Chapter 191: Dr. Fang's Small Class Begins (Part I)

Before five o'clock in the afternoon, the patients of Fushengtang had already finished reading.

Today, because of Fang Yan's help, the progress is relatively fast.

When the last patient left, Zhang Yueyue, Lin Wan'er, and Zhao Chengwen all sat down in Fushengtang, and Fu Yongye also came in from behind and stood aside.

Everyone was waiting for Fang Yan to explain today's medical case, and Lin Wan'er was about to close the door of Fusheng Hall, but was stopped by Fang Yan.

"There is no need to close the door, if anyone is willing to listen, it is good to listen, and it is also beneficial for patients to know more about Chinese medicine." Fang Yan said with a smile.

Hearing Fang Yan say this, Zhang Yueyue sat back.

"Which one do you think you should talk about today's first case?" Fang Yan asked.

"Brother Fang, let's talk about the case of abdominal pain before and after menstruation." Lin Wan'er said.

"Okay, let's talk about this one first."

Fang Yan nodded and began to talk about the patient's symptoms: "Before and after menstruation, the patient is full of abdominal convulsions and pain, leading up to the chest, the limbs are cold and unstable, the tongue coating is white and greasy and thick, the two veins are thin and slippery, and the press is weak....."

This disease was a patient that An Yao first saw in the morning, and then found Fang Yan, and later Fang Yan treated it, at that time, An Yao and Zhang Yueyue were watching from the side, and Zhao Chengwen and Fu Yongye were both learning about it for the first time.

When Fang Yan said the patient's pulse, Fu Yongye and Zhao Chengwen also began to think in their hearts.

Fang Yan continued: "This case is actually a typical dysmenorrhea of the 'cold and damp blocking liver veins' type.......

"Clinically, the typical symptoms of cold and damp stagnation are premenstrual or menstrual cramp cramps, cold pain, twisting pain, and the painful part does not shift, and even the pain will affect the waist ........"

Speaking of this, Fang Yan paused and continued: "A simpler way to distinguish the cold and wet type clinically is to look at the reaction after getting hot, if you get hot, you will be comfortable, when you get cold, you don't like to rub the painful place, and the menstrual period is often delayed, the amount is small, and there are blood clots in dark color......."

"In clinical practice, many types of diseases have their main characteristics, which we should pay more attention to in clinical practice and accumulate more experience, which is the basis for you to be able to accurately distinguish various disease types in clinical practice in the future.......

said Fang Yandao: "Back to the patient, the patient's pain is more obvious, and the limbs are cold, whether it is from the tongue coating pulse pattern or all aspects, it is a very typical cold-damp block type of dysmenorrhea......"

"This situation will occur during menstruation every month, and the disease is cold and dampness blocking the liver veins, so in terms of treatment, it should warm the liver and dispel cold, regulate menstruation and relieve pain......."

"Article 328 of the Treatise on Typhoid Fever says, 'Lack of yin disease, four adversities, the person who coughs, or palpitates, or urination is not good, or abdominal pain, or discharge, the four reverses are the ....... of the Lord."

"Clinically, we can see such a group of people........"

With Fang Yan's explanation, Zhang Yueyue, Lin Wan'er and others listened with relish.

Fang Yan first analyzed the condition, and then extended it to explain it from a more straightforward perspective.......

The location of Fushengtang is already good, there are pedestrians passing by from time to time, originally at this time, Fushengtang either has patients, or began to clean up and get off work, at this time Fang Yan explained inside, several people listened, and gradually attracted a few passers-by.

There are a lot of problems with Chinese people who love to join in the fun, as two or three people gather at the door, there are more and more pedestrians gathered, and gradually there are many people at the door of Fushengtang, and some people even enter Fushengtang.

"What are you doing here?"

A passer-by glanced at the plaque of Fushengtang and asked curiously, "Is it medicine?" ”

"Doctor Fang is explaining the medical case inside." There is humanity.

"Explain the medical record?"

Some people were quite curious when they heard it, and they all came up.

Many people don't know much about traditional Chinese medicine, and they are a little curious when they listen to Fang Yan's explanation of the medical case.

When Zhou Yan came to the door of Fushengtang, she saw that there were many people gathered at the entrance of Fushengtang, and at first glance, there were more patients than when she registered early in the morning.

"Let's go."

Zhou Yan squeezed in after a lot of effort, she thought what was the situation, and when she squeezed in, she found that it was Fang Yan who was explaining the case.

"Those who pass through the water are also yin water, and they like temperature and hate cold......."

Fang Yan continued: "Cold will cause blood to be astringent and block the blood veins, and warm will dissipate cold and clear the blood veins......."

"Traditional Chinese medicine is mainly about distinguishing yin and yang, distinguishing between cold and hot ........."

After Fang Yan finished talking about a medical case, Zhang Yueyue and the others looked back, and they were all startled, they didn't expect so many people to gather at the door of Fusheng Hall.

Fang Yan was facing the door, so naturally he had noticed it a long time ago, so it didn't matter, and asked, "What is the next case about?" ”

"Let's talk about patients with chronic hepatitis." Zhao Chengwen said.

The patient with chronic hepatitis was a patient that Zhao Chengwen received this morning, and was finally treated by Fang Yan.

The patient had already come to Fushengtang once before, but Fang Yan had gone to Yanjing at that time, and this time it was the second time he had come.

The patient was diagnosed with chronic hepatitis after poor diet, fatigue and weakness, abdominal distension, and excessive qi, and had been treated in Gyeongseong Central Hospital for more than half a year, and was discharged from the hospital, but then recurred, and was treated in the City Hospital of Traditional Chinese Medicine before coming to Fushengtang.

After three months of treatment, the condition improved, and then relapsed again, loss of appetite, bitter mouth, poor appetite, pain in the liver area, loose stools........

The patient came for the fame of Fushengtang, the first time Fang Yan was not there, Zhao Chengwen received the treatment, prescribed medicine, the patient took it for a few days, and this time he came for a follow-up, it happened that Fang Yan was there, and he also looked at the patient's situation and changed the prescription prescribed by Zhao Chengwen.

Fang Yan first explained the patient's condition, after all, when he was diagnosed and treated before, Zhao Chengwen knew about the patient's condition, and Zhang Yueyue and An Yao had not understood it.

At this time, there were already a lot of people listening at the door of Fushengtang, the last illness, many people didn't know what the patient's situation was, just listened to Fang Yan talk about some pathologies and analysis, this time some people heard from the beginning to the end, and first had an understanding of the patient's condition.

"Chronic hepatitis, this disease is refractory."

"My relative's neighbor's friend has chronic hepatitis, and he hasn't been cured for years."

"It's just that chronic diseases are more troublesome."

Some people listened and couldn't help but whisper.