"Mom, don't worry, Dr. Lu is very skilled."

Feeling Bao Yixia's slight nervousness, Zhang Runping quickly held her hand tightly.

Although she had been chatting with others for a long time just now, when it came to facing the situation, Bao Yixia inexplicably got nervous, suffering from the fear of visiting doctors.

Over the years, she had seen too many doctors, leading her to feel the urge to turn around and run whenever she approached a hospital.

Zhang Runping also knew of Bao Yixia's impulse, so she instinctively tightened her grip on Bao Yixia, fearing that she might turn and run off in a moment of inattention.

Perhaps the words everyone said earlier had some effect; although Bao Yixia was nervous, she braced herself and walked into the consultation room with her daughter, sitting down in front of Lu Xuan.

"Dr. Lu."

Zhang Runping stood behind Bao Yixia and, after greeting Lu Xuan, began to talk about Bao Yixia's situation:

"My mom had a major mental shock once, and later she developed this strange illness. When she went to the hospital for a check-up, the doctors said it was autonomic nervous system dysfunction, but after seeing doctors for a long time, she hasn't gotten much better. In fact, it's getting worse."

Autonomic nervous system dysfunction?

"Let me take your mother's pulse first."

"Tongue."

While taking the pulse, Lu Xuan asked calmly, "Are there any discomforts usually, or what symptoms are there?"

Zhang Runping pondered for a moment and said, "Her chest feels full and stuffy with occasional pain, she has difficulty swallowing when eating, easily gets angry at trivial matters, skyrocketing in anger from slight displeasure.

She also experiences palpitations, dizziness, poor memory—especially recently, her memory is very poor. Sometimes she forgets what she wanted to take in seconds, experiences tinnitus and blurry vision, and often tears up at night. My mom also says her limbs feel burning, she often has abdominal pain and loose stools, and her immunity is particularly weak, often catching colds.

She was bedridden for five years and hasn't recovered completely yet."

The pulse is taut, large, and hard; the tongue's edges are red, the tongue body is cracked and dry with little fluid, the coating is greasy and dirty, the face is swollen and pale with signs of serious illness, and small joints of the limbs are deformed and swollen.

From the pulse and tongue signs, these symptoms seem to be just the tip of the iceberg.

Lu Xuan nodded slightly and continued to ask, "Is there anything else?"

Zhang Runping looked at Lu Xuan in surprise and continued, "Oh, there's also hypertension and diabetes, and her urine sugar is mostly +++, with high cholesterol levels as well."

"The rheumatoid arthritis has been present for many years too, with frequent joint pain, especially severe swelling and pain in the finger joints." Seeing her daughter Zhang Runping hadn't fully described her condition, Bao Yixia added.

"Yes, yes, my mom also has rheumatoid arthritis, and Dr. Lu, my mom was pregnant ten times all together when she was young, giving birth to eight children. Does this affect my mom's condition?"

Zhang Runping wasn't sure if having too many children had an impact, but she always instinctively mentioned it whenever she saw a doctor. No matter what, it's better to say it than not.

What if it did have an impact?

If not mentioned, the doctors could never possibly know.

Upon hearing this, Lu Xuan withdrew his hand and fell into deep thought.

Being pregnant ten times, such a situation can easily affect the body's foundation, the Innate Qi.

Speaking of Innate Qi, Lu Xuan remembered a patient he had seen before; the name he forgot, but some of the circumstances he remembered.

It wasn't due to fertility, but because the patient was born prematurely, impacting the Innate Qi and causing infertility later in life.

However, Bao Yixia's case was quite different from the patient back then. He had little exposure to this situation, so he had no choice but to seek help.

Meanwhile, Ji Xiuwen and Su Kenan, upon hearing Zhang Runping's account, couldn't help but frown.

Bao Yixia's symptoms were indeed too many; even without the autonomic nervous system dysfunction, just hypertension, high cholesterol, and diabetes were enough to be problematic, let alone these symptoms combined. It wasn't just a case of one plus one equals two, but far more than two.

Ji Xiuwen was more curious about how Lu Xuan would handle such a complex medical condition.

Would he first treat the autonomic dysfunction, diabetes, or some other symptoms?

Or would he treat them all together?

If treated together, how should the medication be administered?

To be honest, faced with this situation, even just thinking about it made Ji Xiuwen feel a bit overwhelmed, unsure where to start.

Thus, their eyes instinctively fell on Lu Xuan.

But Lu Xuan didn't notice the expressions on the few people's faces; instead, he quietly listened to the analysis from [Chuanqiong] regarding Bao Yixia's condition:

[It seems that Dr. Lu is also caught in a dilemma this time. The patient's condition is indeed incredibly complex, but it reminds me of a line from the "Inner Canon."]

[What line?]

[The "Inner Canon Pain Theory" states, "All diseases arise from Qi."]

What does that mean?

Though the patient exhibits many symptoms, they can be summed up as "Qi" disorders.

Why is that?

Because Qi is the source of all life processes, what exists before birth is called Innate Qi; what forms after birth is called Acquired Qi.

The Qi in the positive aspect is called Yang Qi; in the negative aspect, Yin Qi.

For this patient, firstly, excessive and frequent pregnancies have damaged the vital energy, leading to a feeble and fatigued body with reduced resistance;

Secondly, severe mental stress caused a lack of encouragement from Yang Qi, leading to five years of bedridden inactivity.

Just as the "Longevity and Premature Death, Firmness, and Flexibility Chapter" states, "When form and Qi are in harmony, one lives; when not, one dies prematurely." This is the root issue for the patient.

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