I can hear the voice of Chinese medicine

Chapter 88 Treatment of Esophageal Cancer (23)

Pulse diagnosis requires quietly feeling the patient's pulse, especially for children and critically ill patients.

There is no rush, and it is not a rush.

"The other hand."

While Lu Xuan was talking, Tong He stretched out his left hand again.

Lu Xuan's three fingers gently placed on the position of the Cun Guan ruler.

After a while, Lu Xuan took his hand away from Tong He's wrist.

Tong He, on the other hand, took his hand back after Lu Xuan's pulse diagnosis was completed.

"How about it?"

Seeing that Lu Xuan's pulse diagnosis was over, Ji Xiuwen couldn't help asking.

The probability of esophageal cancer is too high, especially in this country, where the incidence and fatality rate of esophageal cancer have always been high. He also wants to know, is there any good way for his old classmate to deal with esophageal cancer.

Lu Xuan glanced at him: "Pale tongue, less moss, thready pulse, do you want to try it?"

Ji Xiuwen rolled his eyes violently, he was still willing to try ordinary minor illnesses.

Let him see esophageal cancer, he doesn't even want to try.

It's not that I really don't want to, it's just that it's a waste of time.

This kind of disease, not to mention letting him try it, even some old Chinese doctors with excellent medical skills, I am afraid that there is no good way to think of it for a while.

What's more, he is a trainee Chinese medicine practitioner who has just graduated.

As for Lu Xuan, Ji Xiuwen no longer treats this old classmate as a normal person.

There is no need to compare with evildoers, it is purely self-inflicted.

And it's still a dimensionality reduction blow.

Ji Xiuwen doesn't feel that he has a tendency to be abused, so naturally he doesn't want to compete with Lu Xuan.

What he was thinking more about was how to learn more from his old classmates in a shorter time, even if he learned something worthwhile, it would be enough for him to run rampant.

"Forget it, I don't have that ability." Ji Xiuwen directly refused.

Lu Xuan didn't ask Su Kenan either. Compared to Ji Xiuwen, Su Kenan is still an undergraduate and knows more.

"I guess you don't know much about this aspect, so let me first talk about some records of esophageal cancer in traditional Chinese medicine." Lu Xuan said lightly.

Ji Xiuwen quickly sat up straight with a serious face.

Su Kenan also turned his head, and his eyes fell on Lu Xuan.

Lu Xuan took a breath and said eloquently: "Esophageal cancer belongs to the category of "diarrhea" in traditional Chinese medicine. It usually occurs due to insufficient function of qi and blood in viscera, external evil, or endogenous evil, resulting in stagnation of qi, phlegm, Blood stasis, etc. are combined in the esophagus, causing cancer over time and blocking the esophagus.

The nature of esophageal cancer is deficiency in origin and excess in superficiality. The disease is located in the esophagus, which is dominated by stomach qi and is closely related to liver, spleen and kidney.

Due to the dysfunction of the liver, spleen and kidney, qi, blood, and phlegm are intertwined, and the body fluid is dry and blood is dry, resulting in esophageal stricture. Esophageal dryness is the basic pathogenesis of choking diaphragm.

In the early stage of esophageal cancer, there is partial qi stagnation, blood stasis is not serious, and the evils are abundant and the righteousness is not fading. , dissipating stagnation, resolving phlegm, and promoting blood circulation; in the later stage, there is less body fluid and blood, and qi deficiency and yang are weak, so it is mainly to strengthen the body, and it is appropriate to use products for dispelling pathogens and breaking knots.

For the treatment of esophageal cancer, the initial treatment should focus on the symptoms, focusing on treating the symptoms, regulating qi, resolving phlegm, and eliminating blood stasis, and may be supplemented with products that nourish yin, nourish blood, and moisturize dryness.

In the later stage, it is mainly based on positive and negative, and the emphasis is on strengthening the positive. The method is to nourish yin and blood, and benefit the temperature and yang.

