On this day, after Chen Nan handed over his shift in the morning, he was sitting in the office, flipping through a notebook in his hand.
This is a rubbing version of an ancient Chinese medicine book given to him by his teacher Gu Siming. This book has no name and the cover has been lost long ago due to historical reasons.
But Gu Siming told Chen Nan that this book should belong to the collection of notes from ancient imperial doctors. Although there is no title, there are some rich medical records in it.
Later, Mr. Gu Siming found some historical records related to cancer from some ancient books.
For example, in the pre-Qin period, "Zhou Rites" recorded a specialist doctor related to the treatment of tumor diseases - "ulcer doctor".
He said: "The ulcer doctor treats palm swelling and ulcer...the same thing."
The "swellings" it mainly treats include tumors in today's clinical practice, and it advocates a combination of internal and external treatment, in which internal treatment "attacks it with five poisons, nourishes it with five things, treats it with five medicines, and modulates it with five flavors."
In the "Huangdi Neijing", there is also a relevant introduction to tumors. The book describes "previous tumor", "intestinal gallbladder", "mast", "purpuric mass", "addicted knot", "diaphragm", "lower tumour"
The descriptions of symptoms such as "diaphragm" are similar to the symptoms of certain tumors in modern medicine, such as "choking and blocked diaphragm, unable to drink" are similar to the symptoms of obstruction caused by tube and cardia cancer.
During this time, Chen Nan has been thinking about and analyzing the key to the treatment of cancer patients.
In fact, tumors are nothing more than changes in the yin and yang environment of human body's Qi and blood, resulting in organic organ lesions.
The reason is nothing more than weak righteousness, invasion of external evils, and internal injuries of the seven emotions.
"People who are trapped in the evil will stay and not go away...the rest will accumulate."
"Lingshu·Nine Needles" says: "The guests of the four seasons and eight winds in the meridians are tumors." It is believed that the invasion of external evils can cause tumors.
"Lingshu: The Beginning of All Diseases" says: "Internal injuries due to sorrow and anger will cause the upward flow of Qi to be reversed. If the upward flow of Qi is reversed, the six transports will be blocked, the warm Qi will not work, coagulated blood will accumulate in the body and will not disperse, and body fluid will ooze out and stick to it, and will not go away.
All accumulated, everything comes together.”
People with poor emotions are prone to cancer, which is consistent with modern clinical understanding of the causes of tumors.
The treatment principles proposed in the "Nei Jing", such as "cutting the strong ones" and "dispersing the knots", still have guiding significance for the prevention and treatment of tumor diseases today.
Chen Nan's notes on the side at this time also recorded a large number of medical records and medication records.
Each disease is summarized with different prescriptions.
Although many medical records are old and may not be usable when taken out, but... what if there are some unexpected gains?
Chen Nan has never had too many unrealistic illusions about traditional Chinese medicine, but... he doesn't think it is inferior to other subjects.
He understood that the status quo of being left behind could not be changed overnight.
But...it's not like there's no place to start.
Chen Nan really found something in it that could be studied in depth.
That is "return".
Traditional Chinese medicine and modern medicine have completely different concepts in some places.
Western medicine is microscopic medicine.
Traditional Chinese medicine belongs to macro-medicine.
The development of traditional Chinese medicine was limited by the level of science and technology at that time, which made it impossible to have a sufficient microscopic understanding of the organs and tissues, so they began to seek a deeper understanding of the functions of the human body.
For example, the kidneys in traditional Chinese medicine are not as simple as two kidneys in modern medicine. The kidneys represent a function. The kidneys govern bones, produce marrow, and communicate with the brain. They are the foundation of innateness. The kidneys govern water...
etc!
The advantage of traditional Chinese medicine lies in its sensitivity to the relationship between the internal organs and the yin and yang changes in the patient's internal qi and blood.
Use subtle insights to express your inner feelings.
Therefore, Chen Nan feels that from a functional perspective, it may also have its own unique advantages, such as...intervening and preventing the development of tumors!
From the macroscopic medical perspective of traditional Chinese medicine, we can observe which organ of the patient has the problem, and at the same time take into account whether other organs will be affected at the same time, or have already been affected, because we can predict which organs will be affected at the same time.
.
This is a trend of traditional Chinese medicine treating diseases before they occur!
The scary thing about tumors is that they are uncontrollable.
And if we use the dialectical thinking of traditional Chinese medicine, can we effectively intervene in advance?
