I can hear the voice of Chinese medicine
Chapter 205: Can a bowel cancer be divided into 1 types?
Chapter 205: Can intestinal cancer be divided into four types?
"Xiao Xuan, I don't know much about Chinese medicine. It can even be said that I have almost no understanding of it. But do you remember the contents of the two books you just mentioned, "Treatise on Blood Syndrome" and "Surgery"?"
Lin Yongzhen took a breath. The content in ancient Chinese medicine books is not in vernacular. Whether it is reading or memorizing, it is not as convenient and simple as vernacular.
For the same [-]-word article, if it were written in vernacular Chinese, an average person might be able to memorize it thoroughly in half an hour. However, if it were written in classical Chinese, half an hour would not be enough at all.
In fact, let alone half an hour, you may not be able to recite it clearly in an hour, let alone know it by heart.
Moreover, the content in classical Chinese is generally difficult to pronounce, making it more difficult to understand.
As a medical student, there is so much to memorize.
Lin Yongzhen is well aware of the difficulty.
However, Lu Xuan was able to clearly describe the corresponding content in each medical book. Without the ability to remember everything, it was absolutely impossible to do so.
"Not just these two books, he can memorize other books by heart." Before Lu Xuan responded, Ji Xiuwen said with a smile.
"Besides, I had rarely heard him mention these two books before, but he understood them more thoroughly, otherwise he would not have achieved what he has achieved in just two months. "
hiss……
Lin Yongzhen couldn't help but take a breath.
Extraordinary understanding, combined with a photographic memory and a superhuman talent in the field of traditional Chinese medicine. Any one of these three talents is enough to save a person from walking a lot, not to mention the convergence of the three talents. In one body.
Lin Yongzhen suddenly understood why Lu Xuan had become a famous doctor in just two months.
That is to say, everyone still doesn't know that Lu Xuan can hear the voice of Chinese medicine, otherwise they would probably say that this is a life of cheating.
"Then for grandpa's condition, is it okay to take Chinese medicine?"
"Can it be cured?"
Lu Guoquan suppressed the surprise on his face and asked with a serious face. Knowing that his son had the ability of photographic memory, he was not too interested in these things. The only thing he was more concerned about was whether the old man's condition could be treated with traditional Chinese medicine. Treat, even cure.
"Uncle Lu, don't worry, this guy probably already knows what's going on."
Seeing the relaxed look on Lu Xuan's face, Ji Xiuwen knew that this guy probably had a plan in mind.
Moreover, the condition of old man Lu Qinian was not serious. He felt that with Lu Xuan's ability, let alone being cured, it would not be a big problem for the old man to live like a normal person.
"Xiaoxuan..."
After hearing this, Lu Guoquan looked at Lu Xuan again.
Lu Xuan glanced at Ji Xiuwen helplessly, thought for a while and said: "Ancient doctors had a very deep understanding of the etiology and pathogenesis of intestinal cancer. They believed that various factors affect the normal conduction function of the large intestine, and that dampness, heat, and blood stasis are accumulated in the In the intestines, there is blockage, which accumulates over time.
For example, Dou Hanqing's "Comprehensive Book of Experience on Sores and Ulcers" of the Song Dynasty mentioned: "Many people suffer from improper diet, being drunk all the time, eating fat and greasy food...indulging in wine and sex...or sitting in the wetland for a long time...not having a bowel movement for a long time, blockage, and wind-heat." If it goes down, it will cause five hemorrhoids.
Other medical experts also emphasize that dampness and heat are the main causes of intestinal cancer.
Due to improper diet and excessive consumption of fat, sweet, flavorful, alcoholic and other heat-drying products, the spleen and stomach are damaged, the spleen loses its health, transportation and transformation are lost, dampness and heat are generated internally, heat and toxins accumulate, flow into the large intestine, heat damages the intestinal collaterals, and causes blood stasis. It accumulates and clumps together to form cancerous poison.
The internal cause is due to internal injury to the seven emotions, worry and depression, emotional insufficiency, liver failure, and Qi imbalance, resulting in qi stagnation.
