"I felt palpitations this morning when I woke up, and then I saw so bleeding in the afternoon, along with so pain in my lower abdon, so I ca to the hospital." The woman’s voice broke as she spoke, "Doctor, am I going to have a miscarriage?"
"Open your mouth and let take a look." Du Heng focused intently on the woman, giving her his full attention.
The fetal heartbeat was slightly fast, but still within the normal range; the real problem was with the woman herself.
Her pulse was stringy, slippery, and rapid, at about 120 beats per minute, her tongue red with little coating—a clear symptom of the frenetic stirring of the ministerial fire.
Du Heng’s brow furrowed slightly. "Have you two had intercourse recently?"
At this question, the couple seed a bit uncomfortable, but considering the woman’s critical situation, the man admitted, "We did this morning."
With the definite response, Du Heng just gave a faint nod; he already suspected as much.
"In this situation, it’s due to the lack of restraint in your sexual activities, leading to injury in the Ren and Chong ridians, causing frenetic stirring of the ministerial fire and resulting in hemorrhage and instability in the pregnancy."
As soon as Du Heng finished speaking, the man hurriedly asked, "Soone bumped into my wife earlier, does that have anything to do with this?"
"Not much. She was just a little frightened. Pregnant won tend to beco tense and focus their attention on their abdon, which amplifies the feeling of instability in the pregnancy."
Du Heng patiently explained, as it was crucial to clear up any misunderstandings. Otherwise, no one present today would get off easily.
Upon hearing Du Heng’s explanation, the man seed rather dissatisfied. "That shouldn’t be the case. We’ve had sex before, and we only experienced palpitations before coming here. Now there’s bleeding, so it’s not related to those people?"
Du Heng took a deep breath. Just as he suspected, the couple was clearly looking for soone to bla. "It’s precisely because of your unrestrained sexual activities that your wife’s Ren and Chong ridians were damaged. The Ren and Chong ridians are related to the kidneys and liver, and the kidney is the basis for pregnancy. The spleen governs the blood and hosts the fetus. The blood heat damages the fetus’s qi, but fortunately, the fetus has not yet miscarried."
He then looked at the pregnant woman. "Your wife protected herself well just now; her abdon was not bumped or squeezed. I saw the whole incident. Although the scene was chaotic, apart from the first two who were tripped, everyone else moved around your wife, avoiding her. So, your wife was only a little frightened and did not sustain any harm to herself or the fetus."
Although the couple appeared sowhat resentful, they also showed relieved expressions. Judging from their behavior, while they might have wanted to gain so advantage, their youth made them concerned about their dignity. They hesitated but ultimately did not make any unreasonable demands.
The couple exchanged glances, their eyes full of unspoken words, which eventually led to the man saying, "Doctor, is my wife going to be alright then?"
Du Heng let out a sigh of relief and then shook his head. "How could she be alright? Your wife’s Ren and Chong ridians are currently damaged, and there’s frenetic stirring of the ministerial fire. If left untreated, she will definitely miscarry within seven days. Moreover, if the hemorrhage continues for more than three days, the fetus will suffer irreversible damage. By that ti, even if your wife does not miscarry, the fetus cannot be kept."
Upon hearing Du Heng’s words, the couple imdiately beca tense. The woman reached for her husband’s hand, and he reciprocated, holding her hand tightly.
"Doctor, what should we do now?"
"Go to the ward. I’ll prescribe so dication to stabilize the fetus for your wife, and then nourish and strengthen the qi and blood of both the mother-to-be and the fetus." As he spoke, Du Heng turned to the nurse who had co in with them. "Please find a bed for the pregnant woman."
The nurse nodded and gestured for the man to start pushing the trolley. However, the man suddenly asked, "Doctor, how many days will she need to stay in the hospital? It’s hard for to take ti off from work, so I need to make arrangents in advance."
"It depends on your wife’s condition. If the hemorrhage stops quickly, she can go ho tomorrow morning; if her recovery is slow, she should be able to leave by tomorrow afternoon."
"Oh, that’s fine then." The man nodded and, as they were about to leave, he asked again, not feeling entirely at ease, "Doctor, will there really be no impact on the child? I’ve heard that pregnant won shouldn’t take dication during pregnancy."
"You’re right about that; there are many dications pregnant won should avoid during pregnancy. Most Western dicines contain antibiotics, hormones, and other substances that, if taken excessively or improperly, can cause fetal malformations or incomplete organ developnt.
Of course, Chinese herbal dicine shouldn’t be taken indiscriminately either. Chinese herbal dicines are classified as cooling or warming, and pregnant won have different constitutions. A redy that is a restorative tonic for one pregnant woman could be a deadly poison for another. Furthermore, Chinese herbal dicines exert their effects through various combinations, and so have blood-activating, stasis-eliminating, and qi-dispersing effects, which can be detrintal to the fetus."
As Du Heng spoke, his expression was serious. "If a pregnant woman needs to take dication, she must go to the hospital and follow the doctor’s guidance. Never make your own decisions. Even if a dication you took last month was safe, if you need dication again the following month, you must still use it under a doctor’s guidance. Fetal developnt changes not just monthly but daily, and each day’s developnt brings different changes to the mother’s body. Therefore, never make assumptions, and don’t rely on your own experience when it cos to dication for pregnant won. Rember that."
Du Heng spoke earnestly, and the man listened carefully, feeling more reassured.
