Li Mengsan stretched out his hand very cooperatively, and then stuck out his tongue.
Chen Nan's pulse diagnosis level is average, but he can clearly diagnose cold, heat, and deficiency.
Cooperating with expert tongue diagnosis, his diagnosis became clearer.
The patient has a typical deficiency syndrome.
The Zi Ge Pill last time was very effective, and it was better at clearing away the accumulated heat in the five internal organs.
The anger on my tongue has also gone down a lot.
However, there is still some breath in the mouth.
After pondering for a moment, Chen Nan continued to ask a few questions.
This time Li Hongying stood aside cooperatively without saying a word.
A few minutes later.
Chen Nan stood up and smiled: "Okay, old man, I probably understand."
After finishing speaking, he returned to Mi Lei's office.
At this time, Jia Fumin and Mi Lei were sitting there waiting patiently.
Seeing Chen Nan coming back, Mi Lei asked curiously: "Doctor Chen, is there anything you can do?"
Chen Nan nodded: "Yes, yes."
This answer made Mi Lei's eyes light up, while Jia Fumin frowned slightly.
To be honest, Chen Nan's answer made him feel a little hasty.
No clinical trials have been done.
Just say yes.
Is it too loud?
Mi Lei stood up and said, "Oh? Doctor Chen, sit down and talk slowly, what do you think?"
Chen Nan said directly: "My idea is to combine traditional Chinese and Western medicine for treatment."
Jia Fumin asked curiously: "What kind of combination?"
Chen Nan said directly: "Use proton pump inhibitors + bismuth for gastric mucosal protection + an antibiotic."
"Then cooperate with my Chinese medicine for treatment."
Jia Fumin frowned: "Why not use triple or quadruple?"
Chen Nan said directly: "Three combinations and four combinations use two kinds of antibiotics, and the old man's drug resistance is very strong, and the price/performance ratio is too low!"
"Instead of this, it is better to use proton pump inhibitors plus bismuth to protect the gastric mucosa."
"In the traditional Chinese medicine I prescribe, the dosage of some drugs can be increased to achieve better bactericidal and antibacterial effects."
Mi Lei heard the sound and became silent.
Can Chinese medicine kill Helicobacter pylori?
Can it be done?!
Jia Fumin asked directly: "Dr. Chen, if we only use one antibiotic, we have no way to guarantee the patient's bactericidal effect."
"I don't agree!"
"Furthermore, I feel that using traditional Chinese medicine to sterilize is a bit... more gain than loss!"
“This is a typical approach of sacrificing the basics and pursuing the last!”
At this point, Jia Fumin's tone softened a bit: "Of course, Dr. Chen, I respect you and Chinese medicine very much!"
"However, my argument with you is academic."
"I'm not targeting you personally."
"I think the large sample results show that antibiotics can effectively control Helicobacter pylori. This is known!"
"As for the inhibition of traditional Chinese medicine, there is currently a lack of effective data to prove it."
"I don't agree with your plan!"
"I'm not denying your traditional Chinese medicine treatment, but I think you can use traditional triple therapy or quadruple therapy, which is safer."
What Jia Fumin said was very polite and measured.
Medical academic disputes are inevitable.
Focus on things rather than people.
The same is not true for Chinese medicine.
It is just a plan formulated based on the patient's situation.
This kind of thing happens all the time. Not to mention Chen Nan, even the top experts often get into red-faced quarrels over a treatment plan.
This is what academics should be like.
But blindly agreeing or agreeing is a dangerous signal.
Progress comes from disputes.
Chen Nan's plan does break with past experience.
Therefore, Mi Lei chose to remain silent, while Jia Fumin chose to speak.
Chen Nan nodded: "Yes, I understand."
"Director Jia, don't worry."
"Since I'm here, I naturally want to discuss a more efficient plan for Mr. Li Mengsan's situation."
Here, Mi Lei suddenly said:
"Chen Nan, tell me your thoughts."
"Be more complete."
Chen Nan sorted out his thoughts, nodded and said:
"First of all, regarding the old man's physical problem, it is a typical deficiency of Qi and Yin, accompanied by the loss of Qi in the middle burner, resulting in Qi stagnation."
"Secondly, antibiotics tend to be cold in nature, which can easily damage the middle qi and stagnate evil qi, leaving the evil qi with no way out. The righteous qi will also be blocked, and the stagnant evil qi will turn into heat, and the stagnant righteous qi will damage the yang for a long time."
"Finally, the treatment of Helicobacter pylori with traditional Chinese medicine is different from clinical medicine's "seeing the bacteria and treating the bacteria" and symptomatic treatment. Instead, it adopts a method that combines physical identification and syndrome differentiation and treatment. On the one hand, it can directly treat Helicobacter pylori.
Killing or suppressing, playing the role of "removing evil and rectifying one's self".
On the other hand, traditional Chinese medicine focuses on replenishing deficiency and strengthening the body, and by regulating the body’s immune function, it achieves the effect of “prosperity and evil self-removal”.”
Having said this, Chen Nan also knew very well that his theory would definitely be considered self-justifying by Western medicine.
So he explained:
"Treatment is about high efficiency and cost-effectiveness. Whether it is traditional Chinese medicine or Western medicine, what is important is the most appropriate and reasonable combination of methods!"
"And the whole treatment process is nothing more than a struggle."
"Patients are now resistant to antibiotics. Whether it is triple or quadruple combination, they all need to increase the dosage of antibiotics to achieve an antibacterial and sterilizing effect. However, in this way, the antibiotics will also kill a large number of beneficial bacteria. This kind of
I don’t approve of killing a hundred enemies and damaging yourself by eight thousand!”
"Secondly, I think proton pump inhibitors can be used to suppress gastric acid secretion, which is more effective than traditional Chinese medicine in suppressing acid secretion!"
"The bismuth agent was chosen to effectively protect the gastric mucosa."
"Director Mi, Director Jia, this is what I think."
After Chen Nan finished speaking, he looked at Mi Lei quietly.
At this time, Mi Lei was also thoughtful.
The plan Chen Nan mentioned is risk-free in terms of Western medicine.
but……
Mi Lei doesn't think it will be very effective as to its effectiveness.
The old man’s drug resistance is too strong!
Of course, what will happen if Chinese medicine is added?
He didn't know.
But... Mi Lei wanted to try it.
As for the reason, it is definitely not just to treat Li Mengsan.
But for a goal!
Scientific research results.
Although Mi Lei has done some projects at Yuancheng People's Hospital in the past few years, he has not received any awards.
This limits Mi Lei's position in the industry and future prospects.
Including opportunities for selection of experts subsidized by the State Council.
Mi Lei needs a result.
But now, he couldn't think of a better direction.
Li Mengsan's situation gave Mi Lei another idea...
Can a practical path be found for patients with Helicobacter pylori who are highly resistant to drug resistance and difficult to cure?
If it can, this will be of endless benefit to Mi Lei.
This is even more true for those patients!
Can Chinese medicine and Western medicine be combined in terms of curative effect?!
This is a question worth studying.
Is the combination of traditional Chinese and Western medicine effective in treating stubborn drug-resistant Helicobacter accelerator?
When Mi Lei was silent.
Jia Fumin sighed: "Dr. Chen, I am skeptical about your plan."
"Your theory makes sense."
"But... you can't convince me."
"Sorry, I don't support it."
Chen Nan smiled and remained silent.
but……
But he remembered a sound in his ears!
[Ding! Congratulations, you have received a negative review from Jia Fumin. The negative review level is: medium.】