Chapter 71: Discussion on Weighing and Decocting Medicines

  Chen Jiong relied on pulse diagnosis and observation of facial color and tongue coating to diagnose cerebral hemorrhagic stroke. However, without a head CT report, it was impossible to know the amount of bleeding, which was quite critical.

  This disease was originally troublesome.

  Now add a cerebral hemorrhage, and in ancient times when the amount of bleeding is unknown, it's even more critical.

  Chen Jing felt for the first time that even if he mastered his skills, it would be extremely difficult to become a great doctor in ancient times. Ordinary illnesses were easy to treat, but when faced with critical illnesses, he would be at a loss.

  His heart sank.

  In a moment, he calmed down. This illness had fallen into his hands, and no matter what, even if he had to guess, he would have to cure it, otherwise the patient would be on the road to death.

  The patient's left hand and foot have not shown any pathological signs. Chen Jing looked at the hands and feet, feeling that muscle strength and muscle tone should still be normal.

  In this case, conservatively estimated, the amount of bleeding is between eight and ten milliliters.

  In the future, treatment of this disease will not involve surgery. If a hematoma occurs in the thalamic area, with deep location and large amount of bleeding, surgical risk will be extremely high. In Western medicine, the most appropriate approach is to adopt internal conservative treatment, that is, using citicoline and other brain function recovery agents for rescue.

  So, for this kind of emergency disease that cannot be operated on, traditional Chinese medicine has an advantage.

  Unfortunately, without instruments, many things that cannot be determined by the naked eye and pulse diagnosis can only be estimated, which also carries risks.

  "Muscle tone should be normal, muscle strength is about grade 3-4, no pathological reflexes are elicited, bleeding is not severe, and there is no seizure." Chen Jiong diagnosed all by eyesight.

  At this time, he must believe in his own eyesight.

  "... belongs to Qi deficiency and blood stasis, spleen and kidney dual deficiency." Chen Jing finally made a diagnosis, "If the condition is estimated to be not much different, medication combined with acupuncture can still save it."

  Chen Jing is now thinking in his heart and has gone through all of this.

  His slightly furrowed eyebrows also relaxed lightly.

  The patient's family was staring at Chen Jing. Seeing Chen Jing diagnose the pulse, they initially furrowed their brows, but now they let out a sigh of relief and also ignited hope.

  Although Chen Jiong was a young child, Yang Zhi Zhou vouched for him, so these people did not dare to show half a bit of distrust, and each treated Chen Jiong as a divine doctor.

  Even if they still have doubts in their hearts, they can only endure it.

  The patient's name is Yang Daizhou, the elder cousin of Yang Zhiqiang, who is 67 years old this year, ten years older than Yang Zhiqiang. In this era, living beyond sixty was considered advanced in age.

  So Yang Dazhou was already sixty-seven, and it was this kind of critical illness. His children and grandchildren had long since made preparations for the aftermath in their hearts. As for whether his father could escape this calamity, they actually did not hold too much hope.

  This is not unfilial.

  China has an old saying called "happy funeral".

  Elderly parents passed away, in the ancient times with poor medical conditions, once they fell ill, it was a suffering. The children would think that the elderly passing away meant less suffering from illness and more happiness in heaven, and less suffering on earth, which is a joyful thing.

  Gong Zhi recommended the young Chen Jing to treat the illness, and Yang Zhi Zhou also agreed. This matter seems absurd, but Yang Dai Zhou's children did not object. They are now also in the mentality of treating a dead horse as if it were alive.

  "It's a stroke caused by qi deficiency, blood stasis, phlegm obstruction, and spleen and kidney weakness......" Chen Jiong downplayed the severity to avoid frightening the family members, which would hinder his treatment, "It can be cured. First, we need to tonify qi, activate blood circulation, and resolve stasis. Then, we'll strengthen the spleen and nourish the kidneys. I'll prescribe a formula, combined with half a month of acupuncture, and it will turn danger into safety."

