Chapter 15 Dialectics

  "Unfortunately, Miss Wen's illness is a combination of two conditions. The main symptom is yangming fuli, and the secondary symptom is heat entering the blood chamber." said Chen Jing.

  Yangming refers to the Yangming Stomach Meridian of the Foot and the Yangming Large Intestine Meridian of the Hand. Yangming syndrome is divided into Yangming meridian syndrome and Yangming fu syndrome.

  Yangming Fu Repletion refers to the pathogen entering the interior and transforming into heat, with the hot evil and the turbid impurities in the large intestine entwining and damaging the body fluids, resulting in dryness and repletion.

  Heat enters the Blood Chamber, it is precisely when the menstrual blood chamber is empty, external pathogens take advantage of the opportunity to invade and combine with the blood.

  Yangming Fu repletion and heat entering the blood chamber can both present with delirious speech and manic behavior, making them easily confused.

  "......Mr. Liu said that the disease is in the foot Shaoyang, it's a gallbladder fire. But if it's a gallbladder fire rising to the brain, there must be a severe headache. Wen Niang, did Xiwen Miss have a severe headache after falling ill?" Chen Jing asked Wen Niang.

  Wan Niang's eyes shone brightly as she looked at Chen Jing.

  When she heard this, Wan Niang shook her head and said, "Xiwen has been ill, but he's never had a headache."

  "...without a splitting headache, how can you be sure it's liver fire?" Chen Jing said.

  Wan Niang cast her eyes on Liu Da Fu.

  There was a flicker in Doctor Liu's eyes. Wan Niang, who made a living in the pleasure quarters, was skilled at observing words and expressions. With one glance, she knew that Chen Jing's words had hit the mark, and Doctor Liu's heart was guilty.

  "The illness is still mild..." Doctor Liu wanted to equivocate.

  "The pulse is surging and rapid, it's not light!" Chen Jing said.

  Liu's husband is dumbstruck.

  Chen Jiong didn't wait for Liu Daifu to speak again, but instead turned to Ni Daifu: "You said the disease is in the liver. If it's really in the liver, then the liver's qi and blood must be stagnant, and there should be symptoms of fullness below the chest and ribs. Just now when I diagnosed Xiwenguniang, her chest and ribs didn't have any symptoms of fullness, which shows that the liver's qi and blood are not a problem, so isn't Longdanxiexin Tang unnecessary?"

  Everyone finally understood why Chen Jing had to press down on Xi Wen's chest.

  At that time, Xiwen girl shook her head and denied the pain in her chest and ribs. Everyone saw it, indeed there was no symptom of downward fullness. Without the symptom of downward fullness, there is no condensation of damp-heat.

  Therefore, Ni Dafu's pulse diagnosis was also incorrect.

  Ni Daifu didn't change his expression like Liu Daifu did, instead his eyes shone slightly as he looked at Chen Jing with a gaze that seemed to treasure her.

  He was so surprised to look at Chen Jiong that he forgot to respond to Chen Jiong's words.

  From Chen Jiong's words, Ni Daifu can see that Chen Jiong's medical skills are extremely proficient. Medicine is not something that can be learned simply by reading a few books. Sometimes, the symptoms and pulse conditions may match a certain disease, but it doesn't necessarily mean it's that disease.

  Like Ní Dàfū, he attaches great importance to pulse and tongue coating, but unknowingly neglects the symptom of fullness below the chest. At that time, Chen Jìng pressed Wén Wén's chest because he was too young, and Ní Dàfū didn't think he would really have medical skills, thinking that this child just wanted to take advantage.

  Until now...

  Ni Dafu felt slightly ashamed.

  Chen Jiong didn't wait for Ni Daifu's response either.

  Chen Jie refuted the previous two arguments and countered Gong Zhi's diagnosis: "Gong said that Xi Wen was suffering from heat entering the blood chamber. I also thought so at first. But after taking Xi Wen's pulse, when pressing deeply, I found that her pulse did not show any signs of slowing down. If heat entering the blood chamber were the main symptom, the heat evil would necessarily combine with the blood to form a knot, and the pulse would be slow and hesitant."

  Since there is no delayed pulse, and other pulse conditions conform to 'heat entering the blood chamber syndrome', it can be seen that heat entering the blood chamber is a mild symptom.

  Gong Zhi was slightly stunned and carefully thought about Chen Jing's words.

  When he felt his pulse, it was not severe.

  The pulse is divided into superficial and deep cuts. If it's a superficial cut, the pulse image is very obvious, and the doctor won't make a deep cut. Gong Zhili took Wen's pulse and saw that her pulse was surging and rapid, knowing that this was heat excess, and thinking that she had contracted an illness during her menstrual period, he immediately thought of heat entering the blood chamber and didn't make a deep cut.

  When Gong Zhi heard Chen Jing's words, he nodded slightly: "Ashamed, it was my fault."

