The key issue is that her immunity is also getting worse; she constantly falls ill. Last winter, if it wasn't a cough, she was on her way to getting another cough; each time she coughed, she would get a fever, and only injections could suppress it, but soon after she would have bronchitis cough again.

Helpless, we heard you were consulting at the Health Center, so we thought of bringing her over to get checked.

Dr. Lu, what exactly is wrong with my daughter, Tangyuan?"

Upon hearing this, Lu Xuan felt his judgment was correct, and so he looked at Wu Xiaoyan and said, "The child probably ate too many mooncakes during last year's Mid-Autumn Festival and developed severe Ganji."

"Ganji?" Wu Xiaoyan furrowed her eyebrows.

"It's what we commonly refer to as food accumulation," Lu Xuan explained.

Wu Xiaoyan finally understood, but was still filled with confusion as she asked, "Dr. Lu, is food accumulation really this severe?"

"Ganji in children is a condition many kids face. Some have mild symptoms which aren't a big deal, but some have more severe symptoms. Like Tangyuan's current condition, it's undoubtedly very serious."

"Normally, don't let the child eat too much. As the old saying goes, if you want your child to be well, let them experience three parts cold and full."

At this point, Lu Xuan also became serious: "The child is only three years old; how big can her stomach be? Eating so many mooncakes at once - even an adult would feel stuffed. A child doesn't understand, but do adults also not understand? Letting the child do as she pleases?"

"Dr. Lu, I didn't know that eating a bit more mooncake would be this serious. If I knew, I definitely wouldn't have given Tangyuan so much," Wu Xiaoyan said regretfully, patting her thigh.

"Dr. Lu, rest assured, I will definitely remember in the future."

Lu Xuan patiently explained: "The child's body isn't fully developed yet; eating a little too much easily leads to spleen and stomach dysfunction, disrupting digestion. When Ganji becomes severe, it's not something that can be corrected in a short time. Like many diseases, Ganji in children is a chronic condition with a longer course."

In traditional Chinese medicine theory, there are two interpretations of the word "Gan." One says the meaning of "Gan" usually refers to children excessively consuming rich, fatty foods, damaging the spleen and stomach while consuming body energy, gradually forming accumulations, and over time developing into "Gan." The other interpretation implies "dryness," as Gan symptoms mostly involve dryness of the spleen and stomach fluids.

The first is the cause of the disease, the second is the pathology.

Therefore, the condition described as Ganji in traditional Chinese medicine refers to a child's spleen and stomach dysfunction, fluid dryness leading to withered skin, muscle wasting, sparse hair, twisted hair, afternoon heat symptoms; simultaneously accompanied by muddy urine like rice water, swollen abdomen with visible veins, prominent navel, thin lips, shrunken cheeks, dry nose, corroded eyes, scratching nose, digging ears, grinding teeth, chewing nails, among other symptoms.

Ganji is considered a chronic debilitating disease in traditional Chinese medicine, resulting from the transformation of various pathological conditions.

Hence the ancients had the saying "above fifteen is tuberculosis, below fifteen is Gan."

Thus, Gan also includes food accumulation, parasitic accumulation, food injury, tuberculosis, calcium deficiency, anemia, liver disease, etc.

In short, Ganji in children is related to spleen and stomach dysfunction and fluid exhaustion.

However, adult tuberculosis and children's Gan differ fundamentally in mechanisms, with different symptoms and treatments.

There are many causes of Ganji, but generally summarized into two points:

The first is excessive consumption of fatty foods, overly mixed diet which isn't easy to digest, or unclean food breeding parasites, damaging the spleen and stomach, prolonged accumulation leading to internal heat; intense inner heat damages Yin, and spleen and stomach fluids are harmed, leading to muscle wasting and swollen abdomen, becoming Ganji.

The second is excessive medication, damaging spleen yin, harming fluids causing internal heat, obstructed middle energizer Qi, parasite accumulation leading to body wasting, swollen abdomen, visible veins.

In conclusion, Ganji is a spleen and stomach disease; its pathology lies in "loss of fluids" and "internal heat."

Tangyuan's situation is a typical case of accumulation damaging the spleen.

"Chronic disease?"

Wu Xiaoyan, upon hearing this, felt somewhat anxious: "What should be done?"

"Ganji isn't difficult to treat, it's just…"

At this point, Lu Xuan paused before continuing, "It's just that once you go back home, make sure not to give the child hard-to-digest foods, and each meal should be moderate - not too much. Children don't grow by eating a lot; eating too much results in Ganji, which not only hinders growth but can lead to malnutrition and even growth stunting."

