Chapter 77: First Diagnosis of Tumor (Please add to favorites, please vote for recommendation, please vote for monthly ticket)

Seeing that Huang Su was still nervous in his seat, Sun Guizhi reminded her aloud: "Throw away the tumor and cancer in your brain. Traditional Chinese medicine has not had tumors and cancers since ancient times. Those who accumulate are due to the disharmony between yin and yang and the weakness of the internal organs.

The wind evil that is received affects the Qi of the internal organs."

Sun Guizhi's words come from "Treatise on the Causes and Symptoms of Various Diseases: Accumulation Syndrome", which means that accumulation is attributed to weakness of the internal organs, disharmony between yin and yang, the perception of external evils, and the combination of internal and external evils.

The accumulation here mostly refers to what Western medicine calls nodules and tumors.

Traditional Chinese medicine believes that the reason for the formation of nodules is the accumulation of phlegm and blood stasis, as well as cold stagnation and blood stasis.

The pathogenesis of phlegm and blood stasis, cold stagnation and blood stasis is weakness of the internal organs, disharmony between yin and yang, the perception of external evils, and the combination of internal and external evils.

After listening to Sun Guizhi's words, Huang Su seemed to have cleared away the fog and was enlightened. He instantly put aside the complicated information about tumors and cancer in his past and present life.

Huang Su II is practicing medicine, and this is the first time he has treated a cancer patient. The future expert in treating tumors at Guang'anmen Hospital will be Wei Lai, who is sitting opposite him.

What Huangsu is best at is treating diabetes. Speaking of diabetes, Guang'anmen Hospital was the first to conduct research on traditional Chinese medicine treatment of diabetes.

Coincidentally, oncology and diabetes are both key subjects of Guang'anmen Hospital. I have been destined to this hospital for two generations.

Huang Su abandoned his distracting thoughts and said to Zou Wenzhi: "Old man, reach out your hand and I will take your pulse."

Huang Su pressed hard on the bone with three fingers and felt Zou Wenzhi's pulse, but the pulse was still as thin as silk and weak, and the pulse beat slightly faster.

Seeing Huang Su's skillful pulse-taking skills, Sun Guizhi fought behind Huang Su again and nodded with satisfaction, but his face was still expressionless. Now it can only be said that Chen Jingshan's disciples have solid skills in their hands, and they are not the ones with a lot of theories and hands.

Incompetent.

After Huang Su checked the pulse, Sun Guizhi and Wei Lai checked Zou Wenzhi's pulse in turn.

Sun Guizhi put down the old man's wrist and said, "Tell me about the patient's pulse."

Huang Su replied: "The patient's pulse is a little heavy and thin. It is a syndrome of internal deficiency due to deficiency of both qi and blood and weakness of the internal organs. Prolonged deficiency leads to the generation of heat evil."

Sun Guizhi nodded with satisfaction.

Seeing that Sun Guizhi was satisfied with his answer, Huang Su's last bit of nervousness disappeared and he said to Zou Wenzhi: "The old man sticks out his tongue, let me see the tongue coating."

Zou Wenzhi stuck out his tongue, and Huang Su, Sun Guizhi, and Wei Lai observed carefully. They saw that the tongue was fat, the tip of the tongue was flat without a tip, the middle of the tongue was collapsed, the tongue was pale and bloodless, almost transparent, and the tongue coating was white and thin.

Before Sun Guizhi asked, Huang Su answered directly: "The tongue is light and fat, with white coating, and the tongue has no sharp tip and the tongue is collapsed in the middle. This is a sign of tongue deficiency of the heart and spleen."

Later, Huang Su asked: "Do you usually feel full in your stomach?"

"Yes, my stomach has been bloated, especially after eating. It feels like it is filled with air. It is so bloated that it makes me feel stuffy and uncomfortable, and I can't breathe." Zou Wenzhi said and burped several times.

Huang Su smelled the belching in Zou Wenzhi's stomach, which smelled of stale food, and then asked: "How is the bowel movement? Are it frequent?"

Zou Wenzhi replied: "Two to three times a day, the stool is black and shapeless."

Huang Su continued to ask: "How was your sleep?"

Zou Wenzhi replied: "I have chest tightness and shortness of breath every night and can't sleep."

After diagnosing Zou Wenzhi, Huang Su combined the four diagnoses and quickly sorted it out in his mind, and said to Sun Guizhi: "Based on the patient's pulse, tongue, palpitations, shortness of breath, poor appetite and loose stools, and restless night sleep, the patient has Qi and blood."

For symptoms of dual deficiency, heart and spleen deficiency, and deficiency of righteousness and excess of evil, my idea is to treat it with a modified version of Ginseng Guipi Decoction."

