Chapter 490 Chou Shi drank medicine, prescribed three prescriptions and received an invitation from Xiehe
The old lady opened her mouth, and Fang Yan saw that the tongue was light in color, with almost no red in color ratio. It was all white, as if there was no blood on it, and the tongue was moister than the average person, which was obvious. The tongue is light and moist.
Pale tongue is more common in internal injuries and miscellaneous diseases, and generally manifests as deficiency syndrome. It usually means that the course of the disease is long and it is difficult to cure quickly.
This also fits well with her forty-five-year history of symptoms.
The moist tongue phenomenon is caused by symptoms such as spleen deficiency, inability to dissolve water, excess phlegm and dampness, and yin deficiency.
Fang Yan then looked at the underside of her tongue. It was still bloodless and there were a few bruises on both sides.
Fang Yan said to the old lady:
"I'll give you another pulse."
The old lady obediently put her hand on the newspaper that Fang Yan had placed on the table, and Fang Yan immediately felt her pulse.
Both hands took turns to feel the pulse, both of which were heavy and stringy.
In traditional Chinese medicine, the symptoms of a sinking and stringy pulse are related to a variety of factors.
Liver qi stagnation, cold evil stagnation, insufficient qi and blood, internal obstruction of phlegm and dampness, and kidney yin deficiency may all cause a stringy and heavy pulse.
Combined with the old lady's tongue appearance, the dialect is judged to be caused by cold evil stagnation.
This air rushes up from below the navel. When it reaches the stomach, it causes vomiting. When it reaches the brain, it causes ringing in the brain and tinnitus.
Then Fang Yan asked the old lady to defecate.
It was learned that his stool was dry and constipated, and he had to take medication to smooth it out.
Then the old lady said that she had a burning sensation around her belly button after the previous breath disappeared.
Moreover, his problem becomes worse when he gets up during the day and gets better at night.
This is completely in line with the description of "running dolphin gas".
This disease is divided into two types: cold and heat. Cold is the root and heat is the symptom. Cold syndrome accumulates over time and turns into heat syndrome.
The patient is old, has weak kidney qi, lacks nourishment of the eight meridians, cannot keep the Chong meridians downward, and has been suffering from chronic cold for forty-five years. After old age, the five liquids are depleted and the yin is deficient, so it becomes the tendency to transform into heat.
Now she is sick, which is severe during the day and less severe at night. This is a combination of cold and heat.
Based on the meridian theory of diagnosis of lesions of the seven meridians and eight meridians, this is summarized.
Ben Dou Qi is related to Chongmai.
The Chongmai is the sea of the twelve meridians, which permeates the qi and blood of the twelve meridians.
The symptoms after the disease include irregular menstruation, infertility, miscarriage, shortness of breath, intra-abdominal cramps, and gas.
Eight pulse diseases have two major characteristics. The first is that they cannot be cured after long-term treatment, and chronic diseases occur frequently.
The second is timing attacks.
The old lady's situation is almost a match.
Therefore, Dialect’s treatment plan is still the same as Lao Chentou’s treatment of Ben Dou Qi.
Use Guizhi plus Gui decoction to treat Chongmai in a flexible way, and at the same time, it can fill up the Ren and Du meridians.
Because the old lady is old, she needs to replenish her remaining veins to be effective.
In addition, according to the medication rules for eight pulse diseases summarized in "Depei Materia Medica", the treatment of the old lady must be administered when she is ugly, which can achieve twice the result with half the effort.
So Fang Yan began to write prescriptions.
Ten grams each of cassia twig, osmanthus oil, and white peony root.
Six grams of Zhigancao.
30 grams each of angelica root, polygonum multiflorum, cistanche deserticola, black sesame, amethyst quartz, living magnet, shenglongmu, and anemarrhena.
Turtle board 45 grams.
Ten grams each of deer antler glue, turtle shell glue, rock cypress (Nine Death Resurrection Grass), and asarum.
18 grams of Alisma, 10 slices of fresh ginger, and 12 jujubes.
Decoct the two and mix well. Take it at the beginning of the day, that is, at 1 o'clock in the morning.
Fang Yan took the list and told the patient:
"Just pick up the medicine according to the above instructions, then boil it twice, mix the first and second boils together, and take it on time at one o'clock in the morning."
The old lady’s son asked:
"Does it have to be one o'clock in the morning?"
Dialect nodded:
"That's right, old lady, this time is too long, so it is best to take medicine at one o'clock in the morning to get twice the result with half the effort."
The man took the prescription written in dialect and muttered:
"But everyone in the family was asleep at that time..."
It was a cold day, and most people were already asleep at one o'clock in the morning. At this time, it was really troublesome for someone to get up, heat the medicine, and then give the medicine to the old lady.
Dialect said to him:
"There is nothing we can do about it. This is the only way we can get better soon."
The doctor's instructions are in place, but whether the patient listens to them or not is another matter.
There is no dutiful son before a long-term illness.
It's easy to take such careful care at the beginning, but as time goes by, the family will have objections.
After speaking in dialect, Director Feng said:
"You've come to see Dr. Fang, but you find it troublesome to ask you to take your medicine on time, so why are you still here?"
"And your mother herself said that when she was young, she was reluctant to spend money on medical treatment, so she survived from the age of thirty to this age. Who did she do it for?"
Director Feng has always been easy to talk to in front of Fang Yan, but today she is not so easy to negotiate with other people. How can she say that a director of a sub-district office is still considered a cadre.
When he gets angry, he will naturally startle the person coming.
