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I Can Hear the Heart's Voice of Traditional Chinese Medicine-Chapter 88 - 48: One Prescription for a Thousand People, a Thousand Prescriptions for a Thousand People
However, speaking of this, many people experience menstrual disorders after marriage due to various factors.
In conclusion, for women, blood is fundamental, and the key is to keep the seven emotions flowing smoothly and happily. If the seven emotions are stifled and the qi and blood are obstructed, menstruation will naturally be affected."
At this point, Lu Xuan glanced at Su Kenan again and continued, "When it comes to treatment, we must mention a formula, the Four-Ingredient Soup.
If the root cause is not investigated, the Four-Ingredient Soup can be called a miraculous medicine for regulating menstruation, effective for most with menstrual disorders. However, without differentiation and investigation of the root cause, it only treats the symptoms, not the root."
When in doubt, use the Four-Ingredient Soup. Such a method in traditional Chinese medicine doesn’t make one a quack, but also doesn’t indicate great skill.
After all, the Four-Ingredient Soup won’t kill anyone.
Sometimes, with a bit of luck and if it happens to be suitable, one might even be praised as a renowned physician, who knows.
"As for how to..."
Lu Xuan was about to explain how to treat menstrual disorders when he caught sight of a patient walking in, so he paused, "The rest we’ll talk about next time. I doubt you’ll remember everything if I say too much."
Su Kenan naturally had no objections.
In fact, her mind had been quite muddled these past two days.
She had heard so much, and the patients’ symptoms were so diverse, involving a jumble of scattered points, that understanding was difficult, let alone remembering.
This time, although Lu Xuan focused on explaining the treatment of menstrual disorders to her, even for just this one condition, there were so many factors to consider, it couldn’t be fully digested in a short time.
Ending it here was the best choice.
Once she absorbed and digested the content learned this time, understanding further treatments might become easier.
Before Liu Baizhe came in, he peeked inside from the door and only walked in after seeing no other patients in the consultation room.
"Hello."
Lu Xuan greeted him, but immediately noticed that Liu Baizhe looked a bit off. Despite the hot summer, he wore a jacket that wasn’t too thin.
Moreover, he walked with a limp, wincing with each step as if enduring tremendous pain.
After sitting in front of Lu Xuan, the pain on Liu Baizhe’s face subsided a little, and then he let out a long breath, describing his situation.
Lu Xuan listened quietly.
Liu Baizhe, aged twenty-seven, had developed an upper respiratory infection two weeks ago. After taking cold medicine for a while, he felt the symptoms had significantly reduced and didn’t think much of it.
Unexpectedly, two days ago, he suddenly experienced chills and fever, with a body temperature rising to 39°C, unbearable muscle and joint pain all over.
Lu Xuan noticed that his joints were red, swollen, and painful, unfit for touch, with the pain worsening over time, to the point that it was difficult for him to move today.
Liu Baizhe worked alone in Yong City and came to the Health Center today only because he rented a place nearby; he couldn’t manage to go further.
Even so, he was bearing enormous pain, already drenched from head to toe.
According to Liu Baizhe, besides limb pain, he also had symptoms of thirst, irritability, and urinary issues, characterized by short and reddish urine.
Lu Xuan frowned, baffled.
How could a simple upper respiratory infection lead to such serious consequences? Even more puzzling was how it could cause joint swelling.
An upper respiratory infection, when severe, indeed causes general weakness and even whole-body pain.
But such symptoms are generally not severe, resolving within a couple of days.
Furthermore, he had taken cold medicine, which usually contains acetaminophen.
Acetaminophen itself has antipyretic and analgesic effects; theoretically, even with whole-body aches, the pain should lessen or disappear after taking medication.
But Liu Baizhe’s case was clearly different, as his pain was not general but purely joint-related with swelling and pain.
This touched upon Lu Xuan’s blind spot.
Frankly, this was Lu Xuan’s first encounter with such a case, leaving him momentarily perplexed.
He wanted to consult his mentors, only to realize he forgot to conduct pulse and tongue diagnostics.
Lu Xuan’s momentary pause was alarming enough for Liu Baizhe, "Dr. Lu, is there anything wrong with me?"
