Under, Chinese medicine flavin

Chapter 193 Test
The patient walked out of the consultation room, and Na Risong asked, "Director, tell us about lung cancer."

"Hurry up and call the next patient." Huang Su glared at Na Risong and said, "There are still so many patients waiting outside. I'll tell you about it during the lunch break."

At first, I thought Huang Su disagreed, but when I heard that I told him at noon, Na Risong smiled at Huang Su and said, "Director, I'll go right away."

Not long after, Na Risong followed a middle-aged man and helped an elderly woman into the consulting room.

When the elderly woman walked in, the pigmentation spots on her face were particularly eye-catching. Flavin could be sure that this was the pigmentation spots left by the old man when he underwent facial radiotherapy.

The middle-aged man helped the elderly woman to sit down, and then Huang Su carefully looked at the old man's face.

I saw that the old man had a slight crooked mouth and eyes, and the swollen lymph nodes could be clearly seen in the lower jaw, which caused the left nasolabial fold to become shallower, and both nostrils were stuffed with cotton wool.

Flavin can basically judge that the elderly should have lymphatic metastasis of nasopharyngeal carcinoma.

Huang Su asked: "The patient's name and age, age?"

The middle-aged man said: "My name is Gu Xiaojun, and the patient is my mother, Cai Guihua, who is 64 years old today."

Huang Su continued to ask: "Tell me about the patient's condition?"

"My mother had a lot of nosebleeds last year, and sometimes there was white pus in the nosebleeds. We took my mother to the Affiliated Hospital of Hohhot Medical University for an examination. It was found that my mother had nasopharyngeal carcinoma. The doctor suggested that we do radiotherapy. After radiotherapy, although my mother had the sequelae of facial stiffness, fortunately, the cancer cells were completely eliminated, and the facial stiffness became stiff. Fortunately, my life was saved, but it suddenly recurred in the first half of this year, and it was transferred to the submandibular lymph nodes."

Gu Xiaojun pointed to the lymph tumor on his mother's jaw and said: "We found the Affiliated Hospital of Hohhot Medical University again, but they said that the cancer cells had metastasized and there was no need for treatment, so they refused to accept my mother. Later, we moved to many big cities. They all refused to treat my mother."

Speaking of this, Gu Xiaojun choked up and said: "Director Huang, we know that you have excellent medical skills. You are our last hope. I beg you, Director Huang! You must save my mother."

Huang Su comforted Gu Xiaojun and said, "Don't get excited, family members of the patient, let's see how your mother is doing first."

Seeing that Huang Su agreed to the treatment, Gu Xiaojun smiled through his tears and nodded again and again: "Yes yes yes! I will listen to Director Huang."

Huang Su walked up to Cai Guihua, stretched out his hand to gently touch the lymphatic mass on the jaw, and found that the mass was very hard.

Huang Sufa said: "Old man, can you open your mouth?"

Cai Guihua slowly opened his mouth, which could only open one-third of the size of a normal person.

When he opened his mouth, Cai Guihua frowned tightly, it seemed that the tumor caused some pain.

After Huang Su's examination, he sat back to his seat and asked, "The old man's nose is stuffed with cotton wool, is it because he still has nosebleeds?"

"My mother often has pus and runny nose in her nose. Didn't she come to the hospital for consultation, so she temporarily blocked it with cotton."

Huang Su said, "Take out the cotton and let me have a look."

Gu Xiaojun slowly took out the cotton from Cai Guihua's nose, only to see that the cotton was already covered with yellow pus, with blood streaks in the pus.

Huang Su saw that there was still pus coming out of the nose, and there were blood streaks in the pus, and asked, "Does your mother still have nosebleeds?"

Gu Xiaojun replied: "Food, sometimes it is very serious, and you need to go to the hospital for treatment."

As he spoke, Gu Xiaojun took out toilet paper from his pocket, gently wiped the pus off his mother's nose, and took out new cotton to plug it.

Seeing that Gu Xiaojun took care of Cai Guihua's nose, Huang Su said, "Extend your hand, and I'll check the pulse."

Cai Guihua stretched out his right hand, Huang Su's three fingers were in the three parts of Cun Guan Chi, and when the three fingers were pressed hard, he could feel a small and weak pulse, especially the right Cun and You Guan. This is a deep and thin pulse. imaginary.

