The author graduated from the Department of Traditional Chinese Medicine, Gansu College of Traditional Chinese Medicine, and worked in the Emergency Department, Hepatobiliary and Gastroenterology Department of Gansu Pingliang Fengshou Machinery Factory Health Center and Qinghai Provincial Hospital of Traditional Chinese Medicine. He is a clinician who has worked in the clinical frontline for 20 years. I feel more and more strongly that choosing the best treatment is a prerequisite for improving the curative effect. As for how to choose, I think it should be based on different psychosomatic diseases, different stages of development and different individual characteristics. Only West but not Chinese, First Chinese and then West, First West and then Chinese, Synchronous Chinese and Western, Chinese and Western, Chinese and Western, both Chinese and Western, surgery and then conservative, conservative first and surgery, only conservative and not surgery, only surgery and not conservative It is appropriate to wait for different treatments.
The author has always advocated the combination of Chinese and Western medicine. This is because the key to the persistence of Chinese medicine for thousands of years is that it has its unique clinical effects that cannot be replaced by other medicines. Traditional Chinese medicine is not only firmly implanted in the hearts of the Chinese medical profession and people of all ethnic groups in the country, but also has a deep mass foundation in many countries such as South Korea, Japan, the United States, and the United Kingdom. At present, a wave of Chinese medicine is rising all over the world. They continue to introduce and study Chinese medicine, and send tens of thousands of students studying Chinese medicine to China every year. Traditional Chinese medicine has grown from scratch abroad, from weak to strong, from rural to urban, from illegal to legal, and has the potential to sweep the world. In fact, many western medicine doctors I have seen do not exclude Chinese medicine, on the contrary, they regard Chinese medicine as their loyal friends and partners. If they cannot solve the problems, they will naturally ask Chinese medicine to help them. Of course, Western medicine will also be used for problems that cannot be solved by Chinese medicine. Among the current doctors, there are many who learn from the West and those who learn from the West. Their purpose is to treat diseases by using a combination of Chinese and Western medicine to improve the curative effect. I think that Chinese medicine must not only inherit, but also develop. To develop, it is necessary to absorb advanced science and technology. These things are not unique to Western medicine, and are not patents of Western medicine. Western medicine can be used as well as Chinese medicine. Traditional Chinese medicine is a macro-medicine and needs to be developed towards the micro level; while Western medicine is a micro-medicine that needs to be developed towards the macro level. Both have their own strengths and weaknesses. This is why the combination of Chinese and Western medicine can improve efficacy.
For lung cancer, esophageal cancer, gastric cancer, liver cancer, colorectal cancer, breast cancer, skin cancer, lymphoma, cervical cancer and other malignant tumors in the department of oncology, when the examination determines that it has not spread and metastasized, there is a chance of radical surgery, and it should be timely Surgical resection, followed by radiotherapy or chemotherapy after surgery. If the opportunity for surgical treatment has been lost, radiotherapy or chemotherapy should be used. Of course, although radiotherapy and chemotherapy can kill cancer cells, they can also kill normal cells and weaken the patient's inherently low disease resistance. Therefore, during radiotherapy and chemotherapy, patients often suffer from liver depression and spleen deficiency, such as upset, irritability, tiredness and sleepiness. The performance of double deficiency of qi and blood uses the methods of soothing the liver and strengthening the spleen, replenishing qi and nourishing blood, and promoting blood circulation to remove blood stasis. It is used for one week during each chemotherapy period. Practice has proved that this method can not only ensure the continuation of radiotherapy and chemotherapy, but also Obviously reduce the clinical symptoms of patients, improve the quality of life, and prolong survival time. In addition, I think that patients should be comforted and their confidence in overcoming the disease should be improved.
For chronic diseases, Chinese medicine has the tricks of Chinese medicine, and Western medicine has the methods of Western medicine, but relatively speaking, Chinese medicine appears to be more systematic, comprehensive and complete. This is because traditional Chinese medicine pays attention to the overall concept, is good at syndrome differentiation and treatment, pays special attention to the relationship between the viscera during diagnosis and treatment, and is good at analysis, synthesis and reasoning. Better than regulating the balance of human body functions. Specifically, Chinese medicine treats Parkinson’s disease, Alzheimer’s disease, peripheral neuritis, coronary heart disease, hypertension, premature beats, acute upper respiratory infections, chronic bronchitis, bronchiectasis, bronchial asthma, pulmonary heart disease, chronic gastritis, stomach and Duodenal ulcer, gastroptosis, functional dyspepsia, liver cirrhosis, cholecystitis, chronic colitis, hyperlipidemia, diabetes, hyperthyroidism, gout, rheumatoid arthritis, aplastic anemia, nephritis, urine Road infection, hepatitis, tuberculosis, typhoid fever, bacillary dysentery, venereal disease, impotence, spermatorrhea, neurosis, facial paralysis, limb paralysis, initial recovery from a serious illness, physical weakness, fatigue, various sweating syndromes, tinnitus and deafness, hemiplegia, constipation, diarrhea, etc. , Surgical pancreatitis, urinary stones, prostatitis, hemorrhoids, vasculitis, alopecia, alopecia areata, psoriasis, vitiligo, etc., gynecological dysmenorrhea, threatened abortion, functional uterine bleeding, menstrual disorders, pelvic inflammatory disease, uterine fibroids , Infertility, menopausal syndrome, pregnancy reaction, postpartum no milk, breast regurgitation, hyperplasia of breast, etc., pediatric anorexia, cerebral palsy, measles, scarlet fever, mumps, etc., orthopedic fracture, cervical spondylosis, frozen shoulder, Many diseases such as ankylosing spondylitis, lumbar muscle strain, lumbar disc herniation, sciatica, heel pain, etc. have unique insights, unique treatments and exact curative effects. Chinese medicine or a combination of Chinese and Western medicine should be the first choice.
