Chapter 204 Can a Bowel Cancer Be Divided into Four Situations?

"Xiao Xuan, I don't know much about Chinese medicine, and I can even say that I have almost no understanding of it, but do you remember the contents of the two books "Blood Evidence Theory" and "Surgical Dacheng" you just mentioned?"

Lin Yongzhen took a breath, the content in the ancient books of Chinese medicine is not vernacular, whether it is reading or memorizing, it is not as convenient and simple as vernacular text.

For the same 500-word content, if it is changed to vernacular, the average person may be able to memorize it in half an hour, but if it is changed to the form of classical Chinese, half an hour is not enough at all.

Even, let alone half an hour, an hour may not be able to recite it more clearly, let alone what is ripe and memorized.

Moreover, the content of classical Chinese forms is generally rather difficult to understand, which makes it more difficult to understand.

As a medical student, there are so many things to memorize.

Lin Yongzhen knows the difficulty.

However, Lu Xuan can clearly tell the corresponding content in each medical book, and it is impossible to do it without the ability to remember it.

"Not only these two books, but he can also memorize other books." Before Lu Xuan could respond, Ji Xiuwen on the side said with a smile.

"And these two books, I have rarely heard him mention before, but if they are typhoid fever, he understands them more thoroughly, otherwise he would not have achieved his current achievements in just two months."

Hiss......

Lin Yongzhen couldn't help but take a breath.

Beyond the ability of ordinary people's understanding, coupled with the ability to never forget, as well as superhuman talent in the field of traditional Chinese medicine, only any one of these three talents is enough to make a person take a lot of less travel, not to mention the convergence of the three talents.

Lin Yongzhen suddenly understood why Lu Xuan was able to become a well-known doctor in just two months.

That is, everyone doesn't know that Lu Xuan can hear the voice of traditional Chinese medicine, otherwise I'm afraid they will say that this is completely a life of open-mindedness.

"Is it okay to take Chinese medicine in Grandpa's situation?"

"Can it be cured?"

Lu Guoquan restrained the look of surprise on his face, and asked with a serious face, knowing that his son has the ability to never forget, he is not very interested in these, the only thing he is more concerned about is the old man's situation, whether he can be treated or even cured through traditional Chinese medicine.

"Uncle Lu, don't worry, I'm afraid this guy already has a number in his heart."

Seeing Lu Xuan's relaxed face, Ji Xiuwen knew that this guy was afraid that he was already in the chest.

And Lu Qinian's old man's condition is not serious, he feels that with Lu Xuan's ability, not to mention cured, it is not a big problem for the old man to live like a normal person.

"Xiao Xuan ......"

Hearing this, Lu Guoquan looked at Lu Xuan again.

Lu Xuan glanced at Ji Xiuwen helplessly, thought for a while, and said: "Ancient doctors have a very deep understanding of the etiology and pathogenesis of bowel cancer, and believe that it is various factors that affect the normal conduction function of the large intestine.

For example, Dou Hanqing's "Complete Book of Sores and Ulcers" in the Song Dynasty mentioned: "There are many people who eat uncontrollably, get drunk and full, and eat fat...... Indulge in wine...... or sedentary wetlands...... I don't have a bowel movement for a long time, the grid is congested, and the wind and heat rush down to give birth to five hemorrhoids.

Other medical experts also emphasize dampness and heat in the treatment of bowel cancer.

Due to unhealthy diet, indiscriminate consumption of fatty, sweet, flavorful, mellow wine and other hot and dry products, damage to the spleen and stomach, loss of spleen health, loss of transport, damp heat endogenous, heat toxin accumulation, flow into the large intestine, heat injury to the intestines, stasis and agglomeration into cancer toxin.

The internal cause is due to internal injuries and seven emotions, anxiety and depression, emotional failure, liver loss and discharge, and qi imbalance, resulting in qi stagnation, qi is handsome, qi stagnation is blood stasis, and it becomes a lump over time.

