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Chapter 117 Acupuncture and Moxibustion for Epigastric Pain
Chapter 117 Acupuncture and Moxibustion for Epigastric Pain
The next day, morning.
After the internal medicine rounds are over.
Because Huang Su was eager to know the side effects of Zou Wenzhi's first chemotherapy, after greeting Wang Xinlu, he hurried to the inpatient area of the oncology department
When I walked into Zou Wenzhi's ward, I saw Zou Wenzhi sitting on the head of the bed resting. The little old man who was usually lively and cheerful, now looked listless, and he seemed to have no vitality at all.
"Doctor Huang, you're here!" Seeing Huang Su coming in, Xiao Zou greeted him warmly immediately.
In the past, whenever Huang Su walked into the ward, Zou Wenzhi would be the first to greet him enthusiastically.
Today Zou Wenzhi was uncharacteristically, he sat quietly on the head of the bed, just turned his head slightly to look at Huang Su, then turned back to stare at the food on the small dining table, but he didn't move his chopsticks for a long time.
Being lazy and reticent to talk is also a common adverse reaction after chemotherapy, which is mostly caused by weak Qi and blood.People with weak qi and blood tend to show that they like to sit and move, and talk less.
Huang Su walked to the hospital bed, looked at Zou Wenzhi, and asked softly, "Old man, how is your meal today?"
Zou Wenzhi still did not answer Huang Su's question.
On the contrary, Xiao Zou walked in front of Huang Su with a mouthful of untouched egg custard, and showed it to Huang Su: "After chemotherapy, my grandpa became tired of oil again. I didn't eat this egg custard, so I drank it for you." millet jujube porridge."
Huang Su and Zou Wenzhi have been together for a long time, and they have some understanding of the old man's eating habits.
Knowing that the old man likes to drink egg custard, he would drink a warm bowl every day.
But today, the old man didn't take a bite of the bowl of egg custard with light oily flakes floating on it.
Oilyness is also a common adverse reaction of chemotherapy. After chemotherapy, patients often do not want to eat greasy things.
Huang Su continued to ask: "Did you drink the Chinese medicine prescription I prescribed yesterday?"
Xiao Zou replied: "Not yet! Yesterday my grandfather didn't want to eat anything after chemotherapy, and he had stomach pain again. I was afraid that drinking traditional Chinese medicine on an empty stomach would stimulate the stomach and make the stomach pain recur, so I planned to let my grandfather take it after eating today." .”
Huang Su nodded and said: "The prescription I prescribed is to invigorate the spleen and kidney. Drinking it on an empty stomach will not affect the stomach. After drinking this prescription, your grandfather's nausea, vomiting, oily, and loss of appetite will be alleviated. disappear."
Huang Su walked to the hospital bed, looked at the bowl of millet and jujube porridge on the small table, and told Zou Wenzhi: "You must keep drinking the porridge I prepared for you, old man. Effectively relieve your nausea, vomiting, oily, loss of appetite."
Zou Wenzhi still looked listless and said: "Doctor Huang, you don't have to worry about me, I'm used to it, after the chemotherapy is over..."
Before Zou Wenzhi finished speaking, the old man suddenly retched.
Huang Su hurriedly picked up the spittoon under the bed, put it near Zou Wenzhi's mouth, and gently stroked the old man's back with his other hand.
After Zou Wenzhi continued to retch for a while, he vomited out all of today's breakfast before he stopped retching.
Huang Su put down the spittoon, and carefully supported the old man to lie down, while Xiao Zou took out the toilet paper and wiped away the tears from the corners of the old man's eyes and the vomit on his mouth.And take water to rinse the old man's mouth.
Zou Wenzhi lay down, and when he calmed down from the discomfort of vomiting, his face suddenly became pale again. He covered his stomach with his hands, and beads of sweat flowed from the old man's face.
Huang Su knew at a glance that grandpa had epigastric pain again, and hurriedly told Xiao Zou: "Go and call the nurse, and go to the internal medicine office to get my backpack."
When Huang Su lifted up Zou Wenzhi's clothes, he used his thumb to press the Zhongwan acupoint from the bottom of the sternum to half of the navel.
The Zhongwan point belongs to the Ren meridian of the eight extra meridians, which can treat nausea, heartburn, belching, chronic hepatitis, chronic gastritis, stomach pain, and assist digestion.
However, when Zou Wenzhi saw that Huang Su wanted to press his stomach, he stretched out his hand to block Huang Su's hand, expressing resistance.
