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

If you are not in a hurry, it is not in a hurry.

"The other hand."

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

Lu Xuan's three fingers lightly landed on the position of the ruler.

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

And Tong He, after Lu Xuan's pulse diagnosis was over, he took his hand back.

"How?"

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

The probability of esophageal cancer is too great, especially in his own country, the incidence and mortality rate of esophageal cancer have always been high, and he also wants to know if there is any good way for his old demon classmate to deal with esophageal cancer.

Lu Xuan glanced at him: "The tongue is light red, less moss, and the pulse is thin, do you want to try to take a look?" ”

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

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

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

This kind of disease, let alone let him try it, even some old Chinese medicine doctors with superb medical skills have seen it, and I am afraid that they will not be able to think of any good way for a while.

What's more, he is an intern TCM physician who has just graduated.

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

There's no need to compare it with demons, it's purely self-inflicted.

And it's also a dimensionality reduction strike.

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

He was thinking more about how to learn more from his old classmates in a shorter time, even if he learned a little bit of everything, it would be enough for him to run amok.

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

Lu Xuan didn't ask Su Kenan, compared to Ji Xiuwen, Su Kenan was only an undergraduate and knew more.

"I don't think you know much about this, so I'll talk about some records of esophageal cancer in Chinese medicine first." Lu Xuan said lightly.

Ji Xiuwen hurriedly sat up straight, with a serious expression.

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

Lu Xuan took a breath and said: "Esophageal cancer belongs to the category of "choking diaphragm" in traditional Chinese medicine, and the occurrence is generally due to the lack of function of qi and blood in the viscera, and the feeling of external evil, or the endogenous evil qi, causing qi stagnation, phlegm obstruction, blood stasis, etc.

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

Due to the dysfunction of the liver, spleen and kidney, the qi, blood and phlegm are intertwined, and the esophagus is narrowed due to the dryness of the blood and the esophagus, and the dryness of the esophagus is the basic pathogenesis of choking.

Esophageal cancer is characterized by migrained qi in the early stage, blood stasis is not very much, and most of the manifestations are evil, and the treatment is mainly to dispel evil, and the treatment is to regulate qi and dissolve phlegm and open depression; In the middle stage, the heat of the wound is knotted, and the phlegm and stasis are obstructed, so it should be used to nourish yin, disperse knots, dissolve phlegm, and conduct blood; In the later stage, there is little blood and qi deficiency and yang, so it is mainly to strengthen the righteousness, and use the products to dispel evil and break knots.

For the treatment of esophageal cancer, the initial focus is on the symptoms, focusing on the treatment of symptoms, with the method of regulating qi, dissolving phlegm, and eliminating stasis, and can be used to nourish yin, nourish blood and moisten dryness.

In the later stage, it is mainly positive and weak, focusing on strengthening the right, nourishing yin and nourishing blood, and benefiting temperature and yang.

In clinical practice, attention should also be paid to the treatment of symptoms, and the spicy and fragrant products should not be overused; If it is a cure for the root cause, it should protect the stomach gas, and it is not appropriate to use more greasy products.

When you know that if you have stomach gas, you will live, and if you don't have stomach gas, you will die. ”

Speaking of this, Lu Xuan accentuated his tone again: "To treat this disease, stomach qi is the key, which is the foundation for patients to live." ”

"If you have stomach gas, you will live, and if you don't have stomach gas, you will die?"

Ji Xiuwen subconsciously frowned.

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

For the growth and development of the human body, all the nutrients that sustain life depend on the spleen and stomach.

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

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

Hua Tuo, the most famous medical scientist in ancient China, once said, "The stomach is the root of man; The stomach is strong, and the internal organs are strong, and ......"

You have also read the book "Neijing", which has such a sentence "People have no stomach for rebellion, and those who rebel die".

It can be seen that if people want to maintain their health and prolong their lives, 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. ”

Speaking of this, Lu Xuan paused, glanced at the few people who were still a little confused, and continued: "To put it bluntly, stomach gas is hunger, and when a baby is hungry, it will cry; When a child is hungry, he will make a noise to eat; When adults are hungry, they will take the initiative to eat; When the patient asks for something to eat, he is almost cured, and conditions like these are signs of hunger.

