MC Bookstore Chapter 1273 Team Medical Service
Chapter 1273 Team Medical Service
After the meal, the hospital set up a free clinic area in the outpatient hall.
News of Chen Yang's return had already spread by morning. Upon learning that Chen Yang was back to provide free medical consultations, many patients arrived early to queue up, with the line stretching from the lobby all the way to the door.
"This scene..." Xia Hongliang looked at the dense crowd, feeling both excited and a little nervous.
Chen Yang patted him on the shoulder: "People at the grassroots level have a high level of trust in traditional Chinese medicine, but it is usually difficult to find high-level doctors. Since we are here, let's take a serious look and solve one problem at a time."
The free clinic was divided into four groups: Chen Yang and Gao Mingxuan in one group, Zhuang Qiwen and Zhang Dongyun in another group, Yu Shiyun and Bai Jinbo in yet another group, and Xia Hongliang, Zeng Yunhui and other team members were each paired with a doctor from Jialin County Hospital, with each group also having a nurse to assist them.
The first person to come to Chen Yang's consultation table was a middle-aged woman in her forties, with a sallow complexion and looking exhausted.
"Dr. Chen, I feel weak all over, dizzy, have heart palpitations, and can't sleep well. This has been going on for more than half a year."
The patient's voice was weak: "I went to the city for a checkup, and they said it was some kind of 'neurosis.' They prescribed a lot of medicine, which made me feel better while I was taking it, but it would relapse as soon as I stopped taking it."
Chen Yang asked her to stick out her tongue: the tongue was pale with a thin white coating. Her pulse was weak and thready.
"How's your eating? How's your bowel movement?" Chen Yang asked.
"I have no appetite and feel bloated after eating just a little. My stools are loose, and I have two or three bowel movements a day."
What about menstruation?
"The quantity is small, the color is light, and it only lasts for two or three days each time."
After consulting the four diagnostic methods, Chen Yang made a diagnosis, saying, "You have a typical case of spleen deficiency and insufficient qi and blood. The spleen is responsible for transportation and transformation. When the spleen is deficient, the production of qi and blood is insufficient and cannot nourish the head and face, hence the dizziness and yellow complexion; the heart is not properly nourished, hence the palpitations and insomnia; and the spleen is not functioning properly, hence the poor appetite and loose stools."
The patient nodded repeatedly: "Yes, yes, that's exactly me."
陈阳开了方子：归脾汤加减——党参15克、黄芪20克、白术12克、茯苓15克、当归10克、龙眼肉10克、酸枣仁15克、远志6克、木香6克、炙甘草6克。七剂，水煎服。
"This formula nourishes qi and blood, strengthens the spleen and nourishes the heart."
As Chen Yang wrote, he explained, "Your spleen has been weak for a long time, so you can't rush to replenish it. You have to take it slowly. You can eat more yam, red dates, and millet porridge. Avoid raw, cold, and greasy foods."
The patient took the prescription and left, expressing his gratitude profusely.
Gao Mingxuan watched from the side and nodded with satisfaction: "Chen Yang, you really have the demeanor of a great doctor now. It's only been two or three years, it's unbelievable."
"It's all thanks to your excellent teaching, Master," Chen Yang said with a smile.
Gao Mingxuan couldn't help but laugh. He liked hearing those words, even though he hadn't really taught Chen Yang much.
Next to arrive was an elderly man in his seventies, leaning on a cane and walking with a limp.
"Dr. Chen, my leg has been hurting for three years. Western medicine says it's 'knee osteoarthritis' and recommends joint replacement. I'm so old, I don't want to go through that surgery. Do you think traditional Chinese medicine can help?"
Chen Yang examined the patient's knee joint: swelling, significant tenderness, and limited range of motion. The tongue was dark red with a white, greasy coating. The pulse was deep and hesitant.
“Sir, your illness is called ‘Bi syndrome’ in traditional Chinese medicine. It is caused by wind, cold and dampness obstructing the meridians, coupled with old age and kidney deficiency, resulting in malnourishment of the muscles and bones. Over time, there will also be blood stasis.”
Chen Yang said, "Treatment requires dispelling wind and dampness, tonifying the liver and kidneys, and promoting blood circulation and removing blood stasis."
Then Chen Yang prescribed a modified version of Du Huo Ji Sheng Tang:
独活12克、桑寄生15克、秦艽10克、防风10克、细辛3克、川芎10克、当归12克、熟地15克、白芍12克、桂枝10克、茯苓15克、杜仲12克、牛膝12克、党参15克、甘草6克。同时配合外用方：威灵仙30克、伸筋草30克、透骨草30克、红花15克、花椒10克，煎汤熏洗患处，每日两次。
"Take the medicine for seven days first, along with fumigation and washing. If you feel better next week, we'll adjust the prescription. Just come directly to Director Gao."
Chen Yang advised: "Pay attention to keeping warm, avoid climbing stairs, and do some straight leg raises."
The old man held the prescription, his eyes filled with hope: "Thank you, Dr. Chen, I trust you!"
The free clinic proceeded in an orderly manner, with long queues in front of each consultation table.
