Chapter 501: Chapter 212: The Lungs Are Delicate, Favoring Purity and Clarity (Part 2)

However, the specific treatment approach still depends on the patient’s actual situation.

Based on different symptoms and patient conditions, different medication schemes are chosen.

These thoughts flashed through Lu Xuan’s mind.

At this moment, Mao Yong thought for a moment and said, "Recently, there have been headaches, dizziness, accompanied by vomiting and coughing blood.

The nurse measured blood pressure this morning, which dropped to 50/30 mmHg, stabilizing only after emergency treatment. However, the condition did not remain stable for very long; today, he is mentally poor, his temperature once rose to 38 degrees, and he has no appetite.

The county hospital’s doctors said this disease is quite troublesome, and coupled with its aggressive nature, the situation is too critical, making it difficult to cure and requiring time, and there’s no certainty of a positive outcome. This morning, the attending physician even specially talked to me, asking if I considered transferring to a big provincial hospital since the county hospital’s conditions are limited, making it uncertain to guarantee recovery, and once the situation becomes critical again, it’s hard to say whether he can be rescued again.

I’m currently quite conflicted, unsure whether to go to a provincial hospital, mainly because my son is unwilling, saying it’s too much trouble and expensive.

I originally wanted to buy some cold medicine, but after seeing Dr. Lu manage a bone setting just now, I’m considering whether traditional Chinese medicine might work."

Saying this, Mao Yong couldn’t help but sigh, his face full of concern.

Lu Xuan asked, "How about bowel and urinary conditions? Are there any other tests? Do you remember the results?"

Mao Yong thought for a moment and said, "A few days ago, there seemed to be black stool, but I’m told by my son, I haven’t seen it myself; urine was sent for testing before, seemed to have red blood cells or something like that, specifics I don’t understand.

Also, he mentioned right waist pain, right chest swelling, cough difficulty, phlegm with blood, breath shortness and urgency, dry nose and mouth, and reduced urination."

Upon hearing this, Lu Xuan had already formed a judgment but still asked, "Is there anyone next to your son now? If so, take a picture of the tongue coating and show it to me."

"His mom is there, I’ll have her take it and send it right away."

Hearing this, hope surged inside Mao Yong, and he quickly took out his phone to dial his wife.

In no time, Mao Yong’s wife sent over the tongue coating photos.

Perhaps worried about not capturing clear images, Mao Yong received five to six photos on his phone in quick succession; Lu Xuan glanced at them, seeing thick and greasy tongue coating covering the tongue surface, without pulse diagnosis, yet viral pneumonia patients are mostly in weak pulse, rootless state, pulse weak and chaotic, treatment varies little.

The only difference should be the symptoms, which lead to slight discrepancies in prescriptions.

Mao Yong nervously watched Lu Xuan; seeing Lu Xuan frown without speaking, he quickly asked, "Dr. Lu, can my son take traditional Chinese medicine with this condition?"

"He can." Lu Xuan nodded.

"I’ll prescribe two doses of medicine, one per day; if all goes well, some symptoms should improve, and you can bring your son to my clinic in two days, and I’ll adjust the prescription based on his recovery."

"Great, great."

"Dr. Lu, thank you so much."

Mao Yong was overjoyed; although Lu Xuan seemed young, witnessing Lu Xuan’s skill in the previous child’s bone-setting moment made Mao Yong trust Lu Xuan’s medical expertise tremendously.

Additionally, Lu Xuan explaining medical principles to Yan Xiaoping before, those principles, upon hearing, could only be spoken by those truly skilled.

Now hearing Lu Xuan was prescribing for his son, he was naturally thrilled.

Lu Xuan humbly smiled and then fetched pen and paper to write down the prescription:

Prescription:

Banlangen 15, Tiaoshashen 9, Ophiopogon 9, Kudzu root 15, Capillary wormwood 15, Reed root 15, Bitter Platycodon 9, Whole Gua Lou 9, Sichuan Fritillaria 6, Anemarrhena 6, Ephedra 3, Almond 6, Raw Gypsum 15, Raw licorice 6, Roasted Citrus Peel 9, Sugar Ginseng 6, Fuling 9, Polygala 9, Side Cypress Leaf 9

Two doses, one per day.

After writing, he took a photo and handed it to Mao Yong: "There’s no way to fetch medicine here; you need to go to the pharmacy yourself."

"Thank you, Dr. Lu."

Mao Yong took the prescription, unsure what more to say, repeatedly expressing his gratitude and then hurriedly rushed towards the pharmacy as if receiving a precious treasure.

"Uh, you haven’t paid the consultation fee." Li Feng realized and was about to call him back but was interrupted by Lu Xuan’s gesture.

