Song ilan hurriedly rushed toward the consultation room.
"Mom, wait for ."
Shi Guanlan shouted from behind, but by the ti her voice reached out, Song ilan’s figure had already disappeared from sight and entered the Traditional Chinese dicine consultation room.
Seeing this, Shi Guanlan could only jog to catch up.
When she entered the room, she saw her mother already seated and chatting with Dr. Lu.
As she got closer, she heard Song ilan detailing everything: "Dr. Lu, my na is Song ilan, and I’m 61 years old..."
Shi Guanlan couldn’t help but cover her face, thinking that anyone who didn’t know would think her mother was here for a date instead of a consultation.
However, she didn’t say anything and just stood quietly behind her mother, listening to her describing her symptoms, but her gaze fell on Lu Xuan, curiously staring at him.
She was very curious about how such a young person, possibly a few years younger than her, could possess such impressive skills.
Even conditions like bile reflux post-gastric cancer surgery could be handled with ease, pulling an elder who claid he might not survive for more than a year or so back from the jaws of death. Such skills were not easily achieved even by those famous veteran Chinese dicine doctors, right?
Moreover, Lu Xuan’s delicate appearance made her take another look.
Lu Xuan wasn’t drop-dead handso but rather had a clean and refined look that grew more appealing the more you looked at him. Plus, the natural charm bestowed by his skills gave him an extrely attractive aura.
While Shi Guanlan was staring at Lu Xuan, Song ilan’s voice rang in her ear: "Three years ago, my stomach started having vague pains from the cold, especially feeling bloated in this area, and no dication worked. It kept recurring. Later, when I couldn’t bear it anymore, I went to the hospital for a gastroscopy, and the result showed..."
Saying this, Song ilan paused and gave an embarrassed smile: "The na was a bit too long, and at my age, I can’t rember it."
"It’s okay, Auntie. Did you bring the previous dical examination results?" Lu Xuan asked.
"No, it’s been a while since the tests, and I thought they wouldn’t be necessary, so I didn’t bring them. Who would have known I’d forget?"
As Song ilan was speaking, Shi Guanlan from behind chid in: "Chronic atrophic gastritis with intestinal taplasia, accompanied by bile reflux gastritis."
"Intestinal taplasia?"
Lu Xuan was slightly surprised, as this was already a precursor to a pathological change.
In Western dicine, intestinal taplasia refers to the taplasia of the intestinal epithelium, aning the stomach lining epithelial cells are replaced by intestinal epithelial cells. The stomach mucosa shows intestinal mucosa epithelial cells similar to those of the small or large intestine.
This is a common change in the stomach lining, often found in various chronic stomach diseases.
Lu Xuan nodded, indicating for Song ilan to place her hand for pulse diagnosis and began to feel her pulse and check for signs on the tongue.
While taking the pulse, Lu Xuan didn’t remain inactive; he asked questions he needed to know and ticulously recorded them in the dical record.
Symptoms observed: bloating and vague discomfort in the stomach area, noise in the stomach, abundant phlegm, thin and white phlegm, aversion to cold and preference for warmth, cold extremities, noticeable hiccupping in the morning, improvent after als, abdominal bloating in the afternoon, abdominal pain after eating spicy food, diarrhea, mushy stools 2-3 tis a day.
The tongue appeared pale with teeth marks on the edges, no coating, and the pulse was thin.
After writing, Lu Xuan didn’t write down the prescription but indicated for Ji Xiuwen to check the pulse as well, to see the condition, given now he mainly focuses on digestive system diseases, it’s necessary to explain Song ilan’s case to him clearly.
"How is it?"
Lu Xuan asked.
Ji Xiuwen thought for a mont and said: "The tongue appears pale, with teeth marks on the edges, no coating, and the pulse is thin."
"Not bad. What about the syndro differentiation?"
When it ca to syndro differentiation, Ji Xiuwen thought for a long ti. The patient’s situation was too involved to state sothing definitively at once, and although the thin pulse was clear, it was quite challenging to accurately identify syndros purely by pulse diagnosis, so he didn’t say much.
Seeing this, Lu Xuan didn’t probe further, instead remarking: "Aunt Song’s condition seems complicated, but fundantally it doesn’t stray far from the essentials."
Ji Xiuwen sat upright, listening intently.
He had already decided to specialize in the digestive system, so this content had to be listened to carefully.
On the side, although Su Kenan had decided to focus on obstetrics and gynecology, he also turned on the recording and got his notes ready.
The two had just prepared everything when Lu Xuan’s voice sounded in their ears: "A pale tongue is common in chronic internal diseases, generally indicating deficiency syndros, characterized by a prolonged course and hard to quickly cure. The causes of a pale tongue usually relate to qi and blood deficiencies and spleen deficiency with cold and damp congestion.
Teeth marks on the tongue often result from the swelling of the tongue body and the pressure from the tooth edges, so the scalloped tongue often appears alongside a swollen tongue, mostly indicating spleen deficiency and deficiency syndros. If the tongue is pale and moist, it indicates spleen deficiency with preponderance of cold and damp.
On the other hand, with relaxed tongue muscles and slack mouth, it’s due to spleen qi deficiency.
If it’s pale, moist, with scallops, it’s indicative of cold-damp excess; if pale red with scallops, it’s due to spleen or qi deficiency; red and swollen fills the mouth with scallops on edges, it’s indicative of damp-heat phlegm-turbidity obstruction;
it further divides into qi deficiency and yang deficiency types:
Qi deficiency type: spleen qi is weak. Main symptoms: pale tongue body, thin white fur on the tongue, swollen tender tongue body, scallops on the tongue edges, sallow or sallow complexion, shortness of breath, laziness to speak, heavy head and swollen body, tiredness, spontaneous sweating, decreased appetite, postoperative abdominal distention, nausea, vomiting tendency, loose stools, weak and forceless pulse. Treatnt principles: Reinforce the spleen and replenish qi.
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