"Doctor Lu, my mother has stroke-like disease, can I take Chinese medicine to recuperate?"

"Hello Dr. Lu, I heard about your deeds from Brother Liu, and I want to ask, is there any good way to do cavernous hemangioma in Chinese medicine?"

"Can rheumatic heart disease be treated by taking Chinese medicine?"

"Dr. Lu, I was diagnosed with esophageal foramen hernia a few months ago, as well as chronic superficial gastritis with erosion......

……

Lu Xuan didn't expect the group chat to be so active just after it was established, and he had a headache for a while.

It's not because it's troublesome, everyone is willing to look for him, willing to believe that Chinese medicine can bring them hope, and he is happy from the bottom of his heart.

But all of a sudden, so many people were consulting in the group, and he didn't know who to reply, so everyone had to reply, and if he didn't reply, everyone was so enthusiastic, which was tantamount to pouring cold water on everyone and extinguishing the hope in everyone's hearts.

However, among the many consultations, Lu Xuan's eyes fell on the consultation of one of them.

Esophageal foramen fissure, hernia.

This is a common digestive system disease, abdominal organs enter the chest cavity through an enlarged esophageal hiatus, and are often combined with gastroesophageal reflux symptoms, such as heartburn, acid reflux, etc., and if it is a paraesophageal hernia, it can cause entrapment symptoms, such as belching, chest pain, early satiety, dysphagia and other symptoms.

Moreover, if it is a large paraesophageal hernia, there will also be compression and obstruction symptoms, which can manifest as dyspnea, dysphagia, nausea, vomiting, chest pain, etc., especially after a full meal.

The reason is also simple, it is caused by the gastrointestinal obstruction caused by the stomach or other abdominal organs entering the chest cavity compressing the lungs, mediastinum and esophagus, and at the same time the herniated organs into the chest cavity are torsioned.

This situation is relatively serious.

Western medicine generally chooses surgery when treating hiatal hernia, and this involves a procedure called fundoplication.

This surgery can indeed reduce acid reflux and even give the patient the illusion that he has been cured. However, fundoplication is also flawed, and over time, three or five years, or a little longer, the part of the fundoplication is easy to relax and eventually recur.

Acid reflux recurrence is nothing, but fundoplication can easily lead to organ adhesions, and when it comes to recurrence, basically no one dares to do this surgery again.

It's easy for a patient to lie on the operating table and never get out again.

Many patients have a recurrence after fundoplication, and when they go to other doctors to see them, basically no one dares to take them anymore, and they will ask the patient to go to the doctor who operated on him at that time.

Wouldn't it?

No.

Although fundoplication is only a kind of surgery that has emerged in recent years, many gastroenterologists still do it, but once the organs of patients who have undergone fundoplication occur, no matter how powerful the doctor may not dare to accept it.

The later organ adhesion is not because the doctor does not inform in advance, but because this kind of surgery has just emerged, and even the doctor who operated on it does not know how much risk there will be once it relaxes in the future.

In traditional Chinese medicine, the treatment of hiatal hernia is basically based on reducing stomach qi.

If the stomach gas drops, it will naturally not be committed.

But this disease needs to be avoided, sweet and sour can not be eaten, especially sweets, once touched, even if it is cured, it is extremely easy to recur.

Lu Xuan pressed the screen and replied to the only patient: "It is recommended not to perform surgery for the time being, and to carry out traditional Chinese medicine conditioning first, while the others, because I am still sitting in the clinic today, can't reply one by one, and I will take a closer look when I have time." ”

After saying this, Lu Xuan turned his head to look at Su Kenan: "Call the number." ”

and instructed Liu Shao: "If you want to live a few more years, then change your habits, otherwise it will be useless for you to rely on me to prescribe medicine to you." ”

Since the last time, Liu Shao is now obedient to Lu Xuan's words, "Doctor Lu, don't worry, I will definitely listen to you, take medicine and go to bed early." ”

"Alright, alright, don't play tricks with me, have the time to think about how to adjust the biological clock."

Seeing that the second patient in the afternoon had already come in, Lu Xuan also sent Liu Shao away directly.

Walking into the consultation room was a man who was much older than Liu Shao.

Looks like he's supposed to be in his forties.

Zhou Xinming seemed to be in a bad spirit, and when he came to Lu Xuan, it seemed like he hadn't slept well for a few days.

Lu Xuan saw that his situation was not very good, glanced at the computer screen, and after looking at the other party's name, he took the initiative to ask, "Is Zhou Xinming really?" ”

"Hmm."

"What's wrong? Where you are uncomfortable, I see that you are in a very bad mental state. ”

Hearing Lu Xuan's inquiry, Zhou Xinming talked about his recent situation.

The patient has been restless at night for a long time, even sleepless all night, upset, dizziness, memory and thinking are reduced, lack of energy, and accompanied by indigestion and other symptoms.