Xiao Li Shuxun watched the couple leave and asked Du Heng with a frown, "Dean, according to the patient, the pregnant woman has been hemorrhaging for five hours. Won’t this affect the developnt of the fetus?"
"Considering the amount of hemorrhage described by the pregnant woman herself and what we observed, it’s just a bit of bloody water. This amount will affect the fetus, but it’s not yet at a stage where it will affect developnt. However, intervention must be initiated as soon as possible. Once the uterus is disturbed, the fetus will definitely be unstable. Without external interference, it is difficult for the fetus to rapidly adjust and recover on its own. If this period is too long and there is excessive hemorrhage, it will inevitably lead to insufficient blood supply. This, in turn, will disturb the fetus again, potentially causing poor developnt due to lack of blood or uterine weakness that results in miscarriage."
As Du Heng explained, he walked towards the computer. "In the future, when encountering such a situation, be sure to ask about the ti of hemorrhage onset, and you must also form your own judgnt."
Li Shuxun nodded, taking note, then asked, "How should this situation be treated?"
"Tonify qi to restrain blood, nourish yin and clear heat to consolidate the fetus." As he sat down in front of the computer, Du Heng suddenly paused. He only just realized he didn’t have the patient’s information.
Du Heng laughed self-mockingly at his mistake but continued with what he was saying earlier, "The pregnant woman today experienced frenetic stirring of the ministerial fire caused by uncontrolled sexual intercourse, so this thod is used. However, in our daily diagnosis and treatnt, the cases we encounter most frequently are not of this type. Instead, they are often caused by consuming too many cold foods, an unbalanced diet, or intentional dieting, all of which can lead to fetal instability. So, in future diagnoses, this distinction must be clearly made. Do not assu that this thod should be used simply because the symptoms appear the sa. Although the manifestations are identical, the underlying causes differ, and thus the dication will also be different."
Seeing that he couldn’t input anything on the computer, Du Heng found a pen and paper and began writing the prescription. "I was too anxious just now and forgot to enter the patient’s information into the system. Take this prescription to get the dicine later, and get the patient’s information from them while you’re at it."
Li Shuxun assented, then walked behind Du Heng to watch him write the prescription.
"Senior Brother, are you using Angelica Blood-Nourishing Soup?"
"Yes, Angelica Blood-Nourishing Soup as the base prescription, with an emphasis on astragalus and red ginseng to tonify qi, restrain blood, and support the fetus."
Du Heng didn’t look up but continued to ponder as he wrote.
Li Shuxun, like a curious child, or perhaps because he felt close to Du Heng, asked questions imdiately when he didn’t understand sothing.
"Senior Brother, what’s the purpose of adding Ass Hide Glue and Mugwort Four Agents Decoction?"
"Not bad, you can actually recognize Ass Hide Glue and Mugwort Four Agents Decoction." Du Heng couldn’t help but look up at Li Shuxun.
Ass Hide Glue and Mugwort Four Agents Decoction is derived from Four Agents Decoction. It was later modified by Zhang Zhongjing and included in the Synopsis of prescriptions of the Golden Chamber. It is an effective prescription for treating hemorrhage. Generally, doctors might know Four Agents Decoction or the more advanced Mugwort Four Agents Decoction, but they wouldn’t necessarily know Ass Hide Glue and Mugwort Four Agents Decoction.
Li Shuxun chuckled. "Knowing I was coming to our hospital, I did an intensive study of gynecological prescriptions. I just saw this prescription in the Synopsis of prescriptions of the Golden Chamber a few days ago."
Du Heng also chuckled. "Then do you see any differences in the prescription I wrote?"
Li Shuxun paused for a mont, recalling the prescription he had seen. "The dosage has been slightly adjusted, but I can understand that, considering the changes in dicinal ingredients from ancient tis to the present." He raised his hand and scratched his forehead. "It doesn’t seem to be any different."
Du Heng chuckled. "It seems you still don’t read books carefully enough. The rhizoma ligustici in the prescription was removed by ."
"Rhizoma ligustici?"
"Yes." Du Heng quickly finished writing the prescription and continued, "Rhizoma ligustici has the effect of activating blood and promoting qi. For pregnant won, this is a taboo dicine; even a tiny amount can cause irreversible mistakes."
After finishing, he pushed the prescription to Li Shuxun and stood up. "In this prescription, I also used Fetal Longevity Pill and Young Maid Pill. These serve to nourish the kidney, benefit the essence, consolidate the Chong and Ren ridians, and thereby strengthen the fetus. Then, use sojutsu var and scutellaria baicalensis, as excellent redies for stabilizing the fetus, to treat blood heat and hemorrhage caused by disordered blood flow. The root of ramie is specifically used for stopping hemorrhage and stabilizing the fetus. Lastly, adding notoginseng is essential, as notoginseng is highly effective for stopping hemorrhage. With the combination of all these dicines, they should have very good results in treating fetal instability and hemorrhage caused by yin deficiency, internal heat, and disordered blood heat."
Li Shuxun took the prescription and carefully read it, following Du Heng’s explanation and nodding frequently.
"Go and prepare the decoction of dicine quickly. Have the pregnant woman take it as soon as possible; don’t delay," Du Heng said, walking out of the consultation room.
His purpose in coming downstairs was not to treat patients but to et Feng Su and resolve the most troubleso matters.
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