Chapter 830: Wind Paralysis

Chapter 830: Chapter 830: Wind Paralysis

Before meeting Li Xu, Wang Chuyun had held high expectations for Ju Jiahong and thought highly of him. After all, the older generation of traditional Chinese medicine practitioners was gradually aging, and the new generation inevitably had to step up. If Ju Jiahong couldn’t even reach the level of people like Wang Chuyun or Song Luojun in the future, who else would be left to take up the mantle for traditional Chinese medicine?

Ju Jiahong naturally thought the same.

Listening to Song Luojun’s words, Ju Jiahong looked thoughtful.

"Do you know which department Li Xu is in at the Hospital of Traditional Chinese Medicine these days?" Song Luojun asked him.

"Isn’t he in the Traditional Chinese Medicine Department?" Ju Jiahong asked.

"He’s in the Emergency Department," Song Luojun said.

"The Emergency Department?" Ju Jiahong paused in surprise; he genuinely hadn’t known that.

Song Luojun said profoundly, "Li Xu’s clinic allows him to encounter many acute and critical cases, and the conditions and medical standards at the Hospital of Traditional Chinese Medicine also give him the chance to fully display his talents. He recently chose the Emergency Department simply to continuously hone his skills.

"No matter how high one’s talent is, they must still continuously learn, train, and enrich themselves. Otherwise, they will just become another Fang Zhongyong."

"Grandfather, what are you trying to say?" Ju Jiahong asked.

"I want you to go out and gain some experience," Song Luojun said. "You can take this time to think about where you want to go. After the Spring Festival, you will leave Renmin Hospital."

Glancing at his grandson with a sense of frustrated disappointment, he added, "Also, find a girlfriend and settle your marriage before the Spring Festival. You are already thirty-eight years old."

Song Luojun normally wouldn’t have felt burdened by sending Ju Jiahong out for practical experience. The problem was that Ju Jiahong was already thirty-eight and still unmarried. If he went out to train for a year, it would be another year delayed, and he would soon be pushing forty.

Time passed quickly.

After spending some time in the Emergency Department, Li Xu returned to the Expert Clinic. After all, he couldn’t stay in the Emergency Department to help out forever. The Expert Clinic was Dean Song’s core purpose for hiring him.

Meanwhile, Li Lin officially graduated and stayed on at the Hospital of Traditional Chinese Medicine. This allowed him to study under Li Xu with complete peace of mind, and Li Xu was more than happy to teach him.

One day, Dr. Ren Yaxin from the hospital’s Internal Medicine Department encountered a difficult problem and sought Li Xu’s help. Li Xu brought Li Lin along as he headed over.

The patient was an elderly man in his sixties, accompanied by his children. Upon sitting down, Li Xu immediately noticed the patient’s condition and the crutches resting by his hand.

"Dean Li, the patient’s primary symptom is hemiplegia caused by a stroke," Dr. Ren Yaxin briefed him, standing nearby.

After suffering a stroke three years ago, the patient had been left with right-sided hemiplegia. His right hand felt numb, his right leg was difficult to move, and he lacked the strength to walk. In addition to the hemiplegia, the patient had a history of hypertension. His urine was usually pale and quite foamy, and he was prone to feeling cold.

As Li Xu listened, he reviewed the patient’s medical records. Dr. Ren Yaxin had already examined the patient before he arrived and logged the results into the computer. The patient’s tongue was pale red and moderate in size, with teeth marks along the edges. As for his pulse, the right side was stronger than the left, presenting a forceful, surging, and slippery pulse...

"Li Lin, come take a look as well," Li Xu called out.

Li Lin walked over and read through the patient’s records on the screen.

"What are your thoughts?" Li Xu asked with a smile once he had finished.

Li Lin had been studying under him for over half a year now. His skills had improved tremendously, and Li Xu frequently tested him.

After pondering for a moment, Li Lin personally took the patient’s pulse and asked a few questions before answering. "In traditional Chinese medicine, the patient’s condition can be called Wind Paralysis."

