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

Chapter 1020 Director Xun's defense is broken

Xu Xiuxiu sat by the bed, carefully tucking in the quilt for her daughter, her eyes full of love.

It had only been thirty hours since she arrived in Kyoto, but the changes in her daughter had given her long-lost hope.

She secretly took out her cell phone and looked through the photos she had taken at Dongchuan Children's Hospital. At that time, Linlin was tortured by a high fever and was listless, which was in stark contrast to her current stability.

"How do you feel?" Wen Manlu walked into the ward with the nurse and asked softly.

"Much better, Dr. Wen, thank you so much."

Xu Xiuxiu stood up excitedly, "Linlin slept soundly last night, and her temperature didn't rise again."

Wen Manlu smiled gently and leaned over to examine Linlin carefully.

She first gently touched Linlin's forehead to feel her body temperature, and it was indeed much lower than the scorching high fever of yesterday.

Checking the swollen knee and wrist joints again, although the skin temperature was still high, the tight and bursting swelling seemed to have eased slightly.

"Open your mouth and let Auntie see your tongue, okay?"

"Ah!" Linlin opened her little mouth obediently.

"Linlin is awesome."

Wen Manlu observed carefully.

The tongue was still thin and dark red, covered with fine cracks, like cracked land due to drought. But the good news was that a very thin layer of saliva appeared on the surface of the tongue, and it was no longer as dry and cracked as yesterday!

The thick, greasy yellow coating at the base of his tongue seemed to have lightened slightly, becoming less greasy and dirty. The redness and swelling at the ulcer on the tip of his tongue had also subsided slightly.

Wen Manlu felt a little relieved and stretched out three fingers to place them on Linlin's slender wrist.

The pulse is still deep, thin and rapid, and the feeling under the finger is still weak. This is a clear evidence of severe deficiency of Qi and blood, and failure of true Yin to recover.

However, the "restlessness" that was previously hidden deep in the meridians and as frantic as a trapped beast has now obviously subsided a lot and become relatively stable.

This means that the dangerous phenomenon of the external overflow of false yang has been initially curbed, and the remaining vital energy that was forcibly suppressed back into the body is no longer so wild and helpless.

"very good."

Wen Manlu stood up straight, a warm smile on her face, and looked at Jiang Yuan and his wife who were watching her nervously.

"The temperature has dropped, the child is conscious, the pain from the mouth ulcer has eased, and the tongue and pulse are both showing signs of improvement. These are all positive signs, indicating that we have initially stabilized the situation and pulled the child back from the most dangerous edge of Yin-Yang separation. We have passed the first hurdle."

"Thank you, thank you Dr. Wen!" Jiang Yuan and his wife were so excited that they were incoherent, and tears welled up in their eyes again.

For them, this improvement in just thirty hours was like seeing a solid beam of light in the abyss of despair.

"You're welcome, this is what we should do."

Wen Manlu also had a relieved smile on her face.

Wen Manlu likes children, so she liked Hanhan very much from the beginning. Now that she is pregnant, her maternal instinct has been aroused. She feels very uncomfortable seeing Linlin, a child of her age, suffering.

"However, now is not the time to relax. Although the high fever has subsided, it is still a low-grade fever. Although the Yin fluid is nourished, it is still far from full. The damp heat and blood stasis have been entrenched for a long time and will not be cleared overnight. More importantly, the child's vital energy, especially the spleen and stomach energy, has been severely damaged by the previous medication and urgently needs to be rebuilt."

Xun Jiahong, who was accompanying Wen Manlu, nodded and said with a smile, "Doctor Wen is right. Since the treatment has been effective, we should press on today. Following the principle of 'saving the Yin and preserving the Yang, clearing away the hidden evil,' we should adjust the prescriptions based on the current situation, further consolidating the positive energy and disintegrating the entrenched evil. Lulu, do you have a plan?"

Wen Manlu had already made up her mind. She took out the prepared prescription pad and clearly explained her ideas while writing. On the one hand, it was an explanation to Xun Jiahong, and on the other hand, it was an explanation to Jiang Yuan and his wife.

"Although the patient's current symptoms have eased somewhat, the core pathogenesis remains unchanged—it's still a profound deficiency of True Yin, with internal accumulation of damp-heat, stasis, and volatile deficiency-heat as symptoms. However, after yesterday's large dose of heat-clearing and Yin-reinforcing medication, the fever has subsided, the deficiency-yang has calmed somewhat, and the spleen and stomach have benefited from the medication, suggesting a chance of recovery. Therefore, today's prescription should be based on the original prescription, with slight additions and subtractions, placing greater emphasis on 'clearing and clearing' and 'promoting circulation.'"

"Gypsum 20g (pre-decocted) - clears residual heat, but reduce the dosage to 20g to prevent excessive cold from damaging yang."

"Anemarrhena 10g - nourishes yin and reduces heat."

"Scrophulariaceae 15g, Radix Rehmanniae 15g, Radix Ophiopogonis 15g - nourishing yin essence, this is the fundamental."

"Coptis 5g, Scutellaria 8g - clear the heart and reduce internal heat. Reduce the dosage to prevent bitterness and coldness from damaging the stomach."

"Danpi 10g, Chishao 10g - cools blood and disperses blood stasis, targeting stasis in joint swelling and pain."

.......

Xun Jiahong listened carefully and was even more shocked.

This adjustment not only grasps the continuity of the core of the pathogenesis, but also makes precise adjustments according to changes in the condition, reducing bitterness and coldness to prevent damage to the body, increasing the penetration of evil to provide a way out, strengthening the foundation, and is interconnected and rigorous in nature.

In particular, the addition of Astragalus membranaceus and roasted barley malt anticipated the key role of spleen and stomach recovery in long-term treatment and was well thought out.

In such a short period of time, Wen Manlu has grown to this level?

For a moment, Xun Jiahong almost broke down.

Before meeting Chen Yang, he was recognized as the best among the younger generation in the medical field and a leader among young doctors in Kyoto's medical community.

But after meeting Chen Yang, not only was he far ahead of Chen Yang, but he also seemed to be meeting more and more geniuses.

Li Haofei, Liu Xi, and Wen Haodong have also made rapid progress, and their acupuncture skills have already reached the level of masters. Wen Manlu usually keeps a low profile, but this time she also demonstrated such an impressive level.

Could it be that Xun Jiahong is really the early bird that catches the worm, and now he can hardly fly anymore?

This time, Chen Yang let Wen Manlu take full responsibility for Linlin's treatment, but Xun Jiahong followed her all the time because this disease was not simple and he wanted to learn.

If Chen Yang was responsible for this disease, Xun Jiahong would be in a better mood now, but now it is Wen Manlu.

"Lulu, I didn't expect you to improve so quickly."

After leaving the ward, Xun Jiahong said to Wen Manlu with emotion, "Even if I were in charge of this disease, I would have found it quite difficult. I didn't expect that you would make it so easy."

"After studying with Chen Yang for so long, I have indeed made some progress." Wen Manlu said.

Wen Manlu and Xun Jiahong are old acquaintances. They have known each other for a long time, but because of some rumors, they didn't communicate much before. Now that Wen Manlu is married and Xun Jiahong is also married, the two have returned to their childhood state and get along much more naturally.

"Yes, I can indeed learn a lot from following Chen Yang."

Xun Jiahong smiled and nodded, but he was a little puzzled.

Could it be that Chen Yang really gave special treatment to Wen Manlu, Wen Haodong and several of his own apprentices?

I have been studying with Chen Yang for quite some time?

Do I have to find a master myself?