From the beginning of treatment, you will also be concerned about the future development of cancer, so you have to take preventive measures in advance.
For example, when we treat colorectal cancer, we first protect the liver from the beginning, because we believe that if the cancer worsens, the first place it will migrate to is the liver, which is liver cancer!
Western medicine treats colorectal cancer. Every time after surgery and chemotherapy, the patient will develop liver cancer and die. This is to tell you clearly that Western medicine cannot prevent it from migrating to the liver and turning into liver cancer. Even if it is known, there is no way to do it.
However, Chinese medicine can do it!
Therefore, if traditional Chinese medicine is used to treat cancer at the beginning, it can limit the cancer to a dead corner and prevent it from extending outward. In addition, it can strengthen the patient's physical strength and prevent the entry of pathogenic factors. This is a treatment idea.
This is an experience that Chen Nan has come up with over the past few days, called tumor prevention and intervention medicine.
Chen Nan also called this thing "return", which can be studied in depth.
At this time...
Suddenly there was a knock on the door.
"Come in."
The head nurse Xia Lianping opened the door and came in. She smiled and said to Chen Nan, "Director Chen, I didn't bother you."
Chen Nan smiled: "Head nurse, if you need anything, just give me a call."
Xia Lianping smiled slightly: "Director Lou just said that you like to mute the sound when you are reading. I was afraid that you wouldn't see it, so I came and knocked on the door."
Chen Nan put down the book: "Head nurse, what's the matter?"
Xia Lianping nodded: "Yes!"
"Good thing!"
"The results of our acupuncture anesthesia combined with Haifu knife surgery have been affirmed and recognized by the hospital."
"This...has been noticed by many people."
"Professor Gurba Delen from the external laboratory of our hospital wants to perform a sea-assisted surgery on his father."
"I want to use our acupuncture anesthesia technology."
"But... for the surgery, he invited outside experts to do it."
"Can you see... can you?"
Chen Nan frowned slightly when he heard the sound:
"Then come to our department for hospitalization?"
Xia Lianping shook her head: "No, he wants to ask you to give him anesthesia."
Chen Nan heard this, thought for a moment, and then refused directly.
"Forget it, I don't have time to go out and make flying knives recently."
"Let's just say... I am a traditional Chinese medicine practitioner and do not have the qualifications to practice medicine outside the hospital, let alone anesthesia qualifications."
"So, I'm sorry to have to obey my orders."
"If you want to have surgery, you can come to our department."
Xia Lianping did not expect Chen Nan to be so decisive. She couldn't help but smile: "Director Chen, you are really awesome!"
"But... to be honest, Professor Delenn is quite a nice person."
"The laboratory in our hospital has been here for more than ten years and has made many achievements."
"The leaders of the hospital are all selling off his face."
Chen Nan smiled: "One code equals one code."
"The specialty of our department is combined acupuncture and drug anesthesia + Haifu surgery. If these were separated, who would come to us?"
Xia Lianping nodded and smiled: "You are still thinking carefully."
"By the way, there is a pair of young people in the lobby outside, they seem to be looking for you."
"Would you like to meet?"
"I said I saw you in the outpatient clinic and the medical examination results came out."
After hearing the results of the medical examination, Chen Nan stood up abruptly.
Just because he doesn't care about Professor Gulbadrun doesn't mean he doesn't care about that girl!
No, that's not what it means.
The key is...
The crying girl who held her marriage certificate and treated him to wedding candy really touched his heart too much.
Chen Nan stood up quickly: "Oh, they are looking for me."
As he spoke, he took the lead and walked outside.
Xia Lianping was left standing there in surprise.
…
In the hall.
A pair of young men and women sat next to each other on the bench, wearing a white down jacket and a black down jacket. They were like two pages of black and white wings spread out, supporting and cuddling with each other.
It's just that... you can only hear it if you get closer. The two of them were talking quietly. Occasionally, they saw a smile on their faces, and then they looked at each other complainingly with eyes filled with happiness.
Chen Nan walked over with a smile:
"Are the test results out?"
Chen Nan's voice seemed to interrupt the two of them.
When the girl looked up and saw Chen Nan, she quickly stood up:
"Well, Dr. Chen...not...director Chen, hello!"
"The test results are out."
The boy beside him also stood up. He was wearing a mask. He didn't look handsome, but he looked sincere and frank.
Chen Nan nodded: "Well, come to the office with me."
"Well, your name is Zhang Tianzhen, right?"
The boy's eyes were somewhat hazy, and he nodded: "Well, yes."
