Chapter 31 031 Hyperhidrosis & Dr. Turtle & Marrying into the Family...
There were many people in the neighborhood office compound, so Yang Zhengkang didn't elaborate. "Get in the car first, and I'll tell you the situation slowly."
Jin Yue asked Liu Jinbu to go to Liuye Hutong and tell his parents if he hadn't returned by the time get off work was over, so that they wouldn't worry.
"This patient's condition is special, so I won't introduce her identity. I hope you can understand. She has a strange disease now, and she has seen many doctors but none of them were able to cure her. So I came to you to see if you have any ideas. After all, you cured my mother's disease at that time, and she hasn't had a relapse since then."
Jin Yue nodded, "How is it strange?" She had to listen to see whether it was strange or not.
"I keep sweating and I can't stop it."
"What are the other symptoms?"
Yang Zhengkang's face was gloomy. "No more, just this one."
Jin Yue immediately sat up straight. When seeing a doctor, one is not afraid of having too many symptoms, but being afraid of having too few symptoms. If there are many symptoms, there are many clues and the diagnosis is relatively simple. If there is only one symptom, it will be more troublesome, as it seems like everything and nothing at the same time.
Take the simple symptom of sweating for example. It may seem nothing if it appears alone, as everyone sweats. But if it is accompanied by fever, fear of wind, and headache, then it is more likely that you have a cold. If it is accompanied by high fever and thirst, then it is most likely an internal heat syndrome. If it is accompanied by pale complexion and cold limbs, then you have to consider the dangerous yang loss syndrome. If it is accompanied by flushing of the cheekbones, then you have to consider yin deficiency... Different symptoms and pulse patterns will lead to different diagnoses.
If there is only one symptom of sweating and everything else is normal, this will test the doctor's theoretical foundation and practical experience.
Jin Yue didn't dare to be arrogant. She didn't think it was a simple illness that could leave many doctors helpless. Although she didn't know the patient's identity, the identity that could make Yang Zhengkang remain silent was definitely not something that a small person like her could reach.
She had to take precautions first: "Director Yang, you know my situation. I haven't read much and I don't have much clinical experience. I can only say that I will try my best, but if... don't blame me."
"Don't worry, I, Yang, am not an ungrateful person. Just do your best."
No matter whether he was sincere or polite, Jin Yue breathed a sigh of relief. She was afraid that Yang Zhengkang would force her to cure the disease in order to get ahead, but she didn't have that ability.
After a while, the car arrived in front of a three-story building. There was someone guarding the door of the building. Yang Zhengkang rolled down the car window and revealed his face, and the car was allowed to enter.
Shu Jinyue was not nervous at first, thinking it was just a medical consultation. But when she saw such a scene, her heart beat faster and her palms began to sweat slightly.
The car stopped and someone took them to a conference room where four or five people were already sitting. They were all wearing white coats and looked either nervous, sad, or excited.
Yang Zhengkang whispered to her that these people were experts dispatched from hospitals at all levels, including Chinese medicine practitioners and Western medicine practitioners... but they were all invited by others.
Knowing that it was impossible for there to be anyone he knew, Jin Yue still looked around.
She was looking at others, and others were also looking at her. Seeing that it was a young female comrade, two experts in their fifties did not say anything, as if to exclude her from the "competitors". However, the other younger man, probably in his early thirties, nodded at her in a friendly manner and looked at Yang Zhengkang beside her.
"Deputy Director Yang."
"Hello, Doctor Mo."
Doctor Mo smiled and said, "This female comrade is..."
"It's Dr. Shu."
Before Dr. Mo could say anything, the two older men spoke up: "Are you also here to treat... a patient?"
Yang Zhengkang nodded and said no more words. He seemed to regard Shu Jinyue as his winning weapon and wanted to keep him mysterious before officially entering the finals.
Shu Jinyue had no choice but to nod at them, smiled, said nothing, and just watched.
Finally, after sitting in boredom for more than half an hour, someone came to ask them to go upstairs. Jin Yue was the last to arrive and was the youngest. Although she was closest to the door, she still waited obediently until everyone else had left before following behind.
Going up to the third floor, there was a room with a red wooden door. There were faint voices coming from inside. Everyone waited patiently for another five or six minutes. The door opened and several people came out one after another. From inside, the sound of cups being placed on the table came from inside. "Come in."
Jin Yue followed him in, not daring to look up blatantly, only observing with the corner of his eye, and found that it was a study room, with some books and a mahogany table. The table was very clean, with a desk lamp, two telephones, one red and one white, and a notebook.
