Zhang Han: Dialectical Theory and Treatment Explore the Scriptures The great doctor sincerely inherits the essence of the country

Luwang July 21 (reporter Sun Lili) at more than 6 p.m., just after receiving patients in the outpatient department on the same day, Zhang Hangu, director of the third department of spleen and stomach disease of Linyi Traditional Chinese Medicine Hospital, could not take a break, and then went to the inpatient department to check on the inpatient treatment patients. Before entering the ward, Wang Ming (pseudonym), a patient who got out of bed for a walk and exercise, hurriedly greeted him and shook Zhang Han's hand. From the conversation between the two, the Luwang reporter learned that Wang Ming was a patient who Zhang Han received before the New Year this year. Talking about the critical situation when he was first admitted to the hospital, Wang Ming told reporters with emotion: "At that time, I really thought that I was going to go through this year..."

Cirrhosis of the liver ascites causes coma in traditional Chinese medicine liver thinning detoxification dialectical treatment

Wang Ming, a 55-year-old who lives in Tancheng County, has more than 30 years of alcoholism, and it is already common for him to drink half a kilogram of liquor a day. However, just before the New Year, a accustomed meal accompanied by good wine directly sent him to the hospital.

"When the patient was admitted to the hospital, his face was dark and swollen, his abdomen was as large as a drum, and there was a lot of water in the abdominal cavity, which was a typical symptom of cirrhosis and ascites. In addition, the patient also has a situation of delirium, which is initially determined to be caused by hepatic encephalopathy. "Recalling Wang Ming's medical condition when he came to the clinic, Zhang Han introduced it to the Luwang reporter." Affected by severe alcoholic cirrhosis, the detoxification function of the liver of the patient is greatly reduced. At this time, the amino acids in the body in the process of digestion and decomposition of amino acids produced by the ammonia nitrogen hydrogen tetra (toxic substance) can not be dissolved by the liver, directly into the brain after causing the patient to poison coma. ”

In the face of patients who are in a coma and are dying, Zhang Han grasps the theory of traditional Chinese medicine and locks the "awakening brain detoxification" as the entry point for treatment. "As the source of the patient's coma, the toxic substance ammonia nitrogen hydrogen tetra is alkaline, so the first step in detoxification is to try to neutralize such alkaline substances." Through vinegar enema with lactulose that can decompose acidification in the human body, Zhang Han acidified the intestine for patients in time through acid-base neutralization, reducing the concentration of ammonia nitrogen and hydrogen in his body.

After detoxifying the patient's brain, Zhang Han immediately locked on the key to treatment and turned his attention to the patient's cirrhosis and other complications. "In our TCM theory, there is a saying that 'long-term illness becomes stasis', and this is indeed the case, whether it is the edema of the patient's face or the accumulation of water in the abdominal cavity, it is a manifestation of stagnant blood stasis." In view of the patient's symptoms, Zhang Han prescribed traditional Chinese medicine for liver and spleen, blood activation and stasis for treatment. After nearly a month of conditioning, Wang Ming has successfully escaped from the danger of life, and most of the accumulated water in the abdominal cavity has been successfully eliminated and is within the controllable range. Looking at her husband, who is now rosy and can move normally, Wang Ming's wife is also relieved: "I didn't expect it, I really didn't expect that I would be able to recover so well without surgery and rely only on traditional Chinese medicine conditioning." Director Zhang is really our savior! ”

"In fact, as a relatively common chronic disease, cirrhosis of the liver has not yet been particularly effective in the field of Western medicine, but instead chinese medicine has gradually established a complete set of treatment processes according to the pathological characteristics of cirrhosis." For the complete treatment method of traditional Chinese medicine for cirrhosis of the liver, Zhang Han said: "From the detoxification of the acidified intestine, to the supplementation of protein to maintain the liver, to the diuresis to reduce edema, and finally the use of traditional Chinese medicine to achieve the effect of thinning the liver and strengthening the spleen, activating the blood and dissolving stasis, so that the internal organs in the body can achieve overall balance and stability... In response to the treatment of cirrhosis, it can be said that this is a complete and mature theoretical solution in the field of traditional Chinese medicine. ”

The study of "jingfang" has its own changes and combines clinical needs to adjust prescriptions

In the eyes of most Chinese medicine practitioners, "Jingfang" can be described as the ancestor of medical prescriptions and the source of theory. However, for Zhang Han, who also studies the "Jingfang", these "mother fangs" collected from the masters and works of traditional Chinese medicine are not the templates used to read the science according to the script, but based on the "universal, simple, and incorruptible" Jingfang, the "change" and "effect" derived by the dialectical judgment are the biggest charm of the Jingfang.

