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

Chapter 88: Godfather Please Carefully Teach Your Foolish Godson (End of Third Update Requesting Subscription)


Ji Xiuwen suddenly felt a bit superfluous here.

He looked at his old classmate with disdain.

Saying it's nothing, how can this be nothing?

He definitely didn't believe it for a second.

"Maybe we should pour another cup."

"No need."

Su Kenan didn't mind, and Lu Xuan didn't insist. Instead, he gave Ji Xiuwen, who was holding back laughter, a glare, cleared his throat, and asked Su Kenan to continue calling the numbers.

They saw patients for nearly an hour straight.

Lu Xuan didn't bother keeping track of how many patients they'd seen. All he knew was whenever one left, another quickly replaced them, keeping him too busy to even take a sip of water.

A woman in her thirties entered the consultation room, her complexion somewhat pale.

As she walked in, she instinctively looked at the three of them, finally fixing her gaze on Lu Xuan, greeting him, "Dr. Lu."

"Have a seat and let's talk."

Lu Xuan gestured with his hand.

Zheng Shuixian nodded, came over to Lu Xuan's side, and sat down, placing her arm directly on the pulse pillow.

While taking her pulse and observing her tongue, Lu Xuan asked, "What seems to be troubling you?"

Zheng Shuixian nodded and then shook her head, "Sort of, but not exactly uncomfortable. It's just that I've been experiencing a lot of vaginal discharge for two or three years now. I had it checked at gynecology: cervical erosion at degree III."

"How's the color? Any odor?"

Lu Xuan noted down the situation she described, and asked again, "Do you experience any other discomfort usually?"

Upon this question, Zheng Shuixian thought for a moment and then said, "In terms of color, it's mostly white with a hint of yellow, and it's quite watery. There's no smell, but I often feel dizzy, I lack energy, my lower back and knees feel weak, I have no appetite, and my stools are soft and unformed. In the afternoons, my limbs swell, and I don't sleep well at night, often dreaming. I also feel a bloated sensation in the lower abdomen."

Lu Xuan nodded and recorded what Zheng Shuixian described in the medical record book.

Primary symptoms: Excessive vaginal discharge for over 3 years, color white with light yellow, watery consistency, continuous without odor, pale complexion, dizziness, generalized fatigue, lower back and knee weakness, poor appetite, soft and unformed stools, limb swelling in afternoons, poor sleep, frequent dreams, abdominal bloating, pale tongue, white coating, submerged and thin pulse. Gynecological examination: cervical erosion at degree III.

Recording this is mainly for convenience if the patient returns next time, to avoid asking too many questions again and to know clearly which symptoms the previous prescription targeted, preventing any unclear expressions from the patient.

Even though Lu Xuan has an excellent memory, he can't guarantee remembering everything completely.

After all, he sees too many patients in a day, and it's impossible to remember them all clearly.

A good memory is not as reliable as a pencil.

Moreover, recording this isn't something only Lu Xuan does; most responsible practitioners of traditional Chinese medicine record details.

It eases their work and helps the patients, too.

On the other hand, Western medicine has mostly abandoned paper records; the symptoms and prescriptions are mainly recorded in the computer system now, rather than in the medical record book.

Honestly, Lu Xuan doesn't agree with this approach.

The medical record book has been meant to document these things since its inception.

One shouldn't give up on this for mere convenience and speed.

Having such records allows the next doctor, if the patient seeks treatment elsewhere, to know the previous doctor's assessment and what medications were taken, making it easier to verify the diagnosis.

However, Lu Xuan is aware he can't change this, so he just does his part well.

As it's a gynecological issue, Lu Xuan didn't immediately prescribe medication, but instead gave the seat to Su Kenan, signaling, "You take a look."

Su Kenan, aiming to specialize in gynecological diseases, didn't hesitate, moved herself a bit, and her slender fingers touched Zheng Shuixian's inch, gate, and cubit points.

Lu Xuan's gaze swept over Su Kenan's three slender fingers on Zheng Shuixian and reminded, "If you can't feel it, you might press down a bit harder."

Su Kenan was stunned for a moment, then followed Lu Xuan's advice, pressing down slightly, and soon a smile appeared in her eyes.

"Remember the phrase 'light touch yields no response, deep pressure brings it out,' don't you?" Lu Xuan said with a smile.

"Submerged pulse," Ji Xiuwen chimed in from the side, his voice leisurely.

This earned him a glare from Lu Xuan: "I wasn't asking you."

Ji Xiuwen was frustrated—old classmates, haven't seen each other for more than half a year, and the bond's faded!

When instructing him earlier, it wasn't as meticulous, with no specific guidance on how to press or feel.

Ji Xiuwen cast a somewhat envious glance at Su Kenan; is it such a big deal to be good-looking?

He thought if he went abroad twice, he wouldn't fall short either.

"The pulse is sunken and thin?" Su Kenan turned her head, looking at Lu Xuan with anticipation.

"You haven't wasted your time learning these days."

Lu Xuan praised, and Su Kenan instantly smiled bloomingly.

"A thin pulse feels like a silk thread, distinct to the touch, flowing like a line, never ceasing under pressure, clinical manifestations mostly appear in deficiency syndromes."

Lu Xuan continued, "In the early books like the Inner Canon and Difficult Classic, submerged and stone were often used together, as interchangeable words describing the pulse condition. Later, except for using the term 'winter stone' in the context of 'seasonal pulse,' stone was generally not used. 'Like a stone thrown into water' is a descriptive method for the pulse having a downward tendency, often used nowadays.

So, when describing a submerged pulse, it's often said that it's akin to tendons and bones, deeply rooted as if a stone thrown into water or sand in a soft pouch."

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