The frightened man quickly explained:
"No, no, I'm afraid that my mother won't wake up at night, and she doesn't sleep well at night. It's hard for her to fall back asleep after being woken up."
Director Feng doesn’t believe this.
At this moment, Fang Yan said to the patient’s son:
"The old lady's poor sleep is also related to this. Once she is cured, she will naturally sleep better. If you follow the doctor's instructions, she will get better faster. If you don't follow the doctor's instructions, she will get better slowly. You can decide by yourself. ”
Fang Yan was too lazy to say so much. If he had to keep an eye on such things, it would be too difficult for him to be a Chinese medicine doctor.
This is not my mother.
The patient’s son nodded:
"Okay, okay, I've written it down. I will follow the doctor's instructions."
After saying that, he left the liquor and cakes he brought, and took his wife to the nearest Xiehe to get the medicine according to the prescription.
After the people left, Director Feng called two young people from the street office to help carry these things and then sent them to Fang Yan's house.
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He also told Fang Yan that in the future, whenever a patient comes to see a doctor, he can call him to the street office.
Fang Yan thanked the enthusiastic Director Feng and accepted her kindness.
After Director Feng left, Fang Yan realized that he had seen three patients today. If converted into money, Fang Yan would gain much more than in Tongrentang.
It's just that these three people all have relatively difficult and complicated diseases, and they were found after other places didn't take good care of them. These gifts also represent the weight they think this matter has in their hearts, and their trust in Fang Yan's medical skills.
These gifts are all edible, which is in line with the present era's gift-giving values. As for the chicken that was sent, Fang Yan considered whether to kill it or keep it.
In the end, Fang Yan decided to keep it. Anyway, there was no shortage of meat at home. When the rooster crowed in the morning, it was used as an alarm clock at home.
At this time, Xiehe Traditional Chinese Medicine Pharmacy on the other side received three prescriptions in a row.
They were all prescribed by doctors from outside, and the people at the pharmacy were confused. Was this the place where the consultation was placed at the entrance of Xiehe?
Otherwise, how could three prescriptions be issued in such a short period of time.
After questioning the patient, I found out that the prescriptions were all prescribed in dialect.
They knew the dialect and reported the news after prescribing the medicine.
After discussion, the leaders of the hospital decided to simply invite Fang Yan to Xiehe Medical University for consultation.
By the way, we will also start the Union Medical College of Traditional Chinese Medicine.
However, they did not rush to find Fang Yan. Instead, they found Fang Yan's mother and his wife and told Xie Hehe's plan.
I want them to speak to Fang Yan, and as long as they can make sense, the Chinese medicine office will give him a consultant position.
Although the traditional Chinese medicine in Xiehe is not great.
But their TCM consultants are very powerful. Since 1949, Shi Jinmo, one of the four famous doctors in the capital, and famous TCM doctors Ren Yingqiu, Chen Shenwu, Qian Qiguang, and Li Chongren have all served as TCM consultants.
Their consultants are equivalent to temporary experts at Dongzhimen Hospital. They also receive a fixed salary every month, but do not have to work there.
At this time, Union Hospital offered an olive branch, which can be regarded as a recognition of the Western medicine hospital's ability in dialect Chinese medicine.
In the eyes of doctors across the country, Union Medical College is like a hospital, with both traditional Chinese medicine and Western medicine.
However, Western medicine has always been dominant, and Chinese medicine has never been strong in it.
Therefore, being hired as a consultant of Xiehe Traditional Chinese Medicine Office can be regarded as a signal that Xiehe leaders want to develop traditional Chinese medicine.
They all know that the dialect college entrance examination has ended, and they still applied for the Capital University of Traditional Chinese Medicine.
As long as you follow the line of dialects, there are dialects as examples.
In the future, Union Medical College will also be able to take advantage of the employment of TCM college students there after graduation.
The leaders of the Union Medical College do not have any idea of a dispute between Chinese and Western medicine. At least, most of the current hospital leaders do not have such thoughts. They just want to run the Union Medical College well, and even the Chinese medicine doctors who are powerful in Western medicine have to be frightened.
Let Chinese and Western medicine blossom in Xiehe.
Later that night, the news reached Fang Yan's ears through messages from my mother and Zhu Lin.
"You want me to be a consultant at the Traditional Chinese Medicine Office?" Fang Yan really didn't expect that he would open three prescriptions at home today, and actually get an invitation from a consultant at the Xiehe Traditional Chinese Medicine Office while having dinner.
If he remembers correctly, the consultant doctors here are all famous doctors in the capital.
When did my status become as high as that of a famous doctor in the eyes of the leaders of Union Medical College?
Fang Yan feels that he is always seeing doctors and maintains a 100% cure rate.
But he didn't come into contact with many seriously ill patients admitted to large hospitals.
When he was in a traditional Chinese medicine hospital in his previous life, he knew how difficult it was to treat the strange illnesses there.
He has always been a powerful person in a drugstore like Tongrentang. Although he can pick up some diseases that cannot be cured by Western medicine, they are in the minority after all.
When he received the invitation, he himself didn't believe it.
Zhu Lin said to the dialect:
"After discussion with the hospital leaders, let us come back and give you a message."
"If you agree, you can go and complete all the procedures early tomorrow morning. By then you will be a consultant Chinese medicine practitioner at the Xiehe Traditional Chinese Medicine Office."
Fang Yan pinched his temples to calm himself. To be honest, this happened a bit suddenly.
But there's nothing wrong with agreeing now.
So he nodded and said:
"Okay, I'll do it tomorrow."
(End of chapter)