年度归档 2024年12月12日

　　Sun Caizhen, an oncologist in traditional Chinese medicine: Ground glass nodules are found in the lungs, so don’t take them lightly.

　　In the past month, this version of the health hotline is still very popular. Dozens of readers called to consult Sun Caizhen, dean of Hangzhou Zhongfutang Hospital of Traditional Chinese Medicine and an expert in traditional Chinese medicine oncology, for themselves or their relatives. Many of them called to ask questions related to lung tumors and pulmonary nodules:

　　"I suddenly found out that there were nodules in my lungs last month. The doctor asked me to review them regularly. Does it matter? Can eating Chinese medicine be eliminated? " "Three years ago, I found out that there were small nodules in my lungs during my physical examination. Now I grow up a little every year. Will it become malignant in the future?" "My father has ground-glass nodules in his lungs, which are malignant. He has had three operations and always recurs after the operation. I heard people say that taking Chinese medicine is useful. Is it true? " … …

　　Cancer patients in China are still increasing year by year. Around us, more and more relatives and friends are suddenly diagnosed with tumors. This can’t help but make people talk about the tumor. When there is a sign of trouble, they will think of whether they are "recruited". Pulmonary nodules have made many people feel uneasy.

　　I have had many operations in five years.

　　He was exhausted by the ordeal.

　　On November 7, 2021, Sun Caizhen received a patient from Pan ‘an County, our province. His surname is Zhang, and he is 58 years old. In 2016, in the physical examination of the unit, Mr. Zhang was found to have multiple nodules in the lung, of which the largest ground glass nodule was 1.5 cm. The doctor’s diagnosis is malignant, and it is recommended to do minimally invasive surgery. After the operation, Mr. Zhang did three more chemotherapy.

　　In 2018, the original tiny nodules in Mr. Zhang’s lungs grew up. He was hospitalized for the second time and his lungs underwent minimally invasive surgery. In September of the same year, another nodule with a size of 1 cm was found in the liver. The doctor diagnosed it as a primary liver tumor and made radiofrequency ablation treatment. In 2020, another nodule was found in his liver, and he underwent radiofrequency treatment for the second time. In the first half of this year, new nodules grew in his lungs and liver. Mr. Zhang was exhausted, and he even felt desperate.

　　A good friend of Mr. Zhang once suffered from liver tumor. He took Chinese medicine here from Sun Caizhen, Dean of Hangzhou Zhongfutang Chinese Medicine Hospital. He felt very good, so he suggested that Mr. Zhang also go to Sun Caizhen for a try a few years ago.

　　"In fact, I have always believed in Chinese medicine. However, at that time, the doctor said that the nodule could be removed by surgery. I think it is still surgery, which is more thorough. I regret it. I knew it. I should have taken Chinese medicine after the first operation. " Mr. Zhang said to Dean Sun Caizhen.

　　Sun Caizhen said that it is not uncommon for a situation like Mr. Zhang. Many people have multiple pulmonary nodules. After the larger nodules are removed by surgery, the smaller ones grow up again, and they recur after many operations. Clinical practice shows that by taking traditional Chinese medicine, the constitution of nodules can be gradually changed, and the "soil" suitable for nodule growth is gone, and tiny nodules are expected to stop growing or even disappear. If Mr. Zhang started taking Chinese medicine after his first operation that year, the situation should not be like this.

　　Traditional Chinese medicine has its uniqueness in treating pulmonary nodules.

　　Sun Caizhen has been engaged in tumor treatment in traditional Chinese medicine for nearly 30 years, and countless patients have been treated. The patients with ground glass nodules in the lungs are a lot.

　　Last week, Mr. Shen from Xiaoshan visited Sun Caizhen for a follow-up visit. Mr. Shen is 74 years old and was a civil servant before he retired. In June 2017, during his physical examination, he found a ground-glass nodule in his left lung with a size of 6 mm, and the doctor asked him to check it regularly. Mr. Shen goes to check every six months or so, and every time he checks, he finds that this lung nodule has grown a little. Because there were no other symptoms in his body, he didn’t take it seriously. Until November 2019, this lung nodule grew to 16 mm, and there were many tiny nodules in both lungs. He also developed hoarseness and phlegm. The doctor suggested surgery.

