Chapter 46

On the way to Yang's house, Xu Yi asked Mrs. Yang whether this Yang official had other symptoms besides thirst.

Madam Yang pondered for a long time, recalling the interactions between her and her husband in the past two days. After a while, she did not dare to hide it and said: "In addition to being thirsty, the official has gone to the toilet a lot in the past two days, and he is always unable to do anything in the middle of the night. Sleep peacefully and have to get up several times to go to the toilet."

When Xu Yi heard this, he frowned and thought. If the body is thirsty, cannot drink water, and has frequent urination, the first thing he thinks of is some kind of disease.

A disease called diabetes mellitus causes such symptoms.

However, the treatment prescriptions involved for diabetes caused by different causes are different, and the prescription needs to be based on the cause of each patient's condition.

Before seeing Yang Guanren, Xu Yi couldn't say anything.

The two alleys were close to each other. After walking for a while, they saw the main door of the Yang family.

After Mrs. Yang opened the door, she invited Xu Yi into the main room, and then went to the back room to find Mr. Yang.

As a result, Yang Guanren was not seen in the room. When he turned around and came out to look for her, he saw that Yang Guanren was already talking to Xu Yi in the main room.

While Guanren Yang was waiting for Madam Yang to invite Xu Yi, he ran to the toilet twice. When he came back, he saw Xu Yi sitting in the main room with a medicine box on his back and a calm expression.

Seeing him coming back, Xu Yi stood up, put down the medicine box, bowed and said, "Mr. Yang."

Yang Guanren followed and bowed, sat down on the chair opposite Xu Yi, with a bitter look on his face, and said, "Mr. Yang suddenly felt sick these past two days . It was strange. I had just finished drinking tea, but within a short while I felt thirsty and unwell, and also had a slight pain in my lower abdomen. I thought it was because I had eaten a lot of meat when I was running errands in Fucheng in recent days, so I asked the hospital to prescribe Xiaobuihu Decoction, along with Xiaoshi Pills. I took it, but I didn’t expect it to be cured, and it got worse. Today I went to the toilet many times, and I wanted to go to the toilet without drinking water..."

This is not a glorious thing, but it has caused inconvenience in his life. If he does not solve this situation, I’m afraid I won’t dare to go out in the future.

I'm afraid that as soon as my front feet walk away, my back feet will be looking for a place to go to the toilet.

It was strange, he had never heard of his friends saying that he had this disease before, so why did he get this strange disease.

As everyone knows, the dialectical classification of diabetes mellitus involves overdose of stone medicine and frequent sexual intercourse without restraint. If you get an illness due to this reason, how can you dare to tell others about it? It seems that you are secretive and don't dare to let others know.

Doctors, on the other hand, usually keep secrets about the medical cases they handle, so they won't spread them around at will.

Like Xu Yi, after he came to the Northern Song Dynasty, the medical cases he handled were all written in patient records and rarely shared with others.

Even if you want to talk it out, you must have the status of a doctor. When the two parties discuss academic affairs, they will use it for study instead of gossip.

After Xu Yi listened to his explanation, he asked him to open his mouth and show him.

Yang Guanren's complexion is pale, his tongue coating is light, and he suffers from fatigue.

Observe the palms of your hands again. Although they are sweaty due to summer, they are more serious than ordinary people.

Xu Yi asked: "You also sweat at night?"

Yang Guanren nodded: "When I wake up from a dream at night, my palms are also sweaty."

Xu Yi thought for a while. At home, he discussed medical cases with his brother and the others and talked about quenching thirst. Among the symptoms, there is a dialectic that matches Yang Guanren.

He didn't dare to jump to conclusions immediately and asked Yang Guanren to stretch out his hand to check his pulse first.

However, in Yang Guanren's pulse condition, the large veins were dilated, the pulse was unstable, and it was slightly astringent from time to time. This is a manifestation of exhaustion and depletion of vitality.

In the pathogenesis of asthenia, there are yin deficiency, yang deficiency, and yin and yang deficiency. Taking the five stored essences, qi, and blood as the goal, to put it more clearly, the five internal organs are all connected. As long as there is a problem with the "liver, kidney, and spleen," there is often Symptoms may also occur in other Tibetan eyes. [Note 1]

In clinical medicine, many times we cannot just look at one item alone, nor can we classify two different patients into one because they have the same disease.

Just like what happened to Yang Guanren, it is very similar to the thirst disease in diabetes, which is a disease caused by severe kidney loss caused by excessive sexual intercourse.

But judging from the pulse condition, it is caused by "seven labors and five injuries", including overthinking, overworry, and overwork.