Cancerous tumors develop over time, long-term illness harms health, the spleen and stomach are insufficient, the biochemistry of Qi and blood is inactive, the organs are out of nutrition, the spleen is deficient and the kidneys are affected, chronic diarrhea and diarrhea occur, and the body is out of harmony. "
"Is this what Chinese medicine believes is the cause of bowel cancer?" Lin Yongzhen vaguely understood. What Lu Xuan said was basically talking about the reasons why the body suffers from bowel cancer.
Lu Xuan nodded.
"This one……"
Lin Yongzhen groaned and said: "I didn't expect that Chinese medicine would have records about intestinal cancer so early, and even the cause of the disease is clear. Compared with Chinese medicine, there are not many records in Western medicine, and it has not even been done yet. Understand why conditions such as bowel cancer occur in the body.”
"I don't know the cause of the disease, and I can't find the root cause. I just try to solve it blindly and cannot remove the root cause. Therefore, most patients who undergo surgery and chemotherapy cannot escape the spread of cancer cells in the end, and in the end there is no cure." Lu Xuan Spreading his hands, he revealed the biggest shortcomings of Western medicine in treating cancer today.
Lin Yongzhen frowned. He studied Western medicine. To be honest, he didn't particularly agree with Lu Xuan's words, but after thinking about it carefully, he felt that what Lu Xuan said was not unreasonable.
In most cases, Western medicine really treats headaches, head pain, and feet.
The treatment of cancer is basically based on excision, without paying attention to why patients get cancer, and without solving the root cause of the problem. As a result, most cancer patients will eventually have cancer cells spread until there is no cure.
"What you are talking about is the general cause of intestinal cancer. If you are asked to treat it, how should we deal with it?" Lin Yongzhen kept the cause of the disease mentioned by Lu Xuan in mind, and planned to discuss it with the gastroenterologist when he returned to the Provincial Second Hospital. moment, but what he cared more about was how to treat it than the cause.
The cause of the disease is generally the same, only the treatment and medication.
Different doctors will have different understandings.
Lu Xuan groaned and said: "In terms of treatment, Chinese medicine has proposed some treatment principles based on syndrome differentiation and treatment, which mainly include strengthening the body and eliminating evil, detoxifying and removing blood stasis, clearing away heat and dampness, regulating qi and resolving stagnation, etc.
If necessary, acupuncture, external medicine and other therapies can be combined at the same time, so that traditional Chinese medicine can be brought to a very high level in the diagnosis and treatment of colorectal cancer. "
"I see that there are many doctors in the Traditional Chinese Medicine Department of the Second Provincial Hospital. When treating cancer patients, they basically use a combination of traditional Chinese and Western medicine... Is the combination of traditional Chinese and Western medicine better?"
"That's the case."
Lu Xuan nodded and said: "Traditional Chinese medicine is often used in conjunction with chemotherapy or radiotherapy for post-operative colorectal cancer patients. It can not only synergize chemotherapy and radiotherapy to kill tumor cells, enhance the sensitivity of radiotherapy and chemotherapy, but also reduce the toxic and side effects of radiotherapy and chemotherapy. , improve the therapeutic effect of radiotherapy and chemotherapy, and reduce the recurrence and metastasis rate of colorectal cancer. The use of traditional Chinese medicine in patients with advanced stages who cannot undergo radiotherapy and chemotherapy can improve symptoms, improve the patient's quality of life, and prolong their survival time.
However, generally speaking, unless it is a last resort, try not to choose surgery and chemotherapy. After surgery and chemotherapy, the human body's vitality is greatly damaged, and even traditional Chinese medicine conditioning will be more difficult. Even if the kidneys are severely damaged, taking Chinese medicine will not be enough. It's hard to say that it can turn the tide. "Lin Yongzhen didn't speak, but squinted his eyes, seeming to be thinking about the truth behind Lu Xuan's words.
Ji Xiuwen, on the other hand, turned on the recording on his phone while listening, very seriously.
Among the patients Lu Xuan diagnoses and treats, there are not many patients with intestinal cancer, and they have rarely been mentioned before.
Now that he has found an opportunity, Ji Xiuwen will naturally not let it go.
