Returning to the clinic with excitement.

Ji Xiuwen was wondering how it was already work time, yet Lu Xuan hadn't returned. Then he saw Lu Xuan coming in with a happy expression.

"What's up?" Ji Xiuwen asked instinctively.

"Nothing, the director had something to talk to me about."

Although the decision to go to United South for consultations had been confirmed, Lu Xuan didn't intend to mention it until he officially received the notification. Otherwise, wouldn't it be awkward if things changed by then?

He was acting as if there was nothing to it for now.

Of course, being happy was inevitable.

Going to United South for consultations would excite anyone, even the well-known Traditional Chinese Medicine Doctors in Yong City would probably feel the same upon hearing this news.

To maintain such composure, Lu Xuan felt he had done well enough.

Seeing that Lu Xuan didn't want to elaborate, Ji Xiuwen didn't press further, thinking it might be some confidential matter, otherwise the director wouldn't have called Lu Xuan alone.

Lu Xuan sat down, took a sip of water, and said to Su Kenan, "Let's start calling numbers, don't keep the patients waiting too long."

"Okay."

Su Kenan obediently executed Lu Xuan's instruction without any discount.

Soon, the first patient of the day brought their child in.

"What's wrong with the child?"

Lu Xuan looked at the little boy, about four or five years old, then turned to the woman in her early thirties.

The woman sat down with a worried expression, "Dr. Lu, my child has been restless, crying and uneasy lately, waking up suddenly in the night, shouting, agitated, and crying. Sometimes, it scares us to death in the middle of the night. We thought about letting him sleep in another room but couldn't feel assured. It's driving us crazy."

Lu Xuan contemplated for a moment after listening, then asked, "What behaviors does he exhibit when he wakes up?"

The woman thought for a moment, "He rolls around on the bed, crying and restless. Sometimes, he seems a bit dazed, but he can fall asleep peacefully other times. Oh, and when he suddenly wakes up, his face and lips are bright red."

"How are his urine and bowel movements?"

Lu Xuan placed his hand on the child's hand. The boy, slightly anxious, withdrew his hand until the woman reassured him, and he extended it back.

"The urine is quite yellow, even right after drinking water. Bowel movements are dry."

After listening, Lu Xuan nodded, checked the boy's tongue, then withdrew his hand.

The tongue is red with a white or yellow coating, and the pulse is wiry and rapid.

Seeing Lu Xuan withdraw his hand from the pulse, the woman quickly asked, "Dr. Lu, what is wrong with my child? Why is this happening?"

Su Kenan and Ji Xiuwen also turned their attention to him.

Other than the mysterious fever patient from yesterday, this child's case seemed quite unusual from those they've seen.

"Night terrors in children!"

Amidst the curious gazes, Lu Xuan's calm voice emerged.

"Night terrors in children?"

They looked baffled.

Lu Xuan smiled and explained, "Night terrors in children are sudden awakenings from sleep, sitting up with wide eyes, restless, with facial expressions of fear, or shouting, flailing, or wandering aimlessly. They often do not respond when called. The episode typically lasts a few minutes, and they often do not clearly remember the episode upon waking, sometimes continuing to sleep afterward.

There are records about night terrors in Traditional Chinese Medicine.

For example, in the Treatise on the Origin and Manifestation of Various Diseases, it states about startled crying: 'A child's startled crying is due to suddenly awakening from sleep. It is due to wind-heat attacking the heart, resulting in unsettled spirit and disturbed sleep, thus causing startling and crying.'

The frequency of night terrors varies, and sometimes it occurs when they nap during the day, causing confusion and wandering. The timing is unsure, often happening once every ten or so days.

Modern medicine believes this condition is often related to psychological factors, such as telling horror stories or watching scary television before bedtime, along with mental stimulation.

The clinical manifestations of night terrors generally include sitting up abruptly after sleeping for a while, followed by screaming and random grabbing or touching, restlessness, even clutching an adult's clothing, showing a terrified expression, rapid breathing, or a sensation of impending death.

This condition usually lasts a few minutes before they calm down and potentially sleep again, or in some cases, wander while awake.

However, if these episodes occur frequently, symptoms like listlessness, blank facial expressions, and physical weakness can be observed."

Upon hearing this, Su Kenan and Ji Xiuwen instinctively looked at the boy.

Indeed, the boy looked somewhat listless, and exhibited an abnormal kind of weakness – not one naturally born with, but a condition fairly distinguishable.

The woman, evidently not concerned about the definition of night terrors, hugged the boy tighter, "Dr. Lu, my child is usually quite normal and doesn't get sick often. Why is this happening? We haven't shown him any horror films, and he's rarely scolded or hit. This shouldn't be happening!"

Lu Xuan shook his head, "The connection to horror stories, television, or mental stimulation is only a modern medical explanation. According to Traditional Chinese Medicine, this is caused by exuberant heart and liver fire, meaning there is heat in the heart and liver, disturbing the mind's cavities, leading to symptoms primarily of restlessness, chest vexation, and insomnia, with a sense of obstruction in the chest.

As noted in The Children's Medicine Manual: 'Treating children with retained heat inside, causing fever and irritability,' Children with retained heat in the lungs and stomach may show symptoms like mouth ulcers, red tongue, swollen gums, dry stools, and a red tongue. An adjusted version of Bamboo Leaf and Gypsum Decoction achieves better effects."

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