However, neurasthenia is a Western medical term, and it is not said in Chinese medicine.

Neurasthenia is a disease of insomnia in traditional Chinese medicine, and traditional Chinese medicine believes that the pathogenesis lies in the incompatibility of the heart and kidneys.

The heart is the yang of the yang, the kidney is the yin of the yin, and the true yin in the kidney is insufficient, and it cannot help the heart yang, so that the heart yang cannot be handed over to the kidney, and the brain is hot, so it becomes a proof of sleeplessness.

The normal activities of the human body are yin rising and yang falling, and if the normal law is disrupted, it is not easy to correct it.

Therefore, it is stubborn.

During treatment, this pathological phenomenon of reversing yin and yang should be reversed again to restore normal physiological state, and sleep will improve.

However, although the evidence of insomnia lies in the incompatibility of the heart and kidney, it is also related to the main blood of the liver.

There is a saying in "Neijing: The Generation of the Five Organs": "Therefore, the blood of a person lies down to the liver", and the "Introduction to Medicine" also says: "When a person moves, the blood is transported to the meridians, and when he is still, the blood is returned to the liver".

That's why there is a saying, "If the child can't sleep, the blood doesn't return to the liver", that is, he can't sleep in the middle of the night, which is the relationship between the blood and the liver.

The etiology and pathogenesis of insomnia syndrome are also related to yin and yang, qi and blood, and Yingwei Jin.

In general, the formation of insomnia is caused by the imbalance of yin and yang.

For example, excessive exertion, postpartum blood loss, or blood loss due to other reasons will cause insomnia, which is because it is either a relationship between qi and blood.

It is advisable to treat the heart and kidneys and get rid of fever.

Zhou Xinming also seemed to be curious about his own situation, and asked: "Doctor Lu, what's going on with my situation, I can't sleep all night and night every day, it's nothing in a short time, after a long time, I feel like the whole person is dying, I want to sleep but can't sleep, and I am very tired if I don't sleep." ”

After Lu Xuan took the other party's pulse, he explained: "Traditional Chinese medicine believes that if the rules of the transformation of yin and yang qi are broken, it can lead to sleeplessness, which is what you call neurasthenia.

And there are many reasons for sleeplessness. "Sleeplessness" pointed out that "although there are different evidences of sleeplessness, but only the word evil and righteousness are exhausted, covering the Yin of the Buddha, God and its master, God is peaceful, God is restless, and God is restless, so those who are restless, one is disturbed by evil spirits, and the other is caused by the lack of ears." “

The heart is the main god of God, and therefore the heart is the main sick place of sleep.

All the causes that can affect the mind can cause insomnia, such as the lack of energy to cause the heart to lose its nourishment, the fiery fire can disturb the heart, or the sudden shock can cause the mind to be uneasy are all common causes of insomnia. ‘

The heart is closely related to other organs such as liver, gall bladder, spleen, stomach, and kidneys, and the occurrence of insomnia is also closely related to the pathology of other organs and intestines. ”

Zhou Xinming didn't seem to understand, but Lu Xuan still understood a little when he mentioned blood qi, so he asked, "Doctor Lu, is my situation serious?" ”

Seeing Zhou Xinming's worried face, Lu Xuan smiled and said: "It's not serious, but it's easy to recur if you don't sleep, don't think about it too much, sleep when it's time to sleep."

Of course, having said that, it's not a matter of time to get rid of bad habits. ”

As soon as he heard this, Zhou Xinming showed the appearance of meeting a confidant, and was full of emotion: "It's not, I don't want to think about those who don't have it, but every time I lie in bed, my brain is like all kinds of cranky thoughts that are out of control, and when I find out, half an hour or even an hour may have passed, so I can't sleep anymore."

I really can't help it, I heard the introduction of someone and hung up your account on the Internet, thinking that Dr. Lu, you may find a way for me to sleep well."

Lu Xuan responded with a smile: "In this way, I will prescribe some medicine for you, you go back to eat, and come back for a follow-up when the medicine is gone, your condition is not too serious, and the situation of sleepless eating for a few weeks should be able to improve a lot." ”

"Thank you, Dr. Lu."

Lu Xuan smiled and wrote down the prescription: 30 grams of fried sour jujube kernels, 30 grams of light bamboo leaves, 9 grams of Poria cocos, 9 grams of Chuanxiong, 9 grams of Zhimu, and 4.5 grams of licorice.

After writing it, he gave the medical record book to Su Kenan for registration.

And when Zhou Xinming took the charging slip and scanned the code to pay, he saw that several people looked at it curiously, and Lu Xuan also explained with a smile: "Sour jujube kernel soup with bamboo leaves, the sour jujube kernel in the recipe is mainly sour and bitter, and it is mainly used to relieve the depression and heat of the heart and brain."