Seeing that Lin Yongzhen didn't speak, Lu Xuan continued: "Colorectal cancer in its early stages is mostly characterized by internal dampness and heat, where evil prevails and righteousness is not deficient. Treatment is mainly based on clearing away dampness and heat; later, it shows pathological manifestations of qi stagnation and blood stasis, with Mainly promoting qi and activating blood, detoxifying and dissipating stagnation; in the later stages of the disease, symptoms of righteousness deficiency and evil attachment, such as spleen and kidney yang deficiency and qi and blood deficiency, should be given priority to strengthening the body, supplemented by dispelling evil. The treatment is to warm the spleen and kidneys, and tonify the body. Qi and blood are the basic laws.
Like grandpa's case, it's in the early stages, so treatment is relatively simple.
For patients with internal dampness and heat, the main symptoms are generally fever, abdominal pain and distension, chest tightness and thirst, nausea and anorexia, red and white diarrhea, tenesmus, and anal burning.The tongue is red, the tongue coating is yellow and greasy, and the pulse is slippery and rapid.
This is actually similar to the old man’s situation, but different patients will have some differences in main syndromes, but the differences are not big. The treatment is basically based on clearing away heat and dampness, detoxifying and dispersing stagnation.
In terms of medication, the like Pulsatilla, Coptis, Phellodendron, and Qinpi can clear away heat and dampness, detoxify and cleanse the intestines, dry dampness and stop dysentery; white peony root softens the liver and relieves dysentery, reconciles qi and blood, and stops diarrhea and abdominal pain; Acosta, betel nut, and citrus aurantium can help guide qi and stagnation. Angelica sinensis softens the liver, activates blood circulation and removes blood stasis, which means "the movement of blood will lead to self-healing of pus in the stool"; Sophora japonica and Diyu stop bleeding; Sophora flavescens and Sophora sinensis clear away heat and detoxify, eliminate carbuncles and drain pus, remove blood stasis and relieve pain.
However, the prescriptions are not one-size-fits-all, and there are different medications for different situations. This requires choosing the corresponding Chinese herbal medicine according to the patient's actual situation. The medicines I just mentioned are used in most cases. "
"This is very different from Western medicine. For Western medicine, for the same type of patients, the medicines used are basically the same, and there won't be much difference." Lin Yongzhen thought for a while.
Lin Yongzhen asked: "Xiaoxuan, you just mentioned the dampness and heat accumulation. Doesn't that mean there are other conditions of intestinal cancer?"
"nature."
Lu Xuan continued: "The second condition of patients with intestinal cancer is internal obstruction due to blood stasis. These patients generally suffer from upset and irritability, abdominal distension and pain, refusal to press the painful area, abdominal masses, diarrhea, purple pus and blood, and tenesmus." , anal prolapse, or loose stools, dry mouth and tongue and other symptoms, and the tongue is purplish or has ecchymosis, yellow coating, pulse is astringent or thready, the pulse condition and tongue signs are greatly different from those of patients with damp-heat syndrome. difference.
For this type of patients, traditional Chinese medicine treatment often focuses on promoting qi and blood circulation, removing blood stasis and detoxifying.
In terms of medication, use Guiwei, Ligusticum chuanxiong, Chishao, peach kernel, and safflower to activate blood circulation and remove blood stasis; supplemented by paeonol bark to cool blood and activate blood circulation, Citrus aurantium, Cyperus rotunda, Corydalis corydalis, Magnolia officinalis to regulate qi and resolve stagnation, so that the qi can flow and blood flow; use Wu The medicine promotes qi and relieves pain; coptis, red vine, smilax, purslane, and white ying clear heat, detoxify and fight cancer.
The third type is a deficiency of both Qi and blood. This type of patient is thin, pale, dizzy, tired, palpitation, shortness of breath, poor appetite, swollen limbs, abdominal pain, sometimes loose stools, or prolapse of the anus, and a pale tongue. The coating is thin and white, and the pulse is thin and weak.
For these patients, treatment requires nourishing qi and blood, strengthening the spleen and kidneys.
Take Radix Pseudostellariae, Astragalus, and Rehmannia glutinosa to nourish Qi and nourish blood; supplement with Poria and Atractylodes to strengthen the spleen and remove dampness; Angelica Sinensis and White Peony to nourish blood and nourish nutrients; Seed of Cuscuta and Chicken Spathel to nourish the kidneys, nourish blood and stop diarrhea; use Zhigancao to nourish Qi, Salvia miltiorrhiza activates blood circulation and promotes qi, while Cimicifuga increases qi.
