Chinese medicine: from rural hospitals to top three hospitals in Kyoto

Chapter 904 Alarm Bell

Chen Yang walked to the window and looked at the dark night outside. He felt very complicated for a moment.

To be honest, this is the first time Chen Yang has made this kind of mistake.

In theory, with Chen Yang's level, he shouldn't make such a mistake.

Because of Wang Ya, Chen Yang's mentality this time was indeed different from that towards other patients, and he did not have the patience he had towards other patients in the past.

This is like when someone you don't like very much or don't want to see asks you for help, and you can't refuse for some reason, so when you help, you must want to solve the problem as quickly as possible and then leave.

It has been two years since the divorce, and Chen Yang and Wen Manlu are married. He certainly has no attachment to Wang Ya, but it is impossible to say that he has no feelings for her.

When a person is hurt by the person he loves, after having given so much in the beginning, the original love will inevitably turn into hatred in the end.

There is no such thing as letting go in this world.

It is impossible to say that now that I am doing well, the past things are over, and that when two people meet, they can just act as if nothing happened. If we cannot be husband and wife, we can still be friends.

This is complete bullshit.

Chen Yang must have been reluctant to see Wang Ya, but he rushed over immediately after Li Haofei called him. On the one hand, it was because of his qualities as a doctor, and on the other hand, it was because Wang Laogen was Hanhan's grandfather, and the old couple did take care of Hanhan for two years.

It was also because he didn't want to see Wang Ya, or because he hated Wang Ya in his heart, that Chen Yang was not as careful as before, and was a little perfunctory...

And this kind of emotion almost caused Chen Yang to make a big mistake.

"what happened?"

Wen Manlu seemed to notice something was wrong with Chen Yang, so she walked over to him and asked with concern.

"fine."

Chen Yang said softly, "I was a little careless just now. Stroke is a case of deficiency in the root and excess in the superficial. Edema is mostly due to yang deficiency and water retention. The patient has both the superficial symptoms of wind, phlegm, blood stasis and obstruction of the brain meridians, and the deficiency in the root of the liver and kidney yin and spleen and kidney yang. The condition is quite complicated."

"Is the medicine we just gave no effect anymore?" Wen Manlu asked.

“You have to take the specimen into account.”

Chen Yang turned around and said, "In the front part, we need to add Poria, Alisma, and Polyporus to promote diuresis and eliminate dampness, and Cinnamon twig to warm the yang and transform qi to treat edema; and add Rehmannia root and Cornus officinalis to nourish the kidney yin and prevent diuresis from damaging the yin. However, the medicine just now can still be used, and we just need to modify it later."

In fact, there is no big problem with the prescription just now. Just take it into consideration for the next prescription.

Chen Yang's mood changed because of his neglect.

No matter how calm Chen Yang was, his mentality had changed a little over the past period of time. This time, Chen Yang felt as if he had suddenly realized something.

Chen Yang looked at Wang Ya and said, "Uncle Wang, have you been afraid of the cold, have cold hands and feet, and have frequent nocturnal urination in the past two years?"

Wang Ya was stunned and looked at her mother in confusion.

Liu Guifen nodded hurriedly: "Yes, he had to wear socks when he slept last winter and got up several times at night..."

“This is a manifestation of kidney yang deficiency.”

Chen Yang said: "Before, I only saw the wind, phlegm and blood stasis, and ignored the root of yang deficiency."

Just then, Li Haofei came back with the decocted Chinese medicine.

"Master, the medicine is ready."

"Don't rush to feed it."

Chen Yang took the medicine bowl, smelled it, and then dipped his fingertips in the medicine to taste it.

"Yes, the temperature is just right. But the patient's phlegm has just been cleared and his stomach qi has not recovered. First feed him 30 ml and observe for an hour. If the stomach qi is restored, then gradually increase the dosage."

As he spoke, Chen Yang personally used a cotton swab dipped in the medicine and gently wiped Wang Laogen's lips. After Wang Laogen swallowed, he asked the nurse to feed him 30 ml of the medicine.

