Chapter 362 - 328: Epilepsy
Chapter 362 - 328: Epilepsy
After Lu Jiu announced various matters, all departments began to prepare actively.
At this point, there wasn’t much need for Lu Jiu to be overly involved.
As the director, he only needed to set the strategy; tactics and actual operations were naturally handled by specialists.
Right now, he could finally return to his normal doctor state and step into the clinic to see patients.
Compared to management, Lu Jiu still preferred treating illnesses.
Returning to the Department of Rare and Intractable Diseases, many patients once again saw Lu Jiu’s figure.
After not seeing him for many days, they missed Lu Jiu very much.
"Dr. Lu, you’re finally back!"
"Dr. Lu, I thought you weren’t treating patients anymore."
"Dr. Lu, since you left, I didn’t know who to see for treatment."
"Dr. Lu..."
Many patients hurriedly walked in after seeing Lu Jiu in the clinic.
Most of these people were patients who had seen Lu Jiu before, and when Lu Jiu left last week, he had called each of them to inform them.
But because the notice was relatively brief, many patients didn’t know all the details, so after a week, they immediately came to the hospital.
At this moment, seeing Lu Jiu appear, everyone was particularly happy.
"Haha, how could I stop seeing patients? Everyone needing a follow-up, please queue up. I’ll first see patients, we can chat anytime." Lu Jiu laughed.
Upon hearing this, everyone restored order.
Lu Jiu immediately began to take the pulse of numerous patients.
The patients coming to see him usually had very difficult-to-cure diseases.
So the treatment duration was also very long.
However, as the treatment progressed, many patients went from changing prescriptions weekly to changing them monthly.
Because most patients had the strongest reactions during the initial stages of treatment.
Once the Chinese medicine was matched to the symptoms, it could quickly alleviate certain symptoms of the patients.
Take Rao He’s lung cancer, for example.
Initially, the prescriptions were frequently changed, and Lu Jiu helped her restore her gastric qi in the shortest time, while also resolving her pain issues.
Cancer patients often can’t endure because, after getting cancer, they are constantly tortured by pain.
It’s either the whole body hurts, or they are restless and can’t sleep, or they feel feverish all over, but their limbs are icy.
Frequent changing of the prescription in the early stages can quickly alleviate these symptoms.
Once the patient’s condition stabilizes, one prescription can be taken for a long time.
If it weren’t for Lu Jiu needing to occasionally perform acupuncture and communicate with the five viscera to clear her lung mass, Rao He could have completely gone back to West Shaanxi and just come back for a follow-up when she needed a new prescription to get a few months’ worth of medicine.
After half a day, Lu Jiu completed the follow-up for all patients.
When it was time for lunch, Lu Jiu left the clinic and headed to the medicinal food department.
On the way, he naturally had to pass through the acupuncture department.
Inside the department, Grado was consulting and treating, with young doctors from the hospital forming a circle inside and out, all taking notes carefully and attentively.
"The Five Elements Acupuncture Technique emphasizes qi rather than technique. When inserting needles, be sure to pay attention to qi sensitivity..."
"The technique of selecting points must not be rigid. If a patient currently has a lung disease, we must not select points on the lung meridian..."
"To learn this acupuncture technique, you must understand Yin Yang Five Elements thoroughly to use it flexibly..."
"..."
Grado taught with great seriousness.
Before coming, Lu Jiu had told her that if she wanted to truly understand the system and model of their hospital, she must personally experience what it’s like to be a doctor here.
This kind of system and model, if you only see yourself as an onlooker, just listening to others, you’ll never see the intricacies within.
So, after Lu Jiu’s persuasion, Grado willingly became a member of Lu Jiu TCM Hospital temporarily.
Seeing all the plans going smoothly in the hospital, Lu Jiu felt quite content.
After having a simple meal in the medicinal food department, Lu Jiu returned to the clinic.
Just then, a couple carrying a child arrived at the rare and intractable diseases department.
As soon as they saw Lu Jiu, they hurriedly shouted, "Dr. Lu, Director Xie asked us to find you. Please take a look at my son; he just had another epilepsy attack."
Epilepsy?
"Don’t worry, has he taken the medication?" Lu Jiu asked.
The child’s father nodded, "Yes, he’s taken it."
Lu Jiu then looked at the child.
In fact, epilepsy in Chinese medicine is called "Xian Syndrome", characterized by confusion during attacks, or even suddenly falling to the ground, loss of consciousness, foaming at the mouth, eyes turning upwards, body convulsions, or strange cries, and then waking up like a normal person after a while.
Before an attack, there might be dizziness or chest tightness as precursors, and fatigue or weakness often follow after an attack.
During the Spring and Autumn Warring States period, the illness was first called "Dian Ji", considered a "fetal disease".
The Inner Canon of the Yellow Emperor, Plain Questions, Strange Diseases, mentions: "When people are born with Dian Ji disease... named fetal disease, it happens because during pregnancy, the mother had a big fright, causing qi to rise and not descend, the life essence remains, causing the child to develop Dian Ji."
The Spiritual Pivot, Madness, also describes: "When Dian Ji first manifests, it causes reverse stiffness, followed by spinal pain."
Ancient texts generally relate this disease to congenital factors, indicating that during Xian Syndrome attacks, muscle rigidity precedes back pain clinically.
This is similar to the current Western medicine description of epilepsy as a genetic disease.
However, as the understanding of epilepsy deepened in ancient Chinese medicine, clearer classifications appeared for the disease.
For instance, Chao Yuanfang’s General Treatise on Causes and Manifestations of All Diseases described: "The symptoms at onset could be pulling at the mouth and eyes with upward eye movement, or hand and foot spasms, or back rigidity, or neck backward bending," classifying epilepsy into wind, scare, or food-related categories based on different causes.
Lu Jiu had seen video material in class; the symptoms of epilepsy patients during an attack indeed matched ancient records precisely.
Many modern papers also delve deeply into epilepsy.
However, to Lu Jiu, these papers have not stepped out of the framework summarized by the ancestors.
"When did this disease start?" Lu Jiu asked.
The child’s father said, "When he was seven. We were both working, and his grandpa picked him up from school. Right out of the school gate, he suddenly collapsed to the ground. His grandpa took him to the hospital, and it was diagnosed as epilepsy. But the doctor said it was benign epilepsy. With good medication control, it might only occur once or twice in a lifetime."
"After that, indeed, there were no fainting incidents, but over the years, his emotions became more uncontrollable. Whenever something upset him, he would throw tantrums at home, scream and shout, or fidget in his seat while doing homework, no matter what we said."
"Sometimes he would inexplicably zone out, not responding even when called. Then, early this year, he suddenly collapsed and started convulsing, his whole body stiffened and couldn’t be moved..."
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