CHAPTER 79: CHAPTER 44: TRIPLE ELIMINATION

Lu Xuan didn’t seem to mind what he had done at all.

If it were him, he definitely couldn’t be as forgiving and lenient as Lu Xuan, easily letting it go.

"Thank you, Dr. Lu."

Liu Shao sat down and meticulously recounted his condition over the past year since he got sick. He went into great detail, even mentioning which hospitals he visited and what medications he took.

His most recent blood sugar check was as high as 272 mg, and his urine sugar reached ++++, with a weight loss of more than 20 pounds from before. Before being diagnosed with diabetes, he also had a history of emphysema, hepatitis, and Ménière’s syndrome.

"Dr. Lu, is my condition very serious?" Liu Shao asked, full of concern.

Lu Xuan pondered for a moment, "It is indeed a bit serious, but it’s not untreatable. However, there is something I must make clear to you. Diabetes can be managed and controlled, and medication can reduce urine sugar to a + or even lower, but it’s unlikely to be completely cured."

"I understand that. If I can keep it at a +, I’d be very grateful. I’ve taken a lot of medication before, but my urine sugar has always been ++++, sometimes dropping to +++, but never going lower. Dr. Lu, please prescribe the medication, I trust your expertise."

At this point, Liu Shao had complete trust in Lu Xuan. A doctor who could diagnose his condition just by taking his pulse was something he’d never seen before. If he couldn’t trust Lu Xuan, then who could he trust?

Lu Xuan nodded and turned to Su Kenan, "How should we treat this? Why don’t you share your thoughts?"

Su Kenan looked slightly startled, not expecting Lu Xuan to seek her opinion at this moment, feeling a bit anxious, "Me... are you sure?"

"Just give it a try, it doesn’t matter if you make a mistake." Lu Xuan looked at her with a smile.

Liu Shao also smiled and said, "Miss, just listen to Dr. Lu. I’m not a doctor, but I’ve studied Chinese medicine somewhat. I know that the hardest part is gaining experience, and this is a rare opportunity. Many medical students don’t even get such a chance."

With encouragement from both Lu Xuan and the patient, Su Kenan mustered up the courage and said, "I studied before that the basic pathology of diabetes is the loss of Yin fluids, the tendency toward dryness and heat, with Yin deficiency being the root and dryness heat the manifestation, both influencing each other. The more Yin deficiency, the more dryness and heat, and vice versa.

The affected organs in diabetes are mainly the lungs, stomach, and kidneys, and although there can be emphasis on one, they often affect each other. Among them, the kidneys are particularly important."

Lu Xuan nodded as he listened, clearly seeing that Su Kenan studied diligently; otherwise, it would be hard to remember so many details clearly.

"That’s the pathology, how about the treatment?"

Lu Xuan looked at her seriously.

His gaze lingered on Su Kenan’s slightly flushed face.

Their eyes met in the air, and Su Kenan instinctively avoided his gaze, looking at the computer screen in front of her, pondering, "Diabetes is divided into upper, middle, and lower types based on the severity of the symptoms, and into lung dryness, stomach heat, and kidney deficiency.

As for prescribing medication, I..."

Su Kenan lightly bit her red lips, "I don’t know."

"Knowing this much is already quite impressive. Most undergraduate students couldn’t say this much without serious studying."

Lu Xuan’s gaze fell on her side profile, "Let me take it from here. When lung dryness is predominant, with pronounced thirst symptoms, it’s called upper diabetes; for upper diabetes, we can use a prescription to clear heat and moisten the lungs, generate fluids, and quench thirst.

When stomach heat is dominant, with pronounced excessive eating symptoms, it’s called middle diabetes; for middle diabetes, clearing the stomach, reducing fire, nourishing Yin, and increasing fluids is key.

If kidney deficiency is predominant, with pronounced excessive urination symptoms, it’s called lower diabetes; for lower diabetes, one should choose substances that nourish Yin, replenish the kidneys, and moisten dryness to quench thirst.

Mr. Liu’s diabetes primarily involves the upper and middle types, with the lower type as a supplement."

Hearing this, Su Kenan finally turned around, looking intently at Lu Xuan, "Then... how about prescribing the medication?"

Lu Xuan picked up Liu Shao’s medical record, writing as he said, "Let’s use a combination of Ophiopogon Soup, Erzhi Pill, and Fluid Increasing Soup, with a focus on Dioscorea and powdered rhizome of Trichosanthes.

Ophiopogon and Ophiopogon japonicus clear and nourish the lungs and stomach, Polygonatum and powdered rhizome of Trichosanthes generate fluids and quench thirst, raw hyacinth bean and raw licorice nourish Qi and strengthen the center, mildly harmonizing the stomach, paired with mulberry leaves to gently disperse dryness-heat, forming a formula with the effects of clearing and nourishing the lungs and stomach, generating fluids and moistening dryness.

Ligustrum lucidum, sweet, bitter, and cool, is good at nourishing the Yin of the liver and kidneys; Achyranthes bidentata, sweet, sour, and cold, nourishes the Yin of the liver and kidneys, and also cools the blood and stops bleeding. Both medications are gentle in nature, nourishing the liver and kidneys without being greasy, thus forming a formula that gently supplements the liver and kidneys.

Figwort Root, Ophiopogon japonicus, and raw Rehmannia greatly replenish Yin fluids, by increasing water; when the water is full, the boat moves on its own."

As he finished speaking, Liu Shao’s medical record was filled with dense names of medicines.

After finishing, Lu Xuan turned to Su Kenan, "Is there anything unclear to you?"

Su Kenan nodded, then shook her head, "I... I want to go back and think it over thoroughly."

"That works too."

Lu Xuan smiled and looked at Liu Shao, "Three sets of medicine, one every other day. Once you finish them, come back for a follow-up. Your diabetes situation is a bit serious, so it might take some time.

Liu Shao nodded, "I’ll come back when I’m out of medicine. I’ll schedule an appointment with you later, though it’s a bit tough to get one right now."

"No worries, I’m at the Health Center from Monday to Friday for consultations. You can come anytime."

The difficulty in scheduling appointments was beyond Lu Xuan’s control. He could only see so many patients in a day, even if he worked through lunch without a break. There’s always someone who can’t get an appointment.

This issue isn’t just at his practice; in fact, any somewhat competent doctor’s schedule is hard to book, which is why so many appointment scalpers exist.