  He didn't mention Angong Niuhuang Wan at all.

  This stroke, with age growing, may recur later. Next time it recurs, there may not be enough time for the doctor to rescue and treat. So, Chen Xuan didn't dare say that he could cure it completely, only that he temporarily relieved this crisis.

  Even though he said it so conservatively, everyone in the room was still stunned.

  They all stared at Chen Jing in shock.

  So many famous doctors came, all said it was difficult to cure, couldn't be cured, and would definitely die, and asked me to prepare for the worst. But this young man, probably not even twenty years old, actually said so lightly that he could cure it with a prescription and acupuncture.

  Everyone was incredulous and looked at each other in dismay.

  It's still an old problem: Chen Jingtao is too young and not from a very famous medical family, so his medical skills must be questioned.

  This is a common mentality.

  For example, Chen Jing himself believes in Feng Shui. If a young child told Chen Jing that he was good at reading Feng Shui, Chen Jing would not believe him either.

  This mainstream idea has been deeply rooted for thousands of years and cannot be shaken by one person.

  These difficulties, Chen Jing's previous life was born into such a prominent Chinese medical family, would also occasionally encounter. Now, it has become even more frequent.

  "Alright, let's get the prescription then." Yang Zhi Zhou didn't wait for others to react and immediately acknowledged Chen Jing's medical skills, agreeing to let him write the prescription.

  Yang Zhi Zhou used his aura to help Chen Jing calm down the scene.

  There were four old men in the house, all of them doctors, and they were all famous in the medical field. However, Yang Zhi's status was far above theirs, and even when it came to medical skills, they couldn't compare with him.

  This is the sorrow of being a doctor.

  Several elderly doctors looked at each other and chose silence.

  Although they can't say the word "hemorrhagic stroke", their years of medical experience tell them that this disease is very dangerous and can easily kill people.

  Traditional Chinese medicine also incorporates Confucianism, so doctors are more benevolent. For terminal illnesses that they clearly know will be fatal, they won't go through the motions to show off their medical skills but instead choose to let patients spend their last days in peace.

  What this young man wants to do, they can't guess either. But since the Yang family is willing to let him make a fuss, then so be it, anyway the old masters can't control him.

  "Master Chen, I've bought the cow bezoar back, it only cost ten coins, will it be enough?" At this time, a soft voice came from behind the crowd, Mingfeng said to Chen Xiang.

  Everyone also turned back to look at Ming Feng.

  Bezoar?

  What is cow bezoar used for in stroke?

  "It's enough for me, thank you." Chen Jiong said.

  A bit less, but I reckon you can't find more in the whole city of Mingzhou either.

  Ming Feng brought in the cow bezoar and placed it on the table.

  Niuhuang has been found, and with An Gong Niuhuang Wan, this disease will have a 20% increase in confidence.

  "Niu Huang?" One of the old doctors muttered to himself. He was more devoted to medicine than others, so when he heard Niu Huang, he became even more attentive.

  But he still didn't know how Chen Jing wanted to use the cow bezoar.

  On the other side, Chen Jiong has already started writing prescriptions.

  Mild cerebral hemorrhage stroke, should first remove hematoma as the main treatment, Chen Jiong opened "Bu Yang Huan Wu Tang", then on Bu Yang Huan Wu Tang, made additions and subtractions, mainly to remove stasis and eliminate hematoma.

  After opening it, he put the prescription aside and opened the medicine needed to prepare Angong Niuhuang Wan. In order not to let others see through, Chen Jing also added more than a dozen unrelated medicines with similar properties to confuse those who saw this prescription.

  The prescription for Angong Niuhuang Wan requires a total of thirteen main medicines and one guiding medicine; while irrelevant medicines, Chen Jing added fifteen more, in equal quantities.

  So, if you take this prescription out, others will think it's vague and unclear.

