"Doctor Lu, what medicine should I take for my child's condition?"

The child's father watched the three of them finish speaking, and finally found an opportunity to ask.

Although he thought that what Dr. Lu said was wonderful, for him, a person who couldn't understand it, no matter how wonderful the narration was, it would become boring.

Especially when I heard some TCM terminology, I was even more confused.

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

For example, he still understands the way of a child's pulse diagnosis, but just like Ji Xiuwen said, no matter how detailed Lu Xuan said, no matter how simple it is, he has no experience in that area, and no one is pointing out and verifying it, which is no different from being blind.

But if you don't understand it, you can't understand it, the child's father still admires Lu Xuan's erudition and talent.

When he came in before, seeing that Lu Xuan was so young, he was still a little skeptical of his friend's words, after all, which of the powerful Chinese medicine practitioners was not gray-haired but as energetic as a young man.

And those young Chinese medicine practitioners are basically hands-on.

Even if some doctors successfully pass the examination of the attending TCM physician, few people will be called these doctors.

To say something ugly is to distrust from the bottom of my heart.

This also makes the clinical practice of these doctors less and less, and many TCM physicians have passed the assessment of the deputy chief TCM physician, but there is not much clinical experience.

This kind of thing sounds like nonsense, but it's true.

In the field of traditional Chinese medicine, it is basically a death of drought and waterlogging.

There are many registered TCM physicians who have always had a lot of registration, and there are basically very few TCM physicians who have registered without registration, even if they are already chief TCM physicians, they are not famous, and they have not cured some incurable diseases to correct their reputation among patients, and there is no difference between them and the attending treatment.

Lu Xuan was able to have so many people to register, just because of the word of mouth of the patients.

One spread ten, ten spread hundreds, and the more people who know later, the fame will naturally become bigger and bigger.

When it comes to what medicine to take, Ji Xiuwen is also curious, he just said so much, although there is a mention of the child's rectal prolapse, but most of the time he is talking to him and Su Kenan about how to take the pulse of a child under the age of three.

I am naturally very curious about the treatment of rectal prolapse in children.

After all, although syndrome differentiation is important, in the final analysis, how to treat it is the key.

Seeing that the child's father was a little anxious, Lu Xuan did not continue to talk more about the child's pulse, but touched the child's head with a smile: "In fact, there are relevant records in ancient medical books for pediatric rectal prolapse, and it is mentioned in Volume 50 of "Treatise on the Origin and Syndrome of Diseases": Children suffer from anal prolapse, mostly due to long-term intestinal deficiency and coldness, and the use of anal qi, so the anus prolapse.

Children are not filled with blood and qi, or due to long-term diarrhea, etc., resulting in the sinking of central qi, which cannot be absorbed and cause anal prolapse.

Formula: cotton root, cimicifuga, parsnip, atractylodes. A total of 3 doses, decoction in water, 1 dose divided into morning and evening 2 warm doses. ”

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

After writing, Lu Xuan raised his head and said: "The child's rectal prolapse is caused by long-term diarrhea and damage to the temper, lack of middle qi, and inability to receive. Therefore, cotton roots are used to replenish air in the recipe; Cimicifuga lifts yang energy; Atractylodes, wind, spleen and dampness, work together to replenish the qi, strengthen the spleen and dampness, and raise the sun.

This formula is suitable for prolapse of the anus for a long time, but according to pharmacological research, cotton roots contain gossynoic acid and other components, and cottonic acid has obvious accumulation and toxicity.

And due to the widespread use of pesticides, there may be a certain amount of pesticide residues in the cotton roots in many areas of China, so the cotton roots in the recipe can not be used, or it is appropriate to replace them with astragalus, but the effect is not as good as the cotton roots.

If you go back to take the medicine, it is difficult to achieve the effect of the previous day, and if the rectum is prolapsed, you can also apply rapeseed oil. ”

The child's father kept these words in mind and nodded again and again: "I'll go back and decoct the medicine for the child to drink." ”

Lu Xuan nodded: "If the 3 doses are not used up thoroughly, you can replace the cotton root in the formula with astragalus to remove its toxicity." ”

"Well, thank you Dr. Lu, I remember." The child's father got up and hurriedly got up to thank him.

Taking advantage of the time when Su Kenan was registering on the computer, Ji Xiuwen thought for a while and asked, "All pediatric rectal prolapses can be treated with this recipe?" ”

Lu Xuan shook his head and said: "It can be caused by long-term diarrhea and damaged temper, lack of middle qi, and weak reception, but pediatric rectal prolapse is not only this case, but also continuous coughing can also cause rectal prolapse. ”

"But ......"