There was a woman in her fifties sitting on the bench. It was difficult for Jinyue to see her face. She was wearing a cadre uniform and black cloth shoes. She stood straight. She should be a serious person like Uncle Xu.
As Jin Yue was thinking this, the woman spoke: "I'm sorry to have to mobilize so many people. Everyone please sit wherever you like. Don't mind the mess in the study." After saying this, she took out a handkerchief and wiped her forehead.
His voice was gentle and friendly, but it also had a hint of hoarseness that came from talking too much.
Jin Yue sat down with everyone else, and then the secretary handed in a file bag and circulated it among everyone. Of course, Jin Yue was the last one to see it.
It simply stated the woman's condition: unexplained sweating for three weeks, body temperature of 36.8 degrees, and no other medical history. It seemed that for the sake of confidentiality, the patient's identity and past experience could not be disclosed.
The secretary waited until Jin Yue finished reading before he began to speak: "Everyone has read the medical records. Now we can start the unified consultation. When you are finished, please write down your diagnosis and treatment ideas on paper. Thank you for your help."
The oldest doctor among them said "Excuse me" and started to speak first: "When did the sweating symptoms first appear?"
"Three weeks ago." The woman wiped her forehead again.
"Is there any inducement?"
"I felt a little tired that day, and my temperature was a little high at night, reaching 39 degrees. The doctor prescribed some aspirin for me to take. An hour after I took it, the fever went away and I started sweating. I didn't pay much attention to it at the time. This happened when I took aspirin before, but I never thought that the sweating would stop since then." The woman wiped her forehead again.
Jin Yue looked up and saw watermarks on the handkerchief. She thought she had sweated a lot. She had wiped it at least three times since she came in. The key point was that the temperature today was not high. It had rained before she went out in the morning, so the air was cool.
Several people didn't say anything and took notes in their own notebooks. Of course, these records could not be taken out. Jin Yue guessed that this was just like the college entrance examination, even the draft paper would not be leaked outside.
Someone continued to ask: "Are you still having a fever now?"
"No more, the temperature is 37 degrees."
Doctor Mo continued to ask: "Is there any pain on your body?"
"No."
"Are you thirsty? How's your appetite? Are your bowel movements and urination normal?"
All the women said it was normal, and no one dared to ask what normal meant. Anyway, if they said it was normal, then it was normal.
Jin Yue noticed that she changed her handkerchief and continued to wipe her forehead, behind her ears and neck. If most people were sweating like this, they would have been annoyed, but she didn't show it at all. Her emotions were quite stable, really like Uncle Xu.
After the western doctor finished asking questions, another older doctor spoke first and asked Dr. Mo: "What do you think, Dr. Mo?"
Doctor Mo is looking at the latest examination report. All systems in the body have been thoroughly examined. There are no functional lesions and no organic changes. Even just looking at the data results, it is hard to imagine that this is the body of a woman in her fifties.
These examinations can rule out common chronic wasting diseases that cause sweating, such as tumors, tuberculosis, hyperthyroidism, endocrine disorders, etc.
"In modern medicine, sweating is a way for the human body to maintain its temperature. However, the patient's temperature was normal, and he didn't even have a low temperature due to excessive sweating. I had no idea what to do."
This is exactly why everyone is at a loss. Apart from sweating, she is completely healthy.
After ruling out natural factors such as hot weather and exercise, Dr. Mo hesitated for a moment and considered psychological factors. "Have you been feeling nervous, anxious, or excited recently?"
While he was studying in the Soviet Union, he learned that foreign studies had shown that some mental illnesses would cause sweating symptoms, such as a small number of patients with anxiety and panic disorders.
The woman thought for a moment and said, "Occasionally, but this has happened since I started working, and it hasn't gotten significantly worse in the past three weeks."
That means mental illness has been ruled out as a factor. Dr. Mo lowered his head and his eyes remained on the paper.
Jin Yue secretly gave a thumbs up in his heart. The previous doctors focused on various test results, but he was the only one who thought of mental illness. His concept was more advanced than most Western doctors of this era.
She remembered that in a medical drama she had watched, a young man would have unexplained fever and sweating every June and July. All test results were normal, and it was even suspected that he had AIDS. Later, when tracing his medical history, it was discovered that he had failed the college entrance examination that year. He had originally had good grades, but because he was too nervous in the examination room, he could only barely get into an ordinary college. As a result, he would have regular attacks of panic disorder in the two months leading up to the college entrance examination.
