Rebirth 1977 Great Era

Chapter 546: The method of raising and lowering yin and yang, vomiting for a year and a half
There is also a similar medical case in Fang Dao's "Fang's Collection of Essential Prescriptions" which Fang Yan is reading today.

The patient in the medical record was a 50-year-old woman, about 10 years younger than the female cadre.

When she was ill, she could sit down and fall asleep no matter whether she was talking or working, and she never missed the Xu time (that is, 7:00-9:00 p.m.).
So when Fangyan heard the patient's symptoms, he immediately thought of the corresponding situation.

Other Chinese medicine practitioners became curious. How could such a strange disease be cured by dialect?
You know, this is a problem that many hospitals have not solved before.

So everyone asked what the dialect was all about.

Fangyan was also convinced that he not only had to treat the diseases, but also had to give them lectures.

But considering that they don't have much chance to encounter this disease in their daily lives, I might as well explain it to them. It's also a good way to advertise in front of so many people.

Fangyan began to diagnose the patient and observed his tongue, which was pale red, thin and shriveled.

The pulse is deep, solid and slightly rapid.

Looking at his body shape, he is a little fat.

After further questioning, we learned that he had dry stools for several months and had experienced chest tightness for some time before the onset of the disease.

After Fangyan understood all this, he told the medical records.

After listening to this, everyone found that the symptoms were similar.

The dialect said:

"Fang Dao believes in his book that this disease must be related to the circulation of Wei Qi, because Wei Qi moves in the Yang during the day and causes wakefulness, and moves in the Yin at night and causes sleep."

Fearing that the Chinese medicine practitioners and patients here would not understand, Fang Yan explained:

"In traditional Chinese medicine, Wei Qi is considered to be part of the body's Yang Qi, and has important functions such as protecting the skin surface, defending against external pathogens, warming the internal organs, and regulating sweat."

"During the day, the Wei Qi mainly flows through the Yang meridians, and people are in a state of wakefulness (寤), able to carry out various daily activities, work, study, etc.; at night, the Wei Qi flows through the Yin meridians, and the body enters a state of sleep (眠)."

“The movement of yang and yin is the key to sleep or wakefulness.”

"But there is also a time for the Wei Qi to switch from the Yang to the Yin, or vice versa. This time is either at dawn, when the sun just rises in the morning, or at sunset, when the sun sets in the evening."

"At dawn, the Yang Qi in nature gradually grows, and the Wei Qi in the human body also changes from Yin to Yang, and begins to circulate in the Yang meridians. People gradually wake up from sleep and start their day's activities. At this time, the Yang Qi in the human body is invigorated, and the energy begins to be abundant, so they can work, study, and do other things."

"When the sun sets, the Yang Qi of nature slowly disappears, and the Wei Qi of the human body turns from moving Yang to moving Yin."

"Just like following the rhythm of the changes of yin and yang between heaven and earth, after the Wei Qi enters the Yin part, the human body enters a state of rest and sleep, which reserves energy for the body and regulates the internal organs so as to better cope with the cycle of a new day."

Having said this, Fang Yan paused and looked at the people around him.

He tried his best to explain it clearly, and everyone nodded repeatedly.

Seeing that everyone understood, Fang Yan continued:
"In the book, it is also explained that the entry and exit of Wei Qi is related to the time of day, but in fact, whether it is smooth or not is related to the internal organs and skin of the human body. If the stomach and internal organs are normal and the skin is smooth, the entry and exit of Wei Qi will be smooth. Otherwise, the entry and exit of Wei Qi will be difficult."

"This theory is also found in Lingshu Dahuo Lun."

"It records: "What kind of Qi makes people lie down a lot? Qi Bo said: This person has a large stomach and intestines and wet skin, and the flesh is not separated. If the stomach and intestines are large, the Wei Qi will stay for a long time, and if the skin is wet, the flesh is not separated, and its movement is slow. The Wei Qi usually moves in the Yang during the day and in the Yin at night. Therefore, when the Yang Qi is exhausted, the person lies down, and when the Yin Qi is exhausted, the person wakes up. Therefore, if the stomach and intestines are large, the Wei Qi will stay for a long time; if the skin is wet and the flesh is not separated, the movement is slow. If it stays in the Yin for a long time, its Qi will not be clear, and the person will want to sleep, so he lies down a lot."

"Translated, it means: For those who are always sleepy and like to lie down a lot, Qi Bo explained that it is because these people have large intestines and stomachs, and their skin is relatively wet, and the gaps between muscles are not smooth. If the intestines are large, the Wei Qi will stay in them for a longer time, and the wet skin will make the muscles less stretched, so the Wei Qi will flow slowly."

Memorizing these things are the basic skills of traditional Chinese medicine, but it is obvious that some Chinese medicine practitioners do not have this basic skill.

There are even fewer people who can recite dialects fluently and translate them quickly at Concord.

There's no way. Everyone got in through connections. Although they have some skills, they are not much.

Fangyan continued:

"Wei Qi runs through the Yang meridians during the day and through the Yin meridians at night. Under normal circumstances, one will fall asleep when the Yang Qi is exhausted and wake up when the Yin Qi is exhausted. However, due to the aforementioned enlarged stomach and wet skin, the Wei Qi stays in the Yin meridians for too long. In addition, the Wei Qi does not run smoothly and is not refreshing enough. This can easily lead to drowsiness and the desire to close one's eyes and sleep. This is why one tends to lie down more often and be sleepy."

After he finished speaking, he paused, then looked at the patient and said:

"So your sudden sleepiness can be explained by the abnormal circulation of Wei Qi."

"When the sun sets, it is the critical moment when the Wei Qi changes from moving in the Yang direction to moving in the Yin direction, which is about 7 o'clock in the evening."