Huang Su had no choice but to persuade: "Old man, let me press the Zhongwan acupoint for you, it can relieve your stomach pain."
Hearing Huang Su's explanation, Zou Wenzhi agreed to Huang Su's massage, but his body still resisted.
Pain refusal to press is a common symptom during epigastric pain.After Huang Su pressed it patiently for a while, Zou Wenzhi's pale face finally turned red, and the cold sweat on his face disappeared.
Huang Su asked: "Old man, do you still have a stomachache?"
Zou Wenzhi let out a long breath and said, "It hurts, but it's not as severe as before."
At this time, the nurse hurried in and asked, "Doctor Huang, how is the patient doing now?"
Huang Su said: "The patient's epigastric pain has been relieved now, and I will treat the patient with acupuncture and moxibustion in a while."
Huang Su took out a pen and paper and wrote out an acupuncture list, handed it to the nurse and asked, "Is the traditional Chinese medicine prescribed by the patient yesterday ready?"
"Doctor Huang, I'm going to ask!" The nurse took the list and walked out of the ward.
Not long after, Xiao Zou walked into the ward panting with Huang Su's backpack.
"Doctor Huang, your backpack!"
Huang Su took the backpack, opened the zipper, took out the silver needle box, opened the silver needle box and began to disinfect the silver needles.
Yesterday, Zou Wenzhi's pulse and tongue coating were checked. The old man's epigastric pain was caused by his weak constitution, spleen and kidney yang qi, deficiency of middle qi, and disorganization of spleen and stomach.
The treatment method is to invigorate the spleen and stomach to help yang, restore the power of the stomach to lower the turbidity, and the power of the spleen to elevate.
Huang Su first used a three-inch needle to pierce the upper stomach point two inches above the navel and four inches beside the midline of the navel.
After Huang Su was inserted into the subcutaneous area with a silver needle, the needle tip was punctured obliquely for three inches in the direction of Shenque acupoint with a twisting technique.
This is the divine tower on the stomach, which has the functions of nourishing qi and invigorating the spleen, regulating and invigorating middle qi, and supporting righteous qi. Long-term acupuncture can treat gastroptosis.
Huang Su asked Zou Wenzhi after the acupuncture: "Did the old man feel the feeling of soreness and lifting in the stomach?"
Zou Wenzhi nodded lightly and said, "The stomach does feel bloated, and it doesn't hurt as much as before."
Huang Su took the needle and again acupunctured Zhongwan, Zusanli, Neiguan, Gongsun and Liangmen.
Zhongwan, Zusanli and Neiguan are the key points for treating epigastric pain.
If you refuse to press due to pain, you can match Liangmen, Gongsun, and Neiting.
For vomiting caused by stagnant stomach cold, clear water, fever and pain relief, it can be combined with Pishu, Weishu, Qihai, acupuncture and moxibustion.
Emotional depression, liver qi attacking the stomach, pain reaching both ribs can be combined with Lingquan and Taichong.
Epigastric pain is a common disease in TCM clinics. It can be seen in gastric and duodenal ulcers, acute or chronic gastritis, neurosis, etc. It is mostly caused by improper diet, cold and cold, and emotional depression.
Epigastric pain is the main symptom of upper abdominal pain, often accompanied by nausea, retching, vomiting, loss of appetite, fullness and belching, pain refusal to press or warm and happy press.
In terms of pulse condition, it is mostly seen in deficiency syndromes such as Shen Xixian slow, and the main treatment method is to harmonize the stomach and relieve pain.
After 10 minutes of acupuncture three, Huang Su began to remove the needle.
After taking the needle, Huang Su asked, "Is the old man still having a stomachache?"
Zou Wenzhi shook his head and said, "Doctor Huang, your medical skills are really amazing, it doesn't hurt at all."
At this time, the nurse lady also came into the room with warm Chinese medicine and said, "It's time for Zou Wenzhi to drink Chinese medicine."
Picking up the medicine bowl, Zou Wenzhi saw the brown liquid medicine in the bowl, with a troubled look on his face. Although this traditional Chinese medicine has good curative effect, the only drawback is that it is too difficult to drink.
Finally, Zou Wenzhi plucked up the courage, held his breath, and drank the traditional Chinese medicine in the bowl in one gulp.
After drinking the traditional Chinese medicine, Zou Wenzhi smacked his mouth and asked in amazement: "Doctor Huang, why is this medicine not bad at all today? It also tastes sweet when you drink it. This is better than the prescription you prescribed before." Much better."