Huang Su examined Cai Guihua's left hand again, and the pulse was also heavy.

Huang Su withdrew his hand and said, "The old man sticks out his tongue, let me take a look at the coating on his tongue."

Cai Guihua slowly opened his mouth, whether he still frowned, it can be seen that the old man usually endures such pain when eating.

Stretch out the tongue slowly, only to see that the tongue is bright red, the tongue coating is peeling off, there is a deep crack in the middle of the tongue, and there are small cracks extending radially from the middle of the tongue to the edge of the tongue, all the cracks are like fish bones.This is a kind of tongue phenomenon that is full of yin deficiency.

After Huang Su's diagnosis and treatment, Gu Xiaojun asked eagerly: "Director Huang, is there any hope for my mother to be treated?"

Huang Su said, "Nasopharyngeal cancer belongs to the category of Biyuan in traditional Chinese medicine. Your mother belongs to the syndrome of Biyuan deficiency, with deficiency of lung and spleen, deficiency of yin, long-term stagnation of evil poison, and condensation of nasal orifices. It is caused by the accumulation of nuclei, and it needs to nourish yin and clear away heat, resolve phlegm and dispel stagnation."

Combined with the pulse condition of the tongue and tongue, the flavin roughly understood why the old man’s cancer relapsed so quickly. The right inch governs the lung and the right gate governs the spleen and stomach. It can help the fire, and the pathogenesis of the patient is basically phlegm heat, and recurrence will occur naturally.In addition, it helps the fire to move the blood, damages the meridian in the nose, and the blood surges with the heat, so the patient will naturally have frequent nosebleeds, and the yellow pus is also caused by the heat toxin.

黄素说道：“何慧记方：生地12g、元参15g、双花30g、连翘15g、夏枯草15g、山豆根10g、射干10g、川芎10g、赤芍10g、白花蛇舌草30g、芦根30g、浙贝母10g、焦三仙各10g、生薏米仁10g。另服用牛黄醒消散，每次两粒，一日三次。”

Jiao Sanxian, namely Jiao Maiya, Jiao Hawthorn, and Jiao Shenqu, is a "single-blind" medicine in the prescription of traditional Chinese medicine.But it is not a single medicine but three medicines.

Recipe Shengdi, Yuanshen, Forsythia, Shuanghua, Prunella vulgaris, Hedyotis diffusa, Reed Rhizome, Shandougen, Shegan nourishing yin and clearing heat, detoxification of lung and stomach heat, detoxification by purging fire, Chuanxiong and Radix Paeoniae Rubra With Fritillaria fritillaria, raw barley kernels, Prunella vulgaris, Hedyotis diffusa, Bezoar Xing dissipates, softens hard masses and dispels stasis, resolves phlegm and resolves stagnation.

After receiving the prescription handed over by He Hui, Huang Su checked it and handed it to Gu Xiaojun, saying: "Drink fourteen doses of this medicine first, and come back for a review in two weeks."

Gu Xiaojun took Fang Zi, stood up and bowed to thank him: "Director Huang, thank you, it has been half a year, and you are the only doctor who still treats my mother."

Seeing his son bowing to Huang Su, Cai Guihua, who knew he was saved, also had tears in his eyes, and followed his son to bow to Huang Su.

Huang Su hurriedly got up to help Gu Xiaojun, mother and son, and said, "Go back and take the medicine well. Your recovery is the greatest thanks to me."

After seeing off the mother and son, Huang Su received more than ten cancer patients in a row in the morning.

Time is also passing quickly in the busy.

After seeing off the last patient, Nari Song said excitedly: "Director, please tell us about the syndrome differentiation of lung cancer in traditional Chinese medicine."

Na Risong and He Hui had already taken out a pen and paper and waited to record.

Huang Su said: "Then let me briefly explain to you the syndrome differentiation of lung cancer in traditional Chinese medicine."

"The TCM dialectics of lung cancer can be divided into lung dryness and body fluid syndrome, lung and spleen deficiency syndrome, and both qi and yin deficiency syndromes."

"Wei Xueli means that the lungs and spleen are deficient. The lungs are in harmony with the fur, governing breathing, and are delicate organs, intolerant of cold and heat. They are the most susceptible to external evils among the five internal organs of the human body. Because the lungs store phlegm, no matter whether it is cold, heat, excess or deficiency , Yin and Yang outside and inside, after any illness, there will be a lot of phlegm, blocking the lung collaterals, and coughing, chest tightness, shortness of breath, expectoration and hemoptysis."

