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Chapter 115 Episodic Pain After Chemotherapy
After Sun Guizhi left, Huang Su sat by the hospital bed with a stool and sat with Zou Wenzhi for a while.

Lying on the hospital bed, Zou Wenzhi looked at Huang Su and persuaded him: "Doctor Huang, if you have something to do, you should do it first. It's not a problem to sit here all the time. It will take seven or eight hours after chemotherapy. I won't do it here." It’s okay, I have a lot of experience in doing chemotherapy.”

Seeing that Zou Wenzhi didn't look nervous at all, Huang Suyou took a look at the drip, got up and said, "Well, I'll come to see you again after your chemotherapy is over."

Go back to the internal medicine office.

Zhang Yuan approached Huang Su and asked, "How is your gastric cancer patient doing with chemotherapy now?"

Huang Su said: "Chemotherapy will take at least six hours, and the specific situation will have to wait for Zou Wenzhi's adverse reactions after chemotherapy, and then according to the tongue condition, pulse condition and physical condition, we will formulate a prescription based on syndrome differentiation."

As Huang Su said, she got to her own station, picked up a brand new notebook on the table, and went out. It was a diary that recorded Zhang Pinggui's story.

"Why are you going?" Seeing that Huang Su was about to go out again, Zhang Yuan asked.

"I'm going to see Zhang Pinggui. If Professor Wang needs me, you can go to Zhang Pinggui's ward and call me." Huang Su walked to the door of the office, turned her head and told Zhang Yuan.

Walking into Zhang Pinggui's ward, Huang Su saw Xiao Xiao, the nurse, quietly peeling apples for Zhang Pinggui, while Zhang Pinggui was lying on the hospital bed with his eyes slightly closed.

Seeing Xiao Xiao who was working hard, Huang Su thought to himself: The nurse hired by Police Officer Cheng is really good. He works hard and is polite.

Seeing Huang Su coming in, the nurse Xiao Xiao got up and greeted politely: "Doctor Huang, you are here!"

As soon as he heard Huang Su's footsteps and Xiao Xiao's greetings, Zhang Pinggui, who was lying on the bed and dozed off, instantly felt no sleepiness, and sat up very neatly. He looked like a sick old man, and looked at Huang white.

"Doctor Huang, you are here!"

Huang Su looked at Zhang Pinggui, his skin was no longer the dark yellow it was when he got sick, and the acute yellow had basically faded away, but it was slightly yellower than normal.

Huang Su checked the ward in the morning, just checked the old man, the tongue has changed from crimson red to red tongue, the tongue coating has changed from yellow greasy to thin yellow, and the pulse has also changed to slightly faster, showing that the heat poison in the body has been cleaned up most.

As soon as Huang Su sat down, Zhang Pinggui asked curiously: "Doctor Huang, is your stomach cancer patient going through chemotherapy today? Did chemotherapy push people into a machine with a big round hole in the middle to kill the cancer?"

"Mr. Zou's chemotherapy lasts at least six hours. If you want to know the result of chemotherapy, you have to wait until the end of the whole course of chemotherapy and have a gastroscope to know." Huang Su then explained: "And what you always said is that The full name of radiotherapy and chemotherapy is chemotherapy, which is to inject chemical drugs into the human body through oral, intravenous, intramuscular injection, etc. to kill tumor cells. Broadly speaking, Western medicine drug treatment should be called chemotherapy, because the drugs they use are all chemical Potion."

Huang Su himself is also learning and selling now, but it is more than enough to do science popularization for Zhang Pinggui who knows nothing about chemotherapy.

After listening to Huang Su's explanation, Zhang Pinggui had a curious expression just now, but suddenly lost interest and said, "It turns out that chemotherapy is also taking medicine and injections. I thought it was so mysterious."

Seeing the appearance of Zhang Pinggui's old child, Huang Su smiled wryly and said: "You! I still care about you. I don't think you will be able to stay in the hospital for many days. After the heat evil in your body is completely eliminated, your skin will return to normal. out of the hospital."

As soon as Zhang Pinggui heard that he was going to be discharged from the hospital, Zhang Pinggui's face darkened. He looked at the notebook in Huang Su's hand and said, "Doctor Huang, now you are the only one who is willing to listen to my old man's nagging. Now I don't even want to be discharged from the hospital. What I said How many stories have you recorded?"

"I have already recorded more than 20." Huang Su opened the notebook and said: "Then before you are discharged from the hospital, if you chat a few more words, I will help you record a few more."

Zhang Pinggui began to tell his own story.

Maybe he knew that he was only a few days away from being discharged from the hospital, so Zhang Pinggui spoke very hard today, telling four stories in a row, until he was exhausted, he lay down reluctantly, and watched Huang Su leave.

Huang Su returned to the office and started the daily work of the resident physician, first sorting out the medical records during the ward rounds.

Although Huang Su is actually in the clinic, he is still a doctor after all, and he still needs to do the basic work.

Huang Su himself did not reject this job because he had already attended a clinic. Traditional Chinese medicine is a knowledge that can never be learned.

The Department of Internal Medicine of Traditional Chinese Medicine is not very busy today. After one day, Huang Su and Zhang Yuan followed Wang Xinlu to make a follow-up consultation for several inpatients, and received several inpatients transferred from the outpatient department.

At four o'clock in the afternoon, it was time to hand over the work and get off work.

Huang Su took off her white coat, packed her backpack, and was going to take a look at Zou Wenzhi before leaving get off work.

