I Can Hear the Heart's Voice of Traditional Chinese Medicine-Chapter 339 - 149: Could It Be... Lu Xuan, Who Was Previously Sent to the Health Center by Liu Rong?

Chapter 339: Chapter 149: Could It Be... Lu Xuan, Who Was Previously Sent to the Health Center by Liu Rong?

Although Huang Beishan and Zhang Jingcai hadn’t interacted much with Lu Xuan, in their view, Lu Xuan had always been quite a calm person, rarely having conflicts with others, so they never expected to see this side of him.

However, upon thinking it over, both of them could understand.

If it were them, no matter how capable they were, being doubted repeatedly would likely ignite their fury as well.

Even a clay figure has some temper!

People who aren’t capable themselves but still keep on rambling are the most annoying.

If you’re so good, why don’t you do it?

If not, then shut your mouth, and let those who can, do it.

Otherwise, why invite them for consultation?

You Western doctors have been busy for so long, tried every medicine, yet it was all in vain, wasn’t it?

It could be said that Lu Xuan’s recent outburst didn’t make Huang Beishan and Zhang Jingcai feel a lack of respect towards the senior members of the medical community; instead, it made them quite appreciate him.

The future leader of the Yong City Traditional Chinese Medicine Circle, guiding figure, the future leader of Chinese medicine, how can he lead the Yong City Chinese medicine to sweep nationwide, and how can he confront Western medicine head-on and seize the mainstream position without a tough side?

If he doesn’t even have the courage to offend the director of City First Hospital, Zhang Jiwei, how can he one day overturn this pre-distributed chessboard of interests and make Chinese medicine mainstream?

In short, the two were only excited and thrilled.

After the excitement subsided, the two exchanged a glance and quickly nodded: "Leave it to us! You can perform the acupuncture without worrying about these things."

"We may not know how to treat, but you’ve told us, and we can follow those instructions."

After saying this, Huang Beishan and the others hurriedly went to prepare musk and other medications, while Lu Xuan unfolded his needle box.

Coronary heart disease is an abbreviation for coronary atherosclerotic heart disease, primarily characterized by lipid deposition on the inner membrane of the coronary arteries, leading to atherosclerosis in the arterial wall, causing narrowing or obstruction of the vascular lumen, affecting the blood circulation of the coronary arteries, and resulting in ischemia and hypoxia of the myocardium.

Clinically, it can manifest as angina, myocardial infarction, arrhythmias, heart failure, cardiac enlargement, etc., mostly showing as chest tightness or angina in the precardiac area, accompanied by palpitations, shortness of breath, etc.

However, this is only the Western medicine’s introduction. In Chinese medicine, there is no such term as coronary heart disease; the understanding of coronary heart disease in Chinese medicine was recorded more than two thousand years ago in the "Inner Canon," under categories such as "Chest Obstruction," "True Heart Pain," and "Stubborn Heart Pain."

There are descriptions of the nature and onset characteristics of angina as "stubborn heart pain" like a needle stabbing the heart, "intermittent and intensifying," "complexion pale as death," "heart pain intensifying with movements," and descriptions of the serious prognosis of acute myocardial infarction with shock, such as "true heart pain turning hands and feet blue," "heart pain at dawn leads to death by night, pain at night leads to death by dawn."

In Western medicine theories, the cause of coronary atherosclerosis is not completely understood, but generally, the disruption of regulation of lipid metabolism in the body, such as the destruction of the normal functional structure of the vascular wall, is the main contradiction leading to atherosclerosis.

It is generally believed that prolonged mental stress, obesity, long-term consumption of large amounts of saturated fat, lack of exercise, hypertension, endocrine diseases (such as diabetes, hypothyroidism, yellow spot disease, hypogonadism, etc.), and genetic factors are closely related to the occurrence of this disease.

While in Chinese medicine theories, the causes of coronary heart disease are divided into three categories:

The first is the internal injury from the seven emotions, where emotional depression or long-term mental stimulation can lead to qi stagnation. Qi is the commander of blood, and qi stagnation results in blood stasis, ultimately causing heart yang obstruction.

The second is kidney qi deficiency, where with age, the kidney weakens, or even if not old yet, the kidney qi is already exhausted. Kidney yang deficiency fails to invigorate the yang of other internal organs, like the spleen and stomach, which due to the lack of kidney yang’s fermentative and ascension power, cannot perform their function leading to insufficient nourishment in the blood, inadequate circulation in the vessels and stunted blood flow; premature kidney yin deficiency fails to nourish other internal organ’s yin, resulting in excess heat and scorching of vital fluids into phlegm, phlegm-heat rising to the heart.

The third is dietary irregularities, often consuming excessive amounts, damaging the spleen and stomach, unable to transport and transform the essence of water and grain, leading to internal production of phlegm-dampness, eventually causing phlegm turbidity to attack the heart and chest, resulting in the obstruction and failure of the chest yang.

In the pathogenesis of this disease, the heart and kidneys are the root, while blood and chest yang are blocked by phlegm turbidity, qi stagnation, and blood stasis. Non-circulation leads to pain; a lighter blockage yields temporary pain, while a more severe blockage shows symptoms of cold limbs, sweating, a pulse that is faint and almost disappearing without yang qi.

In clinical practice, coronary heart disease is a pattern of deficiency in origin and excess in surface, often showing both deficiency and excess concurrently; diagnosis can proceed from both the perspectives of excess and deficiency conditions.

Excess patterns are further divided into two types, one being qi stagnation and blood stasis type, typically showing symptoms of chest tightness or constricting pain, usually located on the left of Shanzhong or beneath the breast, radiating to the left shoulder or arm, accompanied by palpitations, shortness of breath, cyanosis of lips and face, duration varying, tongue is dark purple, with ecchymoses on the sides, pulse is wiry, thin, astringent, or knotted.

The other type is chest yang obstruction type, characterized by persistent chest pain, pain penetrating to the back, chest tightness and suffocation, palpitations, shortness of breath, pale complexion, fatigue, tiredness, pale tongue, white slippery or greasy coating, pulse wiry and slippery.

As for deficiency patterns, they are divided into three types, one being heart-spleen deficiency type, clinically showing chest tightness, palpitations, shortness of breath, dizziness, pale complexion, mental fatigue, insomnia, forgetfulness, panic, poor appetite, soft stools, pale tongue with white coating, deep and weak or knotted pulse.

The second type is heart-kidney yang deficiency type, often showing chest tightness, palpitations, exertional shortness of breath, pale complexion, dizziness, nausea, sore and cold waist and back, mental fatigue, shallow sleep, pale tongue with white lips, purple spots on tongue edges, swollen tender tongue with teeth marks, deep fine weak or knotted pulse.