This doctor is very stable

Lin Ran kept reading until twelve o'clock at noon.

Zhang Xiaoya got a good night's sleep after drinking the medicine, and didn't get up until 11:30.

After waking up, although she still felt weak all over, her abdomen was only a little darker.

After going to the toilet, she realized that the blood clot had come down.

Unbelievable.

Female friends who have blood stasis and dysmenorrhea know that the most difficult part of menstrual period is the period before the blood clots come down, and the blood clots come down, which means the victory of the long march.

People who don't have dysmenorrhea can't understand the pain of dysmenorrhea. When menstrual pain occurs, people can't open their stomachs, and ask in their hearts what sins they did in the previous life, and they are reincarnated as women in this life.

Most of the physical problems were solved, and Zhang Xiaoya's mood instantly improved.

Not long after, Lin Ran came back from buying lunch and saw that Zhang Xiaoya had already woken up, so he asked, "Does it still hurt?"

Zhang Xiaoya said with a smile, "It's already a lot, Teacher Xu is really rejuvenated!"

When she said this, she was thinking that it would be great if Lin Ran could also treat dysmenorrhea.

Then her happy life began.

It's a pity that she knew that Lin Ran had just learned Chinese medicine, and there was still a long way to go before he could reach the level of Mr. Xu.

But even so, there is hope.

When I think about it, I don't have to worry about menstrual pain in the future.

Zhang Xiaoya's sense of anticipation for a better life grew stronger in her heart.

"It's better if it's much better. I bought something to eat and came back. Let's eat it while it's hot."

Living in a hotel is very inconvenient.

Xu saw what Lin Ran was thinking, Zhang Xiaoya smiled and said, "Lin Ran, why don't you take advantage of your free time and go out and see if there are any good apartments for rent nearby."

Lin Ran shook his head, "The teacher also thought about the housing problem yesterday. He told me to wait and contact us."

Zhang Xiaoya nodded, "Since Teacher Xu has made arrangements, let's stay in a hotel first."

……

In this way, Lin Ran and Zhang Xiaoya stayed in the hotel for another two days, when Xu Shijing's call finally came.

He asked his friend to find an apartment for Lin Ran near the hospital.

The owner himself has gone abroad.

After Lin Ran and the others went to see it, they thought it was pretty good, so they rented it.

……

On the fourth day after coming to BJ, Lin Ran came to the medical center early and changed into the clothes of the medical center under Xu Yuying's leadership, and officially started his study and life in the traditional Chinese medicine center.

But it's not very old Xu studying, but visiting the doctor with Xu Yuying?
As the so-called threesome, there must be my teacher.

Since it was arranged by Mr. Xu, Lin Ran naturally would not object.

In particular, Xu Yuying is the granddaughter of Xu Lao, so she should have two brushes.

With such a mentality, Lin Ran obediently followed Xu Yuying to the outpatient department of the medical center.

Not long after they came to the consulting room, a middle-aged man walked in with an old man.

This middle-aged man brought his father to see a doctor. The old man's disease is benign prostatic hyperplasia.

I have also been treated in major hospitals in bj, but the old man is unwilling to undergo surgery.

So this disease has been incurable, so I came to see Chinese medicine for treatment.

The patient's family members politely gave Xu Yuying all the medical records.

Lin Ran who was sitting next to her took a look.

Information about Western medicine about male benign prostatic hyperplasia appeared in his mind instantly.

The prostate is a part of the male reproductive system, shaped like a chestnut, and its main function is to form the posterior urethra and secrete prostatic fluid.Prostatic hyperplasia, also known as benign prostatic hyperplasia, is the most common benign disease that causes voiding disorders in middle-aged and elderly men.The main symptoms are frequent urination, urgency, nocturia, bifurcation and progressive dysuria.

The incidence of benign prostatic hyperplasia increases with age.According to statistics, about 60% of men over the age of 50 will show symptoms of benign prostatic hyperplasia, and about 80% of men over the age of 80 will show symptoms of benign prostatic hyperplasia.

The cause of benign prostatic hyperplasia is still not fully understood.At present, there are mainly five major theories, including the role of androgen and its receptors, the imbalance between cell proliferation and apoptosis, the role of growth factor neurotransmitters, the interaction of prostate interstitial and glandular epithelium, and inflammatory factors.

The role of sex hormones and their receptors
Through prostate cell androgen receptors, androgens can act on prostate cells, affecting their growth, proliferation and apoptosis.Therefore, benign prostatic hyperplasia may be related to the ratio of androgen and its expression, and the number of sex hormone receptors.

The theory of imbalance between cell proliferation and apoptosis

The size of the prostate mainly depends on the dynamic balance between cell proliferation and apoptosis. If there is an imbalance between cell proliferation and apoptosis, it will lead to abnormal prostate size.

The role of growth factor neurotransmitters

In benign prostatic hyperplasia tissue, there are a variety of growth factors, which promote or inhibit the proliferation of prostate cells through different ways, thereby affecting the size of the prostate.

Prostate-stromal-glandular-epithelial interaction
The interaction between prostatic stroma and epithelial cells is mainly realized through growth factors and extracellular matrix.Under normal circumstances, growth factors and extracellular matrix in the prostate maintain a certain dynamic balance.Once out of balance, it may lead to enlarged prostate.

Inflammatory factors
The occurrence and persistence of chronic inflammation in prostate tissue stimulates and maintains the proliferation of prostate stroma and epithelium.

Individual differences are large, and there is no absolute best, fastest, or most effective medication. Except for commonly used over-the-counter drugs, you should choose the most appropriate drug based on your personal situation under the guidance of a doctor.

alpha-blockers

It can relax the smooth muscle of the urethra, thereby achieving the effect of relieving bladder outlet obstruction, and is suitable for patients with moderate-severe lower urinary tract irritation symptoms.Commonly used drugs include selective α1 receptor blockers (such as doxazosin, terazosin) and highly selective α1 receptor blockers (such as tamsulosin).Pay attention to adverse reactions such as dizziness, headache, fatigue, orthostatic hypotension after taking the medicine.

5α-reductase inhibitor
By reducing the content of dihydrotestosterone in the prostate, thereby reducing the volume of the prostate, it is suitable for the treatment of patients with large prostate volume and moderate to severe lower urinary tract symptoms.Commonly used drugs include finasteride and dutasteride.

Pay attention to sexual dysfunction, low xingyu, and other adverse reactions after taking the medicine.

M receptor antagonist

It can relieve excessive detrusor contraction and reduce bladder sensitivity, thereby improving symptoms such as frequent urination, urgency or urge urinary incontinence in patients with benign prostatic hyperplasia. It is suitable for patients with small prostate volume and less serious urinary tract obstruction.Commonly used drugs are tolterodine, solifenacin, oxybutynin and so on.

Pay attention to adverse reactions such as dry mouth, constipation, dysuria and blurred vision when taking the medicine.Urinary retention, gastric retention, narrow-angle glaucoma and those who are allergic to M receptor antagonists are contraindicated.

Due to the long course of benign prostatic hyperplasia, surveys have shown that only a small number of patients with benign prostatic hyperplasia have serious complications such as acute urinary retention and renal insufficiency, which will endanger the life of the patient, and surgical treatment is required at this time.

The understanding of TCM for benign prostatic hyperplasia is that benign prostatic hyperplasia belongs to the category of "closed prostate".

"Su Wen·Xuan Ming Wu Qi" records: "An incompetent bladder is incompetence, not enuresis."

Its symptoms are different in severity, "if the drip comes out, it is insufficiency, and if the drip does not come out, it is closed".

The main thing is urination and urinary tract problems!