ChengCanRe: postoperative follow-up sessions to swallow \"four point\" solution

Time: 2015-09-28

Source: China's traditional Chinese medicine

Author: jian-hua sun

ChengCanRe, male, born in 1934, some people in jiangsu province. Professor, director of TCM doctor, the old Chinese medicine expert academic experience inheritance work instruction in the country teacher. Served as director of the institute of Chinese acupuncture and moxibustion, acupuncture and moxibustion societies in jiangsu province, vice President, honorary President of the national natural science foundation committee member, the national colleges and universities of Chinese medicine acupuncture teaching material editing committee, Chinese acupuncture magazine editor, deputy director of the teaching and research section of nanjing college of traditional Chinese medicine acupuncture therapy.

Graduated from nantong medical school in 1954 assigned to jiangsu province hospital, and the older generation of Chinese medicine experts to build the country's first provincial hospital. In clinic medicine, follow the maser, leaf springs of orange, fan days ACTS old experts such as copy, one year later, with the bearing light on modern acupuncture home, Qiu Maoliang professor, has been working in the field of acupuncture and moxibustion today. From 1970 to 1972, to participate in the Chinese medical team in Tanzania, Zanzibar work for three years. Once the United States, Britain, Australia, Italy, Ireland, Japan, Korea, New Zealand, Finland, Hong Kong and other 32 countries and regions short-term teaching and medical work.

ChengCanRe original face three stitches in treatment of surrounding facial paralysis, pharynx four cavity treatment of throat and vocal cord lesions on both good curative effect have been achieved. In terms of scientific research, scientific and technological achievement award was awarded national conference on science and technology, the ministry of health the second prize of scientific and technological achievements, jiangsu province scientific and technological achievements of the people's government of zhong wanxie, nanjing university of Chinese medicine science and technology achievement award.

For the national colleges and universities of Chinese medicine materials \"acupuncture medical books to choose\" \"acupuncture\" editorial work, author of \"Chinese contemporary famous basis\" \"acupuncture is assembled in China\" \"the practical acupuncture clinical handbook\" the practical handbook of acupuncture cure pain \"practical acupuncture\" new Chinese acupuncture (\" emergency acupuncture clinical acupuncture and other 20 more than this. Has published more than 100.

The typical medical record.

Lu XXX, female, 38 years old, and staff. On June 4, 1983 to begin.

The chief complaint aphonia more than half a year. Patients with bilateral thyroid enlargement, four years ago by the diagnosis of thyroid adenoma, in February 1983, in surgical thyroid tumor excision surgery, postoperative general condition is good, but the second day started speaking voice low, close to the patients with mouth to hear the sound of the minor (whisper), had thought that only local pain after the operation, the relationship between stitch, voice still so, no improvement. Six months postoperatively, the patient himself, failed, and that is associated with local nerve damage.

Check: general condition is good, the complexion Bai Guangbai, speech, voice is difficult, but construct sound clear, voice is very low. Tongue pale, thin moss, pulse fine, feet especially weak pulse.

Diagnosis: throat though (laryngeal nerve, laryngeal recurrent nerve injury)

For the treatment: of strengthening lung and benefiting kidney, appropriate tong qi and blood.

Find: too deep, too creek four cavity, pharynx (open 2 inch next to the Adam's apple, up 5 points, down five points from each 1 point).

Operation: too deep, too creek with filling method, pharynx four hole with the method of filling-in xie, a figure eight, pipes, and the 1.2 -inch, the needles are inserted into the needle after don't talk to patients, so as not to damage the vocal cords. 1 times each day, retaining needle for 30 minutes.

15 times after treatment, the patient and the doctors have been able to positive remarks, the volume is much more earlier, but still hoarse, clarity is not enough. The original hole and 10 times, hoarse no longer exists, patients talk a bit more, feeling dry throat. The original party and fu liu, also by filling method, and 23 times, speech sound, volume, etc. A sample back to before the operation.

【 in 】 : throat lung department, the pulmonary arteries and veins in the epiglottis; Renal vein system on tongue collaterals in horizontal seam, finally epiglottis, so aphonia a disease very close relationship with lung and kidney. At party said: \"the lungs to the door of the voice, the root of kidney for voice.\" Is trauma caused by the disease, but its pathology and exogenous follow-up sessions, internal injury caused by the same, so get too deep, too creek, lung and kidney qi tonic, make sufficient nutrients, is bearing the epiglottis, encouraging channel and noise.

The pivot, the sorrow does silent article said: \"the throat, the air is also up and down. The epiglottis, sound of the door also.\" This surgery in patients with injury and epiglottis, anaerobic not hair, hair cannot under, to the open close from, so there is no sound. In pharynx four holes, repair the damaged meridian, smooth qi and blood running, channel to moisten, pronunciation.

Swallow \"four point\" is based on traditional Chinese medicine theory and modern medical anatomy knowledge, combined with the clinical treatment of throat disease for years, or throat as the main symptoms of the experience of disease. Is given priority to with the acupuncture point, cooperate with dialectical choose hole, used in the treatment of hoarseness, vocal cord paralysis, throat pronunciation difficulties caused by radiotherapy of tumor, vocal nodules, glossopharyngeal nerve pain and hysterical aphasia, acute or chronic sore throat, etc., have received satisfactory curative effect.

Sore throat and insides, closely related to twelve meridians, especially lung, stomach and kidney. Throat is eating, breathing, voice organs, even on the mouth, the lung and stomach, throat for lung belongs, and lungs are interlinked, lung meridian, into the lungs and tired in the throat. Pharynx to the stomach's desires, and the stomach are interlinked, water to the surface of the road, the meridian of yangming foot, from the upper teeth, out of the pinch mouth lip ring, follow before the mandibular Angle, along the throat into the lack basin; Kidney is dirty of Tibetan essence, its meridians into the lungs follow throat, relying on your tongue.

Swallow \"four point\" into the direction of the needle is along the outside edge of thyroid cartilage in eight, to stab in 1.2 inches (avoid tip oblique thrust outward), local appeared after the needle into a such as shark fin terrier in the throat feeling, is a better treatment. Retaining needle 20 ~ 30 minutes commonly, can take retaining needle, during which a row needle, twist pin 5 ~ 7 times, unfavorable and twisting number too, in order to avoid pain left, but usually can be completely disappear in one day. Retaining needle patients during speech of avoid by all means, avoid twisting significantly lift plug on technique. If the needle patients after symptoms such as red face, choking cough, may be too deep into the needle, needle gently out 2 ~ 3 points will be immediately.

Swallow \"four point\" does not belong to fourteen meridian, the outside singular point, nor recorded in ancient and modern literature, therefore, since as four den \"swallow\". Its adjacent to the meridian of yangming foot, improve local blood circulation, can have the effect of phlegm and dispelling stasis.