Under, Chinese medicine flavin

Chapter 154 TCM Syndrome Differential Treatment of Pancreatic Cancer
At the end of the day's consultation, Huang Su saw all kinds of tumor patients, and saw most of the tumor types in just one day.

Huang Su and Wei Lai walked into the office together.

Wei Lai returned to his work station, took off his white coat, picked up his backpack, and turned to ask Huang Su if he wanted to leave work together.

Seeing that Huang Su took out his notebook and didn't intend to leave work, Wei Lai asked curiously, "Huang Su, aren't you off work?"

"Ah! Get off work first. Professor Sun will tell me the TCM syndrome differentiation of pancreatic cancer later, so I guess I will be late when I get off work." Huang Su did not hide the truth.

This kind of thing can't be concealed even if you want to. The next day, the entire oncology department will probably know about Professor Sun's prescribing a small treatment for him.

Besides, Huang Su didn't need to hide it from Wei Lai, Wei Lai probably learned these things a long time ago.

Sure enough, Wei Lai hugged Huang Su's shoulders with a smile and said: "Huang Su, congratulations, we have become fellow apprentices, this time it's a sure thing."

"It's still too early to say, let's wait until I pass the doctoral exam."

Huang Su thought about how to keep a low profile, and didn't want this matter to be complicated, as if he had made a decision through the relationship.

Even though Professor Sun has acquiesced that Huang Su is his disciple, Huang Su still calls her Professor Sun.

After all, there are other oncology doctors around, maybe what will be spread tomorrow.

If Professor Sun hears it, it will only increase his disgust towards himself.

Wei Lai seemed to know that he had said something wrong, so he hurried back to the original words: "Huang Su, excessive modesty is pride. If you, a diabetes expert, can't get a doctorate, no one else is qualified to get a doctorate."

The news of Huang Su's diagnosis and treatment of diabetes has spread in Guang'anmen Hospital, and the doctors in the hospital also know that Huang Su is good at treating diabetes.

Some people also thought about accepting Huang Su as a doctoral student, but because of Professor Sun's prestige, they withdrew.

"I won't chat with you anymore, I can't make Professor Sun wait for me for too long."

Understanding the meaning of Wei Lai's words, Huang Su gently pushed him away, and walked towards Professor Sun's office with a notebook.

Huang Su walked to the door of Professor Sun's office and knocked lightly on the door twice.

"Please come in!"

Professor Sun's voice came from the office.

Huang Su gently pushed the door into the office, bowed slightly and said hello: "Professor Sun, hello!"

Professor Sun pointed to the opposite side of his desk and said, "Come and sit here."

Huang Su sat across from Professor Sun, put the notebook on the table, straightened her back, sat upright, and stared at Professor Sun.

"Don't be nervous, Huang Su. Go get me a glass of water first. If you're thirsty, pour yourself a glass too."

In order to understand Huang Su's nervousness, Professor Sun pointed to his water glass and said to Huang Su.

Huang Su took Professor Sun's cup and went to the water dispenser to fill it up, while she took a disposable paper cup and filled it with water.

"Professor Sun, here you are!"

Huang Su handed the glass to Professor Sun and sat down again.

"Huang Su, this is not considered a formal class, just chatting, don't be nervous." Professor Sun took a sip of water from the glass, put down the glass and continued: "Huang Su, how much do you know about TCM tumors?"

Huang Su pondered for a while and said, "From the "Huangdi Neijing", there are records of tumors in traditional Chinese medicine classics for more than 2000 years, but there is no Western medicine to classify them into one category and name them uniformly. For example, breast cancer is called Ruyan in Chinese medicine; Intestinal cancer is called Changqin in traditional Chinese medicine; lymphatic cancer is called evil nucleus in Chinese medicine.”

Why Chinese medicine has been developed for more than 2000 years, but it has not been summarized and named uniformly, this is related to the treatment thinking of Chinese medicine based on syndrome differentiation and treatment.

Because in the thinking of Chinese medicine, tumors are just the specific symptoms of a certain syndrome in the human body.

Therefore, for a symptom, Chinese medicine practitioners in the past dynasties seldom spend their minds summarizing their clinical similarities, and thus classify them into one type of disease.