　　Because of his age, Mr. Shen is unwilling to have an operation. He heard from a friend that Sun Caizhen was very experienced in treating tumors and nodules in traditional Chinese medicine. In March this year, he began to eat Chinese medicine here. Half a year passed, and the reexamination showed that the ground-glass nodules in his lungs did not continue to grow, and his sputum was less, and his voice was no longer hoarse. He felt much better and was very happy. He told Sun Caizhen that he would continue to take Chinese medicine and believed that his health would get better and better.

　　There is also a patient, Mr. Cao, who is also from Xiaoshan. In September 2016, he began to cough frequently. Later, he coughed up blood and went to the hospital for examination. He was diagnosed with a nodule in the lung with a size of 2.6 cm. The doctor suggested that he be hospitalized immediately. In the ward, he heard from a friend of a patient that he also had pulmonary nodules. Later, he went to take Chinese medicine, and now the situation is very good, avoiding the pain of surgery. After listening to this, Mr. Cao discussed it with his wife and decided not to have surgery for the time being. Let’s try Chinese medicine first.

　　In October of that year, Mr. Cao began to eat Chinese medicine here in Sun Caizhen. After 8 and a half months, the CT scan showed that the nodule could not be found. "I thought it would be good to make the nodules stop growing up by eating Chinese medicine, and the result was better than I expected. Our family was very happy. I took out the money I had planned for surgery and went to Europe with my wife for a month. My experience is that if you have a problem, don’t worry, listen to other people’s suggestions and make a choice. "

　　Ground-glass nodule in lung, must it be malignant?

　　Sun Caizhen said that in recent years, more people have been found to have nodules in the lungs through physical examination. Nodules in men’s lungs are mostly directly related to air pollution, heavy work pressure, too much entertainment, excessive alcohol and tobacco or long-term secondhand smoke. Pulmonary nodules in women are mostly related to stagnation of liver qi in women. Modern women not only have to struggle in the workplace, but also have to take care of children, do housework and take care of the elderly. All kinds of pressures lead to many women’s mental stress and stagnation of liver qi, which is not only easy to grow lung nodules, but also easy to grow thyroid nodules, breast nodules and uterine fibroids. At the same time, women are often busy in the kitchen and inhale too much kitchen fumes, which is also a factor.

　　Find out that there are nodules in the lungs, what should I do? Many physical examination reports only say that there are nodules or ground glass nodules, and there are some medical codes, such as pulmonary nodules AIS, pulmonary nodules GGO, pulmonary nodules AAH, etc. Ordinary citizens can’t understand what it means, and few doctors will explain it to patients in detail. In fact, AIS of pulmonary nodules considers pulmonary in situ tumor; AAH is the abbreviation of atypical adenomatous hyperplasia of lung, which is a benign tumor or precancerous lesion of pulmonary adenoma. The abbreviation of ground glass nodule of lung is GGO, which is the most common nodule.

　　Sun Caizhen said that the ground-glass nodule in the lung does not mean that it is a lung malignant tumor. Don’t be nervous when you hear that there is a ground-glass nodule in the lung. Ground-glass nodules in the lungs may be inflammatory nodules, calcifications, granulomas, benign tumors, fibrous lesions, etc., and only a small part of them are malignant. Generally speaking, the microscopic ground glass nodules below 5 mm are mostly benign. The bigger the nodule, the higher the density, and the greater the probability of malignancy. If you find ground glass nodules, you should find a professional doctor for differential diagnosis.

　　However, we should be wary that the above law is not absolute. The situation of ground glass nodules in the lungs is very complicated. Some ground glass nodules are only 3 mm, but they are malignant. Some large ground-glass nodules are suspected to be malignant by doctors, but postoperative pathological sections are benign, and any exception may occur. Therefore, even if tiny ground glass nodules are found, we should attach great importance to them. Leave it alone and let it develop, and you may miss the excellent treatment opportunity, and it is too late to regret it.

