Rebirth 1977 Great Era

Chapter 968 Stomach Ailment Infection! Zhang Zizhong's Subordinates! (Two Chapters Combined)
"Just treat everyone the same," Director Liao said to Fang Yan.

"Okay!" Fang Yan nodded in agreement.

Since the leader has said so, then we should just do as he says.

Fang Yan was still a little curious about what illness the other person had that had been treated in the United States for more than ten years without being cured.

Now, the thought of returning to one's roots and coming to me for medical treatment...

"Alright, then I won't disturb your medical treatment any longer. I'll take my leave now," Director Liao said to Fang Yan.

Fang Yan snapped out of her daze and escorted Director Liao to the door.

Then he called out to the patients outside, "First one! Please come in!"

As he said this, Fang Yan glanced at the crowd outside.

We found two older people, and neither of them knew the other's dialect.

One of them was standing, and the other was in a wheelchair.

Just then, one of the patients and his family entered the examination room.

Fang Yan confirmed that he had not seen the patient and his family at the banquet before.

Could this be it?
Fang Yan thought to herself as she walked to her consultation table and sat down.

As Director Liao had previously stated, Fang Yan could only suppress her curiosity and greet the other party:
"Hello, sir. May I ask your name?"

The other person spoke with a strong southwestern accent, saying in a dialect:

"Hello Dr. Fang, my surname is Xie, and I am from Guangxi. I just returned from abroad with my family."

"I plan to live in the capital permanently in the future, and I might need to see Doctor Fang again. Today I'll just make an appearance for him."

After saying that, he took out a palm-sized bag wrapped in red cloth from his pocket and handed it to Fang Yan:

"This is a small gift from me."

Fang Yan glanced at it, but didn't know what it was, and the other person wouldn't say.

He could only express his gratitude:
"You're too kind, Mr. Xie."

Then let's get straight to the point:
"I wonder where you're feeling unwell?"

Mr. Xie said:
"I have an upset stomach, or in Western medical terms, a duodenal bulb ulcer with bleeding."

"Many years ago, I had a partial gastrectomy with gastrojejunostomy."

"After that surgery, I was basically finished. I have had blood in my stool for years, accompanied by projectile vomiting."

"It took six months to recover from the surgery, and I was basically unable to live a normal life. My physical condition was very poor at that time. I was often in a very weak state and needed someone to help me walk."

"At that time, I thought I was going to die, but I don't know if I was lucky or unlucky. I met a traditional Chinese medicine doctor who treated me and after a period of time, I quickly recovered to a relatively normal state."

Actually, if I had received treatment for a while longer, my illness should have been cured. The traditional Chinese medicine doctor at that time was just like you, Dr. Fang. He was very skilled and there was basically no patient he couldn't cure..." Even at this point, the old man didn't forget to give Fang Yan a little praise.

"And then there was an accident?" Fang Yan asked him.

The other party nodded and said:
"At that time, that gentleman was framed because of certain people, and was suddenly executed before the investigation was completed. In fact, everyone was saying that it was because he could cure someone's illness, so someone didn't want him to live."

"..." Upon hearing this, Fang Yan felt a chill run down his neck, and the hairs on his body stood on end.

This is fucking amazing! It can cure diseases and also become a cause of death?

"There are actually people like this? It's inexplicable!" Song Jianzhong, who was listening nearby, couldn't help but say.

Mr. Xie smiled and said:

"Some people are just like that; they'll never amount to anything decent or respectable."

Song Jianzhong shook his head, while Li Zhengji, standing to the side, felt a sense of shared sorrow.

He sighed:
"That poor gentleman."

Mr. Xie also said:

"Yes, if he were alright, I wouldn't have had to suffer for so many years. It's a pity that my treatment was interrupted because of this."

"Half-dead, had had enough of the torment."

He paused, then continued:

"I continued to use the prescription he gave me, but my condition did not improve; it could only be kept from worsening."

"And there are other side effects after taking too much medicine..."

Fang Yan frowned slightly and asked:

"You haven't consulted any other traditional Chinese medicine practitioners?"

Old Xie said to the dialect:

"Of course I did. I even consulted several renowned doctors back then."

