Chapter 65: Methods of Decoction and Administration of Traditional Chinese Medicine, Along with Dietary Taboos-Mestre Nacional: Começando como Médico Tradicional em Consultório(Tian Meng Wan)

After finishing the medical record, Zhang Jing took out a blank prescription sheet and rewrote the prescription in neat regular script.

He then handed it to Xuanxuan's mother. "The decoction methods and dietary taboos are a bit complicated, so I'll go out with you. You can get the medicine first, and I'll give you a instruction sheet on decoction and dietary restrictions shortly."

Xuanxuan's mother nodded repeatedly. "That's wonderful. I was worried my brain wouldn't be able to remember all of it."

The two of them walked out of the consultation room one after the other.

At this moment, the boss, Ma Hui, had already arrived at the clinic and was maintaining order.

Zhang Jing stepped forward to greet her. "Elder Sister, I need to go print something. Please ask the patient's family to wait just a moment longer."

"Go ahead, go ahead. I have this secret weapon, the kids won't make a fuss," Ma Hui said, lifting the comic book in her hand.

Indeed, having been a mother herself, she had the experience and knew how to keep these unruly children quiet.

Zhang Jing walked into the dispensary, and the moment Guicui saw him, she quickly stood up from her chair.

"Dr. Zhang, is something wrong?"

"Nothing's wrong. Go ahead and input the prescription for little Liu Zixuan, charge the fee, and prepare the medicine. I'm going to borrow your computer to print something." Zhang Jing placed the prescription in his hand on the desk.

"What do you need to print? Just tell me, and I'll print it for you. Did you forget? My typing speed is very fast," Guicui said eagerly.

Zhang Jing smiled. "No need, don't keep the patient's family waiting too long. Just focus on your own work. The text I want to print is all in my head, and entering it myself will be faster."

"Oh, is that so? All right then."

Guicui put down the prescription and began typing deftly.

It was completed in less than a minute.

Then she said to Xuanxuan's mother standing outside the window, "Liu Zixuan, the total for the three doses of medicine is 16.8 yuan. You can just scan the QR code to pay."

Hearing the WeChat payment notification sound, Guicui immediately picked up the prescription and stood up, offering her seat to Zhang Jing.

She said sweetly, "Dr. Zhang, I'm going to dispense the medicine now. You can do your typing."

"Okay," Zhang Jing nodded.

After sitting down, Zhang Jing first clicked to minimize the outpatient system, and then found the Word document on the desktop.

Although Guicui used Pinyin for typing, she had downloaded the Sogou Wubi input method, which supported both Pinyin and Wubi without needing to switch, allowing for direct entry.

Zhang Jing had actually conceived of this instruction sheet for decoction methods and dietary taboos long ago, but it would have been inconvenient to prepare it in advance before encountering a coughing and wheezing patient.

That was to avoid making Guicui suspect him of having foresight.

Zhang Jing had an excellent memory, and although he rarely used computers in daily life, it did not affect his Wubi typing speed.

First, he typed out the decoction methods, all based on Teacher Li Yu's experience.

However, to make it easier for patients, he modified them to be more detailed.

For children under three years old, generally use 300 milliliters of water. Soak in clear water for about 10 minutes first, bring to a boil over high heat, then lower the heat and simmer for about 15 to 18 minutes, concentrating down to 80 to 120 milliliters, taken warm in three to five divided doses.

For children aged three to six, generally use 400 milliliters of water. Soak in clear water for about 15 minutes first, bring to a boil over high heat, then lower the heat and simmer for 15 to 20 minutes, concentrating down to 120 to 150 milliliters, taken warm in three divided doses.

For children aged six to ten, generally use 500 milliliters of water. Soak in clear water for about 15 minutes first, bring to a boil over high heat, then lower the heat and simmer for 15 to 20 minutes, concentrating down to 150 to 180 milliliters, taken warm in two to three divided doses.

For children over ten years old, generally use 600 to 700 milliliters of water. Soak in clear water for about 20 minutes first, bring to a boil over high heat, then lower the heat and simmer for 20 to 25 minutes, concentrating down to about 200 milliliters, taken warm in two to three divided doses.

For adults, generally use 1000 milliliters of water. Soak in clear water for about 20 minutes first, bring to a boil over high heat, then lower the heat and simmer for 30 to 40 minutes, concentrating down to 300 milliliters, taken warm in two to three divided doses. (Alternatively, a two-decoction method can be used: take the herbal residue from the first decoction, add 500 milliliters of water, bring to a boil over high heat, then lower the heat and simmer for 20 to 30 minutes, concentrating down to 150 milliliters. Combine the 450 milliliters of medicinal juice from both decoctions, and take warm in three divided doses.)