For acute diseases, Chinese medicine has traditional Chinese medicine methods. For example, acute appendicitis belongs to the category of Chinese medicine "intestinal carbuncle", which can be treated with addition and subtraction such as rhubarb and peony soup; perforation of abdominal organs belongs to the category of traditional Chinese medicine "breast formation", and can be treated with addition and subtraction such as Daxianxiong soup. Ear-tip bloodletting can cure high fever and coma; administering the febrile three treasures (Angong Niuhuang Pill, Zixue Dan, Zhibao Dan), acupuncture on Renzhong Shixuan for the treatment of apoplexy and fever, etc. These are the valuable experience of Chinese medicine in treating emergency. In the eyes of most people, traditional Chinese medicine can only treat chronic diseases, but cannot save emergencies. Rescue of critically ill patients is Western medicine's "good job". This is an unfair view of Chinese medicine. But relatively speaking, western medicine is more systematic, comprehensive and complete in first aid. Such as angina pectoris, myocardial infarction, massive hemoptysis, heatstroke, fainting, persistent asthma, shock, cerebrovascular accident, heart failure, respiratory failure, renal failure, various acute poisonings, open fractures, limb necrosis, internal organ rupture, various traumas Emergency and critical illnesses such as water and fire burns are the strengths of Western medicine treatment. Western medicine should be the first choice or cooperate with Chinese medicine. Of course, open fractures, necrosis of the limbs, rupture of internal organs, various traumas and scalds, etc., although conservative treatment has certain effects, it is difficult to solve easily, and the risk is relatively high, surgery should be the first choice. For diseases that are suitable for surgical treatment, it is necessary to find the best time for surgery, and medication before and after surgery is unavoidable. The purpose is still to improve the postoperative efficacy and reduce the risk of surgery. For example, obstructive jaundice caused by gallstone cholecystitis, surgery should be performed after the infection is controlled. This is the best choice.
Another example is a 55-year-old man from Zhenyuan County, Gansu Province who came to see a doctor 3 years ago because of repeated hiccup treatment ineffective. Self-reported gastroscopy showed that chronic atrophic gastritis with bile reflux and bottom body erosion, abdominal B-ultrasound showed chronic cholecystitis, chest X-ray film, electrocardiogram, head CT examination showed no abnormalities, abdominal fullness, hiccups High-pitched, uncontrollable, sluggish appetite, loose stools, and sometimes abdominal pain once or twice a day. Clinical findings: The tongue is fat and large, with tooth marks on the sides, dark red in texture, petechiae, thin white and slippery fur, and fine and astringent pulse strings. After fully understanding the patient’s condition, I fell into deep thought. The patient’s illness is a Chinese medicine hiccup (commonly known as "hiccup"), but the use of western medicine gastrointestinal motility drugs and traditional Chinese medicine prescriptions for preventing erics does not work. Is there another reason? Aiming at the patient's chronic illness, dark tongue, petechiae, and astringent pulse, I think of Ye Tianshi's "Theory of chronic illness entering the collaterals". At present, the patient does have internal resistance to blood stasis, and it should be treated with drugs that promote blood circulation and clear collaterals. From the point of view of the mechanism of hiccups, it is caused by gastric dysfunction and gastric qi upside-down, rushing to the diaphragm. The hiccups in the larynx are short and frequent, which makes them unable to control themselves as their clinical characteristics. "When you move, the treatment should be added to the product for calming the liver and extinguishing wind. Thinking of this, I decided to try the medicine for Xifeng and Huoxue on the basis of the medicine for reducing nipples and stopping erbs. Fang Xuanfuhua Daizhe Decoction, Dingxiang Shi Di San, Liangfu Pills, Baizhu Shaoyao San plus Xifeng Huoxue products, and instructed to quit smoking and alcohol and raw cold, irritating food, reduce drinking water, pay attention to keeping abdomen warm. Seven days later, the patient came again. Self-reported that the condition is significantly relieved after taking the medicine. Putting a hot water bottle on the abdominal abdomen can relieve the attack. The number of attacks is reduced, the duration is shortened, the stool is formed, and the tongue is fat and large, with tooth marks on the edges, dark red in texture, thin and white greasy coating, and pulse String thin. Then on the basis of the above, 15 grams of Codonopsis, 15 grams of Sun Astragalus, 30 grams of Poria and Coix Seed were added to strengthen the spleen and dampness, and then 7 doses were taken. The patient came for the third time after half a month. She complained that her symptoms disappeared after taking the medicine, and only relapsed when her abdomen was cold. The tongue was fat and big, pale red in texture, thin white fur, and thin pulse. So I took the above 5 doses, altogether studied the end, each serving 10 grams, three times a day, in order to improve the subsequent. Follow-up 3 months later, hiccups did not recur.
Author unit: Qinghai Provincial Hospital of Traditional Chinese Medicine; Address: No.338 Qiyi Road, Xining City, Qinghai Province; Post Code: 810000