"However, after they found out I had stomach surgery, they all told me that they could only treat me if I hadn't had the surgery. Now that I've had the surgery, they're not sure. I can't turn back time, so I can only try to get a few prescriptions."

"After trying it, the situation wasn't ideal, so I knew it definitely wouldn't work."

Fang Yan nodded. The partial removal of the stomach directly damages the "sea of ​​water and grain," causing the "official in charge of granaries" to fail in his duties, resulting in a lack of source for the production of qi and blood. In his previous life, he had seen many patients who had undergone gastrectomy, and the incidence of spleen deficiency was very high three years after the surgery, with nine and a half out of ten showing this.

Furthermore, it can lead to disordered Qi in the Triple Burner. Surgical trauma disrupts the physiological state of "the upper burner like mist, the middle burner like foam, and the lower burner like a ditch." The projectile vomiting in front of us is an example of stomach Qi rising upwards and breaking through the cardia.

In addition, after gastrectomy, the effects of medicine are hindered. Traditional tonics rely on the stomach's energy to circulate, and if the stomach cannot properly store and store them, the efficacy of the medicine will decrease.

It's understandable that people are unwilling to seek medical treatment.

After all, there's no way to actually give him a new stomach.

But Fang Yan was curious: how exactly did that traditional Chinese medicine doctor manage to do it?
He must be a master here.

At this point, Mr. Xie continued:

"Later, someone told me that someone from his school was abroad, so I tried to find them and seek treatment overseas. But when I got there, I found that although we were from the same school, the difference in our medical skills was huge, and we couldn't compare at all. My health deteriorated, so I had to turn to Western medicine abroad, and that treatment has lasted for so many years. During that time, my condition relapsed repeatedly and could never be cured. Although it was not life-threatening, it made my life extremely agonizing."

"To be honest, I've been suffering from illness for so long that I thought this was how my life would be, and I thought maybe this was just my fate."

“But recently, I suddenly heard that many people have returned to China to see you for treatment. It’s all over the newspapers and news. Even a doctor in the United States mentioned that you are in a ‘crisis’… I quickly asked around about your situation, and they pointed out one of your characteristics—you have never failed a case!”

"At the time, I thought it was a scam, so I asked around and found out that you had cured quite a few people, including some who had had dealings with my family."

"I only believed it after hearing their personal experiences."

"Then my elder brother sent me a letter from Beijing, saying that the policy had changed and that we were now welcome to come back."

Fang Yan was taken aback. He actually had brothers in the country?

However, Fang Yan immediately realized that this situation is actually quite common and belongs to a large family investment model that has been common from ancient times to the present.

You should never put all your eggs in one basket.

Just like the Zhuge family during the Three Kingdoms period.

The three brothers each served different factions.

In addition, there were the three outstanding women of the Song family in modern times.

The same strategy is used even in peacetime, as exemplified by the Rong family.

Rong Zongjing was the "King of Cotton Textiles" in Shanghai.

Rong Desheng established a flour empire in Wuxi.

Rong Yiren founded CITIC Group.

At this moment, Mr. Xie said again:

"That's why I brought an old friend along to come back and ask you for help."

Even if we're unlucky and things don't turn out well, we've still returned to our roots.

Fang Yan asked him curiously:

"And the friends who came back with you?"

Mr. Xie said:
"Yes, right outside the door, the one who's about my age."

"I see..." Fang Yan nodded.

However, I was thinking that there were some discrepancies between what Director Liao had said and what I had said.

You said it was one person, but now it's two?
So who is the important person, or are both of them important people?

Although Fang Yan was very puzzled, he couldn't ask her aloud.

Ultimately, I shifted my focus to the patient's condition.

Fang Yan asked him:
What symptoms do you still have?

Upon hearing this, Grandpa Xie replied very fluently and quickly:
"Recurrent bleeding from duodenal bulb ulcer, occult blood in stool, persistent intermittent pain in the upper middle abdomen, tenderness in the left side above the navel, accompanied by cough, premature ventricular contractions, and severe insomnia."

"Gastrointestinal barium meal examination revealed gastrojejunostomy after partial gastrectomy with aortic loop syndrome, which is a series of symptoms caused by postoperative obstruction of the aortic jejunum. Furthermore, recent thickening and edema of the intestinal mucosa have been observed, and the possibility of small ulceration cannot be ruled out."

