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

Chapter 870 Liu Zhengyang

"Master!"

When Chen Yang arrived at the hospital, Wu Mengmeng hurried to greet him.

"Doctor Chen." The nurse next to him also greeted Chen Yang with a smile.

Chen Yang smiled and nodded to the nurse, then asked Wu Mengmeng: "Where is Director Qin?"

"Director Qin is in the ward."

As she spoke, Wu Mengmeng took Chen Yang to the ward. Not only Qin Dongliang was in the ward, but Liu Xi was also there.

Seeing Chen Yang coming in, Liu Xi hurriedly came forward: "Master..."

As he spoke, Liu Xi took Chen Yang to the bedside: "Master, this is my grandfather."

Lying on the hospital bed was an old man in his eighties. His face was haggard, but his eyes were bright.

This was the first time Chen Yang met Liu Xi’s grandfather Liu Zhengyang.

Liu Xi is an orphan and was adopted by Liu Zhengyang.

Chen Yang had heard about Liu Zhengyang from his senior sister Guan Xiaoyue a long time ago. Liu Zhengyang was a folk Chinese medicine practitioner. He had a low level of education, but his level of Chinese medicine was not low.

In his early years, Liu Zhengyang practiced medicine in the village and later opened a clinic in Fenghai City.

Liu Zhengyang was not childless. He originally had a son. More than 30 years ago, his son and his wife died in an accident at the same time. In the same year, Liu Zhengyang picked up Liu Xi.

At that time, Liu Zhengyang felt that Liu Xi was a gift from God, and he always raised Liu Xi as his own grandson. The grandfather and grandson depended on each other for survival.

Although Liu Zhengyang is eighty years old, he still has the spirit of a doctor. When he saw Chen Yang approaching, he actually tried to stand up.

"Mr. Liu, there's no need to be so polite." Chen Yang quickly stepped forward to support the old man, and helped Liu Zhengyang lie down. At the same time, he sat down beside the bed and stretched out his hand to feel Liu Zhengyang's pulse.

When Chen Yang touched Liu Zhengyang's wrist, his heart sank involuntarily - the pulse was as thin as a thread, and there was no root when pressed hard. This was an extremely weak pulse.

Qin Dongliang's face was solemn. "Mr. Liu suddenly fainted three days ago. Western medicine examination said it was myocardial ischemia, but after taking vasodilators, his shortness of breath worsened. We suspected it was a severe case of 'chest pain' in traditional Chinese medicine, but when we diagnosed the syndrome, we always felt something was wrong."

Liu Xi called out to Chen Yang with red eyes: "Master..."

"Don't worry, Mr. Liu will be fine."

Chen Yang signaled Liu Xi to calm down and opened the medical record.

Western medicine diagnosed it as coronary atherosclerotic heart disease, old myocardial infarction, and heart function level 3. Looking at the Chinese medicine consultation record, the previous doctor used Xuefu Zhuyu Decoction with modifications, but after taking the medicine, he developed symptoms such as chills and cold limbs and loose stools.

"Mr. Liu, let me take a look at your tongue." Chen Yang stepped forward and said to Liu Zhengyang.

Liu Zhengyang opened his mouth and cooperated with Chen Yang's inspection.

"The tongue is pale and fat, with teeth marks on the edges, and the tongue coating is white and greasy like water."

"Mr. Liu, where do you feel the most uncomfortable right now?" Chen Yang asked in a gentle voice.

"It feels like there's a rock pressing on my chest, and I can't breathe in half a breath." Liu Zhengyang's voice was weak but clear: "I can't sleep flat at night, I have to use three pillows, my hands and feet are always cold, and I can't even defecate."

Chen Yang pondered for a moment, and after comparing the patient's pulse and symptoms, he found that the patient's thin pulse indicated deficiency, and the absence of roots indicated that the kidney Qi was about to escape; the pale and fat tongue with tooth marks and slippery tongue coating were all signs of yang deficiency and water retention.

The previous doctor misdiagnosed it as blood stasis and gave blood stasis-removing medicine, but ignored the fact that the patient was old and weak. In fact, it was "chest pain? Heart and kidney yang deficiency syndrome", with phlegm and fluid retention. When the yang qi is weak, it is weak, and the cold phlegm stagnates the heart meridian, so there is chest pain; kidney yang deficiency cannot warm the limbs, so there is fear of cold and cold limbs; spleen yang deficiency causes loose stools and fatigue.

