This doctor is very stable

Qian Yongjian stuck out his tongue.

His tongue was dark red with obvious ecchymosis.

Judging from the tongue appearance, the patient is blood stasis and Qi stagnation.

With a preliminary judgment, Lin Ran continued to push down.

Cut pulse.

It was only then that Lin Ran concluded that the patient was weak.

Xianmai, also known as the Liver Vessel, governs liver and gallbladder disease, various pains, phlegm retention, and malaria.

Combining the patient's appearance and the thin body shape, Lin Ran determined that the patient was suffering from stagnation of Qi and blood.

Lin Ran then questioned the patient.

The patient has persistent pain in the upper abdominal area, often involving the back, and the pain is severe when lying down, which can be relieved by bowing forward and bending the legs, fullness of the chest and abdomen, nausea, vomiting or hiccups, lack of appetite, dry mouth and bitter mouth...

These symptoms also corroborated Lin Ran's previous judgment.

After the dialectic is clear, it is the theory of governance.

If it is normal qi and blood stasis, then just use Gexia Zhuyu Decoction directly.

But the patient is a patient with advanced pancreatic cancer, and almost lost his stomach qi.

To put it bluntly, the patient's intestines and stomach decompose, and the ability to absorb nutrients in food has been extremely poor.

If a patient has poor gastrointestinal motility ability, even if he is fed the magic medicine, he will not be able to absorb the properties of the medicine.

It is definitely not acceptable to directly use drugs that promote blood circulation, remove blood stasis and resolve hardness.

Going back to the content taught by Mr. Xu, in the treatment of advanced cancer, we must first maintain our righteousness and appetizers!
Then the first step is to see the method, which is to invigorate the spleen and whet the appetite.

Among them, the spleen-invigorating and appetizing drugs mainly include ginseng, astragalus, Atractylodes macrocephala, yam, woody fragrance, amomum seed, jujube seed, licorice, etc...

Such as Lizhong Decoction, Four Gentlemen Decoction, Spleen Invigorating Decoction...

The appetizer and spleen invigorator here also needs to know the patient's spleen and stomach cold and heat!

Tonic and warm medicines are mainly used for spleen and stomach deficiency and coldness, while laxatives and cool medicines are used for spleen and stomach excess heat.

Going back to the previous dialectics, the patient's tongue is dark red, with ecchymosis, dry mouth and bitter mouth, which should be the evidence of excess heat in the internal organs.

However, the excess heat syndrome here does not refer to dampness and heat in the spleen and stomach, but excess fire in the liver and gallbladder.

The first step of medication must not be wrong.

Just as the so-called long-term illness and more deficiency of the stomach and intestines, the appetizing and spleen-invigorating drugs used here should be warm tonics.

Therefore, if Lin Ran were to prescribe a prescription, he would use Shenling Baizhu San, which warms the spleen and appetizers.

Of course, considering the patient's excessive heat in the internal organs, the dosage here should be controlled in a small amount.

In this step, many terminally ill patients will make mistakes, thinking that since it is a syndrome of excess heat, warm tonics should not be used.

In fact, this is inaccurate. There is nothing wrong with treating diseases from the perspective of the human body as a whole.

But now it is aimed at the spleen and stomach with deficiency and coldness, so it should be used as a tonic!
Appetizing is the first step.

The completion of appetizing and invigorating spleen is the second step.

Soothing the liver and regulating qi, promoting blood circulation and removing blood stasis.

Among them, the traditional Chinese medicines that soothe the liver and regulate Qi include woody fragrance, Bupleurum, green bark, rose, etc...

Drugs for promoting blood circulation and removing stasis include Chuanxiong, Chishao, Shengdi, Danshen, etc...

What needs special attention here is to use mainly cool laxatives.

Cassia chinensis, mother of pearl, oyster, apocynum leaf, etc. are traditional Chinese medicines that are cold in nature and have the effect of soothing the liver and regulating qi.