At this moment, a nurse lady rushed into the internal medicine office and said to Huang Su: "Dr. Huang, Zou Wenzhi has severe pain in his stomach after chemotherapy. Go and have a look."

The nurse who came in was an acquaintance Huang Su knew, and she was the nurse who went to the oncology inpatient to guide her on the first day.

After hearing this, Huang Su didn't bother to put on her white coat, picked up her backpack and walked out of the internal medicine office with the nurse lady, and asked as they walked, "Tell me about the patient's condition in detail."

"After we gave Zou Wenzhi chemotherapy, the patient began to experience nausea and vomiting. These are normal chemotherapy reactions. After vomiting, he complained of stomach pain."

Walking into the ward, Huang Su saw that both Sun Guizhi and Wei Lai had arrived, and saw Zou Wenzhi on the hospital bed clutching his stomach, pale in pain and sweating coldly. This was not an ordinary pain.

Huang Su walked up to Sun Guizhi and asked, "Professor Sun, didn't chemotherapy say it won't cause pain?"

Sun Guizhi replied: "This is not absolute, some patients also have severe pain due to chemotherapy."

Generally, chemotherapy itself does not cause pain, but some chemotherapy drugs are infused through blood vessels. During the infusion process, especially the extravasation of chemotherapy drugs may cause severe pain.

Huang Su continued to ask: "Professor Sun, you can't just watch the patient's pain go on like this. Is there any way to relieve the pain quickly!"

Traditional Chinese medicine is not so direct in terms of pain relief. There is really no good way to quickly relieve pain by taking traditional Chinese medicine. Only acupuncture and moxibustion can relieve pain quickly. The patient is in such a state that he cannot feel the pulse, let alone apply acupuncture.

Sun Guizhi said, "The nurse has gone to get OxyContin."

The full name of OxyContin is Oxycodone Hydrochloride Sustained Release Tablets, which is a strong opioid drug among opioid painkillers and is the main drug for the treatment of cancer pain in Western medicine.

Not long after, a nurse came in with opium and subdued Zou Wenzhi.

After more than ten minutes, Zou Wenzhi's expression slowly eased, and the cold sweat no longer flowed from his face.

Seeing that Zou Wenzhi's pain was relieved, Huang Su and Sun Guizhi checked his pulse together.

Huang Su rested her three fingers on Zou Wenzhi's pulse, and pressed down hard to touch the wrist bone to feel the slow pulse, which was a weak pulse
Huang Su put down Zou Wenzhi's wrist and said, "Stick out your tongue, let me have a look at the coating on your tongue."

Zou Wenzhi sticks out his tongue, Huang Su observes it carefully, and sees that the tongue is pale and almost transparent, the tongue coating is white and thin, and the little blood that has just recovered has been exhausted during the chemotherapy.

After Zou Wenzhi put away his tongue, Sun Guizhi looked at Huang Su and asked effectively, "Tell me about the patient's condition and how to treat it."

"Combined with the tongue and pulse conditions, the patient's stomach pain, nausea, and vomiting are all caused by weak constitution, spleen and kidney yang, insufficient middle qi, and disorganization of the spleen and stomach. Poria cocos, jujube, bamboo fungus, pinellia, aconite, astragalus, angelica, licorice. Strengthen the spleen and kidney, nourish blood and qi. It can relieve nausea, vomiting, stomach pain, loss of appetite and other adverse reactions during chemotherapy."

说着黄素掏出纸笔和处方单，在处方单上写道：太子参15g、白术10g、女贞子15g、枸杞子15g、茯苓15g、大枣五枚、竹茹12g、清半夏10g、附子10g、黄芪15g、当归10g、炙甘草20g。

Huang Su handed the written prescription to Sun Guizhi.

Sun Guizhi scanned the prescription sheet, handed it to the nurse, and said, "During chemotherapy, take this prescription once a day, twice in the morning and evening."

Seeing that Sun Guizhi agreed with her own prescription, Huang Su boldly said: "I think it should be combined with acupuncture treatment. The pain relief effect of acupuncture and moxibustion is still very good."

"Oh! You can also do acupuncture!" Sun Guizhi was surprised at first, but then he reacted and said, "Remember, Old Man Chen is an expert in acupuncture. How could you not be able to."

Afterwards, Sun Guizhi said to Huang Su: "Observe for a day first, and see if there is still stomach pain every day."

If cancer patients suffer from cancer pain and opioids lose their effect, they can consider acupuncture treatment. Acupuncture has a stronger analgesic effect on the central nervous system than opioid analgesics.

After Zou Wenzhi took OxyContin, Huang Su and Sun Guizhi stayed in the ward for another hour and a half to observe.

Seeing that Zou Wenzhi's condition has completely stabilized, there is no recurrence of stomach pain.

Zou Wenzhi has already started eating under the service of Xiao Zou.

Seeing that Zou Wenzhi was able to eat normally, Huang Su said to Sun Guizhi: "Professor Sun, the patient's condition has stabilized. If there is nothing else, I will go home from get off work first."

Sun Guizhi waved his hands and said, "Get off work!"

Before leaving, Huang Su and Zou Wenzhi said goodbye: "Old man, I'll go first if I have nothing to do!"

Zou Wenzhi put down his chopsticks and said, "Doctor Huang, go slowly!"

Afterwards, Sun Guizhi and Huang Su walked out of Zou Wenzhi's ward together.

　The novel has risen to the 22nd on the new book monthly ticket list, book lovers, let's go!
　　
　
(End of this chapter)