"Uncle Li, it’s fine; saving lives is a doctor’s duty, their family might not be wealthy, and besides, I only prescribed a formula, he still has to buy the medicine himself, and he wasn’t refusing to pay, just might have forgotten." Seeing Li Feng’s confused gaze, Lu Xuan smiled and explained.

Li Feng, with a complex expression, looked at Lu Xuan, finally uttering: "In this regard, you’re really like your father; sometimes patients forget to pay after taking medicine, and next time they come, he doesn’t mention it, occasionally those with a conscience remember and pay, but several take advantage and never return. You wonder why your dad’s clinic isn’t losing money.

It’s only recently somewhat okay, managing some surplus; previously, giving me my monthly salary alone, breaking even was considered good at best."

Lu Xuan smiled slightly, indeed his dad was of this character. 𝒇𝓻𝓮𝓮𝙬𝙚𝒃𝒏𝓸𝙫𝒆𝙡.𝓬𝓸𝒎

Mom always saying dad isn’t suitable for running a clinic wasn’t without reason.

Their discussion about this ended without much elaboration; Lu Xuan didn’t mind, thus Li Feng naturally didn’t bring it up further. For Lu Xuan, it was merely some wasted time; the clinic faced no real loss.

However, Lin Yongzhen, who had been silent, seeing the two stop talking, quickly said, "Xiaoxuan, doing things this way is quite dangerous."

Lu Xuan turned with a slight smile; he understood what his cousin meant by danger.

Indeed, it is dangerous.

After all, the prescription is his; should problems arise from its use, Lu Xuan would be directly accountable and unable to escape blame.

Nonetheless, facing Lin Yongzhen’s serious expression, Lu Xuan thought for a while and said, "Someone has to make sacrifices; as a doctor, I can’t just look the other way, his son’s condition, cousin heard earlier, remains quite critical, county hospitals can’t offer good plans, maybe the family can’t afford to transfer to a provincial hospital for treatment, can’t just let them lose life to viral pneumonia, right?"

Someone has to make sacrifices...

This phrase echoed in Lin Yongzhen’s mind continuously; looking at Lu Xuan, suddenly, he felt this cousin who he’d known for over twenty years had become slightly unfamiliar now.

The image of Lu Xuan in his mind gradually elevated.

Seeing cousin stop speaking, Lu Xuan turned to Ji Xiuwen and asked, "You heard the situation earlier, any thoughts?"

Ji Xiuwen mulled his response, spoke briefly, yet considering content heard from lecturers during studies, without experience with viral pneumonia, he likely couldn’t have said anything.

"That’s about all I know; for anything else, I’ll defer to you," Ji Xiuwen smiled wryly.

Lu Xuan understood Ji Xiuwen well; he asked mainly to see if Ji Xiuwen remembered content previously mentioned by instructors.

Seeing Ji Xiuwen hadn’t forgotten, he remained silent, yet at Ji Xiuwen’s final ’your elderly,’ couldn’t help rolling his eyes: "In traditional Chinese medicine concepts, the lung is delicate, favoring clarity and serenity."

Ji Xiuwen listened earnestly, not daring to be distracted.

"Now, pathogenic toxins disrupt, impeding its dissemination and descent. Complicated by intense heat and dryness, bodily fluids solidify into phlegm, resulting in difficult coughing and blood-streaked phlegm.

The lung also regulates water’s upper origin, failure to relegate and descent disrupts water passage facilitation, resulting in scant urination.

Heat damages lung and stomach yin collaterals, causing internal bleeding, thus black stool and abundant urinary red blood cells.

Since lungs favor cooling moistness, fearing intense heat dryness, presently the disease purely comprises intense dry heat toxins, rendering lung meridian unbearable.

Urgent and dire, this case prescribed Mahuang almond licorice gypsum decoction, added with Citrus Peel, Fritillaria, Anemarrhena, Gualou, Eriophorum, and Ophiopogon, clearing lung heat, nourishing lung yin, assisting lung qi, stopping lung asthma, supplementally dispersing constrained lung meridian toxins, with Banlangen, Capillary wormwood, Reed root, supporting detoxifying heat, reducing inflammation and swelling.

Considering the patient’s weak body qi, a mixed deficiency among solidity symptom arises, hence Sugar Ginseng to strengthen lung qi, Fuling, Polygala, Side Cypress Leaf to fortify heart qi.

Eliminate pathogenic invaders while supporting health, complementarily coordinated.

Add the Kudzu root to dissipate pent-up heat, encourage stomach qi, open skin pores, revive yin qi, produce bodily fluids, and quench thirst, adeptly clearing lung-related symptoms.