As you can imagine, whether it is wind-cold or wind-heat, the lungs are first attacked, and there will be shortness of breath and sputum. The difference is that wind-cold is damp and white phlegm, and wind-heat is yellow phlegm.

Seeing that He Hui recorded what she said very carefully, Huang Su continued: "The source of phlegm in the spleen and stomach is the source of phlegm. Deficiency of the spleen is more than qi deficiency. Qi deficiency causes body fluid to not circulate smoothly. Body fluid accumulation produces phlegm, and phlegm congeals to invade the lungs. Deficiency, so use Codonopsis, Atractylodes macrocephala, Lily, and Poria cocos to invigorate the spleen and clear the lungs, and then use Poria cocos, tangerine peel, Pinellia, Fritillaria fritillaria, Platycodon grandiflorum, and licorice to relieve cough, and summer Withered grass, mountain conch, grass river car, Patrinia, and Hedyotis diffusa inhibit the development of tumors, a three-pronged approach to strengthen the body and promote the body's disease resistance."

Seeing that Nari Song and He Hui had finished recording, Huang Su continued to preach: "The ones with dryness of the lungs and body fluid damage are due to the damage of both qi and yin in the lungs, which lose their ability to purify and moisten and descend, so the syndrome of dryness of the lungs and body fluid damage For lung cancer patients, the symptoms are dry cough without phlegm, dyspnea, dry throat, thirsty and dry nose."

There is a saying in "Suwen Zhizhenyaodalun": All qi stagnation belongs to the lungs.

Lung qi does not drop, so the chest is full and stuffy
"Deficiency of both qi and yin means that the lung yin is deficient, and the lung qi is reversed, so the dry cough is less phlegm. The yin deficiency is less fluid, so the cough is less phlegm or the phlegm is bloody. The lack of lung qi results in shortness of breath, shortness of breath, and fatigue. Deficiency of qi and defense of the external surface will lead to aversion to wind and spontaneous sweating. Excessive yin deficiency will cause symptoms of yin deficiency and hyperactivity of fire, dry throat, afternoon sweating, and hot hands, feet and heart. These are lung cancer patients with both qi and yin deficiency syndrome Symptoms will appear."

After remembering it, He Hui asked, "Director, can the prescription you prescribed really kill the tumor?"

Huang Su replied: "This prescription is a combination of attack and supplement. Long-term medication can not only shrink the tumor itself, but more importantly, maintain righteousness, improve body functions, and enhance one's own resistance."

He Hui hesitated a little, but still asked: "Since traditional Chinese medicine prescriptions can eliminate tumors, why do we need chemotherapy?"

"If you are a Chinese medicine student, you should know that it is a very long process for Chinese medicine to soften and resolve hard masses. We cannot guarantee whether the patient's cancer will suddenly metastasize and spread during this process. Therefore, we need to use chemotherapy to quickly destroy some cancer cells and reduce the spread. This is also the responsibility of the patient, but anyone who has a sect opinion is irresponsible for the patient's life. In such a person, his medical beliefs are higher than human life. Such a person is not a doctor, but a doctor. Thieves too."

Let me tell you a real case of the author. A friend of mine has breast nodules, which Western medicine calls lobular hyperplasia. Her largest nodule is the size of a jujube, and the others are like peas or soybeans.

She took the prescription I prescribed, and after taking it for one month, the outer part of the largest nodule softened, and it took three months to feel the hard core inside, and it took more than half a year for the breast nodule to completely disappear.

However, the area of ​​cancer in advanced patients is not only the size of a jujube, who can ensure that the tumor will not spread and metastasize during the long treatment process, so the combination of Chinese and Western medicine is really responsible for the patient.

The author is not practicing medicine illegally. I only see doctors for my relatives and friends, and I have never used medical skills for profit.

He Hui nodded and continued: "Director, what are the commonly used drugs for treating lung cancer?"