"Your girlfriend's name is...Tian Qiaoqiao, right?"
The boy blushed and nodded: "Yeah... yes."
The girl on the side quickly shook her head: "Doctor...you know..."
"My girlfriend can't sign."
"I am his wife now."
Chen Nan glanced at the two of them speechlessly. What does it feel like to eat dog food and go to the hospital?
I have to say...
The two of them are still in good condition.
At least, the boy didn't look too desperate.
When walking to the office, Tian Qiaoqiao kept holding Zhang Tianzhen's hand, and she even pulled him into the office.
Chen Nan said: "Sit down."
"Show me the results."
Then we began to analyze various imaging data, laboratory tests, and pathological results.
Chen Nan looked at it very seriously, but the man's face remained silent.
Let the girl hold her hand, lower her head, and say nothing.
It can be seen that compared to the fiery and enthusiastic girl, the man's eyes are more complex and entangled...
He thought about it a lot.
For him, the outcome has never been a problem that can be solved with two marriage certificates.
That is a lifetime responsibility.
When Chen Nan saw this, he was about to explain, but Zhang Tianzhen suddenly said to the girl: "Qiao Qiao, please go outside and wait for me."
"I'll have a chat with Dr. Chen alone."
The girl was stunned for a moment, looking at the man, her eyes suddenly turned red:
"I can't listen to what you have to say!"
"Zhang Tianzhen, I am your wife."
"Even if you are going to die, only I can sign, do you know?!"
"I won't leave!"
However, the boy at this time was extremely determined.
After hesitating for a moment, the girl stood up, but...she stared at the man resolutely, lowered her voice and said in her ear:
"Zhang Tianzhen, let me tell you, don't even think about leaving me!"
"Whatever happens, I'll be with you!"
After saying that, Tian Qiaoqiao stood up and left the office.
After she went out, Zhang Tianzhen seemed to be relieved, and he let out a long breath.
"Doctor, thank you."
"I'm ready, just tell me."
The boy seemed to have mustered up all his courage.
In fact, not only for him, but also for the world, cancer... is an extremely terrifying term.
Talking about the discoloration of cancer is not a story, it is... a bloody lesson.
Chen Nan said seriously: "It's okay, I have some good news and some bad news for you."
"Bad news, let me tell you first."
"The bad news is that the medical examination results showed lung cancer and adenocarcinoma."
"You have been diagnosed with lung cancer."
Upon hearing these words, the other party trembled visibly, and his pupils changed significantly. Then, he clenched his hands tightly together, as if he was making a decision.
After a short silence...
The boy suddenly said: "Doctor...how long can I...live?"
Chen Nan was stunned for a moment and continued:
"Serious words!"
"Let me tell you the good news."
"The good news is that the tumor grew and was limited to the mucosal layer, without obvious metastasis, and it fell into the category of early-stage lung cancer.
For lung cancer in situ, surgical resection is first chosen to achieve radical cure. After surgical resection, theoretically, clinical cure can be achieved and the survival period will not be affected!"
"This is theoretically speaking."
"In other words, if you find it early and receive timely treatment, it will not affect your survival at all."
"so……"
"You should understand what I mean, right?"
The man was completely dumbfounded by Chen Nan's words.
What is great joy and great sorrow?
These days, he has been under too much mental pressure.
He thinks a lot!
Even if he is going to die, he is not willing to cause him any trouble...
However, when Chen Nan suddenly told him that it could be cured, the boy suddenly cried.
His eyes were red, his nose was sore, and he stood up excitedly.
He stood up excitedly and looked at Chen Nan: "Doctor...are you kidding me?"
"Can I really be normal?"
"I……"
"Really?"
As he spoke, the man's tears began to flow uncontrollably.
Since the past few days, he has been carrying a heavy burden on his heart.
He is so afraid of death!
He was afraid that if he died, no one would take care of Qiaoqiao.
That stupid girl, how could she really be so stupid?
In order to deceive myself, I knew that I might have cancer and didn't have much time left, but I still went to marry myself...
He is really stupid!
Every time he thought about this, the boy felt heavy in his heart.
Chen Nan smiled and said, "I'm serious."
"Your life is still in your hands."
"Let's have surgery as soon as possible."
"I left you here because I want to tell you, cherish your wife. A girl like this is worth more than anything else."
"With a wife like this, what kind of disease can't be overcome?"
"What I want to say is that psychological factors are very important. You need to overcome the fear of disease."
"Cancer is scary, but...many patients scare themselves to death."
