Rebirth 1977 Great Era

Chapter 987 Phlegm Nodules and Aspiration, Second Sister's Telegram (Bonus Chapter for Monthly Tickets)
Everyone also wants to hear what the dialect thinks.

The main point is that Li Zhengji's expression on the stage hasn't changed at all, which clearly means that none of them guessed correctly.

Fang Yan glanced at Li Zhengji on the stage.

She nodded at him, indicating that she wanted to see what he would say.

He said in dialect:

"Since I didn't see the patient on site, I'll now give my recommendations based on the information I have. Please correct me if I'm wrong."

"The patient's pulse is deep and wiry, and he sighs frequently, indicating that long-term emotional distress has led to liver qi stagnation. His tongue has a white and greasy coating and nodules all over his body, which indicates that liver qi stagnation has affected the spleen, causing the spleen to lose its function of transporting and transforming, resulting in the accumulation of dampness and phlegm. The nodules are mostly found in the neck, armpits, ribs, thighs and other areas along the Sanjiao meridian, indicating that the qi stagnation has spread through the upper, middle and lower Sanjiao. The course of the disease has lasted for more than three months and is accompanied by low-grade fever and fatigue, which is a case of deficiency in the root (spleen deficiency) and excess in the branch (phlegm and blood stasis)."

"Although the prescriptions such as Danzhi Xiaoyao San and Sanren Tang mentioned by my classmates involve soothing the liver and resolving dampness, I think they do not hit the nail on the head. The core of this condition is that liver stagnation leads to the dysfunction of the triple burner's water passages. The phlegm nodules are not simply blood stasis or damp heat, but rather qi stagnation and phlegm coagulation, which are mutually causal."

Upon hearing Fang Yan's words, Li Zhengji's expression visibly changed.

Upon seeing this, the people below asked Li Zhengji:
"Brother Fang is right?"

All eyes turned to Li Zhengji on the podium.

He nodded in front of the whole class, confirming the dialect pronunciation.

He said:
"After assessment, we determined it to be a case of phlegm nodule abscess, but hers was quite serious and a very rare case."

"Our final treatment approach was to soothe the liver and relieve depression, resolve phlegm and dissipate nodules, and regulate the three jiaos."

Upon hearing this, the whole class looked at Fang Yan again:

"Brother Fang is amazing!"

"Great!"

"You've hit the nail on the head."

"I never imagined that phlegm nodules could be like this. Brother Fang really thought of everything."

"..."

Hearing the praise from everyone, Fang Yan cupped his hands in a gesture of respect:

"I was fortunate enough to have seen a similar case, which is why I thought of this place."

"If I hadn't seen something similar, I definitely wouldn't have thought of it that way."

At this moment, Xiao Chengzhi said:
"This shows that traditional Chinese medicine really requires rich clinical experience. Otherwise, even if you know that the medicine you are prescribing is wrong, you will not dare to think in this direction if you have never seen it before."

"This is due to a lack of experience, which limits one's own abilities."

At this moment, Yang Jingxiang said:

"That's not right. He didn't even see the first patient that Brother Fang treated?"

"How did he figure that out?"

Fang Yan knew that the two didn't get along, especially since Yang Jingxiang liked to argue with Xiao Chengzhi, so he chimed in:
"Of course, that patient wasn't that seriously ill, which is why we made that diagnosis."

"I believe that as long as you don't encounter a disease that looks particularly strange, you should be able to identify it. After all, this rare type is not something you see often."

Upon hearing this dialect, someone said:
"That's true. Even if I thought of it, I probably wouldn't dare to confirm it."

They soon discovered that the gap between themselves and the dialect was not only in experience and skills, but also in mindset—the confidence and composure when facing complex illnesses.

The differences in mindset stem from various sources. However, some gaps are unavoidable: a composed approach to diagnosis and treatment either requires innate talent, or relies on the guidance of a renowned mentor, while the rest can only be honed through years of experience.