Ginseng Guipi Decoction can replenish qi and blood, strengthen the spleen and nourish the heart. It can be used for deficiency of qi and blood, palpitations, insomnia, lack of food and fatigue, and sallow complexion. It can also treat women with low menstrual flow and light color.

Sun Guizhi's face remained expressionless, but she nodded slightly and said, "Write down your prescription and let me take a look."

Huang Su picked up the pen in the pen holder and wrote on the prescription: 10g ginseng, 10g atractylodes, 30g astragalus, 10g polygala, 10g poria, 10g angelica, 15g fried jujube kernels, 5 jujubes, 10g longan meat, agrimony

30g, 10g of Angelica dahurica, 6g of fragrant wood, 10g of blood charcoal, 10g of arborvitae charcoal.

Huang Su's pen suddenly paused as he wrote this, and he felt that the only medicine in the prescription was agrimony, which is mainly used to treat carbuncle, swollen and sores, softening and dispersing stagnation, which seemed to be a weak medicine.

Suddenly I remembered the Laoshan Snake Grass water that was rated as the most unpleasant to drink in later generations. Hedyotis diffusa is mainly used to treat boils, swollen sores, and has anti-cancer effects. It is used here to prove it. Together with Agrimony, it can eliminate carbuncles and disperse boils, weakening the stomach.

Local tumors can be said to complement each other.

Traditional Chinese medicine has clinically proven that Agrimony and Hedyotis diffusa are good anti-cancer medicines.

Huang Su wrote 15g of Hedyotis diffusa at the end of the prescription, handed it to Sun Guizhi, and explained his treatment ideas.

"Professor Sun, I use ginseng, poria, atractylodes, astragalus, and jujube to nourish the spleen and qi. Zhiyuan, jujube kernel, longan, and angelica are sweet, warm, sour, and bitter to nourish the heart and calm the mind. I use woody fragrance to regulate qi and awaken the spleen.

Without stagnation, the three of them work together to strengthen the body and dispel evil, and use Agrimony and Hedyotis diffusa to clear away heat and dissipate blood stasis, eliminate carbuncles and detoxify, and use Angelica dahuricae, Xueyutan and Platycladus charcoal to stop bleeding and prevent ulceration and bleeding on the surface of the tumor."

Sun Guizhi looked at the prescription, listened to Huang Su's explanation, and said: "There is nothing wrong with your treatment idea, but the patient is already in stage four of gastric cancer, and Agrimony and Hedyotis diffusa alone are still weak in efficacy."

Saying that, Sun Guizhi picked up the pen and added 10g of honeycomb and 1 whole scorpion to the prescription.

Dew honeycomb and whole scorpion have the effect of treating carbuncle and malignant sores and dispersing stagnation of toxins. They are all good anti-cancer medicines.

Sun Guizhi handed the prescription to Zou Wenzhi's family and said, "Go and go through the hospitalization procedures. Follow this prescription and drink it for seven days. When the body recovers, we will discuss the chemotherapy plan."

After Zou Wenzhi walked out of the consulting room, Huang Su made way.

After Sun Guizhi sat down, she raised her head and looked at Huang Sudao with relief: "The prescription you prescribed is very good, and the idea of ​​syndrome differentiation is right, but you still lack experience in treating tumor diseases. This can be accumulated over time. Old Man Chen is really lucky."

Sun Guizhi looked at Huang Su, with the first smile on her face as she entered the clinic: "I have passed your first test. But you still have to report to the Internal Medicine Department, and I still want to test your handling of different diseases.

Ability, and since you are treating this patient, I will leave the follow-up to you."

After hearing what Sun Guizhi said to Huang Su, Wei Lai opposite showed a surprised expression.

I wonder if this is still the tutor who is strict with students in my impression. When did he become so easy to talk to?

Turning to look at Huang Su, his eyes were full of thoughts, who is this person? The teacher did not change the prescription he prescribed, but just filled in a few herbs.

Sun Guizhi saw Wei Lai in a daze and asked, "Wei Lai, go call the next patient."

In the next morning, Sun Guizhi never let Huang Su intervene in the consultation.

Huang Su just stood obediently behind Sun Guizhi and watched Sun Guizhi diagnose the patient.

I thought to myself: It was really a test for me to choose the first patient. Fortunately, I passed the test with more than 20 years of rich clinical experience.

In one morning, Sun Guizhi diagnosed more than ten patients.

It also opened Huang Su's horizons. He encountered lung cancer, stomach cancer, pancreatic cancer, liver cancer, intestinal cancer, and breast cancer. He came into contact with more cancer patients this morning than he had come into contact with in more than 20 years in his previous life.

While Huang Su was watching and learning from Sun Guizhi in diagnosing patients, he was also thinking about how to diagnose and treat the disease himself.

Then, he looked at Wei Lai and prepared to copy this morning's medical records and prepare to go back and study slowly.
Chapter completed!