I can hear the voice of Chinese medicine

Chapter 87 Talking about cancer discoloration (13)

"Doctor Lu, what medicine should my child take in this situation?"

The child's father watched the three of them finish speaking eagerly, and finally found a chance to ask a question.

Although he thought what Dr. Lu said was wonderful, for someone like him who couldn't understand, no matter how wonderful the explanation was, it would be boring.

Especially when I heard some professional terminology of traditional Chinese medicine, I was even more confused.

Of course, there are obscure places, but there are also easy-to-understand aspects.

For example, he still understood the method of pulse diagnosis for children, but just like Ji Xiuwen said, no matter how detailed and simple Lu Xuan said, no one had experience in that area. Pointing and verifying on the side is no different from opening your eyes and being blind.

However, the child's father still admires Lu Xuan's erudition and talent.

When I came in before, seeing how young Lu Xuan was, he was somewhat suspicious of what his friend said. After all, which of the great Chinese medicine practitioners is not gray-haired but also as energetic as a young man.

And those young Chinese medicine practitioners are basically serving as helpers.

Even if some doctors successfully pass the examination as attending Chinese medicine practitioners, few will register as these doctors.

To put it bluntly, it means distrust from the bottom of my heart.

This has led to less and less clinical practice for these doctors. Many TCM doctors have passed the assessment of the deputy chief TCM doctor, but they don't have much clinical experience.

This kind of thing sounds like nonsense, but it is the truth.

In the field of traditional Chinese medicine, people die of drought and waterlogging.

Traditional Chinese medicine practitioners who have many registrations always have many people registered. Traditional Chinese medicine practitioners who have no registrations are basically rarely registered. Even if they are already chief Chinese medicine practitioners, they are not famous and have not cured some difficult and complicated diseases and have their own patients. Word of mouth is no different from attending.

Lu Xuan was able to get so many people to register because of word of mouth among patients.

Once spread to ten, ten to hundreds, more people will know about it later, and the reputation will naturally increase.

When it comes to what kind of medicine to take, Ji Xiuwen is also curious. He said so much just now. Although he mentioned the child's rectal prolapse, most of the time he and Su Kenan were talking about how to feel the pulse of children under three years old. things.

Naturally, I am curious about the treatment of rectal prolapse in children.

After all, although syndrome differentiation is important, in the final analysis, treatment is the key.

Seeing that the child's father was a little anxious, Lu Xuan did not continue to talk about the child's pulse. Instead, he smiled and touched the child's head: "In fact, there are relevant records about rectal prolapse in children in ancient medical books, "Treatise on the Causes and Symptoms of Diseases" "Volume [-]" mentioned: Children suffering from anal prolapse are mostly caused by long-term intestinal deficiency and coldness and the use of body qi, so the anus prolapses.

In children, the blood qi is not filled, or due to long-term diarrhea and dysentery, the central qi sinks and cannot be absorbed, resulting in prolapse of the anus.

Preparation: Cotton root, Cimicifuga, Fangfeng, Atractylodes.A total of 3 doses, decoction in water, 1 dose taken warmly twice in the morning and evening. "

Speaking of this, Lu Xuan didn't stop in his hands, took the medical record book provided by the man, and neatly wrote the Chinese medicine in the prescription on it.

After finishing writing, Lu Xuan raised his head and said: "The child rectal prolapse is caused by long-term diarrhea and damaged temper, insufficient energy in the middle, and weak absorption. Therefore, cotton root is used to replenish qi in the prescription; Cimicifuga elevates yang energy; Spleen dampness, playing a total of invigorating Qi, invigorating the spleen and dampness, the effect of raising yang and lifting depression.

This prescription is suitable for prolapse of the anus caused by chronic diarrhea, but according to pharmacological studies, cotton root contains cottony acid and other ingredients, and cottony acid has obvious accumulation and toxicity.

Moreover, due to the widespread use of pesticides, there may be some pesticide residues in the cotton roots in many areas of our country, so the cotton roots in the recipe can be used, or astragalus can be used instead, but the effect is not as good as cotton roots.

If you go back to take the medicine, it will be difficult to achieve the effect of the previous day. If the rectum prolapses, you can also use rapeseed oil to apply it. "

The child's father kept these words in his heart, and nodded again and again: "I will decoct the medicine and give it to the child to drink when I go back."

Lu Xuan nodded: "If it's not completely cured after 3 doses, you can replace the cotton root in the prescription with astragalus to remove its toxicity."

"Well, thank you, Dr. Lu, I will remember." The child's father stood up and thanked him quickly.

Taking advantage of the time when Su Kenan was registering on the computer, Ji Xiuwen thought for a while and asked, "Can all children with rectal prolapse be treated with this prescription?"

Lu Xuan shook his head and said: "It can be caused by long-term diarrhea, damaged temper, insufficient energy, and weak absorption, but rectal prolapse is not the only case in children, and continuous coughing can also cause rectal prolapse. It’s just that, it’s helpless to use this method.”

