Chapter 120 Differentiation of Chinese and Western Medicine in the Treatment of Cholecystitis(1/2)
After completing the separation of the adhesion organs, the operation has actually been more than half successful.
The remaining cholecystectomy or repair can be judged based on the development of the disease.
In later generations, many doctors did not recommend gallbladder repair, but instead supported direct gallbladder removal.
Because, gallbladder perforation means that the gallbladder has undergone lesions, repair cannot cure it, and it is easy to recur, resulting in secondary perforation.
Once the second perforation is a life-threatening situation, a second operation is required to remove the gallbladder.
In Western medicine, in 1882, ngenbuch successfully completed the first cholecystectomy and published a paper "The Theory of the Healing Bed", calling the gallbladder that occurs with gallbladder perforation or acute and chronic cholecystitis a hotbed.
It means warming bacteria and growing stones.
This is also an idea for treating cholecystitis in later generations, and it even became a gold standard.
Therefore, in later generations, doctors generally recommend direct resection.
However, Zhang Yan would not choose to remove it. His principle has always been that every organ in the human body has an irreplaceable effect and can be retained as much as possible.
The gallbladder is an important digestive organ in the human body and can help the duodenum digest.
This is also the reason why many patients with gallbladder removal cannot eat this or that, and their resistance will also decrease to varying degrees.
As for the inflammation of the gallbladder, after repairing the perforated area, traditional Chinese medicine can be used to treat it. He is confident that the patient will recover from health.
Zhang Yan quickly found the perforation site, cleared the stones in the gallbladder, and completed the repair work.
Zhang Yan put away the silver needles on his organs, cleaned his abdominal cavity again, and began to close his abdomen.
At this time, the operation had been carried out for an hour and a half.
The main reason is that the blunt separation and loosening of the adhesion organs has been delayed too much time.
After removing the silver needle, Zhang Zhongshan slowly woke up.
Gallbladder repair cannot directly relieve inflammation, it can only be said to relieve life danger.
Anti-inflammatory and subsequent treatment are also required.
But there is no hurry to send this back to the ward first.
"Yanzi, how about it?" Chu Mingxing looked at Zhang Yan with anticipation.
He is even more nervous than Zhang Xiaodi.
Zhang Yan's surgery was successful, and he and Zhang Xiaodi still had hope for further development, but if it failed.
Chu Mingxing will be vented and sentenced to death directly.
Speaking of which, it seems very unfair. Chu Mingxing is busy and helps find an expert. There are many reasons for the failure of the operation.
It has nothing to do with him.
This is not Zhang Xiaodi's unreasonableness, but human emotions, which are so unreasonable.
“The surgery was successful and the perforation has been repaired.
The patient also has some underlying diseases and needs further treatment.
Let's send it to the ward first!
I'll go over and give the patient a further diagnosis and treatment." Zhang Yan didn't laugh, but just nodded to Chu Mingxing and Zhang Xiaodi very gently and said.
According to the surgical requirements, the patient cannot eat for the time being, but the inflammation is still there, and there are underlying diseases such as hypertension and diabetes.
The effect of using Western medicine anti-inflammatory drugs and antibiotics is not very ideal.
On the operating table, Zhang Yan was considering subsequent treatment plans.
You cannot eat, and naturally you cannot take decoctions.
That's all, there is a way to acupuncture.
Diabetes is called diabetes in traditional Chinese medicine syndrome differentiation.
According to the development of the disease, it is mainly divided into: the stage where dryness and heat are the main stage, the stage where yin deficiency is dryness and heat, the stage where qi and yin deficiency are deficiency, the stage where blood stasis blocks the meridians, and the stage where yin and yang are insufficient.
Although acupuncture cannot be completely treated, it can relieve and suppress the development of the disease.
Including cholecystitis, a condition that is an organ, the nine needles and twelve originals can completely relieve and suppress the development of the disease by combing the meridians.
Yes, it's just ease and suppress, not cure it.
Nine Needles and Twelve Origins are not magical skills, and they do not have the magical effects in fantasy novels.
When the disease develops in the middle and early stages, it can be cured by acupuncture, but a condition like Zhang Zhongshan can only alleviate and suppress the development of the disease.
Even so, it can provide time for him to follow up drug treatment.
"Thank you! Yanzi!"
"Is it still useful to tell me this?" Zhang Yan smiled and punched Chu Mingxing.