The most serious ones are patients with spleen and kidney yang deficiency.
This type of patient generally has a pale complexion, thin body, is tired and lazy to talk, is afraid of cold, has cold limbs, and has continuous abdominal pain. He likes warmth and massage, has cold limbs, sore waist and knees, and has diarrhea in the middle of the night, or loose stools and mucus.
The tongue is pale, with tooth marks on the tongue body, thin white coating, and a slow and weak pulse.
For this type of patients, the treatment is very different from the previous three. It needs to warm the spleen and kidneys, remove dampness and dispel cold.
When using medicine, you can choose Codonopsis pilosula to replenish qi, which is sweet and warm, tonify the heart and strengthen the spleen and stomach; psoralen to warm and tonify the spleen and kidneys, supplemented by Evodia, Aconite, and dried ginger to warm the middle and dispel cold; nutmeg warms the spleen and kidneys and relieves diarrhea; Atractylodes, Poria, and raw coix are good for health. Spleen dampness, Schisandra chinensis acid astringent and astringent.
Of course, as I said before, the choice of medication must be based on the actual situation of the patient. This type of prescription may not be suitable for all patients. "
"Can a bowel cancer be divided into four types?"
Lin Yongzhen opened his mouth. At first, he thought Lu Xuan was joking with him. After all, in the eyes of Western medicine, intestinal cancer is intestinal cancer, and the treatment is basically surgery and chemotherapy. There is no distinction between intestinal cancer and intestinal cancer!
Isn’t bowel cancer just bowel cancer?
Can we distinguish four situations?
Moreover, the treatment drugs for each condition are different?
"Not only bowel cancer, but also other diseases are divided into many types in the eyes of traditional Chinese medicine, and the drugs used are very different for different situations."
Lu Xuan explained: "Just like a cold, in the eyes of Western medicine, a cold is a cold, and the medicines you take are basically the same, so there won't be much difference. But Chinese medicine is different. Traditional Chinese medicine divides colds into wind-cold and wind-heat. cold.
Wind-cold colds are mostly caused by external attack of wind-cold evils and loss of lung qi. The cause is usually fatigue, lack of rest, plus wind or cold.
Symptoms generally include severe aversion to cold, mild fever, fear of cold and wind, no sweat, headache and body aches, sore limbs, weak legs, nasal congestion and clear discharge, heavy voice, sneezing, coughing and spitting out thin white phlegm, and lack of thirst or excessive thirst. Hot drinks, tongue without coating or thin white coating, floating and tight pulse or floating and slow pulse.
The traditional Chinese medicine treatment of wind-cold and cold should focus on pungent and warm substances to relieve the symptoms and disperse wind-cold.
Wind-heat colds are caused by wind-heat evil attacking the surface and disharmony of lung qi. The cause is usually constipation. After two days of constipation, there will be a sore throat for one or two days, and then cold symptoms will appear.
Symptoms include mild aversion to cold, severe fever, sweating, head swelling and pain, sore throat, cough, sticky or yellow phlegm, nasal congestion and yellow discharge, thirsty drinkers, red tongue tip, thin white or yellowish tongue coating, and poor pulse rate. Normal ones are fast and big.
For wind-heat colds, the treatment method should be mainly based on pungent and cool substances to relieve the symptoms and dispel wind-heat.And drink more water and eat lightly.
Moreover, there are great differences in pulse and tongue coating between wind-cold and wind-heat syndrome. Patients with wind-cold syndrome often have floating and tight pulses, that is, the pulse can be obtained by pressing lightly, and the location is superficial, and the blood flows in the pulse tightly and forcefully.Patients with wind-heat syndrome have frequent and floating pulses, which are manifested in that the pulse can be obtained lightly and the pulse speed is fast;
Patients with wind-cold syndrome feel the invasion of cold air, with pale tongue and thin tongue coating.Patients with wind-heat tend to experience heat evil or heat generated in the body, resulting in red tongue and thin tongue coating. In severe cases of wind-heat syndrome, yellow tongue coating may appear. "
Hearing this, Lin Yongzhen took a deep breath and was shocked for a moment.
This time he was really convinced by Lu Xuan.
He still had some doubts about what Ji Xiuwen said before, but now, that trace of doubt has dissipated without a trace.