"I'll prescribe medicine for you to take for a week, followed by diet regulation as the primary focus, and occasional consumption of Four Gentlemen Decoction is also fine."

"Ah, thank you, Dr. Lu, thank you so much." Wu Xiaoyan gratefully expressed thanks.

Lu Xuan wrote the prescription and then looked up to say: "The recipe contains San Leng, E Zhu, Green Peel, Jade Piece, Hawthorn, Chicken's Inner Lining for its ability to digest food, resolve stagnation, Rhizoma Coptidis, Coptis teeta, Aloe, Alum to clear heat and relieve frustration, Fructus Meliae to expel worms, Cyperus to regulate Qi, and Glycyrrhiza to harmonize the stomach and relieve the middle.

The combination of these medicines ensures that the turbid accumulation in the stomach is cleared, the spleen's function is improved, digestion normalizes, and the rising and falling movement becomes smooth."

Then he advised, "Three doses of these medicines, decocted in water, taken three times a day. Once the medicine is finished, the problem should not be major, but dietary attention while taking the medicine is still necessary, avoiding being overly full, and follow-up consultation is required."

"Okay, I'll remember that."

Wu Xiaoyan nodded heavily.

Lu Xuan didn't say more, handing the medical records to Su Kenan: "Enter this into the system, I'll go get the medicine."

"Dr. Lu, why don't I go get the medicine instead, my foot is capable of walking." Su Kenan stood up to head to the Chinese medicine room.

However, Lu Xuan pushed her back down: "I should do it; your foot will take at least half a month to walk properly, plus I'm familiar with the Chinese medicine room, and I can collect the medicine more efficiently."

Unable to argue with Lu Xuan, Su Kenan sat back down, carefully holding Tangyuan's medical record, inputting the prescription into the system, and then creating a payment slip which she handed to Wu Xiaoyan.

Click, next patient.

Wu Xiaoyan hadn't left yet when the patient next in line entered.

Seeing someone inside, the new patient hesitated briefly.

Wu Xiaoyan got up with Tangyuan and waited aside.

Su Kenan whispered softly, "Dr. Lu went to get the medicine; it will be ready soon."

"It's okay, I'm not in a rush," the new patient responded with a smile and nodded to Wu Xiaoyan before sitting down.

Not long afterward, Lu Xuan returned with the medicine from the Chinese medicine room.

Wu Xiaoyan, holding the medicine, left the consultation room after expressing her gratitude several times.

Lu Xuan glanced at the patients outside and began to speed up.

For the next patient, he didn't let Su Kenan assist.

Firstly, there wasn't much time; there were still quite a few patients waiting outside, and if each one involved letting Su Kenan also try, it might take two or three days.

Secondly, if explained too much, Su Kenan might not remember everything, and it could have an adverse effect.

Instead of explaining messily, it's better to focus on just one, which might be more effective.

Since there was no need to explain the pathology extensively to Su Kenan, the pace increased significantly.

However, lunch was still brought by Uncle.

Eating while treating patients is probably unique in the whole Yong City medical field.

But it couldn't be helped—the number of morning patients was too high, and without overtime, it was impossible to finish.

For Lu Xuan though, it was both painful and enjoyable.

Currently, he was highly motivated; if there were enough personnel, he'd even want Hu Meiqiao to release more appointment slots, see hundreds of patients daily, accumulating experience as quickly as possible, and soon not need to rely on Heart's Voice but rather diagnose accurately and prescribe himself.

He didn't know when his extraordinary ability from Heart's Voice would disappear, so now the only thing he could do was seize the moment while the capability was still present to accumulate as much clinical experience as possible.

Typically, attending Traditional Chinese Medicine doctors sit for consultation three days a week, and it may not necessarily be the whole day, sometimes just a morning or afternoon.

Calculating comprehensively, it might amount to two full days.

Chief Traditional Chinese Medicine doctors generally have even less consultation time.

Calculating this way, Lu Xuan's weekly schedule is more than double that of a typical attending Traditional Chinese Medicine doctor, plus his lunchtime overtime makes it three times.

Which means, if consulting under these circumstances for a year, he would accumulate three times the clinical experience of an average Traditional Chinese Medicine doctor.

Moreover, with the precise guidance of a group of teachers, this time would be multiplied several times.

In three to five years, he might not be inferior to any renowned doctor, perhaps even stronger.

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