Speaking of this, Lu Xuan changed his words and continued: "Generally, rectal prolapse caused by continuous coughing is often accompanied by blood after defecation, local purple redness, unbearable swelling and pain, and white and tired face. ”

"So how should I use medicine in this case?" Ji Xiuwen asked.

"There is one medicine that is quite effective in treating this disease."

"What medicine?"

Lu Xuan said four words: "Baicao Frost Pill." ”

Then explained: "500 grams of baicao cream, grind finely, pass through a 100 mesh sieve, 600 grams of honey to make pills, take 500 grams of refined honey (120 °C), and mix the honey temperature (100 °C) with the medicinal powder evenly to form a moisturizing mass, divide the lumps, rub the strips, make it like a sycamore seed, and dry it at low temperature." 6 grams per serving, 2 times a day, with warm water. ”

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

It's completely different from the prescription just prescribed, or even the same medicine.

No wonder he doesn't understand.

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

Seeing that neither of them understood much, Lu Xuan had no choice but to patiently explain: "If it is hot, the anus will be closed, and if it is weak, the anus will be prolapsed." Anal prolapse caused by cough is generally caused by body weakness, lack of central qi, qi deficiency and sagging, anal relaxation, and blood after defecation, which is caused by dampness and heat betting in the large intestine.

The reason why Baicao Frost Pill is used is very simple, the Baicao Cream in the formula converges and stops bleeding; Honey is sweet, flat, nourishing and moisturizing the lungs. The lungs and the large intestine are on the same surface, and the two drugs are combined, which replenishes deficiency and moisturizes dryness, and dissipates accumulation in the middle, so the effect is significant.

The formula of Baicao Cream Pill is simple and easy to take orally, and it is more suitable for children with refractory rectal prolapse or bleeding. ”

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

"I'll talk about other situations later."

Ji Xiuwen couldn't help but give Lu Xuan a thumbs up, although he was still very curious about what happened to Lu Xuan to make the changes he has now, but this did not prevent him from admiring Lu Xuan, an old classmate.

The two are the same age, graduated from the same university, and their grades are about the same, he doesn't talk about dialectics until now, just a pulse gives him a headache, and he doesn't know what to do, let alone prescribe a prescription.

But Lao Lu is not only invincible in pulse diagnosis, but also knows the pathological pathogenesis well, and he can know how the medicinal properties of the prescription are......

All kinds of things all show a problem, the gap between the two at the moment is not narrowing, but getting farther and farther.

Ji Xiuwen even doubted that the fact that Lao Lu was his classmate was his dream over the years.

Otherwise, how could the gap be so terrifying?

Before coming to the health center, Ji Xiuwen thought that he must learn all the skills of the person in charge of the traditional Chinese medicine department of the Qiushi Street Health Center and go to a broader world.

But now he realized that he didn't need to learn all the hands at all, even just learning the cost of this old classmate, it was enough for him to smile proudly in the field of Chinese medicine, and even walked sideways.

However, Ji Xiuwen thought of another question.

That is, is the ability that Lu Xuan is showing now his full strength?

Yes, he felt that with his talent, he could still learn from his old classmates.

But if not, it's a little scary.

The most important thing is that Lu Xuan is still young, in his twenties, and the devil knows how far he will go in the field of Chinese medicine in a few years, and maybe he can really become a saint of Chinese medicine.

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

The Holy Hand of Traditional Chinese Medicine, a word that he couldn't think of before, would come out of his mind.

And perhaps the one who can step on this step may be his old classmate.

You must know that when the two of them were in Zhijiang University of Traditional Chinese Medicine in the past, they all thought that one day they would be able to become the deputy chief TCM physician, but as for the chief TCM physician, they didn't dare to think about it.

Famous doctors, are not in their dictionary.

Holy Hand would not dare to dream of such a dream.

And at this moment, Ji Xiuwen was surprised to find that his old classmate was really likely to come that far.

After all, Lu Xuan was too young now.

Decades later, is there a problem with becoming a new generation of Chinese medicine holy hands?

Anyway, Ji Xiuwen didn't think there was any problem.

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

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

Under Lu Xuan's reminder, Ji Xiuwen came back to his senses and looked at the child's father: "Do you need to decoction medicine?" ”

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

"Okay."

