Chapter 28: 028 Diabetes Insipidus Symptoms Zuo Liangliang came in and said that the Old Lady had the three high.
Wu Buwei had just measured the Old Lady’s blood pressure and had already recorded it.
So Du Heng did not rush to diagnose, but first opened the medical records that Wu Buwei had just recorded.
There was a 180 in the blood pressure column? Du Heng’s eyes widened. The blood pressure was this high? "Buwei, are you sure this wasn’t a mistake?"
"Senior Brother, I’m not mistaken. I checked it three times, and these are the values." Wu Buwei leaned forward, pointed at the bottom, and said, "Look at this number, isn’t it terrifyingly high?"
Blood sugar 12.8? Du Heng’s heart tightened. He couldn’t quite believe this number. "Buwei, are you sure you didn’t measure it wrong?"
"No, I tested it twice with our blood glucose meter after measuring the blood pressure, and it’s this number."
My goodness. For normal people, a blood pressure of 120 is considered normal, and 135 is the upper limit; 180 is a full 50 above that. Her blood sugar is also high. The normal range is 3.9-6.1, but this Old Lady has a value of 12.8—twice that of a normal person. There’s no doubt her blood lipids are also out of the normal range. Usually, whether it was blood pressure or blood sugar, if either reached the Old Lady’s levels, one would already be dizzy and faint.
But now, looking at the lively Old Lady, Du Heng found that the most dangerous person was not the old man lying on the bed, but the Old Lady wandering aimlessly on the ground.
To put it bluntly, with these two values, the Old Lady could be gone at any time, without giving you a chance to rescue her. Zuo Liangliang watched as Du Heng and Wu Buwei pointed and discussed. He also curiously peeked, only to have the same reaction as Du Heng—completely frightened.
He was a village doctor, and one of his basic tasks was to measure villagers’ blood pressure. He was also very clear about some basic values.
Looking at his aunt’s blood pressure now, he felt the blood vessels on his forehead jumping nonstop.
Du Heng steadied himself. Perhaps it was because of an empty stomach that these seemingly high values occurred, he thought, and asked with a little hope, "Auntie, did you have breakfast this morning?"
"Yes, I made an egg for the old man and soaked some bread. I ate two potatoes from yesterday."
Du Heng felt his breath shaking. What are people with hyperlipidemia afraid of? High-starch foods, indeed. "Auntie, you can’t eat like this in the future. You need to eat three meals a day on time. High-starch foods, especially potatoes and Noodles, should not be eaten anymore. Your blood sugar is so high, your body can’t handle eating potatoes on an empty stomach; it could be life-threatening."
But the Old Lady was nonchalant. "It’s fine. I eat like this every day, and there’s never been a problem."
Hearing the Old Lady say this, Du Heng could only conclude that her body had become accustomed to these values.
The three-high syndrome corresponds to the condition of diabetes insipidus in traditional Chinese medicine, and its range is even broader. Although diabetes insipidus has upper, middle, and lower stages, for the Old Lady’s situation, there’s no need to differentiate too finely—just using the Three Dispersers Beverage prescription is enough. "Auntie, I’m telling the truth; you need to take care of yourself. The old man still needs you to take care of him."
"Alright, alright, I’ll listen to you. So how do you treat it? Do I need Acupuncture too?"
"No need for Acupuncture. I’ll give you a prescription, and you take it twice a day after meals."
"Then you write it." The Old Lady was not modest at all.
Du Heng turned to Wu Buwei next to him and said, "Buwei, how do you treat the Old Lady’s condition?"
Du Heng’s questions came at any time, and Wu Buwei had already become used to it. He had thought about it just now.
"The condition belongs to diabetes insipidus, so use the Three Dispersers Beverage prescription."
Du Heng smiled. This was the first time Wu Buwei answered so quickly and was also correct. "Do you know the prescription for the Three Dispersers Beverage?"
"I know."
"Then what are you waiting for? Write it down quickly."
"Yes!"
Wu Buwei almost jumped for joy.
During this time, to be honest, his confidence had been a little shaken by Du Heng. Wu Buwei began to write the prescription, and Du Heng turned his attention to Zuo Liangliang again. "Mr. Zuo, please take care of your aunt’s condition and pay close attention to her blood pressure and blood sugar. After the prescription is ready, remind her to take the medicine on time. You should focus more, measure her blood pressure and blood sugar more often. Once they return to normal values, or close to normal values, change the medicine to once a day."
Zuo Liangliang nodded. "Rest assured, I will definitely be responsible. Sigh, I usually do the measurements too; I just didn’t do it these two days. I didn’t expect it to be this high."
As they spoke, Wu Buwei had already written the prescription. Du Heng took a look and changed the 3 grams of Ginseng directly to 15 grams. "The Ginseng available now is all artificially cultivated, and the potency has been greatly weakened. What can your dosage do?"
Wu Buwei scratched his head embarrassedly; he had written the dosage according to the prescription in the Book.
Du Heng made that one comment and didn’t elaborate, then handed the prescription to the Old Lady. "Auntie, hold on to the prescription. You can get the medicine at the clinic in the village. Also, don’t drink alcohol, don’t eat fatty meat, and don’t eat high-starch foods like Noodles and potatoes. Eat more rice and vegetables."
The Old Lady looked a bit troubled; as one of the Northwest People, not eating Noodles and not eating potatoes seemed like there was nothing left to eat.
"Auntie, I’m not kidding; these things are too harmful to you. You can eat them occasionally, but absolutely not continuously."
"Alright then." The Old Lady reluctantly agreed.
Zuo Liangliang also spoke, "Doctor Du, don’t worry, I will supervise her. Once we’re done, I’ll call my brother and ask him to buy more rice and vegetables for the house."
"That would be good."
With that, they got up and shouldered their Medicine Boxes. "Well, let’s go. We still have a lot more to do."
The Old Lady also got up. "You’re really not going to ask for money?"
Zuo Liangliang pretended to be angry. "Auntie, they are Doctors from the Health Clinic. They said they don’t want money; they won’t lie to you."
"I was just asking."
"You go take care of my Uncle. We’re leaving."
As they left the door, Du Heng realized that the sun was already directly overhead.
. He took out his Mobile phone and glanced at it. Well, now. 11:37. They had arrived at this house at nine in the morning; three hours had passed, just to see this one family.
"Doctor Du, Doctor Wu, it’s getting late. Let’s go to my house first. We can continue after lunch."
Zuo Liangliang looked at the time and decided not to lead the way any longer; it was more pressing to have lunch first.
Du Heng was also hungry at this time, and a break was just right for him to think. He felt that his method might have been wrong. If they continued with the current arrangement, visiting the hundred or so households in Mubangou alone would probably take nearly a month. That didn’t even account for the other ten administrative villages. A large village like Duke Village, with six natural villages under its jurisdiction and a population of over three thousand—when would they ever finish that? Lunchtime would be a good opportunity to plan how to proceed. "Okay, let’s have lunch first then. Thanks for hosting, Mr. Zuo."
"What are you talking about? Your coming here is a great help to me and benefits our fellow villagers. Let’s go. After lunch, you’ll still be busy."
The three of them laughed and walked towards Zuo Liangliang’s house.