This ability and these principles are not something that a recent Chinese medicine student can possess.
(End of this chapter)
"Xiao Xuan, I don't know much about Chinese medicine. It can even be said that I have almost no understanding of it. But do you remember the contents of the two books you just mentioned, "Treatise on Blood Syndrome" and "Surgery"?"
Lin Yongzhen took a breath. The content in ancient Chinese medicine books is not in vernacular. Whether it is reading or memorizing, it is not as convenient and simple as vernacular.
For the same [-]-word article, if it were written in vernacular Chinese, an average person might be able to memorize it thoroughly in half an hour. However, if it were written in classical Chinese, half an hour would not be enough at all.
In fact, let alone half an hour, you may not be able to recite it clearly in an hour, let alone know it by heart.
Moreover, the content in classical Chinese is generally difficult to pronounce, making it more difficult to understand.
As a medical student, there is so much to memorize.
Lin Yongzhen is well aware of the difficulty.
However, Lu Xuan was able to clearly describe the corresponding content in each medical book. Without the ability to remember everything, it was absolutely impossible to do so.
"Not just these two books, he can memorize other books by heart." Before Lu Xuan responded, Ji Xiuwen said with a smile.
"Besides, I had rarely heard him mention these two books before, but he understood them more thoroughly, otherwise he would not have achieved what he has achieved in just two months. "
hiss……
Lin Yongzhen couldn't help but take a breath.
Extraordinary understanding, combined with a photographic memory and a superhuman talent in the field of traditional Chinese medicine. Any one of these three talents is enough to save a person from walking a lot, not to mention the convergence of the three talents. In one body.
Lin Yongzhen suddenly understood why Lu Xuan had become a famous doctor in just two months.
That is to say, everyone still doesn't know that Lu Xuan can hear the voice of Chinese medicine, otherwise they would probably say that this is a life of cheating.
"Then for grandpa's condition, is it okay to take Chinese medicine?"
"Can it be cured?"
Lu Guoquan suppressed the surprise on his face and asked with a serious face. Knowing that his son had the ability of photographic memory, he was not too interested in these things. The only thing he was more concerned about was whether the old man's condition could be treated with traditional Chinese medicine. Treat, even cure.
"Uncle Lu, don't worry, this guy probably already knows what's going on."
Seeing the relaxed look on Lu Xuan's face, Ji Xiuwen knew that this guy probably had a plan in mind.
Moreover, the condition of old man Lu Qinian was not serious. He felt that with Lu Xuan's ability, let alone being cured, it would not be a big problem for the old man to live like a normal person.
"Xiaoxuan..."
After hearing this, Lu Guoquan looked at Lu Xuan again.
Lu Xuan glanced at Ji Xiuwen helplessly, thought for a while and said: "Ancient doctors had a very deep understanding of the etiology and pathogenesis of intestinal cancer. They believed that various factors affect the normal conduction function of the large intestine, and that dampness, heat, and blood stasis are accumulated in the In the intestines, there is blockage, which accumulates over time.
For example, Dou Hanqing's "Comprehensive Book of Experience on Sores and Ulcers" of the Song Dynasty mentioned: "Many people suffer from improper diet, being drunk all the time, eating fat and greasy food...indulging in wine and sex...or sitting in the wetland for a long time...not having a bowel movement for a long time, blockage, and wind-heat." If it goes down, it will cause five hemorrhoids.
Other medical experts also emphasize that dampness and heat are the main causes of intestinal cancer.
Due to improper diet and excessive consumption of fat, sweet, flavorful, alcoholic and other heat-drying products, the spleen and stomach are damaged, the spleen loses its health, transportation and transformation are lost, dampness and heat are generated internally, heat and toxins accumulate, flow into the large intestine, heat damages the intestinal collaterals, and causes blood stasis. It accumulates and clumps together to form cancerous poison.
The internal cause is due to internal injury to the seven emotions, worry and depression, emotional insufficiency, liver failure, and Qi imbalance, resulting in qi stagnation.
Cancerous tumors develop over time, long-term illness harms health, the spleen and stomach are insufficient, the biochemistry of Qi and blood is inactive, the organs are out of nutrition, the spleen is deficient and the kidneys are affected, chronic diarrhea and diarrhea occur, and the body is out of harmony. "
"Is this what Chinese medicine believes is the cause of bowel cancer?" Lin Yongzhen vaguely understood. What Lu Xuan said was basically talking about the reasons why the body suffers from bowel cancer.