Huang Su smiled and said, "Of course the medicine for invigorating the spleen and stomach is sweet. If it tastes different, it means that I prescribed it wrongly."
"Su Wen·The Formation of the Five Viscera" says: "So the heart desires bitterness, the lungs desire pungentness, the liver desires sourness, the kidney desires saltiness, and the spleen desires sweetness. These are the combination of the five flavors."
Just as Zhang Zhongjing said: "The taste of food is suitable for the disease, and it is harmful to the body.If it is right, it will benefit the body, and if it is harmful, it will become a disease. "
The five internal organs have their own preferences, and Chinese medicine should follow the preferences of the five internal organs, while food should be biased.
The preferences of the five internal organs are diametrically opposed in traditional Chinese medicine and food. Traditional Chinese medicine should cater to what it likes, but food should not be flattering. Eating more sweet food will hurt the spleen.
Therefore, the diet should be consistent with the four qi and five flavors of the food, so as to achieve a good tonic effect.
Seeing that Zou Wenzhi finished drinking the medicine, Huang Su said, "Old man, I will come to see you tomorrow!"
"Doctor Huang, go slowly!"
Xiao Zou got up and sent Huang Su out of the ward.
The next day was another day for Zou Wenzhi to undergo chemotherapy.
Huang Su came to Zou Wenzhi's ward early after the ward check in internal medicine to see if the old man's appetite had improved.
When he walked into the ward, he saw that Zou Wenzhi had a big appetite. He ate a bowl of porridge, a bowl of egg custard, and a plate of stir-fried melon slices very cleanly, and he did not have the mental fatigue of yesterday.
Xiao Zou saw Huang Su coming in, and said happily: "Doctor Huang, my grandfather drank the medicine you prescribed yesterday, and he felt hungry not long after. At noon, he drank two large bowls of porridge. There was no such thing as a day yesterday." Retching, vomiting, and oil-loathing occurred."
Huang Su said: "I feel hungry after taking the medicine, which means that the traditional Chinese medicine has taken effect."
Patients who have taken traditional Chinese medicine for invigorating the spleen and stomach should have experienced the feeling of hunger not long after taking the medicine.
After taking the traditional Chinese medicine prescribed by Huang Su, Zou Wenzhi no longer had adverse reactions such as retching, vomiting, loss of appetite, and oily taste in the follow-up chemotherapy.
(End of this chapter)
The next day, morning.
After the internal medicine rounds are over.
Because Huang Su was eager to know the side effects of Zou Wenzhi's first chemotherapy, after greeting Wang Xinlu, he hurried to the inpatient area of the oncology department
When I walked into Zou Wenzhi's ward, I saw Zou Wenzhi sitting on the head of the bed resting. The little old man who was usually lively and cheerful, now looked listless, and he seemed to have no vitality at all.
"Doctor Huang, you're here!" Seeing Huang Su coming in, Xiao Zou greeted him warmly immediately.
In the past, whenever Huang Su walked into the ward, Zou Wenzhi would be the first to greet him enthusiastically.
Today Zou Wenzhi was uncharacteristically, he sat quietly on the head of the bed, just turned his head slightly to look at Huang Su, then turned back to stare at the food on the small dining table, but he didn't move his chopsticks for a long time.
Being lazy and reticent to talk is also a common adverse reaction after chemotherapy, which is mostly caused by weak Qi and blood.People with weak qi and blood tend to show that they like to sit and move, and talk less.
Huang Su walked to the hospital bed, looked at Zou Wenzhi, and asked softly, "Old man, how is your meal today?"
Zou Wenzhi still did not answer Huang Su's question.
On the contrary, Xiao Zou walked in front of Huang Su with a mouthful of untouched egg custard, and showed it to Huang Su: "After chemotherapy, my grandpa became tired of oil again. I didn't eat this egg custard, so I drank it for you." millet jujube porridge."
Huang Su and Zou Wenzhi have been together for a long time, and they have some understanding of the old man's eating habits.
Knowing that the old man likes to drink egg custard, he would drink a warm bowl every day.
But today, the old man didn't take a bite of the bowl of egg custard with light oily flakes floating on it.
Oilyness is also a common adverse reaction of chemotherapy. After chemotherapy, patients often do not want to eat greasy things.
Huang Su continued to ask: "Did you drink the Chinese medicine prescription I prescribed yesterday?"
Xiao Zou replied: "Not yet! Yesterday my grandfather didn't want to eat anything after chemotherapy, and he had stomach pain again. I was afraid that drinking traditional Chinese medicine on an empty stomach would stimulate the stomach and make the stomach pain recur, so I planned to let my grandfather take it after eating today." .”