Cancer tumor for a long time, long-term illness and injury, spleen and stomach insufficiency, qi and blood biochemistry passive, organ malnutrition, spleen deficiency and kidneys, diarrhea for a long time, and disharmony of the body. ”

"This is what Chinese medicine thinks is the cause of bowel cancer?" Lin Yongzhen faintly understood a little, Lu Xuan said so much, basically talking about the reason why the body suffers from bowel cancer.

Lu Xuan nodded.

"This ......"

Lin Yongzhen groaned and said: "I didn't expect that the records of bowel cancer in traditional Chinese medicine would be available so early, and even the cause was clear. ”

"I don't know the cause, I can't find the root, I just blindly use a three-plate axe to solve it, and I can't remove the root cause, so most patients who have undergone surgery and chemotherapy can't escape the spread of cancer cells in the end, and finally there is no cure." Lu Xuan spread his hands and said the biggest drawback of Western medicine in treating cancer today.

Lin Yongzhen frowned, he studied Western medicine, to be honest, he didn't particularly agree with Lu Xuan's words, but after thinking about it carefully, he also felt that what Lu Xuan said was not unreasonable.

Most of the time, Western medicine is really a headache doctor.

The treatment of cancer is basically based on cutting, and does not care why the patient gets cancer, and does not solve the problem from the root, resulting in the vast majority of cancer patients will have cancer cells spread until there is no cure.

"You're talking about the general cause of bowel cancer, if you are asked to treat it, how should you deal with it?" Lin Yongzhen kept the cause of Lu Xuan's words in mind, and planned to discuss it with a doctor from the Department of Gastroenterology when he returned to the Second Provincial Hospital, but he cared more about how to treat it than the cause.

The cause is basically the same, except for treatment and medication.

Different doctors will have different understandings.

Lu Xuan groaned and said: "In terms of treatment, traditional Chinese medicine has put forward some treatment methods based on syndrome differentiation and treatment, mainly including strengthening the right and dispelling evil, detoxifying and removing stasis, clearing away heat and dampness, regulating qi and dissolving stagnation, etc.

If necessary, it can be combined with acupuncture, external medicine and other therapies at the same time, so that Chinese medicine can be raised to a fairly high level in the diagnosis and treatment of colorectal cancer. ”

"I see that there are many doctors in the Department of Traditional Chinese Medicine of the Second Provincial Hospital, and when treating cancer patients, they basically use a combination of traditional Chinese and Western medicine...... Is it better to combine Chinese and Western treatments? ”

"That's the case."

Lu Xuan nodded and said: "Traditional Chinese medicine is often combined with chemotherapy or radiotherapy in postoperative colorectal cancer patients, which can not only synergize chemotherapy and radiotherapy to kill tumor cells, enhance the sensitivity of radiotherapy and chemotherapy, but also reduce the toxic side effects of radiotherapy and chemotherapy, improve the treatment effect of radiotherapy and chemotherapy, and reduce the recurrence and metastasis rate of colorectal cancer." The use of traditional Chinese medicine in patients who cannot be treated with radiotherapy and chemotherapy in advanced stages can improve symptoms, improve the quality of life of patients, and prolong their survival time.

However, generally speaking, as a last resort, try not to choose the surgical chemotherapy plan, after the surgical chemotherapy, the human body's vitality will be greatly damaged, even if the traditional Chinese medicine conditioning will be greatly difficult, and even if the kidneys are injured too hard, it is difficult to say that taking traditional Chinese medicine can turn the tide. ”

Lin Yongzhen didn't speak, but squinted his eyes, as if he was thinking about the truth in Lu Xuan's words.

It was Ji Xiuwen, who turned on the recording of his mobile phone while listening, and was extremely serious.

Among the patients treated by Lu Xuan, there are not many patients with bowel cancer, and they have rarely been mentioned before.

Now that he has found an opportunity, Ji Xiuwen will naturally not let it go.

