The pulse on the right hand is wiry and hesitant.
The pulse in the left hand is thin and rapid, which is a sign of yin deficiency and excessive fire!
Su Zhengnan took Zhang Ziyang's pulse again, and feeling the difference in his pulse, he couldn't help but frown. It seemed that the other party's pulse was not just a simple deficiency of spleen and kidney qi, but also accompanied by signs of yin deficiency and fire excess.
Clinically, the symptoms of yin deficiency and excessive fire should be differentiated from hematuria caused by heat in the bladder.
Hematuria due to heat urination has a rapid onset and short course. Initial symptoms often include chills and fever, pain in the joints and bones, thirst, and bright red blood in the urine.
These two conditions, one being a deficiency and the other an excess, are not difficult to distinguish.
Fortunately, I took the other person's pulse again; otherwise, even this slight oversight could have prolonged the treatment process.
After thinking for a moment, Su Zhengnan picked up the prescription and made some changes while saying to Zhang Ziyang, "I'll add some Eclipta prostrata and Cirsium japonicum to cool the blood and stop the bleeding, so you'll recover faster."
As he spoke, Su Zhengnan added two more ingredients and then prepared the medicine again.
Zhang Ziyang nodded, looking completely bewildered. He had no choice but to go to the nurses' station again to pay the bill and then come back to get the medicine again.
"Ahhh... Teacher Wang, slow down! Are you trying to kill me?"
"Ouch...ouch...it hurts! Teacher Wang, can you please pull me a little slower...?"
Just as Zhou Zixuan finished writing the payment slip for Zhang Ziyang, she heard a wail coming from outside the school clinic!
The scream was so heart-wrenching that Zhou Zixuan immediately came out to investigate.
Teacher Wang, who was supposedly helping Deng Changfeng but was actually dragging him, immediately called out to Zhou Zixuan, who was wearing a white coat, as soon as she saw her: "Nurse Zhou, Nurse Zhou, come and help me. Director Deng is in so much pain that he can't walk."
"Is Director Deng's old problem acting up again?"
Zhou Zixuan quickly stepped forward to help Deng Changfeng, and the two of them helped each other into the school clinic.
Zhou Zixuan, having served as a school doctor and nurse at the Beijing Film Academy for so many years, naturally knew something about Deng Changfeng's chronic illness.
Deng Changfeng's lips twitched slightly as he endured the pain in his waist and said, "Yes, my old sciatica has flared up again. It hurts so badly that Teacher Wang couldn't stand my screaming and insisted on bringing me here to see a doctor."
"Then let's go in quickly, otherwise Dr. Su will be off work and resting."
Zhou Zixuan smiled and nodded, then she and Teacher Wang helped Deng Changfeng into Su Zhengnan's TCM clinic.
Just as Su Zhengnan added two more ingredients to Zhang Ziyang's medicine, he saw Zhou Zixuan helping a middle-aged man walk in. A look of surprise flashed across his face, and his eyes were full of doubt.
Zhou Zixuan helped Deng Changfeng forward and said with a smile, "Dr. Su, this is Director Deng Changfeng from our school. His old ailment has flared up again. Could you see if you can help alleviate it for him?"
"Old ailment? What old ailment?"
Su Zhengnan waved to Zhang Ziyang, indicating that he could leave, and then asked Deng Changfeng in front of him.
Deng Changfeng tiptoed to the desk and hesitated for a long time before finally sitting down. The pain in his lower back made him afraid to sit down completely; he could only sit with one side of his buttocks touching the desk and the other side hanging down. He said:
"I have sciatica, which I've had for many years. I don't know why it flared up again tonight, and the pain is terrible!"
"Sciatica, is it?"
Su Zhengnan glanced at him and pointed to the hospital bed next to him, saying, "Since it's sciatica, then don't sit down. Lie down on that bed over there, and I'll examine you first."
"Okay, sure."
Deng Changfeng nodded in agreement, then turned to Teacher Wang behind him and called out, "Teacher Wang, please help me, I can't get across by myself."
Teacher Wang: "......"
Then, with Teacher Wang's help, Deng Changfeng endured the pain in his waist and slowly walked to the bedside and lay down.
Seeing Deng Changfeng's pained expression, Zhang Ziyang, a student, did not rush to leave but stood aside to watch the show.
This was the first time he had ever seen his teacher sick!
Although Deng Changfeng wasn't his teacher, this still seems quite gossipy!
Ignoring Zhang Ziyang's curiosity, Su Zhengnan stepped forward, moved his hands a bit, and began to examine Deng Changfeng's condition.
It's important to know that the pain of sciatica is mainly limited to the distribution area of the sciatic nerve, including the back of the thigh, the outer side of the calf, and the foot. The intensity of the pain can be unbearable for patients.
Su Zhengnan first examined Deng Changfeng's sciatic nerve distribution area with his hands. His technique was very gentle, and Deng Changfeng did not feel any pain at all.
This immediately made Deng Changfeng realize that Su Zhengnan's methods were quite unusual.
Because in the past, every examination he had undergone caused him excruciating pain, exacerbating his physical discomfort.
However, when Su Zhengnan examined him, Deng Changfeng felt no pain at all, and even the areas that were originally painful were relieved quite a bit.
"This is a truly remarkable traditional Chinese medicine practitioner!"
Deng Changfeng couldn't help but sigh inwardly, and felt more confident about Su Zhengnan's treatment of him.
And after this inspection...
Su Zhengnan immediately discovered that Deng Changfeng had severe meridian blockage in his sciatic nerve area, resulting in poor blood and qi circulation, which was likely caused by prolonged sitting.
In addition, the compression caused by sciatica can lead to complications such as lumbar disc herniation.
For a moment, Su Zhengnan raised his eyebrows slightly and then used both hands to examine Deng Changfeng's waist.
As the saying goes, hands are eyes!
For a doctor who is proficient in traditional Chinese massage and bone setting.
His hands are like his eyes; he can clearly determine the patient's internal symptoms through palpation.
Some of the most accomplished masters of traditional Chinese medicine have hands that are even more precise than CT scanners, and even more precise than machines.
However, these are extremely rare cases.
After all, to achieve this, one absolutely needs to have seen countless cases to accumulate clinical experience in order to be able to understand things clearly upon touch and comprehend them thoroughly.
The vast majority of sciatica cases are secondary to lesions in the local and surrounding structures of the sciatic nerve, which irritate, compress, and damage the sciatic nerve. These are called secondary sciatica. A small number of cases are primary sciatica, also known as sciatic neuritis.
Deng Changfeng's condition is clearly caused by local lesions and irritation of the sciatic nerve, which has damaged the surrounding structures.
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