Combined with other symptoms, Xu Yi could basically determine what symptoms caused Yang Guanren's diabetes.

Yang Guanren raised his hand to wipe the sweat from his forehead: "Doctor Xu, how am I doing?"

Consumption is a general term for weakness and fatigue. It is not a disease, but a general term. The main reason for Yang Guanren is a deficiency of spleen, abnormal daily life, frequent thoughts and fatigue, and the symptoms show up after a long period of accumulation. [Note 2]

Xu Yi looked at him and said: "Yang Guanren, you have an imbalance of the spleen and kidneys. Therefore, the yin and yang of the five Tibetans cannot be balanced and maintained with each other. It is a syndrome of yang deficiency."

After hearing what he said, Yang Guanren's face relaxed slightly. He opened his mouth again to say something to Xu Yi, but seeing that Xu Yi was so old, he really didn't know how to speak.

Xu Yi saw his hesitation, smiled and said: "Yang Guanren, do you want to say that it is not more important than Zhou Gong's courtesy?"

Yang Guanren: "..." Can he show it so obviously?

Xu Yi said puzzledly: "I am a doctor, and I need to know something about such situations. Yang Guanren has doubts in his heart, but it doesn't matter."

As a medical student, the level of shame is actually lower when it comes to sexual intercourse.

Especially when he was treating others, he was shy. If it was about sexual intercourse, how could he explain it clearly to the patient?

Besides, this is nothing to be ashamed of.

Xu Yi's face was frank, which made Yang Guanren look at him with admiration. He couldn't help but feel that he underestimated Xu Yi.

Official Yang first asked Madam Yang to take Brother Rong to the outer courtyard to play.

Then he turned sideways and whispered to Xu Yi: "Actually, when Yang went to Fucheng this time, he drank more wine. The wine came from Bianjing. It is said that it is interesting to drink it after it is warmed. It is inevitable to be greedy." Have a few drinks."

Xu Yi looked at him sideways: "..."

Yang Guanren felt guilty and stopped looking at him.

Xu Yi felt relieved, and thought about it, he did something that Mrs. Yang couldn't know.

He knew that he could not look at people nowadays from the perspective of modern people. Even if he loved his wife as much as his son, he would not hesitate to have fun in the fireworks hall or take concubines and raise young wives.

No wonder, he was a little undecided before, it seems that the problem lies here.

Alcohol causes heat. After drinking alcohol, a person's apparent body temperature will be higher than usual. If you do that at this time, it is easy for evil spirits to invade and cause some bad diseases.

The main cause of Yang Guanren's illness is not this. Being greedy for alcohol and having sex is just an inducement. It is difficult to diagnose from the pulse.

Or he was not good at academics, he took on too few medical cases, and his dialectical ability was limited.

However, this was Yang Guanren's private matter, and Xu Yi had no right to comment. He just looked at Yang Guanren again, and his eyes were still a little different.

He paused, still observing the medical practice, and said: "In that case, Yang Guanren should avoid eating oily food, drinking alcohol and having sex these days to avoid aggravating the condition."

Yang Guanren quickly said yes.

Xu Yi said: "I will prescribe two prescriptions for you. One is Sanhuang Pills, which can be made into pills and the other is Donkey-hide Jiao Decoction."

Sanhuang Pills can treat men's five kinds of labor and seven injuries, relieve thirst, etc.

This Sanhuang Pill is quite interesting. When taken in different seasons, the dosage of each medicinal material is different.

Now that it is summer, we need to take six ounces of skullcap, one ounce of rhubarb, and seven ounces of coptis, mash them together, and use honey to make pills the size of soybeans.

As for donkey hide gelatin soup, it will treat another disease.

Yang Guanren's body was weak and hot, and he had frequent and heavy urination. He used donkey-hide gelatin soup to remove the aconite and only used four herbs: pockmark, donkey-hide gelatin, dried ginger, and Zhiyuan. Grind it into fine powder, boil it with water, boil seven liters of water until only two and a half liters remain, then filter out the medicinal residue, melt the donkey-hide gelatin into the medicinal soup, and divide it into three doses. [Note 3]

Polygala is a medicine that can treat many diseases.

But Yang Guanren didn't understand pharmacology, so Xu Yi didn't say much. He simply said what diseases these two prescriptions treat.

When Yang Guanren heard that donkey-hide gelatin was still needed, his expression changed slightly. This donkey-hide gelatin is a top-grade nourishing product and the price is not cheap.

The price is the same as ginseng. One stick of donkey-hide gelatin costs more than two guan. Xu Yi's prescription requires two sticks.

This medicine alone would cost several bucks.