"The commonly used medicines for the treatment of lung cancer are: Shishangbai, Scallion, Shandougen, catechu, walnut branch, toad venom, Brucea javanica, scorpion, nine incense insects, silkworm, rat woman, calamus, earthworm, Cordyceps sinensis, loquat leaves , Prunella vulgaris, Smilax cocos, Scutellaria barbata, Scutellaria barbata, Houttuynia cordata, Hedyotis diffusa, Coix seed, Honeycomb, Imperata rhizome, Trichosanthes, Pinellia chinensis, Ishimi Chuan, Baibu, Caoheche After seeing that both of them had finished recording, Huang Su continued: "The commonly used prescriptions for treating lung cancer include Qingzao Jiufei Decoction, Baihe Gujin Decoction, Xiaoxianxiong Decoction, Gualou Xiebai Banxia Decoction, and Shashen Maidong Decoction. Tangerine Peel and Bamboo Ru Soup, etc.”

After finishing speaking, Huang Su asked: "He Hui, please tell me, what prescription should be used for the syndrome of lung dryness and impaired body fluid."

He Hui thought deeply and said: "It should be Qingzaojiufei decoction, mulberry leaves are used as the monarch medicine, and its light and cold nature can clear away the evil of dryness and heat in the lungs. Gypsum is used for pungent sweetness and coldness, clearing away lung heat, and wheat Winter is sweet and cold, nourishing yin and moistening lung, and the two are ministerial medicines together.”

"The answer is very good. It seems that you have worked very hard during the six months since I left." Huang Su was very satisfied with He Hui's answer, and then continued to ask: "Tell me about the effects of other medicines of Qingzao Jiufei Decoction."

He Hui continued to answer: "Those who damage their lungs benefit their qi, and the spleen soil is the mother of lung gold, so licorice is used to cultivate soil to produce gold, ginseng benefits stomach fluid, nourishes lung qi, hemp seed and donkey-hide gelatin nourish yin and moisten lungs. And because the bitterness of the lungs is reversed, and the bitterness is eaten quickly to vent it, the bitterness of almonds and loquat leaves is used to vent the lungs. Therefore, ginseng, hemp seed, donkey-hide gelatin, almonds, and loquat leaves are used as adjuvant medicines, and then licorice is used to reconcile all kinds of herbs. Medicine, thought to make. In this way, the dryness and heat of the lung metal can be cleared, and the inversion of the lung qi can be suppressed, and then the symptoms of dryness and heat injury to the lung will be eliminated."

Huang Su was very satisfied with He Hui's answer. It seemed that the two of them had worked very hard in the past six months since he left. They had read all the books he had explained, and they were able to quote the scriptures and apply them flexibly.

Those who damage their lungs benefit their qi from "Nan Jing No. 14 Difficulties".

The bitter qi in the lungs is reversed, and eating bitterness quickly to vent it comes from "Su Wen · Dirty Qi Laws".

Huang Su looked at Na Risong again.

And that day when Song saw Huang Su looking at him, his eyes wandered, and he felt a little guilty.

Huang Su asked: "It's useless for you to hide, what kind of prescription should you use for Qi and Yin Deficiency Syndrome?"

That day Song held back for a long time and said: "You should use Lily Gujin Soup."

Huang Su continued to ask: "Tell me the reason?"

Na Risong said: "Lily is sweet and bitter and slightly cold, nourishing yin and clearing heat, moistening lungs and relieving cough; using raw rehmannia and rehmannia root together, nourishing kidney and strengthening water, among which raw rehmannia can cool blood and stop bleeding. The combination of the three medicines is to moisten the lungs and kidneys, and the golden water is combined. The commonly used combination of supplements is the monarch drug. Ophiopogon japonicus is sweet and cold, combined with lily to nourish yin and clear heat, moisten the lungs and relieve cough; Danggui cures cough and improves Qi, Wu Baishao nourishes blood and harmonizes blood; Fritillaria clears away heat and moistens lungs, reduces phlegm and relieves cough, all of which are adjuvant medicines; Platycodon grandiflorum disperses lung and relieves throat, resolves phlegm and resolves stagnation, and is loaded with medicine; Raw licorice Clearing away heat and purging fire, harmonizing various medicines, and serving as an adjuvant medicine together.”

After hearing Na Risong's answer, Huang Su nodded in satisfaction. Although there is no quotation from He Hui, the pharmacology and medicinal properties are still very clear.

In fact, this can be regarded as Huang Su's test for the two.

(End of this chapter)