Chapter 2888 Different Prescriptions
Manbao said to him, "Perhaps it's because the people are afraid of the imperial court. So even though they know there is a medical office in Beihai County, they still don't come."
She said, "The medical office only waives consultation and medicine fees for those who are too poor to afford medical treatment, such as the lower households. Therefore, other people will not come. They prefer to go to the clinics on the street. We don't need to compete with the clinics and drugstores for these patients."
"But for poor patients, we need to publicize the situation properly. Since they are afraid, we should show up more often. Once they know they can really get free medical treatment, they will naturally come."
Wen Tiandong said, "But when their illness reaches a certain level, it will come naturally. Why should we go to such great lengths?"
Man Bao said: "If you can treat mild illnesses, why do you have to wait until the patient is seriously ill and has to seek medical treatment?"
Wen Tiandong: "...because when they have mild symptoms, they prefer to endure it and not seek medical treatment. When they come in with severe symptoms, we can only treat the serious ones."
"That's why we're here to provide free medical services and promote the medical office. We want them to trust us and develop the habit of seeking medical treatment at our office when they have minor illnesses," Manbao said. "The medical office exists not just to treat illnesses and save lives."
She said, "This is the fault of Xiao Yuanzheng and I. We have been telling you how important local medical offices are to local people and how they can reduce the pressure on local people to seek medical treatment. However, we forgot to tell you that medical offices should ensure the health of the people and the overall health of the environment."
Man Bao said, "We all know that health is a state. We can prevent diseases before it takes a turn for the worse. Therefore, the Medical Department not only targets patients who are already sick, but also those who are about to get sick, as well as those who are not yet sick."
"The first is to treat it; the second is to dispel it; and the third is to strengthen defenses to prevent it from recurring." Man Bao said, "Every year before the beginning of the dog days, local medical offices prepare large quantities of heat-preventing herbs, which are made into cold teas and other medicines and distributed as gifts. They also prepare cold-repelling medicines before winter arrives to help local residents keep warm during the cold weather. These are all considered to be doing the second and third things."
"Although the methods are different, our free medical consultations now also take all three into account."
Wen Tiandong was in deep thought.
This is also the fastest way to let the people of Beihai County know about the Medical Bureau and adapt to its existence.
Manbao staggered to the alley where Dahua lived, and happened to meet the neighbor next door who was fetching water for their family and filling the water tank. Dahua poured a bowl of warm water for the other person and sent him away with a grateful face.
Because of the rumors, everyone in this alley was punished to fetch water for Dahua's house. No matter whose turn it was, Dahua would prepare warm water for them, and sometimes he would even bring back some vegetables that the family wanted to eat. After a while, although they were punished, their relationship became more harmonious than before.
Dahua's eyes lit up when she saw Zhou Man, and she immediately stepped forward and said, "Master Zhou, are you going out to see a patient?"
Manbao responded, then stood in the alley and talked to her, asking, "How are you feeling?"
"Much better," Dahua had just finished her confinement, but she still didn't have to fetch water. Her mother-in-law washed the clothes at home and never touched cold water. She took medicine every day and had two eggs. The Guo family across the street also sent her meat and fish every now and then. After a month of this, she was still pale and her hands and feet were cold, but she was in much better spirits.
I can actually see some flesh on my face.
But the biggest changes are her two daughters.
The two children always got some food when they followed their mother. Children change quickly. In just over a month, they had gained a lot of flesh on their faces, and their eyes were bright and full of life. Although the clothes they wore were still a little worn, they were much cleaner than when Zhou Man first saw them.
The two of them snuggled up to their mother's legs and secretly looked at Zhou Man, because she had come several times and gave them cakes every time, so they remembered her and liked her very much.
Seeing her looking down at them, the two children couldn't help laughing while hiding behind their mother's legs, but their little heads still couldn't help but stick out to look at her.
Manbao felt soft in his heart and thought they were so cute.
She took two steps forward, reached out and touched their heads, then said to Dahua, "Let me take your pulse and get you a prescription."
When Dahua heard this, she happily agreed and stepped aside to let them into the house.
After feeling Dahua's pulse, Manbao introduced Wen Tiandong to her. "This is my student, and he's also a pharmacist and doctor at the Medical Bureau. He's quite skilled in medicine. If you get sick in the future, you can go see him at the Medical Bureau."
Then he said to Wen Tiandong, "This is Dahua. She's nineteen this year. She was born thirty-five days premature and is having a hemorrhage. You can take a look at her."
Wen Tiandong knew that this was a test for him, so he immediately sat down to take Dahua's pulse. While feeling her pulse, he looked at her face. Seeing that her face was pale and her fingers were slightly cold, he knew that it was due to deficiency of Qi and blood, so he listened to her pulse carefully.
Wen Tiandong took out a piece of paper to write a prescription, but Zhou Man held him down and said, "No need to write a prescription, just read it out loud to me."
She said, "Paper is expensive. Now that we are in charge of the medical department, we have to spend it sparingly."
Wen Tiandong: ...
He could only recite his own prescription and explain why he chose such a combination.
Zhou Man nodded slightly, very satisfied, "Your prescription is good."
She took out a piece of paper and wrote down the prescription directly, but it was not the prescription that Wen Tiandong had just written. He looked at Zhou Man in surprise.
But Dahua, who was standing by, was illiterate. When she heard that the medicine prescribed by Wen Tiandong was good, she thought that the prescription Zhou Man wrote was the one prescribed by Wen Tiandong, so she was very happy and had more trust in Wen Tiandong's medical skills.
Zhou Man gave her the prescription and asked her to give it to the Guo family across the street to get the medicine. Then he and Wen Tiandong left. After they walked out of the alley, Man Bao said, "The prescription you prescribed is correct. It is even more effective than the one I prescribed now, but this prescription is not suitable for the Guo and Wu families."
She said, "This prescription of yours would cost around two hundred yuan a set in the capital, right?"
Wen Tiandong had already entered the Imperial Hospital before coming here. His main duties were to sort out medicinal materials and check the purchasing ledgers. Therefore, he said, "About 1,800 wen."
Man Bao said, "If we take this medicine, the Guo family will be furious, and the Wu family will also be terrified. Therefore, the prescription must be suitable for each person's and family's situation."
She said, "Zheng Gu and Zheng Shao did this better than all of you. The conditions in the Imperial Medical Bureau were too good before. The prescriptions you wrote were fine if you had ready-made medicinal materials, but without them, the prescriptions you wrote were too expensive."
"Of course I know that some prescriptions are very effective, but they may not be suitable for the symptoms, so you must learn to prescribe different prescriptions for different patients with the same symptoms."
"In cases like the Wu and Guo families, unless it's an emergency life-saving medicine, the price of a prescription shouldn't exceed one hundred coins. For replenishing Qi and blood, ginseng and angelica are excellent, but Codonopsis, Poria, and Rehmannia are also good."
Zhou Man taught him step by step, "Think about how many kinds of prescriptions there are for replenishing qi and blood?"
Wen Tiandong lowered his eyes and counted on his fingers.
See you at 6pm
(End of this chapter)
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