I can hear the voice of Chinese medicine

Chapter 122 I Found a Light on Him
Zhang Jingcai pushed the door open and entered.

Hearing the movement behind him, Gu Huahua turned off the screen, put his phone aside, looked at the computer screen in front of him, and sat upright.

Zhang Jingcai walked up behind Gu Huahua with a smile, patted his shoulder gently, and said kindly: "Xiao Gu, don't be nervous, this is not a hospital, there are not so many rules, as long as you don't delay things, you can play with your phone when you are bored. does not matter.

If there is anything you don’t understand, you can write it down and ask again when you are free. When seeing a doctor, I will also talk about some special situations when you encounter them.

I have a general understanding of your situation. Hard work is hard work, but the foundation is still not solid enough. Many things that should be remembered are not remembered. This should not be done and needs to be changed. "

Zhang Jingcai's palm suddenly fell on Gu Huahua's body, Gu Huahua's body trembled, and he turned his head nervously, but he saw a scene that he would never forget in his life.

Isn't the young man standing behind Zhang Jingcai his old classmate Lu Xuan?

Gu Huahua was stunned, but he quickly realized what he was doing. He didn't say anything, but subconsciously turned to look at Zhang Jingcai and said quickly: "Doctor Zhang, I will definitely change it."

"As long as you can change it."

Zhang Jingcai smiled slightly: "Sit first."

Gu Huahua sat down, but after sitting down, he looked at Lu Xuan suspiciously.

Why did he come in with Mr. Zhang? Could it be that he came to see Mr. Zhang for medical treatment?

Gu Huahua glanced at the computer screen with his peripheral vision, but did not find Lu Xuan's name, and then looked back at Lu Xuan.

Lu Xuan had known for a long time that Gu Huahua was here as an assistant to Mr. Zhang, so naturally there was no surprise. He greeted Gu Huahua with a smile. At this moment, Zhang Jing suddenly looked at Lu Xuan and said, "Doctor Lu, I Let me tell you about the condition of the patient."

Only then did Lu Xuan turn his head and look at Zhang Jingcai: "Okay, then I'm going to trouble Mr. Zhang."

"I told you to just call me Lao Zhang. Why, is Dr. Lu looking down on me, Lao Zhang?" Zhang Jingcai said pretending to be angry.

Lu Xuan had no choice but to call out to Lao Zhang. Zhang Jingcai didn't say anything, but handed some examinations provided by the patient to Lu Xuan: "These are some examinations the patient had done before. You sit here and take a look at them first. Look, I’ll tell you about some of his conditions, and then we’ll talk about how to treat him.”

Lu Xuan nodded and did not speak. Instead, he took some checklists handed over by Zhang Jingcai, came to the side and sat down, and read them quietly.

Gu Huahua, who was still wondering why Lu Xuan also came to Zhang's old clinic, heard the conversation between the two, and the expression on his face froze instantly.

"Old Zhang?"

It is almost impossible for the address that Lu Xuan said to come to Gu Huahua's ears at this moment, which is no less than a bolt from the blue, making Gu Huahua's originally nervous face suddenly become astonished at this moment. This weird scene made him have a feeling It feels like listening to a fantasy story.

Swallowing hard, it took a while for Gu Huahua to react to this strange situation and murmured in a low voice: "What on earth is going on?"

Lu Xuan, does he know Mr. Zhang?
and……

Gu Huahua could tell that the two of them should not have known each other for a long time, but it gave him the illusion that the two of them were friends for a long time.

The key is that this scene of peer-to-peer discussion made him really confused as to when Lu Xuan got involved with Mr. Zhang.

If Lu Xuan had this kind of relationship, when he graduated, he could just come to the Liannan Traditional Chinese Medicine Association to be Mr. Zhang's assistant. Why would he go to the District Traditional Chinese Medicine Hospital?
He even heard that Lu Xuan had only been in the District Traditional Chinese Medicine Hospital for half a year, and he seemed to have been driven away because of some things, but he didn't know where he went.