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

Save a little stomach and keep a life, that's what I say. ”

The easy-to-understand explanation made Ji Xiuwen suddenly realize that at the same time, he also had a new understanding of the 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 is completely turned upside down in my mind.

If he hadn't seen it with his own eyes, Ji Xiuwen wouldn't have dared to believe that this was his old classmate Lu Xuan.

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

Fortunately, it's his old classmate, otherwise who would have told him in such detail?

When you don't understand, try to choose some easy-to-understand words to explain.

"The treatment of esophageal cancer is divided into four conditions, and the treatment methods are different for different conditions."

Lu Xuan continued to introduce Ji Xiuwen and Su Kenan: "One is phlegm-qi obstruction, and patients with phlegm-qi obstruction often have a red tongue, thin and greasy moss, and a smooth pulse. When swallowing, he feels uncomfortable with esophageal infarction, chest and diaphragm, and even pain; Emotional well-being is lessened, but mental depression is worsened. Belching, vomiting, sputum and salivation, dry mouth and throat, and difficult stool can still be seen.

The second is the lack of heat knots, such patients have a red and dry tongue, or cracks, fine pulses, swallowing obstruction and pain, 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, irritability, dry mouth and throat, thirst for cold drinks, and dry stools. For this case, it is mainly to nourish the fluid and dissipate the heat of the diarrhea.

The third is blood stasis and internal knots, such patients often have purple and dark tongue, or red tongue, thin pulse, swallowing obstruction, chest and diaphragm pain, unable to eat, and even difficult to drip, vomiting after eating. Moreover, it can be seen with dark color, dull skin, emaciated body, stool as hard as sheep feces, or vomiting materials such as red bean juice, or blood in the stool. This form is weak, broken, knotted, and stasis, nourishing yin and nourishing blood.

Fourth, qi deficiency and yang micro, such patients often manifest as pale tongue, pale, weak pulse, long-term swallowing obstruction, unable to eat, pale complexion, mental exhaustion, cold and shortness of breath. You may see swollen feet, spitting and salivation, abdominal distension and loose stools. The treatment should be to warm the spleen and kidneys, and nourish qi and return to yang. ”

After saying this, Lu Xuan did not stop, but continued: "However, although there are four cases of esophageal cancer patients, the characteristics of clinical medication are similar.

The occurrence of esophageal cancer is due to the lack of qi and blood function of the viscera, the nature of the disease is in the esophagus, which is dominated by stomach qi, and the esophageal stricture and esophageal dryness caused by dry blood are the basic pathogenesis, so it is necessary to pay attention to nourishing yin and moistening dryness during treatment; Most of the drugs are mainly added and subtracted from Shashen and Maidong soup, and such drugs are mainly Shashen, Maidong, Yuzhu, Dendrobium, Shengdi, and Xuanshen, supplemented by Phellodendron chinensis, fried Gardenia, and Zhimu Jianyin and clear heat.

Its occurrence is mostly caused by emotional failure, poor qi, and blood stasis due to qi stagnation. Therefore, in the treatment of esophageal cancer, it is necessary to pay attention to regulating qi without harming qi, making good use of roses, bergamot, green calyx plum and other products that regulate qi without harming the positive, and less use of woody incense, magnolia, citrus aurantium, green bark and other products that hurt yin and consume qi.

The most important point is to choose drugs reasonably according to different syndrome types and the specific situation of patients in clinical practice, or bias towards dispelling evil spirits, or biasing towards correcting, or paying equal attention to dispelling evil and correcting them. ”

Speaking of this, Lu Xuan was also a little dry-mouthed.

Ji Xiuwen's eyes were sharp, and he handed the water forward with a smile.

Lu Xuan was stunned for a moment, then took it with a smile, and after taking a few sips, he did not continue, but turned his head to look at Tong He: "Your disease is closely related to yin deficiency and heat knots, and radiotherapy was carried out after surgery. For example, there are many symptoms such as dry throat, dry cough, pale red tongue, little lichen, and thin pulse. ”

Tong He took a breath: "Doctor Lu, I can understand some of what you said, but most of them are half-understood, just say it, I have learned about this disease myself, and I won't live long if I rely on radiotherapy, if you really have no way here, I can only accept my fate." ”

Lu Xuan looked at him: "I also tell the truth, if you have esophageal cancer, it is impossible to cure it, but you have already had surgery, as a doctor, what I can do is to make it no longer recur or metastasize." ”

"However, treating the disease is not a doctor's business alone, and you have to cooperate."