Finally, the young man was transferred to the psychiatric department, where through drug intervention and spiritual counseling, he was eventually cured of these two minor symptoms similar to "colds."
Jin Yue knew that it was because she had watched TV dramas and some psychology videos, but she was really surprised that Dr. Mo, a native of the 1970s, could think of this.
Doctor Mo raised his head and said, "Then we can only consider endocrine disorders. Especially at your age, perhaps the sweating is caused by the sharp drop in estrogen levels."
Jin Yue's eyes fell on the report form. She was 52 years old, which was right around the menopause period. She couldn't help but think of Old Lady Yang, whose strange illness was also related to menopause.
"Not long ago, a doctor also considered this aspect and prescribed hormone drugs for me, but my sweating did not decrease but increased instead." Moreover, she started to bleed a small amount after taking the drugs, so she stopped the medicine immediately.
At her age, it’s better for her to avoid hormones.
Doctor Mo stopped talking. The doctor who spoke first whispered, "Could it be hyperhidrosis?"
"But hyperhidrosis is generally a sympathetic nervous system dysfunction. There must be a cause for the dysfunction. The patient's hormones, blood sugar, and mood are all normal. The primary disease that causes the sympathetic nervous system disorder has also been ruled out. How do you explain the cause of the hyperhidrosis?" said another old doctor who had not spoken this whole time.
There was silence in the room.
As I said, if there were a few more symptoms, it might not be so difficult.
In this suffocating silence, Dr. Mo suddenly spoke up: "Does your family, including your grandparents, grandparents-in-law, parents, or even your brothers and sisters, have such a situation?"
The woman narrowed her eyes. "Do you think it's hereditary? No one in our family, including our parents' direct blood relatives, has ever heard of this strange disease."
Well, Jin Yue gave a thumbs up again. Dr. Mo’s ideas were really ahead of the times. She wondered if he had also traveled through time or was reborn? Just like me, but he should be a pure Western medicine practitioner.
Just as she was thinking about it, one of the gray-haired old doctors asked the woman how many years her menstruation had stopped and whether she had experienced hot flashes or night sweats before taking aspirin.
"Occasionally, but not often, maybe once or twice a month."
This is normal at this age and is far from being pathological. The old doctor also asked whether there was any time difference in this sweating, for example, whether there was a difference in frequency between day and night, whether it would get worse after fatigue, whether he was afraid of wind, etc. It was obvious that he was in the same business as Jin Yue.
The woman smiled faintly. These were questions that Western doctors would not ask. "I am indeed a little afraid of the wind. I feel cold when the wind blows, but that disappears when I enter the room."
Jin Yue's heart skipped a beat. Judging from the three symptoms of sweating, fear of wind and cold, it was very similar to a cold, which is what Chinese medicine calls sunstroke. But the body temperature didn't match. Usually, this symptom is accompanied by fever.
"Doctor, you are a Chinese medicine practitioner, right? Can you take my pulse?" the woman asked in a gentle voice.
While taking the pulse, Jin Yue paid attention to the woman's expression. She wiped the sweat off her face several times, and her handkerchief became wet again.
"The pulse is deep, fine and slightly rapid, and the hands and feet are not warm." The old Chinese doctor closed his eyes and spoke as he examined the patient.
Jin Yue's heart skipped a beat again and he thought something was wrong. If it was a sunstroke as he had guessed before, then the pulse could definitely not be a sinking pulse. It should be a floating pulse. One is sinking and the other is floating. Just looking at the literal meanings, you can tell that they are completely opposite and go in the opposite direction.
Then, another possibility emerged in Jin Yue’s mind—could it be that the pulse was taken incorrectly?
But then, she immediately shook her head and denied it. The old Chinese doctor must be at least over 50 years old. Judging from his experience and years of medical practice, a Chinese doctor of this age would basically not make mistakes in taking the pulse, because this is a basic skill they have been practicing since they were teenagers. They practice it as soon as they open their eyes every day, and it has become as simple as eating and drinking.
She would rather believe that the sun rises from the west than believe that he had taken the wrong pulse.
Sure enough, the old Chinese doctor also frowned, and was obviously very puzzled. He always felt that the patient's symptoms and pulse were contradictory, and muttered to himself: "Could it be that the Taiyang and Shaoyin meridians are both affected?"
Jin Yue shook his head again. That was even more wrong. Taiyang and Shaoyin syndromes could be matched with a weak pulse, but the obvious feature of this syndrome was no sweating, which was seriously inconsistent with the patient's main complaint...
