Chinese medicine: from rural hospitals to top three hospitals in Kyoto

"Do you have acne often?" Wu Mengmeng asked after looking at the beautiful woman's acne.

"The acne isn't that serious, it just happens from time to time," the beauty said.

"Um......"

Wu Mengmeng hesitated for a moment, then said to the beautiful woman, "Stretch out your arm, I'll feel your pulse."

Wu Mengmeng asked the beauty to put her arm up and checked her pulse. The right pulse was deep, smooth and strong...

Wu Mengmeng looked at the beauty's tongue coating again. The coating at the root of the tongue was a little thick, greasy and yellowish.

After feeling and checking the pulse, Wu Mengmeng pondered for a moment and asked, "How do you usually eat spicy food?"

"I can eat spicy food very well. I'm from Xiangzhou, and I've liked spicy food since I was a child. I can't eat without spicy food. I eat chili peppers three times a day. I think the acne is caused by eating too many chili peppers." said the beauty.

Wu Mengmeng looked at the acne on the edge of the beautiful woman's lips and suddenly noticed the beautiful woman's lips. The beautiful woman's lips were very red. If you didn't pay attention, you really wouldn't find anything unusual. But if you look closely, you can find that the beautiful woman's lips are redder than normal people.

Wu Mengmeng is a girl, and she can tell that the girl is only wearing light makeup today and no lipstick.

Beautiful women actually have very good foundation and do not need heavy makeup. Even without makeup, their appearance is still quite high.

"The spleen and stomach are reflected in the lips... Red lips indicate heat in the spleen and stomach..."

Wu Mengmeng said softly: "And the pulse and tongue coating also indicate that there is heat in the spleen and stomach."

As she spoke, Wu Mengmeng looked at Chen Yang: "Doctor Chen, the patient has heat in the spleen and stomach."

"Well, go on." Chen Yang nodded.

In traditional Chinese medicine, constipation can be classified into spleen and stomach weakness type, liver depression and qi stagnation type, cold stagnation type, damp heat accumulation type and kidney yang deficiency type, etc.

Clinically speaking, the most common symptoms are cold and heat, either heat in the body or cold in the body.

Wu Mengmeng was able to judge that the patient had heat in the spleen and stomach based on the patient's lip color and pulse, which was a pretty good performance.

However, at this point, Wu Mengmeng has only made a general assessment of the patient's condition. Further dialectical analysis is needed if specific medication is to be used for treatment.

Wu Mengmeng was a little confused again and continued to ponder.

"As a doctor you have to be careful. If you really don't have any idea, just follow the procedure step by step: look, smell, ask, and palpate. Do each step to the best of your ability. Don't leave anything out, and get as many clues as possible." Chen Yang reminded from the side.

Wu Mengmeng was stunned for a moment, then seemed to be thinking about something.

"How is your urination?" Suddenly Wu Mengmeng seemed to think of something and asked the beauty hurriedly.

"I urinate quite frequently, like I have to go to the toilet every half an hour."

The beauty said a little embarrassedly: "I was so busy talking about constipation that I forgot to mention it."

Wu Mengmeng secretly glanced at Chen Yang. No wonder Dr. Chen reminded her. Dr. Chen must have seen it a long time ago.

Thinking of this, Wu Mengmeng wanted to slap herself. It was necessary to ask the patient about his diet and defecation, but she actually ignored it.

In fact, this was also because Wu Mengmeng was a little nervous, and the patient's problem was constipation, so Wu Mengmeng subconsciously ignored urination. The beauty also ignored the urination problem for this reason.

"The main symptom of the patient is constipation..."

Wu Mengmeng pondered for a moment and said, "According to the six meridians of typhoid fever, the disease should belong to Yangming. 'Yangming disease is caused by fullness of the stomach.'"

As she spoke, Wu Mengmeng looked at Chen Yang and said, "Combined with the patient's lip color, acne, pulse and tongue coating, the pathogenesis is heat accumulation in the spleen and stomach, stomach heat and dry intestines, which is a spleen deficiency syndrome."

"The Yellow Emperor's Classic of Internal Medicine says that the spleen is responsible for transporting body fluids from the stomach. If the spleen and stomach are hot, the spleen's transport function will fail, causing body fluids to seep into the bladder. The patient will then have frequent urination, and the intestines will lose moisture, leading to constipation."

Chen Yang smiled and nodded: "Yes, the analysis is very detailed."

Wu Mengmeng smiled awkwardly. If Chen Yang hadn't reminded her, she wouldn't have thought of it.

"Then what medicine should be used?" Chen Yang asked with a smile.

"It is written in Article 247 of the Treatise on Febrile Diseases that the pulse of the fallen yang is floating and astringent. If it is floating, the stomach qi is strong, and if it is astringent, the urination is frequent. If the floating and astringent are in harmony, the stool will be hard. The spleen is affected, and Ma Zi Ren Wan is the main treatment." This time Wu Mengmeng answered directly without any hesitation.

"Ah."

Chen Yang nodded and said with a smile: "Prescribe a prescription.

Wu Mengmeng was typing out a prescription on the computer, while Chen Yang said to the beautiful woman, "The main cause of your illness is diet. You said you've had constipation since childhood. On the one hand, it's because your parents like spicy food, which is congenital. Then, because of the family's eating habits, spicy food is also the main food. Over time, this has led to heat accumulation in the spleen and stomach that is difficult to remove..."

"Well....."

The beauty said awkwardly, "Actually, I can guess a little bit. When I was a child, my family took me to see a doctor for a while, and I always had constipation again and again. My family also thought it might be because I ate too much chili peppers, but it's really hard to change now."

Although Chen Yang looks quite young, when Wu Mengmeng was diagnosing the patient just now, Chen Yang was standing by and giving instructions. The beautiful lady could naturally see that Chen Yang should be her teacher and his level was higher than Wu Mengmeng. Chen Yang was her attending physician today.

"Well, a person's eating habits are formed over many years, and it's not easy to change them."

Chen Yang smiled and said, "But your health is the most important thing. If it's difficult to change, you should change it slowly. Don't expect everything to be changed all at once. Start by changing small things."

"For example, you can drink some porridge in the morning and eat some steamed buns and dumplings. Try not to eat spicy food. Spicy food has the greatest impact on an empty stomach in the morning. You can reduce the amount of chili peppers at noon and in the evening, and gradually reduce the amount. It is not necessary to stop eating it completely, but try to eat less."

Chen Yang paused, then smiled and said, "You have been suffering from constipation for more than 20 years. If it continues like this, it will definitely get worse. For the sake of your health, it is worthwhile to slowly change some of your eating habits."

"I see, thank you." The beauty responded awkwardly and said thank you.

Wu Mengmeng also printed out the prescription, Chen Yang stamped and signed it, then handed it to the beauty: "Go back and take the medicine on time, and pay attention to your diet."

"Thank you."

The beautiful woman took the prescription, thanked him again, and left the clinic.

"Doctor Chen, I was a little... a little nervous just now." Wu Mengmeng said to Chen Yang with a blushing face.

"It's okay. You've done a great job. You can flexibly apply the articles in Treatise on Febrile Diseases and the classical prescriptions..."

Chen Yang smiled and said, "You can say that you treated this disease independently. I didn't even modify the prescription."

New doctors, like children who have just started learning, should be encouraged, and Wu Mengmeng has performed indeed well.