Sent to the countryside, I turned the health center into a top-tier hospital.

Chen Ping opened the brown paper bag and took out the inspection reports one by one to look through them.

I carefully examined the CT scan against the light from the window. The lung texture was clear, with no lesions, cavities, or nodules.

The bronchoscopy results were also normal.

The values ​​of the six hormones tested were all within the normal range.

The cause really cannot be found.

He put the form back in the paper bag, pushed it aside, and then gestured for the girl to put her hand on the pulse pillow. "Let me take your pulse."

The girl put her arm up, rolled up her sleeve, revealing a slender wrist.

Chen Ping placed three fingers on it and closed his eyes.

As soon as he felt the pulse, he could sense the powerful impulse.

The pulse at the cun position is floating and slippery, the pulse at the guan position is wiry and rapid, and the pulse at the chi position is deep; none of the three pulse positions are at a normal frequency.

Especially the right cunkou point, which is slippery with an upward momentum, as if something is pushing upward from below, but gets blocked at the throat, unable to go up or down.

Chen Ping opened his eyes and looked at her tongue coating again.

The tongue is reddish with a thin yellow coating and a few red spots on the tip.

He loosened his fingers, put the pulse pillow back, and said in a calm and unhurried tone: "Your condition is called 'menstrual hemoptysis' in modern medicine. Because it is rare, it is difficult for even large hospitals to find an effective treatment."

"But in traditional Chinese medicine, the cause is very clear. Every time you menstruate, your Qi and blood should flow down the Chong meridian to the uterus, but your Chong meridian's Qi flow is reversed, and the Qi and blood rush upwards, rushing into the lungs instead."

"When the lung vessels are breached, hemoptysis occurs. This is called upward rushing of qi and reckless movement of blood due to heat. It's not a problem with the lungs, but a problem with the Chong meridian."

The girl seemed a little confused, but she understood the general meaning. "Then... can it be cured?"

"able."

Chen Ping nodded. "Your illness isn't difficult to treat. The key is to find the right approach. You can't use too many cold and cooling hemostatic drugs, because that will stop the bleeding but also block your menstruation, which will cause problems later."

"We need to use methods to descend the flow of qi and blood and guide the blood downwards, so that the qi and blood that have rushed upwards can be guided back to where they should go."

As Chen Ping spoke, he directly wrote out a prescription: 15 grams of hematite to be decocted first, 10 grams of Inula japonica to be decocted separately, 9 grams of Pinellia ternata, 3 slices of ginger, 15 grams of Codonopsis pilosula, 12 grams of Angelica sinensis, 15 grams of Paeonia lactiflora, 15 grams of Achyranthes bidentata, 10 grams of Rubia cordifolia, and 6 grams of Glycyrrhiza uralensis.

After finishing writing, I added 10 grams of Sichuan pepper to soothe the liver, lower the adverse flow of qi, and prevent the qi from rising again.

He handed the prescription to the girl, "Take it for one cycle, starting five days before your period starts and continuing until your period ends. Observe the hemoptysis when your next period comes."

"If you take Chinese medicine correctly, you can see results in one cycle, and it can basically cure the disease in three cycles."

The young woman took the prescription, looked at the unfamiliar drug names, and asked, "Dr. Chen, is it really okay to just take these medications? Do I really not need the menopause injection?"

Clearly, the girl was somewhat incredulous. She had visited many places and even stayed in the hospital, but still couldn't find a treatment.

When it came to Chen Ping, he simply took the patient's pulse, prescribed a bunch of Chinese medicine, and the patient was cured.

"Need not."

Chen Ping's answer was straightforward: "Once you've mastered this prescription, you won't need to worry about menopause injections anymore."

The young woman stood up, carefully folded the prescription and put it in her pocket, then bowed to Chen Ping. "Thank you, Dr. Chen, thank you so much."

Chen Ping waved his hand, "Go ahead, take the prescription directly to the pharmacy, she knows how to fill it. Come back for a follow-up appointment anytime if there are any issues."

The young woman nodded, bowed to Chen Ping again, and then turned and walked out of the consultation room.

After the girl left, the consultation room became quiet.

Wang Tao came over; he had been standing in the corner of the consultation room listening the whole time.