Zhuang Qiwen encountered a patient with intractable insomnia, and he used a modified Huanglian Wendan Decoction to clear phlegm and heat, calm the mind and stabilize the spirit; Yu Shiyun treated a patient with chronic gastritis, and used Banxia Xiexin Decoction to open up the spleen and stomach and regulate their function; Xia Hongliang treated a young man with an acute lumbar sprain, using acupuncture at Houxi and Renzhong points, combined with exercise therapy, and the patient felt immediate relief...
The hall was filled with the unique aroma of traditional Chinese medicine. Doctors patiently consulted patients and provided detailed answers, while nurses were busy taking blood pressure and making registrations, all in an orderly manner.
Xia Hongliang had just finished treating the young man with an acute lumbar sprain and was about to catch his breath when he heard a low sobbing sound coming from the examination table next to him.
It's over there in the realm of poetry and rhyme.
A woman in her thirties was holding a boy who looked five or six years old. The boy was pale and thin, with dry and yellow hair. He leaned listlessly against his mother's chest, coughing incessantly with a hollow and labored voice.
The woman's eyes were red-rimmed, and she choked out, "Doctor, my child has been coughing for almost two months. We've seen doctors in town and in the city, and they said it's 'allergic cough' and 'asthma.' He's taken a lot of medicine and had nebulizer treatments, but it's not getting better. He can't sleep at night because of the cough, and he's lost weight..."
Yu Shiyun carefully examined the child: there was a bluish tinge under the eyelids, which is called "blue under the eye socket" in traditional Chinese medicine; there were faint blue veins at the root of the nose; the tongue was pale red with a thin, white, greasy coating; the fingerprints were pale purple; the wind gate had passed, and the qi gate was approaching.
"Does your child often catch colds? Does he cough for a long time when he catches a cold? Is he sensitive to cold? How are his bowel movements?" Yu Shiyun asked gently.
"Yeah!"
The woman nodded repeatedly: "I catch colds very easily, especially when the seasons change. My hands and feet are always cold, and my stools are sometimes dry and sometimes loose and unformed."
Yu Shiyun carefully examined the pulse and felt that it was floating, thin, and slightly tight.
Yu Shiyun had already made a judgment in her mind, but considering the long course of the child's illness, she needed to be extra cautious with the medication, so she looked up at Chen Yang, who was not far away: "Teacher Chen, would you like to take a look at this child?"
Chen Yang had just finished prescribing medicine for an elderly man suffering from dizziness when he heard the sound, so he got up and came over. Gao Mingxuan followed him.
Chen Yang examined the child's complexion and tongue coating, carefully took his pulse, asked a few questions, and nodded: "Dr. Yu, your diagnosis is correct. This is a typical case of pediatric 'lung and spleen deficiency with external cold and internal phlegm'."
As he spoke, Chen Yang turned to the child's mother and explained in detail: "The child's spleen and stomach functions are inherently weak. In addition, repeated colds and overuse of antibiotics or cold medicines have damaged the spleen yang and lung qi."
"When the spleen is deficient, it cannot transform and transport fluids, which accumulate and form 'phlegm'; when the lung qi is insufficient, the body's defenses are weak, making it susceptible to cold. When internal and external pathogens combine, cold phlegm lingers in the lungs, which is why the cough is persistent and worsens when exposed to cold. Bluish marks under the eyes, blue veins on the bridge of the nose, and cold hands and feet are all manifestations of insufficient spleen yang and internal cold phlegm."
The woman seemed to understand but not quite, but she felt that the symptoms Chen Yang described matched her perfectly, and asked anxiously, "Then... can it be cured?"
"It can be cured, but it requires regulating and nourishing the lungs and spleen, and warming and transforming the cold phlegm. It will take some time, and we can't expect quick results," Chen Yang said with a smile. "It requires proper conditioning."
As he spoke, Chen Yang looked at Yu Shiyun and said, "Prepare Xiao Qinglong Decoction combined with Liu Jun Zi Decoction, with modifications."
Yu Shiyun quickly wrote out a prescription, which Chen Yang took and glanced at before handing it to the child's mother.
"In this prescription, Xiao Qinglong Decoction warms the lungs, resolves phlegm, and dispels cold; Liu Junzi Decoction strengthens the spleen and replenishes qi. The two prescriptions work together to both attack and tonify." Chen Yang said as he wrote, "The child is young, so the dosage is light. Let's see the reaction after three days. After taking the medicine, the cough may temporarily increase or some thin white phlegm may be coughed up. This is a good sign that the cold is being expelled, so don't worry."
"Diet is very important. During this period, you should stop eating all raw, cold, greasy, sweet, and dairy products (especially yogurt and cold drinks). You can drink some yam and millet porridge or boiled white radish in water without sugar. Make sure to keep your back warm when you sleep at night."
The woman was overjoyed, clutching the prescription tightly and bowing repeatedly: "Thank you, Dr. Chen! Thank you, Dr. Yu!"
The free clinic lasted until after 6 p.m., and nearly 300 patients were seen. Almost half of the commonly used medicines prepared by the hospital were used up.