Chapter 74 of 100
Chapter 74
8 min read1,879 words
Xu Donglai did not stop this time. First, Xu Chunliang did not interfere with their CPR, and second, he believed that the hope of saving the patient was extremely slim. Although Xu Chunliang's words were harsh, what they were doing was indeed a last-ditch effort.
Li Jiakuan, also a traditional Chinese medicine practitioner, was somewhat curious. At first, he thought Xu Chunliang was just making a fuss, but the moment Xu Chunliang inserted the acupuncture needle, he felt an indescribable aura. This overwhelming presence reminded him of the time he met the renowned traditional Chinese medicine master, Chu Bo. He couldn't understand why a young man could evoke such a feeling in him. Was it an illusion?
Seventeen minutes had passed since Li Jiakuan started the rescue, and the patient's condition not only showed no signs of improvement but worsened. The patient had lost his breathing and heartbeat, his lips were black, his fingernails were purple, his pupils were dilated, and his reaction to light had disappeared. Anyone could see that the patient was getting closer to death.
Xu Donglai ignored Xu Chunliang, but he could not ignore the patient's family. Telling her to prepare for the worst was essentially a gentle way of saying the patient was beyond saving.
It was precisely because of Xu Donglai's words that the woman in black made up her mind: "Help him with acupuncture! Hurry!"
Xu Donglai sighed inwardly. The situation was becoming desperate, and this rational-looking woman was making a hasty decision. However, since the family had agreed, he couldn't object.
Xu Chunliang had already lifted the patient's right foot. The first needle was inserted into the Yongquan point, located on the sole of the foot, in the depression at the front of the foot, specifically at the midpoint of the depression between the second metatarsal bones.
This point, also known as Dizhong, belongs to the Kidney Meridian, where the body's kidney energy flows out of the body.
Choosing this point was to awaken the patient from a severe coma. Xu Chunliang used a thick acupuncture needle and inserted it at an angle, which would cause intense pain when the needle tip broke through the skin.
An outsider might see the excitement, but an expert would see the method. Li Jiakuan immediately guessed Xu Chunliang's intention. Although the acupuncture technique was correct, he did not believe it would be very effective. Using pain to stimulate the patient to wake up from a coma might be a good idea, but given the patient's condition, it would likely have no effect.
Normally, the first needle is inserted and manipulated for two minutes, followed by the second needle for three minutes before removal. However, to Li Jiakuan's surprise, after Xu Chunliang broke the skin and stimulated the first sensation, he did not stop. Instead, he continued through the plantar fascia and the short flexor muscles of the toes, passing through the interosseous membrane and the dorsal skin of the foot, connecting the Neiting point of the Stomach Meridian. The needle tip penetrated the dorsal skin, piercing the entire sole.
Li Jiakuan was stunned. In his thirty years of medical practice, he had never seen such a strange acupuncture technique. Xu Chunliang's precision in locating the points was remarkable, effectively avoiding the foot's blood vessels and nerves. The needle pierced the sole, connecting the Yongquan and Neiting points, without a drop of blood.
Xu Chunliang repeated the process on the patient's left foot. The next point chosen was Neiguan, also known as Yinwei, belonging to the Pericardium Meridian.
Traditional Chinese medicine is profound, and each acupuncture point has a special significance.
The Neiguan point signifies the surface water of the Pericardium Meridian flowing into the body at this point. The water from the body's lower part flows to the Neiguan point and then enters the internal meridian of the Pericardium through the lower part's gap. However, the vaporized energy of the internal meridian cannot escape through this gap, acting like a one-way valve.
The Neiguan point is located between the palmaris longus tendon and the flexor carpi radialis tendon, on the line connecting the Quze and Dalin points, about two inches above the wrist crease.
Xu Chunliang chose a long needle this time, quickly piercing the skin and passing through the fat layer. When the needle broke through the interosseous membrane, it encountered significant resistance.
Li Jiakuan had completely put aside his initial skepticism. An expert can tell the skill level of another expert at a glance. Xu Chunliang's needle insertion was decisive and precise. This time, he inserted needles into both the left and right Neiguan points simultaneously, stimulating the first sensation by piercing the interosseous membrane, then continuing through the flexor digitorum superficialis to the space between the flexor digitorum superficialis and the flexor digitorum profundus, and finally piercing the median nerve to stimulate the second sensation.
Xu Chunliang calmly manipulated the needles in the patient's Neiguan points with both hands.
Li Jiakuan knew that the Neiguan point was an emergency point. He had read a paper on acupuncture at the Neiguan point helping a patient with a stopped heart for fifteen minutes to regain spontaneous heartbeat. However, he always believed that this was a rare case, and if it were truly effective, it would have been widely adopted in traditional Chinese medicine.
"Ah!"