In clinical practice, attention should also be paid to caring for body fluids when treating the symptoms, and not to overuse spicy and fragrant products; if the root cause is to protect the stomach qi, it is not advisable to use more greasy products.

You should know that if there is stomach qi, there will be life, and if there is no stomach qi, there will be death. "

Speaking of this, Lu Xuan added a little more emphasis: "Stomach qi is the key to the treatment of this disease, and this is the root of the patient's survival."

"If you have stomach qi, you will live, but if you don't have stomach qi, you will die?"

Ji Xiuwen frowned subconsciously.

Lu Xuan patiently explained: "The so-called "stomach qi" is actually the general term for the functions of the spleen and stomach, and the spleen and stomach are one of the most important organs in the human body, and are the source of the biochemistry of qi and blood.

The growth and development of the human body and all nutrients to sustain life must be supplied by the spleen and stomach.

If the function of the spleen and stomach is weakened, the growth and development and metabolism of the human body will be seriously affected.

Therefore, ancient health experts particularly emphasized the importance of "stomach qi".

Hua Tuo, the most famous medical scientist in ancient my country, once said, "The stomach is the root of human beings; when the stomach is strong, all internal organs are strong..."

You have also read the book "Nei Jing". There is this sentence in it: "If a person has no stomach qi, he will rebel, and those who rebel will die."

It can be seen that if people want to keep in good health and prolong their life, they must maintain their stomach qi.

All in all, the spleen and stomach are the most important organs of the human body, and regulating the spleen and stomach is one of the main measures for disease prevention and treatment, health care, and longevity. "

Having said this, Lu Xuan paused, glanced at the few people who were still confused, and continued: "To put it bluntly, gas is hunger. If a baby is hungry, he will cry; if a child is hungry, he will cry. They will make noises to eat; when adults are hungry, they will take the initiative to eat; when patients ask for food, they will be cured soon. Situations like these are all manifestations of hunger.

Therefore, the greatest weakness of the human body is poor digestion and absorption capacity, which is also the most vulnerable to the human body, so maintaining a strong sense of hunger is the prerequisite for survival.

Save your stomach and save your life, this is the truth. "

The easy-to-understand explanation made Ji Xiuwen suddenly realize, and at the same time, he gained a new understanding of the profound knowledge of his old classmates.

From the moment he came to the health center, this old classmate seemed to be a completely different person.

The image before graduation was completely subverted in my mind.

If he hadn't seen it with his own eyes, Ji Xiuwen would never have believed that this was his old classmate Lu Xuan.

However, I was surprised and extremely happy at the same time.

Fortunately, he is his old classmate, otherwise who would tell me such details?
When you don't understand, try to choose some easy-to-understand words to explain.

"The treatment of esophageal cancer is divided into four situations. Different situations require different treatment methods."

Lu Xuan continued to introduce to Ji Xiuwen and Su Kenan: "One is the obstruction of phlegm qi. Patients with phlegm qi obstruction often have red tongue, thin and greasy fur, and slippery pulse. When swallowing, they feel that the esophagus is blocked and the chest Diaphragmatic fullness, or even pain; Emotional comfort can be relieved, but mental depression can be aggravated. Belching, hiccups, vomiting, phlegm, dry mouth and throat, and difficult stools can be seen. Treatment should be to relieve stagnation and phlegm, moisten dryness and reduce qi.

The second is fluid deficiency heat knot. These patients have red and dry tongue, or cracks, thready pulse, difficult and painful swallowing, water can be drunk, food is difficult to eat, and most of the food is spit out after eating.Burning pain in the chest and back, emaciation, dry skin, dysphoria and fever, dry mouth and throat, thirst for cold drinks, and dry stool can be seen.For this situation, nourishing body fluids, purging heat and dispersing stagnation are the main methods.

The third is blood stasis internal knots. Such patients often have dark purple tongue, or red tongue with little fluid, thin and astringent pulse, swallowing obstruction, chest and diaphragm pain, inability to eat, or even dripping water, and vomiting after eating.And it can be seen that the complexion is dark, the skin is dry, the body is thin, the stool is as firm as sheep feces, or the vomit is like red bean juice, or blood in the stool.This shape is deficient, breaks knots, promotes stasis, nourishes yin and nourishes blood.

