I Can Hear the Heart's Voice of Traditional Chinese Medicine-Chapter 276 - 122: Serving as a Director of the Yong City Chinese Medical Association?

"His condition hasn't reached the point where softening and firming medications are necessary. Activating blood flow and resolving stasis should suffice."

Lu Xuan directly expressed his thoughts.

Zhang Jingcai nodded slightly and asked, "There's another question I want to understand. Some people believe that the method of activating blood flow and resolving stasis in treating primary liver cancer might promote its metastasis.

Some authoritative studies have found that these medications can lead to the dispersion of blood stasis in localized rat liver cancer, which might facilitate the spread of cancer toxins to other areas, thus promoting tumor metastasis;

Additionally, blood circulation medications improve the local microcirculation, providing a richer blood supply for tumor growth.

There are also studies showing that low to moderate doses of alcohol extracts of Panax notoginseng have significant tumor-suppressing and anti-liver metastasis effects, improving the overall condition of mice with tumor-induced liver metastases. But larger doses might increase the chances of bleeding and metastasis. What's your view on this?"

After thinking for a moment, Lu Xuan replied, "With primary liver cancer, if treated with Western medicine, few patients survive beyond a year. However, with adjustments based on Chinese medical concepts, while cancer might not disappear, patients often live like normal people; this is what we refer to as living with the cancer.

And with Western medicine? 𝘧𝘳𝘦ℯ𝓌𝘦𝒷𝘯𝑜𝑣𝘦𝓁.𝒸𝘰𝓂

Patients go through various chemotherapy and radiotherapy methods, not to mention the pain they endure, which can't even save their lives. So, what's the use?"

Zhang Jingcai fell into silence.

For cancer, Western medicine primarily aims to eliminate it, removing it wherever it's found.

For areas that can't be removed, chemotherapy and radiotherapy are used to deal with them, harming the enemy by eight hundred and harming oneself by a thousand. In the end, patients spend money but their lives aren't saved.

Many patients die within a short six months from diagnosis to treatment.

Whereas, if treated with Chinese medicine, regardless of the cost, patients will at least suffer less and can live with cancer. Some may live three to five years, others possibly five to ten years, or even have a quality of life similar to normal individuals.

Apart from needing to take herbal medicine regularly.

Lu Xuan glanced at the silent Zhang Jingcai and continued, "The blood stasis theory for primary liver cancer originated from the 'Inner Canon,' was established by Zhang Zhongjing, and has been continuously supplemented and improved by successive generations, forming a comprehensive Chinese medical theoretical system combining principles, methods, prescriptions, and medications.

Physiologically, the liver governs spreading and storing of blood. The liver's spreading reflects its role as a firm organ, characterized by ascending and active physiological traits, which is crucial for regulating qi movement and promoting the flow of blood and body fluids. Blood flow depends on the rise and fall and inward and outward movement of qi.

Therefore, if the liver fails to spread, qi becomes congested, leading to blood circulation obstruction, forming blood stasis, resulting in masses and ultimately developing into primary liver cancer.

Pathologically, the cancer body in primary liver cancer is due to blood stasis. During the disease's evolution, liver depression causes qi stagnation, qi stagnation leads to blood stasis;

Spleen deficiency means the generation of qi and blood has no source, and qi deficiency also causes blood stasis.

In terms of clinical progression, from the onset and development of primary liver cancer to the appearance of clinical manifestations, it is a lengthy pathological process. 'Chronic illness must lead to stasis,' and blood stasis runs throughout the progression of liver cancer.

I acknowledge that the surgical level of Western medicine is unparalleled by Chinese medicine, but when it comes to cancer treatment, I find Chinese medicine to be more humane.

In the treatment of primary liver cancer, I still believe the application of prescriptions focusing on 'stasis' is essential; it not only alleviates clinical symptoms and improves the quality of life but also regulates the immune mechanism to inhibit tumor growth.

However, Old Zhang, the point you just mentioned indeed needs careful consideration. The impact of activating blood flow and resolving stasis on liver cancer is extremely complex. Sensible clinical application, understanding indications, dosage, and administration routes of these medications, are key areas for further detailed research and discussion."

Lu Xuan's understanding of Chinese medical concepts was enough to once again impress Zhang Jingcai.

When Zhou Jiande mentioned this earlier, neither he nor Huang Beishan and Ye Haishen really believed in it. After all, there are so many ancient medical texts, and mastering them all to the point of reciting them seemed impossible.

Even so, Zhang Jingcai could accept it.

After all, this world is not short of geniuses.

Some people indeed possess extraordinary talents in memory, and being able to memorize all medical texts backward is not unusual.

However, to truly integrate all the contents of medical texts and derive one's insights and understanding is not something ordinary people can achieve. Without solid skills and abilities, it's utterly impossible.

While Lu Xuan discussed these things, Zhang Jingcai kept looking down at the prescription Lu Xuan had written, gently nodding, "Old Zhou was right, talking with Dr. Lu about these things is indeed deeply beneficial.

Although in the concept of treating primary liver cancer, my thoughts are quite similar to yours, when it comes to writing prescriptions, my precision isn't quite like yours. I need to try once or twice, adjusting the prescription according to the patient's condition, only then might I arrive at a prescription similar to the one you've written this moment."

"Old Zhang, I respectfully disagree with your view on this."

Lu Xuan shook his head and confidently elaborated, "The prescriptions I write aren't necessarily more effective than yours. To be honest, after graduating I interned in Yong City, where I frequently heard about the United South Chinese Medicine Association, and was most impressed by Old Zhang and Old Huang. At that time, I thought that if I could ever reach your level, it would be a blessing to my ancestors.

Different prescriptions don't matter as long as the concepts are the same and the treatment methods are consistent, the results won't dramatically differ.

Moreover, such conditions aren't resolved in a single step. Patients need to take the medicine, then modify the prescription based on their changing conditions to achieve the best effect.