Because this way of summarizing is a treatment method based on disease differentiation and treatment, while traditional Chinese medicine talks about strengthening the syndrome, and the symptoms will naturally improve and disappear.

Huang Su picked up the water glass and took a sip of water and continued: "I think the first time that Chinese medicine introduced human tumors in detail is the theory of accumulation of five internal organs in "Nanjing", fat qi of liver accumulation; ; Cardia of lung accumulation; Cardia of kidney accumulation, the symptoms described are basically similar to tumors.”

Professor Sun nodded approvingly and said: "Your answer is much better than I imagined. It can be seen that your memory of TCM classics is still very strong. Then I won't tell you some common sense things about TCM tumors. Let me tell you about my experience in the treatment of pancreatic cancer in the past 30 years in the treatment of tumors in traditional Chinese medicine.”

Professor Sun continued: "According to my 30 years of clinical experience, I can divide the syndromes of pancreatic cancer into damp-heat stagnation syndrome, Qi-blood stasis syndrome, Yin-deficiency heat-toxin syndrome, and Qi-blood deficiency syndrome."

Chinese medicine treats diseases based on differentiation of syndromes rather than diseases, and the diseases and symptoms of the human body are nothing but the manifestations of syndromes.

So when you go to Chinese medicine, don’t say that the doctor sees how to treat my high blood pressure, and the doctor sees how to treat my heart disease.

You have to tell the symptoms of your body, so that Chinese medicine can identify the syndromes based on your symptoms, tongue coating, and pulse conditions, and only when the syndromes are clear can they prescribe medicines.

Seeing that Huang Su opened the notebook and began to record, Professor Sun waited for Huang Su to finish recording, and said: "The patients we received today belonged to the syndrome of damp-heat stagnation, so we will not say more. Huang Su, you talk about the syndrome of stagnation of qi and blood." pathogenesis."

Huang Su put down his pen and said: "The stagnation of Qi and blood in the spleen and stomach is mostly caused by internal injuries of emotions, stagnation of Qi injures the liver, wood comes to overcome the soil, resulting in poor Qi movement, from Qi to blood, Qi congeals and blood stasis, long-term stasis produces knots."

In TCM theory, the spleen governs movement and transformation, and the liver governs catharsis. The two are inseparable and closely related. A problem with one will inevitably lead to disease in the other. This is why the most common direction of pancreatic cancer metastasis is the liver.

Western medicine has so far been unable to explain the law of tumor metastasis, because in Western medicine, each viscera is an independent individual, because science has not yet been able to prove that there is a correlation between viscera, and without correlation, it is impossible to explain why tumors in a certain organ have a high probability of appearing transferred to another organ.Therefore, Western medicine finally pushes it to blood circulation.

But if you understand the relationship between Chinese medicine and the five internal organs, you will suddenly see the truth.

Take pancreatic cancer is often accompanied by jaundice, for example, China and the West have reached a consensus on this aspect, the vast majority of jaundice is caused by liver disease, but Western medicine can not explain why patients with pancreatic cancer get jaundice, the pancreas is the pancreas, the liver There is no direct relationship between the liver and the liver, and Chinese medicine can explain it.

In traditional Chinese medicine, the pancreas belongs to the spleen, and the spleen governs the movement and transformation. When the spleen is diseased, the movement and transformation will fail. Without nutrition, blood production will be insufficient. The liver stores blood. If blood is insufficient, it will lead to insufficient liver blood and spleen failure. Stopping the internal dampness of transporting water, smoldering and generating heat for a long time, damp and hot sluggish steaming, can make the liver unfavorable for catharsis and cause jaundice, which is why pancreatic cancer is often accompanied by jaundice.

Professor Sun continued: "You are right. After the blood stasis has stopped for a long time, a mass can be felt in the abdomen, and the patient will experience unbearable pain in the upper abdominal area, which is persistent, and it will also involve the back. Lying down will cause severe pain, which can be relieved by bowing forward and bending the legs. This is the manifestation of pancreatic cancer pain syndrome of qi and blood stagnation. Nausea and vomiting, belching and hiccups, lack of appetite, dry mouth and bitter taste, emaciation."

