Ji Xiuwen wanted to speak but hesitated.

Looking at the payment receipt handed over by Su Kenan, he had to suppress all his doubts, and walked into the pharmacy holding the receipt.

Processed ginger, cinnamon, corydalis tuber, peach kernel, frankincense, myrrh, Chuanxiong, red peony, safflower, psoralea, epimedium, dodder seed, goji berries, amber powder, licorice.

Fifteen types of Chinese medicinal herbs, Ji Xiuwen was officially on duty today and was obviously not as familiar with the pharmacy as Lu Xuan. By the time he finished preparing the herbs and came out, a patient was already handing him a payment receipt from the medicine window.

Ji Xiuwen glanced at it instinctively, they were all cold treatment medicines.

"No wonder it was so quick..."

When the patient placed the payment receipt at the medicine window, Ji Xiuwen was still wondering what was going on, but upon seeing the medicine that Lu Xuan prescribed, he suddenly understood.

If it's just a cold, it's simple.

Ji Xiuwen prepared the medicine again and quickly returned to his position.

At this moment, a woman in her forties entered the consultation room, pulling a teenage girl behind her.

"Dr. Lu."

The woman entered and quickly greeted Lu Xuan.

"Have a seat and let's talk." Lu Xuan nodded at her, then turned his attention to the teenage girl.

It was rare for parents to bring their children when seeking medical attention, especially for children this age. Even if it's summer vacation without classes, they would usually be in tutoring classes or doing homework at home.

If they brought their child, it's more than likely because the child has a health issue, with a probability of over ninety percent.

Of course, there are also some parents who bring their children because there's no one to look after them at home.

But a girl this age obviously doesn't need parental supervision.

"What's wrong with the child?" Lu Xuan asked.

Qi Shuyi sighed and, under Lu Xuan's questioning, explained the child's situation one by one.

While listening, Lu Xuan observed the girl's complexion and tongue, placing his fingers on her slender wrist.

The girl was sixteen years old and had been ill for over ten days, with chest pain, shortness of breath when lying down, decreased appetite, a deep and floating pulse, withered white teeth, and poor development.

She went to the hospital last week, and Western medicine diagnosed it as tuberculous pleurisy.

After listening to Qi Shuyi, Lu Xuan nodded slightly but did not speak.

Qi Shuyi anxiously said, "Dr. Lu, can Chinese medicine regulate tuberculous pleurisy well?"

"Previously at the hospital, we were told that we must perform a thoracentesis to draw fluid. As soon as I heard surgery, I hesitated. Moreover, the possibility of postoperative complications is significant, and I didn't want the child to undergo surgery. I heard that Chinese medicine could also treat it, and I thought taking medicine is better than surgery. I also heard you're very skilled..."

Qi Shuyi said a lot, but it was mainly about not wanting the child to undergo thoracentesis and wanting to try Chinese medicine.

"It's possible."

Lu Xuan nodded, seeing that Qi Shuyi was about to speak, he pressed down with his hand and looked at Ji Xiuwen and Su Kenan: "Tell me your understanding of this illness."

"You go first." Lu Xuan looked at Ji Xiuwen.

"Me?"

Ji Xiuwen pointed at himself.

Lu Xuan nodded: "Yes."

Ji Xiuwen pondered for a moment, and after thinking it over, he spoke about what he knew: "Tuberculous pleurisy is a disease caused by the initial invasion of Mycobacterium tuberculosis into the body. There are five ways inducing tuberculous pleurisy. The first is the bacteria from hilar lymphadenitis refluxing through the lymphatic vessels to the pleura;

the second is the rupture of pulmonary tuberculosis lesions adjacent to the pleura, allowing Mycobacterium tuberculosis or products from the tuberculosis infection to enter the pleural cavity directly; the third is acute or subacute hematogenous disseminated tuberculosis causing pleurisy; the fourth is pleural effusion due to a hypersensitive reaction to tuberculosis toxins; the fifth is the rupture of tuberculosis in the thoracic vertebrae and ribs into the pleural cavity.

However, needle pleural biopsy or thoracoscopy biopsy has confirmed that 80% of tuberculous pleurisy presents typical tubercular pathology changes in the parietal pleura. Hence, the primary pathogenesis of tuberculous pleurisy is the direct spread of Mycobacterium tuberculosis to the pleura.

This knowledge is typically taught in schools.

Zhijiang University of Traditional Chinese Medicine doesn't only teach purely traditional Chinese medicine; they also offer integrative medicine. Students generally need to remember this knowledge because it might be tested in exams.

Upon hearing this, Lu Xuan subtly shook his head: "That's the Western medical understanding. Indeed, schools teach this, and I've learned it too. But I believe that as a practitioner of traditional Chinese medicine, you can understand these concepts, but primarily you should use traditional Chinese medicine theories to interpret and explain this illness. Otherwise, it's difficult to master traditional Chinese medicine thoroughly."

Ji Xiuwen fell silent for a moment, then nodded noncommittally.

"Try feeling the pulse." Lu Xuan suggested.

"Alright."

Ji Xiuwen was momentarily stunned, then quickly nodded without any hesitation. Although he didn't know what had happened with Lu Xuan, he wouldn't miss such a good opportunity, as feeling the pulse of a patient was invaluable.

Leaving the County Hospital of Traditional Chinese Medicine to come to the Health Center was precisely for the opportunity to treat patients and accumulate clinical experience.

Now, with the opportunity at hand, how could he let it slip by?

After some thought, Ji Xiuwen didn't say a word and placed three fingers on the girl's pulse points.

After a while, Lu Xuan asked, "How is it?"

Ji Xiuwen frowned slightly. It was his first time feeling a patient's pulse. There was excitement, but more so, he was nervous. Also, having a classmate and friend of many years as a doctor made it hard for him to calm down, so it was difficult to make a judgment at the moment.

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