Sure enough, the old Chinese doctor quickly denied his own statement, "I was wrong, it shouldn't be this symptom."
The woman shook her head to indicate that it was not a big deal. She was not surprised that he could not make a diagnosis, because the old Chinese doctors she had consulted in the past three weeks had similar ideas to his. She had also asked them to prescribe medicine for her based on their own judgment. She thought to herself, let's give it a try. However, she was fine without taking the medicine. Once she took the medicine, she sweated even more, and it was like water flowing down her face. Soon even her clothes were soaked.
Her eyes fell on Shu Jinyue, who had not spoken since entering the room and looked as young as a nurse. She knew that someone who could walk into the study and come in front of her could not be a nurse. "What do you think, young comrade? I see that you have not spoken a word?"
Jin Yue's heart was beating fast, as if he was being called by name for no reason by the visiting principal during an open class.
She really is just here to make up the numbers! The same goes for Yang Zhengkang. If he wants to step forward, he should know when to step forward. He pushed her out to treat this strange disease that so many medical experts can't cure. He is really cheating her! No wonder Xu Duanrang asked her to stay away from him, he was not deceiving her!
Complaining inwardly but maintaining composure on the surface, Shu Jinyue adhered to the principle of "the more you talk, the more mistakes you make, and the less you talk, the better", and shook his head, saying that he was not well-educated and had no opinion.
The others didn't expect her to say anything, but when they heard her admit it so readily, they still sneered in their hearts. Where did Yang Zhengkang find this person? If he was going to fill in the gap, he should at least find someone decent, someone who is about the same age as their granddaughter. He wouldn't be afraid of the "patient" getting angry.
However, the woman was not angry. She looked at Shu Jinyue with interest. "But I saw you shook your head a few times and nodded twice. I can understand nodding, but do you have any thoughts when you shake your head?"
"It's okay. We're all in the same industry here. There's nothing wrong with saying a few words." Originally, these words were a bit hateful, but coming from her soft and gentle voice, they sounded encouraging, very much like Xu Duan's tone.
Xu Duan is easy to talk to, so is she also easy to talk to?
Jin Yue seemed to have gained some courage. "Then I will boldly ask, do you really have no other symptoms besides sweating?"
As soon as these words were spoken, the whole room fell silent. Dr. Mo looked at her in surprise. This kind of repeated and obvious questioning had a bit of doubt in it. Was this little female comrade questioning whether the patient was lying?
But their identities as women are different from Shu Jinyue's. Just because Jinyue doesn't know doesn't mean they don't know either. The most taboo thing for people in this position is to be questioned by those below them. Even if they are lying, they will not allow you to question them.
They may not believe it, but if you question it in public, they will get angry too.
Jin Yue swallowed his saliva, "I don't mean to question you, and you won't lie, but some symptoms may exist for a long time, and when similar symptoms suddenly appear, they are easily covered up, affecting your own judgment, so that you don't think of the new symptoms as this illness, am I right?"
The woman nodded. "Then tell me what other symptoms I usually have?"
Seeing that she was not angry but rather gentle, Jin Yue breathed a sigh of relief, "Do you usually get leg cramps?"
"Cramps? What does this have to do with sweating? Lao Qi, you have been practicing Chinese medicine for so many years. Is there a connection between hyperhidrosis and cramps in Chinese medicine? Is there a causal relationship?" The middle-aged man couldn't help it. He always felt that the leader was overly concerned and tolerant of this girl.
If they dared to talk to people like this, they would have been trembling with fear, but she acted like an innocent child, possessing some kind of "privilege", which was really uncomfortable.
The old Chinese doctor surnamed Qi didn't say anything, but his silence was a kind of attitude, indicating that he and Jin Yue were not familiar with each other and were not in the same boat.
The other two older doctors also watched, as if they were going to watch this ignorant young man make a fool of himself.
Doctor Mo showed a hint of curiosity. "I wonder why Doctor Shu said that. Can you help us solve this puzzle?"
Jin Yue followed the steps he gave and said, "In the Treatise on Febrile and Miscellaneous Diseases, there is a disease called perspiration syndrome. As the name suggests, it means that the sweat is leaking and cannot be stopped. I think it is more vivid than the hyperhidrosis in clinical medicine. The cause of this syndrome is mostly excessive sweating after solar disease, which leads to symptoms of excessive sweating and cramps in the hands and feet, so I..."
"Guizhi Jia Fuzi Decoction syndrome!" The old Chinese doctor Qi, who had been silent, suddenly had his eyes light up. "Yes, Guizhi Jia Fuzi Decoction syndrome. Why didn't I think of it? Yang deficiency and sweating syndrome!"