Lu Xuan nodded.
"This one……"
Lin Yongzhen groaned and said: "I didn't expect that Chinese medicine would have records about intestinal cancer so early, and even the cause of the disease is clear. Compared with Chinese medicine, there are not many records in Western medicine, and it has not even been done yet. Understand why conditions such as bowel cancer occur in the body.”
"I don't know the cause of the disease, and I can't find the root cause. I just try to solve it blindly and cannot remove the root cause. Therefore, most patients who undergo surgery and chemotherapy cannot escape the spread of cancer cells in the end, and in the end there is no cure." Lu Xuan Spreading his hands, he revealed the biggest shortcomings of Western medicine in treating cancer today.
Lin Yongzhen frowned. He studied Western medicine. To be honest, he didn't particularly agree with Lu Xuan's words, but after thinking about it carefully, he felt that what Lu Xuan said was not unreasonable.
In most cases, Western medicine really treats headaches, head pain, and feet.
The treatment of cancer is basically based on excision, without paying attention to why patients get cancer, and without solving the root cause of the problem. As a result, most cancer patients will eventually have cancer cells spread until there is no cure.
"What you are talking about is the general cause of intestinal cancer. If you are asked to treat it, how should we deal with it?" Lin Yongzhen kept the cause of the disease mentioned by Lu Xuan in mind, and planned to discuss it with the gastroenterologist when he returned to the Provincial Second Hospital. moment, but what he cared more about was how to treat it than the cause.
The cause of the disease is generally the same, only the treatment and medication.
Different doctors will have different understandings.
Lu Xuan groaned and said: "In terms of treatment, Chinese medicine has proposed some treatment principles based on syndrome differentiation and treatment, which mainly include strengthening the body and eliminating evil, detoxifying and removing blood stasis, clearing away heat and dampness, regulating qi and resolving stagnation, etc.
If necessary, acupuncture, external medicine and other therapies can be combined at the same time, so that traditional Chinese medicine can be brought to a very high level in the diagnosis and treatment of colorectal cancer. "
"I see that there are many doctors in the Traditional Chinese Medicine Department of the Second Provincial Hospital. When treating cancer patients, they basically use a combination of traditional Chinese and Western medicine... Is the combination of traditional Chinese and Western medicine better?"
"That's the case."
Lu Xuan nodded and said: "Traditional Chinese medicine is often used in conjunction with chemotherapy or radiotherapy for post-operative colorectal cancer patients. It can not only synergize chemotherapy and radiotherapy to kill tumor cells, enhance the sensitivity of radiotherapy and chemotherapy, but also reduce the toxic and side effects of radiotherapy and chemotherapy. , improve the therapeutic effect of radiotherapy and chemotherapy, and reduce the recurrence and metastasis rate of colorectal cancer. The use of traditional Chinese medicine in patients with advanced stages who cannot undergo radiotherapy and chemotherapy can improve symptoms, improve the patient's quality of life, and prolong their survival time.
However, generally speaking, unless it is a last resort, try not to choose surgery and chemotherapy. After surgery and chemotherapy, the human body's vitality is greatly damaged, and even traditional Chinese medicine conditioning will be more difficult. Even if the kidneys are severely damaged, taking Chinese medicine will not be enough. It's hard to say that it can turn the tide. "Lin Yongzhen didn't speak, but squinted his eyes, seeming to be thinking about the truth behind Lu Xuan's words.
Ji Xiuwen, on the other hand, turned on the recording on his phone while listening, very seriously.
Among the patients Lu Xuan diagnoses and treats, there are not many patients with intestinal cancer, and they have rarely been mentioned before.
Now that he has found an opportunity, Ji Xiuwen will naturally not let it go.
Seeing that Lin Yongzhen didn't speak, Lu Xuan continued: "Colorectal cancer in its early stages is mostly characterized by internal dampness and heat, where evil prevails and righteousness is not deficient. Treatment is mainly based on clearing away dampness and heat; later, it shows pathological manifestations of qi stagnation and blood stasis, with Mainly promoting qi and activating blood, detoxifying and dissipating stagnation; in the later stages of the disease, symptoms of righteousness deficiency and evil attachment, such as spleen and kidney yang deficiency and qi and blood deficiency, should be given priority to strengthening the body, supplemented by dispelling evil. The treatment is to warm the spleen and kidneys, and tonify the body. Qi and blood are the basic laws.