"but……"

Speaking of this, Lu Xuan changed the subject and continued: "Generally, rectal prolapse caused by persistent coughing is often accompanied by blood after defecation, local purple redness, unbearable swelling and pain, pale face and tiredness, etc. Treatment is mainly based on nourishing the middle and accepting the depression, astringing and stopping bleeding."

"Then how should medicine be used in this situation?" Ji Xiuwen asked.

"There is a drug that is quite effective in the treatment of this disease."

"What medicine?"

Lu Xuan said four words: "Baicao Shuangwan."

Then he explained: "500 grams of Baicao Cream, ground into fine powder, passed through a 100-mesh sieve, 600 grams of honey to make pills, 120 grams of refined honey (500 ° C), mixed with the honey temperature (100 ° C) and the medicine powder when mixing the medicine. Moisturize the lumps, divide them into lumps, rub them into strips, make them as big as phoenix seeds, and dry them at low temperature. Take 6 grams per serving, 2 times a day, and take it with warm water."

Ji Xiuwen frowned slightly, as if he didn't understand.

This is completely different from the medicine just prescribed, not even the same medicine.

No wonder he didn't understand.

And Su Kenan, who was registering information on the computer, also subconsciously stopped what he was doing, and looked towards Lu Xuan.

Seeing that neither of them seemed to understand much, Lu Xuan had no choice but to patiently explain: "Heat causes closed anus, and deficiency causes anal prolapse. With prolapse of the anus caused by coughing, children usually suffer from physical weakness, insufficient middle qi, and qi deficiency. Sinking, the disease of anal relaxation, blood dripping after defecation, is caused by damp heat in the large intestine.

The reason why Baicaoshuang pills are used is very simple. The formula contains Baicaoshuang to astringe and stop bleeding; honey is sweet and flat, nourishing and moistening the lungs.The lung and the large intestine are on the outside and inside, and the combination of the two medicines can invigorate deficiency and moisten dryness, harmonize the middle and eliminate stagnation, so the curative effect is remarkable.

Baicao Cream Pills has a simple formula and is easy to take orally. It is more suitable for children with obstinate rectal prolapse or bleeding. "

At this point, Lu Xuan thought about it and added: "Each prescription is for different conditions, even if it is just anal prolapse, there are many kinds of conditions, and the medicines are different in different situations, so everything needs to be dialectical and prescribe. , a prescription can indeed be applied to many situations, but not all situations can use the same prescription.”

"In other cases, we will talk about it later."

Ji Xiuwen couldn't help giving Lu Xuan a thumbs up. Although he was still curious about what happened to Lu Xuan to make him change, this didn't stop him from admiring Lu Xuan, an old classmate.

The two were the same age, graduated from the same university, and had similar grades. He didn't talk about dialectics until now, just feeling the pulse gave him a headache, and he didn't know what to do, let alone prescribe a prescription.

But Lao Lu is not only invincible in pulse diagnosis, but also knows the pathology and pathogenesis like the palm of his hand, and he can know the medicinal properties of the prescriptions...

All kinds of things, all of which point to a problem, the gap between the two at the moment has not narrowed, but is getting farther and farther.

Ji Xiuwen even suspected that the fact that Lao Lu was his classmate was not his dream all these years.

Otherwise, how could the gap be so large?

Before coming to the health center, Ji Xiuwen thought that he must learn all the skills of the head of the Traditional Chinese Medicine Department of Qiushi Street Health Center and move towards a broader world.

But now he realizes that he doesn't need to learn everything, even if he only learns a little about this old classmate, it is enough for him to be proud in the field of Chinese medicine, and even walk sideways.

However, Ji Xiuwen thought of another question.

That is, is the ability Lu Xuan displayed now his full strength?
If so, he felt that with his talent, he could learn from his old classmates to some extent.

But if not, it would be a bit scary.

The most important thing is that Lu Xuan is still young now, in his 20s. Who knows how far he will go in the field of traditional Chinese medicine in a few years, and maybe he will become a master of traditional Chinese medicine.

Thinking of this, Ji Xiuwen was also taken aback by his own thoughts.

Master of traditional Chinese medicine, a word that he had never dared to think about before, suddenly appeared in his mind.

And the person who might be able to take this step might actually be his old classmate.

You know, when the two of them were at Zhijiang University of Traditional Chinese Medicine, they only thought about one day becoming the deputy chief doctor of traditional Chinese medicine. As for the chief doctor of traditional Chinese medicine, they didn't even dare to think about it.

Famous doctors are not in their dictionary.

Holy hand, I dare not even dream of such a dream.

And at this moment, Ji Xiuwen was surprised to find that his old classmate could really reach that step.

After all, Lu Xuan is too young now.

Decades later, is there a problem with becoming a new generation of masters of Chinese medicine?
Anyway, Ji Xiuwen didn't think there was any problem.

In just a few minutes, Ji Xiuwen thought a lot. When he came to his senses, he found that the child's father had already paid for the medicine and was waiting for him to take it.

"Don't think about it, grab the medicine first."

After being reminded by Lu Xuan, Ji Xiuwen came back to his senses and looked at the child's father: "Do you need to replace the decoction?"