"Thank you, Dr. Zhang!" Zhang Xiaodi stepped forward with a little embarrassed expression and thanked him.
She was still questioning others just now, believing that they were young, and that they were led by Mingxing Chu to be the one who was the one who was the one who was the one who was the one who was brought to a certain extent.
"You're welcome, monkey... Celebrity and I are comrades-in-arms. We have a life-long friendship. Since he has spoken, I will definitely use all my abilities to save your father." For the sake of comrades-in-arms, Zhang Yan
Said very against his will.
In fact, no matter who is a person or who is his patient, he will use all his strength to treat him.
He is a doctor, not a chef, and he can't watch the dishes.
Chu Mingxing gave Zhang Yan a grateful look.
"No matter what, I still thank you very much. You saved my father's life!" Zhang Xiaodi glanced at Chu Mingxing, and then thanked Zhang Yan again.
"Okay, I accept your gratitude. Let the stars invite me to roast duck!"
"Yanzi, why should I invite you to eat roast duck? You came back earlier than me? You shouldn't have invited us to eat roast duck? You are all the vice president, so you won't be so stingy, right?" Chu Mingxing shouted.
.
Zhang Yan was helpless and asked him to treat him, which was to let Zhang Xiaodi further win Chu Mingxing's affection, but this guy asked him to treat him.
He has a good vision, but his brain is not very good.
This Zhang Xiaodi is worthy of being the daughter of the Zhang family. She is so beautiful. Her loose work clothes cannot cover up her Fengyun's figure. She has a bulge in front and a squint back, and her granary is full. She looks like she is easy to grow up.
In line with the aesthetics of all eras.
In this era, girls who praise their beauty like to describe them as melon-shaped faces, big eyes and double eyelids.
Zhang Xiaodi looks like the standard adjectives.
In the words of later generations, they are: fair-skinned and beautiful, long legs, bulging in front and raised back.
Zhang Yan did not talk to them much, and the patient was still waiting to be sent to the ward for further treatment.
After a few brief explanations, Zhang Yan returned to the operating room, took a shower and changed his clothes, took his silver needle, and came to the ward.
"The patient's condition is relatively complicated. It is not only perforated with acute stone cholecystitis, but also severe adhesions. The patient suffers from diabetes and hypertension, which affect postoperative recovery.
And because I had just had the surgery, I couldn't eat, so I couldn't take the decoction.
Therefore, infusion can only be used to treat inflammation.
In order to better treat the treatment, I will give the patient acupuncture to suppress the development of the disease.
After the blade is restored to a certain level, you can eat, and then take decoctions for subsequent treatment."
"Doctor, don't you say that the operation is successful? Why do you still need it..."
"The success of the surgery is for perforation, which is very successful, but it does not mean that the patient's disease has disappeared.
For the patient's future quality of life, the surgical plan I chose was repair, not removal, so the patient's cholecystitis still exists.
If follow-up treatment is not carried out in time, cholecystitis will continue to exist and stones will also occur.
However, you don’t have to worry. Traditional Chinese medicine is still very effective in treating cholecystitis and gallstones.
The patient in front also had acute stone cholecystitis. After taking the decoction I prescribed, he has recovered and discharged from the hospital." Zhang Yan comforted with a smile.
"Thank you, doctor. I don't understand either. You can treat it if you look good!"
"Don't worry about this, I promise to use twelve points of strength to cure your father." Zhang Yan nodded confidently at Zhang Xiaodi.
Zhang Yan first pulled out the infusion needle and then began to take his pulse.
Zhang Zhongshan's condition is quite complicated. Zhang Yan needs to take pulses with both hands, so he can only choose to temporarily remove the infusion needle.
After diagnosis, Zhang Zhongshan's cholecystitis is caused by liver and gallbladder dampness and weakness of the spleen and stomach.
Zhang Yan performed targeted acupuncture to sort out the gallbladder meridian and liver meridians that cause damp and heat.
"Your father should have a lot of social engagements, drink too much alcohol, and the food is too greasy. In addition, he may have been a little anxious and angry in recent times, which will eventually lead to acute cholecystitis.
After this treatment, it is best to quit the alcohol, smoke less cigarettes, and try not to eat greasy foods." After Zhang Yan applied the injection, he explained to Zhang Xiaodi.
Chu Mingxing is really capable in his vision, and he actually found a leader's daughter.
It seems that although Zhang Xiaodi doesn't give Chu Mingxing a good look now, she still has some good feelings for him.
To be continued...