"Just say it directly, it's too embarrassing."
Could it be that I have erectile dysfunction?
Xu Wenzhi would never say such a thing, even if it killed him.
Lu Xuan shook his head, not dwelling on the matter, but seriously asked, "Tell me the specifics first."
"Such regret!"
Xu Wenzhi sighed, looking quite familiar and comfortable: "Actually, before coming to the Health Center, I had also been to other hospitals, both Western and traditional Chinese medicine, but not only were the effects lacking, but it also got progressively worse. If I were a bit older, I'd be too lazy to get this checked, but I'm still so young, only twenty-five, and not even married. Then this happens to me. Dr. Lu, how did I become so unlucky?"
"Get to the point," Lu Xuan said impatiently, looking at him.
Xu Wenzhi finally got serious: "I kind of know the reason, it's just too indulgent. Anyway, other doctors have all said the same."
"I think so too."
Xu Wenzhi smiled bitterly, "Dr. Lu, you don't understand my struggles, I really have no choice."
Lu Xuan chuckled, this, no solution?
Xu Wenzhi seemed to catch Lu Xuan's thoughts, explaining, "The main issue is my girlfriend is too beautiful. Every time I see her, I can't help myself. It wasn't much at the beginning. After all, I was a regular exerciser, as strong as an ox. But over time, I found myself increasingly out of steam."
"Two months ago, I found myself unable to get it up at all. It scared me so much I rushed to see a doctor overnight. It's been two months now, still as soft as ever."
"So tough!"
Xu Wenzhi seemed addicted to talking, continuing on his own: "I have a classmate who had a bit of premature ejaculation, and back then, I, along with others, often made fun of him, saying he's so young... Alas, only now do I realize..."
Saying this, Xu Wenzhi shook his head and sighed: "For someone like me, premature ejaculation has become a luxury."
Lu Xuan nearly laughed out loud, ending up just rolling his eyes. This guy surely is a natural social butterfly, chatting happily with anyone.
To avoid hearing more eye-opening things, Lu Xuan directly stopped Xu Wenzhi's ongoing disclosure: "Stop it, I don't need to know these details."
Xu Wenzhi awkwardly smiled and closed his mouth.
"Give me your hand, let me take your pulse first."
Xu Wenzhi, having seen several traditional Chinese doctors, placed his hand expertly on the pulse diagnostic area.
While Lu Xuan was taking the pulse, Xu Wenzhi started talking about his body's condition: "Dr. Lu, I now have dizziness, sometimes an empty headache, numbness, weak and sore waist and knees, and my bowel movements are irregular. These past couple of months, I've mostly been suffering from insomnia, and many sleep aids have been ineffective.
Also, my hands and feet are no longer warm like before, now they feel icy cold all the time."
Lu Xuan nodded without speaking, continuing to sense Xu Wenzhi's pulse.
The pulse was thin and fine as silk.
During this period, Lu Xuan had diagnosed many cases of fine pulse, and still had some confidence in his judgment of this pulse condition.
The "Benhu Pulse Study" Body Condition Poem states: Fine pulse, slender like silk, should the fingers deeply press without end. Spring and summer in youth are unfavorable, autumn and winter for the elderly are beneficial.
A fine pulse is normal for the elderly and very young.
But seeing it in a young man in his twenties indicates a problem.
Lu Xuan thought of a line from the "Benhu Pulse Study" main disease poem regarding fine pulse.
Fine, lingering pulse, blood and qi decline, all deficiencies and exhaustion disturb the seven emotions. If not dampness invading kidneys, then it's damage of essence and sweat drainage. Inch fine pulse indicates frequent vomiting, mid-abdomen distension, stomach weakness. When the foot is cold, it's cold dan tian, diarrhea, leaking essence signifying yin collapse.
At this point, it was basically possible to diagnose Xu Wenzhi's condition.
However, Lu Xuan still looked at Xu Wenzhi's tongue.
The tongue coating was pale and smooth.
Smooth coating is mostly due to deficiency in spleen and kidney, heavy body dampness.
The spleen and kidneys govern the body's fluid metabolism, when deficient, fluid metabolism disorder results in internal dampness.
Xu Wenzhi said he was overindulgent, and indeed it was such a situation.
But this was just Lu Xuan's own judgment.
Lu Xuan habitually focused, comparing each of the voices in his head.
The voice sounded somewhat unfamiliar.
[Its two-foot pulse thin as silk, tongue coating pale and smooth, considering the patient's self-report, it should be kidney essence not nourishing, marrow sea empty, thus dizziness, empty pain, numbness appear, accompanied by insomnia;
The waist is the house of the kidney, kidney governs bones, kidney qi deficiency certainly results in weak and sore waist and knees; kidney governs the two eliminations, kidney yin deficiency declines, fire not birthing earth, bowel movements are naturally unformed; spleen transport loss results in fluid accumulation into phlegm; yang qi deficiency leads to cold hands and feet, less energy, poor spirit state.
Differentiate, it's spleen-kidney yang deficiency, but its root in kidney, end in spleen, symptoms are serious, treatment should consider both root and branch deficiency and reality, seek precision, strong medicinal long-term use, gradually replenish yang.
Do not hastily use strong yang vigor medicines, rashly large warm dry items, not only useless, but exacerbates the condition.]
[Rehmannia expert, how about prescribing?]
Lu Xuan suddenly realized, it was Rehmannia Glutinosa.
At the same time, he was quite pleased that his judgment of Xu Wenzhi's condition was almost identical to Rehmannia's, undoubtedly a great progress for him.
At this rate, given time, even without Heart's Voice, he could accurately diagnose and prescribe.
Additionally, through this conversation, he roughly guessed why Xu Wenzhi's condition not only didn't improve with medication, but got worse.
The doctors Xu Wenzhi previously consulted probably hurried for success, prescribing medications focusing on stimulating abundant yang qi, not realizing that Xu Wenzhi's excessive indulgence damaged the root, which couldn't be solved in one step, but had to be approached gradually.
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