasize holistic treatment.

When Yuan Qingshan came to check on patients, he naturally used a traditional Chinese medicine approach. However, he needed to avoid other patients, otherwise, if a traditional Chinese medicine practitioner suddenly appeared in the ophthalmology department, the other patients would start to have doubts.

After reaching an agreement, the matter was concluded.

The next step is to see if Secretary Zheng recovers as predicted in the local dialect after taking the medicine.

Then Fang Yan and Qin Kang said goodbye and returned to their traditional Chinese medicine ward.

Old Fan was already waiting here. He hadn't come earlier mainly because he couldn't find Fang Yan and the others. As soon as he saw them return, he immediately asked what had happened.

Fang Yan suggested that Yuan Qingshan tell Lao Fan to satisfy his curiosity.

He went to check on the four people who were hospitalized today. The first two had already started taking their traditional Chinese medicine.

The last two are not yet available.

One of them also needs to take medicine while receiving acupuncture.

After Huang Hongying applied nasal fumigation, her nasal breathing improved. There were no other significant changes, but she felt that it was effective. Her attitude was much better than when she was admitted to the hospital, and now she is focusing on cooperating.

There's also Yuan Yao's summer heat syndrome combined with internal damp-heat.

She reported that her abdominal bloating was reduced and her dizziness was slightly relieved after taking the medication.

Dialect examination revealed that her white and greasy tongue coating had slightly decreased, and the deep and slippery pulse was becoming milder, indicating that the dampness was gradually being resolved.

Currently, her emotions are more stable than before, and she no longer complains of feeling tired.

Next up are two slightly more serious cases.

One of them was Zhang Si, who suffered from the aftereffects of carbon monoxide poisoning, with phlegm and blood stasis obstructing her orifices.

There was also an old Mr. Wang, Wang Shusen, who suffered from anastomotic stomatitis accompanied by recurrent gastric bleeding, along with a whole host of other ailments.

Just then, Zhang Si's medicine arrived, and Fang Yan asked Lao Fan, who was chatting enthusiastically:

Should I insert the needles or should you do it?

"Me! Me! Me!" Old Fan immediately abandoned Yuan Qingshan and ran to Fang Yan.

As for needling, as long as he can get Fang Yan to do it, and it's not like he's using the Three Talents Needle or the Thirteen Ghost Needles, it's just a basic needling technique, with only twelve needles.

Next, upon arriving at the room, we found the Zhang family already waiting for us.

Fang Yan greeted them.

Tell them:

"Now let Dr. Fan administer the acupuncture first, and then you can take the medicine."

They had no objection to what Fang Yan said, since they had already placed their hopes for their daughter's recovery in Fang Yan's hands.

Fang Yan handed the medical record to Lao Fan and said:

"Let's insert the needles."

Old Fan glanced at the acupuncture points above and then began the procedure.

There are a total of five groups of twelve needles.

Corresponding to:

It can awaken the mind and open the senses, promote blood circulation and remove blood stasis, resolve phlegm and eliminate dampness, strengthen the spleen and consolidate the foundation, and regulate the Qi mechanism.

He arrived at Hegu from Baihui (GV20) late.

After the twelve needles were inserted, sweat beaded on Lao Fan's forehead.

At this moment, Fang Yan noticed that Lao Fan's hands were trembling. He frowned slightly, recalling the matter of the illness rising upwards.

"Are you alright?" Fang Yan Lao Fan asked.

Old Fan waved his hand, wiped his sweat, and said:

"I was hungry."

"..." Fang Yan was speechless.

"We have some snacks here, please have some." Mrs. Zhang saw this and quickly took out a box of delicate pastries and handed it to Old Fan.

Old Fan smiled and said:
"Then I'm welcome."

After saying that, he picked up a piece and put it in his mouth, chewing as he said to the nurse:

"Give Miss Zhang her medicine."

The nurse agreed and began to administer the medication to Ms. Zhang as instructed, during the period when the needle was in place.

Ms. Zhang did indeed swallow after feeling the food being fed to her mouth.

In no time, he had drunk the whole bowl of medicine.

At this moment, it was noticeable that Ms. Zhang's muttering to herself had decreased in frequency compared to before.

His vacant gaze would occasionally twitch slightly, and the hand gesture he had been using to hold his head was now gone, replaced by gripping the bed.

Seeing this, Mr. and Mrs. Zhang said somewhat excitedly:

"Things have really changed!"

Fang Yan said to them:

"This is normal. Keep your voices down and don't get excited or upset her."

"Okay, okay, thank you Dr. Fang, thank you Dr. Fan!"

"Oh, by the way, Dr. Fan, you can take this box of pastries."

"Thanks!" Old Fan didn't stand on ceremony and took it directly.