Xu Donglai let out a light exclamation, as he noticed the patient's right foot moving slightly. He initially thought it was a reflex, but the patient's feet moved alternately, and the movement, though small, did not escape his notice.
Xu Chunliang said, "Please help me hold his legs."
Xu Donglai and Li Jiakuan exchanged glances, both seeing a hint of surprise in each other's eyes. In the end, Li Jiakuan held the patient's legs.
Xu Donglai, though not a traditional Chinese medicine practitioner, could easily see the confidence in Xu Chunliang's calm expression. He interpreted it as youthful arrogance, thinking this young man had not yet experienced the harshness of society. If the rescue failed, would the patient's family blame him? Would they hold him responsible, causing trouble?
He had seen many disputes in his years of practice, and even good intentions were not always appreciated.
He glanced at the woman in black, who was intently watching Xu Chunliang's every move.
Li Jiakuan searched his memory for the article on acupuncture at the Neiguan point for CPR, recalling that the needle should be left in for about ten minutes.
Xu Chunliang's technique once again challenged his understanding. After three minutes at the Neiguan point, Xu Chunliang continued to insert the needle, breaking through the extensor digitorum communis and the interosseous membrane, and piercing the Waiguan point.
The Waiguan point belongs to the Sanjiao Meridian and connects to the Yangwei pulse, making it one of the Eight Converging Points. This needle connected the Yinwei and Yangwei pulses.
In traditional Chinese medicine theory, the human body is divided into yin and yang, with the meridians flowing and yin and yang alternating. When the patient's heart stopped, the heart meridian was blocked, and without the heart's drive, the yin and yang flow stagnated, unable to convert between each other.
Xu Chunliang's needle created a bridge between the Yinwei and Yangwei pulses, allowing the yin and yang energies to flow. The yin energy sinks, and the yang energy rises, like the cold and warm air currents in nature, creating a strong convection.
The human body can be seen as a small natural world, where the yin and yang energies converge, and the stagnant meridians begin to flow again.
Li Jiakuan and Xu Donglai's artificial CPR was not wrong. From a Western medicine perspective, the heart is the center of the circulatory system, and restoring the heartbeat is essential to restore internal and external circulation, and then the body's functions.
If artificial CPR did not achieve the expected results, an automated external defibrillator (AED) would be needed to stimulate the heart. Without an AED, chest compressions and artificial respiration were the only methods, and even an experienced chief physician like Xu Donglai had no better options.
Xu Chunliang used the acupuncture needle to connect the Yinwei and Yangwei pulses, creating a strong convection within the body's meridians. The meridians, which had been stagnant for over ten minutes, began to flow again due to the yin and yang convection.
Xu Chunliang believed that the patient's meridians were like a stagnant water channel, and the heart was like a water wheel in the channel. To make the water wheel turn again, the water in the channel must flow first. Only when the water flows can the water wheel turn.
This concept was almost inconceivable in Western medicine, but it was the profound wisdom of traditional Chinese medicine. Western medicine is based on physiology, while traditional Chinese medicine follows the laws of nature.
The patient first regained a pulse, then a heartbeat.
The patient's feet began to tremble violently, and Li Jiakuan held them firmly, now certain that Xu Chunliang's acupuncture was effective.
Xu Chunliang asked Xu Donglai to help hold the patient's right arm. The patient's consciousness had not yet returned, and he might struggle, affecting the next acupuncture.
Xu Donglai took the opportunity to check the patient's pulse. Although it was weak, a rhythmic pulse had returned, and he began to view this young man with new respect. Using acupuncture to restore a comatose patient's heartbeat and breathing was something he had never seen. Xu Donglai had always had a bias against traditional Chinese medicine, even considering some of its practices pseudoscientific. Before today, he thought Xu Chunliang's methods were only found in strange tales.
Originally, he had mentally pronounced the patient dead, but this young man had brought the patient back from the brink of death with just a few acupuncture needles.
Yin and yang are distinct, and the meridians began to flow. After the heart resumed beating, Xu Chunliang quickly removed the needle connecting the Yinwei and Yangwei pulses. If the yin and yang energies were allowed to mix for too long, it could lead to severe complications. Traditional Chinese medicine contains profound wisdom, and its scope far surpasses Western medicine.
With the heartbeat and spontaneous breathing restored, the internal and external circulation resumed, and the patient's oxygen deprivation symptoms began to improve. The lips, which were black, turned purple, and the purple discoloration of the fingernails began to fade. Both Xu Donglai and Li Jiakuan, with their years of clinical experience, could see that the patient's condition was rapidly improving.
The patient's pulse became stronger, and his breathing could be heard. Everyone realized the positive change. The flight attendant who had brought Xu Chunliang in took out her phone to capture the touching moment but was coldly stopped by the woman in black: "Please respect the patient's privacy, or I will reserve the right to pursue legal responsibility!" Her voice, though pleasant, conveyed a firm and strong determination.
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