As time passed, the only sound in the ward was the regular beeping of the ECG monitor.

Wang Ya and Liu Guifen stared at Wang Laogen nervously, while Wen Manlu stood quietly beside Chen Yang, occasionally handing him a tissue.

An hour later, Wang Laogen's breathing gradually stabilized, the phlegm in his throat lessened, and his pulse became gentler.

"You can feed another 50 ml." Chen Yang said.

The feeding of the medicine went smoothly this time and no accidents occurred.

"Master..." Li Haofei couldn't help asking, "Does the patient need to take diuretics for his edema?"

"Western medicine diuretics can be used, but they must be used in conjunction with traditional Chinese medicine to warm the yang and transform the qi, otherwise it is easy to damage the yang energy."

Chen Yang explained, "Chinese medicine treats water retention, emphasizing that 'all swellings and fullness are related to the spleen', and 'the kidney is the water organ, responsible for body fluids'. Uncle Wang had spleen and kidney yang deficiency, so the water retention could not be transformed and flooded the skin, resulting in edema; the yang deficiency could not warm the body, so he was afraid of cold and had frequent urination at night; the yang deficiency was unable to transform qi, so phlegm and turbidity were generated internally, covering the clear orifices, so he had a stroke."

After a pause, Chen Yang continued, "For treatment, we need to warm the kidney and strengthen the spleen, transform qi and promote water circulation, and at the same time, extinguish wind and resolve phlegm, and activate blood circulation and dredge collaterals. Add aconite and dried ginger to the formula to enhance the warming yang effect; white atractylodes can strengthen the spleen and dry dampness. But aconite is poisonous, so it needs to be decocted for more than an hour to remove its poison."

"In actual clinical practice, some Western medicines are not out of consideration, but their medicinal properties must not be ignored."

Li Haofei nodded repeatedly and kept Chen Yang's words in mind.

Wang Ya looked at Chen Yang's focused expression and listened to his professional analysis, feeling mixed emotions.

Wang Ya also graduated from the University of Traditional Chinese Medicine. She and Chen Yang knew each other in college. They fell in love when they were in college, got married, and had a daughter.......

Thinking of this, Wang Ya couldn't help but secretly look at Wen Manlu, only to see Wen Manlu looking at Chen Yang gently, her eyes full of trust and admiration.

At this moment, Wang Ya suddenly realized that there was an insurmountable gap between her and Chen Yang.

"Uncle Wang is out of danger for now. I'll keep him under observation tonight. I won't leave tonight. I'll check the situation tomorrow morning."

Chen Yang said to Liu Guifen: "You can also take a rest at night, don't worry too much..."

"Yang Yang..."

Liu Guifen suddenly knelt down, her voice choking with sobs: "I thank you on behalf of your uncle, thank you for letting bygones be bygones...if..."

"If possible, can you let Hanhan come back to see us occasionally... Your uncle sometimes calls Hanhan's name in his dreams at night. I know he misses his granddaughter very much, but he just doesn't say a word..."

"Auntie, please get up quickly."

Chen Yang and Wen Manlu stepped forward at the same time to help Liu Guifen up.

"It is the duty of a doctor to cure diseases and save lives..."

Chen Yang paused and said, "Besides, Hanhan was raised by you guys. If it's convenient during holidays, you can let Wang Ya take Hanhan back home to stay for a few days..."

Wang Ya is Hanhan's mother. The old couple raised Hanhan until she was two years old. Chen Yang would not forcibly deprive the mother and grandparents of the right to see Hanhan.

In fact, a large part of Chen Yang's dislike for Wang Ya comes from Wang Ya's ruthlessness. She gave up Hanhan without hesitation when they divorced. In the past two years, Wang Ya didn't actually care much about Hanhan, which Chen Yang could see.

Seeing Chen Yang's gaze, Wang Ya finally couldn't hold back her tears and fell.