The experts lay on the screen and carefully observed Ding Lao's face and found that this was indeed the case.

"Well, the next step is how to control the symptoms of vasculitis and infections caused by weakened immunity. ”

It has not been clear why brain abscesses occur, or what is related to systemic vasculitis. In fact, we still have to start from the root, this "root" is the "giant cell arteritis" mentioned earlier, this disease is not rare, but most of them appear in the elderly, and most other geriatric diseases, to put it bluntly, the parts of the body are almost to the end of their service life.

Giant cell arteritis then develops into "systemic vasculitis", which is related to the disease in the same way that a problem in a certain area of the water pipe network is related to problems everywhere in the pipe network.

There is no cure for this disease, and it can only be maintained through drugs to control the progression of the disease, and strive to prevent the patient from at least not dying from this disease before he is killed by another disease.

The specific symptoms of systemic vasculitis are the sudden inflammatory lesions of a random blood vessel in the patient's body, some in a certain organ, especially in the internal organs with more blood vessels, such as the kidneys, and some in the capillaries on the surface of the skin, with erythema, purpura, blisters and other inflammatory symptoms.

As you may know, the so-called "inflammation" is actually a "war" between the body's immune system and foreign bacteria and viruses, and the place where inflammation occurs is the "battlefield".

Ding Lao is old, and he can't stand the war between these two groups of armies in his body, so the doctor needs to find a way, the treatment method is mainly two kinds of medicine, one is hormone drugs, you can imagine this thing as the air force bombing, and it is a carpet indiscriminate bombing, the bacteria and viruses are wiped out, the cost is low, the damage is small, and the disadvantage is that it is easy to slip through the net.

Since the air force was sent to bomb, it was necessary to transfer the immunization army back, which required another kind of medicine - immunosuppressive drugs, just like the twelve gold medals given to Yue Fei by Song Gaozong, and forcibly ordered the immunization army to withdraw and return to the camp to rest.

And at this time, because the immune army was on holiday, other germs took advantage of the weakness, that is, the abscess in Ding Lao's brain.

At this point, you may ask, why do we have to use immunosuppressive drugs? If the immunity is still there, can't the abscess be avoided?

There is no way to do this, the two diseases are rushed together, and they can only be treated in this way.

I'm not saying that the immune system is bad, the immune system is a way of killing a thousand enemies and inflicting eight hundred losses. In this case, the immune system will kill the patient before killing the bacteria and viruses without the help of external forces.

Therefore, if you want to control systemic vasculitis, you must use immunosuppressive drugs, otherwise you will be killed by your own immunity, but at the same time, you must also bear the risk of infection by other bacteria.

Without immunosuppressive drugs, patients do not have to worry about getting infected because they have already died of shock caused by high fever before they become infected.

This is very contradictory and very tangled, but this is the helplessness of doctors, the lesser of the two, everything is based on the principle of the most beneficial choice for the patient, and the most reasonable diagnosis is made.

Doctors have two major difficulties in their business.

The first difficulty is the difficulty of diagnosing the disease.

As long as the symptoms can be accurately judged, Western medicine has a set of "standard treatment plans" for all diseases that can be named, but the key is how to accurately judge the symptoms? The same stomach pain, it may be enteritis, it may be gallstones, and it may even be "radiation pain" caused by myocardial infarction.

It can be said that without the support of all kinds of examination data, Western medicine would not be able to see a doctor at all! Aren't we always complaining that the cost of going to the hospital for medical examination is too high? In fact, this is a helpless thing, only after you have done these examinations, the doctor can see what kind of disease you have, and what is very embarrassing is that when you have done these examinations, you will find that the doctor uses the method of elimination to diagnose the disease through the results of these examinations!

Take the stomach ache mentioned above, you go to the doctor with a stack of test reports after all kinds of tests. The doctor glanced at the ECG and said, "Well, normal, not the 'radiating pain' of a myocardial infarction." ”

Looking at the abdominal ultrasound again, "Well, there are no gallstones either." ”

Looking at the blood routine again, "Alas, the total number of white blood cells, neutrophils, and eosinophils are abnormal, and there may be a bacterial infection." ”

Take another look at the stool routine, "Yellow watery sample, okay, can be diagnosed, acute enteritis, bacterial." ”

Pick up the pen and prescribe, "Next!"

If you don't believe the results, you can go to the pharmacy and secretly take the test results to another hospital, find another doctor, and ask him to prescribe you another prescription based on the same test results, and you will find that the prescription from both doctors is basically the same. Because the ingredients of Western medicine are simple and the principle of medication is simple and clear, there is not much difference between the drugs selected by different Western doctors for the same disease.

Traditional Chinese medicine is different, a pair of Chinese medicine is composed of many flavored medicines, each flavor medicine contains a lot of ingredients, and complex reactions will occur during the decoction process, the action process of traditional Chinese medicine is extremely complex, so the same prescription, will derive many kinds of changes, this change is very complex. What is more complicated is the process of syndrome differentiation and treatment in traditional Chinese medicine, which needs to consider the patient's symptoms and signs, including tongue coating, pulse, and even local climate, patient's physique and even seasonal changes, etc., such a complex process has many variables. Different TCM practitioners must have different judgments due to their personal learning experience, medical experience, and inheritance schools.

Therefore, the most difficult thing in both Chinese and Western medicine is diagnosis.

The second difficulty is the difficulty of choosing.

For more complex diseases, such as a patient with multiple diseases, or the symptoms are related to each other and affect each other, then the doctor needs to make a choice, which disease to treat first, which disease to treat later?

Ding Lao's illness is a prime example of a patient with low immunity in order to treat systemic vasculitis, which in turn caused a brain abscess that compressed the patient's brain stem and caused the patient's life to be critical.

Western medicine comes to treat, then it must be to treat the abscess first, and remove the threat of the abscess to the brain stem, because everyone knows that the brain stem is the main switch of human life, once the brain stem is damaged, then everything will be stopped, and nothing needs to be treated.

After the abscess is eliminated, the risk of infection is still there, so in the view of traditional Chinese medicine, this is a way to treat the symptoms rather than the root cause. If it is treated by traditional Chinese medicine, then it must start from the root of the disease, that is, systemic vasculitis. But if it is really treated, before the systemic vasculitis is cured, the abscess in the brain has already killed the patient.

This is why China has always adhered to the combination of traditional Chinese and Western medicine, Western medicine to treat the symptoms, save first aid and save lives, traditional Chinese medicine to treat the root cause, and trace the source to the root cause. Therefore, among the several experts sent by the central health care expert group this time, although most of them are Western doctors, there are also two traditional Chinese medicine practitioners (actually three, but can Lian Buyao be counted?), the main task of these two traditional Chinese medicine practitioners is to wait for the Western doctors of the expert group to rescue Ding Lao, according to Ding Lao's physical condition, to study a traditional Chinese medicine health and nourishing medication and dietary therapy program, in order to ensure that Ding Lao's body quickly recovers health, the most important thing is to ensure that Ding Lao can attend the national special forces competition after half a month.

Now, the task of Western medicine has been basically completed, and systemic vasculitis is still treated by the health doctors of the Health Department of the Logistics Committee of the Military Department according to the previous plan, because Ding Lao has almost no immunity in his body, and it is necessary to pay special attention to the environmental sanitation around Ding Lao's living environment and Ding Lao's personal diet and daily life to prevent re-infection of viruses or bacteria.

The burden of follow-up physical care fell on the two TCM practitioners, and just as these two TCM experts were gearing up and preparing to study a health care plan for Ding Lao, the Central Health Commission issued a letter of appointment, which set off a lot of waves in the expert group.