Xu Yi gave him an unclear look and wrote down the recipe for donkey-hide gelatin soup. But Xu Yi needs to make the Sanhuang Pills, and they can't be delivered to the Yang family until tomorrow.

Yang Guanren took the prescription and sighed deeply, feeling extremely regretful. If he had known this, he should have left after the banquet that day, so why did he just stay and do what he did?

Xu Yi didn't say anything more, collected the consultation fee and medicine money, and said that he would come to deliver medicine at this time tomorrow.

When he came out with the medicine box on his arm, he saw Mrs. Yang standing in the yard with a worried look on her face. Next to her, Yang Rong was happily playing with mud, not knowing what was going on.

Seeing Xu Yi, Madam Yang quickly came over and asked: "Doctor Xu, what disease does my husband have?"

Xu Yi looked at her and said calmly: "It's diabetes caused by Yang deficiency and evil. I have prescribed the medicine. , you can recover after taking two ten days of medicine. "

Two ten days, two courses of treatment. If the disease cannot be cured after taking Sanhuang Pills for twenty days, an additional ten days will be added.

After he finished speaking briefly, he watched Madam Yang worry about her children and her husband. He hesitated for a few seconds, but still did not say anything inappropriate to Madam Yang.

Perhaps without him knowing, Madam Yang knew more about Yang Guanren's character than he did.

...

After leaving Yang's house, Xu Yi headed towards the medical center.

He greeted the apprentice at the medical center. After buying the medicinal materials for making Sanhuang Pills, he did not leave in a hurry. Instead, he asked the apprentice: "How long have you been an apprentice?"

The apprentice was stunned for a moment, and then said after thinking for a while: "Doctor Xu, I have been an apprentice for three years."

Xu Yi asked again: "What have you learned during these years of being an apprentice?"

The apprentice became even more confused after hearing this, thinking that Xu Yi wanted to poach him, and looked around awkwardly. Seeing that the doctor sitting in the hall was not in the front hall, he asked in a low voice: "Doctor Xu, what do you mean by asking?"

Xu Yi blinked and said, "I have adopted a child these days, and I think he is quite talented. , I was thinking about whether to train him as a schoolboy, but I haven't taught anyone else yet, so I thought I'd ask you."

Apprentice: "..."

It turns out that he had a misunderstanding.

He didn't know why, but he suddenly felt a little disappointed, but he still told Xu Yi: "I picked out the medicinal materials for a year first, and then the doctor asked me to give the medicine to the patient. He said that I should memorize the medicinal materials first, so as not to use similar medicines. The medicinal materials are mixed up..."

The apprentices in the medical clinic are very different from the apprentices in the imperial medical bureau. There are hierarchical distinctions among medical apprentices nowadays.

For example, the selection of students in the Imperial Medical Bureau is to select young talents from families studying medicine. In order to change their family, some will take the initiative to take the exam and enter the Imperial Medical Bureau. In less than five years, you will almost not be born.

Most of the apprentices in ordinary medical clinics are children from ordinary families. After two years of studying, they are sent here to work as free labor. The doctor responsible for teaching them medical science is not very concerned about this.

Therefore, there are also some apprentices who have been studying for half their lives but have difficulty graduating.

Of course, there are also people with extraordinary talents, such as Pang Anshi, who is known as the "Medical King of the Northern Song Dynasty". He was born in a medical family and was gifted with a photographic memory since he was a child. Before he was twenty years old, he was already proficient in the Yellow Emperor's and Bian Que's pulse books, and could also Apply what you learn to elucidate new meanings. Later, he studied many medical books, and summarized and wrote medical books with great academic research value such as "Treatise on Common Diseases of Febrile Diseases" and "Difficult Classics". [Note 4]

Even if he does not join the Imperial Physician Bureau, he can still be famous throughout the ages in the field he studies.

Although he is not as world-famous as Sun Simiao and Zhang Zhongjing, Xu Yi still has to admit that Pang Anshi is indeed outstanding. Whether as a doctor or as a scholar who studies medicine, he is worthy of being known and respected.

It's a pity that he is now in the Chunhua period, decades before Pang Anshi was born. When Pang Anshi was born, Xu Yi didn't know if he would live to that age.

Xu Yi shook his head and put away this whimsical idea.

*

When Xu Yi returned home with the medicine box on his back, he sighed quietly when he saw the simple house.

No matter how he thought about it, life would still go on. It was useless for him to think so far ahead now.

In the yard, Ah Jin was feeding Xiao Huang some sesame seed cakes. When he heard the door open, he immediately left Xiao Huang and trotted to see who was coming.

