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

Wang Tao obediently took the medical record book.

Chen Ping opened the medical record book and flipped through it page by page from front to back.

Wang Tao's handwriting is still a bit crooked, but it's much neater than when he first arrived. He writes each medical record very carefully, filling in the chief complaint, present illness, past medical history, physical examination, diagnosis, and treatment plan in a very orderly manner.

The dozen or so patients I've seen in the past few days mostly had underlying ailments like headaches, fevers, backaches, and leg pains. The medications Wang Tao prescribed were all within reasonable limits, with no obvious errors.

When Chen Ping turned to the last page, his finger paused for a moment.

This is a medical record of a man in his sixties. The chief complaint is somewhat vague: "The patient reported that he has been experiencing recurrent abnormal throbbing recently, which lasts for several hours without subsiding, accompanied by local swelling and pain. He has no history of trauma and denies taking any related medications."

The diagnosis section states: "Observation is recommended for now; follow-up examination after sexual activity is necessary if needed. No medication was prescribed."

Chen Ping closed the medical record book, looked up at Wang Tao, and frowned slightly. "Wang Tao, come here and tell me about this case."

Wang Tao leaned over and glanced at the medical record, scratched the back of his head, and said, "Master, this old man... came yesterday, accompanied by his wife."

"He said he's been having this problem lately... you know, he keeps getting an erection that just won't go down."

"He seemed to be in good spirits and spoke with a strong voice. I asked him and he said he hadn't taken any medicine. I thought maybe he was just in good health or had accidentally taken some supplements."

"Then I didn't prescribe any medication. I told them to go back and have some sex, observe them, and they should be fine."

After listening, Chen Ping didn't speak immediately. He remained silent for a few seconds, then shook his head. "If it was just an occasional occurrence for an elderly person in their sixties, it's possible they accidentally ingested something containing hormones."

"But he said 'recurring,' which means it recurs repeatedly and lasts for hours without subsiding, which is not a sign of good health."

"It's understandable for young people to experience this occasionally, but repeated, prolonged erections in the elderly could indicate either an abnormal signal from the nervous system or a vascular problem."

"In traditional Chinese medicine, this is called 'yang excess,' which is not a good thing and often hides more serious problems."

Chen Ping pushed the medical record book back in front of Wang Tao. "Did the patient leave a phone number?"

Wang Tao quickly flipped through it, "I kept it, I kept it."

"Call them immediately and tell them to come over today. Just say they need a follow-up examination."

Chen Ping picked up a pen and added a few lines to the medical record book.

"Okay, I'll make the call right away..."

Seeing Chen Ping's solemn expression, Wang Tao dared not delay in the slightest.

Then he picked up his phone and went outside the clinic to make a call.

A few minutes later, Wang Tao returned. "Master, I've notified them that the patient will be here soon..."

After speaking, Wang Tao cautiously asked, "Master, is this a very serious matter?"

Chen Ping nodded: "It's not serious for a young person, but it's a very serious problem for a man in his sixties."

"An erection is just a symptom; it often indicates that there is already a problem with the elderly person's health, and the illness is not located in the genital area."

"Master, what is the problem?" Wang Tao asked.

Chen Ping shook his head. "I haven't seen the patient yet, so I can't make any conclusions. After all, there are many things that can cause abnormal erections. When the patient arrives, you can learn from him and take good notes."

"Got it!" Wang Tao picked up the medical record book, with three pens tucked into his pocket in case they suddenly ran out of ink.

Less than an hour later, three people walked into the clinic.

Leading the way was an old man in his early sixties, wearing a dark gray jacket. His face was deeply wrinkled, and he walked with an unnatural gait, as if trying to spread his legs apart to avoid friction.

His wife followed beside him, her hair gray, wearing a dark red thin jacket, and clutching a cloth bag in her hand.

Following behind was a woman in her thirties, wearing a light-colored down jacket, with her hair tied in a ponytail. Her expression showed a mix of tension and concern; she was probably their daughter.

The old man's movements were noticeably clumsy when he sat down in the chair; he shifted his buttocks a couple of times on the chair before finally settling down.

"Dr. Chen, what's wrong with my dad...?"

"He's just an old lecher. He's so old, and all he thinks about is that kind of thing." Before Chen Ping could speak, the old woman glared at the old man and said irritably.

"Mom, what nonsense are you talking about?" The woman frowned and glared at the old lady.

"What nonsense am I talking about? Your dad insisted on doing it last night. Doesn't he know how old he is? Doing that kind of thing is shameful!" The old lady said angrily.

"Mom, didn't the doctor tell us to go back and get it done? To observe the situation..." the woman said helplessly.

Chen Ping listened to the conversation, then glanced at Wang Tao, who immediately lowered his head, looking embarrassed.

He did say it yesterday; I never expected it would cause such a rift between us.

"Auntie, please don't be angry. The old man is ill, not just overthinking."

Chen Ping tried to persuade him.

Chen Ping also knew that in rural areas, couples usually stopped having sex once they reached a certain age.

People who are over sixty and still have marital relations are considered improper.

After all, the older generation's ideas and values ​​are very traditional.

"Dr. Chen, what exactly is wrong with my dad? He feels so ashamed and doesn't want to live anymore. You have to cure him!"

The woman asked Chen Ping anxiously, her eyes reddening.

"Don't rush, let me take a look first!"

As Chen Ping spoke, he asked the old man to extend his right hand and place it on the pulse pillow.

He closed his eyes, placed three fingers on the fingertips, and quietly murmured for about twenty or thirty seconds.

The pulse is wiry, rapid, and forceful, with the cun pulse being particularly vigorous, as if a surge of heat is rising from below and cannot be suppressed.

He then examined the old man's tongue coating; the tongue body was reddish, the coating was yellow and greasy, and the veins under the tongue were somewhat bluish-purple.

He released his grip and asked, "Sir, how long have you been experiencing this? When did it first happen?"

The old man adjusted his posture in the chair, looking somewhat embarrassed and ashamed. "It's been about a week and a half. At first, I didn't take it seriously, thinking it would get better in a couple of days, but it's been like this ever since. It's a little better during the day, but it's especially bad at night, and I can't sleep."

Chen Ping then asked him if he had a history of high blood pressure, diabetes, or any other medical conditions, whether he was taking any medications regularly, and whether he had recently fallen or bumped his head.

The old man shook his head one by one, saying no.

After listening to this, Chen Ping asked the old man to extend his left hand again, and then began to take his pulse.

The diagram of human anatomy began to slowly emerge in my mind.

He closed his eyes and focused his attention on the old man's brain area.