However, if Lu Xuan and Mr. Zhang knew each other, they wouldn’t be driven away, right?
Not to mention the district traditional Chinese medicine hospital, there is no problem even if you go to the city traditional Chinese medicine hospital!

For a moment, Gu Huahua's mind was a little confused.

The situation in front of him was really surprising.

If it wasn't for Zhang Jingcai, he would have taken out his mobile phone and asked Ji Xiuwen what was going on, or he would have pulled Lu Xuan out of the consultation room to clarify the matter.

Just when Gu Huahua was full of thoughts, Zhang Jingcai was already introducing the patient's situation to Lu Xuan.

Hearing the elder's voice, Gu Huahua came back to his senses and looked up at the two people who were talking.

"The patient developed discomfort in the liver area at the beginning of last year, but because it was not serious, he did not go for examination. It was not until August that he went to the hospital for abdominal B-ultrasound and CT. You can also see the examination results.

The right lobe of the liver occupies a space of 2.9cm x 2.5cm, the portal vein tumor thrombus is 1cm x 0.8cm, the amount of ascites is equal, splenomegaly, and alpha-fetoprotein is abnormally elevated. "

Lu Xuan glanced at the B-ultrasound and CT results one by one, raised his head and asked, "Does the patient have any past history?"

"Have."

Zhang Jingcai said quickly: "I have a history of hepatitis B cirrhosis, and Xiao Sanyang has been listening to the patient's self-report for more than 30 years.

He had received two interventional treatments for the tumor in the right lobe of the liver in the hospital before, but because of too many side effects, the patient refused further western medicine treatment, and immediately sought help from traditional Chinese medicine.

As for other symptoms, I have made some records, you can take a look. "

After Zhang Jing finished speaking, he handed the patient's medical records to Lu Xuan.

Lu Xuan took it and took a look.

Symptoms: weight loss, general weakness, dry mouth, rash, abdominal distension, joint pain, anorexia, diarrhea, yellow urine, red tongue, yellow coating, and heavy pulse.

But even though the elder had already made a judgment, Lu Xuan still turned to look at the patient: "Let me check your pulse."

The patient looked at Lu Xuan without knowing why, but did not reach out. Instead, he turned to look at Zhang Jingcai: "Doctor Zhang, this..."

Zhang Jingcai said with a smile: "This is Doctor Xiao Lu, who is also the inpatient doctor of Liannan Traditional Chinese Medicine Association, but it's the first day I'm here today. I'll ask him to come over and take a look for you."

After hearing this, the patient stretched out his arm.

Lu Xuan felt the pulse and looked at the patient's tongue signs. After a while, he took his hand back.

"How about it?"

Seeing this, Zhang Jing asked hurriedly.

Lu Xuan groaned and said: "Based on the test results, it should be primary liver cancer, but it took a long time. If you come to see him when symptoms first appear, the treatment effect will be much better. Now, we can only Control non-proliferation and try to maintain the life of the patient."

When I say this, I am not being alarmist.

Primary liver cancer generally has an insidious onset, and the early diagnosis rate is extremely low, and most of them are already in the middle and late stages when they are diagnosed.

The degree of malignancy is very high, and the disease progresses rapidly. Western medical treatments such as radiotherapy and chemotherapy are insensitive and the treatment effect is poor. The patient's survival period is only 3 to 6 months, and it is regarded as the "King of Cancers."

The patient in front of me is lucky to be able to maintain such a good condition.

If it had been anyone else, they might have already passed away by this time.

"I give you pretty much the same opinion."

Zhang Jingcai nodded in agreement and continued: "The etiology and pathogenesis of liver cancer focus on liver stagnation and blood stasis. The liver, spleen, and kidneys share the same disease, and this should be the main focus during conditioning.

The occurrence of liver cancer is firstly responsible for the stagnation of liver qi. The liver stores blood and is used for catharsis.