"Suwen. Qigong Tongtian Lun records: "When the sun sets, the Yang Qi is already weak, and the Qi gate is closed, so it is closed at dusk.""

"It means that as the sun sets, the yang energy in nature begins to weaken. In order to adapt to the external environment and the needs of the body's own qi and blood circulation and energy conservation, the body's sweat pores and other valves will close. At this stage, the human body as a whole presents a state of astringence, closure, and resistance to the outside world."

"So, you suddenly became sleepy at 7 o'clock in the evening. Combined with the diagnosis just now, we can know that you have Yin deficiency and blood dryness, dry stool and constipation. This proves that the clear Qi in your body should rise but does not rise, and the turbid Qi should fall but does not fall, and the Wei Qi's Yin path is blocked."

"At 7 o'clock in the evening, the Yang Qi is already weak. If you suddenly want to sleep and cannot control it, it means that the Wei Qi has a tendency to sink, so you need to use Chinese medicine to help it rise. Because of Yin deficiency and blood dryness, the Wei Qi's Yin path is blocked, so you need to start with nourishing Yin and blood to raise and lower Yin and Yang."

The dialect was easy to understand at the beginning, but the patients had some difficulty understanding the summary at the end. However, what he said was relatively simple and easy to understand, and many people roughly understood what it meant.

And what he said from beginning to end was well-reasoned and well-founded, which showed that he was very clear-minded and had a very clear understanding of the mechanism of the disease. He was not messing around, but everything was under control.

And after this analysis of the dialect, other Chinese medicine practitioners probably also understood the situation.

Some people have even thought about how to treat it.

After all, Fangyan has done a dialectical analysis of the disease and told everyone clearly that the treatment plan is to use the method of raising and lowering yin and yang to target sleepiness.

However, they still wanted to see Fangyan and see how he planned to treat the disease.

So I just waited patiently for Fangyan to prescribe the prescription.

As for Fangyan, he simply prescribed the prescriptions he used in his book based on Director Fang's experience in medical records, adding and subtracting some parts.

Because the two people's conditions are really not much different, except for a slight age difference, the other symptoms are almost the same.

There are such coincidences in this world.

It contains raw rehmannia, cooked rehmannia, angelica, raw hemp, immature bitter orange, fried almonds, tangerine peel, licorice, safflower, white cardamom, and ginger.

After reading it, others realized that they had never seen this recipe before.

The only Chinese medicine practitioner who had some skills said to Fang Yan:

"This is somewhat similar to the recipe for Zuo Na Wan in Sheng Ji Zong Lu."

"The lifting and lowering method is also used there."

Fang Yan nodded and responded:
"That's right. The recipe for Zuo Na Wan is mainly used to treat deficiency-heat on the diaphragm, choking in the throat, red and astringent urine, and excessive sleepiness. It is indeed similar to this recipe. The combination of Cimicifuga and Citrus aurantium in this recipe should be learned from Shengji Zonglu."

Everyone discovered that Doctor Fang was truly familiar with these ancient books and prescriptions, and he could answer them without even thinking, which really made people feel that his strength was unfathomable.

Of course, the other patients around him were even more convinced of him. Although they didn't understand what he said, they all knew that the person in front of them was definitely not exaggerating.

Afterwards, after writing the prescription, Fang Yan instructed to boil the medicine in water and take it after noon, that is, after one o'clock.

The patient took the prescription and asked in dialect:

"Doctor Fang, do I need to be hospitalized in this condition?"

This question sounds a bit redundant. Wouldn't the resident doctor ask for it on his own initiative?
But in fact, it is not redundant at all. Fangyan understands that this is a hint:
Hurry up and get hospitalized! The company can reimburse me, and I can rest too!
So Fang Yan was just slightly startled, and then said very tactfully:

"In your case, it's best to stay in the hospital for observation."

He then added:

"Just promise to be at the hospital at 7pm."

The other party instantly gave him a grateful look.

I silently admired that Doctor Fang was not only young and good-looking, with superb medical skills and great strength, but also had a very clever mind, who understood everything at a glance.

Then there were two patients left, one of whom was an 8-year-old boy. His mother said that the child had suffered from rhinitis for 4 years. The symptom was an unusually large amount of nasal discharge. At the beginning, the nasal discharge was thin and clear, and he could still breathe, but this year the symptoms were more serious. The nasal discharge became sticky and he was sweating a lot and wetting the bed frequently, almost every other day.

After combining the four examinations based on dialect, it was determined that this was lung and kidney yang deficiency, and the seven orifices lacked warmth. The child also often wet the bed, which was a sign of lung and kidney deficiency, so Suquan Pills with added ingredients were used together with Yupingfeng Powder to treat both gold and water.

This is also the easiest case today.

Then it’s the last one’s turn.

This is a 20-year-old girl, and this girl has some relationship with the dialect.

This girl is the niece of Aunt Wang Huiyuan, who was introduced to Fang Yan to work at Tongrentang when he just returned to the city.

Aunt Wang Huiyuan works in the Ministry of Health.

This time it was Aunt Wang Huiyuan who asked her to come here.

This girl's symptoms are also very strange.

She would vomit 10 to 30 minutes after eating.

And it's been a year and a half.

The girl was thin, which reminded Fang Yan of Miss Zhou upstairs. She was so thin that she was almost unrecognizable.

He told Fangyan that he had seen a Western doctor before and was diagnosed with nervous vomiting. He has been taking Western medicine for a long time, but the effect is not obvious. He now has symptoms of anorexia.

And what's even more bizarre is that her menstruation has stopped since the vomiting occurred.

(End of this chapter)