Rebirth 1977 Great Era

Chapter 956 Aconite and Aconitum Decoction: Fighting Poison with Poison; People Come for Astragalus and Cordyceps Drink, Hearing of Its Reputation (Two-in-One Chapter)
Upon hearing the dialect, Yan Ziqiang pressed for an answer:

"Then you must have a way, right?"

As Fang Yan just mentioned, the treatment is a bit more difficult, which means there should be a way.

Sure enough, Fang Yan nodded and said:

"Yes, but I need to think about it a bit."

Yan Bin's illness was caused by long-term exposure to the cold and damp environment of a cold storage facility, which led to the obstruction of meridians by cold and damp pathogens, resulting in poor blood and qi circulation and causing joint pain and swelling.

The pathogenesis is that cold causes stagnation, dampness causes heaviness and turbidity, and cold and dampness combine to obstruct the joints; spleen and kidney yang deficiency exacerbates the retention of dampness.

Based on Yan Bin's symptoms and considering the age characteristics of pediatric patients, the treatment principle should be to warm the meridians and dispel cold, remove dampness and unblock the collaterals, and then supplement with tonifying the spleen and kidney yang.

Regarding the prescription, Fang Yan decided to use the formula from her maternal grandfather He Xiu's medical records.

That was a prescription based on the aconite decoction and aconite root decoction from the "Essential Prescriptions of the Golden Chamber".

The reputation of "Strange Prescription He" is indeed well-deserved. It is quite surprising that a prescription composed of such potent medicines could be used in a pediatric ward.

However, his medical records do show that it was indeed very effective and had no side effects.

Therefore, the dialect believes that one can "copy homework".

Moreover, Fang Yan suspected that the person who recommended him was probably his maternal grandfather's brother abroad.

Therefore, using his maternal grandfather's recipe in dialect can also convey to him that he has mastered the information about his maternal grandfather He Xiu's inheritance.

Fang Yan thought of this and then began to write down the prescription.

He wrote on the paper:

prescription:

Prepared Aconitum carmichaelii 3g, processed Aconitum carmichaelii 6g, processed Ephedra sinica 5g, raw Astragalus membranaceus 15g, stir-fried Paeonia lactiflora 12g, stir-fried Atractylodes macrocephala 10g, Poria cocos 12g, processed Glycyrrhiza uralensis 6g, 3 slices of ginger, 30ml of honey, Coix lacryma-jobi 15g, Atractylodes lancea 9g, Scutellaria baicalensis 6g, Anemarrhena asphodeloides 6g.

First decoction: Soak prepared aconite and processed aconite root in cold water for 30 minutes, then decoct them separately for 40 minutes.

Add the remaining herbs (except honey) and simmer together for 20 minutes, then extract 300ml of the decoction.

Preparation: When the temperature of the decoction drops to 60℃, add 30ml of honey and stir well.

Dosage: One dose per day, taken in two divided doses while warm.

Core prescription logic.

The principal ingredient is prepared aconite root and processed aconite root.

Functions: Warms the meridians and dispels cold, unblocks the collaterals and relieves pain. Processed aconite warms and tonifies kidney yang, targeting cold-dampness obstruction and spleen and kidney yang deficiency.

Pediatric attenuation:

The dosage is 5-9g lower than the adult standard, and it is combined with honey and licorice for detoxification.

The herbal formula is: processed ephedra plus raw astragalus.

Ephedra opens the pores to expel cold pathogens, while astragalus tonifies qi and strengthens the exterior. One disperses and the other tonifies, both expelling pathogens and preventing the depletion of vital energy.

Adjuvant:

Stir-fried white peony root with roasted licorice root: The sour and sweet flavors nourish yin, relieve spasms and pain, and counteract the drying and pungent properties of numbing and aconite.

Stir-fried Atractylodes macrocephala with Poria cocos: strengthens the spleen and removes dampness, protects the middle jiao, and is suitable for pediatric patients with spleen deficiency and dampness.

Job's tears plus Atractylodes lancea: promotes diuresis and reduces swelling, enhances the effect of removing dampness, and is effective for joint swelling.

Used medicine:

Small yellow ginger: warms the middle and harmonizes the stomach, and helps the medicine to ascend.

Honey: Detoxifies and moisturizes, and neutralizes the toxicity of aconite and prepared aconite root.

The formula is characterized by its warming and invigorating properties, while also addressing dampness: Aconitum carmichaelii and Aconitum napellus warm and disperse cold pathogens, Ephedra sinica opens the exterior, and Coix lacryma-jobi and Atractylodes lancea promote diuresis, which aligns with the principle of "treating both cold and dampness."

