Chapter 198 Menorrhagia (Anovulatory Dysfunctional Uterine Bleeding)
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When she was on duty in the afternoon, before any patients arrived, Tang Mingyue asked Li Sanniang what she had told Doctor Sun before leaving.
Li San Niang then explained that Yang Shi, the soldier, would probably no longer be able to serve in the Jinwu Guard.
"He's incredibly lucky to have survived such injuries. It's a miracle he even came back to life. What's wrong with him not being able to continue serving in the Imperial Guard?"
Dr. Cui, who overheard their conversation from next door, spoke up.
Before Li San Niang could reply, the doctor Li, who was examining the patients above, said, "That's right. If it weren't for you, it's hard to say whether this soldier would even be alive. Don't worry, the Jinwu Guard treats soldiers who get into trouble while on duty quite well afterwards, so there's no need to worry."
After chatting for a few more minutes, someone came to see Li San Niang with a number on their ID.
The guests were Shunzi and Yingniang, who could be considered acquaintances.
After taking her number, Yingniang sat down in front of Li Sanniang's consultation table. Before Li Sanniang could even ask any questions, Yingniang started talking non-stop.
"Dr. Li, it's so good to see that you're alright."
Yingniang naturally saw the scars on Li Sanniang's cheeks and neck, but in Yingniang's eyes, it was a blessing to be alive in the hands of villains and not have lost an arm or a leg.
"When my grandma and I went into town to deliver vegetables yesterday morning, we found out that we needed to show our household registration stickers to enter the city. We didn't have them with us at the time, so we had to go back to get them."
It took a lot of time, and I only got a few words of conversation when I was delivering vegetables to someone's house after I got to the city.
These scoundrels are truly lawless; they actually dare to cause trouble in Chang'an City.
Thankfully, the Imperial Guards arrived in time, and I was relieved to see that Dr. Li was alright.
Li San Niang already knew that Ying Niang's personality was like this from the last time. Seeing that she had stopped talking, Li San Niang naturally said, "It's nothing, just a small injury, it's nothing serious. But how have you two been these days? Let me see your hands."
Yingniang rolled up her sleeves, revealing her forearm, and consciously placed it on the pulse pillow in front of Li Shisan Niang.
"Has your period started?"
"Dr. Li can even diagnose this? That's amazing."
Li San Niang asked a few more questions about whether there was pain and how much to take. "This medicine is working. I'll change the prescription for you. Take it for seven days, then come back to see me."
After arriving, Shunzi, who hadn't said a word, watched as Li Sanniang examined Yingniang and quickly stretched out his own arm. Li Sanniang took her pulse and felt that she had finally shown significant improvement, much better than last time.
Find the page of Shunzi and Yingniang's medical records, write down the pulse diagnosis results, and then ask Shunzi, "Are your hands and feet still cold in the morning and evening?"
"It's a bit better now. I listened to the doctor and soaked my feet in hot water every night, then wore socks to bed. It kept me warm both before and after falling asleep."
Li San Niang wrote a new prescription for the two of them, gave them a few more instructions, and then sent them to get the medicine.
Just as Li San Niang was about to jot down a few more notes, someone sat down in front of her consultation table.
After accepting the woman's registration card, Li Sanniang asked, "What's wrong, madam?"
A woman with a silver hairpin tucked into her hair and a flower on her head, dressed in a red and green ruqun (a type of traditional Chinese dress) that reached her chest, did not answer Li San Niang's question with shyness and hushed voice like the other women who came to Li San Niang for treatment. Instead, she did not deliberately whisper and replied naturally, "Greetings, female physician. I am the manager of a embroidery shop. My name is Yin Ping. You can call me Liu Niang, female physician."
"What's wrong, Madam Yin?"
"I am 23 years old and have had irregular periods since I was a child. I have seen many doctors, but none of them have helped me. I hope a female doctor can help me."
"At what age did Sixth Sister have her first period? How often does it occur? How heavy or light is the flow? Does she experience lower abdominal distension or pain?"
Yin Liu Niang had seen many doctors since she was a child, so she understood that these issues needed to be explained to the doctors clearly.
Then she told Li San Niang everything, “I have my period once a month, and each time the flow is quite heavy, sometimes so heavy that I can’t get out of bed.”
Before Li San Niang could even ask, Yin Liu Niang took out several sheets of paper from her sleeve and said, "These are prescriptions from doctors I've seen in recent years. They do reduce my abdominal pain, but they don't completely relieve it."