Ji Xiuwen nodded, then got up with the charge slip and walked towards the Chinese medicine pharmacy.

The child's father walked out of the consultation room with the child after thanking Lu Xuan.

Looking at the time on the wall, it is not a short time to explain the pulse diagnosis and anal prolapse fee to the two of them, if you don't speed up, you will have to work overtime at noon today.

So he didn't wait for Ji Xiuwen, and directly asked Su Kenan to start calling.

Originally, the medicine could be caught later, but people lived far away, plus it was the first one, and there were not many medicines in the prescription, so it didn't take too long, and it was more convenient to grab it directly and let people take it away.

After Su Kenan called the number, someone soon walked into the consultation room.

In came a man under forty years of age, and behind him was followed a woman about the same age as the man, and the two were supposed to be husband and wife.

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

Lu Xuan waited for the man to sit down and then asked, "Where are you uncomfortable?" ”

The man's name is Tong He, Chinese New Year's Eve is nineteen years old this year, and when he saw Lu Xuan ask about his situation, he paused, and then slowly told his situation one by one.

The patient had dysphagia six months ago, because it was more serious, so he went to the hospital for examination, gastroscopy showed that the upper esophageal cavity was narrow, about 4cm long, and the pathology report was squamous cell carcinoma, and surgery was done in the hospital in September, and radiotherapy treatment was carried out after surgery.

After the surgery, I still have dry throat pain, and sometimes dry cough.

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

Su Kenan was no better, looking at the patient's eyes full of sympathy.

Lu Xuan was a little better, after all, he had come into contact with a patient who had stomach cancer and had a subtotal gastrectomy last week, but when he heard that the other party was esophageal cancer, he still couldn't help frowning.

Esophageal cancer is a malignant tumor mainly originating from the squamous and columnar epithelium of the esophagus, and is divided into squamous cell carcinoma and adenocarcinoma, of which squamous cell carcinoma accounts for about 90% and adenocarcinoma accounts for about 10%, and the most typical clinical manifestation of esophageal cancer is progressive dysphagia.

Esophageal cancer can occur in any part of the esophagus, and according to national statistics, the middle esophagus is the most common, followed by the lower segment, and the upper segment is the least. Some gastric cardia cancers extend to the lower esophagus, which is often clinically indistinguishable from lower esophageal cancer, and this is also known as esophageal cardia cancer.

Due to the lack of serous layer in the esophageal wall, the direct invasion mode of esophageal cancer is very important, once the tumor cells invade the submucosal tissue, the vast majority of 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 more than 90%, which is the main reason why the mortality rate of esophageal cancer remains high.

At present, the treatment of esophageal cancer is mainly surgical and non-surgical treatment, including radiotherapy, chemotherapy, endoscopic treatment, etc. The simultaneous or sequential application of radiotherapy and chemotherapy can improve the local control rate of esophageal cancer, reduce distant metastasis, and prolong the survival of patients.

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

However, these are some introductions to esophageal cancer in Western medicine, and in the concept of traditional Chinese medicine, esophageal cancer mostly belongs to the category of "choking on the diaphragm", also known as "choking" and "choking".

In the literature of traditional Chinese medicine, there is a description of choking as early as 2,000 years ago.

"Neijing" has a record of "the diaphragm of the three yang knots", "if you can't eat, you can't choke on the diaphragm, and you vomit when you eat".

Later, the understanding of this disease has continued to develop, for example, "Yiguan" said that "those who choke on the diaphragm are hungry to eat, but the choking is against the throat, chest and diaphragm, above the appetite, and salivates with phlegm before entering the stomach", which specifically clarifies the location of the disease and the typical clinical manifestations, which are very similar to the symptoms of esophageal cancer in modern medicine.

To some extent, it also shows that the research on esophageal cancer in traditional Chinese medicine began thousands of years ago, but for traditional Chinese medicine, there is no such thing as tumor cancer.

Tong He's wife saw that Lu Xuan hadn't spoken for a long time, and she was a little worried for a while, and couldn't help but sob...... Dr. Lu, my husband is ...... It's not ......"

"Dr. Lu."

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

Lu Xuan came back to his senses at this time, and saw that Ji Xiuwen had been making colors towards him, knowing that he was a little distracted, he turned his head to look at Tong He's wife: "Let me take a look at the pulse first." ”

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

Tong He seemed to have inquired about Lu Xuan's temperament, so he didn't say much, and directly stretched his arm to the pulse pillow.

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

(End of chapter)