Come on, Dr. Wu

Chapter 415: The King's Disease

There were a few more patients with diabetes later, but none of them were as serious as the previous one, so there was no need to increase or decrease the amount of medicine they prescribed.

For patients of the same type, the speed seems to be faster.

Among these thirty patients, the most common ones suffer from hypertension and diabetes. This is a 61-year-old male patient.

Obese (about 115kg/170cm), big belly, chest tightness, shortness of breath, gasping for breath after the slightest activity.

The blood pressure difference is small, the low pressure is high, and sometimes acid reflux occurs.

Without even taking the patient's pulse, just by looking, smelling and asking questions, Wu Xiaofu was basically certain that the patient had high blood pressure.

After taking the patient's pulse, the patient showed a deep pulse.

Chinese medicine diagnoses diseases as insufficient Qi and poor Qi circulation - such as myocardial hypertrophy and symptoms of internal heat.

There is basically no difference.

When it comes to myocardial hypertrophy, Chinese medicine can diagnose it without taking X-rays.

The patient is obese, has shortness of breath and a deep pulse, which means that his qi is sunken inside. It is autumn now, and his pulse is floating, which means that the patient has insufficient qi and is suffering from deficiency syndrome. Qi and blood have difficulty circulating in the body, and the heart needs to increase pressure to supply them. Long-term physical exercise will naturally lead to myocardial hypertrophy.

Another effect of obesity is that the qi in the body cannot circulate. There is too much fat and the body cannot move it.

In addition, there are many family inheritances nowadays. The familial inheritance of diseases is determined by the same temperament of the same family, which can actually be corrected later.

For example, if the patient is unreasonable, stubborn, and obese, and does not want to inherit the family disease, he must learn to be "rebellious."

If everyone in your family is fat, you should work hard to lose weight; if everyone in your family has a bad temper, you should work hard to improve your temper.

There is a saying that goes, "Those who "deviate from the norm" will definitely not inherit family diseases, and this is "unfilial".

After explaining everything to the patient, Wu Xiaofu began to prescribe medicine. When it comes to treating hypertension, Wu Xiaofu also feels that effective traditional Chinese medicine is superior to Western medicine.

Of course, you also have to pay attention to some things, for example, avoid alcohol and meat.

笔锋流转，竹茹15陈皮3甘草3茯苓15车前草15芒硝6（冲）黄连3……

The biggest drawback of traditional Chinese medicine may be that it takes a long time to take effect.

Just like this patient, the first course of treatment requires fifteen doses, and then the results will be observed.

For many acute diseases, even if Chinese medicine uses strong medicine, it may not be able to reverse the condition in time. It is also necessary to consider whether the patient can tolerate the strong medicine. Therefore, facing such patients is a test of the ability of Chinese medicine doctors.

This patient came with his child. His eighteen-year-old son's number was right behind the patient.

It can also be seen from here that today's high blood pressure is indeed a genetic tendency. Otherwise, at the age of eighteen, the blood pressure should not be high.

It's not just blood pressure that's inherited, but also weight.

They are both obese, the father weighs over 200 pounds and the child also weighs around 200 pounds.

Xiaoshan, 18 years old, has been experiencing headaches and head swelling for more than a month, along with weakness in his left leg and pain in his left foot after eating a full meal.

Xiaoshan also measures his blood pressure regularly. His systolic blood pressure is usually around 145 mmHg, but it can reach 150 mmHg after eating fried foods.

Xiaoshan didn't care at first. Isn't the current standard 140? If it exceeds five or ten, it shouldn't be a big problem.

So this time Xiaoshan didn’t come to see the doctor for high blood pressure, but for something else.

Eighteen weeks after he turned 18, Xiaoshan got his driver's license and drove a taxi in the village to pick up tourists. The pain and weakness in his left leg and left foot greatly affected his work.

Xiaoshan doesn’t think that the symptoms in the left lower limb are related to blood pressure, and he has never heard of it.

Not to mention Xiaoshan, even Xiaonan and Xiaobei didn't think that the symptoms in the left lower limb had any connection with high blood pressure.

"You need to control your blood pressure. The weakness in your left leg and the pain in your left foot are caused by high blood pressure."

Wu Xiaofu spoke up, surprising Xiaoshan and the others, "The problem with the left leg and left foot is also related to blood pressure? That can't be possible, I've never heard of it."

The others were also staring at Wu Xiaofu. They had never heard of him before. What was going on?

Wu Xiaofu smiled when he heard this and said, "You have these symptoms after you have a full stomach. From the perspective of traditional Chinese medicine, it is called 'drink enters the stomach, and the essence and energy flow out.'

The spleen and stomach absorb the grains and cereals that people eat, further process the nutrients, and then transport them to various parts of the body. The pain that occurs after a full stomach is an immune response, which can be regarded as unsatisfactory processing.