Although Xuefu Zhuyu Decoction can promote blood circulation, it is cold in nature and can damage Yang Qi, causing the condition to worsen.

"This is a case of true cold with false heat." Chen Yang turned to Qin Dongliang, "Although Mr. Liu has chest tightness and chest pain, it is not mainly due to blood stasis, but yang deficiency and cold stagnation, and water retention in the heart. The treatment should be to warm the yang, transform the fluid, strengthen the heart and unblock the meridians."

Qin Dongliang nodded: "I also suspected yang deficiency, but the patient occasionally had a red face, and Director Guan thought it was blood stasis, so..."

The Director Guan Qin Dongliang mentioned was Guan Xiaoyue. Before Liu Zhengyang was sent to Jinjiang City, he was treated in Fenghai City.

"The red face is a sign of the floating of the false yang." Chen Yang explained: "The yang qi is weak and the yin and cold are strong inside, forcing the false yang to float up. This is the 'Dai Yang syndrome'. If you use cold medicine again, it will cause the separation of yin and yang."

"You can use Zhenwu Decoction combined with Shenfu Decoction to warm the kidney, boost yang, transform qi and promote water circulation."

As he was writing the prescription, Chen Yang said, "Aconite warms the kidney and strengthens Yang, and is the most important medicine for restoring Yang and rescuing adverse conditions. Ginseng greatly replenishes vital energy, nourishes the spleen and benefits the lungs... Add Allium macrostemon and Trichosanthes peel, promote Yang and disperse nodules, and dissipate phlegm and relieve Qi, targeting the main symptoms of chest pain; add Dragon Bone and Oyster to calm and consolidate the floating Yang.

"Decoction the aconite for two hours until there is no numbness in your mouth." Chen Yang instructed the nurse, "One dose of medicine is divided into four doses, take the first dose tonight, and observe the changes in urine volume and pulse."

Liu Xi held his grandfather's hand and looked at Chen Yang: "Master, thank you..."

Liu Xi's skills were not bad originally, but the patient was Liu Zhengyang. Liu Xi was a little confused and upset, so naturally he couldn't cure the disease.

"Stabilize the Yang Qi first, and then talk about the follow-up conditioning." Chen Yang patted Liu Xi's shoulder: "Mr. Liu has been practicing medicine for a lifetime and has saved countless lives. God will bless this merit."

Liu Xi sighed in his heart when he heard this.

Some things really don't make sense.

It is said that a hemp rope will break at the thinnest part and misfortune will visit the unfortunate. His grandfather practiced medicine all his life, but he lost his son in his early years, his wife in his middle age, and his father died young.

"Thank you, Master." Liu Xi said.

"It's okay, I'll stay with you tonight." Chen Yang comforted.

After Liu Zhengyang took the first decoction of medicine, he fell into a deep sleep. This was the first time he had slept soundly in three days.

Looking at Liu Zhengyang who was sleeping soundly, Liu Xi felt a little relieved.

Chen Yang and Liu Xi stayed by the bed together, taking the old man's pulse every half hour.

Just after midnight, Chen Yang's eyes lit up when he felt his pulse - the originally weak and rootless pulse actually had a hint of calmness and gentleness.

"Doctor Chen, the urine output has increased!" The nurse on duty was surprised after checking the records, "The total urine output in the past twelve hours was only 300ml, but now it is 150ml per hour."

Chen Yang nodded: "The Yang Qi is gradually recovering, and the water and drink are being digested. This is a good sign."

As he spoke, Chen Yang moved closer to Liu Zhengyang and saw that there was a little sweat on the tip of his nose. Although his face was still pale, it was less blue-gray...

"Take a look." Chen Yang said to Liu Xi.

Liu Xi also took a closer look and said in surprise: "The false yang has been restrained. Next, we just need to protect the stomach qi."

"good."

Chen Yang nodded and said to Liu Xi: "Although doctors cannot govern themselves, doctors should be calm when encountering problems. Perhaps at critical moments, they are the ones who can truly bring hope to their loved ones..."

"Master, I understand." Liu Xi nodded.

"Master, Brother..."

Wu Mengmeng came in with some midnight snacks: "How is Mr. Liu?"