novel for you Chapter 1080 Visiting the Medical Center (Part )
Chapter 1080 Visiting the Medical Center (Part )
Kyoto International Medical Center.
Mueller, Robert and others visited the Department of Traditional Chinese Medicine accompanied by Gao Anliang.
During this period, the number of patients in the center has increased. Lin Yi, Xun Jiahong, Wen Haodong and others each have their own patients to take care of.
"Director Lin."
From a distance, Gao Anliang greeted Lin Yi.
"Director Gao, Professor Mueller, Professor Robert."
Lin Yi stopped and greeted Muller and others with a smile.
"This is Director Lin Yilin of our center."
Gao Anliang smiled and introduced Mueller and the others: "You all met Director Lin yesterday. He is also a highly qualified Chinese medicine expert in our center."
"Hello, Director Lin." Mueller and the others nodded politely to Lin Yi and asked, "Is Director Lin going to make rounds?"
"Yes."
Lin Yi smiled and nodded, then led everyone into the ward.
Lying on the hospital bed was a 45-year-old multinational executive, an American named Linda.
Lin Yi was also telling Robert and the others about Linda's condition. Linda had traveled from Europe to Asia for medical treatment and was diagnosed with Adult-onset Still's Disease (AOSD). She had repeated high fevers exceeding 39.5°C. The severe pain in her wrists and knees made it difficult for her to even hold a pen, and her torso was covered with light red rashes.
What's worse, high-dose glucocorticoids and immunosuppressants not only failed to control the disease, but also caused moon face and buffalo hump. He was so irritable at night that he could stay awake until dawn, and the transaminase level on the liver function report soared to three times the normal upper limit.
Robert and Mueller naturally knew what adult-onset Still's disease was.
Adult-onset Still's disease, also known as adult-onset Still's disease and allergic subsepsis (AOSD), is an inflammatory autoimmune disease that belongs to the category of rheumatology and immunology.
The cause of this disease in Western medicine is not yet fully understood, and may be related to infection, genetics, and immune abnormalities.
It is more common in young and middle-aged people and people with low immunity, with slightly more women than men. The mortality rate is low, but the recurrence rate is high.
The main clinical manifestations of adult-onset Still's disease include high fever, transient rash, arthritis or joint pain, etc. In addition, patients may also experience symptoms such as sore throat, swollen lymph nodes, and hepatosplenomegaly.
These symptoms may cause patients to experience accompanying symptoms such as sore throat, cough, difficulty breathing, abdominal pain, and neurological disorders.
Seeing a large group of people suddenly coming into the ward, Linda seemed a little nervous.
"Ms. Linda, don't be nervous. We just want to share your treatment process with international experts."
Lin Yi slowed down his speech and soothed her in English with a gentle smile. He handed her a glass of warm lemon water and waited until her fingertips relaxed before continuing to talk to Robert and the others, "From a TCM perspective, Ms. Linda's core pathology is 'heat entering the blood, yin deficiency and excessive fire.'"
"Look at her tongue..."
As he spoke, Lin Yi asked Linda to open her mouth so that everyone could see her tongue.
The tongue surface is crimson, with little and dry coating.
"Persistent high fever and subtle macules are clear evidence of intense heat toxicity invading the bloodstream; severe joint pain is caused by heat toxicity blocking the meridians, hindering the flow of Qi and blood; and irritability, insomnia, and a dry tongue are the result of long-term depletion of Yin fluid by the evil heat."
Lin Yi continued, "The patient's long-term, high-dose use of hormones is considered in Traditional Chinese Medicine to be 'invigorating fire and consuming qi'. While hormones can temporarily suppress the heat, they act like a 'false fire', continuously depleting her already deficient qi and yin, causing the false fire to rise again and the condition to persist."
"So our treatment principle is not to 'fight' inflammation, but to 'combine clearing and nourishing': clearing the Ying and cooling the blood to dispel pathogenic factors, nourishing the Yin and detoxifying to strengthen the body, and then supplementing it with unblocking the meridians to relieve pain."
As he spoke, Lin Yi handed the folder in his hand to Mueller, which contained Linda's treatment information for this period of time.
Linda was also a patient admitted to the Department of Traditional Chinese Medicine when Chen Yang was in New York.
Robert also came closer to watch.
Kyoto International Medical Center treats not only domestic patients but also international patients, so the medical records are not only in Chinese but also in English.
Linda is also a foreign patient, and Lin Yi's records are also in English, so Robert and Mueller can understand them.
As the two of them watched, Lin Yi explained on the side.
"I use Qingying Decoction combined with Xijiao Dihuang Decoction with modifications. Considering the protection policy for rhinoceros horn, I use 30g of buffalo horn instead. I also add 15g of Artemisia annua and 12g of Rehmannia root to nourish yin and dispel heat, allowing the latent heat evil to emerge from within. I also use 10g of Gentiana macrophylla and 12g of Clematis chinensis to dispel wind and dredge the meridians, targeting joint pain."
Lin Yi was also very clear about the purpose of Robert and others' visit to Kyoto International Medical Center for study, so regardless of whether they could understand it or not, he gave them a routine explanation. The most important thing was to let this group of foreigners see the effect.
Over the past two weeks, the prednisone dose was reduced from 60mg to 30mg per day, but Linda's temperature curve gradually flattened from "sawtooth high fever" to stabilize at around 37.2°C; CRP dropped from 80mg/L to 25mg/L, ESR dropped from 110mm/h to 45mm/h; VAS pain score dropped from an unbearable 8 points to 3 points that allowed normal activities.
"Reducing the dosage of hormones will actually improve the condition?" Professor Robert frowned and ran his fingers across the folder.
This is completely contrary to his decades of clinical experience.
"This is the core of traditional Chinese medicine's 'holistic balance'."
Lin Yi explained with a smile, "We don't directly suppress the immune system, but rather clear the heat and toxins in the blood, replenish the depleted Yin fluid, and restore the body's own balance."
"It's like..."
Lin Yi pondered for a moment and gave an example: "Excessive inflammation is like weeds in a field. Western medicine often uses 'herbicides' (hormones, immunosuppressants) to directly eliminate weeds, but this can harm the crops. Traditional Chinese medicine, on the other hand, 'improves the soil' (clearing toxins and nourishing yin), depriving the weeds of an environment to grow, allowing the crops to naturally grow healthily."
"Oh, the cake buyer!"
Robert said in surprise: "When Director Lin said that, I understood it instantly."
"Yes, that's a very vivid description."
Mueller also nodded, and said to Robert at the same time: "I didn't expect that in addition to Chen, there are also Director Xun and Director Lin in the Kyoto International Medical Center. Chinese Traditional Medicine is really profound..."
After coming out of the ward, Mueller and his group followed Gao Anliang to another ward.
In the ward was a six-year-old boy named Dongdong, who was a patient that An Zhengliang was responsible for.
When they saw the sick child on the hospital bed, Mueller and Robert's expressions changed.
The child's whole body was swollen like an inflated doll, his skin was tight and shiny, and a deep indentation would form when pressed, and it would not bounce back for 5 seconds.
At the same time, the abdomen is swollen like a drum, and a clear sound of water splashing can be heard when pressing. The supraclavicular fossa is deeply sunken when breathing, and each inhalation is accompanied by a slight wheezing.
"This child has refractory nephrotic syndrome, and it has relapsed for the third time. This time, there is a serious infection."
An Zhengliang said to Robert and others, "Today is the third day that the child has been in the hospital."