  He first agreed with Chen Jiong's refutation, because the pulse of Xi Wen indeed did not have a slow and sinking sensation.

  "The pulse is surging and rapid, the abdomen is painful to the touch, the eyes are red and confused, the tongue is crimson with a yellow coating. This is clearly Yangming Fu Shi. If I'm not mistaken, Wenwen has not changed her clothes for several days." Chen Jing said this, looking inquiringly at Wanniang.

  In wealthy families of this era, if one defecated, they would need to change clothes once. "Not changing clothes" is a euphemistic way of saying not having bowel movements in traditional Chinese medicine.

  Wan Niang nodded: "Chen Gongzi's words are not wrong...... But why did this illness occur?"

  Wan Niang observed the expressions of everyone: Liu Dafu was indignant and unwilling to accept; Nai Dafu was meaningful and profound, with a hint of appreciation in his eyes; Gong Dafu was even more in agreement. As for the other doctors, they originally didn't have their own opinions, but after hearing Chen Gongzi's argument, some had a sudden realization, while others were perplexed and ignorant.

  It can be seen from these that Mr. Chen's argument is correct.

  Chen Gongzi previously didn't ask any questions, yet he immediately and confidently stated the prescription for Xiwen's illness. Ruan Niang already believed him 50% in her heart; now seeing the reactions of all the doctors, she believed him 80%.

  Wan Niang grew up in a brothel since she was young. She didn't have some worldly prejudices, for example: good medical skills must come from an old man.

  Of course, a good doctor must be an experienced old Chinese medicine practitioner; but not all old Chinese medicine practitioners are good doctors, this is the truth.

  Ke Wen's mother did not understand these things.

  Wan Niang's smooth and worldly ways were all used to deal with her clients.

  She was very curious about how this illness had been triggered. Previously, Chen Gongzi said something about taking the wrong medicine, and Yuanniang wanted to confirm it again.

  "...Unfortunately, Xiwen Miss caught a cold and had a fever. Because she was in her menstrual period, the blood chamber was empty, which made the heat enter the blood chamber, but it wasn't serious; afterwards, a doctor was invited. The doctor knew that Xiwen Miss was still in her menstrual period, so he didn't prescribe any cooling or cold medicines, instead he used Xin Wen Xiang Suo San."

  Originally it was already hot and humid, and taking such warm and tonic medicine would only make the heat evil spread inside, forcing down on the intestines and stomach, thus burning up the body fluids. The loss of body fluids resulted in constipation and abdominal distension, unable to have a bowel movement, which eventually formed today's Yangming Fu Jie." Chen Jing explained to Wan Niang.

  Mr. Liu's face turned even uglier.

  That is Naxin Wenshen San, a prescription by Liu Dafu.

  This kid is determined to say that he himself harmed Xiwen girl?

  Mr. Liu and Madame Wan had some private dealings, so whenever the young ladies in the Wan household fell ill, they would invite him over. During festivals and holidays, Madame Wan would always send gifts. For major festivals, she would give 50 taels of silver, for minor ones 30 taels, and during New Year's celebrations, 50 taels of silver plus other gifts.

  In Wang County, those who can give such a high betrothal gift are either the Shen family, the number one clan in Wang County, or this Ruan Jun Ge.

  Mr. Liu relied on this money to support his family and lived a comfortable life.

  If he really ruined Xiwen girl, then Yuankun Pavilion will never be able to operate again.

  Chen Jiong is cutting off people's financial paths, can't Liu Dafu be anxious?

  "You scoundrel, don't spout nonsense! Miss Wen is a noble lady, and during her menstrual period, you're giving her cold and cooling medicine. Isn't that trying to kill her?! Don't speak recklessly and frame me with your good intentions!" Doctor Liu shouted loudly.

  Wan Niang quietly looked at him for a moment.

  This glance made Mr. Liu both angry and fearful.

  Wan Niang blamed him for this.

  Why should Wan Niang believe this yellow-haired young man?

  Normally, people wouldn't just ignore so many elderly men and go ask a child!

  Liu Daifu hated Wan Niang for being foolish and ignorant, and also hated Chen Xiang for having a wicked heart.

  "You are indeed kind-hearted." Chen Jing said bluntly, "Kindness that leads to bad results also requires taking responsibility. As a doctor, treating illnesses is your duty. If you've treated someone poorly, you should apologize and make amends, rather than refusing to admit it."

  Wan Niang heard this and smiled to herself.

  She agrees with this.

  She certainly wouldn't suspect Dr. Liu of intentionally harming Wen Xiu.

  However, his poor medical skills are also his fault, as he is a doctor. The Wan Jun Ge gives him so much silver every year, isn't it to support him in exchange for his work, rather than just feeding him for free?

  "Wan Niang, during the menstrual period, it is indeed not suitable to use cool and cold medicine. Doctor Liu has a good intention, you should understand." Another doctor chimed in.