If the absorption threshold of nutrients delivered to the feet is 5, and the nutrients delivered are 4.5, which does not meet the absorption standard, they will accumulate, be rejected, and cause allergic reactions, which is the cause of foot pain.

The reason for unqualified processing is the disorder of spleen and stomach. People are not born with disorder of metabolism. Most diseases of the five internal organs are caused by emotions. Therefore, the reason for the disorder of metabolism is actually excessive thinking that damages the spleen and stomach.

People who think too much and act too little are called 'cautious'. I'm afraid that's your personality, isn't it?"

It’s amazing!
Xiaoshan looked at Wu Xiaofu with horror in his eyes. If someone from Bian Miao Village knew his character, it wouldn't be surprising. But Wu Xiaofu was an outsider. He had heard that Wu Xiaofu had just arrived yesterday.

Wu Xiaofu would not have heard of such a small figure as him, so, could this really be calculated, no, seen?
Is this what doctors are like now?
So magical?

He nodded his head up and down. Although Wu Xiaofu said a lot, there were some parts that he didn't understand. Well, he didn't understand most of them.

But Xiaoshan felt that Wu Xiaofu said a lot and there must be a reason for what he said. He didn’t understand it, but he thought it was amazing.

I felt in my heart that this was it, this was his illness, the pain in his left lower limb was definitely related to high blood pressure, there was no way around it.

"So, in fact, Xiaoshan, as long as he lowers his blood pressure, all these symptoms will disappear?"

Xie Yao asked, Wu Xiaofu nodded, but Xiaoshan's parents were a little worried after hearing this, "Doctor Wu, Xiaoshan is only 18 years old, can he not take medicine? He can't take it for the rest of his life."

This is a normal concern. In people's impression, taking antihypertensive drugs is a lifelong thing. It's okay when you are old, but it is somewhat unacceptable to be like this when you are young.

"I can prescribe some Chinese medicine for him and let him take it to lower his blood pressure. But most importantly, he has to lose weight, exercise, and then be moderate in his sexual life. In this way, he won't have to take medicine all the time." Hearing Wu Xiaofu's words, Xiaoshan was both happy and embarrassed. He was happy because Wu Xiaofu said he didn't need to take medicine all the time, but he was embarrassed because Wu Xiaofu said he didn't need to be moderate in his sexual life.

Xiaoshan is not completely ignorant of sex. He has all kinds of knowledge on his cell phone and has had it in his head. He and his wife do have sex quite frequently, and Wu Xiaofu has noticed it.

Especially since many people at the back were laughing, it was outrageous.

Those who don't go to school in the village all get married early, not to mention that 18 years old is already an adult.

Xiaoshan has been married for more than a year, which is quite normal in the village.

Some people already have children, and as for the fact that they are not of legal age, that is not a problem. There is no marriage certificate, so why worry about the legal age? Once you are done, you need to register the children, and you can do it later.

"Hypertension is a unique skill of our species."

Unique?
Everyone was stunned when they heard Wu Xiaofu's words. In other words, other animals don't suffer from high blood pressure?
“Well, because apart from humans, it is difficult for other species to survive completely upright. Various studies have found that upright survival is the root cause of blood pressure.

The purpose is to ensure that blood supply from the heart can go directly to the brain to prevent cerebral ischemia and hypoxia.

Therefore, dizziness and headache, which are complications of hypertension, also need to be prioritized.

It is not a complication of dizziness and headache caused by high blood pressure, but dizziness and headache occur first, and the heart needs to increase pressure to supply blood upward to prevent cerebral ischemia or thrombosis.

Therefore, dizziness and headache come first, and high blood pressure comes later. High blood pressure is a dynamic adjustment of the human body, so treating high blood pressure is tantamount to putting the cart before the horse and only treating the symptoms instead of the root cause.

This is the significance of TCM in curing the root cause. It does not just regulate blood pressure, but investigates the root cause of high blood pressure and removes the root cause. "

Upon hearing this, everyone suddenly felt that what their ancestors left behind was really better than Western medicine. If they could really achieve the goal of not having to take medicine for a lifetime through regulation of Chinese medicine, it would be something they would be more than happy to achieve.

There are also many people in the village who take hypertension medication to control their blood pressure. After hearing this, they all begged Wu Xiaofu to prescribe Chinese medicine for their treatment.

At this time, Wu Xiaofu was also feeling emotional. Even though he knew that Chinese medicine was very effective in this regard, he could not let Chinese medicine replace Western medicine.

There is no other reason. The number of people with hypertension in China is too large, and regulating blood pressure with traditional Chinese medicine is not something that can be done in one go. Treating the root cause is the most difficult, and it will take at least four or five courses of treatment.

In fact, the basic skills of traditional Chinese medicine are very important, and it takes more than a few years to train a qualified traditional Chinese medicine practitioner.