This string of words contains a lot of technical terms, and most people really can't understand it.

After saying that, he handed Fang Yan a report directly:
"This is the examination report I took in the United States."

It's true what they say, long illness makes one a doctor; he can describe his physical ailments more fluently than some doctors.

I looked at the dialect test results.

Just as the old man said.

Western medicine diagnosed him with intestinal loop syndrome following partial gastrectomy.

At this point, the old man should know a lot of professional terms in medical English translation, especially in the area of ​​stomach diseases.

After all, he is a member of a large family, and he has been ill for quite some time, so this is not surprising.

Fang Yan asked the old man to open his mouth and stick out his tongue, and then took his pulse on both hands.

The pulse is slippery and rapid, and the tongue is very unusually completely without coating.

Even if it's not on the back of the tongue, it's very likely that he didn't brush it off himself.

That's just how it is.

After Fang Yan asked the old man, the old man confirmed Fang Yan's judgment.

His tongue coating was indeed never treated; it was just naturally smooth.

In traditional Chinese medicine, this is called "a tongue as smooth as a mirror".

This is not a good sign; it indicates that his stomach is already failing.

The book "Tongue Diagnosis and Differentiation" states that "a tongue resembling a pig's kidney with the membrane removed is a sign of depletion of body fluids!"

Based on what he said before, the dialect suggests that the partial removal of the stomach led to the depletion of stomach yin, postoperative stomach qi decline, and long-term vomiting further caused the loss of body fluids.

The Treatise on the Spleen and Stomach emphasizes that "life depends on the presence of stomach qi, and death depends on the absence of stomach qi." A mirror-like tongue indicates that the stomach qi is about to be exhausted, which falls under the category of "failure syndrome" in traditional Chinese medicine. At this point, those who are capable should treat it quickly, while those who are not should send it away quickly.

If not treated promptly, it will soon develop into a state of exhaustion of both Qi and Yin, and separation of Yin and Yang.

At this moment, the old man asked Fang Yan, "Dr. Fang, how is it? Can you cure it?"

Upon hearing this, Fang Yan didn't waste any words and nodded:

"can!"

The old man was surprised by Fang Yan's confident answer.

He originally thought that the dialect would be a point of contention.

After all, I've had this problem for almost twenty years, and I'm always hesitant to see any doctor.

But Fang Yan's expression didn't change, and without even thinking it over, he said it was okay.

He spoke to him in a dialect:
"Your illness has indeed dragged on for too long. Prolonged pain can damage the collaterals. When the yin collaterals are damaged, blood will leak in from time to time, so your qi and blood have long been depleted. In addition, you had a partial gastrectomy before, and you are still bleeding after the operation, which makes the damage to the yin even more serious. Yin deficiency and collateral damage must be treated with the method of nourishing yin with sour and sweet herbs!"

"In summary, you have a constitution where Yang energy is not properly stored and Yin energy is deficient and fluids are damaged. You need to nourish Yin with sour and sweet flavors and harmonize the stomach to replenish fluids. However, since you have had stomach surgery, ordinary prescriptions may have limited effect. Therefore, I will prescribe a special prescription for you that is tailored to your specific symptoms."

He started writing in this dialect:
Dendrobium huoshanense 3g (decocted separately and taken with water), Adenophora stricta 18g, Ophiopogon japonicus 12g, Glycyrrhiza uralensis (processed) 4.5g, Paeonia lactiflora 9g, Prunus mume (fried) 4.5g, Chaenomeles speciosa (fried) 4.5g, Pinellia ternata (processed) 6g, Sorghum bicolor 12g (wrapped and decocted), Eriobotrya japonica (fried) 18g, Cymbidium ensifolium leaves 5 pieces, Triticum aestivum 18g, Jujube 3 pieces. Five doses.

After they finished writing, the four students standing behind Fang Yan had different expressions.

Du Heng and Yan Yifan were somewhat bewildered.

Song Jianzhong frowned deeply.

Li Zhengji gave an "I see" look and nodded repeatedly.

I don't know if the patient understands the dialect, but I still explained it to him:

"This prescription is based on Ye Tianshi's theory of nourishing stomach yin."