Seeing that Lin Yongzhen didn't speak, Lu Xuan continued: "In the early stage, colorectal cancer is mostly damp and hot, and evil prevails over good. Then, the pathological manifestations of qi stagnation and blood stasis appeared, mainly to promote qi and blood, detoxification and dissipation; In the later stage of the disease, there can be a manifestation of spleen and kidney yang deficiency, qi and blood deficiency, so it should be mainly to help the right, supplemented by dispelling evil, and the treatment should be based on warming the spleen and kidney, and nourishing qi and blood.

In the case of my grandfather, it is in the early stage, and the treatment is relatively simple.

In patients with dampness and heat, the main symptoms are fever, abdominal pain, abdominal distention, chest tightness and thirst, nausea and anorexia, pale diarrhea, tenesmus, and anal burning. The tongue is red, the tongue coating is yellow and greasy, and the pulse is slippery.

This is actually similar to the old man's situation, but different patients, the main syndrome will have some differences, but the difference is not big, the treatment is basically based on clearing heat and dampness, detoxification and dispersing knots.

If you use medicine, such as pulsatilla, coptis, cork, and Qin bark to clear away heat and dampness, detoxify and clear the intestines, dry and damp and stop dysentery; White peony softens the liver and urgency, reconciles qi and blood, and stops diarrhea and abdominal pain; Wood incense, betel nut, citrus aurantium husk conduction stagnation; Angelica sinensis softens the liver to invigorate blood and stasis, taking the meaning of "blood will heal pus in the stool"; Sophora and elm stop bleeding; Sophora sophora and soybean herbs clear heat and detoxify, eliminate carbuncle and drain pus, dispel stasis and relieve pain.

However, the prescription is not the same, and the medication for different situations is also different, which requires the selection of the corresponding Chinese herbal medicine according to the actual situation of the patient. ”

"This is very different from Western medicine, which is basically the same for the same type of patients, and there will not be much difference." Lin Yongzhen thought for a while.

Lin Yongzhen asked: "Xiao Xuan, I mentioned the dampness and heat connotation just now, doesn't that mean that there are other conditions of bowel cancer?" ”

"Nature."

Lu Xuan continued: "The second condition of intestinal cancer patients is stasis and internal obstruction, such patients generally have symptoms such as irritability, abdominal distension and abdominal pain, refusal to press the painful area, abdominal mass, diarrhea and purple pus and blood, tenesmus, anal falling, or loose stools, dry mouth and other symptoms, and their tongue is purple or ecchymosis, moss, astringent pulse or fine number, pulse and tongue signs are very different from those of patients with damp heat and content.

For such patients, TCM treatment is often based on promoting qi and blood, removing blood stasis and detoxifying.

If you use medicine, you can use Guiwei, Chuanxiong, Red Spoon, Peach Kernel, and Safflower to invigorate blood and remove stasis; Supplemented by Danpi to cool the blood and invigorate the blood, citrus aurantium, incense, Yanhusuo, Magnolia bark and stagnation, so that the qi is bloody; Use black medicine to relieve pain; Coptis chinensis, red vine, Poria cocos, purslane, and white ying clear heat and detoxify and fight cancer.

The third type is the loss of qi and blood, such patients are thin, pale, dizzy and tired, palpitations and shortness of breath, poor appetite, swelling of the limbs, vague pain in the abdomen, loose stools, or prolapse of the anus, pale tongue, thin and white, weak pulse.

For such patients, the treatment needs to replenish qi and blood, and strengthen the spleen and kidneys.

Radix radix, astragalus, and rehmannia are used to nourish qi and nourish blood; Supplemented by Poria cocos, Atractylodes macrocephalus to strengthen the spleen and dampness, Angelica, white peony to nourish blood and camp; Cuscuta seeds, chicken blood vine is good for the kidneys, blood and diarrhea; With boiled licorice and zhongyi qi, salvia invigorates blood and qi, and cimicifuga benefits qi.

And the most serious is the spleen and kidney yang deficiency patients.