Pediatric safety design:

Prolonged decoction of Aconitum carmichaelii and Aconitum carmichaelii reduces their toxicity, while honey and licorice neutralize their toxicity.

White peony root, white atractylodes rhizome, and poria cocos strengthen the spleen and protect the stomach, reducing the irritation of the gastrointestinal tract by strong medicines.

A small amount of Scutellaria baicalensis and Anemarrhena asphodeloides are added to clear away stagnant heat and prevent cold-natured medicines from aggravating the obstruction, which is for patients with recurrent high fever.

After he finished writing in dialect, Jin Shiyuan and the classmates standing behind him all looked as if they had just seen something new.

The use of aconite and prepared aconite root as potent drugs in pediatrics follows a unique approach of "fighting poison with poison." The formula is combined with protective drugs such as honey and atractylodes macrocephala, which reduces the toxicity and enhances the efficacy of the potent drugs.

This formula is based on the Aconitum Decoction and Aconitum Carmichaelii Decoction in the "Synopsis of Prescriptions of the Golden Chamber". It is designed for pediatric cold-dampness pain and arthralgia. It combines the effects of warming the meridians and dispelling cold, removing dampness and unblocking the collaterals, and tonifying the spleen and kidneys in a three-dimensional way, taking into account both efficacy and safety.

The advantage is that it can closely address the pathogenesis, using these medicines to quickly dispel cold and dampness and improve joint symptoms.

However, there are also risks, namely, the toxicity of aconite and prepared aconitum must be strictly controlled when decocting the medicine, which is a test for pharmacists.

Fortunately, this is Peking Union Medical College Hospital, and the pharmacy staff should be quite skilled, so decocting the medicine shouldn't be a problem.

Professor Jin Shiyuan, who specializes in the study of traditional Chinese medicine, suddenly had the idea of ​​going to the Xiehe Pharmacy to find out more.

After Fang Yan finished writing the prescription, Professor Jin Shiyuan asked Fang Yan:

"Is this prescription going to the pharmacy next?"

Fang Yan paused, turned to look at Professor Jin Shiyuan, and then nodded:

"Correct."

"you are……"

“I’ll deliver the prescription later and check on the pharmacy while I’m at it,” Professor Jin Shiyuan said to Fang Yan.

Fang Yan immediately understood when he thought about the other person's profession.

He nodded in agreement.
"it is good."

Then Fang Yan turned to Mr. Yan and his son and said:
"There are some precautions to take when using this prescription, and you must remember them to ensure your safety."

Upon hearing this, Yan Ziqiang asked somewhat nervously:

"What...what kind of medicine is this? From what you're saying, it's dangerous?"

The dialect didn't directly say "poison," but instead said:

"Some drugs are effective quickly, but have contraindications."

"Do as I say, and I guarantee you will recover in the shortest possible time."

Upon hearing this, both Yan Ziqiang and Yan Bin nodded involuntarily.

Although I didn't quite understand, the local dialect said it works quickly.

It's normal for something to be aware of since it works so quickly, right?

Even with Western medicine, there are some precautions to take.

It should be based on a similar principle.

Fang Yan said to them:

"When taking the medicine, do not drink cold water, otherwise it may cause problems. If you experience numbness of the lips, nausea and vomiting, palpitations or difficulty breathing, stop taking the medicine immediately and inform our on-duty medical staff. They will make mung bean and licorice soup. However, we generally do not encounter this situation."

Yan Ziqiang nodded:

"Yes, I've written it down."

His son nodded to indicate that he understood.

Now, as long as he can stand up and the swelling in his hands and feet subsides, he'll do anything, except for drinking cold water.

Then, Fang Yan continued:
"In addition, avoid raw, cold, and greasy foods. During treatment, do not eat seafood, fruits, cold drinks, or fatty meat, as these can aggravate dampness."

"It is advisable to eat some warm foods, such as ginger and mutton soup, red date and millet porridge, which are beneficial to the generation of yang energy and can also speed up recovery."

Yan Ziqiang asked:
"Where can I cook in this hospital?"

Fang Yan said to him:
“You can order meals at the Yanjing Hotel. They can provide all kinds of customized services. Basically, all the overseas Chinese businessmen who are hospitalized here order meals there, and they will send someone to deliver them every day at the appointed time.”

Yan Ziqiang suddenly realized:
"Okay! Okay! That's really convenient."

Fang Yan felt like he was about to become the biggest partner of Yanjing Hotel, and the money he spent on ordering meals every day amounted to a considerable amount of foreign exchange.

They really should give themselves a bonus.