Li Lin explained, "The *Spiritual Pivot*, in its Chapter on febrile diseases, states that ’in the disease of paralysis, the body feels unconnected, the four limbs are flaccid, but the mind is not severely confused.’

"The *Required Readings for Medical Professionals* also mentions, ’Paralysis implies a loss of function. It involves deep pathogenic factors that cause partial paralysis...’

"Therefore, Wind Paralysis is exactly the patient’s current condition: hemiplegia due to a stroke."

"Mhm." Li Xu nodded.

Li Lin was exceptionally diligent, and that diligence was exactly why Li Xu was willing to teach him. Over the past six months, Li Lin had read a great deal, especially the books Li Xu had specifically recommended, such as the *Inner Canon of the Yellow Emperor* and the *Treatise on Cold Pathogenic and Warm Pathogenic Diseases*. Although he couldn’t achieve Li Xu’s photographic memory—which had been directly instilled by a system—he still studied tirelessly, often forgetting to eat and sleep.

Scratching his head in thought, Li Lin continued, "This disease has two main characteristics. First, Wind Paralysis develops rapidly, which is a manifestation of wind pathogenic factors. Its symptoms are similar to a stroke, but not entirely the same.

"A stroke is mainly caused by the chaotic flow of qi and blood, producing wind, fire, phlegm, and stasis. This leads to the blockage of cerebral vessels or blood overflowing outside them. The primary symptoms include sudden fainting, hemiplegia, numbness of the limbs, stiffness of the tongue resulting in an inability to speak, deviation of the mouth and eyes, and one-sided numbness.

"Wind Paralysis, on the other hand, is primarily caused by external wind pathogens or the depletion of kidney essence. Its main symptom is the loss of function in the four limbs—specifically, flaccid and weak limbs—but it generally lacks typical stroke manifestations like facial deviation or sudden fainting."

As Li Lin spoke, Dr. Ren Yaxin couldn’t help but feel a little surprised. When Li Xu had first questioned him, she assumed he was just lightly testing his apprentice. She hadn’t expected Li Lin to be this impressive. To be honest, although both stroke and Wind Paralysis were traditional Chinese medicine diagnoses, truly distinguishing between the two was quite difficult.

Li Lin continued, "In the pathogenesis of Wind Paralysis, wind pathogens play a major role. Furthermore, its primary symptom is the flaccidity of the four limbs.

"The spleen and stomach govern the muscles, so this flaccidity is closely related to a weak spleen and stomach, as well as a deficiency in qi and blood. When qi and blood are weak, the driving force is insufficient, and blood circulation slows down. This causes blood stasis and wind pathogens to block the vessels together. The downstream muscles then struggle to receive nourishment from the blood, resulting in them becoming flaccid and useless.

"The patient’s symptom of hand numbness is actually a sign of blood stasis within the muscle tissues. The pale, foamy urine and the aversion to cold are manifestations of spleen and kidney yang deficiency. Generally, if there is cold or yang deficiency in the body, the urine will be pale. If there is heat or yin deficiency, the urine will be yellow...

"Also, the patient’s left-hand pulse is weaker than the right, while the right is a surging and slippery pulse. This is because the left-hand pulse governs blood-rich organs like the heart and liver, whereas the right-hand pulse governs qi-controlling organs like the lungs and spleen..."

With an embarrassed smile, he added, "Senior, I’m just analyzing this based on the patient’s condition and what I’ve learned. I’m not sure if I’m right."

It was evident that Li Lin’s answer felt more like taking an oral exam than performing a true dialectical diagnosis. The patient’s condition was actually quite complex, and Li Lin rarely encountered cases like this. He had only answered based on textbook knowledge because Li Xu had asked him.

Li Xu smiled. "Dialectical diagnosis is simply analyzing the patient’s condition based on what you already know.

"You need to have confidence in yourself. Your analysis is absolutely correct, and your line of thinking is spot on."