Most of the renowned TCM practitioners who achieved fame at a young age, like Zhu Liangchun, Li Zhengji, and Fang Yan, fall into the first two categories; while many other practitioners need to hone their skills over time, experiencing countless cases to develop the ability to make accurate judgments.

Fang Yan then said to Li Zhengji:
"Keep going……"

Li Zhengji nodded, and then continued to talk about how Jiao Shude prescribed medicine and selected acupuncture points for treatment.

……

After this sharing session, everyone once again realized another weakness in their professional skills. Fortunately, they had experts like Fang Yan and Li Zhengji around them. Even just sharing their medical experience covered many cases and treatment approaches they had never encountered before, allowing everyone to grow rapidly. Like Zhang Yanchang and Yang Jingxiang, who spent so much time with Fang Yan at Peking Union Medical College Hospital, studying a large number of Fang Yan's medical cases, their medical skills improved significantly in all aspects. In a sense, they also received one-on-one guidance from a renowned mentor.

Everyone knew that getting into graduate school would not only allow them access to more systematic professional courses and meticulous guidance from professors, but also provide invaluable practical experience from experts like Fang Yan and Li Zhengji. Sometimes, a casual remark from these experts could be incredibly enlightening, propelling someone forward on their professional path.

Fang Yan then noticed that everyone started reading books whenever they could find a spare moment after class.

Even Li Zhengji was curious as to how he managed to energize the entire class after giving a lecture.

After the next two classes are over.

The weekend is approaching, and students who live nearby are planning to go home, while boarding students are also planning their own activities.

However, as many people realized the importance of the postgraduate entrance examination, students who originally planned to relax canceled their trips and decided to stay at school to study and prepare for the exam.

Nowadays, people seem to only feel at ease when they are holding a book, and feel as if they are "committing a crime" once they put the book down.

This anxiety is contagious; if one person in the class enters this state, most people will become tense as well.

Only those who are confident in their own abilities, like those who speak in dialects, will rest according to the original plan.

Of course, some students insisted on going home, but even so, they brought their books with them, as if that would give them a greater sense of security.

After class, Meng Jimin leaned close to Fang Yan and asked:

"Old Fang, what are your plans for the weekend?"

As soon as he said that, several faces around him turned to look.

They planned not to go back if they heard that Fang Ge was also reading.

He said in dialect:

"I'm going to Peking Union Medical College Hospital for rounds tomorrow morning, and then I'll cook at home and spend the morning with my family."

"Then you are free to do your own thing in the afternoon."

"It depends on the situation, or if there's anything I want to do, or maybe I can host some friends who come to visit."

"I'll be having dinner with Bankhosue and the others from next door at the Moscow restaurant tonight."

Hearing Fang say that, the people around him breathed a sigh of relief. They were glad that Fang hadn't worked hard over the weekend, and they felt much better.

Then everyone left the school and began their somewhat conflicted weekend rest.

Fangyan went next door.

The production line malfunction has been resolved, and workers are gradually leaving get off work. Zeng Luquan and He Puren have just finalized the process plan and are currently inventorying materials in the warehouse. They will need to submit the material list later to request raw materials so that production can begin on Monday as scheduled.

After confirming that everything was alright, Fang Yan said goodbye and headed home.

Just as I arrived home, I was about to give Anton and Zhao Zhengyi a lesson.

His wife, Zhu Lin, said to her:
"My second sister delivered a telegram this afternoon."

"I haven't opened it yet, why don't you take a look first?"

Upon hearing that there was a telegram from his second sister, Fang Yan immediately said that he should indeed read it first.

Fang Yan took the telegram from his wife and opened it to read it.

The telegram briefly mentioned two things: first, she had excellent academic performance at school; and second, she had encountered a rare opportunity to study in Japan for a period of time with a professor with whom she had a good relationship.

Upon seeing this, Fang Yan couldn't help but frown.

PS: I got another 100 monthly votes, so after finishing this chapter, I still owe everyone 86000 words.

There will be more this afternoon.

(End of this chapter)