"In addition, once you start taking the medication, you must take it every day until you recover. Do not be stubborn or uncooperative."

“If this medication is stopped abruptly, the condition will rebound, and the consequences will be even more serious than they are now.”

Upon hearing this, Yan Bin immediately stated:

"Dr. Fang, I will definitely cooperate!"

Fang Yan continued:

"This disease requires about a month of treatment. You should start sweating after taking the medication, which is normal, so don't panic. Once you stop sweating, you will feel the urge to urinate, and the pain and swelling in your joints will lessen. At this point, you can start light activity."

"However, you should avoid strenuous activities during this time. Just do some simple flexion and extension exercises. Do not force yourself to exercise and cause secondary damage to your joints."

"I will let you know when you are able to exercise."

"Okay." Yan Bin nodded in agreement.

Fang Yan then continued:
"During the initial treatment, contact with cold water should be avoided. For example, when washing hands or wiping the body, warm water should be used. Also, after the patient is able to move, it is forbidden to walk barefoot. In addition, when sleeping at night, knee pads and wrist supports should be worn to prevent the joints from getting cold."

"There are some recreational items in the room, such as a radio and various magazines, which can improve your mood. Maintaining a happy mood is also very beneficial to your condition."

"Your family members should remember to report to the on-duty doctor every day on the patient's reaction to the medication, joint mobility, appetite, and bowel movements. This is very important for our treatment."

"Understood!" Yan Ziqiang nodded and wrote everything down.

"Alright, you can go and complete the admission procedures now. The medicine will be prepared and delivered to your ward later. You will drink it at noon today, and you will have another dose before dinner tonight," Fang Yan said to them.

The Yan father and son agreed. Yan Ziqiang took a large backpack from his assistant, placed it directly on the table, and said:
"I brought some of our local specialties with me when I came."

"This is our company's high-end custom-made smoked salmon gift box, made with oak cold-smoking technique and handmade packaging, making it a very popular gift for friends."

Although I don't understand the dialect very well, it sounds quite sophisticated.

"It's so thoughtful of you to bring this all the way here," Fang Yan said to them.

Yan Ziqiang said to Fang Yan:

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

Fang Yan nodded.

Then, just as the other party was about to leave, Fang Yan called them back.

"By the way, what's the name of the doctor who recommended you here, Dr. He? How did he find out about me?"

Yan Ziqiang said:
"Oh, that old Chinese medicine doctor's name is He Ran. He said he saw you in the newspaper."

Fang Yan stroked his chin and asked:

Did he mention anything else? Like, who in my family he knows?

Yan Ziqiang shook his head:
"That's not true."

After he finished speaking, he added:
"Oh, but he said he'll be back in a while."

Fang Yan was taken aback and asked:

"When?"

Yan Ziqiang looked thoughtful and recalled something, then said:

"I'm not too sure about that, maybe it's summer?"

Fang Yan nodded: "Okay, thank you."

Yan Ziqiang said:
"Then let's go."

"Okay, take care." Fang Yan nodded to them.

After everyone left, Jin Shiyuan, who was standing to the side, asked Fang Yan:

"what happened?"

Fang Yan didn't hide anything from him, saying:

"I feel that this He Ran might be my maternal grandfather's brother."

"I'll have to ask my mom or my uncle to know."

"He Ran... the name sounds familiar," Jin Shiyuan muttered.

However, he tilted his head and thought for a long time, but still couldn't remember.

I had no choice but to speak in dialect:

"The name sounds familiar, but I can't quite place it. I'll ask someone else later."

The dialect responded:
"Okay, thank you, Professor Jin."

Next, Fang Yan tore off the prescription and handed it to Professor Jin Shiyuan:

"Then I'll trouble you to make the trip."

He smiled and waved his hand:
"Oh, what's the trouble? I was just about to go and take a look. I can't even get in the door without this note."

After saying that, he walked straight outside, calling out to the next person in the same direction:
"You can go in."

Then the second patient was also brought in in a wheelchair.

Fang Yan noticed that the wheelchair was the same model as the one Yan Bin had used earlier.

Upon closer inspection, well, it's also from Britain.

This time, however, the patient was a middle-aged man in his fifties.

The people who brought him there were his wife, son, and daughter-in-law.

Fang Yan had seen their son at a banquet last time.

His surname was Chen, and his given name was Chen Shi.

They were in the business of supplying Chinese restaurants. In 1970, they founded Shi Cheng Hang, which mainly sold Chinese food and goods. Their customers were mainly Chinese restaurant owners and Chinese people. By 1978, they had opened a branch in Manchester and continued to expand their business.