For the use of Jingfang dialectical treatment, Zhang Han has a lot of experience in the treatment of atrophic gastritis. "As the saying goes: 'Ten people have nine stomachs', which is the universality of the disease of stomach disease. In particular, atrophic gastritis caused by Helicobacter pylori infection, from a clinical point of view, nearly 90% of gastric cancer patients have such bacterial infections. For atrophic gastritis, also known as "precancerous lesions", Zhang Han said that treating it as soon as possible can greatly reduce the probability of carcinogenicity.

"Chinese medicine also has a set of prescriptions for the treatment of atrophic gastritis, but if you want to achieve better results, you need to differentiate the addition and subtraction according to the specific situation of the patient's lesion, and the basis of the dialectic is the individual difference with the patient." Talking about his experience in dialectical treatment of atrophic gastritis, Zhang Han introduced to reporters, "Mainly through the gastroscope to observe the situation of the gastric mucosa, combined with the patient's clinical symptoms, according to the different states presented by the mucous membrane, the traditional Chinese medicine to protect the spleen and stomach is administered." As the foundation of the acquired spleen and stomach, once they can receive long-term health maintenance, most patients with atrophic gastritis can stop losses in time and gradually recover. ”

Combining Chinese and Western to explore the best recipe, the doctor sincerely inherits the essence of the country

For TCM physicians who have been exploring the field of Traditional Chinese medicine for many years, the friction and collision between Chinese and Western medicine has always needed to be constantly overcome. But when it comes to the relationship between Chinese and Western medicine, Zhang Han admits that he has never felt that the two are incompatible.

"Just like walking on two legs is definitely more stable than walking on one leg, Western medicine can play a role in many cases for Chinese medicine." Zhang Han, who has experience in the field of integrative traditional Chinese medicine in the treatment of digestive system diseases, told reporters, "Like atrophic gastritis caused by Helicobacter pylori infection, before using traditional Chinese medicine to protect the spleen and stomach and restore stomach power, the first thing that needs to be done is to remove Helicobacter pylori." As far as the bacteria are concerned, the quadruple therapy of Western medicine is currently the most common and effective, which can quickly assist Traditional Chinese medicine and improve the therapeutic effect. ”

With years of experience in medicine, Zhang Han knows that many parties can explore and avoid self-sufficiency in order to seek better remedies for patients. To this end, in addition to his daily work, Zhang Han ran all over the country to chase the footsteps of famous Chinese medicine masters. In his view, Chinese medicine is far more than a technique for treating diseases and saving people.

"TCM represents a culture, a culture that is broad and profound and belongs to us." Talking about his unremitting motivation to pursue medical masters and deepen medical theory, Zhang Han said, "In the "Great Doctor Jingcheng", the first requirement for practitioners is to be 'fine', that is, to require doctors to have superb medical skills. I think that only by constantly accumulating and deepening our own knowledge reserves, striving to be exquisite, and finding a good recipe for patients. ”

In the process of continuously improving his professional skills, Zhang Han has never hesitated to share his professional skills. "The second requirement in the Great Doctor's Sincerity is to be 'sincere', that is, the doctor must have a noble moral cultivation. In my opinion, it is not only necessary to have the sincerity to empathize with the patient, but also to teach other practitioners sincerely. As the fifth batch of traditional Chinese medicine inheritors of famous and old Chinese medicine in China, Zuo Zhensu, a famous teacher of traditional Chinese medicine, Zhang Han has always carried the burden of traditional Chinese medicine cultural inheritance.

Weekly lectures for department physicians, daily teaching internships and training students' clinical knowledge, sharing experience in the treatment of difficult and complicated diseases... From the theory of "phlegm wet stasis" to the "small and fine" Jingfang, in the inheritance and development of Chinese medicine culture, adhering to the principle of "great medical sincerity", Zhang Han has always devoted himself to teaching.

Source: Lu.com