Chapter 309 Masculinization (Fibrocystic Breast Disease)
Although she was very happy last night, Li San Niang only drank one cup of peach blossom wine.
Therefore, when Li San Niang woke up in the morning, she didn't have a headache and was still full of energy.
When Li San Niang and Qiu Xiang arrived at the entrance of the clinic, it was the same time as usual. After greeting the young apprentice, Li San Niang sat down at the consultation table.
The weather is lovely today, and the sunlight streaming through the window into the main hall of the clinic adds a touch of warmth to the interior.
"In a couple of days, we should be able to add charcoal braziers."
Tang Mingyue's words resonated with Dr. Cui in the next consultation room.
"Yes, it's gotten cold early this year. I remember it wasn't this cold at this time of year in previous years."
A young woman in a blue dress helped an older woman with deep forehead wrinkles walk in, bathed in sunlight.
"Young man, we'd like to see a female doctor."
The way they spoke, completely different from how the locals in Chang'an spoke, made the young apprentice immediately realize that they must be outsiders from the south.
"Dr. Li is at the very back of the consultation room. Here's your number."
When the woman in blue led the older woman to sit down in front of Li San Niang's consultation table, Li San Niang hadn't even asked a question yet. Just by glancing at her, she could tell that the older woman was definitely not in good health.
In recent days, in addition to learning acupuncture from Dr. Liang, I have also received some instruction.
Of the four diagnostic methods of "observation, auscultation, inquiry, and palpation," the "observation" method alone greatly benefited Li San Niang from the old doctor Liang.
Li San Niang took the number plate and said to the older woman, "This lady is here for a medical appointment. Please come inside."
Chun Cui suddenly looked up at Li San Niang, who was speaking, with a puzzled expression.
Qi Luo simply nodded and got up to walk into the consultation room.
"There are only a few of us women here. If you are not feeling well, please speak frankly."
From the very beginning, Li San Niang could tell that Qi Luo was the kind of person who had many worries and didn't know how to relieve them. If she were to talk about her illness outside the clinic, she probably wouldn't be able to let go.
Therefore, Li San Niang allowed the two of them to enter from the very beginning.
Furthermore, based on Li San Niang's experience, women who fall ill from worry generally suffer from only a few types of illnesses, and regardless of the type, they must be examined by palpation inside the body.
In that case, let's go straight into the inner room.
Qiluo and Chuncui exchanged a glance. Chuncui was somewhat surprised, thinking to herself, "I didn't expect this female doctor to be so capable. She could tell my sister's temperament just by looking at her."
Qi Luo had many thoughts in her mind, but she only said, "Thank you for your kindness, Doctor."
Li San Niang smiled but didn't reply. She just looked at Qi Luo with a gentle smile, waiting for her to speak.
"Female doctor, my sister..."
Before Chuncui could finish speaking, Qiluo raised her hand to stop her: "Cui'er, I'll say it myself."
Seeing the determination on Qiluo's face, Chuncui stopped talking and said nothing more.
"Female doctor, I've been experiencing severe chest pain lately," Qi Luo said, raising her hand to touch her chest. "It feels a bit hard to the touch." After saying this, Qi Luo looked at Li San Niang with some embarrassment.
Seeing that Li San Niang didn't find her frivolous and shameless, Qi Luo became bolder and leaned closer to Li San Niang, saying, "Female doctor, recently there has been some discharge from this area."
Li San Niang understood the situation after hearing just a few words.
"How is the pain? Is it a throbbing pain? Or like being pricked with needles?"
How long have you had this feeling? When did you discover this lump?
Have you ever given birth? How has your period been lately? ..."
The series of questions left Chun Cui and Qi Luo completely bewildered, and Chun Cui, who was not yet married, blushed as she listened.
Seeing the discomfort of the two people in front of her, Li Sanniang had no choice but to explain: "We are all women, and this place is just like the five internal organs, which every woman has."
Having this ailment is quite common, so there's no need to feel uncomfortable about it.
I'm asking you these detailed questions so that I can understand your symptoms and prescribe a treatment for you.
"Don't worry, once you leave the clinic, no one but the four of us will know about your condition."
Although Chun Cui dared not speak on her own initiative again, after hearing what Li San Niang said, she thought to herself, "Aunt Li is right. It is much better to see a female doctor than a man."
Chuncui looked at Qiluo with worry in her eyes: "Sister, the female doctor has said so. Think it over carefully and give her your reply."
Qi Luo thought for a moment before replying to Li San Niang, "It will take about half a year. At first, it will only be..."
"Lie down, lift your clothes, and let me see what's going on."
Since they were both women and the conversation had reached this point, Qiluo was no longer shy and got up to lie down on the examination bed against the wall inside.
Qiu Xiang had already drawn the curtain, making the inside a separate space.
Li San Niang first washed her hands, dried them, and rubbed them together to warm them before she began to palpate them.
With this movement, one could sense that Qiluo was emitting small, irregularly shaped lumps.
Qiluo's cheeks were rosy, which added a touch of brightness to her otherwise pale face.
Li Sanniang also noticed the wet spots on Qiluo's inner garment, and with that, she understood the situation.
When the group sat down face to face again, Li Sanniang spoke up directly: "Madam, this is mastopathy. It's not a serious illness; it's a very common condition among women of your age."
As long as you take your medication on time and avoid emotional excitement, especially anger, maintaining a cheerful mood will be most beneficial to your condition.
As Li San Niang spoke, she observed Qi Luo's expression. Seeing that Qi Luo's lips were downturned, her brows were furrowed, and her cheeks were tense, she knew that something must have happened.
"This illness is caused by two factors: first, liver stagnation and phlegm accumulation; and second, imbalance of the Chong and Ren meridians."
There are differences between the two. Could you please explain why you are angry?
So that I can determine the cause and then prescribe the appropriate treatment.
Logically speaking, doctors generally don't need to know the specific reason why a patient is sick. The primary concern is that "family secrets should not be exposed." The secondary concern is that if doctors listened to everyone's story, they wouldn't have to do anything else for half a day; they could just listen to one person speak.
However, during her teaching with Dr. Liang, Li San Niang realized that doctors at this time, especially skilled doctors who treated patients with specific symptoms and required appropriate prescriptions, could be said to be, to some extent, also playing the role of "psychotherapists".
Of course, you can also prescribe a medicine for the patient based on your own judgment. If the patient is not cured after using it, you will know that it is a different situation. You can just change the prescription.
However, since Li San Niang had this ability, she was willing to take it one step at a time, so she asked Qi Luo why she had pushed herself to such an extent, and what exactly had made her so angry and depressed.
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