The whole person seemed to be glowing with a strange light, it was like a sudden enlightenment.
Everyone understood his expression - this proved that Jin Yue was right, and although he was young, he was not speaking without purpose, nor was he talking nonsense.
The patient's answer gave them a positive reply: "Yes, I have had leg cramps for the past six months. The doctor said that this is due to the decrease in hormone levels during menopause, which leads to calcium deficiency. I just need to supplement calcium on time." And because she has always had leg cramps, the leg cramps caused by this time's sweating syndrome were covered up by similar symptoms and were ignored.
Doctor Mo was still curious, "Wait a moment, what is solar disease? Is it related to sun exposure? Is there also moon disease? Sorry, I'm just curious, nothing else."
The female patient also looked at Jin Yue, sat up straight, and wiped her sweat less frequently.
The more I laughed, the more interesting Dr. Mo was.
"Traditional Chinese medicine has a six-channel system, which divides diseases into six types of syndromes, namely Taiyang, Yangming, Shaoyang, Taiyin, etc., according to their transmission speed, location, and characteristics. This is just like clinical medicine divides diseases into several major systemic diseases, such as digestive system diseases, respiratory system diseases, and circulatory system diseases. Taiyang disease refers to a general term for a type of disease with fever, fear of cold, stiff neck and head pain, and floating pulse as the main symptoms [1]."
Doctor Mo seemed to understand, but not quite. He understood the analogies that Jin Yue used, but he couldn't understand what the sun and the moon were, even the simple "yin" and "yang", not to mention the various qualifiers in front of them. It was simply a fantasy to him and he was completely confused.
The more I think about it now, the more I feel that I have explained it too profoundly. For someone who has been trained in clinical medicine for many years, it is simply the opposite of what he can understand and accept, let alone accept it.
"Just think of it this way. This name is just a summary of the stage of the disease, just like asthma in Western medicine is divided into acute attack stage, chronic persistent stage and clinical remission stage."
Doctor Mo understood instantly, "I see. So the solar disease you mentioned is the early stage of a cold, when the fever is more obvious?"
Jin Yue nodded. It was quite easy to talk to smart people.
Everyone present looked down on her at first, but now they are somewhat impressed by her. Although they don't understand, she can explain obscure professional knowledge in a language that everyone can understand, which is an ability in itself. What's more, she also brought up this "solar sweating syndrome", which even made old Chinese doctor Qi suddenly enlightened.
Everyone thought that they had finally made a correct diagnosis, and as if the clouds had cleared away and the moon was shining, they all showed joy on their faces. They urged the old Chinese doctor Qi to prescribe a prescription for this disease, and everyone witnessed the miraculous effects of Chinese medicine together.
Yes, the medical industry has always relied on technology to convince people. Although those who study Western medicine do not understand the original text of Treatise on Febrile Diseases and Miscellaneous Disorders, they believe in Mr. Qi's experience and skills. They believe that he is no ordinary person because he has been able to achieve senior professional titles and be invited here.
"Master Qi, please prescribe the medicine quickly. With your help, the disease will be cured today."
Old Chinese doctor Qi said "No, no" modestly, but he was eager to try.
Unlike everyone else who was ready to fight, Jin Yue's brows were slightly furrowed.
Doctor Mo noticed it and wanted to ask a few more questions, but he felt that it would not be appropriate to have a deep conversation with so many people around. He thought that he must ask her for advice after the conversation was over, as there must be some secrets that he didn't know.
The female patient behind the desk did not ignore her abnormality. "Comrade, your surname is Shu, right? Then I will call you Xiao Shu. Comrade Xiao Shu, do you think there is anything wrong with this?"
Jin Yue looked at the old Chinese medicine doctor Qi, waiting for him to take over. After all, he was the junior, and his disciples were all older than him. This was the rule in any industry, not to mention the Chinese medicine industry which valued experience and seniority.
However, the old Chinese doctor said nothing. He picked up the pen with great vigor and started writing the prescription on the paper.
Shu Jinyue took a deep breath and said, "I don't think it's necessarily Guizhi Fuzi Decoction syndrome."
"What?!"
"Not again?"
"Didn't you just say that cramps in the hands and feet are a symptom of hyperhidrosis? Now you say it's not?" The middle-aged man couldn't help but was so angry that his chest was huffing.
