Chinese medicine: from rural hospitals to top three hospitals in Kyoto

Chapter 1249 Han Jimin's Praise

Who is this little girl?

"Never seen him before, he's a stranger."

"So young, can she handle it?"

Amidst the murmurs, Yu Shiyun had already walked up to the girl, Xiao Juan.

Yu Shiyun didn't rush to take their pulses. Instead, she gently said to the girl and her brother, "Hello, may I take a closer look?"

The girl's brother looked at the excessively young and beautiful "female doctor" with suspicion and some hesitation.

But Yu Shiyun's eyes were clear and her attitude was sincere, so he finally nodded.

Yu Shiyun gently removed the girl's gloves first.

Those thin, bony, pale, bluish-purple hands with dark purple nails were revealed, a shocking sight.

Yu Shiyun carefully examined the color and skin condition of the girl's fingers, and even gently pressed them to inquire about the nature and extent of the pain.

Then she checked the girl's feet, and the situation was the same.

Next, Yu Shiyun carefully observed the girl's complexion, eyelids, and lips, paying special attention to areas such as behind the ears and the sides of the neck.

"Before the onset of the illness, besides the argument, did you suffer any external injuries? For example, were you pricked by something or bitten by an insect?" Yu Shiyun asked.

The girl's brother recalled: "It seems that... once when I was washing clothes by the river, my finger was pricked by a dry branch and bled a little, but I didn't pay attention to it at the time. Not long after, I started to feel cold."

Yu Shiyun's eyes lit up, and she asked again, "Besides being afraid of the cold and having bluish-purple pain in your hands and feet, do you usually have any other fixed pain? For example, in your joints or bones? Do you have a fever, even a low-grade fever, or feel waves of chills and fever in your body?"

The girl spoke weakly, her voice barely audible: "My bones... sometimes feel like they're being pricked with needles... sometimes I feel hot and cold, but my temperature isn't high..."

"How is your period?" Yu Shiyun asked directly.

A blush rose on the girl's pale face, and she whispered, "It's been a long time... since I've come."

Yu Shiyun nodded, and finally said, "Let me look at your tongue and take your pulse."

Tongue appearance: The tongue is pale purple with a thin, white, and dry coating, and the sublingual veins are purplish-black and engorged.

Pulse characteristics: deep, thready, and hesitant, like lightly scraping bamboo with a knife; when pressed hard, it is barely perceptible.

After the examination, Yu Shiyun took two steps back, closed her eyes and pondered for a moment, seemingly integrating all the information.

The square was quiet; everyone was watching her, waiting to see what surprising thing the young girl would say.

Han Jimin also watched Yu Shiyun with great interest, a hint of expectation flashing in his cloudy old eyes.

A moment later, Yu Shiyun opened her eyes, her gaze becoming firm and clear.

She walked to the center of the arena, faced the crowd, and said loudly:

"Dear seniors and colleagues, I believe that this patient's condition is neither simply 'Yang deficiency and cold stagnation' nor 'liver qi stagnation'."

Yu Shiyun's words echoed clearly in the square.

"Based on the patient's medical history: it started with an external injury and gradually worsened; the main symptoms were extreme aversion to cold, cyanosis and severe pain in the extremities, emaciation, and amenorrhea; accompanied by stabbing pain in the joints and alternating chills and fever; the tongue was purple, the sublingual veins were engorged, and the pulse was deep, thready, and hesitant."

"This is a critical condition characterized by 'internal invasion of yin toxins, obstruction of the meridians by blood stasis, depletion of qi and blood, and yin-yang disharmony'!"

"Insidious?" The crowd erupted in uproar.

This concept is not unfamiliar in Traditional Chinese Medicine, but it is mostly used to describe certain sores or severe cold-related diseases. It is rare to see it used to explain such a complex systemic disease.

Yu Shiyun remained calm and continued to explain: "The so-called 'yin poison' is not an ordinary cold evil, but a kind of 'poisonous evil' that lies deep in the blood, is yin in nature, and damages people's qi and blood."

"This poison may be caused by external injury, such as being pricked by a dry branch, which may introduce foul toxins, or by a sudden change in emotions that causes the qi and blood to become disordered, resulting in the internal generation of poisonous evil that lies dormant in the blood vessels and bone marrow."

“Deeply lurking toxins deplete qi and blood, resulting in extreme emaciation and amenorrhea; toxic stasis obstructs the collaterals, preventing yang qi from reaching the extremities, causing cold, bluish-purple, and severe pain in the limbs; the struggle between toxins and the body's vital energy causes alternating chills and fever; and the attack of toxic stasis on the joints causes stabbing pain in the joints.”