Note: If there are herbs that require prior decoction, boil them with water first for 15 to 30 minutes, using about 200 to 300 milliliters of water, making sure not to boil it dry. Herbs to be added later should be put in about 5 to 8 minutes before the decoction is done, and the heat should be turned up slightly.

If the condition is urgent, no soaking is needed, and water can be added for direct decoction. If the herbs are not very clean, they can be rinsed with water once before soaking. After decocting, if the medicinal liquid is relatively turbid, gauze should be used to filter out the residue.

Precautions for taking the medicine: 1. Unless specially instructed, Chinese medicine is generally best taken about fifteen minutes after meals; 2. Generally one dose per day. For acute conditions (such as fever or severe coughing and wheezing), it is advisable to take small amounts frequently (with an interval of about forty minutes between doses). After finishing one dose, another dose can be decocted. In severe cases, multiple doses can even be used per day to maintain drug concentration and effective impact.

After finishing this content, he immediately went on to input the dietary taboos for coughing, wheezing, and general common illnesses:

1. Seafood: shrimp, crab, and fish (Seafood, shrimp, and crab should be avoided for at least a year or more by patients with allergic coughs and asthma. If the condition is stable, river shrimp can be reintroduced first; kelp has no obvious irritation found and is not on the forbidden list; freshwater fish, if the cough is not obvious, can be eaten in moderation, but not in large amounts.)

2. Ice and cold drinks (The Inner Canon states: "External cold and cold drinks harm the lung," so they must be strictly avoided during periods of coughing and wheezing. Those with a weak yang constitution and asthma should stay away even when not in a flare-up. It is generally advisable to drink plenty of warm water, and beverages should be avoided during coughing and wheezing periods.)

3. Watermelon, pears, musk melons, cantaloupes, and mangoes (Watermelon must be strictly avoided during coughing and wheezing periods, and patients with allergic coughs and asthma should also eat less or none at ordinary times; dry coughs do not forbid pears; musk melons, also known as sweet melons, are like cantaloupes in that they easily irritate the throat and produce phlegm; mangoes easily cause allergies and tend to stimulate and aggravate inflammation, as do longans, lychees, and durians; some patients are allergic to pineapples and should be observed closely.)

4. Spicy and greasy foods (Such as chili products, five-spice foods, braised chicken, beef, mutton, goose, spicy hot pot, mapo hot pot, braised pork belly, fatty pork, trotters, glutinous rice foods, green rice balls, zongzi, deep-fried, barbecued, baked, and marinated foods.)

5. Sweet and greasy foods (Such as candies, chocolate, mooncakes, pastries, cakes, cream, and the like.)

6. McDonald's and KFC (Ice and fire mixed together, hot and cold intertwining, most easily aggravates coughing and wheezing; should be strictly avoided during coughing and wheezing periods, and eaten less ordinarily.)

7. Cured products (Such as salted meat, salted eggs, salted fish, salted vegetables, olive vegetables, cured meat, bacon, sausages, and the like.)

8. Dairy products (Yogurt is unsuitable during a cough and should be brought to room temperature if consumed normally; if the cough is very obvious, milk should be paused.)

Finally, for the convenience of patients to contact him, he also attached his personal mobile phone number and the clinic's operating hours.

After adjusting this content to No. 4 Songti font, it filled exactly one A4 sheet of paper.

Zhang Jing printed twenty copies first for standby use.

Guicui had already finished dispensing the medicine and stood nearby watching closely.

As she watched, she repeatedly praised Zhang Jing for his thoroughness.

However, when she saw the mobile phone number left at the end, she couldn't help reminding him, "Dr. Zhang, you shouldn't write this private phone number directly on there. If it's really necessary, just tell the patients verbally, otherwise you'll likely be harassed."

Zhang Jing frowned slightly. "Patients contacting a doctor when they have issues, how can that be considered harassment?"

Although Guicui was rebuffed, she didn't mind at all and insisted, "Normal patients won't, of course, but it's hard to say with certain people who have ulterior motives, like some infatuated little girls."

Zhang Jing certainly knew her words pointed to something, but there was no need to hide it from her either.

So he said indifferently, "I've basically left my number for the previous patients as well, including Li Ziqi."

"Ah?" Guicui was instantly stunned.

She thought to herself: Oh, you, Dr. Zhang, and you said you had no interest in her at all. You remember her name so well that it just rolls right off your tongue, and you even left your mobile phone number for her, not afraid of her misunderstanding at all!

Zhang Jing didn't have time to chatter with Guicui. He stood up, picked up the printed instructions on Chinese medicine decoction methods and dietary taboos, and strode out of the dispensary.

He called out to Xuanxuan's mother sitting on the waiting room chair, "Xuanxuan's mother, please come with me to the consultation room again, and I'll go over the decoction methods and dietary taboos with you."