The child's father shook his head: "No, there is a casserole for frying Chinese medicine at home, and I live far away, so it is not convenient to come here to get the medicine, so let's take it away now."

"Row."

Ji Xiuwen nodded, then got up and walked towards the Chinese pharmacy with the fee receipt.

After the child's father thanked Lu Xuan, he walked out of the consultation room with the child.

Looking at the time on the wall, it took a long time to explain the pulse diagnosis and anal prolapse fee to the two of them. If he didn't speed up, he would have to work overtime again at noon today.

So without waiting for Ji Xiuwen, he asked Su Kenan to start calling.

Originally, the medicine could be picked up later, but he lived far away, and since he was the first one, there were not many medicines in the prescription, so it didn't need to take too long, and it was more convenient to grab it and let someone take it away.

After Su Kenan called the number, someone quickly walked into the consulting room.

A man who was less than 40 years old came in. Behind him was a woman who was about the same age as the man. The two should be husband and wife.

Not long after the man sat down, Ji Xiuwen also grabbed the medicine and returned to the consulting room.

Lu Xuan waited for the man to sit down and asked, "What's wrong with you?"

The man's name is Tong He, 39 years old this year, he paused when Lu Xuan asked about his situation, and then slowly told him about his situation one by one.

The patient had dysphagia six months ago. Because it was serious, he went to the hospital for an examination. Gastroscopy showed that the upper esophageal lumen was narrow and about 4 cm long. The pathology report was squamous cell carcinoma. In September, he underwent surgery in the hospital. Get radiation therapy.

After surgery and radiotherapy, I still have dry throat pain and dry cough from time to time.

After listening to the patient's introduction of his condition, Ji Xiuwen's expression changed.

Su Kenan was not much better, looking at the patient with sympathy.

Lu Xuan was a little bit better. After all, he had come into contact with a patient with gastric cancer who underwent a subtotal gastrectomy last week. However, when he heard that the other person had esophageal cancer, he still couldn't help frowning.

Esophageal cancer is a malignant tumor that mainly originates from the squamous and columnar epithelium of the esophagus. Difficulty swallowing.

Esophageal cancer can occur in any part of the esophagus. According to national statistics, most cases occur in the middle section of the esophagus, followed by the lower section, and least in the upper section.Some gastric cardia cancers extend to the lower esophagus, which is often difficult to distinguish clinically from lower esophageal cancer, and this type is also called esophageal cardia cancer.

Because the esophageal wall lacks a serosa layer, the direct infiltration method of esophageal cancer is very important. Once tumor cells invade the submucosal tissue, most patients will have hematogenous metastasis, and a small number of patients will have lymphatic metastasis.

Once the cancer tissue invades the submucosa, the probability of tumor cell metastasis is as high as [-]%, which is the main reason why the mortality rate of esophageal cancer remains high.

The treatment methods for esophageal cancer are currently mainly surgery and non-surgical treatment including radiotherapy, chemotherapy, and endoscopic treatment.Simultaneous or sequential application of radiotherapy and chemotherapy can improve the local control rate of esophageal cancer, reduce distant metastasis and prolong the survival period of patients.

The exact cause of esophageal cancer is not completely clear, but modern medical research shows that long-term stimulation of certain physical and chemical factors and carcinogens in food, especially excessive nitrates, are important causes of esophageal cancer.

However, these are some introductions of Western medicine to esophageal cancer. In the concept of traditional Chinese medicine, esophageal cancer mostly belongs to the category of "choking and diaphragm", and this disease is also called "diaphragmatic choking" and "choking".

In traditional Chinese medicine literature, there are descriptions of choking and diaphragm as early as 2000 years ago.

"Internal Classics" has a record that "the three yang knots are called the diaphragm", "If you don't eat enough, you will choke in the diaphragm, and you will vomit when you eat."

Later, the understanding of this disease continued to develop. For example, "Yi Guan" said: "Those who are choking on the diaphragm are hungry and want to eat, but the choking is between the throat, chest and diaphragm, above the appetite, and there is phlegm and saliva before it enters the stomach. "Out" specifically clarifies the onset site and typical clinical manifestations of this disease. These descriptions are very similar to the symptoms of esophageal cancer in modern medicine.

It also shows to a certain extent that the research on esophageal cancer in Chinese medicine has started thousands of years ago, but there is no such thing as cancer in Chinese medicine.

Seeing that Lu Xuan hadn't spoken for a long time, Tong He's wife became worried for a while, and couldn't help sobbing: "Lu... Doctor Lu, my husband is... isn't he..."

"Doctor Lu."

Ji Xiuwen touched Lu Xuan's arm with his hand.

Only then did Lu Xuan come to his senses. Seeing Ji Xiuwen being teased at him, he knew that he was a little distracted, so he turned his head to look at Tong He's wife: "Let me check my pulse first."

He has never been exposed to this kind of disease, so what he can say is limited.

Tong He seemed to have inquired about Lu Xuan's temperament. Without saying anything, he directly stretched his arm to the pulse pillow.

And Tong He's wife, although anxious, chose to remain silent at the moment.

(End of this chapter)