The patient's emotional reactions are generally quite stressful; the most common issue is a poor mood, followed by emotional fragility, emotional instability, irritability, and susceptibility to negative language cues and suggestions.
Worrying about having so incurable disease is perhaps a thought that every patient might have.
Long-term suffering from illness often leads to changes in personality traits.
The image of being cheerful and energetic is replaced by slow movents, emotional fragility, cautiousness, passive dependence, sensitivity and suspicion, and self-centeredness.
Excessively focusing on bodily sensations and being overly concerned about changes in the condition, once negatively suggested, can quickly result in a depressed mood, but seeing patients who have recovered well can instantly restore confidence.
Therefore, it's important to find one, at most two, trustworthy doctors and strictly follow their guidance for rehabilitation treatnt.
Avoid seeking varied dical advice from a wide range of sources, leading to diverse and conflicting opinions, leaving you at a crossroads, bewildered and at a loss.
Encouragent among patients is fine, but it's best not to inquire about others' experiences, as their experiences may not apply to yourself, and their illnesses are different from yours.
Pan Yuqian is currently in such a state of mind; months of fever have caused her great suffering while also rapidly destroying her emotions.
Especially after nurous treatnts and seeing no improvent, this destruction is exponentially intensified within her.
"Dr. Lu, even you can't find the reason for my unexplained fever?"
Before coming through a friend's introduction, Pan Yuqian had learned about Lu Xuan, having heard about many cases where Lu Xuan cured difficult and complex diseases. To date, there hadn't been any condition that left Lu Xuan helpless.
Upon learning this, Pan Yuqian's confidence soared, and she spent several days at ho trying to book an appointnt until she finally secured one with Lu Xuan for this afternoon.
But at this mont, after explaining her situation, Dr. Lu's prolonged silence made her feel that her heart, which had just been relieved, shot back up to her throat.
Pan Yuqian looked at Lu Xuan with a worried expression, fearing that the next mont she would hear bad news from Lu Xuan's mouth.
Unable to find the cause of her fever, or perhaps it's an incurable disease.
Seeing no reaction from Lu Xuan, Ji Xiuwen anxiously touched Lu Xuan's arm and softly reminded, "Dr. Lu."
A shadow of doubt quickly spread in his heart; could it be that his old classmate would have his first major setback today?
Ji Xiuwen was incredibly worried, but upon careful thought, he felt his expectations for his old classmate were too high.
Doctors are not omnipotent; they can't diagnose every illness or understand every situation.
Even so legendary doctors in ancient tis had their monts of helplessness.
What's more, considering that Lu Xuan graduated not long ago, being able to achieve this level, with the dical skills he has now, has already surpassed countless peers, and he's in no way inferior to any renowned traditional Chinese dicine doctor.
Aiming for a flawless record is extrely challenging.
Thinking of this, Ji Xiuwen couldn't help but sigh.
At this ti, upon Ji Xiuwen's reminder, Lu Xuan quickly snapped back to his senses, seeing Pan Yuqian staring at him with a gloomy expression, and hurriedly reassured her: "Don't worry, I roughly thought about your situation, it should have so relation to Lesser Yang Disease."
"Lesser Yang Disease?"
Pan Yuqian, not being familiar with traditional Chinese dicine, furrowed her brow when Lu Xuan ntioned this term, while Ji Xiuwen looked at Lu Xuan with curiosity and doubt.
Lu Xuan explained, "The alternating cold and heat is a typical symptom of Lesser Yang Disease, specifically characterized by intermittent occurrences of fever and chills, alternating back and forth, several tis a day with no regular ti pattern, caused by obstructed Qi, imbalance between the Ying and Wei Qi, and the battle between positive and negative forces."
Ji Xiuwen nodded, understanding this, though he hadn't considered it from that angle.
Now, with Lu Xuan ntioning Lesser Yang Disease, comparing it to Pan Yuqian's situation, it indeed seed about seventy to eighty percent similar.
With this in mind, Ji Xiuwen spoke up: "Ms. Pan's condition, while seventy to eighty percent similar to Lesser Yang Disease, also has its differences upon closer inspection."
"You're right,"
Lu Xuan wasn't surprised at all that Ji Xiuwen noticed this.
He continued explaining, "Ms. Pan's symptoms include chills, fever, cough, and other external symptoms. Despite using antibiotics and other Western dicine treatnts, her fever persisted, and extensive hospital testing couldn't pinpoint the cause.
She's undergone nurous treatnts including antibiotics, antivirals, antimalarials, tuberculosis treatnts, and steroids without controlling the fever, further harming her essential Qi.
Her insufficient Qi cannot expel the evils outward. Observing her persistent fever for several months, with relatively stable appetite and spirit, we can conclude that Ms. Pan is suffering from fever due to Qi deficiency from internal injury. The insufficiency of essential Qi gives rise to internal Yin fire, transitioning from Qi deficiency Yang to Yin, leading to unregulated Wei Qi and resultant fever treatnt.
Therefore, Ms. Pan's condition is most similar to Lesser Yang Qi Stagnation Syndro, though with distinct differences within.
According to Mr. Li Dongyuan's "Discussion on Spleen and Stomach · Beginning with Injury from Food, Drinks, and Labor Causing Heat," where insufficient primordial Qi leads to internal Yin fire, "the treatnt should be reinforcing with sweet, pungent, warm herbs to support the center and elevate Yang, while using sweet, cold ingredients to relieve excess fire."
Considering the patient's clinical characteristics, we use a modified Qi Replenishing Soup to remove major heat with a blend of Part Qi Replenishing Soup and Half Cinnamon Soup to harmonize Lesser and Greater Yang.
Using Codonopsis, Astragalus, and White Atractylodes to greatly boost central Qi, strengthen the spleen and benefit the stomach. With abundant spleen and stomach primordial Qi, blood will naturally generate, and internal Yin fire will diminish;
Using Cimicifuga and Chaihu to elevate Yang and disperse heat, Dried Tangerine Peel to awaken the spleen and stomach, dissolve stagnation, transform dampness and remove fullness, and Danggui to nourish and generate blood, assisting Codonopsis, Astragalus, and White Atractylodes to elevate Yang Qi and invigorate the primordial Qi, thus naturally regulating the blood and eliminating the heat;
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