Tong He smiled like a child: "I don't dare to think about curing it, if I can't let it recur or metastasize, I'm already thankful, where do I dare to 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 mortality rate.

Lu Xuan responded: "Yes, yes, but as I just said, treating a disease is not a matter for doctors alone, the most important thing is to rely on the patient himself." ”

Speaking of this, Lu Xuan looked at Tong He again: "Don't think about it too much, since you have already had surgery, then you should treat it as if you don't have this disease, after taking medicine, there is nothing uncomfortable, and you don't have anything to do."

Many cancer patients do not die because of the cancer itself, but are 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 again and again.

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

"It's best to have this kind of mentality, not to care about it."

Lu Xuan said with a smile, burying his head in writing the recipe.

Wheat Dong, Dendrobium, Radix Radix, Silver Bupleurum chinensis, Codonopsis, Whole Melon Root, Cicada Molt, Zhejiang Fritillary, Baibu, Dandelion, Diding, Rose, Qianhu, Zhuru, White Flower, Snake Tongue Grass.

After writing and putting down the pen, Lu Xuan gave the prescription to Ji Xiuwen and looked at it: "Do you have any ideas?" ”

Ji Xiuwen glanced at it and fell into deep thought.

In the prescriptions prescribed by Lu Xuan, there are no special Chinese medicines, almost all of them are the most common, and he also knows the medicinal properties or something, after all, he is also a high-achieving student who graduated from Zhijiang University of Traditional Chinese Medicine, even if he can't see a doctor and distinguish between syndromes, but he still memorizes a lot of medical books such as the Compendium of Materia Medica.

"Most of them are medicines that nourish qi and nourish yin and lungs." Facing Lu Xuan's gaze, Ji Xiuwen thought for a while.

"It seems that some additions and subtractions have been made on the basis of nourishing yin and clearing the lungs."

"The book is not in vain."

Lu Xuan gave Ji Xiuwen a thumbs up, and explained the next moment: "Codonopsis ginseng is beneficial to qi, wheat winter, dendrobium, Zhejiang fritillary nourishes yin, dandelion, diding, banlan root, silver chai hu clears heat and detoxifies, melon is wide-chested, bamboo ru reduces adversity, Baibu, Qianhu dissolves phlegm, and cicadas molt and pharynx." ”

After speaking, Lu Xuan didn't ask more, the knowledge should be learned little by little, greedy and chewy, and if he said too much, Ji Xiuwen might not be able to understand.

Moreover, what I just said actually involves the treatment of all cases of esophageal cancer.

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

After Su Kenan registered the information and printed out the fee receipt, before Tong He left the clinic, Lu Xuan said again: "Remember, don't think too much." ”

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

Seeing Tong He leave with a smile on his face, Lu Xuan also relaxed slightly.

Whether it will recur and metastasize, medicine can play a role, but the key depends on the child and himself.

Maintaining a happy mood can make the drug more effective with half the effort.

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

If you really want to transfer, it will be more difficult to treat.

However, in the face of such patients, all Lu Xuan can do is to give two more instructions.

Otherwise, I won't let Tong He have nothing to do with it.

When talking about cancer discoloration, what I am afraid of is the cold checklist.

I can eat and sleep, my body is painless and itchy, what needs to be checked?

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

"Dr. Lu......"

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

That's Su Kenan's.

"Huh?"

Lu Xuan looked at the water cup in front of him and was stunned for a moment, only then did he react, and found that the cup he was holding just now didn't seem to be his own, but the water cup sitting beside him, Su Kenan.

Got it wrong.

For a while, Lu Xuan was extremely embarrassed, "I'm sorry, I was a little distracted just now, I'll pour you another glass of water." ”

Su Kenan looked at Lu Xuan, who was a little at a loss, with slender fingers intertwined under the table, with a hint of panic in his eyes, and whispered, "No...... Never mind. ”

"It's not dirty, and you can still drink it."

As he spoke, he picked up the water cup that Lu Xuan had just put down and took a sip.

After that, the roots of the ears quickly reddened.

The atmosphere in the consultation room was joyful and pleasant, but at the same time, it was filled with a strong sour smell.

(End of chapter)