More use the mother of Liangzhi, licorice and it; Chuanxiongxin rises, Poria cocos dilutes and falls, and cooperates with each other to coordinate the lifting function; More light bamboo leaves, cold and heat, clear the heart and spleen, treat anxiety and heat, with outstanding effect, assist sour jujube kernels, the evidence of insomnia, can receive complementary effects. ”

Although Zhou Xinming didn't know much, when he heard Lu Xuan say this, he also felt that Dr. Lu was very capable, and he thanked him again and again before getting up and leaving the consultation room.

Not long after Zhou Xinming left the consultation room, a female patient with a stick came in.

Wang Suyan came to Lu Xuan and sat down, and after introducing herself, she talked about some of her own situation.

It turned out that Wang Suyan suffered from heart disease 20 years ago, and has always had heartbeat, palpitation, shortness of breath, and long-term insomnia.

Recently, there is a feeling of dizziness and swelling, which seems to be painful but not painful, hot and swollen in the ears, and numbness in the face; Tingling pain in the chest, feeling that the internal muscles are jumping wildly; Sweating a lot, knee pain and coldness, feeling like the back is drilling, sometimes the whole body is beating in an irregular place, the limbs are sometimes numb, sometimes it is difficult to move, and you have to carry a stick when you go out.

A fluoroscopy was done at the hospital, which showed that the heart was enlarged, and Western medicine diagnosed rheumatic heart disease.

Lu Xuan asked while checking the other party's pulse, "Is your mouth bitter?" ”

"Bitter and ......"

Wang Suyan thought for a while and said: "And especially when I lose my temper, I can't have a bitter mouth, and my urine is relatively yellow." ”

"Tongue."

Wang Suyan stuck out her tongue and glanced at Lu Xuan.

The right hand pulse is single-handed, the left hand pulse is weak, the left inch pulse is particularly weak, the tongue is light, and the tongue is light.

Lu Xuan frowned slightly.

Wang Suyan has symptoms from almost her head, face, chest and back to her limbs and body, from internal organs to skin, almost inside and outside.

Wang Suyan has also seen a lot of doctors over the years, and she can't count the number of times she has been to the hospital, and the doctor's frowning has long been used to it.

In fact, I have been to the hospital many times, and I have taken a lot of medicines, but after taking them, I can feel a little more comfortable, and once I don't take them, I will commit it immediately, and surgical treatment may not be good, the key is that many drugs for rheumatic heart disease have no small side effects, and I dare not take them often.

My mother didn't know where she heard about Dr. Lu, so she asked me to come and try it, and I thought that the hospital wouldn't be good anyway, so I thought that a dead horse had been a live horse doctor, so let's try it.

Now that Dr. Lu is also sad, I think my condition should be very serious. ”

Hearing this, Lu Xuan soothed: "I'll tell you the truth, your condition and symptoms are almost all over the body, both inside and outside, it is indeed more serious, but serious does not mean that there is no way to treat it, taking Chinese medicine can still be regulated, but before taking medicine, it is difficult for me to guarantee that it will be better." ”

Wang Suyan had already given up hope, but when she heard that she could take Chinese medicine for conditioning, she was immediately overjoyed: "Doctor Lu, what you said is true?" ”

"As a doctor, I don't need to lie to you about this kind of thing, otherwise it won't be cured, wouldn't it be a smashing of my own signboard?" Lu Xuan said seriously.

"Doctor Lu, what's wrong with my illness? What kind of medicine should I take? Wang Suyan asked curiously.

Although Ji Xiuwen didn't take Wang Suyan's pulse, after listening to the situation she described, he was also very curious, and subconsciously set his eyes on Lu Xuan.

Lu Xuan didn't plan to say too much, but seeing that Wang Suyan and Ji Xiuwen were a little curious, he thought about it and said, "The treatment of rheumatic heart disease should focus on the key points and deal with it, and regulate it from the qi and blood of the camp guard.

Chai Guijia keel oyster soup has the effect of boosting qi, harmonizing qi and blood and stopping sweating, and can relieve heartbeat, shortness of breath, numbness, muscle beating, joint pain, and can also play a calming and stabilizing role to help sleep.

Chest and back pain is the main indication of Guara Bai Banxia Soup, while calamus, Yuanzhi and Poria cocos have the effect of opening up and strengthening heart activity. ”

"You can go back and try this medicine for a week and see if it gets better."

After speaking, Lu Xuan looked at Ji Xiuwen: "You can also pull Ms. Wang into the group." ”

"I'm also in the group, if you have any doubts, you can consult in the group, and I'll reply when I see it."

"Okay, okay, I'll join the group."

As soon as she heard that there was a group of patients, Wang Suyan's eyes were also bright, she lived far away, and it took about 40 minutes to drive over.

(End of chapter)