Inside the school clinic.
The boy seemed frightened as he said, "Well... just now when I went to the toilet, I found that my pee was red, and it also hurt a little..."
"Huh? Just now?"
Su Zhengnan was taken aback for a moment, then looked at the other person and said, "Give me your hand, let me take your pulse first."
"OK!"
The boy nodded, then rolled up his sleeves and extended his wrist.
Su Zhengnan reached out and placed his hand on the other person's wrist, only to feel that the pulse was wiry and weak, which was obviously a case of insufficient kidney qi and excessive heart fire.
The Medical Insights states: "The heart governs blood. When the heart qi is hot, heat will be left in the bladder, and the yin blood will flow erratically and be excreted in urine. In addition, the liver governs the free flow of qi. When the liver fire is excessive, it will also cause hematuria."
The book "Miscellaneous Diseases: Origins and Development" also records: "Hematuria is a disease of the urinary tract, and its origin is due to kidney deficiency."
Hematuria is generally closely related to the heart, liver, and kidney meridians.
After thinking for a moment, Su Zhengnan withdrew his right hand, which was used to take his pulse, and said, "Open your mouth, let me take another look at your tongue."
"ah....."
The other person immediately opened their mouth wide and stuck out their tongue.
Su Zhengnan glanced at it and saw that its tongue was reddish with a yellowish grease at the root, which was obviously a sign of kidney deficiency.
Judging from the pulse and tongue coating, the patient is likely suffering from spleen and kidney qi deficiency and excessive heart fire, resulting in pale red hematuria. Fortunately, it is not too serious.
After dialectically understanding these situations.
Su Zhengnan asked the boy in front of him, "Does your mouth feel bitter?"
The boy blinked and replied, "Uh, no, I don't feel any bitterness in my mouth."
Su Zhengnan nodded, then picked up the medical record and asked, "Name?"
"Zhang Ziyang!"
"age?"
Twenty-five!
"Try to eat less spicy food and drink more water during this period. I will prescribe some medicine for you to treat it. Don't have too much psychological pressure."
Upon hearing Su Zhengnan's words...
Zhang Ziyang felt even more frightened and asked in terror:
"Doctor, is my illness very serious? Could I have some kind of terminal disease?"
"Don't worry, this is not a terminal illness. You just have some spleen and kidney deficiency and excessive heart fire. These factors work together to cause blood in your urine, which is not a very serious condition."
While writing the prescription, Su Zhengnan said to Zhang Ziyang, "Remember to drink plenty of water while taking the medicine these next few days. Also, if you feel unwell, remember to come back for a follow-up appointment. Don't eat anything indiscriminately."
For hematuria caused by spleen and kidney qi deficiency and excessive heart fire, it can generally be treated with Buzhong Yiqi Decoction, Daochi Powder, or Longdan Xiegan Decoction, etc.
Swish swish swish!!!
Based on the patient's pulse and tongue diagnosis, Su Zhengnan ultimately prescribed a Buzhong Yiqi Decoction for Zhang Ziyang.
Buzhong Yiqi Tang is a traditional Chinese medicine formula that has the effects of tonifying the middle energizer, replenishing qi, raising yang, and lifting prolapsed qi.
The prescription is as follows: "Astragalus membranaceus 15g, Ginseng (Codonopsis pilosula) 15g, Atractylodes macrocephala 10g, Glycyrrhiza uralensis (processed) 15g, Angelica sinensis 10g, Citrus reticulata peel 6g, Cimicifuga foetida 6g, Bupleurum chinense 12g, fresh ginger 9 slices, jujube 6 pieces."
Clinically, this formula can also treat visceral ptosis, chronic gastroenteritis, chronic bacillary dysentery, rectal prolapse, myasthenia gravis, chyluria, chronic hepatitis, and so on.
The Treatise on Differentiation of Internal and External Injuries states: "For tonifying the middle and replenishing qi, use astragalus, atractylodes, and tangerine peel; for tonifying the middle and replenishing qi, use bupleurum, ginseng, licorice, and angelica. These are uniquely effective for treating internal injuries caused by deficiency and fatigue, and can also treat external pathogenic factors caused by yang deficiency."
Su Zhengnan quickly wrote out the prescription and then said to Zhang Ziyang, "Alright, take the form to the nurses' station to pay, and come back to me to pick up the medicine later."
"Okay, thank you, Dr. Su."
Zhang Ziyang stood up, nodded his thanks, took the form, and walked towards the nurses' station.
Watching the departing Beiying, Su Zhengnan couldn't help but sigh and shake his head before getting up to fetch the medicine.
"Astragalus membranaceus 15g, Ginseng (Codonopsis pilosula) 15g, Atractylodes macrocephala 10g..."