　　Sun Caizhen said that we still advocate the combination of traditional Chinese and western medicine for intervention treatment of pulmonary ground glass nodules. The eight-character policy of "relieving depression, dredging collaterals, softening hardness and expelling toxin" is the treatment principle that we have summarized a large number of cases in long-term clinical practice. For the larger ground-glass nodules that may be malignant, it is suggested to treat them surgically and then treat them with traditional Chinese medicine after operation to prevent recurrence. For tiny pure ground glass nodules with no obvious malignant features, it is suggested to observe, do chest CT reexamination every six months, and take Chinese medicine to control them at the same time. After a period of time, some small nodules may shrink or even disappear. If it is suspected that there may be malignant nodules, CT examination of thin chest should be done once every three months.

　　What needs to be emphasized again is that you must be patient and have a good attitude when taking Chinese medicine treatment. Patients who are optimistic, confident and actively cooperate with doctors often get twice the result with half the effort. On the contrary, with a skeptical attitude and negative emotional therapy, most of them get twice the result with half the effort.

　　There is a patient in Zhoushan, Mr. Liu. Fifteen years ago, he found out that there were multiple pulmonary nodules. When the doctor opened his chest, he found that there were too many pulmonary nodules to be removed completely, and some of them had developed into lung malignant tumors, accompanied by pleural metastasis. The doctor only removed two large nodules for him and told his family about this situation. The family concealed the truth and told him that the doctor had removed all the nodules in your lungs.

　　After the operation, Mr. Liu took Chinese medicine here in Sun Caizhen, and his body got better little by little. Now, 15 years later, he lives happily. Mr. Liu felt that the nodule was removed by surgery, and he was in a good mood, relaxed and confident in taking Chinese medicine. This is how the miracle was created.

　　Some patients took traditional Chinese medicine for a long time, and their temper became anxious when the effect was not obvious. Last week, there was a female patient in her fifties. The physical examination of the unit found a ground-glass nodule in her lung, 9 mm, and the doctor asked her to check it regularly. She heard that taking traditional Chinese medicine was useful, so she came to see me at the clinic. After eating for a month and a half, the nodule didn’t get smaller, and she was anxious. There used to be vascular bundles penetrating into her nodules, but now they are gone, indicating that the situation is improving. But it is unscientific to have a fundamental change in a month and a half. The treatment of diseases by traditional Chinese medicine belongs to the subtle type. There is a process, which takes time and gradually penetrates bit by bit. Patients should have this kind of psychological preparation.

　　Nourishing the lungs in autumn and winter, these details of life should be paid attention to.

　　Sun Caizhen said that in autumn and winter, special attention should be paid to nourishing the lungs. Chinese medicine says that the lung belongs to gold, and the season corresponding to gold is autumn, so autumn is an excellent season for nourishing and regulating the lung, and we should develop good living habits.

　　First of all, friends who like morning exercises should not get up too early. Nowadays, there is a lot of automobile exhaust in the city, and the air quality is not very good. It is not good for your health to go out too early. Secondly, the diet is mainly light. Eat more things that produce saliva, such as lily, lotus seed, white fungus, pear, horseshoe, etc., and soak some chrysanthemum tea and houttuynia cordata when coughing. Don’t eat too spicy, fried and fried food, don’t eat more ginger, and don’t have too much cooking fumes at home; Third, we should avoid the poison of second-hand smoke. There are many people smoking in the mahjong room, all of them are second-hand smoke, which is very bad for the lungs. Try not to go. Fourth, relax, be optimistic and cheerful, don’t have too much pressure and don’t overwork. Go outdoors more on weekends, so that the lungs can absorb more sunshine and fresh air. But don’t go out in foggy days, and at the same time pay attention to prevent colds. If you sweat, you should change your clothes in time.

　　Finally, Sun Caizhen reminded everyone to pay attention to some early signs of lung tumors, unexplained irritating dry cough, persistent cough after catching a cold, sudden sputum with blood or a little blood, diffuse chest pain, back pain, shoulder pain, upper abdominal pain, etc., and repeated pneumonia in fixed parts. Be vigilant and go to the hospital in time.

　　On Tuesdays and Thursdays, Dean Sun Caizhen sits in Hangzhou Zhongfutang Chinese Medicine Hospital. Every Monday, Wednesday and Saturday, I sit in the clinic of traditional Chinese medicine oncology in Hangzhou. From November 26th to December 10th, 10 expert numbers will be sent out free of charge every week. Readers who need it please call the phone at the top of this page to make an appointment.