When she saw it was Xu Yi, her eyes were bright, her little face smiled like a flower, and she shouted: "Langjun is back! Langjun, I will carry a box for you. Langjun, do you want some tea? I will make some for you." Let's have tea. Mr. Xu..."

"Stop." Xu Yi laughed.

In the past few days, this child was timid and annoying, but after getting to know him, Xu Yi realized that he was wrong.

This child used to be beaten and scolded too much, which made him fearful and timid. But after meeting Xu Yi and knowing that Xu Yi treated their brothers and sisters well, he gradually returned to his original nature.

He is a small talker.

Chatterbox Ah Jin didn't know what Xu Yi was laughing at, so she grinned and continued in a sweet voice: "Mr. Lang, I'll carry the box for you."

Xu Yi didn't give her the medicine box, which looked awkward. It's big, but it's made of solid wood. There's also a clay pot filled with medicine inside, so it's not light.

It was only a few steps away from the house, and he didn't have to ask a child to carry the box for him.

"No, you..." Xu Yi paused and asked, "Where is your brother?"

Ah Jin replied: "Brother went to buy dinner."

Xu Yi: "..."

Oh?

Well, the idle guy who often takes orders from him may lose a long-term customer.

After knowing that A Xu was going to buy food, Xu Yi ignored it and took the purchased medicinal materials into the kitchen.

The kitchen is now divided into two stoves, one for cooking and one for medicinal materials.

Xu Yi poured skullcap, rhubarb, and coptis into a medicine mortar and pounded them, then poured them into the Huiyi tank and ground them into powder. Then add honey and knead the medicinal powder into pills like soybeans.

After doing it, Xu Yi heard that A Xu had come back with food.

As soon as A Xu came back, he asked his sister: "Is Lang Jun back?"

A Jin nodded: "Lang Jun is busy in the kitchen and said he doesn't need my help. Brother, am I so useless? I can only feed him every day." Xiao Huang, water the grass in the yard."

Xu Yi, who had just stepped out of the kitchen door: "..."

Thank you, but that is mint.

"Mr. Lang."

When A Xu saw Xu Yi, he left his sister behind, walked over with food, and proactively reported where he had been today and what food he had bought back.

"I asked Mrs. He. Mrs. He said that the husband likes to eat pasta, so she bought some pasta."

He talked a lot more than before, and he spoke clearly and clearly. Xu Yi started laughing as he listened.

He nodded.

In fact, you can eat anything, as long as you don’t eat it every day.

Then I went to see the noodles that A Xu brought back. They were noodles cut into the shape of willow leaves with a knife. The noodles were mixed with sesame oil boiled from onions. They were topped with slices of fried dogwood and had a slightly spicy aroma.

Xu Yi frowned slightly after reading it: "Why did you only buy one copy?"

A Xu said: "Lang Jun, I bought this for you."

Xu Yi: "Where is yours?"

A Xu answered honestly: "I It's enough to eat the leftover sesame pancakes from lunch with my sister. The pancakes are very delicious and can't be wasted."

Xu Yi was silent: "..."

He couldn't change the two children's minds for a while, and he couldn't force them. It was not easy. Let them look more lively, lest they speak too harshly and make the two of them uneasy.

He pinched his brows helplessly, knowing that it would be difficult for him to correct himself, so he didn't intend to forcefully control it.

But he still obliged and said: "You can eat sesame seeds if you want, but I can't bear to see children like this. If you let me know that you are hungry and don't eat, then don't blame me for punishing people."

He said that punishing people is not the right thing. Speaking of which, when I returned to the house at night, I lit a kerosene lamp, sat down at my desk and wrote a piece of "Xu Family Survival Rules."

There are three of them.

Don't get up too early.

Second, don’t kneel down at every turn.

Third, you are not allowed to eat food that has been left overnight.

...

The next day, he posted the rule-abiding note written in large characters in the kitchen room. The reason why it was not posted in the main room was because it was inappropriate to receive guests there.

Then Xu Yi held a ruler in his hand and asked the brothers and sisters to come into the kitchen and stand in line.

Neither brother nor sister could read, so Xu Yi read to them word by word.

After saying that, he asked: "Do you remember?"

Seeing this, A Xu nodded hurriedly and said he remembered.

Ah Jin next to him was stunned and secretly looked at Ah Xu. He wanted to say that he remembered it but didn't dare to say it.

Xu Yi coughed twice: "Ajin, do you have something to say?"

Xu Yi looked at Xiao Douding standing in front of him. Although he is eight years old, he looks like he is only about six years old in height. He is skinny and skinny, and even wearing a jacket skirt made of good material cannot hide the thinness caused by long-term hunger.

Ah Jin's dark eyes looked at Xu Yi helplessly.