If the six exogenous factors caused by external factors or the internal injuries caused by the seven emotions lead to stagnation of liver qi and the inability to release it, the internal organs and meridians will be out of balance and the qi movement will be blocked, resulting in qi stagnation and blood stasis, and evil toxins will gather into lumps and accumulate over time.

The spleen is the foundation of the acquired constitution, the spleen is healthy, it needs to regulate the liver qi, the stagnation of the liver turns into fire, the wood flourishes and takes advantage of the soil, and if it violates the spleen and stomach, it will lead to spleen deficiency;
The liver and kidneys also have the same origin, and the yin of the liver and kidneys feeds each other. If the liver blood is insufficient, the liver yang will act indiscriminately, and the kidney yin will be robbed, which will also lead to kidney deficiency.

It starts with stagnation of liver qi and ends with spleen deficiency, liver and kidney yin deficiency.

Therefore, although the liver is responsible for liver cancer, the liver, spleen, and kidney are usually the same disease during treatment.Liver depression and blood stasis are the leading factors in the pathogenesis of liver cancer, which runs through the whole process of liver cancer syndrome. "

Lu Xuan looked at Mr. Zhang with a look of admiration. It was hard to imagine that Mr. Zhang, who mainly studies kidney diseases, has such a high attainment in liver.

However, think carefully.

Any Chinese medicine practitioner who has extremely high attainments in one aspect is actually not bad in other aspects.

Traditional Chinese medicine treats the human body as a whole. It does not just treat the pain wherever it is. It needs to consider where the pain is and prescribe the right medicine.

Just like liver cancer, although it is said that the main cause is stagnation of liver qi, in patients with liver cancer, it is not only the liver that has problems, the spleen and kidney are also implicated because of the liver.

During treatment, not only the liver must be treated, but the spleen and kidneys must also be taken into consideration.

"Dr. Xiao Lu, what do you think?"

Lu Xuan's expression didn't change much, but Gu Huahua's eyes were staring like copper bells, and he looked at Zhang Jingcai in disbelief.

Elder Zhang was asking Lu Xuan for his opinion?

real or fake?

Gu Huahua pinched his thigh hard, and the huge pain told him that this was not a dream at all.

For a moment, Gu Huahua's eyes looked at Lu Xuan, filled with surprise and growing doubts.

He couldn't figure out why Mr. Zhang wanted to ask Lu Xuan for his opinion on this matter.

This is liver cancer!

Among them, few have felt the patient's pulse so far. How could they have the ability to differentiate and treat the patient's disease!

Isn't this a joke?

When Gu Huahua was thinking of this, Lu Xuan responded after a ponder: "In the concept of traditional Chinese medicine, there is no name for "primary liver cancer". According to the patient's clinical manifestations, it belongs to "accumulation", "symptoms", and "hepatoma". ", "fatness" and other categories."

Zhang Jingcai nodded slightly, there is no problem in including primary liver cancer among these.

Lu Xuan's voice continued to ring in his ears: "For this kind of disease, there is a relevant introduction in "Suwen·Ju Tong Lun": "Cold air travels between the membranes of the small intestine, and in the blood, the blood cannot be wept. If you pay attention to the major meridians, the blood and Qi will not be able to move forward, so it will accumulate in the past. "

In addition, "Su Wen · Fu Zhong Lun Pian" also said: "Fu Liang is wrapped in a large pus and blood, which is outside the stomach."

Both of them believe that accumulation and collapse are related to blood stasis.

"Jingyue Quanshu" also says that "blood accumulation is tangible and does not move, or is hard and refuses to be pressed", indicating that blood stasis syndrome can lead to accumulation of symptoms.

In "Surgery Orthodox Ruffianism", there are also some related records: "Ruffianism is caused by excessive internal injuries, qi and blood rebellion, and agglomeration. At the beginning, there is a small movement in the abdomen, and the traction hurts. After a long time, it gradually If it takes a big shape, it will even move inside the body." Undoubtedly, it is also pointed out that the habit is related to the accumulation of qi and blood.