He came back this time to bring his father to see a doctor.

As usual, she greeted Fang Yan as soon as she came in, and then began to explain her father's condition.

“My dad has chronic high blood pressure and bronchitis. He often complains of dizziness, irritability, and a bad temper. He also coughs up phlegm all the time.”

“On the 7th of last month, after he took a shower, he suddenly couldn’t move the right side of his body. He was also trembling in waves, unable to stand steadily, and his speech was slurred. His mouth was also crooked to the left.”

"The hospital diagnosed him with a stroke and recommended surgery, but he absolutely refused, saying he wanted to seek treatment from a traditional Chinese medicine doctor. However, it's not easy to find a traditional Chinese medicine doctor in our area, so we went to Hong Kong to look for one. We had already made contact with a doctor, but then we heard that many overseas Chinese businessmen were returning to China for medical treatment, so we inquired about you and learned about your information. We also learned that you have a formula for treating strokes that has won an award, so we came back."

“It wasn’t this serious before, but this morning his condition suddenly worsened, and his face is even more affected. We took his blood pressure over there, and it was 170/80. He’s still conscious and can cooperate with the examination, but he can’t use his right side at all, he can’t move it, and he can’t speak now.”

He suffered a stroke, resulting in hemiplegia and aphasia.

This time, we've found the right person. If the symptoms are right, then the prescription from the master of traditional Chinese medicine, Huangqi Chongteng Decoction, should be able to solve the problem. However, the problem arose while he was taking a bath, so it might be a case of phlegm-heat accumulation in the intestines. Some of the herbs in the original Huangqi Chongteng Decoction prescription need to be adjusted.

Fang Yan said to them:

"Let me take Mr. Chen's pulse first, and then I'll look at his tongue."

Then Fang Yan picked up the flashlight, went to Chen Shi's father, and asked him to open his mouth so he could look at his tongue.

At this point, the tongue can no longer move, and the dialect can only be spoken by shining a flashlight inside.

The tongue is red with a white, greasy coating.

Then Fang Yan took his pulse on both hands and found that it was wiry and rapid.

The symptoms are obvious and very easy to diagnose.

Combining what they had said before, Fang Yan said:

"Mr. Chen's condition is due to long-term stagnation of heat in his liver. The heat from the bath further exacerbates the liver heat, which, when it reaches its peak, triggers internal liver wind. At the same time, it carries the phlegm and dampness that were already accumulated in his body, which rises and blocks the throat (near the Lianquan acupoint) and laterally obstructs the meridians, resulting in a stiff tongue, difficulty speaking, and right-sided hemiplegia."

"We need to use methods that clear heat and calm the liver, extinguish wind and resolve phlegm to unblock the obstructed meridians and collaterals."

The patient presented with a syndrome of liver yang transforming into wind, combined with phlegm-heat and bowel obstruction, which is a mismatch with the traditional indication of Huangqi Chongteng Decoction, namely, stroke of qi deficiency and blood stasis type.

Astragalus is warm in nature and raises Yang. The original prescription of 60 grams would aggravate the hyperactivity of liver Yang, so the dosage must be reduced. The prescription is tentatively reduced to less than 30 grams to take into account the body's vital energy.

In addition, the original formula lacks ingredients that clear liver heat and purge fire, and for phlegm-heat syndrome, it needs to be combined with expectorant drugs such as Arisaema cum Bile and bamboo sap.

After thinking for a moment, Fang Yan offered a prescription:
Gastrodia elata 15g, Uncaria rhynchophylla 20g (added later), Haliotis diversicolor 30g (decocted first), Scutellaria baicalensis 12g, Gardenia jasminoides 10g, Arisaema cum bile 10g, Bambusa textilis 10g, Astragalus membranaceus 20g, Bombyx batryticatus 10g, Pheretima aspergillum 12g, Lonicera japonica vine 20g, Acorus tatarinowii 10g, Curcuma longa 10g, Rehmannia glutinosa 15g, Scrophularia ningpoensis 12g, Achyranthes bidentata 15g.

Add 30ml of bamboo sap and drink.

Combined with acupuncture:

Main acupoints: Shuigou (GV26), Neiguan (PC6) (bilateral), Sanyinjiao (SP6) (affected side)
Acupuncture points: Jiquan, Chize, Weizhong (affected side), Lianquan, Tongli (speech), Dicang, Jiache (facial paralysis).

After it was opened, Fang Yan said to them:
"Go and complete the admission procedures. My team will come over to administer the injections after they've finished their examination."

Chen Shi hadn't expected Fang Yan to be so quick; he hesitated for a moment before agreeing.
"it is good!"

