I Can Talk to the Internal Organs-Chapter 217 - 184: Strengthening the Spleen to Stabilize the Kidneys
"Alright, that's it, you can head back now," Huang Fusheng said.
The assessment was over.
A perfect conclusion.
Lu Jiu's system construction was something they were very satisfied with.
"Um, teacher, I still have a question," Lu Jiu said.
"Go ahead," Huang Fusheng replied.
"I've taken on a patient with dementia who has been on antihypertensive medication for over thirty years. I treated him for three days without any effect, so I wanted to ask if you have a better approach," Lu Jiu stated.
The elderly dementia patient had seemingly shown no improvement after taking his medication.
In three days, there was no significant change in either sleep or diet.
Without a doubt, his treatment direction was wrong.
But apart from the method of purging the South and supplementing the North, Lu Jiu couldn't find a better treatment method.
Therefore, he explicitly told the patient's family not to come to him anymore, as the result would remain unchanged regardless of further treatment, but the two brothers were persistent, urging him to try again.
Lu Jiu was quite helpless, and after failing to persuade them, he had no choice but to continue looking for where the problem in the treatment was.
This time he also said that if there was no improvement after changing the medication, he would not treat the patient again under any circumstances.
As a result, Lu Jiu spent these days flipping through the "Complete Collection of Jingyue" and other ancient texts related to dementia.
But after going through all the ancient texts, he only found descriptions of dementia without a single treatment method.
Logically speaking, Lu Jiu's diagnosis of dementia should be correct.
The main problem definitely lay with the kidneys, so it was undoubtedly a deficiency in the treatment direction.
But exactly where the deficiency was, Lu Jiu racked his brains for a long time and couldn't find the answer.
Today, besides hospital matters, Lu Jiu also wanted to consult Huang Fusheng in person.
"How did you diagnose it?" Huang Fusheng asked.
Lu Jiu then laid out his diagnostic process and treatment approach all at once.
As they listened, approval showed in their eyes.
Despite not having seen the patient, from Lu Jiu's description, this patient was typically suffering from kidney essence deficiency leading to the Sea of Marrow being undernourished, causing it to be empty, resulting in dementia.
"This patient is indeed quite special, with decades of medication history, making treatment quite complicated," Huang Fusheng laughed.
"So even you have no solution, teacher?" Lu Jiu asked.
"Actually, there's nothing wrong with your diagnosis and treatment approach, but the reason there's no effect is that you're missing a key component," Huang Fusheng replied.
"What component?" Lu Jiu asked.
"Strengthening the spleen. There's not a single spleen-strengthening herb in your prescription, which is likely why there's no effect," Huang Fusheng said.
"Strengthening the spleen?" Lu Jiu was stunned.
Purging the liver and supplementing the lungs, the main functions of his prescription were achieved. As for the spleen and stomach, he did notice dampness in the patient's spleen, but with diuretic herbs already in the prescription, he felt there was no need to add spleen-strengthening herbs like Atractylodes or Poria.
"Yes, the main function of strengthening the spleen is not to dispel dampness but to stabilize the kidneys. Your treatment approach aims to address the root cause of kidney essence deficiency, which is correct, but resolving the water source doesn't address where the water flows. Spleen-strengthening herbs enhance the spleen and stomach. The spleen belongs to earth, and the earth can control water. So when the spleen and stomach are strong, the kidney's retention capability also increases. This retention capability doesn't belong to the kidney itself; it's the strengthened spleen that restrains the kidney, allowing the kidney essence to remain with the kidney, not leak out. Do you understand?" Huang Fusheng explained.
Lu Jiu immediately understood.
He thought of generating water through gold but overlooked the control of water by earth.
The generation and restraint of the Five Elements can actually be understood as assistance and limitation.
No wonder the medication had no effect on the patient; it turned out the water from the source was all expelled from the body. No wonder there was no effect!
"Got it." Lu Jiu smiled, now knowing how to modify the prescription.
"If there's nothing else, head back. I've got a meeting, and besides, your regulations need to be scheduled soon. Old Shen and I have been busy lately," Huang Fusheng said.
"Is he able to be a hands-off dean?" Shen Congwei joked.
"Absolutely," Huang Fusheng laughed.
With laughter, they sent Lu Jiu off.
Lu Jiu, who was quite clueless in this area, found it rather convenient not to be involved, saving him a lot of trouble.
After leaving the herbal base, he messaged Kang Peng to pick up the medicine in the morning and returned to the clinic himself.
While organizing some herbs in the cabinets, Lu Jiu found that many common herbs were running low again.
But with the local herbal base, Lu Jiu no longer needed to source from outside. He also inquired about the prices at the An Xianda herbal base. Although they were purchased uniformly, many herbs were priced similarly to what Lu Jiu used to buy, as maintaining quality was prioritized over selling cheap.
Lu Jiu understood this; as long as prices didn't change much because of the proximity, it didn't really matter.
Besides, buying at the herb base spared him or his grandfather from having to verify the authenticity of each herb, a significant relief for Lu Jiu.
However, the clinic could only operate for about three months; after that, his clinic would have to become a hospital.
By then, the issue of medicinal herbs would not be his main concern as a dean.
After dealing with some trivial matters, Lu Jiu closed up and left.
This winter didn't seem very cold, and it was already January, yet no snowflakes or even snow pellets were to be seen.
Returning home, as soon as Lu Jiu pushed the door open, a white shadow dashed toward his feet.
"Meow~"
Lu Jiu changed into wool slippers and picked up Xiao Tu.
Under his attentive care during these days, the little one had grown a lot. Previously, he could hold it in one hand effortlessly; now, he could feel its weight.
In broad daylight, his parents weren't at home.
As usual, Lu Jiu headed to the study to continue learning.
...
Early the next day, after practicing the Eight Vajra Skills and having breakfast, Lu Jiu went to the clinic.
Just after seeing two patients, Kang Peng arrived.
"Dr. Lu, I'm here to pick up the medicine."
Hearing this, Lu Jiu got up and handed the pre-packaged medicine from the cabinet to Kang Peng.
"It's still three doses, with the same method of decoction and the same time for consumption. Remember, if there's still no effect this time, I really won't be able to help anymore," Lu Jiu said.
Kang Peng nodded, "Yes, yes, I understand. Thank you, Dr. Lu."
"You're welcome, take care," Lu Jiu replied.
[Patient Rao He, Heart Yang insufficiency recovery progress 15%, Spleen and Stomach weakness recovery progress 39%, Kidney Essence deficiency recovery progress 11%, Lung Mass recovery progress 0%, symptom recovery progress over ten percent, normal reward activated, claim?]
Oh?
As soon as Kang Peng left, a prompt sounded in Lu Jiu's mind.
Rao He, the late-stage lung cancer patient who had undergone chemoradiotherapy and was given a death sentence by the hospital, now showed steady recovery in various symptoms.
As for the Lung Mass, or lung cancer, there was still no progress.
But this was expected; cancer cells are not easily dealt with. The goal is for other symptoms to recover, allowing the patient to live unaffected, Lu Jiu's primary objective.
[Claim.]
[Reward received: Basic Bone Setting.]
[Reward received: Basic Acupuncture.]
[Reward received: Basic TCM Diagnosis.]
...
"Dr. Lu, it's bad. An old man suddenly fainted at the door..."