There is also "Zhi Mi Quan Fang Sheng·Zhuji Chapter": "A lump forms in the abdomen, and it will not move when pressed and it will not move when pushed." And "Danxi Xinfa·Accumulation of lumps" says: "The lumps are tangible. Things are made of dead blood." And "Yilin Shengmo·Accumulation" says: "Accumulation is the accumulation of blood."

All of these believe that the generation of clots is closely related to blood stasis.Wang Qingren, a medical scientist in the Qing Dynasty, may also have heard of it. He thought that "the agglomeration of the abdomen must have tangible blood", "Qi is invisible and cannot agglomerate, and if there is agglomeration, there must be tangible blood. When the blood is cold, it will condense into clots, and the blood will be tormented into clots when it is heated." These are undoubtedly a step further than the previous understanding.

Tang Zonghai studied Confucianism when he was young. In the 15th year of Guangxu's reign, he was elected as a Jinshi and headed the Ministry of Ceremonies. Tang Rongchuan, a medical scientist who only started to be exposed to traditional Chinese medicine in his middle age, clearly pointed out in "Treatise on Blood Syndrome: Blood Stasis": "Blood stasis between the meridians and organs will result in stasis." It’s a symptom.”

It can be seen that blood stasis is an important pathological basis of primary liver cancer. The occurrence of liver cancer is closely related to qi and blood stasis and blocked veins. "

After finishing speaking, the consulting room was unusually quiet.

"Lao Zhou told us before that Dr. Lu's understanding of medical books is extremely terrifying. He can be called a mobile hard drive full of medical books, and his understanding of the contents is also different from ordinary people. At first, we didn't believe it, but now, I I really have to believe it."

Zhang Jingcai was really frightened.

Although what Lu Xuan said was not much, just a few hundred words, it involved as many as seven medical books. This was not something that could be memorized by heart.

To put it bluntly, if I just put these medical books here for others to browse, I don’t know how long it would take to find some discussions about primary liver cancer.

But he couldn't do it like Lu Xuan did.

To be honest, Zhang Jingcai was also a little shocked.

Compared with Gu Huahua, Zhang Jingcai is better.

After all, I have heard Lu Xuan introduced by Lao Zhou before, and I also know that Lu Xuan is not small, but in Gu Huahua's eyes, Lu Xuan should be in the same situation as him, even if he is working as an assistant for a certain Chinese medicine doctor, it is still a problem for dialectics. It is even more nonsense to see a doctor without knowing anything about taking the pulse.

But the scene in front of him completely subverted Gu Huahua's cognition.

It was as if, his senior brother who came out of the same school as him, he was still a little guy with a secret book but hadn't mastered it proficiently, while Lu Xuan had become the leader of the martial arts alliance, with world-class martial arts.

This terrifying gap made Gu Huahua look at Lu Xuan with shock in his eyes.

Lu Xuan didn't answer this and just smiled subconsciously.

Zhang Jingcai didn't care about this and said with a smile: "This photographic memory is really terrifying! Now it seems that inviting Dr. Xiao Lu here is really the right thing to do."

"That's all I know."

"I'm a little envious."

Zhang Jingcai did not hide the envy on his face at all, he has a photographic memory, learning anything can achieve twice the result with half the effort, who would not be envious?

Anyway, he was really envious.

"Since Doctor Xiao Lu has already mentioned this, what about this treatment method?" Zhang Jingcai was also not polite at all. He invited everyone, so he couldn't make the best use of them, otherwise it would be a waste of Lu Xuan's terrifying talent.

When it comes to this aspect, Lu Xuan did not act pretentious, but pondered for a while and said: "The "Su Wen Zhi Zhen Yao Da Lun" expounds the treatment of "the strong will eliminate it" and "the strong will weaken it" Law.