"The main focus is on the first stage of treatment, which is to restore your stomach's energy before we begin other treatments."

The depletion of stomach yin, the upward flow of stomach qi, the insufficiency of yin and blood, and the depletion of body fluids are all problems that urgently need to be addressed. The matter of recuperation should be discussed later.

Upon hearing the dialect, Mr. Xie said:
“I can roughly understand what this prescription is for. It’s somewhat similar to the prescription my previous doctor gave me. He also told me to nourish my stomach first.”

Fang Yan suddenly realized that it was pretty much what he had guessed. He said:
The Yellow Emperor's Inner Classic states: "The stomach is the sea of ​​water and grain, and the great source of the six viscera." Stomach qi is the "foundation of acquired constitution," bearing the important functions of receiving and digesting water and grain, circulating and distributing essence to the spleen. Li Zhongzi, a physician of the Ming Dynasty, emphasized in his Medical Essentials: "If stomach qi is defeated, it is difficult to administer any medicine." The strength of stomach qi directly affects the absorption and conversion rate of drugs and the speed of qi and blood generation. If the gentleman you encountered before also followed this logic, then I probably know how he prescribed medicine.

"How did you open it?" Old Master Xie asked.

In dialect:
"He should have received treatment in stages. First, he used sour and sweet methods to save Yin and urgently protect the stomach Qi; after the stomach Qi recovered to some extent, he nourished Yin and cleared deficiency heat while regulating Qi; then he used sweet and neutral remedies to harmonize the middle Jiao and replenish both Qi and Yin; the last step was to guide Yang into Yin, but unfortunately he didn't have the chance to do that."

Grandpa Xie asked in astonishment, "How did you know his treatment approach?"

Fang Yan explained, “I once saw a book that a friend bought from an auction house in Hong Kong and gave to me. It’s called ‘Unprinted Ye Family Medical Cases,’ and the treatment methods recorded in it are similar to this.”

"This book was written by Ye Tianshi."

"Ye Tianshi, along with Wu Jutong, Xue Shengbai, and Wang Mengying, is known as one of the 'Four Great Masters of Warm Diseases.' His medical cases best embody the essence of traditional Chinese medicine's 'differentiation of syndromes and treatment based on syndromes.' The core characteristics are: first, flexible use of medicine; and second, protection of the stomach's qi and yin fluids. These two concepts have been widely adopted by later generations of physicians."

"If I'm not mistaken, the doctor who treated you before was from the Wu School of Medicine, right?"

Old Master Xie hesitated slightly, and after a moment of silence, he spoke:
"...To be honest, it's been so long that I can't remember where he's from."

"I can't even remember what he looked like."

After saying that, the old man tapped his head.

Seeing this, Fang Yan quickly stopped the conversation and said:
"You can rest assured and stay in the hospital. All subsequent stages of treatment will be handled by the Department of Traditional Chinese Medicine at Peking Union Medical College Hospital."

Grandpa Xie was now completely convinced of Fang Yan's abilities.

If someone can speak eloquently and logically, they must be a capable person.

In addition, the dialect was already well-known, so he believed that he had found the right person this time.

So the old man stood up and said to Fang Yan:

"Okay! Thank you, Dr. Fang! I'll leave the rest of the treatment to you!"

Nodding in dialect:

"Well, don't worry."

"The medicine will be served soon once it's ready."

Then he stood up and saw the old man out.

Then he called out to the next patient.

Next, the second person was Mr. Xie's friend.

Old Xie said to him:
"Old Han, Dr. Fang is very capable. You can just talk to him about your illness without worry."

Upon hearing this, the old man smiled and said:

“Mine is different.”

"This is a gunshot wound."

Li Zhengji and the others who came with Fang Yan to see the person off were all taken aback.

Gunshot wound?

Traditional Chinese medicine has its own methods for treating external injuries, but he was definitely not referring to external injuries.

Otherwise, he wouldn't be so happy right now.

If it's not an external injury, then it must be a sequela of a gunshot wound.

"Let's go inside!" Fang Yan said to the old man Han.

Upon hearing Fang Yan's words, Grandpa Han nodded, and then his family pushed him in his wheelchair into Fang Yan's consultation room.

Fang Yan tore off the previous prescription from Grandpa Xie.