Among them, the cool medicines for promoting blood circulation include Scrophulariaceae, Baiwei, Puffball, Purslane, Comfrey, Zihua Diding, Folium Isatidis, Radix Isatidis, Indigo Daisy, Guanzhong, and Pulsatilla.

With such reasoning, Fang Zi came out soon.

The third step, the fourth step...

After some diagnosis and treatment, Lin Ran felt a slight chill in his heart.

Terminal illness is really not that easy to treat.

Seeing that Lin Ran's diagnosis was over, Qian Yongjian said cheerfully, "Doctor Lin, how is my illness?"

He had a dull pain in his stomach before, but after being hospitalized, it didn't get better, but the pain became more and more serious, and it even moved up to symptoms.

So Qian Yongjian was very worried, he was a little worried that he had cancer!

There are too many people suffering from cancer now. There was an old man with esophageal cancer in the community where they lived a few months ago.

I played chess with them a few days ago, saying that I always choked when I was eating.

As a result, I went to the hospital for an examination, and found that the tumor was 9 centimeters, and the cancer of the esophagus was at an advanced stage. If I persisted in the room for two months, I died.

Now he is also hospitalized, his stomach hurts more and more, and his appetite is getting worse.

Asked his two sons and daughter-in-law, he didn't say anything.

It's just that he has a minor illness, and he will be fine in a hospital for a month or so.

However, day by day passed, and his illness showed no sign of improvement.

So why isn't he worried!

Lin Ran nodded and said, "Uncle Qian, your illness is really difficult to treat, so you have to send me back to think about it, but your illness is not a serious illness, you can rest assured about that."

Lin Ran didn't say it was a minor illness, it seemed too deliberate.

So he can only say that it is not a serious illness, the most important thing is that it can be cured!

As for what Qian Zhiyong and his brother told the patient later, he didn't care about that.

He is a doctor not a nanny!

Besides, as a son, he knows how to communicate with his father better than an outsider like himself.

After speaking, Lin Ran stood up, and Qian Zhiyi immediately said, "Dad, I'll send Dr. Lin off first, and I'll be back later."

With that said, the two walked out of the ward.

As soon as he walked out of the ward and closed the door, Qian Zhiyong asked, "Doctor Lin, is my dad really terminally ill with pancreatic cancer?"

If it weren't for the fact that he couldn't have surgery, Qian Zhiyi would never bet on Chinese medicine with his father's life.

Lin Ran nodded heavily, "I've already confirmed it when I read the patient's film and medical records before, and now I'm even more sure after giving Uncle Qian a diagnosis."

It wasn't that Lin Ran was arbitrary and one-sided. During the physical examination just now, he felt a small hard lump under the patient's abdomen!
This is clearly a symptom that can only be felt with pancreatic cancer liver metastasis.

That's why Lin Ran dared to be so sure.

"Okay, I understand. Doctor Lin, let me take you back now. We will pick you up in Yangcheng and go to the airport tomorrow morning."

Lin Ran shook his head and said with a smile, "Brother Qian, you don't have to see me off. I took a public bicycle out of the hospital, and I got home within a few minutes. You should think about how to tell Uncle Qian about the transfer. The transfer procedure also needs to be completed in advance.”

Qian Zhiyi nodded solemnly, "Okay, then Doctor Lin be careful all the way."

Looking at Lin Ran's back, Qian Zhiyi felt much more at ease.

Such doctors are trustworthy.

At the same time, he also affirmed in his heart that his father had to ask Teacher Lin Ran to treat his father's illness.

Thinking of this, he turned and walked into the ward.

Seeing that his youngest son came back so soon, Qian Yongjian asked, "Didn't you send Dr. Lin back? Why did you come back so soon?"

Qian Zhiyi sat next to his father's bed and said, "Doctor Lin won't let me deliver it, by the way, Dad, let me tell you something."

Qian Yongjian didn't doubt him, he opened his mouth and said, "Let's talk."

Qian Zhiyi said directly, "Dad, I think that since the county hospital can't cure your disease, let's transfer it to the traditional Chinese medicine hospital in BJ tomorrow, so as to save you from suffering here and still not being able to cure your disease, what do you think?" .”