I Can Hear the Heart's Voice of Traditional Chinese Medicine

Chapter 66: Interstitial Cystitis (2/3)


Holding the payment slip, Ji Xiuwen felt somewhat dazed.

After a while, he snapped back to reality, got up and walked into the herbal pharmacy.

Only after handing the medicine to Ji Yongfeng through the collection window did he walk out of the herbal pharmacy.

By this time, the second patient of the morning had already come in and was seated across from Lu Xuan.

Ji Xiuwen was momentarily stunned, not daring to think much, he quickly sat down opposite Lu Xuan, slightly entranced by Lu Xuan's serious expression.

He didn't understand.

Lu Xuan becoming the head of the Traditional Chinese Medicine department at the Qiu City Street Health Center was understandable; after all, the TCM department there wasn't given much importance, and when Lu Xuan arrived, he was the only person there. Who else would be the head if not him?

They couldn't possibly have someone who had never encountered TCM take on this role, right?

But taking on this role didn't mean that he suddenly acquired extraordinary medical skills!

Granted, he had just arrived and knew very little about Lu Xuan's situation.

Yet, the situation his mother mentioned couldn't be false, and indeed, the director Hu Meiqiao highly valued Lu Xuan.

Not only Hu Meiqiao, but others at the Health Center also had great trust in Lu Xuan's medical skills.

He still remembered the comments by Cheng Gaowen and Zhou Liting at the meeting just now, clearly reflecting their confidence in Lu Xuan's medical skills, and indicating the effectiveness of the prescriptions he provided; otherwise, they wouldn't have spoken like that.

And, just now, Ji Yongfeng who left with the medication…

The smile on his face told him his good friend's situation was now completely beyond his "control."

But, this isn't right!

Ji Xiuwen didn't mean to underestimate or belittle Lu Xuan, but this was simply not scientific.

Both were admitted to Zhijiang University of Traditional Chinese Medicine with nearly the same scores and shared a dorm room, having a great relationship. Ji Xiuwen might not fully understand Lu Xuan, but he was aware of most things.

He could accept that Lu Xuan performed slightly better academically, as that was the fact. Since stepping into Zhijiang University of Traditional Chinese Medicine, Lu Xuan always had a slightly higher admission score than him, consistently outperforming him from undergraduate to graduate school, excelling in various exams.

However, even so, their disparity couldn't have grown so significantly within just six months, could it?

Originally, in Ji Xiuwen's view, although Lu Xuan was better, it was impossible for him to sit in diagnosis independently within two to three years, let alone become a renowned doctor praised by many patients for his extraordinary medical skills.

If Lu Xuan was merely capable of handling minor ailments, he could accept it.

After all, as a graduate from Zhijiang University of Traditional Chinese Medicine, having such skills was expected. It was just that some people were timid, while others were bold and confident enough to take on cases.

In his opinion, Lu Xuan should belong to the latter.

Yet, reaching a level where he could handle various complex cases seemed impossible.

This surpasses a scientific discourse and borders on the mystical.

Upon graduation, he assumed everyone would start similarly, helping doctors or collecting herbs, with no direct patient interaction; however, it seemed Lu Xuan had progressed far beyond that, to the point where he couldn't even see his back anymore.

Who could believe this?

While Ji Xiuwen was still in a daze, Lu Xuan had already placed his hand on the patient's wrist to feel the pulse.

The patient, meanwhile, was explaining her condition.

Ji Xiuwen dared not think much further, quickly refocusing his attention and listening quietly.

Patient Gao Suyun, female, age 52.

The patient had sought hospital treatment for "recurrent frequent urination, urgency, and pain." The hospital persistently treated it as a urinary tract infection, to no avail. After cystoscopy, she was diagnosed with "Interstitial Cystitis" and treated with bladder hydro-distension and other procedures, without improvement, thus seeking this consultation.

Currently: frequent urination, urgency, pain, cold abdominal pain alleviated slightly by warmth, significant pain in the lower abdomen before and after urination, purple tongue, choppy pulse, urine analysis: occult blood (+)…

After hearing Gao Suyun's narrative, Lu Xuan suddenly raised his head and asked Ji Xiuwen, "What do you think?"

Ji Xiuwen was caught off guard by Lu Xuan's sudden inquiry, rendering him momentarily stunned. Only after Lu Xuan's prompt did he respond, looking at Lu Xuan in surprise before he carefully thought it over, stating:

"Interstitial cystitis is a chronic, non-bacterial, inflammatory disease affecting the entire bladder wall. It is characterized by perineal pain and discomfort, along with urinary frequency and urgency. It is an idiopathic clinical syndrome.

Commonly occurring in middle-aged women, its main feature is bladder wall fibrosis.

Currently, substantial evidence indicates that interstitial cystitis is an autoimmune collageneous disease. Western medicine usually adopts non-surgical or surgical treatments, though their efficacy is unreliable, with the condition frequently relapsing, making treatment quite challenging."

Upon hearing this, Lu Xuan slightly shook his head, "That's the Western medical perspective."

Obviously, Lu Xuan was not satisfied with Ji Xiuwen's response.

Ji Xiuwen helplessly sensed a slight unfamiliarity in his friend's expression, but he contemplated before saying, "In traditional Chinese medicine, interstitial cystitis likely falls under the category of 'Lin Syndrome,' a term first seen in the 'Inner Canon.'"

"Have a bit more confidence in yourself."

Lu Xuan smiled, then quickly restrained his smile and seriously added, "In the 'Suwen: The Great Treatise on the Six Periods,' interstitial cystitis is referred to as 'Linmen,' and in the 'Essential Prescriptions of the Golden Cabinet: Wind-Cold Cluster Disease of the Five Viscera,' it is called 'Linmi.' The 'Essential Prescriptions of the Golden Cabinet: Diabetes, Urinary Unfavorable and Strangury Syndrome Diagnosis and Treatment' describes the symptoms of Lin Syndrome in detail: 'The disease of Lin, urination like grains, hypogastric tension leading to umbilical pain.'"

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