"Dr. Lu, what medicine should my child take in this situation?"

The child's father eagerly looked at the three of them after they finished speaking, finally finding an opportunity to ask a question.

Although he thought Dr. Lu's explanation was brilliant, for someone who couldn't understand it, no matter how brilliant the explanation, it became dull and uninteresting.

Especially when he heard some specialized terms of traditional Chinese medicine, he was completely bewildered.

Of course, there were parts that were difficult to understand, but also parts that were easy to grasp.

For example, the method of pulse diagnosis in children was something he understood, but as Ji Xiuwen said, no matter how detailed or simple Lu Xuan explained, without experience in that area and someone to guide and verify, it was no different from being blind.

However, despite not understanding, the child's father was quite impressed by Lu Xuan's extensive knowledge.

When he first entered, seeing Lu Xuan so young, he had some doubts about his friend's recommendation. After all, which of the skilled traditional Chinese medicine practitioners wasn't white-haired but still full of vigor like a young person?

And most of the young traditional Chinese medicine practitioners were basically assistants.

Even if some doctors successfully passed the exam to become attending practitioners of traditional Chinese medicine, not many people would book an appointment with them.

To put it bluntly, it's a deep-seated mistrust.

This also results in fewer and fewer clinical practices for this group of doctors. Many traditional Chinese medicine practitioners have passed the exam to become vice-chief practitioners, but when it comes to clinical experience, they don't have much.

These things sound like hogwash but are indeed facts.

In the field of traditional Chinese medicine, it's basically a matter of the haves and the have-nots.

Those practitioners with many patients keep having lots of bookings, while those without hardly have any, even if they are already chief practitioners. Without a reputation or having cured some difficult and complicated diseases to establish trust among patients, they're no different from attending practitioners.

Lu Xuan has so many appointments because of patient recommendations and word of mouth.

From one to ten, ten to a hundred, as more people know, naturally, his reputation grows.

Speaking of medicine, Ji Xiuwen was also curious. Although rectal prolapse was mentioned, most of the discussion was about how to diagnose pulses in children under three years old.

There was a natural curiosity about the treatment of pediatric rectal prolapse.

After all, although differentiation is important, ultimately the treatment is the key.

Seeing the father getting a bit anxious, Lu Xuan didn't continue discussing pulse diagnosis in children but smiled and patted the child's head: "Actually, regarding pediatric rectal prolapse, ancient medical books already have related records. In Volume Fifty of the 'Treatise on the Origin and Manifestation of Various Diseases,' it is mentioned: Children suffer from rectal prolapse often due to prolonged diarrhea causing intestinal deficiency and cold, combined with a loss of breath, leading to prolapse of the rectum.

Children's qi and blood are not fully developed, or due to prolonged diarrhea or dysentery, resulting in the sinking of middle qi, which cannot be absorbed, leading to prolapse. Treatment should focus on nourishing and raising the qi internally.

Prescription: Cotton root, Cimicifuga, Fangfeng, White Atractylodes. Three doses in total, decoction, take one dose in the morning and evening."

As he said this, Lu Xuan also didn't stop writing as he took the medical record provided by the man and neatly wrote the ingredients of the prescription on it.

After writing, Lu Xuan looked up and said: "Pediatric rectal prolapse results from prolonged diarrhea damaging the spleen's qi, insufficient middle qi, and lack of strength to gather. Hence, cotton root is used for qi nourishment; Cimicifuga raises Yang Qi; White Atractylodes and Fangfeng strengthen the spleen and eliminate dampness, together achieving the effect of reinforcing qi, strengthening the spleen, eliminating dampness, and raising sunken Yang Qi.

This formula is suitable for prolapse due to prolonged diarrhea. However, according to pharmacological studies, the cotton root contains gossypol, which has noticeable accumulative effects and toxicity.

Moreover, due to widespread pesticide use in many regions in our country, there may be pesticide residues in the cotton root. Therefore, it may be advisable to substitute astragalus for the cotton root in the formula, although the efficacy is not as good as cotton root.

If you administer the medicine, the effects may not be immediate. If the rectum protrudes, you can also apply rapeseed oil.

The child's father memorized this advice and nodded repeatedly: "I'll go home and decoct the medicine for my child."

Lu Xuan nodded: "If the condition is not thoroughly cured after three doses, you can substitute the cotton root with astragalus to remove toxicity."

"Got it. Thank you, Dr. Lu, I will remember this." The child's father quickly stood up to express his gratitude.

While Su Kenan was registering on the computer, Ji Xiuwen thought for a moment and asked: "Can all cases of pediatric rectal prolapse be treated with this prescription?"

Lu Xuan shook his head and said: "Cases caused by prolonged diarrhea damaging the spleen qi, insufficient middle qi, and lack of strength to gather can be treated with this. But pediatric rectal prolapse isn't always this way. Continuous coughing can also lead to rectal prolapse, and if that's the case, then this formula would be ineffective."

"However..."

At this point, Lu Xuan pivoted the conversation and continued: "Typically, rectal prolapse caused by continuous coughing often accompanies symptoms such as fresh blood after bowel movements, local purple-redness, severe pain, pale complexion, and fatigue. This requires treatment primarily focused on reinforcing and receiving the center, as well as stopping bleeding."

"Then how should medication be used in such cases?" Ji Xiuwen asked.

"There is a medication with significant efficacy for this condition."

"What medication?"

Lu Xuan uttered four words: "Hundred Herbs Frost Pill."

He then explained: "Hundred Herbs Frost 500 grams, finely ground and sieved through a 100-mesh screen. Use 600 grams of honey to make the pills. Take 500 grams of refined honey (at 120°C), mix with the powder at a honey temperature of 100°C, stir uniformly, form moist lumps, divide, roll into strips, and shape into glabrous fruit size. Dry at low temperature. Take 6 grams per time, twice daily, with warm boiled water."

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