After listening to what Yin Liuniang said and combining it with the prescriptions, Li Sanniang had a better understanding of the situation and continued to ask, "Has the lady been married?"
She got married at eighteen, but divorced him after two years of not being able to conceive, and has remained unmarried ever since.
Afterwards, Li San Niang took Yin Liu Niang's pulse and had her lie down inside for an abdominal percussion test to rule out other problems.
Li San Niang was fairly certain that Yin Liu Niang was suffering from dysfunctional uterine bleeding, also known as metrorrhagia in traditional Chinese medicine.
Yin Liuniang's symptoms all match the manifestations of this disease, and it can also be seen from those prescriptions that the doctors who treated Yin Liuniang in the past also prescribed medicine based on this condition.
As for why the condition hadn't completely improved, Li San Niang felt it was still a problem with Yin Liu Niang herself. Judging from what she had just said, she was the manager of a embroidery workshop, and judging from Yin Liu Niang's appearance and physique, she didn't seem particularly strong.
In short, first replenish qi and blood to alleviate anemia caused by excessive blood loss due to dysfunctional uterine bleeding;
Then regulate her menstrual cycle so that she can establish a normal menstrual cycle;
Finally, in order to prevent relapse and allow her to live a normal and healthy life as a young woman, it is natural for her to change her eating habits, exercise appropriately, and ideally develop a habit of regular physical exercise. Only in this way can the goal of clinical cure be achieved.
“Sixth Madam Yin should know that your symptoms are metrorrhagia,” Li San Niang said after seeing Yin Sixth Madam nod. “The prescriptions for this condition are mostly the same. I think the doctor who prescribed the medicine for you is correct. But you still haven’t gotten better after taking all the medicine?”
"No, after taking more than ten doses, I stopped taking the medicine because the doctor left Chang'an and I never asked him for another prescription."
"My method is no different from other doctors'; I first help you stop the bleeding, then treat the underlying condition. If you want to see me, you must be obedient and take your medicine on time."
Yin Liu Niang smiled at Li San Niang, "I'm not afraid for Dr. Li to know, but I came here to see her because I heard on the street that she was the female doctor who killed the villain. I trust her and will definitely listen to her and take all the medicine this time."
Li San Niang never expected that someone would come to her for medical treatment for such a reason. It seems that Yin Liu Niang is indeed a woman of extraordinary character.
"I'll prescribe some medicine for you to take home and take for seven days. Then come back to me. During this time, it's best if you don't have sex with anyone."
Li San Niang's words surprised Yin Liu Niang, but after only a slight hesitation, Yin Liu Niang replied with a smile, "Haha, okay, I understand, thank you, female physician."
As for why Li San Niang gave this instruction, it was naturally because she realized that although Yin Liu Niang said she was still unmarried, she was definitely not someone who had never had an intimate relationship with a man.
Of course, it's a matter of mutual consent, so there's nothing to say about it.
However, if you're taking medication, it's best to avoid any contact for the time being.
That's why Li San Niang added one more sentence.
Just before his shift ended, Doctor Gao came out of the house, wanting to discuss something with Li San Niang and the other three.
The Emperor's birthday is in two days, and we can have a three-day holiday. However, the clinic must remain open during these three days in accordance with the alliance's requirements.
Therefore, Dr. Gao wanted to discuss who would be on duty for the next three days.
“During the Emperor’s birthday celebrations, countless people will come to Chang’an, and some things are bound to happen, such as bumps and bruises. Therefore, as the alliance has said, our clinic must not close for these three days. However, we will only need one person to stay on duty each day.”
Li San Niang and Tang Mingyue exchanged a glance, and then one of them said, "I am willing to stay."
"I can stay too."
Although he only stayed in this clinic for less than half a month, he still knew what he needed to know, such as that Tang Mingyue and his wife lived in a house just one street away from here and could go home every day.
The relatives of Dr. Li and Dr. Cui lived in other neighborhoods. They rented a house in Yongping neighborhood because they had to work shifts, and they would go home every ten days or so.
In addition, both Dr. Li and Dr. Cui are older and more experienced, so there's no need for a fair competition at this time.
Seeing this, Dr. Gao simply said, "Alright, you two each take one day, so what about the remaining day?"
Li Sanniang and Tang Mingyue exchanged glances again. After thinking for a moment, Li Sanniang said, "On the third day, we'll take turns working in the morning and afternoon. That way, we'll both have a chance to stroll around the city and see this magnificent sight."
It's settled, and it's almost time for my shift to end.
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