Huang Su nodded and said: "The prescription I prescribed is to invigorate the spleen and kidney. Drinking it on an empty stomach will not affect the stomach. After drinking this prescription, your grandfather's nausea, vomiting, oily, and loss of appetite will be alleviated. disappear."
Huang Su walked to the hospital bed, looked at the bowl of millet and jujube porridge on the small table, and told Zou Wenzhi: "You must keep drinking the porridge I prepared for you, old man. Effectively relieve your nausea, vomiting, oily, loss of appetite."
Zou Wenzhi still looked listless and said: "Doctor Huang, you don't have to worry about me, I'm used to it, after the chemotherapy is over..."
Before Zou Wenzhi finished speaking, the old man suddenly retched.
Huang Su hurriedly picked up the spittoon under the bed, put it near Zou Wenzhi's mouth, and gently stroked the old man's back with his other hand.
After Zou Wenzhi continued to retch for a while, he vomited out all of today's breakfast before he stopped retching.
Huang Su put down the spittoon, and carefully supported the old man to lie down, while Xiao Zou took out the toilet paper and wiped away the tears from the corners of the old man's eyes and the vomit on his mouth.And take water to rinse the old man's mouth.
Zou Wenzhi lay down, and when he calmed down from the discomfort of vomiting, his face suddenly became pale again. He covered his stomach with his hands, and beads of sweat flowed from the old man's face.
Huang Su knew at a glance that grandpa had epigastric pain again, and hurriedly told Xiao Zou: "Go and call the nurse, and go to the internal medicine office to get my backpack."
When Huang Su lifted up Zou Wenzhi's clothes, he used his thumb to press the Zhongwan acupoint from the bottom of the sternum to half of the navel.
The Zhongwan point belongs to the Ren meridian of the eight extra meridians, which can treat nausea, heartburn, belching, chronic hepatitis, chronic gastritis, stomach pain, and assist digestion.
However, when Zou Wenzhi saw that Huang Su wanted to press his stomach, he stretched out his hand to block Huang Su's hand, expressing resistance.
Huang Su had no choice but to persuade: "Old man, let me press the Zhongwan acupoint for you, it can relieve your stomach pain."
Hearing Huang Su's explanation, Zou Wenzhi agreed to Huang Su's massage, but his body still resisted.
Pain refusal to press is a common symptom during epigastric pain.After Huang Su pressed it patiently for a while, Zou Wenzhi's pale face finally turned red, and the cold sweat on his face disappeared.
Huang Su asked: "Old man, do you still have a stomachache?"
Zou Wenzhi let out a long breath and said, "It hurts, but it's not as severe as before."
At this time, the nurse hurried in and asked, "Doctor Huang, how is the patient doing now?"
Huang Su said: "The patient's epigastric pain has been relieved now, and I will treat the patient with acupuncture and moxibustion in a while."
Huang Su took out a pen and paper and wrote out an acupuncture list, handed it to the nurse and asked, "Is the traditional Chinese medicine prescribed by the patient yesterday ready?"
"Doctor Huang, I'm going to ask!" The nurse took the list and walked out of the ward.
Not long after, Xiao Zou walked into the ward panting with Huang Su's backpack.
"Doctor Huang, your backpack!"
Huang Su took the backpack, opened the zipper, took out the silver needle box, opened the silver needle box and began to disinfect the silver needles.
Yesterday, Zou Wenzhi's pulse and tongue coating were checked. The old man's epigastric pain was caused by his weak constitution, spleen and kidney yang qi, deficiency of middle qi, and disorganization of spleen and stomach.
The treatment method is to invigorate the spleen and stomach to help yang, restore the power of the stomach to lower the turbidity, and the power of the spleen to elevate.
Huang Su first used a three-inch needle to pierce the upper stomach point two inches above the navel and four inches beside the midline of the navel.
After Huang Su was inserted into the subcutaneous area with a silver needle, the needle tip was punctured obliquely for three inches in the direction of Shenque acupoint with a twisting technique.
This is the divine tower on the stomach, which has the functions of nourishing qi and invigorating the spleen, regulating and invigorating middle qi, and supporting righteous qi. Long-term acupuncture can treat gastroptosis.
Huang Su asked Zou Wenzhi after the acupuncture: "Did the old man feel the feeling of soreness and lifting in the stomach?"
Zou Wenzhi nodded lightly and said, "The stomach does feel bloated, and it doesn't hurt as much as before."