How can Chinese medicine regulate such a huge group of people with high blood pressure? What's more, in many cases, blood pressure needs to be stabilized in time.

Just like Wu Xiaofu and his colleagues in the surgery department, when they are about to perform surgery on a patient with high blood pressure, they need to lower the patient's blood pressure in time, and Western medicine is obviously more effective in this regard.

So, this is the need of the times, not the need of the patient group.

If we want to eliminate this problem fundamentally, it is not the doctors' job but the people's job. As long as we have healthy living habits and avoid obesity, smoking, drinking, and staying up late, most underlying diseases can be avoided, let alone high blood pressure.

Don't even think about how long Young Master Zhang can live despite his indulgence in drinking, gambling, whoring and smoking. If Young Master Zhang really has any problems, he will have the best doctors to help him treat them. This is a condition that other people cannot have.

In a blink of an eye, half of the patients had come over.

Among these patients, in addition to those with high blood pressure and diabetes, there are also some with poor gastrointestinal function. The villagers do not eat regularly, especially with the increase in tourists recently. They all want to make more money, and some even skip meals altogether.

After such a long time, the stomach and intestines will basically not be in good condition.

In addition, there are many elderly people in the village, so constipation problems are more serious. However, these are easy to treat. Wu Xiaofu prescribed some Chinese medicine for them, and told them to pay attention to their living habits in the future.

"Director Wu, I have back pain and calf pain. Can you help me? It has affected my walking. It also affects my work. I make skewers and it is difficult for me to stand now. It has affected my work."

This is a young man in his thirties, about the same age as Xie Yao.

"Director Wu, this is my childhood friend, Li Jun, who runs a kebab stand at the entrance of the village. He knew you were coming to see a doctor, so he hurried over to see you."

Wu Xiaofu nodded when he heard this, and looked at the patient's calf. There were some small bumps on the joints, which looked like gouty tophi. He knew what was going on, so he asked Li Jun to stretch out his hand and started to feel the patient's pulse.

The word "gout" first appeared in medical books during the Southern and Northern Dynasties. Because the pain comes quickly like a gust of wind, it was named "ventilation".

Some ancient medical books also call it "painful arthritis".

In the Ming Dynasty, Yu Tuan's Medical Biography mentioned that "the so-called pain and arthralgia in ancient times is the gout of today. Various prescription books also call it white tiger joint wind because it causes pain in the joints of the limbs, like being bitten by a tiger, and so it is named after its name."

This passage is very consistent with the symptoms described by Li Jun. The pain occurs in the calf area. Li Jun's symptoms of gout should have existed for some time. Of course, it has not been delayed to the point of being terminally ill. It is just that symptoms appear in the legs. However, it is not mild either. After all, tophi have appeared.

In addition to China, there are also records of gout in other parts of the world, and they are relatively early. For example, in 2640 BC, Egyptians had already discovered that gout could cause lesions in the big toe joint.

The famous ancient Greek doctor Hippocrates called gout "the disease that prevents one from walking" and pointed out that gout is "the arthritis of the rich" while rheumatism is "the arthritis of the poor."

Why did Ladi say that? Of course there is a reason.

In ancient times, gout often occurred in some dignitaries. What are dignitaries?
Just take some examples of high-ranking officials who have been ventilated, such as Kublai Khan, the founder of the Yuan Dynasty, Charles V, Holy Roman Emperor, Philip II of Spain... Look, these are all real masters!

So at that time, gout also had an extremely awesome name, "the disease of the king" or "the disease of the emperor".

Compared with these, the so-called "diseases of affluence" are actually very common.

The reason for this is that in ancient times, ordinary people really did not suffer from this disease. Only powerful and influential people in the upper class had the chance of suffering from gout.

In addition, some people believe that gout attacks can prevent more serious diseases such as paralysis and stroke. Just as fever is a sign that the body is beginning to fight the disease, after gout occurs, early intervention can be made to prevent serious diseases such as paralysis and stroke.

To the extent that gout was once considered a symbol of social status.

Well, it’s all very abstract to think about it, but if you think about it carefully, the greeting at that time might have been “I wish you and your whole family gout!”

In fact, if you think about it, you will find that the diseases that were discovered earlier in ancient times were basically diseases suffered by high-ranking officials and nobles, because these high-ranking officials and nobles valued their lives and would ask a doctor to see a doctor as long as they felt unwell. No matter what disease it was, it would be discovered in the first time, and then the power would be mobilized to start diagnosis and treatment.

Otherwise, the disease of ventilation would not have been discovered so early, and if it had not been fatal, ordinary people would probably not have taken it seriously if they had suffered from it, and would have bought some painkillers and gotten through it. If it had really been common people suffering from it, it would have required modern medicine to discover it.

(End of this chapter)