He had heard of Dr. Lu’s achievements from other patients, being praised as nothing short of a miracle doctor. Many tricky illnesses were miraculously cured under Lu Xuan’s care, with patients on medication also singing praises of his medical skills.
Particularly after hearing Liu Shao’s words, Liu Baizhe trusted Lu Xuan’s medical skills. It was precisely this trust that made him worry after seeing Lu Xuan’s sudden bitter smile, fearing he might have contracted some incurable disease.
This made the already unwell Liu Baizhe look even worse: "Dr. Lu, am I... going to be okay?"
Lu Xuan snapped out of it, noting Liu Baizhe’s awful expression, and after offering a few comforting words, he said, "Let me check your pulse first."
Although still anxious, Liu Baizhe accepted this and placed his hand on the pulse pillow.
Lu Xuan reached out for it.
Rapid pulse.
This pulse type wasn’t new to Lu Xuan; Liu Shao, who had diabetes, had a rapid pulse, with the heartbeat going over six times per breath.
Lu Xuan was quite knowledgeable about rapid pulses.
Generally, a rapid pulse occurs due to external pathogenic invasion or the body’s own imbalance of Yin and Yang, leading to deficiency of body essence and fluids, i.e., deficient Yin, which in turn causes Yang Qi to become relatively excessive.
Excessive Yang transforms into a heat pathogen, driving faster blood and qi flow, resulting in increased pulse rate and hence, the presentation of a rapid pulse.
Considering Liu Baizhe’s prior upper respiratory infection, it undoubtedly constituted an invasion by heat pathogen.
"Tongue."
Compliantly, Liu Baizhe stuck out his tongue.
"Red tongue with yellow, greasy coating."
A red tongue with a yellow, greasy coating is commonly seen in cases of internal damp-heat pathogen, transformed into phlegm-heat pathogen, or caused by food stagnation transforming into a heat pathogen.
During summer, pathogenic summer heat and damp-warmth also often result in a red tongue and yellow greasy coating.
The pulse diagnosis was clear, and the tongue signs were evident.
However, Lu Xuan couldn’t figure out why this would lead to joint swelling and pain, and thus could only rely on the collective wisdom of knowledgeable mentors.
The mentors didn’t disappoint, quickly reaching a diagnosis using the pulse and tongue diagnostics, along with the patient’s account.
[Wind-heat pathogen combined with dampness leads to wind-damp-heat combined pathogen injury, obstructing qi and blood in muscles and joints due to blocked pathways, where damp-heat toxin transforms into heat, causing chills, fever, sweating, and unbearable swelling pain in muscles and joints.] 𝗳𝚛𝗲𝕖𝕨𝕖𝗯𝚗𝚘𝕧𝕖𝗹.𝗰𝗼𝕞
[Wind-damp-heat Bi syndrome in TCM refers to the syndrome with wind, damp, and heat as main causes and mechanisms of illness.]
[Du Huo and Parthenocissus masters? Rare guests indeed!]
[There wasn’t anything familiar to our expertise before, hence silence was golden. But encountering something we excel in today, it’s our moment to shine and bring some dignity to our wind-cold-dampness herbs, isn’t it?]
[With both masters present, we’ll refrain from showing off, and wait for the great performance.]
[Parthenocissus, do you want to take the lead, or shall I?]
[Please, be my guest.]
[Alright then, I’ll oblige.]
[Pardon any mistakes, and feel free to correct me.]
Lu Xuan felt as though he was listening to a martial arts conference, and Du Huo’s words were clearly meant for Parthenocissus, as they were undoubtedly most familiar with wind-damp-heat Bi syndrome.
Other herbs might know about it too, but their knowledge wouldn’t run as deep as theirs.
Lu Xuan chuckled inwardly, and the next moment, he heard Du Huo’s Heart’s Voice in his ear.
Lu Xuan listened intently, realizing that wind-damp matters touched upon his own blind spots. Absorbing any bit of knowledge now would save confusion in future similar cases.
Besides, missing such a great learning opportunity as a Chinese medicine practitioner might earn scorn from countless others if it became known.







