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

Chapter 734 What kind of magical operation is this?



Chapter 734 What kind of magical operation is this?

Yangyang fainted in the kindergarten when Chen Yang went to Jialin County. He was then sent to the hospital for examination and was diagnosed with Addison's disease, also known as chronic adrenocortical insufficiency.

After that, Yangyang has been in a bad mood, upset, weak all over, unwilling to move, and his resistance is obviously low. During this period, his gums are often red and swollen, his digestive function is poor, he often feels nauseous after meals, and he also suffers from dizziness, palpitations, and insomnia.

Yangyang's face and lips looked burnt and his lips were dry and cracked, and he also had pain under his left ribs.

Apart from the pulse and tongue coating, Wen Manlu already knew most of Yangyang's other conditions.

"The pulse is deep, thin and stringy."

Wen Manlu took Yangyang's pulse and checked his tongue coating, which was white and red.

"What do you think?"

After the examination of Wen Manlu, Zhuo Yongkang asked Kong Zhengping, Sun Xiubai, Yao Xinting and several others, including Wen Manlu.

Kong Zhengping pushed his glasses on the bridge of his nose, frowned slightly, and said after thinking for a moment: "From the deep, thin and stringy pulse, the white tongue coating and the red tongue, combined with the patient's symptoms, I think this is a typical sign of liver and kidney yin deficiency. Long-term illness consumes yin fluid, kidney yin deficiency, and cannot nourish the liver wood, resulting in insufficient liver yin. Yin deficiency produces internal heat, so the red tongue appears. The deep, thin and stringy pulse is also caused by yin deficiency and lack of blood, the meridians are not full, and the patient is weak. The patient is in poor spirits and weak all over, precisely because of liver and kidney yin deficiency, qi and blood cannot nourish the whole body."

As he spoke, he unconsciously tapped the edge of the bed with his fingers, as if he was sorting out the logic of the entire illness in his mind.

"I agree with what Mr. Kong said, but I think that in addition to liver and kidney yin deficiency, the patient also has problems with the spleen and stomach. Poor digestive function and nausea after meals are all manifestations of abnormal spleen and stomach function. The spleen and stomach are the foundation of acquired constitution and the source of qi and blood production. If the spleen and stomach are weak, qi and blood production will be insufficient, further aggravating the patient's weak state. In addition, the patient's complexion and lips are burnt black. I speculate that there may be internal blood stasis. Long-term illness enters the meridians, qi and blood flow is not smooth, resulting in blood stasis, which is reflected in this color change on the face."

Sun Xiubai also hesitated for a moment and said.

Yao Xinting didn't say anything, just listened quietly.

"What do you think, Xiaowen?" Zhuo Yongkang asked Wen Manlu with a smile.

"I think the child should be suffering from spleen and kidney deficiency, and food accumulation turning into heat. Spleen and stomach deficiency is the root cause, and food accumulation turning into heat is the symptom." Wen Manlu said.

Wen Manlu and Chen Yang had already discussed this disease when Zhuo Yongkang was giving a lecture just now. Although Chen Yang had not seen Yangyang and only knew about Yangyang's symptoms, with Chen Yang's level of expertise, he could basically make a rough diagnosis of the disease based on the patient's symptoms. All that was left was just to confirm some details.

"The patient has been listless and weak for a long time, which is undoubtedly a significant manifestation of spleen and kidney deficiency."

Wen Manlu continued, "The spleen is responsible for transporting and transforming food. If the spleen is weak, the transport and transformation function will be abnormal, and the nutrients in the food cannot be fully distributed throughout the body, causing the child to be physically weak and mentally fatigued. The kidney is the foundation of the body. If the kidney qi is deficient, it is difficult to stimulate the yang qi of the internal organs, further aggravating the body's weakness."

