Chapter 165: The Disease of Thirst
"Dr. Gao. ”
As the patient entered the door, Gao Shan's face also showed a smile, and when he was interning in the Second Affiliated Hospital, Gao Shan had also seen the teacher sitting in the outpatient clinic, as well as more awesome professors, experts, special needs experts, and so on. When I watched those experts and professors sit in the clinic, they were all awesome. The faster you speak, the better. The attitude of speaking is also blunt and straightforward. If the patient is a little verbose, he may even show impatience.
Before this, Takayama had always felt that there was no need for this. But now, looking at the crowd outside the door. The hospital opened, and there were a total of 120 outpatient numbers arranged for myself every day. Gao Shan felt that he could understand the thoughts of those experts at this time. It's not that I don't want to be amiable, it's that time doesn't allow it.
However, Takayama was still prepared to be different from the others. Not to mention that you can talk like a friend, at least you can't go to the clinic with a cold face. "The Yellow Emperor's Neijing" said that the sky is covered with earth, all things are prepared, and nothing is more precious than people.
But today, Gao Shan found that he had just smiled, and the patient greeted him eagerly. Sometimes, patients really treat doctors as relatives. Why the doctor-patient relationship is tense today. The flashy changes in society are one reason, and many people also blame the patients. But is that really the case? Not necessarily.
Gao Shan also chuckled and said, "Auntie, you're polite." You sit. What's wrong with you?"
While speaking, Gao Shan also motioned to the aunt to put her wrist on the pulse pillow, in terms of diagnosing the pulse, Gao Shan now has true qi as a reliance, and it can be said that it has reached the absolute top level in diagnosing the pulse. I soon understood the pulse of the aunt, which was a little floating and empty.
And the aunt also said at this moment: "Doctor Gao, I have been diabetic for many years. I wake up about four or five times a day, and I drink a lot of water when I am thirsty. I just can't control my blood sugar now. Quite a few hospitals went there. The hospitalization is also exhausted. ”
At first glance, this is a person who has been sick for a long time. Maybe you don't know much about other conditions. But for diabetes, my aunt is very familiar. continued: "Usually fasting blood sugar is generally 19.2, and the blood sugar two hours after a meal is basically 21, and 23 when it is high. ”
Blood glucose value, which is a basic detection method in Western medicine. It is generally expressed in millimoles per liter. Normal fasting blood glucose values are 3.9-6.1 mmol/L, blood glucose values are less than or equal to 7.8 mmol/L two hours after meals, and portable blood glucose meters appear. Including the advent of insulin injections, in fact, this is a boon for diabetics.
Be able to objectively and numerically feel the changes in the condition. This is the biggest difference between Western medicine and Chinese medicine. Traditional Chinese medicine does not have such things as blood sugar levels.
However, whether the standard of blood sugar value is good for treatment or not, there must be, it is fair and impartial, relying on experience, pulse, etc., how can direct measurement be so good.
Gao Shan's thinking has also changed, not only to promote traditional Chinese medicine. In fact, if you simply promote traditional Chinese medicine, you will completely abandon this set of Western medicine. That's simply not going to work. Only by integrating some of the essence and useful things of Western medicine, and then integrating the principles of diagnosis and treatment of Chinese medicine, and the principles of medication. The derived modern medicine is the best way to promote traditional Chinese medicine.
Gao Shan's brows furrowed suddenly, there was really something wrong with the situation of the aunt in front of him. Not to mention such a high blood sugar. Judging from the pulse, the aunt's liver meridian and kidney meridian also have some abnormalities, which means that her liver and kidney have been damaged to a certain extent.
Of course, this part, if it is simply measured by the detection of liver and kidney function in Western medicine, there may be no problem. In fact, this is also the strength of traditional Chinese medicine, don't look at traditional Chinese medicine does not have intuitive and clear data. Lovely people are a whole. Sometimes, just because there is a problem that cannot be detected does not mean that there is no problem with the pulse.
Gao Shan is also pondering at the moment, judging from the situation of the aunt, it is undoubtedly diabetes. Western medicine is divided into three categories: type 1 diabetes, type 2 diabetes and gestational diabetes. However, in traditional Chinese medicine, diabetes is generally called a thirst-quenching disease. There is a very famous Chinese patent medicine - thirst quenching pills, which is a medicine for diabetes.
It's a bit tricky, but the development of Chinese medicine and Western medicine is a completely different path. Diabetes is not a separate disease in TCM, and there is no special endocrinology department. Moreover, in the internal organs of traditional Chinese medicine, there is no exclusive name for pancreas.
Takayama's mind was racing. I want to start treating my diabetes. If it's Western medicine, it's easy. Controlling diet, strengthening exercise, paying attention to liver and kidney function, and controlling blood sugar In addition to Western medicine, there is also insulin, and now there is an insulin pump. There are even insulin pumps built into the body and so on. Can Chinese medicine ......
If you want to treat a certain disease, you must first return the disease to the scriptures. This is the principle of TCM treatment. Traditional Chinese medicine is never scattered, only the return to the scriptures is done well. In order to prescribe the right medicine according to the different meridians and acupoints. The pancreas, in Gao Shan's view, should be attributed to the second meridian of the spleen and kidney.
It is difficult to pass through the clouds: the spleen weighs two catties and three taels, the flat width is three inches, the length is five inches, and there is half a catty of loose ointment. The so-called powder here refers to the pancreas.
According to this statement, the pancreas should be part of the spleen. It should belong to the spleen meridian. However, Li Shizhen also said that the pancreas is one of the lifelines of human beings and the birthplace of Sanjiao. Belong to the kidneys because the kidneys belong to water. Pancreatic problems, diabetes caused by insulin deficiency is called thirst in Chinese medicine.
According to the theory of Western medicine, the most direct way to cure diabetes is to restore the function of the pancreas. Diabetes appears. In addition to gestational diabetes, whether it is type 1 or type 2, it comes down to insulin deficiency. However, type 1 diabetes is an absolute lack of insulin, while type 2 diabetes starts with insulin resistance and eventually leads to insulin deficiency.
In terms of traditional Chinese medicine, acupuncture is not uncommon in the treatment of diabetes. In terms of acupoints, the main acupoints are generally dominated by the spleen, diaphragm, and pancreas. Then cooperate with the acupuncture points such as Zu Sanli, Sanyin Jiao, Guan Yuan, Shenmen, etc., according to the different dialectics, take five to six acupoints. Judging from the previous data, the symptoms of Sanduo were significantly reduced, and blood sugar and urine glucose were also significantly reduced.
However, acupuncture is only at the level of treating symptoms. The conditioning of traditional Chinese medicine is also more at the level of both the main and the original. If...... It is really possible to find a way out of this aspect, through acupuncture, moxibustion, cupping, physiotherapy and other methods, supplemented by traditional Chinese medicine prescriptions to stimulate the pancreas to work again.
Don't think about it so much, but it's actually just a matter of a moment. Looking at the aunt who was waiting and looking forward to it, Gao Shan smiled and said, "Auntie, you see if this will work." I have a method here, which is experimental in nature. I don't dare to say that the specific effect will definitely be achieved. However, I am sure that it will not be bad for your current situation. Do you want to give it a try?"
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