Huang Su took the needle and again acupunctured Zhongwan, Zusanli, Neiguan, Gongsun and Liangmen.
Zhongwan, Zusanli and Neiguan are the key points for treating epigastric pain.
If you refuse to press due to pain, you can match Liangmen, Gongsun, and Neiting.
For vomiting caused by stagnant stomach cold, clear water, fever and pain relief, it can be combined with Pishu, Weishu, Qihai, acupuncture and moxibustion.
Emotional depression, liver qi attacking the stomach, pain reaching both ribs can be combined with Lingquan and Taichong.
Epigastric pain is a common disease in TCM clinics. It can be seen in gastric and duodenal ulcers, acute or chronic gastritis, neurosis, etc. It is mostly caused by improper diet, cold and cold, and emotional depression.
Epigastric pain is the main symptom of upper abdominal pain, often accompanied by nausea, retching, vomiting, loss of appetite, fullness and belching, pain refusal to press or warm and happy press.
In terms of pulse condition, it is mostly seen in deficiency syndromes such as Shen Xixian slow, and the main treatment method is to harmonize the stomach and relieve pain.
After 10 minutes of acupuncture three, Huang Su began to remove the needle.
After taking the needle, Huang Su asked, "Is the old man still having a stomachache?"
Zou Wenzhi shook his head and said, "Doctor Huang, your medical skills are really amazing, it doesn't hurt at all."
At this time, the nurse lady also came into the room with warm Chinese medicine and said, "It's time for Zou Wenzhi to drink Chinese medicine."
Picking up the medicine bowl, Zou Wenzhi saw the brown liquid medicine in the bowl, with a troubled look on his face. Although this traditional Chinese medicine has good curative effect, the only drawback is that it is too difficult to drink.
Finally, Zou Wenzhi plucked up the courage, held his breath, and drank the traditional Chinese medicine in the bowl in one gulp.
After drinking the traditional Chinese medicine, Zou Wenzhi smacked his mouth and asked in amazement: "Doctor Huang, why is this medicine not bad at all today? It also tastes sweet when you drink it. This is better than the prescription you prescribed before." Much better."
Huang Su smiled and said, "Of course the medicine for invigorating the spleen and stomach is sweet. If it tastes different, it means that I prescribed it wrongly."
"Su Wen·The Formation of the Five Viscera" says: "So the heart desires bitterness, the lungs desire pungentness, the liver desires sourness, the kidney desires saltiness, and the spleen desires sweetness. These are the combination of the five flavors."
Just as Zhang Zhongjing said: "The taste of food is suitable for the disease, and it is harmful to the body.If it is right, it will benefit the body, and if it is harmful, it will become a disease. "
The five internal organs have their own preferences, and Chinese medicine should follow the preferences of the five internal organs, while food should be biased.
The preferences of the five internal organs are diametrically opposed in traditional Chinese medicine and food. Traditional Chinese medicine should cater to what it likes, but food should not be flattering. Eating more sweet food will hurt the spleen.
Therefore, the diet should be consistent with the four qi and five flavors of the food, so as to achieve a good tonic effect.
Seeing that Zou Wenzhi finished drinking the medicine, Huang Su said, "Old man, I will come to see you tomorrow!"
"Doctor Huang, go slowly!"
Xiao Zou got up and sent Huang Su out of the ward.
The next day was another day for Zou Wenzhi to undergo chemotherapy.
Huang Su came to Zou Wenzhi's ward early after the ward check in internal medicine to see if the old man's appetite had improved.
When he walked into the ward, he saw that Zou Wenzhi had a big appetite. He ate a bowl of porridge, a bowl of egg custard, and a plate of stir-fried melon slices very cleanly, and he did not have the mental fatigue of yesterday.
Xiao Zou saw Huang Su coming in, and said happily: "Doctor Huang, my grandfather drank the medicine you prescribed yesterday, and he felt hungry not long after. At noon, he drank two large bowls of porridge. There was no such thing as a day yesterday." Retching, vomiting, and oil-loathing occurred."
Huang Su said: "I feel hungry after taking the medicine, which means that the traditional Chinese medicine has taken effect."
Patients who have taken traditional Chinese medicine for invigorating the spleen and stomach should have experienced the feeling of hunger not long after taking the medicine.
After taking the traditional Chinese medicine prescribed by Huang Su, Zou Wenzhi no longer had adverse reactions such as retching, vomiting, loss of appetite, and oily taste in the follow-up chemotherapy.
(End of this chapter)
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