Fang Yan sensed something was off about this guy, so he spoke to the nurse and Yuan Qingshan, saying:
"You stay here and watch over them. When the time is up, help us remove the needle. We're going to the next ward."

"Okay, don't worry, Brother Fang!" Yuan Qingshan replied to Fang Yan.

After saying that, he realized he had made a mistake and quickly corrected himself:
"Don't worry, Director Fang."

Dialectal wave:
"Hey, that's fine, there's no need to be so particular."

Then, Fang Yan said to Lao Fan:

"Let's go."

Old Fan said with a smile:

"My leg is cramping a bit, help me up."

Fang Yan knew something was wrong as soon as he heard it, and immediately helped Lao Fan walk outside.

After they went outside, Fang Yan asked him:
"What's wrong?"

"I got a cramp," Lao Fan said, pointing to Fang Yan's leg.

Fang Yan touched it and found that it really was cramping.

So he quickly used Luo's bone-setting technique to relax him, and said:

"I thought your illness had caused a reversal of the natural flow of qi."

"Phew..." After Fang Yan rubbed and pinched his feet a few times, Lao Fan felt much better.

Then he said to Fang Yan:

"I felt a little uncomfortable when I was getting the last two injections. I don't know if the girl was conscious, but we made eye contact, and then I felt a chill creep up the back of my neck, and all the hairs on my body stood on end."

Fang Yan was both amused and exasperated, and asked:
"So, you were scared?"

Old Fan said, somewhat bewildered:

"I don't know either, but she glanced at me just now, which made me feel a little uncomfortable."

He said in dialect:

"Then another doctor will administer the acupuncture."

Upon hearing this, Lao Fang quickly waved his hand:

"No, you're just taking someone's money to solve their problems."

He said in dialect:

"You didn't take his."

Old Fan stroked his chin and said:

"I think it's because I haven't looked a woman in this close eye for a long time that I'm a little nervous. Have you ever heard of butterflies in your stomach?"

"Let me continue with the needles, I want to challenge myself."

"..." Fang Yan was speechless.

He patted him on the shoulder:

"Okay! If I can't win over a rich woman, I'll win over a rich second-generation heir."

Old Fan said:

"I'm not interested in that girl. I just want to try again and see if the same thing happens."

Fang Yan thought for a moment and said:

"You're probably suffering from an upward flow of illness..."

Fang Yan suspected that he was just slow to notice, which was why he hadn't realized it.

And the needles used just now were ordinary silver needles.

Fang Yan said to him:
"Use your golden needles next time, don't try to save time."

Old Fan thought about it and realized it was true, and nodded:

"Okay, it's up to you."

After saying that, he opened the lid and handed the pastry to Fang Yan:

"Want one?"

Fang Yan shook his head:
"Keep it for yourself."

Just then, the nurse who was delivering the medicine arrived again; it was the last medicine for Mr. Wang.

Fang Yan said to the nurse:

"I'll take this patient."

The nurse nodded in agreement and handed the medicine to Fang Yan.

Then Fang Yan went to Mr. Wang's ward.

"Dr. Fang is here!" Despite his serious illness, Mr. Wang neither lay down nor sat down, but walked around the room chatting with his son-in-law Wang Jin, who was sitting on the sofa.

He was the first to greet people after seeing their dialect.

This person is quite an oddball.

It looks very weak, but it can still bounce around quite a bit.

Fang Yan said to him:
"The medicine is ready and the temperature is just right. After you drink it, get ready to have lunch. Eat small, frequent meals, and then take a walk."

Mr. Wang nodded, picked up the bowl, and began to drink it in small sips.

He drank the medicine prescribed by Fang Yan in no time.

"Burp!" He let out a burp, then put down his bowl and said to Fang Yan:

"Looks like I won't be able to have lunch."

"However, after drinking the medicine, I burped and felt like my stomach wasn't bloated anymore."

Wang Jin was somewhat surprised when he heard this:

"So fast?"

Mr. Wang touched his stomach and confirmed:
"Yeah, that's true, it hasn't increased at all."

After saying that, he ran to the sofa and sat down to feel the sensation in his stomach while sitting.

"It's not going up either!"

Mr. Wang was puzzled.

He then lay down again in a position that he knew would have made him uncomfortable, and felt the sensation in his stomach.

"Hmm, I can feel it now, but it's not very strong."

He stood up and said to Fang Yan:

"Dr. Fang's medicine is truly miraculous!"

Wang Jin turned to look at Fang Yan in surprise; he really hadn't expected it to be so effective.

He had already decided on the investment amount, but now he suddenly wants to add some more.

If it's really that amazing, then traditional Chinese medicine, which has been passed down for thousands of years in China, has a truly great potential in the world!
PS: The basic chapter of 6000 words has been updated.

There will be an extra chapter later.

(End of this chapter)