Then he quickly took a red envelope out of his pocket and placed it on the table.

"Thank you for your hard work, Dr. Fang."

"It's just a small token, please accept it."

Fang Yan said to him:
"You're too kind. Go and get admitted to the hospital now. I'll come up as soon as the medicine is ready."

Chen Shi nodded:
"well!"

Then he quickly pushed his father to the hospital to complete the admission procedures.

After the family left, Fang Yan checked his watch. He had only been looking at it for a short while; that was quite efficient.

There are two more people, and then it will be Director Liao's turn.

The dialect hopes that those who follow will also be more efficient.

Of course, the dialect didn't forget its traditional program at this moment, which is to give out red envelopes to everyone who sees them.

The foreign exchange dialect from inside and outside was handed to Wen Guohua beside him:
"One portion per person, divide it up."

Wen Guohua took the task with some excitement, not expecting that Brother Fang would entrust it to him.

Does this mean he can join?

"Remember to leave a copy for Professor Jin too," Fang Yan reminded Wen Guohua, seeing his excited expression.

Wen Guohua nodded immediately.

Then they started dividing it up.

The way this kid divided the money was quite interesting. He didn't divide it equally; instead, he first set half for Fang Yan, then set aside one-third of the other half for Professor Jin, and then the six of them divided the rest.

The dialect gives a strong sense of familiarity with his method of dividing money.

Isn't this similar to the 50/30/20 rule for dividing money?

The core authority receives half, important figures receive a portion, and the remaining small portion is divided equally among a large team.

This kind of person is indeed quite clever, able to please most leaders, but he is also quite foolish, failing to recognize the true intention behind the "everyone gets a share" policy, which was actually money spent on building team cohesion.

The way they're doing it is a bit like technocratic behavior.

There are so many of these kinds of people, they make up a large portion of the hospital staff.

Therefore, dialects don't lack such "smart subordinates," but they lack subordinates who can understand their meanings accurately.

Caught between his medical ideals and his wisdom for survival, Wen Guohua chose what seemed to be the safest approach.

Of course, it's not his fault for speaking in dialect; it just proves that he doesn't understand himself yet.

He wasn't the only one who made this choice; Yuan Qingshan and Song Jianzhong had also split the money this way before, but they did it very discreetly, satisfying the superficial requirement of a tie while leaving Fang Yan with a larger amount.

So Fang Yan took out some money and reminded him:

"I have too many here."

He then stuffed it into Wen Guohua's hand.

Wen Guohua was taken aback, then realized his mistake and quickly nodded, saying:

"Brother Fang, I'm sorry, I got a little excited just now and my brain wasn't working properly!"

After saying that, he acted as if nothing had happened and redistributed the money.

Everyone was happy to receive the money. Wen Guohua quickly went to Fang Yan's side and said:
"Brother Fang, I'll go to the pharmacy this time!"

Fang Yan nodded, tore off the prescription, and handed it to him.

Then Wen Guohua ran out excitedly, and on the way, he also called in the third patient.

The third patient's surname is Chu.

Her name is Chu Dan.

This is a Malaysian Chinese woman who only brought an assistant with her this time.

I met Fang Yan at a banquet last time.

Just like Li Chengzhu and Yuan Yao.

She is in her early forties.

They manufacture rubber.

The business is quite large.

The country is quite lacking in technology and factories in this area. Director Liao even had a private conversation with her last time.

When Fang Yan met her, she said it was a disease in her mouth.

However, it wasn't easy to chat back then, so I didn't know the dialect very well.

This meeting finally revealed what had happened.

It turned out that she had contracted a strange illness.

Her gums were purplish-dark in color, noticeably receded, and extremely itchy, especially at night.

Furthermore, this illness has lasted for eight years. During these eight years, she has repeatedly undergone examinations and treatments in the ENT and dental departments, but various methods have been ineffective.

During the day, I can only relieve my itchy gums by massaging my cheeks from time to time. At night, I have to take sleeping pills to force myself to fall asleep, otherwise I won't have any peace all day.

Judging from her thin body and dark complexion, Fang Yan guessed that it was also related to this disease.

As expected, before she fell ill, she was quite plump and had a fair complexion, but after she fell ill, she began to look more and more like a local from Southeast Asia.

She even went to see a shaman to exorcise the evil spirits, but it didn't work; her gums were still itchy.

This ailment, which lingered all day, tormented her, leaving her no peace for a moment. She only returned this time because of Zhou Zhaoqin's mother's recommendation.

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

There will be an extra chapter later.

(End of this chapter)