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Li Yingxue glanced at Nangong Shuang with a sense of pride and exclaimed, “Yesterday at the Guo Residence, Qin Hui showcased the astonishing musical talent of Nangong Shuang from the Qian Mansion. It is said that her medical skills are equally remarkable. I have specially invited her today to exchange knowledge in medicine, and I hope Xu the Great can provide guidance.”
Xu Taiyi turned his gaze toward Nangong Shuang, assessing her from head to toe. “Oh? Is this the young lady in question?”
Nangong Shuang stood up and respectfully bowed. “I am Nangong Shuang, and it is an honor to meet you, Xu the Great.”
Xu Taiyi nodded slightly. “I have heard that your medical skills are exceptional. May I ask who your teacher is?”
“My master is Yunyou Dao Ren, who prefers to remain unnamed,” Nangong Shuang replied cautiously.
Xu Taiyi stroked his beard and chuckled lightly. “Does the young lady understand the Four Diagnostic Methods?”
“I know a little about them,” Nangong Shuang humbly responded.
A glimmer of appreciation flashed in Xu Taiyi's eyes. “Humility is commendable. However, a physician should prioritize saving lives; excessive modesty can lead to missed diagnoses. Since today is Yao Yan, why not allow this old man to test your knowledge?”
Nangong Shuang understood that this was a challenge set by him but could not back down. She nodded, saying, “I will heed your guidance.”
Xu Taiyi pondered for a moment before speaking. “I will pose three questions. If you can answer them all correctly, I will acknowledge your medical skills. If there are any mistakes, it would be quite embarrassing.”
Nangong Shuang smiled calmly. “Please proceed with your questions, sir.”
Xu Taiyi raised a finger. “First question: What is 'the disease of hidden qi'?”
Nangong Shuang felt a surge of joy inside; this question was not difficult. “The disease of hidden qi refers to an ailment where the pathogenic factors lie dormant within the body, accumulating without manifesting symptoms. The patient appears healthy but may experience sudden illness due to specific seasons or environments. For example, if cold pathogens enter the body but do not manifest in summer, they may cause illness in winter; this is known as the disease of hidden qi.”
Xu Taiyi nodded slightly. “Correct. Second question: What does 'the five organs mutually restraining each other' mean?”
Nangong Shuang answered with composure, “The concept of the five organs mutually restraining each other applies the theory of mutual restraint among the five elements to medicine: the liver restrains the spleen, the spleen restrains the kidneys, the kidneys restrain the heart, the heart restrains the lungs, and the lungs restrain the liver. If one organ becomes overly dominant, it can easily overpower its counterpart, leading to illness. A physician must first discern the balance of the five organs before proceeding with treatment.”
Xu Taiyi's admiration deepened: “Very good. Now for the final question: In 'Shang Han Lun,' it states: 'For a taiyang disease lasting three days with sweating already induced; if vomiting or purging has been attempted and warming needles still do not resolve it; after these three days, one may induce sweating again.' What is this prescription?”
This question was quite tricky as it involved specific passages from classical medical texts that would be difficult for anyone not well-versed in medicine to answer. The people in the hall held their breath in anticipation of Nangong Shuang's response.
Nangong Shuang contemplated deeply; this excerpt was from Article 63 of 'Shang Han Lun,' discussing how to handle a taiyang disease that has not improved despite treatments like sweating, vomiting, and warming needles.
“This is Gui Zhi Decoction combined with Fuzi Decoction,” Nangong Shuang answered calmly. “If a taiyang disease lasts three days and has undergone sweating, vomiting, and warming needle treatments without improvement, it indicates that pathogenic factors have deeply penetrated and righteous qi has been severely damaged. At this point, if one recklessly induces sweating again, it could harm righteous qi; conversely, if one does not induce sweating, pathogenic factors will remain. Therefore, one must wait until after three days when righteous qi has somewhat recovered before using Gui Zhi Decoction combined with Fuzi Decoction to induce sweating again; this approach can both expel pathogens and support righteousness—truly a win-win situation.”
The hall erupted in astonishment; even Xu Taiyi could not help but clap his hands in admiration. “Wonderful! Not only does this young lady remember her formulas well, but she can also articulate their underlying principles—truly remarkable!”
Nangong Shuang humbly bowed again. “I only know a little; it is hardly worth mentioning.”
Xu Taiyi shook his head with a smile. “You are being overly modest. Although these three questions may seem simple, your ability to clearly explain their intricacies already proves that your medical skills are extraordinary; you must have come from a prestigious lineage.”
Seeing Nangong Shuang pass with ease, Li Yingxue's expression darkened as she quickly interjected, “Xu the Great, it is easy to talk about theory on paper but challenging to perform in real-life situations. Why not let Nangong Shuang diagnose a patient on-site? Wouldn’t that better test her true abilities?”
Xu Taiyi pondered for a moment before nodding and saying, "There is truth in your words."
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