The old doctor was halfway through writing the prescription when he became unhappy. "The patient with Taiyang disease sweats too much, sweats continuously, is afraid of wind, and has stiff limbs. The patient's symptoms are basically consistent with the prescription. I wonder if you have any other opinions."
There was hidden reproach in her eyes. This young woman was really looking for trouble. She thought that the matter would be resolved once the prescription was prescribed and the disease was cured. But she kept saying "but" and "however" every now and then, which made her seem like she was showing off.
But when I think of her age, I can be more tolerant. Who hasn’t gone through this age? When they were young, they were more impulsive and conceited than Shu Jinyue. They always thought they were the reincarnation of Zhang Zhongjing or Hua Tuo.
"Since you asked me, Teacher Qi, I'll tell you directly. Although I don't have as much experience as you, my former master once taught me that Chinese medicine does not treat diseases based on symptoms, but rather on the pathogenesis, that is, the internal mechanism of the disease."
Just like what she had thought about on the way here, the symptom of sweating is the same, but the pathogenesis is different, and the other accompanying symptoms are also different. If you simply use the symptoms one by one and forget to delve into the pathogenesis, your thoughts will remain superficial and even lead to misdiagnosis.
As I said, symptoms can be deceiving, but the pulse cannot.
In order to verify her idea, she turned to the woman and said, "Hello, comrade. Can I take your pulse?"
The woman nodded generously and stretched out her wrist.
Those were a pair of hands that were not very white, full of wrinkles, and the skin did not have much elasticity, but through the loose and thin skin one could feel the hardness and thickness of her bones... Like thousands of Dragon Country women, they were a pair of ordinary working people's hands.
Shu Jinyue closed his eyes and carefully felt the beating under his fingertips: first of all, the pulse position was deep, and needed to be pressed hard to find; the pulse shape was thin, like a silk thread; and as for the rhythm, the beat was even, without pauses in the middle, but it was on the fast side.
"The pulse is deep, fine and slightly rapid, just like what Teacher Qi felt."
The old Chinese doctor's face looked better at this point, but when Jin Yue said the next word, his face turned completely black.
"So I think that in addition to yang deficiency, there is also yin deficiency in the pathogenesis, so it should be a deficiency of both yin and yang."
The old Chinese doctor suddenly became anxious. "You can't assume that the patient has yin deficiency just because she has a slightly rapid pulse. This is too rigid. In fact, the human body is a very complex unit. It can't be fitted like a textbook. Moreover, pulse can be divided into physiological and pathological. Maybe the patient is born with a rapid pulse?"
Shu Jinyue smiled. He did not rule out this possibility. Some people's pulse patterns were naturally different from those of ordinary people, but that was not pathological, but...
Jin Yue stood up, "I can confirm that it is Yin and Yang deficiency."
She walked to the window and pointed to the sky. "The patient first fell ill three weeks ago, and that was when the bookstore was at its hottest. You may have forgotten how you got sick then. Now think carefully about whether you ate anything cold before you got sick, such as ice watermelon or popsicles, and in large quantities."
Working backwards in time, she remembered that it was extremely hot that day, reaching the highest temperature ever recorded this year. Her second brother even brought back a big watermelon from the vegetable store, saying it was sent by the production team below. As a welfare benefit, three were given to each regular worker and one to each temporary worker.
The workers' families in the compound were so envious that they joked that it would be better to be a temporary worker in the vegetable market so that they could eat watermelons for free.
They hung the watermelons in a bucket and put them into the well. In order to prevent Aunt Li from stealing them, Teacher Shu stayed by the well for more than two hours.
The woman squinted her eyes and thought for a while, then suddenly her eyes lit up, "Yes, I remember that day was very hot, and I had two meetings, so I was in a bad mood. I went home and drank two bowls of mung bean soup, which was iced."
Shu Jinyue smiled. That's right. He got a fever after consuming too much coolness. The fever reached 39 degrees. Then he took aspirin to reduce fever and relieve pain under the guidance of a doctor. There was nothing wrong with this treatment in Western medicine, but in Chinese medicine, it was not the most correct treatment.
Western medicine treats fever by reducing fever, but traditional Chinese medicine also needs to explore the cause of the fever. It is not a mechanical way to reduce fever as soon as it appears, especially for fever caused by craving for coolness. If you sweat suddenly, it will damage the body's yang energy, and a large amount of cold substances cannot be discharged from the body, which will damage the body's yin essence. In addition, if you sweat for too long, it is like a faucet that is not closed tightly, which will cause more yin essence to be lost... The triple combination is simply adding insult to injury.