  Two prescriptions were written, Chen Jing's ink marks were slightly dry, and he handed them to Yang Zhi Zhou: "Old master, take a look. This Bu Yang Huan Wu Tang is the main medicine; this one is what I need to prepare for making medicinal pills..."

  Yang Zhi Zhou was well-read in poetry and literature. Although he didn't study medicine, he had also read medical books and could understand some general pharmacology, but he couldn't apply it.

  He took Chen Jing's prescription and looked at it from the first page.

  The first decoction of Bu Yang Huan Wu Tang, what enters the eyes is half a catty of raw Astragalus.

  Yang Zhi Zhou's heart skipped a beat.

  Raw astragalus has the effect of tonifying Qi and uplifting Yang, it is a warm and nourishing medicine that does not harm the body. However, in one prescription, half a catty of raw astragalus was used, which still frightened Yang Zongzhao.

  I've never seen medication used this way before.

  Even the best medicine can't be sold by the catty!

  Others take medicine in a few coins or a few dollars, and it's considered a large dose if they can use one or two. But Chen Xuan took eight taels at once, half a kilogram!

  This is for internal use, not for bathing, and it's actually sold by weight!

  "Astragalus membranaceus 250g, Ligusticum wallichii 10g, Prunus persica 10g, Paeonia suffruticosa 20g, Pheretima aspergillum 10g, Panax pseudo-ginseng 10g, Atractylodes macrocephala 15g, Gardenia jasminoides 15g."

  Apart from Astragalus membranaceus, other medications are normal.

  Yang Zhi Zhou was shocked in his heart, but on the surface, he didn't show half a bit of it. So, everyone only saw him calmly finish reading the first prescription and then read the second one.

  The second one was even more confusing, and Yang Zhi Zhou was even more perplexed.

  "Wu Shen Yi, He Shen Yi, you two take a look as well." Yang Zhi Zhou smiled and handed the prescription to several doctors.

  Wu Godly Doctor said, and with a respectful attitude, he received the prescription.

  At first glance, he was startled by the half catty of raw Astragalus membranaceus, just like Yang Zhi Zhou. Unlike Yang Zhi Zhou, whose emotions were not visible on his face, he revealed his feelings.

  "Eight taels of Astragalus membranaceus!" Wu Daifu read it out, his tone inexplicably strange, wanting to scold the young man for being absurd, but not quite daring to, so he suppressed his voice.

  Everyone was curious and stretched their heads out to take a look.

  Gong Zhi followed behind the crowd and was now also in this alleyway.

  He smiled slightly.

  Chen Jiong still did so, the medicine was precarious, but the effect was magical. However, what kind of prescription would require eight liang of raw astragalus? He had also never heard of it before.

  "Eight taels of Astragalus membranaceus, grown in the late birth, not very understanding. Mr. Tang, please take a look." Dr. Wu got angrier and dared not scold Chen Jing, but handed the prescription to Dr. Tang beside him.

  Among several doctors, Tang is from a noble family, the oldest in age, and his ancestors were imperial physicians, so the entire medical community of Liangzhe respects him as their leader.

  Chen Jiong's "Bu Yang Huan Wu Tang" comes from the famous Qing dynasty doctor Wang Qingren's "Yi Lin Gai Cuo", which is nearly a thousand years away from now.

  It took nearly a thousand years of accumulation to create this prescription, which has a miraculous effect in treating apoplexy due to qi deficiency and blood stasis. However, the doctors nowadays do not have such accumulation, so they cannot see the value of this prescription. Chen Jing is ready to carefully debate with them.

  But then Mr. Tang, who had just received the prescription, suddenly brightened up and exclaimed: "Raw Astragalus, half a catty of raw Astragalus!"

  He is not strict, but rather ecstatic with a hint of sudden enlightenment.

  Dr. Wu and others only then remembered that this Mr. Tang was famous for his bold use of medicine, and he dared to use any drastic prescription.

  Chen Jiong's prescription has just met Mr. Tang's preferences!

  *****

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