Like grandpa's case, it's in the early stages, so treatment is relatively simple.
For patients with internal dampness and heat, the main symptoms are generally fever, abdominal pain and distension, chest tightness and thirst, nausea and anorexia, red and white diarrhea, tenesmus, and anal burning.The tongue is red, the tongue coating is yellow and greasy, and the pulse is slippery and rapid.
This is actually similar to the old man’s situation, but different patients will have some differences in main syndromes, but the differences are not big. The treatment is basically based on clearing away heat and dampness, detoxifying and dispersing stagnation.
In terms of medication, the like Pulsatilla, Coptis, Phellodendron, and Qinpi can clear away heat and dampness, detoxify and cleanse the intestines, dry dampness and stop dysentery; white peony root softens the liver and relieves dysentery, reconciles qi and blood, and stops diarrhea and abdominal pain; Acosta, betel nut, and citrus aurantium can help guide qi and stagnation. Angelica sinensis softens the liver, activates blood circulation and removes blood stasis, which means "the movement of blood will lead to self-healing of pus in the stool"; Sophora japonica and Diyu stop bleeding; Sophora flavescens and Sophora sinensis clear away heat and detoxify, eliminate carbuncles and drain pus, remove blood stasis and relieve pain.
However, the prescriptions are not one-size-fits-all, and there are different medications for different situations. This requires choosing the corresponding Chinese herbal medicine according to the patient's actual situation. The medicines I just mentioned are used in most cases. "
"This is very different from Western medicine. For Western medicine, for the same type of patients, the medicines used are basically the same, and there won't be much difference." Lin Yongzhen thought for a while.
Lin Yongzhen asked: "Xiaoxuan, you just mentioned the dampness and heat accumulation. Doesn't that mean there are other conditions of intestinal cancer?"
"nature."
Lu Xuan continued: "The second condition of patients with intestinal cancer is internal obstruction due to blood stasis. These patients generally suffer from upset and irritability, abdominal distension and pain, refusal to press the painful area, abdominal masses, diarrhea, purple pus and blood, and tenesmus." , anal prolapse, or loose stools, dry mouth and tongue and other symptoms, and the tongue is purplish or has ecchymosis, yellow coating, pulse is astringent or thready, the pulse condition and tongue signs are greatly different from those of patients with damp-heat syndrome. difference.
For this type of patients, traditional Chinese medicine treatment often focuses on promoting qi and blood circulation, removing blood stasis and detoxifying.
In terms of medication, use Guiwei, Ligusticum chuanxiong, Chishao, peach kernel, and safflower to activate blood circulation and remove blood stasis; supplemented by paeonol bark to cool blood and activate blood circulation, Citrus aurantium, Cyperus rotunda, Corydalis corydalis, Magnolia officinalis to regulate qi and resolve stagnation, so that the qi can flow and blood flow; use Wu The medicine promotes qi and relieves pain; coptis, red vine, smilax, purslane, and white ying clear heat, detoxify and fight cancer.
The third type is a deficiency of both Qi and blood. This type of patient is thin, pale, dizzy, tired, palpitation, shortness of breath, poor appetite, swollen limbs, abdominal pain, sometimes loose stools, or prolapse of the anus, and a pale tongue. The coating is thin and white, and the pulse is thin and weak.
For these patients, treatment requires nourishing qi and blood, strengthening the spleen and kidneys.
Take Radix Pseudostellariae, Astragalus, and Rehmannia glutinosa to nourish Qi and nourish blood; supplement with Poria and Atractylodes to strengthen the spleen and remove dampness; Angelica Sinensis and White Peony to nourish blood and nourish nutrients; Seed of Cuscuta and Chicken Spathel to nourish the kidneys, nourish blood and stop diarrhea; use Zhigancao to nourish Qi, Salvia miltiorrhiza activates blood circulation and promotes qi, while Cimicifuga increases qi.
The most serious ones are patients with spleen and kidney yang deficiency.