Such patients generally have a pale complexion, thin body, tiredness, lazy speech, cold limbs, abdominal pain, warm and pressing, cold limbs, sore waist and weak knees, diarrhea, or loose stools and mucus.

The tongue is light, the tongue has tooth marks, the moss is thin and white, and the pulse is thin and weak.

For such patients, the treatment is very different from the previous three, and it is necessary to warm and replenish the spleen and kidney, dispel dampness and cold.

If you use medicine, you can choose Codonopsis ginseng to benefit qi, sweetness and warmth, and strengthen the spleen and stomach; Psoralen warms the spleen and kidney, supplemented with Evodia, aconite, and dried ginger to warm and dispel cold, and nutmeg warms the spleen and kidney to stop diarrhea; Atractylodes, Poria cocos, and raw Coix seed strengthen the spleen and promote dampness, and Schisandra chinensis is sour and astringent.

Of course, it is still the previous sentence, if you use medicine, you still have to choose according to the actual situation of the patient, and this kind of prescription may not be suitable for all patients. ”

"Can there be four types of bowel cancer?"

Lin Yongzhen opened his mouth wide, at first he thought that Lu Xuan was joking with him, after all, in the eyes of Western medicine, bowel cancer is bowel cancer, and the treatment is basically surgery and chemotherapy, where is there any bowel cancer!

Isn't bowel cancer just bowel cancer?

What other four situations can be distinguished?

And, is the treatment different for each condition?

"Not only bowel cancer, but also other diseases are divided into many kinds in the eyes of traditional Chinese medicine, and the drugs used are very different in different situations."

Lu Xuan explained: "For example, a cold, a cold in the eyes of Western medicine is a cold, and the medicine you take is basically figured out, and there won't be much difference." Traditional Chinese medicine (TCM), on the other hand, divides colds into wind-chill and wind-heat colds.

Wind chill and cold are mostly caused by the evil attack of wind chill and the loss of lung qi, and the cause is usually fatigue, lack of rest, plus wind blowing or cold.

Symptoms are generally manifested as severe chills, mild fever, fear of cold and wind, no sweating, headache and body pain, limb aches, weakness of feet, nasal congestion and discharge, heavy voice, sneezing, coughing and spitting out thin white sputum, lack of thirst or thirst for hot drinks, tongue without or thin white lichen, and tight or slow pulse.

Traditional Chinese medicine treatment of wind chill and cold should be based on the treatment of cold and cold.

The cause of wind-heat cold is usually constipation, two days after constipation, sore throat for a day or two, and then cold symptoms appear.

Symptoms include slight chills, heavy fever, sweating, head swelling and pain, redness, swelling and pain in the throat, cough, sticky or yellow sputum, nasal congestion and yellow discharge, thirst and drinking, red tongue tip, thin white or yellowish tongue coating, and a faster or larger pulse than normal.

For wind-heat colds, the treatment should be based on the cold and the cold, and the main method is to evacuate the wind and heat. And drink plenty of water and eat lightly.

Moreover, there is a great difference between wind chill and wind heat cold, both in terms of pulse and tongue coating, and the pulse of patients with wind chill syndrome is more floating and tight, that is, the pulse can be obtained by pressing lightly, the part is superficial, and the blood flows tight and strong in the pulse. In patients with wind-heat syndrome, the pulse is mostly floating, which is manifested as a light pulse and a fast pulse rate.

Patients with wind-chill syndrome feel the invasion of cold, and the tongue is pale and thin. Patients with wind heat often feel heat evil or metaplastic heat in the body, and the tongue is red and the tongue coating is thin, and the yellow tongue coating may appear in severe cases of wind heat. ”

Hearing this, Lin Yongzhen took a deep breath and was shocked for a while.

He was really convinced by Lu Xuan this time.

Before, he still had some doubts about what Ji Xiuwen said, but now, that trace of doubt has dissipated without a trace.

This ability and these truths are not something that a Chinese medicine student who has just graduated from can have.

(End of chapter)