After hearing Du Heng’s words, Li Xiang looked very happy and imdiately agreed.
He even left his office and went straight to the registration office window to have Wang Zhenzhen handle the procedures.
Frankly, if Du Heng hadn’t threatened him, he wouldn’t have co to work at all.
Now, with such a troubleso illness, he was even less willing to handle it.
Since soone else was taking over, he couldn’t have been happier.
Du Heng also knew Li Xiang’s thoughts. However, to prescribe dicine for Li Fuman, he had to get Li Xiang’s approval. Although Du Heng was now the Dean and could ostensibly do as he pleased, aning Li Xiang couldn’t stop him, Du Heng knew people shouldn’t act that way. The due respect for colleagues, seniors, and the elderly was essential.
He returned to his office and reviewed the dical record Li Xiang had entered. Finding it basically consistent with what Liang Fuman had said, Du Heng began to write a prescription for him.
"Uncle Liang, you don’t need to go to the toilet. I’ll write you a prescription, and it should work with just one dose."
"What kind of prescription are you writing? Will one dose really work? When I went to Municipal First Hospital, they gave so many IV bags, and those only worked for a few days."
Liang Fuman was a little frightened by his situation. Even though Du Heng’s tone was very confident, his doubts couldn’t be dispelled.
"I’m prescribing you Upbear Yang and Downbear Turbid Decoction. I guarantee it will work with one dose."
"Upbear Yang and Downbear Turbid Decoction? What’s it for? It doesn’t sound like it’s for constipation."
Du Heng chuckled. "This is a dicine for qi deficiency."
"Qi deficiency?" Wu Buwei was a bit puzzled.
He was lacking in his understanding of gastrointestinal matters and couldn’t figure out why an intestinal problem would lead to qi deficiency.
Du Heng quickly typed the prescription into the system before saying to the two n, "When bowel movents aren’t smooth, the problem lies in the intestines. It’s either due to insufficient moisture or weak intestinal motility."
"There are many reasons for insufficient moisture. Besides problems with the intestines themselves, issues with the heart, liver, spleen, lungs, or kidneys can all lead to constipation."
Finishing his explanation, he looked at Liang Fuman. "Your problem lies here," he said. "You’ve taken so many dicines—so to lower stomach heat, so to increase intestinal motility, and even osmotic laxatives. None of them have worked. This suggests your problem isn’t dry intestines or Excessive False Fire."
Du Heng drew a circle over his chest and abdon. "Constipation caused by problems with the five viscera," he continued, "usually presents with other symptoms like a dry mouth, cracked lips, indigestion, and unbearable abdominal pain. However, these manifestations are very weak in your case."
As Du Heng spoke, he walked out from behind his office desk. "I just took your pulse. Your pulse is weak, and your tongue coating is very thin. Combined with your complexion, these are clear symptoms of qi deficiency."
Wu Buwei thought for a mont and said, "Senior Brother, this doesn’t seem right. The patient has difficulty passing stool due to stubborn constipation. Qi deficiency doesn’t cause constipation, does it?"
Du Heng pointed at Wu Buwei and sighed gently. "After all I’ve said, you still don’t understand. His problem isn’t constipation; it’s simply a lack of intestinal motility."
Wu Buwei was even more confused, while Liang Fuman was completely baffled. Du Fei had treated him for constipation, and so had the Municipal First Hospital. Why was it suddenly not constipation?
In his confusion, Liang Fuman asked, "So, are you saying they treated incorrectly?"
Du Heng shook his head with a wry smile. "We can’t say they treated you incorrectly, just that they didn’t find the root of the illness."
After a slight pause, he continued, "Your inability to pass stool isn’t because of constipation, but because your intestines lack the power to push things through. The lactulose you took is ant to increase intestinal motility, so you can’t say their treatnt was wrong."
"Senior Brother, if the dication was correct, why didn’t the patient respond?"
"What do you an no reaction? He did have a reaction. Didn’t he say that when he drank the lactulose, he felt the urge to go to the toilet, but it quickly disappeared?"
"Why is that?"
