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

Chapter 694: Start with Coughing



Chapter 694: Start with Coughing

As he spoke, Qin Dongliang had already brought Chen Yang and a few others into his office.

While inviting Chen Yang and others to sit down, Qin Dongliang boiled water and made tea.

"In fact, judging from the pulse and symptoms, the patient's condition is very clear. He has pathological excess water and physiological water deficiency."

After Chen Yang sat down, he said, "So the patient should have edema caused by qi deficiency, blood stasis and fluid retention, and cough caused by meridian swell and lung dryness."

"What Liu Xi said just now is correct. Simple bronchitis cannot cause edema, so the patient's cough should be caused by the obstruction of the meridians in the lungs, which leads to the dryness of the body fluid and the reversal of qi."

Chen Yang pondered for a moment, and quickly sorted out the intricate connections between the various symptoms in his mind, and then continued to analyze in an orderly manner: "From the perspective of traditional Chinese medicine theory, the obstruction of the meridians in the lungs is like a blocked river."

"The lungs control qi, regulate breathing, and are responsible for spreading and descending. When the meridians are blocked, the lung qi cannot be spread normally, and the body fluids cannot be distributed throughout the body as usual. Instead, they accumulate in the lungs. Over time, they will turn into dryness and heat, causing the body fluids to rise, thus causing coughing. This kind of cough is often a manifestation of the lung qi rising, just like a river that originally flows smoothly, encounters an obstacle and can only flow backwards."

As Chen Yang was speaking, Qin Dongliang poured him a cup of tea and placed it in front of him.

"and,"

Chen Yang picked up the teacup, took a sip, and moistened his throat. "The patient's edema problem is also closely related to the blockage of the meridians in the lungs. The lungs are the upper source of water. Under normal circumstances, the lungs spread the water throughout the body through the function of dispersing and descending, and then excrete it from the body through the gasification of the kidneys and bladder. But now the meridians in the lungs are blocked, the lung qi is not smooth, and the normal distribution of water is seriously affected. The water cannot go down smoothly and can only stagnate in the upper part of the body, so the patient will have symptoms of edema in the face, neck, right breast and right upper limb."

Liu Xi listened very attentively and couldn't help asking, "Chen Yang, what do you think is the cause of the blockage of the meridians in the lungs?"

Chen Yang put down the teacup, pondered for a moment and said: "This may be caused by many factors. First of all, the patient has been ill for a long time, the body's positive energy is insufficient, and the circulation of qi and blood is not smooth. Qi and blood are like the transport team in the human body, responsible for transporting nutrients to various organs and meridians."

"Once the qi and blood are insufficient, the meridians cannot be adequately nourished, and they tend to become fragile, with reduced resistance, making them more vulnerable to external invasion. In addition, patients may suffer from liver depression and qi stagnation and qi and blood stasis in their daily lives due to factors such as emotions and diet. The liver is responsible for regulating qi, and liver depression will cause poor qi flow throughout the body, affecting the normal function of the lungs and making the meridians in the lungs more susceptible to stagnation."

"Moreover,"

Chen Yang paused and continued, "The patient coughed up blood many times, which not only consumed a large amount of Yin blood in the body, but also caused blood stasis to remain in the body. If the blood stasis is not removed, new blood will not be produced, and the circulation of Qi and blood will be further obstructed. These blood stasis are like silt accumulated in the river, which hinders the normal circulation of Qi, blood and body fluids, and further aggravates the stagnation of the meridians in the lungs. Moreover, long-term blood stasis will turn into heat, burn body fluids, aggravate the symptoms of lung dryness, and form a vicious cycle."

Qin Dongliang drank tea while listening to Chen Yang. Ever since the last few symptoms, Qin Dongliang knew that Chen Yang's level was better than his, and it was possible that Chen Yang's level was no worse than Wu Yaolin's.

This kid went to Kyoto and was recognized by the Wen family and became the grandson-in-law of the Wen family. This shows his potential.

Although Wen Xiuping was not necessarily the kind of person who valued family background, Chen Yang was divorced and had a daughter. If he did not have strong abilities, how could he gain the recognition of the Wen family?

Wen Xiuping may not attach too much importance to Chen Yang's background, but he will definitely attach importance to Chen Yang's character and ability. Without some ability, how can he be worthy of the granddaughter of the Wen family?

So, when Chen Yang was speaking, Qin Dongliang was also thinking and pondering.

"So based on the patient's condition, we start by invigorating Qi and activating blood circulation, warming the meridians and promoting diuresis, and moistening the lungs and relieving cough?" Qin Dongliang asked.

"Ah."

Chen Yang nodded: "I just said that we can find a starting point, that is to start with the cough, first treat the patient's cough, whether it is hemoptysis or edema, the most serious of all problems is actually coughing. If the cough improves, other aspects will naturally improve."

There was a gleam of admiration in Liu Xi's eyes. He stared at Chen Yang and nodded continuously, as if he wanted to engrave every word Chen Yang said into his mind.

"Chen Yang's analysis is so thorough! Chen Yang has clearly sorted out the relationship between each symptom. Liu Xi was actually thinking about it just now, but compared with Chen Yang, he seems to be a small witch compared to a big witch.

"Okay, then let's treat it according to this plan first."

Qin Dongliang said: "The patient is your patient, I won't worry about him, just contact me anytime if you have any problem."

Liu Xi tried hard to hold back his laughter. Director Qin wanted to worry about it, but his ability did not allow it. Fortunately, Qin Dongliang did not know what Liu Xi was thinking.

Chen Yang, Liu Xi and Wu Mengmeng came out of Qin Dongliang's office and saw Meng Xulin waiting in the corridor from a distance.

"Dr. Chen."

Meng Xulin hurried forward with eager eyes.

"I just discussed this with Director Qin. Let's start with the cough."

Chen Yang smiled and said, "I'll write a prescription later and ask the nurse to use the medicine first."

"Thank you Dr. Chen."

Hearing what Chen Yang said, Meng Xulin breathed a sigh of relief. As long as Chen Yang was willing to treat him, it meant there was hope. He was afraid that Chen Yang was helpless.

After what happened last night, Meng Xulin has already made up his mind about Chen Yang. If even Chen Yang can't do anything about it, then he will really be desperate.

"Master Meng, your health is not well yet, so you should take care of yourself." Chen Yang said with a smile.

"Well, I'm taking my medicine on time."

Meng Xulin smiled bitterly and said, "My child is in school now, and the elderly in my family have passed away. There is no one to take care of him except me."

During this period, Meng Xulin actually hired a caregiver. He also wanted to make some money. The main reason was that Meng Xulin's wife had been in the hospital for a long time, and Meng Xulin couldn't trap himself here. Otherwise, he would really only have the option of selling his car and house.

Fortunately, he now sees hope. Not only does he have hope for his own illness, but he also has hope for his lover's illness. If he can recover, he will be able to find a job and his income will be guaranteed. At this stage, he has the confidence even to borrow money from others.

Before, even if his disciple Jin Haoxuan wanted to lend money to Meng Xulin, Meng Xulin didn’t dare to take too much, for he was afraid that he would not be able to pay it back.

"Okay, Master Meng, please take care of my sister-in-law first and take a rest. I haven't had lunch yet." Chen Yang said with a smile.

"Thank you for your hard work, Doctor Chen."

Meng Xulin said: "When I have some time, I will prepare a good meal for you, Doctor Chen."


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