After the flavin finished recording, Professor Sun continued to ask: "Since you already know the pathogenesis, tell me how to treat it."

Huang Su replied without hesitation: "If the qi stagnation is greater than the blood stasis, you can use Danzhi Xiaoyao San to soothe the liver and relieve the stagnation. If the blood stasis is greater than the qi stagnation, you can use Taohong Siwu Decoction to promote blood circulation and remove stasis. In addition, add the traditional Chinese medicine for detoxifying and dissipating stagnation. If you have jaundice, you can add Yinchenhao Decoction; if you have severe pain, you can add Sanleng and Wulingzhi; For loss of appetite, you can use gallinaceous gold, grain malt, etc."

During the question and answer between the two, Professor Sun taught Huang Su the treatment methods of the four TCM syndromes of pancreatic cancer.

During the question-and-answer period between the two, Professor Sun was also very satisfied with Huang Su's performance, and Huang Su could answer the questions he asked fluently.

On the contrary, it doesn't look like a lecture, but more like a discussion between the two sides.

Before I knew it, the sky outside the window was getting dark.

Professor Sun raised his hand and glanced at the watch on his wrist and said, "It's getting late, so I'll stop here today, and finally I'll talk about the traditional Chinese medicine and classic prescriptions I have used to treat pancreatic cancer for many years."

Seeing that Huang Su had already begun to prepare records, Professor Sun said: "The traditional Chinese medicines commonly used in the treatment of pancreatic cancer include: Yin Chen, Zhuru, Banlangen, Plantaginaceae, Polygonum cuspidatum, Viola chinensis, Lobelia, Scutellaria barbata, Coix seed, Arrowhead mushroom, Eclipta, Saffron, Hedyotis diffusa, Gentiana, Agrimony, Radix Seed, Solanum nigrum, Baiying, Poria. If pancreatic cancer metastasizes to the liver, you can add: Chai Hu, turmeric, golden bell, yanhusu, stone piercing, safflower, prunella, seaweed."

When Huang Su finished recording, Professor Sun continued: "The commonly used prescriptions include Yinchenhao Decoction, Xiaoyao San, Siling San, Longshe Yangquan Decoction, Taohong Siwu Decoction, Wuwei Xiaoxiaoyin, Bazhen Decoction, and Sijunzi Decoction. Soup, Huangqi Jianzhong Decoction, Qiju Dihuang Wan, Zhibai Dihuang Wan."

Huang Su looked down at the scriptures he had recorded, and pondered for a while.

Among them, Qiju Dihuang Pills and Zhibai Dihuang Pills are aimed at pancreatic cancer of yin deficiency and heat toxin type.

The pathogenesis of pancreatic cancer of yin-deficiency heat-toxin type lies in the fact that the spleen is chronically ill and damages yin and cannot control yang.Its common symptoms include persistent low fever, dry mouth, irritability and insomnia, dry stool, yellow urine, body malnutrition leading to weight loss, lack of appetite and poor appetite.

Bazhen Decoction, Sijunzi Decoction, and Huangqi Jianzhong Decoction are aimed at pancreatic cancer with deficiency of Qi and blood.

The pathogenesis of pancreatic cancer with both qi and blood deficiency is that the spleen is the source of qi and blood biochemistry, and the spleen loses its function and transformation, so the natural qi and blood are insufficient.Therefore, the syndrome of qi and blood deficiency can appear alone, or it often appears together with other syndromes.

Pancreatic cancer with other syndromes develops in the late stage, and viscera failure occurs, and qi deficiency and double deficiency will naturally occur.

Professor Sun quietly watched Huang Su sitting opposite him thinking.

After a long time, seeing that Huang Su had some enlightenment, he said, "Okay, I have a lot to say today, you can go back and slowly figure it out."

Huang Su reluctantly closed the notebook, bowed to Professor Sun and said, "Thank you, Professor Sun. I wasted your time for me."

Professor Sun waved his hand and said, "It's getting dark, so be careful when you go back."

"Professor Sun, goodbye!"

Huang Su bowed to Professor Sun before walking out of her office.

(End of this chapter)