"Your problem is not big. If you do surgery as soon as possible, it won't be a big problem."
Zhang Tianzhen stood up and nodded seriously to Chen Nan: "Thank you, Director Chen!"
"Okay, go and call your lover in. He may be anxious already."
At this time, Tian Qiaoqiao outside was already impatient. After running in, he stared at Zhang Tianzhen whose face was full of tears and started crying instantly.
"Why are you crying!"
"I told you, I will accompany you."
"Zhang Tianzhen, listen to me, don't be afraid."
"What are you afraid of?"
"I'm here!"
"I will give you a son in the future, and we will stay with you."
"Even if you die, I won't remarry..."
"Why are you crying?"
"Can you please stop crying? I beg you, what happened?"
…
"Qiaoqiao, the doctor said I can still be saved! I have stage 0 carcinoma in situ. If I have early surgery... my survival will not be affected."
"I won't die!"
"I want to stay with you and treat you well all my life."
"Believe me...I will not let you down..."
The boy held the girl's face, their eyes met, and there were tears in all four eyes.
Chen Nan breathed a sigh of relief when he saw this scene...
Perhaps, this is already the most satisfactory ending?
…
…
However, the next day, an old foreigner was sent to the oncology department.
Along with him came Cao Younian, the vice-president of the hospital, and several foreigners, including Gurba Delen.
"Director Chen, this is Professor Gurba Delen, an internationally renowned molecular biology expert who is currently in charge of our hospital laboratory."
"This is Professor Delenn's father, old Delenn."
Cao Younian introduced to Chen Nan.
Chen Nan was also very polite, smiling and shaking hands: "Hello, Professor Gurba."
"Sorry, I didn't meet your request."
Gurba spoke Chinese and said with a smile: "No, Professor Chen, it was me who made things difficult for you."
"No...I took my father over."
"Hopefully you can have surgery."
"But...there is something I need to trouble you..."
"My brother is also an expert in surgical oncology. He is the chief oncological surgeon at New York-Presbyterian Hospital in the United States."
"He wants to come over and perform this operation himself, and I hope you won't refuse."
"Don't worry, I've already made arrangements for the hospital... just like inviting an expert to do the surgery."
"I hope Director Chen doesn't mind."
"By the way, let me introduce to you, my brother Bashar Deren."
Chen Nan looked at Bashar in front of him and nodded.
It's just... this guy's eyes were a little cold, but after all, he was asking for help, so he nodded to Chen Nan alone and took the initiative to shake hands:
"Acupuncture anesthesia is very powerful."
"Hope we can cooperate."
Chen Nan smiled: "It's a pleasure to cooperate."
For this old Mr. Delen who was suddenly transferred to the hospital, the hospital still caused a small sensation.
Not because of Gulba, but because of... Balsha.
As the chief oncologist at Presbyterian Hospital, Balsa's arrival was taken seriously by the hospital.
He actually invited the other party to give two lectures.
That’s a lot of face!
Yu Jinhua seems to have some connection with the other party, and he has been following him around for the past few days.
Even during surgery... Yu Jinhua has to act as an assistant to the other party.
For patients like Lao Delun, Chen Nan is relieved.
Because from beginning to end, there is no need for him to be responsible.
My son is an expert, and there are people there every step of the way, including Yu Jinhua, who runs around to help.
After all, China-Japan Friendship Hospital is an international hospital, and regardless of the quality of the nurses, there are nurses who specialize in foreign languages to take care of daily care.
but……
Within a few days, we ran into trouble.
"Sorry, we don't need traditional Chinese medicine care."
"It's really not necessary."
"After the operation, we will leave as soon as possible."
Balsha refused all the routine nursing care and traditional Chinese medicine preparations prescribed by the hospital for Old Delen.
This recipe was created by Chen Nan himself.
The elderly man has pancreatic cancer, so Haifu knife surgery is quite convenient.
But... Old Delun is a VIP patient after all, and Chen Nan is doing his best.
It's a pity... I didn't expect that Barsha all rejected Chen Nan's treatment plan.
the next day!
The surgery takes place today.
Chen Nan once again made a diagnosis on old Barron.
Old Delun was easy to talk to. Every time Chen Nan made rounds on the ward, he would curiously ask for some knowledge about traditional Chinese medicine.
The elderly man's pancreatic cancer is in a serious condition. Due to the problem of anesthesia and surgery, he has been unable to make an incision. If he had not reached a critical point and had to undergo surgery, he would not have rushed to China in such a hurry.