Du Heng felt he should teach Wu Buwei so Western dicine anatomical knowledge; it would also be helpful for his understanding of traditional Chinese dicine. Would copying the Western dicine anatomy book directly be effective?
After giving Wu Buwei a aningful glance, Du Heng sighed and explained, "How long are a person’s intestines? An adult’s are about 1.5 ters long. He is currently qi-deficient, so his entire intestinal tract is weak. The small amount of lactulose he takes each ti only causes his 1.5-ter-long intestines to contract slightly before the dicinal effect is exhausted. If you wanted to achieve a bowel movent, you could try drinking a whole bottle at once. That would definitely work."
He smiled again. "But after drinking a whole bottle, your intestines would have exhausted their last bit of strength, and they might effectively beco like a straight pipe. If you have coronary heart disease, hypertension, or other such conditions, you might be sent directly to the ICU."
Wu Buwei nodded, a look of dawning comprehension on his face. "So, Senior Brother, your plan is to use Upbear Yang and Downbear Turbid Decoction to make the yang qi rise and the turbid qi descend, using the body’s own qi chanism to drive the intestines to move automatically?"
Hearing Wu Buwei’s summary, Du Heng thought that although this young man’s mind was a bit slow, he was still capable. If necessary, Du Heng could have him morize the entire book; that would probably be effective too.
Wu Buwei didn’t know what Du Heng was thinking. If he had, he might have abandoned his authorized job and fled. Because "Clinical Human Anatomy and Physiology" has 811 pages.
Wu Buwei’s foundational knowledge wasn’t actually poor; what he lacked was the ability to organically connect observed conditions with the knowledge in his head.
Now that he understood, Wu Buwei knew he wouldn’t have to do that other task, and his joy was evident. "Senior Brother, I’ll go get the dicine now!" With that, he eagerly ran out.
Du Heng smiled, and Liang Fuman also let out a long sigh of relief.
That matter had been a source of pressure for Wu Buwei, and for Liang Fuman, it was an even greater tornt. The psychological burden Liang Fuman bore was heavier than Wu Buwei’s because, amidst it all, the feeling of sha was indelible.
Now that they had a solution, he felt much more at ease and started chatting with Du Heng in the office.
Just as their conversation was getting lively, soone pushed the door open and entered.
Du Heng glanced at the visitor. It was soone from their Duke Village, an elder nad Du Yihai. Du Heng recognized him but didn’t particularly want to engage.
Du Yihai had a son nad Du Huang, who was Du Fei’s cousin and two or three years older than Du Heng. Back in school, Du Huang, his brothers Du Teng and Du Da, and their cousin Du Fei were collectively known by a nickna derived from the idiom ’Fei Huang Teng Da’ (Soar and Prosper), using characters from their nas. However, Du Fei, being older, didn’t associate with their group. The other three—Du Huang, Du Teng, and Du Da—were the school’s tyrants. They specifically targeted students like Du Heng, who had few siblings or ca from families with fewer children attending the village school.
Although Du Heng shared their surna, their kinship was very distant. Coupled with the fact that Du Heng was an orphan, he beca their favorite target.
Du Heng had a quiet disposition, it was true, but he was also incredibly stubborn. Once, after being bullied relentlessly, he ignored the other two attackers, grabbed Du Da, the youngest of them, and beat him savagely, even grabbing Du Da’s head and smashing it against the ground.
If their Teacher hadn’t rushed over and pulled them apart, one of them, either he or Du Da, might have actually died.
Later, Du Huang dropped out after junior high and went out to make his way in the world. Over a decade later, he had indeed beco a wealthy man. Rumor had it he owned a KTV and a bar and was extrely rich.
Given Du Huang’s character, one could imagine his father’s.
Du Yihai was already an overbearing sort, and with his son’s newfound wealth, he beca even more arrogant. He constantly sported a slicked-back hairstyle, his leather shoes always polished to a shine, and he bossed everyone around in the village.
He was so outrageously swaggering that it felt like Earth itself could hardly contain him.
Later, he sohow managed to beco the village director. After that, whenever he spoke to anyone, it was as if he were scolding his own grandson.
However, he beca too tyrannical, and eventually, people couldn’t stand it anymore. They reported him, and he was removed from his position.
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