The fourth is qi deficiency and weak yang. These patients often present with pale tongue, white coating, thin and weak pulse, long-term swallowing obstruction, inability to eat, pale complexion, mental fatigue, cold body and shortness of breath.There may be bloated face, swollen feet, generalized vomiting and clear saliva, abdominal distension and loose stools.Treatment should be to warm the spleen and kidneys, replenish qi and restore yang. "

After speaking in one breath, Lu Xuan did not stop, but continued: "However, although there are four types of esophageal cancer patients, the characteristics of the clinical medicines are similar.

The occurrence of esophageal cancer is due to the insufficient function of qi and blood in the viscera, and its nature is deficiency in origin and excess in superficiality. It is necessary to pay attention to nourishing yin and moistening dryness; most of them use Radix Ginseng and Radix Maidong Decoction as the main addition and subtraction. The mother strengthens yin and clears away heat.

Its occurrence is mostly caused by emotional failure, poor movement of qi, and stagnation of qi leads to blood stasis.Therefore, in the treatment of esophageal cancer, it is necessary to pay attention to regulating qi and not hurting qi. Make good use of roses, bergamot, green calyx plum and other products that regulate qi and do not hurt righteousness. .

The most important point is to rationally select drugs according to different syndrome types and the specific conditions of the patient in clinical practice. They may be more focused on dispelling evil spirits, some may be more focused on strengthening the body, or they may be focused on both dispelling evil spirits and strengthening the body. "

Speaking of this, Lu Xuan's mouth was also a little dry.

Ji Xiuwen had sharp eyes, and he handed the water forward with a smile.

Lu Xuan was taken aback for a moment, then took it with a smile, and after taking a few sips, he didn't continue, but turned to look at Tong He: "Your disease is closely related to yin deficiency and heat knot, and you have undergone radiotherapy after surgery. Radiotherapy itself is also a kind of heat-toxin, so the deficiency of body fluid is even worse, and a group of Qi and Yin deficiency syndromes appear. Such as dry throat and pain, sometimes dry cough, pale red tongue, less coating, thready pulse and many other symptoms."

Tong He took a breath: "Doctor Lu, I can understand some of what you said, but most of them have only a half-knowledge, so just tell me, I know about our disease myself, and I can't live long with radiotherapy, you If there is nothing we can do here, I can only accept my fate."

Lu Xuan looked at him: "Let me tell you the truth, it is impossible to cure esophageal cancer, but you have already undergone surgery. As a doctor, what I can do is to prevent it from recurring or metastasizing."

"However, treating a disease is not the job of the doctor alone, and you have to cooperate."

Tong He smiled like a child: "I don't dare to think about it being cured. If I can prevent it from recurring or transferring, I'm already thankful. How dare I ask for so much."

"Can it really prevent recurrence or even metastasis?" Ji Xiuwen looked at his old classmate in disbelief. This is esophageal cancer with a very high fatality rate.

Lu Xuan replied: "It is possible, but as I said just now, it is not the doctor's job to cure the disease alone, the most important thing is to rely on the patient himself."

At this point, Lu Xuan looked at Tong He again: "Don't think too much about it. Since you have had the surgery, just pretend that you don't have the disease. After taking the medicine, you don't feel any discomfort. Don't do it if you have nothing to do. What check.

Many cancer patients actually died not because of the cancer itself, but because they were scared to death.

As long as you can eat and sleep and feel comfortable, it is better than any examination and medicine. "

"I see, thank you, Dr. Lu." Tong He nodded repeatedly.

"Normally I don't think much about it. I just think that if I have cancer, I'll just get it."

"It's the best mentality to ignore it."

Lu Xuan said with a smile, and buried himself in writing the prescription.

