While Lu Xuan was diagnosing Old Li, Liu Shao watched curiously from the side. Seeing Lu Xuan write down a lot of Old Li’s conditions in the dical record, Liu couldn’t help but think of so situations he’d encountered in hospitals before, and said, "Nowadays, Western dicine doctors rarely write case files. Although it saves a lot of ti, it also brings a lot of trouble to patients. When switching hospitals or doctors, it’s difficult to know the previous diagnosis and prescription, making differential diagnosis more challenging. Patients also have a hard ti understanding their own health situation."
"Of course, even if they write it, it’s useless. What Western doctors write looks like ghostly scribbles, nobody can understand it except themselves. Unlike traditional Chinese dicine doctors, worried that patients might not understand, they even write their cases in neat regular script."
"Western dicine doctors actually do write; they just don’t write in the dical record books anymore. They operate on computers now."
"What’s that like? Writing just for themselves? Can’t patients know what’s going on with themselves? What dicine they’ve taken? What judgnts the doctor made?" Liu Shao said with a curl of his lips.
"Moreover, if I rember correctly, Western doctors used to write things down as well. It’s just that suddenly, for so reason, they stopped."
"Writing case files has always been a tradition passed down, whether in Western or Chinese dicine. Why has Western dicine skipped this step, while Chinese dicine still adheres to it?" It was apparent that Liu Shao had deep grievances against Western dicine, especially having observed issues while treating diabetes over the years.
"It’s not so much that Chinese dicine insists on it. If I were to use a word, it would be ’inheritance,’" Lu Xuan explained.
"Inheritance?" Liu Shao frowned.
Lu Xuan nodded and said, "dical records are a result of the evolution of the dical system in society. The purpose is consistent—it is to record the condition, establish a file, confirm the illness, summarize experiences, and even serve as teaching reference, among other uses.
It essentially involves datafying the condition, standardizing it, verbalizing it, or even setting conventional norms.
According to modern physics views, the description of a thing involves ti and space elents, and ancient Chinese had their own expression of these elents.
For instance, introducing concepts of ti and space through cyclical systems like Five Elents, Six Climatic Cycles, and the Twelve-Hour ridian Flow models.
So schools of dical cases only focus on describing symptoms and pulse images without accurate records of age, or noting which solar terms they beca ill.
anwhile, so physicians, with deep understanding of Five Elents and Six Climatic Cycles, might record diagnosis down to the year, month, and day, even noting the cyclical signs.
This is a habitual practice, which also adds notes on the ti of illness.
The "Inner Scripture of the Yellow Emperor" also detailed the impact of Nine Palaces and Eight Winds on human health. Ti field and space field have distinct influences on the human body.
Just like the sa ailnt may require different drugs at different tis, differing between spring and sumr, as well as autumn and winter.
These factors are all elents forming diseases. Many components form a single thing, but what is the focus? How to simplify the model is in itself a reflection of the understanding of the spatiotemporal characteristics of disease."
"No wonder Chinese dicine doctors still write case files, while Western dicine has abandoned this practice." Liu Shao realized.
"So, Dr. Lu, can my friend’s father’s condition be treated with traditional Chinese dicine?" Although Liu Shao was curious about these matters, he hadn’t forgotten the main issue.
"Of course, he can use traditional Chinese dicine."
Lu Xuan thought for a mont and said, "But his condition is quite severe, so the adjustnt period will not be short. If you really want to see effects, it will take at least ten days to half a month. As for reducing serum creatinine and urine protein levels to a slightly normal state, it might even take two to three months."
"A longer ti is fine, as long as he can live almost like a normal person afterward." Li Chengyuan quickly said.
"Dr. Lu, how much would it cost for such a long period of dication?" For Old Li, the concern was not whether his illness could be cured but how much the treatnt would cost and whether he could afford it.
However, before Lu Xuan could speak, Liu Shao comforted him, "Uncle, don’t worry about the cost. Traditional Chinese dicine doesn’t cost much. A week’s worth of dicine might cost a little over a hundred yuan on your di, maybe not even a hundred. Monthly expenses would be just a few hundred yuan, not even as much as two dialysis sessions, so rest easy and get treated here with Dr. Lu.
