I Can Hear the Heart's Voice of Traditional Chinese Medicine-Chapter 275 - 121: I Found a Light in Him (Part 3)

Tang Zonghai, who studied Confucianism since a young age, was appointed as a Juren in 1889 and served as the principal of the Ministry of Rites. It was in middle age that the medical scholar Tang Rongchuan began to delve into Traditional Chinese Medicine, explicitly stating in "Blood Disease Theory: Blood Stasis": "When blood stasis occurs between the channels and organs, it forms lumps and masses."

This clearly shows that blood stasis is an important pathological basis of primary liver cancer, and the occurrence of liver cancer is closely related to the stagnation of qi and blood and the obstruction of veins."

At the end of the speech, the consultation room became unusually quiet.

"Previously, Old Zhou told us that Dr. Lu's understanding of medical texts was terrifyingly profound, like a mobile hard drive filled with medical books, and his comprehension of their content was extraordinary. Initially, we didn't believe it, but now I truly have no choice but to believe."

Zhang Jingcai was genuinely somewhat shocked.

Although Lu Xuan's statements were not extensive, just a few hundred words, they referenced as many as seven medical books, which isn't something one can just memorize.

To be blunt, these medical books, if simply placed here for others to leaf through, might take ages to find the discussions related to primary liver cancer.

Yet Lu Xuan can speak of them fluently.

Truth be told, Zhang Jingcai was also somewhat astonished.

And compared to Gu Huahua, Zhang Jingcai was the better off.

After all, he had heard Old Zhou's introduction of Lu Xuan before, and knew that Lu Xuan was quite skilled. However, in Gu Huahua's eyes, Lu Xuan should have been in a similar situation to him, even if he was assisting some Traditional Chinese Medicine Doctor. Diagnosing patients through pattern differentiation, taking pulses, and such were considered unfathomable talk.

But the scene before him completely overturned Gu Huahua's understanding.

It was as if the senior brothers who had come out of the same sect with him, and he was the small fry holding a manual that he hadn't mastered, while Lu Xuan had already become the Martial Arts Alliance Leader, with unrivaled martial prowess.

This terrifying gap left Gu Huahua looking at Lu Xuan with eyes full of shock for a moment.

Lu Xuan didn't respond to this, just smiled instinctively.

Zhang Jingcai didn't mind these things and laughed, "This photographic memory skill, it's truly terrifying! Now it seems that inviting Dr. Lu here was really the right call."

"This is all I'm capable of."

"I'm a bit envious myself."

Zhang Jingcai didn't hide his envy at all. A photographic memory, the ability to learn anything with half the effort—who wouldn't envy that?

Anyway, he really was quite envious.

"Since Dr. Lu has mentioned this, what about the treatment method?" Zhang Jingcai was straightforward. Having the person here, it wouldn't do to not make full use of him; otherwise, it would waste Lu Xuan's terrifying talent.

Speaking on this aspect, Lu Xuan didn't hold back. After a moment of contemplation, he said, "The 'Plain Questions: Zhi Zhen Yao Lun Chapter' elucidates the treatment methods of 'softening the hard' and 'dispelling the hard.'

The 'Essential Prescriptions of the Golden Cabinet' describes the Turtle Shell Decoction Pills as functioning to move qi, invigorate blood, dispel dampness, and resolve stasis, specifically treating masses under the ribs.

Wang Qingren in 'Medical Error Correction' also mentioned that the Lower Diaphragm Blood Circulation Decoction and the Blood Mansion Removing Blood Stasis Decoction are representative prescriptions for invigorating blood and resolving stasis. As for primary liver cancer, invigorating blood and resolving stasis should be the basic treatment method. Choices can be made between the Blood Mansion Removing Blood Stasis Decoction, Cinnamon and Poria Pill, or Rhubarb and Worm Pill combined with Chaihu Soothe Liver Powder or Free and Easy Powder adjusted to the patient.

However, according to the different stages of the primary liver cancer course, the selection of blood-invigorating and stasis-resolving medications also varies.

For postoperative patients, due to local vascular and lymphatic obstruction after surgery, blood stasis, and vessel blockage, qi and blood deficiency, it is suitable to choose potent blood-invigorating and stasis-resolving medications;

For some patients undergoing chemotherapy where the genuine qi is deficient, spleen deficiency with dampness, internal dampness combined with stasis, and blood stasis syndrome is further aggravated, it is not suitable to use overwhelming blood-invigorating medications. Instead, facilitate blood circulation and invigorate blood while also supplementing the spleen and kidneys to improve the body's tolerance to chemotherapy;

If the patient is undergoing radiotherapy, where heat pathogens (radiation) are blazing, depleting qi and yin, resulting in a lack of fluids, and sticky blood, aggravating blood stasis syndrome, it is appropriate to use products that cool blood and invigorate blood, to reduce the damage of heat pathogens to normal tissues and enhance the sensitivity of radiotherapy.

In the case of hepatic arterial chemoembolization, it is advisable to coordinate with qi-regulating and blood-invigorating prescriptions. However, if the condition progresses to a stage accompanied by coagulation dysfunction, that is the stage of yin deficiency and blood stasis, early intervention with methods that nourish yin, generate fluids, cool blood, and invigorate blood using a modified Yiguan Decoction can promote liver cell repair and proliferation, maintain normal coagulation status, prevent hemorrhagic events, and extend the patient's survival time as much as possible.

Nevertheless, general liver cancer patients can be categorized into four syndrome types: liver qi stagnation with spleen deficiency, qi stagnation and blood stasis, liver and gallbladder damp-heat, and liver and kidney yin deficiency. The current patient is a typical case of liver qi stagnation with spleen deficiency and internal damp-heat.

If I were to treat, the approach would be to invigorate the spleen and soothe the liver, clear heat, and drain dampness."

As Lu Xuan spoke, he instinctively took a pen and wrote the prescription on the patient's medical record: Chaihu 8g, raw Rehmannia 15g, white asperula 10g, pig's fungus 10g, Fuling 10g, ground pine 10g, peony bark 10g, early lycopus 10g, climbing liana flower 10g, leek seeds 10g, herba crane 15g, dandelion 10g, lily 20g, stone penetrates 10g, pomegranate peel 15g, Scutellaria barbata 10g.

"However, while taking these medications, considering the unbearable pain that comes with liver cancer symptom shifts, an additional formula of Cyperus, Chuanxiong, Atractylodes, Shenqu, Gardenia, Codonopsis, Fuling, Chrysanthemum, Rose, licorice, white peony, and White Flower Snake Tongue Grass can be added, to delay the onset and further aggravation of cancer pain."

Before Lu Xuan could speak, Zhang Jingcai had already taken the medical record from Lu Xuan's hands to carefully examine the prescription, and after a long time, while revealing joy on his face, he couldn't help but furrow his brow:

"You just mentioned, 'Plain Questions: Zhi Zhen Yao Lun Chapter' states 'softening the hard,' does his condition not require the addition of softened medications like Mountain Armor, Turtle Shell, Donkey Hide, Dragon Bone, Oyster, Float Stone, Clam Shell, Sargassum, and Kelp?"