Ophiopogon japonicus, Dendrobium, Radix Isatidis, Silver Bupleurum, Codonopsis pilosula, Trichosanthes chinensis, Cicada slough, Fritillaria japonicus, Libuca, Dandelion, Diding, Rose, Peucedanum, Bamboo Ru, White Flower, Hedyotis.

After finishing writing and writing, Lu Xuan gave the prescription to Ji Xiuwen for a look: "Do you have any ideas?"

Ji Xiuwen took a look and fell into deep thought.

There are no special Chinese medicines in the prescriptions prescribed by Lu Xuan. They are almost all the most common ones. He also knows the properties of the medicines. After all, he is also a top student who graduated from Zhijiang University of Traditional Chinese Medicine. Even if he does not know how to diagnose diseases and syndrome differentiation, he can know the Compendium of Materia Medica. But I still memorized a lot of medical books.

"Most of them are medicines for nourishing qi and promoting body fluid, nourishing yin and moistening lung." Faced with Lu Xuan's gaze, Ji Xiuwen thought for a while.

"It seems that some additions and subtractions have been made on the basis of Yangyin Qingfei Decoction."

"Books are not in vain."

Lu Xuan gave Ji Xiuwen a thumbs up, and the next moment explained: "Codonopsis pilosula replenishes qi, Ophiopogon japonicus, dendrobium, and Fritillaria nourish yin, dandelion, ground bark, isatis root, and silver Bupleurum clear away heat and detoxify, Trichosanthes melon expands the chest, and Bamboo Ru Jiangni, Baibu and Qianhu resolve phlegm, and the cicada sheds to ease the throat."

After finishing speaking, Lu Xuan didn't ask any more questions. Knowledge needs to be learned little by little. If you talk too much, Ji Xiuwen may not be able to understand it.

Moreover, what I just said has actually involved the treatment of all conditions of esophageal cancer.

Whether it can be digested or not depends on Ji Xiuwen's own ability.

After Su Kenan had registered the information and printed out the fee receipt, before Tong He left the consultation room, Lu Xuan warned again: "Remember, don't overthink it."

Although Tong He's mental state is not very good due to radiotherapy, his mentality is much better than that of many cancer patients.

Seeing Tong He leaving with a smile on his face, Lu Xuan also relaxed a little.

Whether there will be recurrence and metastasis, medicine can play a role, but the key depends on Tong and himself.

Keeping a happy mood can make the medicine more effective.

If you are depressed, the efficacy of the medicine will naturally be greatly reduced, and the probability of tumor recurrence or even metastasis is very high.

If it is really going to be transferred, the difficulty of treatment will be great.

However, facing this kind of patients, all Lu Xuan can do is to ask a few more words.

Otherwise, Tong He wouldn't be allowed to do any checkups if he had nothing to do.

When it comes to the discoloration of cancer, what we are afraid of is the cold check-up sheet.

I can eat and sleep, and my body is painless and itchy. Is there anything I need to check?

While thinking about it, Lu Xuan subconsciously picked up the cup from his hand, took a sip, and then put it back.

"Doctor Lu..."

Ji Xiuwen looked at the water glass not far from him, then at the white thermos bottle that his old classmate had just put down, and couldn't help pointing to the water glass in front of him: "This is yours."

That one belongs to Su Kenan.

"Ok?"

Lu Xuan looked at the water glass in front of him for a moment, and then he realized that the glass he had just taken didn't seem to be his, but Su Kenan's water glass sitting next to him.

I got it wrong.

For a moment, Lu Xuan was extremely embarrassed, "Sorry, I was a little distracted just now, let me pour you another glass of water."

Su Kenan stared blankly at the bewildered Lu Xuan, staggered her slender fingers under the table, with a hint of panic in her eyes, she replied in a low voice, "No...it's okay."

"It's not dirty, and it's still drinkable."

After speaking, he picked up the water glass that Lu Xuan had just put down, and took a sip.

Then, the roots of the ears quickly turned red.

The atmosphere in the consulting room was full of joy and joy, but also a strong sour smell.

(End of this chapter)