“At this time, using ordinary warming and yang-tonifying medicines would be like adding fuel to the fire, which may exacerbate the poison; using liver-soothing and qi-regulating medicines would not be strong enough to shake the deeply lurking poison.”

"We must use the method of 'expelling toxins and pathogens, promoting blood circulation and unblocking meridians, and strengthening the body's resistance' to give the toxins and pathogens an outlet, while simultaneously saving the endangered blood and qi!"

Everyone was dumbfounded.

This dialectical approach far surpasses previous ideas, involving multiple levels such as "toxins," "stasis," and "deficiency," and is closely related to the history of external injuries. It sounds unbelievable, yet it is logically consistent.

Han Jimin leaned forward slightly, his eyes gleaming, clearly deeply captivated by Yu Shiyun's discourse.

"Then... how should it be treated?" someone couldn't help but ask.

Yu Shiyun took a deep breath and explained her proposed solution:

"The prescription is a modified version of Yanghe Decoction combined with Shentong Zhuyu Decoction and Tuoli Xiaodu Powder."

"Composition: Rehmannia glutinosa, deer antler glue, cinnamon, dried ginger, ephedra, white mustard seed - this is the basis of Yanghe Decoction, which warms yang and nourishes blood, dispels cold and unblocks stagnation, and is the basis of the 'support' method."

"Add peach kernel, safflower, angelica, chuanxiong, myrrh, five-spice powder, and earthworm—this is the main ingredient of the Body Pain Relief Decoction, which focuses on promoting blood circulation, removing blood stasis, clearing the channels, and relieving pain, targeting 'blood stasis and toxins obstructing the channels'."

"Add Astragalus membranaceus, Codonopsis pilosula, Atractylodes macrocephala, Poria cocos, Lonicera japonica, Forsythia suspensa, and Gleditsia sinensis thorns—this is based on the principle of Tuoli Xiaodu San (a traditional Chinese medicine formula), which invigorates Qi, strengthens the body, expels toxins, and detoxifies and disperses nodules."

"Adding a small amount of insect-based medicines, such as scorpions and centipedes, can also be considered to enhance the effects of dispelling wind, clearing the meridians, attacking toxins, and dispersing nodules; adding a small amount of rhubarb is not for purging, but rather to take advantage of its effects of 'activating blood circulation, detoxifying, and promoting metabolism' to guide the stagnant toxins out through urination and defecation."

"This formula emphasizes the combined use of 'supporting, unblocking, tonifying, and clearing' to warm the yang and invigorate blood to unblock the meridians, to replenish qi and support the body's resistance to support toxins, and to detoxify and disperse nodules. It requires long-term use and gradual treatment, close observation, and adjustments as needed."

After Yu Shiyun finished speaking, the square fell silent.

This prescription contains numerous ingredients, combining both cold and hot properties, and employing both purging and tonifying methods. Its complexity far exceeds all previous prescriptions, but it also appears to be more comprehensive and thorough.

Everyone looked at Han Jimin, awaiting the judgment of this titan.

Han Jimin remained silent for a long time before slowly standing up and walking to Yu Shiyun. He looked her over with gentle eyes and asked, "Young lady, what is your name? Who is your teacher?"

Yu Shiyun replied respectfully, "I am Yu Shiyun, from Kyoto, and currently... I am studying under Director Chen Yang."

"Chen Yang……"

Han Jimin murmured, his gaze sweeping across the crowd, where he immediately spotted Chen Yang.

Han Jimin nodded slightly to Chen Yang, then looked at Yu Shiyun and said, “Your diagnosis just now, especially the theory of ‘internal invasion of yin poison’ and the connection between the history of external injury and the pathogenesis, is very insightful. I haven’t heard young people mention this line of thinking for many years.”

After a pause, Han Jimin continued, "This patient's condition is critical, and conventional approaches are indeed unlikely to be effective."

"Your proposed method of 'expelling toxins and pathogens, promoting blood circulation and unblocking collaterals, and strengthening the body's resistance and consolidating the foundation' is theoretically accurate in addressing the pathogenesis, and the prescription is also quite well-structured. What is especially valuable is that you did not limit yourself to 'cold' or 'stagnation', but saw the deeper 'toxins' and 'stasis', and took into account the fundamental issue of 'deficiency of vital energy'."

Han Lao's words are tantamount to a high affirmation of Yu Shiyun's dialectical thinking and approach!

A chorus of exclamations and murmurs immediately filled the room.

This girl, who looks so young, actually received such high praise from Mr. Han!

Mr. Hu, Director Zhao, and others all showed expressions of surprise and admiration.