Dr. Lu has said this, so he must be confident. He said two to three months, but I think you may not even need two months to bring those abnormal indicators back to normal."
Lu Xuan smiled wryly. He originally wanted to say sothing along the lines of not guaranteeing a cure, but seeing the uncle’s lack of confidence, he thought better and kept quiet.
Nonetheless, Liu Shao’s words had so effect; Old Li felt a little relieved after hearing them.
"If a month’s dicine is just a few hundred yuan, that’s okay, that’s okay."
Seeing Old Li’s cautious deanor, Lu Xuan couldn’t help but take a deep breath, feeling a mix of emotions.
Although Chinese dicine also has diseases that cannot be cured, there are not many cases where, like Western dicine, unsuccessful treatnt leads to patients falling back into poverty. Western dicine often incurs astronomical costs in the tens of thousands or even hundreds of thousands, which, for many people, is equivalent to bearing a heavy burden on an already difficult life, making it hard to even breathe.
Otherwise, Old Li wouldn’t say such things.
Lu Xuan had little doubt that if Liu Shao ntioned high costs of treatnt, the other party might directly choose to give up treatnt, not wanting to be a burden on his son.
For many, a monthly treatnt cost of several hundred yuan may be no more than a al, but for soone like Old Li, it might be enough to make him give up the will to live.
The harsh reality left Lu Xuan feeling a bit down.
"Dr. Lu, could you prescribe so dicine, preferably enough for more than half a month? My brother and I have just co to Yong City, and haven’t found jobs yet. Your appointnts are hard to get, so two weeks of buffer ti would be convenient."
Liu Shao’s words brought Lu Xuan back to reality.
"Yes, yes, Dr. Lu, can you prescribe a half-month’s worth of dicine?" Li Chengyuan quickly asked.
From the conversations between them, Lu Xuan also realized that Old Li had probably exhausted most of his savings for treatnt. Otherwise, he wouldn’t consider giving up treatnt, so he nodded, "Alright."
"Thank you, Dr. Lu." Li Chengyuan imdiately thanked him.
Lu Xuan shook his head slightly and then buried himself in writing, scribbling the prescription on the bottom of the dical record.
Prescription: Modification of Golden Cabinet Kidney Qi Pill.
dicine: Astragalus 50 g, White Atractylodes 30 g, Rehmannia Glutinosa, Dioscorea, Cornelian Cherry, Coix Seed each 20 g, Polygonum, Fuling, Peony Bark, cinnamon, processed aconite slice (pre-cooked), Dried Tangerine Peel, River cow knee, Cicada Shell, Scutellaria baicalensis, Baked Licorice each 10 g, Rhubarb 6 g. 14 doses, taken one dose daily, decocted with water.
After writing, he handed the dical record directly to Ji Xiuwen.
Ji Xiuwen glanced at the differentiation process and prescription Lu Xuan wrote, slightly frowned, pondering so unclear aspects to ask about later, then planned to register the prescription into the system.
But Liu Shao, on the other hand, seed curious about this aspect: "Dr. Lu, could you explain the dical principles behind the prescription you’ve written?"
Li Chengyuan was surprised. Are you allowed to ask about such things?
He didn’t know, as previously, no doctor had ever explained things so clearly.
According to his understanding, it was like, ’I prescribed the dicine, you just take it.’ As for the underlying dical principles, patients didn’t need to know much.
However, Li Chengyuan also knew that Liu Shao was quite curious about Chinese dicine, so it was normal for him to ask.
After all, the reason he followed Liu Shao’s live broadcasts was mainly that Liu would talk about so stories related to Chinese dicine and his dical experiences over the years, promoting Chinese dicine while receiving treatnt himself.
Especially after Liu Shao found Lu Xuan, more and more people began to pay attention to Liu Shao, and as his health condition improved, Liu Shao personally beca more curious about Chinese dicine.
With such a great opportunity now, how could he pass it up?
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