Xu Yi was so heartbroken by her eyes that he sighed, "If you can't answer, I'll read it again."

In fact, he didn't really want to punish them.

He just wanted them to know that he didn't just treat the two of them as servants.

After lunch, Xu Yi took A Xu out to greet the Yang family.

And tell Mrs. Yang how to take this Sanhuang Pill.

Take it after meals every day, three times a day. Take five pills at the beginning and gradually increase to seven pills later. It should be taken with warm water, not cold water.

During the period of taking the medicine, you need to avoid meat and cold food. It would be better for Mrs. Yang to cook more light stomach-nourishing porridge.

Madam Yang wrote them down one by one and asked Xu Yi: "I have read the prescription. Is it possible without drinking this donkey-hide gelatin soup?"

Xu Yi raised an eyebrow.

Mrs. Yang asked again: "I'm really short of money. My husband's money hasn't come yet. The prescription for donkey-hide gelatin alone will cost several thousand dollars. If I must drink it, can I delay it for a few days?"

Hearing this reason, Xu Yi slowly said: "If you don't want to drink this medicinal soup, there is another way. You can use acupuncture to burn the acupoints. It's just a little troublesome. You need to burn the acupoints for a week."

Madam Yang was overjoyed and said hurriedly: "It's not troublesome, but I don't know. Does Dr. Xu have this kind of acupuncture?"

Xu Yi nodded and said that he just had a set of acupuncture.

Putting aside his personal misconduct, Yang Guanren was Xu Yi's patient. If the patient does not have the conditions to take medicine, he can only use other methods.

It just so happened that Xu Yi also wanted to know whether he could master the use of acupuncture to treat diseases.

The two parties reached a consensus, and Xu Yi said that he would come to the door later with acupuncture and asked Yang Guanren to take Sanhuang Pill first.

inside the house.

How did Mr. Yang know that Mrs. Yang would ask Xu Yi if he could stop drinking the donkey-hide gelatin soup?

After knowing this, he went to see Mrs. Yang again, and his eyes became a little weak unconsciously. If his wife knew about it, he would be induced to get sick. He went to Fucheng to drink hot wine greedily that day, and... He wiped the sweat from his forehead and thought about whether to tell his wife in person.

At this time, Madam Yang didn't know what he was thinking. She was sitting on the bench under the eaves, lowering her head to embroider the embroidery shed in her hands.

After giving birth to Brother Rong that year, she suffered a severe physical loss. After years of making soups and medicines, she could not get pregnant again.

Later, Brother Rong's health became poor, so they didn't dare to put their minds elsewhere. They worked hard for Brother Rong every day, and even sold their house and lived in South Street.

In the past few months, Brother Rong has been in good health, and the worries that they had been worrying about for several years have been resolved. Yang Guanren no longer stays at home every day, but goes out to do other things to make a living, and occasionally goes away for five or six days. Madam Yang had known for a long time that he sometimes let slip the truth, and the clothes he wore when he came back smelled of rouge and gouache.

Madam Yang has been diligent and frugal in recent years. She has not put on facial makeup or makeup for many years, so she knew that he was working out to make a living and went to that dirty place.

Now that she has this disease, she actually didn't doubt whether it was caused by this.

It wasn't until Xu Yi looked at her differently yesterday that she knew that this was what happened...

But what could she do if she knew it? She couldn't do anything about Yang Guanren. The family's living expenses depended on Yang Guanren's monthly money. Without him, her and Brother Rong's life would be even more miserable.

Madam Yang didn't want to think about it anymore. She put down her embroidery shed and stood up. She called Brother Rong and said with a gentle smile: "You kid is about to turn into a clay figure. If I had known you were so naughty, I would have asked your father to send you to a private school." Go."

Yang Rong quickly flattered her: "Mom, be good, don't send me to a private school."

Madam Yang covered her mouth and said with a smile, "Why are you so scared?"

Yang Rong shrank his shoulders and whispered: "I heard that the gentleman in the private school would hit people with a ruler, but it hurts a lot. I don't want to be beaten."

Madam Yang said: "But if you don't study, you won't be able to read in the future. You will only be a fool for the rest of your life, and others will hide it from you. You can’t even understand what I’m saying to you. You don’t know what I’m saying. You’re just useless.”

Yang Rong listened and suddenly said, “Mom, why are you crying?”

Madam Yang wiped her eyes. Said: "I didn't cry, I just thought about what Brother Rong should do in the future."

Yang Rong didn't want his mother to worry about him anymore, so he stood on tiptoes to wipe the tears on Madam Yang's face, and said seriously: " Mom, don’t cry, I’m going to tell dad now that I’m going to study.”