  "Yes." And there were people at the interface.

  They were all friends and none of them could bear to see a little kid step on his own friend.

  "There is an account in my heart." Wan Niang said lightly.

  She stepped forward a few steps, walked to the front of Ni Dafu and Gong Zhi, lightly saluted, saying: "Trouble you two, step aside to talk. Chen Gongzi, also trouble you to step aside to talk."

  Then she shouted to the nurse, "Send a few doctors downstairs. Today's guests are all noble guests from Wenyun Pavilion. Thank you for coming to see my daughter, and thank you, Wenyun Niang, for giving each doctor a red envelope."

  The majestic and powerful guardian deity is.

  Several doctors saw that they didn't exert themselves much and still got red envelopes, so they just turned around to go downstairs.

  Only Liu stood still, unmoving.

  "Ah, Wan Niang......" Doctor Liu saw that Wan Niang had only left with Dr. Nai, Gong Zhi Li and Chen Xing to talk, and his heart cried out in alarm. That little scoundrel Chen Xing, dared to falsely accuse him to his face, who knows what evil he's plotting behind his back.

  Liu couldn't take it anymore and shouted: "Wan Niang, listen to me..." as Chen Jing splashed dirty water on him.

  "We'll talk about this later!" Yuanniang turned around, her eyes gleaming with a sharp and cold light, like the edge of a blade slicing through.

  Her eyes were so cold and seductive, they were very lethal.

  Mr. Liu dared not say another word at once.

  The nurse asked Dr. Liu to come downstairs.

  Wan Niang then had Doctor Nai, Gong Zhili and Chen Jing go to the dock to open up a pharmacy.

  Just now seeing everyone arguing, Wanniang stood beside them and had already sized up everyone.

  Ni Dafu's diagnosis was overturned, but he still looked at Chen Xuan with appreciation, which shows that Ni Dafu is a person of high moral character and medical ethics. Before coming in, Ni Dafu also didn't like Chen Xuan, but after Chen Xuan's words, Ni Dafu immediately changed his view, which shows that Ni Dafu is a person who appreciates talent and has insight.

  Chen Jing doesn't care what prescription he writes, but Yuanniang doesn't understand. Although he appears to be a brilliant talent, Yuanniang still has 20% of worry, Chen Jing is too young after all, so Yuanniang invites Ni Daifu to preside over the situation.

  As for Gong Zhili, his thinking is similar to that of Chen Jing. He first said that Xiwen was hot and entered the blood chamber, and Chen Jing also agreed with this diagnosis. Therefore, the prescription opened by Chen Jing should be more distinguishable by Gong Zhili.

  With Ni Dafu and Gong Zhili guarding the pass, Wan Niang finally dared to really believe Chen Xuan.

  Although Yu Niang is unorthodox and rebellious, she is very rational and intelligent.

  "Mr. Chen, please give me a poem." Wan Niang personally grinds ink for Chen Zi'ang.

  Her slender fingers were white as jade.

  Chen Jiong nodded and stepped forward to open the prescription box.

  He first used Peach Kernel Qi-Regulating Decoction.

  He's peach kernel decoction is an innovation based on the "Shang Han Lun" by a Qing dynasty doctor, mainly treating delirium, lower focal distension and heat, and blood chamber heat. The ingredients include three qian of peach kernel, two qian of wulingzhi, eight qian of fresh shengdi, one qian of shengpuhuang, half a qian of licorice, and two qian of rhinoceros horn.

  In addition to Taoren Chengqi Decoction, Chen Jiong also added two liang of gypsum, half a liang of Zhimu and one liang of Zhuli.

  After writing the prescription, he handed it over to Wan Niang: "Take two doses first. If you've changed your clothes and the arrowhead has been removed, I'll write another prescription."

  Diarrhea is just a euphemistic term for shit.

  Wan Niang took it over, looked at it, and thought the handwriting was beautiful, each character strong and powerful. As for the medicine, she didn't understand it at all.

  She handed it over to Doctor Ni, her voice soft and gentle: "You two take a look, is Chen Gongzi's prescription all right?" with a slightly spoiled tone.

  She batted her eyelashes, and Chen Jing couldn't bear to blame her for showing her own prescription to others, while others didn't dare to offend Chen Jing and reject the beauty's request.

  So neither side is in the wrong.

  A woman in her forties, Wan Niang's coquettishness is just right, natural and effortless, without a hint of pretentiousness.

  Long-term training has allowed her to grasp every expression and tone with precision.

  No wonder she was once the queen of Mingzhou.

  Wanting to be a courtesan is not just about being beautiful, there's a lot of learning involved.

  Ni Dafu took over Fangzi and looked at it, his face was a bit heavy, and his eyebrows were slightly locked.

  Wan Niang thought: Is this prescription no good?