The functions of Biejiajian Pills in "Synopsis of the Golden Chamber" are to promote qi and activate blood circulation, remove dampness and blood stasis, soften hardness and eliminate diseases, and are specially used to treat hypochondriac syndrome.

Wang Qingren also mentioned in "Yi Lin Gai Cuo" that Gexia Zhuyu Decoction and Xuefu Zhuyu Decoction are representative prescriptions for promoting blood circulation and removing blood stasis.This primary liver cancer should be treated with activating blood circulation and removing blood stasis as the basic treatment. You can choose Xuefu Zhuyu Decoction, Guizhi Fuling Pills or Dahuang Chong Pills combined with Bupleurum Soothing Gan Powder or Xiaoyao Powder.

However, depending on the stage of primary liver cancer, the choice of drugs for promoting blood circulation and removing blood stasis is also different.

For postoperative patients, due to the obstruction of local vascular and lymphatic reflux, blood stasis and arterial obstruction, and deficiency of Qi and blood, it is advisable to use slightly stronger drugs for promoting blood circulation and removing blood stasis;
Some patients who are undergoing chemotherapy have deficiency of vitality, spleen deficiency and dampness, internal dampness and blood stasis, and the blood stasis syndrome is further aggravated. It is not suitable to use strong blood-activating drugs. Tolerance to chemotherapy;
If the patient is undergoing radiotherapy, due to the strong heat evil (rays), which consumes Qi and Yin, leads to insufficient body fluids, blood viscosity, and worsening blood stasis syndrome, it is appropriate to use products that cool the blood and activate blood circulation to reduce the damage of the heat evil to normal tissues. , increase radiotherapy sensitivity.

When performing hepatic arterial chemoembolization treatment, the prescription for regulating qi and activating blood circulation should be used. However, if the disease progresses to the stage of coagulation disorder, that is, at the stage of yin deficiency and blood stasis, early intervention should be carried out with methods of nourishing yin, promoting fluid production, cooling blood and activating blood circulation. Yiwei decoction is used to promote liver cell repair and proliferation, maintain normal coagulation status, prevent bleeding events, and extend the patient's survival time as much as possible.

However, generally liver cancer patients can be basically divided into four syndrome types, namely liver stagnation and spleen deficiency, qi stagnation and blood stasis, liver and gallbladder dampness and yin deficiency, and liver and kidney yin deficiency. The patient in front of me has typical liver stagnation and spleen deficiency, dampness and heat. Connotation.

If I were to treat it, the treatment should be to strengthen the spleen and soothe the liver, clear away heat and remove dampness. "

陆轩说着说着，下意识的将拿笔将方子在患者病历本上写了下来：柴胡8g、大生地15g、白藓皮10g、猪苓10g、茯苓10g、地肤子10g、丹皮10g、早莲草10g、凌霄花10g、亭荡子10g、仙鹤草15g、蒲公英10g、百合20g、石见穿10g、石榴皮15g、半枝莲10g。

"However, while taking these medicines, considering the unbearable pain of liver cancer replacement, you can take another medicine made of Cyperus rotunda, Ligusticum chuanxiong, Atractylodes, Divine Comedy, Gardenia, Codonopsis pilosula, Poria, chrysanthemum, rose, licorice, white The prescription composed of peony root and diffusa diffusa can delay the occurrence and further aggravation of cancer pain."

Before Lu Xuan could speak, Zhang Jingcai had already taken the medical record from Lu Xuan, and carefully read it against the prescription Lu Xuan had prescribed. After a long time, he couldn't help but frowned while showing surprise on his face:

"You also mentioned a point just now. In "Suwen Zhizhenyao Dalun", it is said that the strong will be eliminated, and the strong will be softened. Doesn't his situation need to add pangolins, turtle shells, tortoise shells, keels, Oysters, sea pumice, sea clam shells, seaweed, kelp and other soft and firm medicines?"

(End of this chapter)