I Can Hear the Heart's Voice of Traditional Chinese Medicine-Chapter 200 - 91: Application for Establishing a Traditional Chinese Medicine Studio in the New Medical Building

"What, feeling envious?"

"Not really envious, more like... how to put it, I should say I admire it."

Li pondered for a moment and said, "I was free this morning, so I went to the entrance of the Traditional Chinese Medicine department and listened for a while. I truly feel that Dr. Lu's expertise is not without reason. The content from those medical books comes out of his mouth without a pause, almost like a robot. Even robots aren't that fast, and he still has to analyze and differentiate."

"So impressive! If I had known earlier, I would have studied traditional Chinese medicine too."

Wang Youqing couldn't help but give him a tap: "With your attitude, you wouldn't do well studying traditional Chinese medicine either. Do you think anyone can just learn it? Let me put it bluntly, traditional Chinese medicine is inherently more difficult than modern medicine. Some of the medical texts are quite obscure and hard to understand, and these days, the environment for TCM isn't as good as it once was. Before becoming famous, who would come to you for treatment?

But it's different with modern medicine. At the very least, you can treat a cough or cold, right?"

Li thought for a moment and agreed: "It does seem like that."

"That's exactly the case. Traditional Chinese medicine is not something you should dabble in without talent; otherwise, you won't even be able to properly take a pulse, let alone prescribe a formula based on diagnosis." Wang Youqing rolled his eyes.

"True enough."

Then Li's eyes lit up: "When I previously heard Dr. Lu talk about pulse-taking, I was almost stunned. Who would have thought that a pulse could reveal so many conditions? Who can really discern them all! I saw Teacher Ji and Su Kenan looking completely puzzled too."

"What did you expect? You thought learning TCM was easy?" Wang Youqing retorted, somewhat crossly.

"But there's one thing you're right about. In terms of both medical skill and knowledge, Dr. Lu surpasses any TCM practitioner I've ever seen."

Regarding this, Wang Youqing couldn't help but express his admiration.

...

The laboratory department wasn't aware of what was happening in the TCM department, but ever since the patient entered, Ji Xiuwen had been quite excited.

It was a digestive disorder, meaning he had another opportunity to practice.

Lu Xuan, on the other hand, quietly waited for the patient to describe some of his own conditions.

The patient, Mr. Liu, male, thirty years old this year.

He had been experiencing upper abdominal pain for more than 6 years, with nausea and vomiting, black stools, yellow urine, and a significant decrease in appetite. He hadn't been treated for years, and it all started because of a hospitalization due to hematemesis and melena 6 years ago.

During a hospital check-up, a barium meal X-ray indicated: smooth esophageal passage, the stomach appeared hook-shaped with moderate retention, low tension, and slow peristalsis. The contour was complete, and there were no signs of filling defects or niches. Peristalsis and flexibility were normal, with no signs of pyloric spasm, but the bulb of the duodenum was deformed, leading to a modern medical diagnosis of duodenal bulb ulcer with bleeding.

Once the patient finished describing his condition, Ji Xiuwen rubbed his hands together, eager and ready to act.

He even continuously signaled Lu Xuan with his eyes.

Godfather, can this child do it now?

Seeing his eager old classmate, Lu Xuan was speechless. Since there was a patient present, it wasn't appropriate to say anything, and considering the enthusiasm, it would be too much not to give him a chance. So he signaled, "It's a gastrointestinal disorder, you have a look."

"Alright!"

Ji Xiuwen had been waiting for these words from Lu Xuan.

However, although Ji Xiuwen was in a hurry, he fortunately calmed down when moving to take the patient's pulse.

After Ji Xiuwen finished taking the pulse, Lu Xuan directly asked, "Share your judgment."

Ji Xiuwen pondered, "Rapid pulse?"

Lu Xuan glanced at him, "Anyone who has studied TCM and understands pulse patterns could determine that much, anything else? Don't try to fool me with just one rapid pulse sign."

Seeing his classmate's serious demeanor, Ji Xiuwen also straightened up: "There seems to be a thin pulse as well, it's thin and rapid?"

"Not bad, didn't study in vain."

A rapid pulse is relatively easy to determine due to the frequency of the beats. As long as one pays attention, it's noticeable.

But a thin pulse is not that simple.

Nevertheless, despite praise, Lu Xuan couldn't help but add, "But you still lack confidence."

Ji Xiuwen laughed awkwardly. He had only been interacting with patients for a couple of days, being able to do this much was already quite commendable.

Moreover, determining a thin pulse is not easy at all.

Confidence naturally diminishes significantly.

Lu Xuan glanced at him and said, "If we describe the thin pulse from the perspective of the thickness, it's much easier. Why is the pulse thin? Due to insufficient material.

It's like a river during the dry winter period, where the river becomes a small stream. If this person's energy and blood, and Yin and Yang are sufficient, the pulse should be like a river in the summer, abundant.

So, the appearance of a thin pulse means there's a deficiency or insufficiency in the body.

This insufficiency refers to Yin, like Yin essence, Yin blood, Yin fluids.

If there's both Yin deficiency and heat, the pulse will be thin and rapid.

If there's Yin deficiency with cold, then it's thin and tight.

However..."

"However what?" Ji Xiuwen pressed for more information.

Lu Xuan shifted the topic: "However, Mr. Liu's pulse is not just thin and rapid, but thin, wiry, and rapid."

"Thin, wiry, and rapid pulse?" Ji Xiuwen frowned.

Lu Xuan nodded in response, "Yes, thin, wiry, and rapid pulse."

"Of course, distinguishing a wiry pulse is quite difficult; it's not your fault."

Hearing this, Ji Xiuwen again placed his fingers on the patient's chi position and, after a while, said with a face full of frustration, "I can determine thin and rapid, but the wiry pulse is too difficult for me."

Lu Xuan nodded and explained, "A wiry pulse is on the thinner side, but this thinness isn't the delicate kind, rather it's a condensed image. If it's thin, then it indicates insufficiency. The thinness of a wiry pulse isn't due to insufficiency, but because what was originally spread out has gathered up.