He sat down in the chair next to Chen Ping, laid his notebook on his lap, and poked the paper with his pen, looking at Chen Ping intently: "Master, you said that girl's illness was called 'reversed menstruation.' I didn't learn about this illness in school. Is it not in the textbook, or is it something I just didn't learn?"

Chen Ping leaned back in his chair and put his pen on the table. "The textbook describes it as 'menstrual bleeding and vomiting,' which is a type of gynecological disease. It's not very common, so school textbooks probably only mention it briefly and don't discuss it in detail."

"However, it does exist in clinical practice. The main manifestation is periodic vomiting of blood or nosebleeds before or during menstruation. Coughing up blood also falls into this category."

Wang Tao quickly jotted down a few notes in his notebook, then looked up and asked, "So how did you determine that the root of her illness wasn't in her lungs but in her Chong meridian? They've done all the lung tests and nothing was found. But what if there really is a lesion in her lungs that just hasn't been detected?"

Chen Ping reached out and picked up a piece of paper from the table, then drew a few lines on it with a pen.

A circle represents the uterus, and a line runs upwards from the uterus, passing through the abdomen and chest cavity, all the way to the throat, marked with the words "Chongmai".

Then he pointed to the line, "The Chong meridian is the sea of ​​the twelve meridians. It originates in the uterus, ascends to the chest and disperses. During menstruation, the Qi and blood should flow down the Chong meridian and be discharged from the uterus."

"However, some people have a constitution that is prone to heat, or have stagnant liver qi, causing qi to flow in a disordered manner. In this case, the qi in the Chong meridian will not flow downwards, but will instead rush upwards."

"If it rushes into the lungs, it will damage the lung vessels and cause coughing up blood; if it rushes into the nose, it will cause nosebleeds; if it rushes into the throat, it will cause vomiting blood."

"So no matter what tests you do on her lungs, you won't find anything wrong, because the lesion isn't actually in the lung tissue, but in the Qi flow of the Chong meridian. You could take a hundred CT scans and still not see it, because you're scanning the lungs, not the Qi."

Wang Tao listened intently and quickly wrote down everything Chen Ping said. "So, in the prescription you wrote, hematite and Inula japonica are the main ingredients for relieving nausea and vomiting, right?"

"Hematite is used to suppress rebellious qi and relieve nausea, while Inula japonica helps to lower qi and resolve phlegm. Adding Pinellia ternata and ginger helps to harmonize the stomach and relieve rebellious qi, these three herbs pull the upward-rushing qi back down. Then, Achyranthes bidentata is added to guide blood downwards, and Rubia cordifolia, Angelica sinensis, and Paeonia lactiflora are added to invigorate blood and regulate menstruation. This is the systematic approach of the whole formula, right?"

Chen Ping nodded, a hint of satisfaction on his face. The fact that Wang Tao could see this meant that he was genuinely using his brain to learn.

"Yes, hematite and inula are the core herbal pair for relieving nausea and vomiting, but the dosage should not be too high. Fifteen grams of hematite should be decocted first, and ten grams of inula should be wrapped and decocted. This ratio is just right."

"The effect of Achyranthes bidentata in guiding blood downwards is crucial in this formula. Without it, the Qi may descend, but the blood will still rise."

"This case is a typical case of Qi reversal in the Chong meridian. When you encounter similar situations in your clinical practice in the future, you must consider the rhythm of Qi and blood circulation when there are periodic symptoms. Many periodic symptoms that cannot be found to have a cause are often due to a problem with the rhythm of Qi and blood."

Wang Tao jotted down a few more notes in his notebook, and looked up as if to ask something else, when suddenly a screeching sound of brakes came from the street outside the clinic.

The tires dragged on the concrete road, making a long, sharp screeching sound, followed by a muffled thud, as if something had collided.

Before the muffled thud had even completely subsided, someone was already shouting in the street, their voice urgent and panicked, the commotion palpable even through the walls.

Chen Ping put his pen down on the table and stood up. Wang Tao followed suit, and the two of them ran out of the consultation room one after the other.

Chen Ping ran through the courtyard, pushed open the gate, and onto the street. As soon as he turned onto the street, he saw a group of people gathered in the middle of the road. Some people were squatting on the ground, while others were standing and craning their necks to look inside. The chattering of the crowd was a cacophony of voices.

"Someone's been hit! Wang Tao, come with me to check..." With that, Chen Ping led Wang Tao toward the crowd.