This type of patient generally has a pale complexion, thin body, is tired and lazy to talk, is afraid of cold, has cold limbs, and has continuous abdominal pain. He likes warmth and massage, has cold limbs, sore waist and knees, and has diarrhea in the middle of the night, or loose stools and mucus.
The tongue is pale, with tooth marks on the tongue body, thin white coating, and a slow and weak pulse.
For this type of patients, the treatment is very different from the previous three. It needs to warm the spleen and kidneys, remove dampness and dispel cold.
When using medicine, you can choose Codonopsis pilosula to replenish qi, which is sweet and warm, tonify the heart and strengthen the spleen and stomach; psoralen to warm and tonify the spleen and kidneys, supplemented by Evodia, Aconite, and dried ginger to warm the middle and dispel cold; nutmeg warms the spleen and kidneys and relieves diarrhea; Atractylodes, Poria, and raw coix are good for health. Spleen dampness, Schisandra chinensis acid astringent and astringent.
Of course, as I said before, the choice of medication must be based on the actual situation of the patient. This type of prescription may not be suitable for all patients. "
"Can a bowel cancer be divided into four types?"
Lin Yongzhen opened his mouth. At first, he thought Lu Xuan was joking with him. After all, in the eyes of Western medicine, intestinal cancer is intestinal cancer, and the treatment is basically surgery and chemotherapy. There is no distinction between intestinal cancer and intestinal cancer!
Isn’t bowel cancer just bowel cancer?
Can we distinguish four situations?
Moreover, the treatment drugs for each condition are different?
"Not only bowel cancer, but also other diseases are divided into many types in the eyes of traditional Chinese medicine, and the drugs used are very different for different situations."
Lu Xuan explained: "Just like a cold, in the eyes of Western medicine, a cold is a cold, and the medicines you take are basically the same, so there won't be much difference. But Chinese medicine is different. Traditional Chinese medicine divides colds into wind-cold and wind-heat. cold.
Wind-cold colds are mostly caused by external attack of wind-cold evils and loss of lung qi. The cause is usually fatigue, lack of rest, plus wind or cold.
Symptoms generally include severe aversion to cold, mild fever, fear of cold and wind, no sweat, headache and body aches, sore limbs, weak legs, nasal congestion and clear discharge, heavy voice, sneezing, coughing and spitting out thin white phlegm, and lack of thirst or excessive thirst. Hot drinks, tongue without coating or thin white coating, floating and tight pulse or floating and slow pulse.
The traditional Chinese medicine treatment of wind-cold and cold should focus on pungent and warm substances to relieve the symptoms and disperse wind-cold.
Wind-heat colds are caused by wind-heat evil attacking the surface and disharmony of lung qi. The cause is usually constipation. After two days of constipation, there will be a sore throat for one or two days, and then cold symptoms will appear.
Symptoms include mild aversion to cold, severe fever, sweating, head swelling and pain, sore throat, cough, sticky or yellow phlegm, nasal congestion and yellow discharge, thirsty drinkers, red tongue tip, thin white or yellowish tongue coating, and poor pulse rate. Normal ones are fast and big.
For wind-heat colds, the treatment method should be mainly based on pungent and cool substances to relieve the symptoms and dispel wind-heat.And drink more water and eat lightly.
Moreover, there are great differences in pulse and tongue coating between wind-cold and wind-heat syndrome. Patients with wind-cold syndrome often have floating and tight pulses, that is, the pulse can be obtained by pressing lightly, and the location is superficial, and the blood flows in the pulse tightly and forcefully.Patients with wind-heat syndrome have frequent and floating pulses, which are manifested in that the pulse can be obtained lightly and the pulse speed is fast;
Patients with wind-cold syndrome feel the invasion of cold air, with pale tongue and thin tongue coating.Patients with wind-heat tend to experience heat evil or heat generated in the body, resulting in red tongue and thin tongue coating. In severe cases of wind-heat syndrome, yellow tongue coating may appear. "
Hearing this, Lin Yongzhen took a deep breath and was shocked for a moment.
This time he was really convinced by Lu Xuan.
He still had some doubts about what Ji Xiuwen said before, but now, that trace of doubt has dissipated without a trace.
This ability and these principles are not something that a recent Chinese medicine student can possess.
(End of this chapter)
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