As Su Zhengnan muttered to himself, he opened the medicine cabinet behind him and grabbed the medicine. His movements were so fast and precise that he didn't need any scales at all.
For a true practitioner of traditional Chinese medicine, he said that the knowledge he learns is integrated with medicine.
Traditional Chinese medicine and Chinese herbal medicine are an inseparable whole.
Therefore, for a qualified traditional Chinese medicine doctor, his hands are like a scale, not only able to identify all Chinese herbs, but also able to accurately grasp the required weight.
If you can't even do this much...
That person is definitely not a qualified traditional Chinese medicine doctor.
With the development of the times, most TCM doctors graduating from modern medical schools only learn pharmacology, and very few learn about Chinese herbal medicines.
Modern medical schools have subdivided doctors and pharmacists into numerous specialties, resulting in some doctors being able to diagnose illnesses but not prescribe medications, let alone identify truly effective Chinese herbal medicines.
This is also one of the main factors that has led patients to gradually lose faith in traditional Chinese medicine.
While Su Zhengnan was busy getting the medicine...
On the other side.
Inside the teachers' dormitory at the school.
In room 212, Deng Changfeng, the head of the animation department's graduate program, lay on his bed, wincing in pain.
"Ouch...it hurts so much! My old sciatica has flared up again!"
Deng Changfeng clutched his lower back in pain and rolled around on the bed. At 46 years old, he was not only the director of the animation department at Beijing Film Academy, leading graduate students, but also one of the main teachers in the animation department.
He worked at the Beijing Film Academy for nearly twenty years, but due to sitting at his desk for long periods working on animation, he developed severe sciatica.
During this period, Deng Changfeng also saw many doctors.
He has consulted both traditional Chinese medicine and Western medicine doctors.
However, no doctor said they could cure his sciatica; at most, they could only relieve the symptoms.
Deng Changfeng often suffers from sciatica, which keeps him awake at night. The pain can last for several days, and sometimes it doesn't get better for ten days or half a month.
"Ouch...it hurts so much!"
Deng Changfeng lay on the bed groaning incessantly, which immediately alerted another teacher, Mr. Wang, in the next dormitory room.
With a loud bang!
Teacher Wang pushed open the door to Deng Changfeng's dormitory and asked anxiously, "Director Deng, what's wrong?"
"My old problem has flared up again, ouch...it hurts so much!"
Deng Changfeng clutched his lower back, wincing in pain.
Teacher Wang quickly stepped forward and said, "I think you should go to the hospital to get it checked out, otherwise you'll be in pain for several more days, and you probably won't be able to teach again."
Deng Changfeng frowned and said, "No, no, no... let's not go. It's already very late, and in my condition... I can't even walk, let alone go to the hospital..."
Upon hearing this, Teacher Wang was taken aback and said, "But this isn't a solution. You're in so much pain that you keep crying out and making noise, which makes it impossible for me to rest. How about I take you to the school clinic?"
"I heard that a very skilled traditional Chinese medicine doctor came to our school clinic. Many students say that his medical skills are excellent. Why don't I take you to see him?"
"The traditional Chinese medicine doctor at our school clinic?"
Deng Changfeng sensed something was off. How skilled could this traditional Chinese medicine doctor be as the school doctor? He couldn't help but grit his teeth and wave his hand in refusal, despite the pain.
"I think we should forget about it. How skilled can this traditional Chinese medicine doctor who comes to be the school doctor be? I bet he's just a jack of all trades and master of none. He definitely can't cure my old ailment."
"Even if it can't cure your pain, it would be good to relieve it. Don't argue with me, or neither of us will sleep tonight."
Teacher Wang immediately became anxious, helped Deng Changfeng up from the bed, and pulled him towards the door.
"Hey, hey, slow down! My back... it hurts so much..."
Deng Changfeng screamed in pain, but there was nothing he could do but grit his teeth and follow Teacher Wang toward the school clinic.
Just then, Su Zhengnan finished preparing the medicine for Zhang Ziyang.
But then he suddenly felt that he hadn't quite grasped Zhang Ziyang's pulse earlier. He wondered if he had missed something or if his diagnosis had gone astray.
Thinking of this, Su Zhengnan handed the prepared medicine to Zhang Ziyang while greeting him:
"Don't rush off. Sit down and let me take your pulse again."
"Ah... Oh, okay!"
Zhang Ziyang naturally dared not refute Su Zhengnan's words, since the latter was the doctor!
Then, Zhang Ziyang sat down again, extended his wrist, and waited for Su Zhengnan to take his pulse again.
Su Zhengnan frowned and reached out to touch the other person's left wrist. This time, he was going to check both hands to see if he had overlooked anything.
......................................................
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