The other party's main symptoms were abdominal pain, followed by severe weight loss, accompanied by mild jaundice.
These are all accompanying symptoms of pancreatic cancer and are understandable.
but……
When Chen Nan observed the patient's tongue and pulse, he felt that the patient's pulse was heavy and thin, but the pulse in his left hand could feel stringy and stringy like a piano string.
This stringy astringency is like qi stagnation, liver qi stagnation, or poisonous knots.
This made Chen Nan suddenly worried!
He observed the tongue image again, but also saw something strange in the tongue image.
The tongue is light and fat with tooth marks, but the color of the tongue is blue and purple, and the tongue coating is accompanied by signs of dampness, heat and poison.
The patient himself has a constitution with spleen deficiency and dampness and heat.
Although there is no word for pancreas in traditional Chinese medicine, the Treatise on Spleen and Stomach records: "The spleen is as long as one foot, and it covers Taicang."
It's the pancreas.
Chen Nan feels that the function of the spleen and stomach already covers the physiological functions of the pancreas.
but……
The key is that the patient's spleen and stomach are abnormal. The spleen belongs to earth, while the liver belongs to wood, and wood controls earth. This is normal behavior.
At this time, the patient's spleen is abnormal and pancreatic cancer cells are proliferating. This is a kind of evil energy. The evil energy penetrates the spleen and stomach, and will directly invade the liver wood!
This is not a good sign!
Instead, the rustic spirit takes advantage of the wood spirit.
This means...
Is it going to be transferred?
Thinking of this, Chen Nan's expression suddenly changed.
soon……
Old Mr. Delenn is about to be sent for surgery.
Chen Nan is capable now, but he can't help.
The group of people simply walked towards the operating room, and Chen Nan decided to give him a heads up.
Haifu knife operating room.
Chen Nan didn't change clothes either.
It is an anesthesia in itself, and there is no need for any operation, but it saves trouble.
But……
Today's surgery was performed by Barsha Delen himself, and many people came to observe.
As an assistant, Yu Jinhua also attracted much attention.
Many people in the room were paying attention to this surgery.
After Chen Nan thought for a moment, he reminded Balsha:
"Mr. Balsha, I think...you should pay more attention to old Mr. Delen after the operation."
"I feel that his condition may cause liver metastasis."
"Now surgery can solve the problem of the pancreas."
"But I feel...liver problems can also be a problem."
Chen Nan's words made Balsha frown slightly.
"You said he has liver metastases?"
"The image data was just taken, haven't you seen it?"
Chen Nan shook his head: "Any metastasis is not supported by imaging data in the early stage."
Balsa smiled and said: "It seems that Director Chen really doesn't do much research on tumors!"
"hehe……"
“This is not how pancreatic cancer metastasizes.”
Yu Jinhua also looked at Chen Nan at this time and said:
"Director Chen, you may not understand much."
"Pancreatic cancer often spreads directly to local metastases, lymph nodes metastasize through lymph nodes, and it can also metastasize through the blood route."
"Pancreatic cancer often metastasizes locally through direct spread in its early stages. Pancreatic cancer directly infiltrates through pancreatic tissue into other surrounding tissues, such as the stomach and duodenum, transverse colon, common bile duct, etc."
"This is an early manifestation."
"You said it was transferred to the liver, which has no theoretical basis at all."
"Moreover, even if there is lymph node metastasis, it will be transferred to the subpyloric lymph node group under the gastroepiploic lymph node. Pancreatic body cancer and pancreatic tail cancer will be transferred to the pancreatosplenic artery lymph node, para-aortic lymph node, etc. through lymph nodes."
"There is no possibility of it being transferred to the liver."
"Okay, let's get anesthesia quickly and do the surgery as soon as possible."
Balsa looked at Chen Nan with a smile: "Director Chen, the metastasis of tumors is actually... not without rules."
"I think... transferring the liver shouldn't be a big problem."
"But thank you for the reminder."
When Chen Nan saw that Balsa didn't pay attention, he couldn't help but shook his head.
He was kindly reminding you that since you don't care about it, it doesn't matter to me either.
Without thinking, Chen Nan started acupuncture and anesthesia directly.
…
ps: From the 29th to the 31st, it seems to be a double monthly pass. Guys, please!
At this time, one vote is better than two votes!
Thanks to the boss "LOSTANGEL" for the 5,000 reward, and thanks to the boss "Liu Shui Bu F" and "C Lan" for the 1,500 reward.