After a moment of hesitation, Yan Yifan stepped forward.

He said:
"Brother Fang, I'll go!"

Fang Yan handed him the prescription after hearing this.

It was clear that they all wanted to see how Fang Yan would treat the gunshot wound.

After taking the prescription, Yan Yifan nudged Du Heng and whispered:

"Look carefully, I'll ask you about it when we get back!"

"I know, I know!" Du Heng nodded repeatedly.

Then Yan Yifan dashed out.

At this moment, Fang Yan also opened a blank page of the medical record and asked the old man:
"Hello, Mr. Han!"

"Welcome back!"

Sitting in his wheelchair, Mr. Han didn't seem to react negatively to the name Fang Yan.

Smiling, he got straight to the point:
"Haha, young man, I know you're very capable, but I've seen many doctors for this illness, and they all say it's nerve damage, and that treatment is basically impossible."

"The main reason I came back this time was to visit my mother while I'm still alive and offer her some incense."

"It's already a great favor that the government allowed me to come back. If you can get treatment, then get treatment; if you can't, don't force it. I know my own body."

Fang Yan asked him:
When were you shot?

Grandpa Han said:
"In May 1940, I was bitten by a Japanese bullet in Yichang."

Was it a gunshot wound from 38 years ago?
Then Director Liao was definitely not talking about him.

Then he immediately realized what he was doing and asked Old Master Han:
"Is this the Battle of Zaoyi?"

"Yes." Old Master Han nodded.

Upon closer examination, the dialect indicates that the troops were in Yichang in May 1940.

Li Zongren was the commander of the Fifth War Zone, but he had already gone to Chongqing to report on his duties in the later stages of the Zaoyi Campaign. Chen Cheng was the commander of the Sixth War Zone at the time, but he mainly commanded the Western Hubei Campaign in 1943, which is inconsistent with the timeline.

Tang Enbo's main responsibility was defending Henan, and he did not participate in the Battle of Yichang.

That eliminates the possibilities, so it's highly likely that Mr. Han was an officer in the 59th Army of the 33rd Army Group under General Zhang Zizhong.

During the Battle of Zaoyi in May 1940, Zhang Zizhong led his troops in a fierce battle with the Japanese army in Nanguadian, Yicheng, Hubei.

Zhang Zizhong died a heroic death on May 16, which coincides perfectly with the time when Han Lao was injured.

"The casualties are very high..." the old man seemed to be recalling the past.

Fang Yan composed herself; this was not the time for reminiscing.

He asked the old man:
Where is the injury?

The old man simply lifted his shirt and pointed to the left, saying:

"On the waist."

Looking over, Fang Yan indeed saw a healed gunshot wound.

He stood up and went to the old man's side, beginning to carefully observe the position.

This is a penetrating wound.

Gunshot wounds are direct violent injuries that can penetrate tissues and directly damage nerve fibers, leading to nerve rupture, scar formation, or local hematoma compression.

Fang Yan noticed that the muscles on Grandpa Han's left side were noticeably atrophied, and the skin felt cold to the touch.

Looking at his left leg, the muscles have also atrophied considerably, almost touching the bone.

Furthermore, when Fang Yan tried to move, he found that his knee joint was bent and he could not straighten it.

The old man spoke to the dialect:

"I had this checked in the US, and it's called a gunshot wound causing damage to the left lumbosacral plexus."

"The main problem was that I didn't receive timely treatment back then, otherwise I wouldn't be in this state now."

"After I was treated at the hospital, I was able to walk again, but I always felt occasional pain and numbness in my left lower limb, and the sensation was fading."

"It's like my feet don't belong to me."

"After about a year, I couldn't sleep anymore, and my limbs started to lose function. At that time, I could only walk with the help of crutches. The examination at that time said it was a gunshot wound, and they couldn't prescribe any medicine to find out what was wrong."

"I wanted to find a good doctor at the time, but unfortunately I didn't have the opportunity."

"Then things got delayed, and I ended up in Taiwan. As a result, I couldn't stand firm for long after I got there."

He paused after speaking, then smiled helplessly:

"Later, I went to the United States with Lao Xie for medical treatment."

In the end, neither he nor I thought it was a good choice...

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

There will be an extra chapter later!

(End of this chapter)