Wen Manlu paused for a moment and continued, "As for food accumulation turning into heat, it can be seen from symptoms such as red and swollen gums, poor digestive function, and nausea after meals. The child has a weak spleen and stomach, and the digestive ability is already insufficient. If you don't pay attention to your diet, it is very easy to cause food accumulation. Food accumulates in the gastrointestinal tract, stagnation and heat, and the heat evil goes up along the meridians, thus causing red and swollen gums. This food accumulation turning into heat will undoubtedly make the child's body's mixed condition of deficiency and excess more serious."

Yu Yaohui looked at Wen Manlu in surprise, his face full of disbelief.

Zhuo Yongkang's female student is very capable. She analyzed the child's symptoms quite clearly.

In fact, the dialectics of traditional Chinese medicine is not difficult if you get started and have correct thinking. But if you don’t get started and your thinking goes astray, you will be groping in the dark and unable to enter the door.

From the perspective of Western medicine, Yangyang's condition is chronic adrenal insufficiency.

Chronic adrenal insufficiency, also known as Addison's disease, is a chronic endocrine disease caused by insufficient secretion of adrenal cortical hormones such as cortisol and aldosterone.

The disease is mainly divided into two categories: primary and secondary.

The primary cause is damage to the adrenal glands themselves; such as autoimmune destruction, tuberculosis infection, genetic defects, etc., leading to insufficient hormone secretion.

Secondary is due to pituitary or hypothalamic dysfunction, such as long-term use of glucocorticoids, tumors, trauma, etc., which leads to decreased secretion of adrenocorticotropic hormone (ACTH), indirectly causing adrenal insufficiency.

The main symptoms include fatigue, weight loss, loss of appetite, hypotension, hypoglycemia, skin and mucous membrane pigmentation, accompanied by nausea and vomiting, muscle weakness, depression, and decreased tolerance to infection or stress.

Yangyang's face and lips are burnt black, which is caused by pigmentation of the skin and mucous membranes from a Western medical perspective.

Regarding Yangyang’s situation, most Chinese medicine practitioners would probably start from the kidneys, especially those of the new school of Chinese medicine.

The more complicated the disease, the more people think about it. This is the habit of most people.

From the perspective of Western medicine, Yangyang's disease is definitely a very troublesome disease. If the exact cause cannot be found out, it will be difficult to cure. Faced with such a disease, most doctors dare not jump to conclusions.

Even if we analyze it clearly from the perspective of traditional Chinese medicine, we may still think that this is too simple.

Yu Yaohui was also thinking about this problem just now, but Wen Manlu's words have already analyzed the disease very clearly, and it is not even complicated.

"Mr. Zhuo, your female student is amazing."

Yu Yaohui smiled and said to Zhuo Yongkang: "Many senior doctors in our hospital cannot compare with this analysis."

"I didn't expect that Professor Zhuo is not only highly skilled himself, but also has a way of teaching students." Yu Yaohui flattered him.

"Director Yu, you underestimate Xiao Wen."

Zhuo Yongkang smiled and said, "Xiao Wen is the granddaughter of Elder Wen Xiuping. She has been exposed to Chinese medicine since she was a child. She has a solid foundation and her level is naturally excellent. This is not my credit."

Yu Yaohui was shocked. This female student of Zhuo Yongkang turned out to be Wen Xiuping's granddaughter?

Such a big background?

In Yu Yaohui's eyes, Zhuo Yongkang, a professor at Kyoto University of Chinese Medicine, is already an outstanding famous medical practitioner. However, compared with Wen Xiuping, Zhuo Yongkang is definitely a junior.

Wen Xiuping is the top figure in the medical field. There are only a handful of famous Chinese medicine experts of Wen Xiuping's caliber in the country.

"No, teacher, please don't praise me. In fact, Chen Yang and I have already discussed Yangyang's situation before." Wen Manlu said with a smile.

"Has Xiao Chen also met Yangyang?" Zhuo Yongkang asked.

"No, I just asked the kindergarten teachers and some other people about some situations." Wen Manlu said.

Yu Yaohui opened his mouth. He had never seen the patient, but just knew some of the situation, so he could make such an accurate judgment?

What kind of magical operation is this?


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