"Then in your opinion, what prescription should be used?" Upon hearing this, the old Chinese doctor was convinced that it was his own negligence. He did not think of carefully asking the patient about the cause of the first attack, thinking it was simply a little cool breeze.
“Peony, Licorice and Aconite Decoction.”
"No flavor?"
"No need to add anything, just the three flavors."
The woman heard this and said, "You mean, if you prescribe a prescription for me, you will only prescribe three Chinese herbs?"
Before Shu Jinyue could speak, the middle-aged man's mouth twitched twice, "I remember that your Chinese medicine prescriptions have to fill a whole prescription sheet, and you only prescribed three kinds of Chinese medicine. Can this really cure the disease?"
Jin Yue said nothing and looked at the woman. She was the patient and it was up to her whether to choose her treatment method.
The woman hesitated for a moment and said, "Write down the prescription first."
Jin Yue picked up the pen and wrote down 15 grams of peony, 15 grams of licorice, and 5 grams of processed aconite. Because it contains aconite, he emphasized the decoction method and asked people to take it three times a day, a small bowl each time, and drink it while it is hot.
The old Chinese doctor took the prescription and took a look at it. It was concise and classic like a textbook. In addition to the Guizhi Jia Fuzi Decoction, he also added some Yang-warming herbs. There were a total of 15 herbs, with five full lines on the prescription, while Shu Jinyue's only had one line.
A true classic prescription!
The three lonely herbs were like a slap in the face of him, a loud slap.
The charm of classical prescriptions is truly admirable. However, having been in clinical practice for a long time, he has lost the fun of classical prescriptions. When treating his superiors, he tends to prescribe "Tai Fang prescriptions". In order to avoid mistakes, he wants to take everything into account, but in the end, he can't cure anything.
Jin Yue was not in the mood to save his face. She was very vindictive. If he, as her senior colleague, had been able to say a few fair words for her when she was in trouble at the beginning, she would still remember this favor. But now... she gave him the chance just now and he didn't respond, so there was no need to bother him.
Shu Jinyue is also a person of integrity.
The secretary took away everyone's papers and pens, and added water to a few people's tea cups. Everyone gathered together to discuss today's medical conditions or talk about interesting things in the industry. Jin Yue, the little bird who stood out, was naturally the least welcome, and there was no one around her.
"Comrade Xiao Shu, let me introduce myself. My name is Mo Shuyi." Doctor Mo walked over to her with a teacup, pulled over a bench and sat down.
"Hello, Dr. Mo." Jin Yue held the teacup, wondering when she could go home. She really missed the chestnuts fried by Zhao Wanqiu. She wanted to sit under the pomegranate tree, reading a book while eating chestnuts. She didn't want to be excluded here.
Yes, she vaguely felt that she was being excluded. In the adult world, especially among intellectuals of a certain status, when it comes to ostracizing others, they are not like primary school students and people can notice it immediately.
No one would feel good if they were isolated and excluded. She had very little experience in dealing with people in her previous life. Apart from lowering her head and pretending not to care, she didn't know how to resolve the situation.
People have natural differences in emotional intelligence. As children of the Shu family, Shu Wenyan and Shu Wenyun can always handle the relationships with classmates and colleagues easily and comfortably, while Shu Wenming and her seem to be a little dull and feel excluded and isolated from time to time.
But Shu Wenming is different from her. Shu Wenming is able to be confident and unrestrained, saying "It's not you who exclude me, it's me who isolates all of you". However, Shu Jinyue pretends not to care, while secretly speculating why these people hate her, whether she said something wrong, or whether she offended someone unintentionally. Then I started to review what I had said and done, and became trapped in various negative emotions such as regret, annoyance, and shame.
In short, she is prone to internal friction.
Even if she lived her life again, she still couldn't be as free and easy as the heroine in the novel.
At this moment, she was only thinking about her own business and noticed that Mo Shuyi's mouth was moving. "Well, what did you say?"
Mo Shuyi laughed and said, "I said, which unit do you work in? We can communicate more in the future and discuss clinical experience when we have the chance."
Jin Yue told about his work unit and then asked about his.
"It seems you really didn't listen to me. I'm in the Provincial Hospital, Department of Internal Medicine." He touched his nose, feeling a little amused.
"Sorry, I was just thinking about work."
Soon, through chatting, Jin Yue learned that Mo Shuyi is 32 years old this year. He went to study in the Soviet Union when he was very young, and studied clinical medicine and minor in psychology there. After they broke up, he returned to China to continue his studies at Beijing Medical College for three years, and then went to Japan to study for a doctorate in medicine. After graduation, he worked in Beijing Hospital for several years and was transferred to Shilan Provincial Hospital last year.
