Chapter 49

Not only were the patients present, who had come for medical treatment, astonished by the scene before them, but even Wu Qingsheng was surprised by it. After all, this kind of illness required bacterial culture to diagnose, and even Wu Qingsheng himself could not diagnose the patient's condition from their pulse.

However, Wu Qingsheng did not doubt Wu Potian's diagnosis, because Jiang Changde had clearly mentioned that Wu Potian had relieved his pain with acupuncture. Although Wu Potian had not studied medicine for very long, to be on the safe side, Wu Qingsheng smiled and said to Jiang Changde, "Mr. Jiang! Please take a seat. After I diagnose this patient, I will help you and provide treatment."

At this moment, if another doctor had said this to Jiang Changde, he would have undoubtedly refused. But Wu Qingsheng was different; he was Wu Potian's father, and in Jiang Changde's mind, Wu Potian's medical skills were entirely due to Wu Qingsheng's teaching.

Jiang Changde then found an unoccupied chair and sat down, smiling as he replied to Wu Qingsheng, "Doctor Wu! You're busy, I don't mind waiting."

After Wu Qingsheng finished diagnosing the patient in front of him and wrote the prescription, he smiled and said to Jiang Changde, who was sitting nearby, "Mr. Jiang! I know you have many responsibilities as a civil servant. I will examine you first. I believe everyone here will have no objections."

"No objections! No objections! We don't mind waiting a bit. Doctor Wu, you can help this patient first!" The patients sitting nearby, upon hearing Wu Qingsheng's words, quickly and politely indicated that they had no objections.

After Jiang Changde sat down in front of him, Wu Qingsheng reached out and took his pulse, carefully feeling it. He found that Jiang Changde had kidney deficiency, which could not warm the spleen yang, leading to spleen yang deficiency. There was also a long-term spleen yang deficiency, which could not transform and transport the essence of food and water to nourish the kidneys. Symptoms included cold aversion, cold limbs, shortness of breath, laziness in speech, fatigue, loose stools or diarrhea at dawn, or edema in the limbs, even abdominal distension, a pale and swollen tongue with a white and slippery coating, and a weak or fine and weak pulse. Although the symptoms were very similar to those of chronic bacterial dysentery, without a bacterial culture test, he could not definitively diagnose it based on his years of clinical experience.

As a doctor, when unable to determine a patient's condition, Wu Qingsheng's first thought was to have the patient go to the hospital for a detailed examination. After all, this kind of illness could not be easily diagnosed by pulse alone; it required various medical devices to obtain a definitive diagnosis.

However, his son Wu Potian had already diagnosed the patient with chronic bacterial dysentery the moment they entered. At this point, suggesting a hospital visit was clearly inappropriate. He was very curious about how his son had diagnosed the patient's condition, as he himself was not entirely confident. He then asked Wu Potian seriously, "Xiao Tian! Although Mr. Jiang's pulse indicates spleen yang deficiency, which cannot transform and transport the essence of food and water to nourish the kidneys, and symptoms include cold aversion, cold limbs, and shortness of breath, diagnosing chronic bacterial dysentery requires a bacterial culture. How did you determine that Mr. Jiang has chronic bacterial dysentery?"

"Dad! When you were diagnosing Mr. Jiang, besides finding that Uncle Jiang has kidney deficiency, which cannot warm the spleen yang, leading to spleen yang deficiency, and a long-term spleen yang deficiency, which cannot transform and transport the essence of food and water to nourish the kidneys, you should have also noticed that Uncle Jiang has a yellow and greasy tongue coating and a slippery and rapid pulse. This is often due to improper and unclean diet, which damages the intestines and stomach, leading to damp-heat invading internally. This is commonly seen in colitis and dysentery. The treatment should focus on clearing heat and drying dampness."

"If it were just one of these symptoms, Uncle Jiang would have ordinary enteritis. However, once there is a combination of spleen and kidney yang deficiency and damp-heat in the large intestine, it means that Uncle Jiang has chronic bacterial dysentery." Although Wu Potian only mastered basic medical skills, these skills had been refined over hundreds of years and optimized by the advanced technology of the future, making it easy for him to treat such minor illnesses.

Wu Qingsheng, upon hearing Wu Potian's words, recalled the process of taking the pulse and found that Jiang Changde's pulse indeed matched the conditions Wu Potian described. Although he still had doubts about Wu Potian's diagnosis, he did not contradict him outright. Instead, he asked seriously, "Xiao Tian! Since you believe Mr. Jiang has chronic bacterial dysentery, how do you plan to treat his condition?"

Wu Potian, seeing his father's serious expression, knew that his father was uncertain about his diagnosis. The reason his father did not point it out was to consider his feelings. However, he was not bothered by his father's doubts and replied with a smile, "Dad! Considering that Uncle Jiang's condition is in its early stages, I plan to use a modified Fuzi Lizhong Decoction and a modified Shenling Baizhu Powder, along with acupuncture as an auxiliary treatment. For Western medicine, I plan to use an antibacterial treatment regimen, along with oral intestinal mucosa protectants (Smecta) and probiotics (Peifukang) to help Uncle Jiang adjust his intestinal function."

Wu Potian paused slightly and continued, "Dad! I have already used silver needles to provide preliminary auxiliary treatment for Uncle Jiang in Uncle's office, and the results were very promising. As long as Uncle Jiang follows my instructions and changes his current lifestyle, I estimate that his condition will recover in about a week."

Wu Qingsheng, upon hearing Wu Potian's words, largely agreed with the treatment plan and nodded, saying, "Alright! I will let you be responsible for treating Mr. Jiang's condition, but every prescription you give to Mr. Jiang must be reviewed by me first."

Wu Potian, realizing that his wish might come true, had another idea: to teach his father the optimized medical skills he had mastered. So, upon hearing Wu Qingsheng's request, he replied without hesitation, "Dad! Don't worry, I will show you the medical instructions for Uncle Jiang and let you decide the specific treatment plan."

Wu Qingsheng nodded and smiled, asking Jiang Changde, "Mr. Jiang! You heard what my son said, but I need to inform you of a situation. My son does not have a medical practice license, so I suggest that I treat you."

Having worked in the Organization Department for many years, Jiang Changde had his own unique way of assessing people. Initially, he believed that Wu Qingsheng, being Wu Potian's father, must have taught Wu Potian his medical skills. However, Wu Qingsheng's reaction during the diagnosis left him puzzled. When he heard Wu Qingsheng's words, his face clearly showed hesitation.