"It's a waste of your talent to come to our book city." Shu Jinyue said sincerely. Nowadays, overseas returnees with PhDs would be key talents for training even if they stayed in Beijing, but they ended up coming to a small place like Shilan Province.
"Shilan is a good place. My mother is from here."
Jin Yue smiled and didn't ask any further questions, but he was a returnee and a PhD. Jin Yue suddenly felt that she could learn a lot from him. Not to mention the distant past, she has been learning English recently, and many medical professional vocabulary are very difficult for her to understand. They are complex in structure and long words. She doesn't know whether her pronunciation is correct. Even if she goes to a professional English teacher for advice, it won't be of much use because it is too professional. But if she asks him, he will definitely know.
Besides, the research and treatment of many diseases abroad are very advanced, but she can’t buy professional journals, and she can’t understand them even if she buys them... Thinking of this, Jin Yue’s eyes lit up.
For the first time in my life, I took the initiative to ask someone for their contact information.
"Can I ask Dr. Mo questions more often in the future?"
The girl's eyes were really beautiful. Mo Shuyi raised his eyebrows and smiled softly, "It's my honor."
After getting his contact information, Shu Jinyue chatted with him for a long time, talking about everything from his study abroad to her experience in the countryside. Although the topics seemed completely unrelated, both of them enjoyed the conversation very much. Later, thinking that Jin Yue didn't know much about the industry, he introduced the experts who came today to her one by one, telling her their names, which hospital they were from, what diseases they were good at diagnosing and treating, almost every detail.
They kept chatting until the secretary came in and said that everyone could leave. Shu Jinyue said goodbye to Mo Shuyi and saw Yang Zhengkang's car was still in the yard.
"How's it going, Xiao Shu?"
"We don't know yet, but we just asked each of us to write down ideas and methods for treatment."
Yang Zhengkang didn't know much about medicine, so he didn't ask any more questions. "My mother has been asking me to invite you to her home, but I was so busy with work that I forgot about it."
Jin Yue declined hastily. She knew, of course, that Yang Zhengkang was now in the limelight. If she wanted her family to have more opportunities and smoother things in the coming years, it would be great for her to seize the opportunity to have more contact with the Yang family. But she also remembered Xu Duan's advice.
Yang Zhengkang did not force her and personally sent her back to the street office.
Now, everyone in the Xinqiao Street Office knows that Shu Jinyue from the Epidemic Prevention Station is an amazing person. She specializes in treating difficult and complicated diseases. She was even hired by Deputy Director Yang to pick her up and drop her off. No wonder some people said before that she came to work through Deputy Director Yang's channel. She would not admit it when asked about it, but now it seems that is indeed the case!
Sister Qiao pulled Jin Yue and thought to herself that this girl was really amazing. On one hand, she had a relationship with the Yang family, and on the other hand, Director Qin's son was chasing her relentlessly... But looking at her facial features, she was not outstanding at all, and was not as pretty as her sister. Where did her charm come from?
Shu Jinyue could feel her staring at her, but she didn't say anything. She just wanted to go home and rest. She was really tired.
After saying hello to Zhu Daqiang, Jin Yue walked towards home. He thought about his past life, the strengths and weaknesses of his brothers and sisters, and then what happened today. He wondered if the prescription would work.
Some Chinese medicine practitioners pay attention to the differences between schools, such as the Bu Tu School, the Hejian School, and the Yi Shui School, but in general, modern Chinese medicine in clinical practice can be simply and roughly divided into two major schools: the Jing Fang School and the Shi Fang School. Shu Jinyue, however, was not bound by any particular school of thought. In her opinion, as long as the disease could be cured, any school of thought would be fine. If it could not, even the Zhang Zhongjing school would be useless.
But there are also many Chinese medicine practitioners who do not pay attention to these. For example, the old Chinese medicine practitioner named Qi today often uses modern prescriptions and occasionally uses classical prescriptions.
Thinking of this, Jin Yue returned to Liuye Hutong. Just as he was about to go in, he suddenly heard a group of children behind him chattering and running towards Yard No. 16.
"Hey, kids, why are you running?"
"There's something exciting going on at Aunt Li's house!"
"What's so exciting?" Jin Yue's face also showed excitement. He depended on this melon to sustain him from the day's fatigue.
"Her son is going to marry into the family, Aunt Li is furious!"
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