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In the video, Mr. Zhang's pulmonary nodules were not conditioned in time after surgery, and he often had soft stools and wheezing. Two days ago, after the first pulmonary nodule was detected, there was a patient who was entangled in whether to have surgery or not, and asked me: "Director Ye, my lung nodule is only 5mm, about the size of a grain of rice, I want to do surgery to cut it off, is the minimally invasive not much impact on the human body?" ”
For this kind of patient, I would like to say: the patient friend who has this kind of thinking may have fallen into a misunderstanding. Lung nodule surgery, even if it is a small nodule, no matter how small the surgery, it is not how big the lung nodule is, but how big the lung is, but it is cut out together with the surrounding "good lungs". It's like a broken tomato, and when you cut it off, you can't just cut off the bad part, but you also have to cut off the surrounding parts to rest assured!
People only have two lungs, and they can't grow back after cutting them off, it's okay to cut them once, but where is the head to cut them all the time?
Mr. Li, 53 years old, was found to have multiple pulmonary nodules in both lungs and subpleural in 2021, with a maximum of 5mm, and chose to be resected because he was anxious and worried that the nodules would become larger, and the largest 20 cm of lung nodule tissue was cut out.
Fortunately, Mr. Li had no obvious sequelae at the time of the pulmonary nodule surgery, and no pneumothorax, infection, complications, or postoperative bleeding were found.
But what distressed Mr. Li was that he was only 49 years old at the time, and he felt that his lungs were getting worse and worse, and he was often prone to suffocation and wheezing. This is not over, in September 2022, Mr. Li went for a physical examination, and a 3mm ground-glass lung nodule appeared in the upper lobe of the right lung.
In other words, surgical resection of pulmonary nodules may not only have sequelae/side effects, but also cannot remove the roots, and there is still a possibility of recurrence.
Mr. Li was also scared, so he found me for help from Chinese medicine.
Symptoms:
Occasional chest tightness, shortness of breath and fatigue. Easy to get upset and angry, Nake, poor sleep, and difficult to defecate and stool. The tongue is red and white, with tooth marks, and the veins are stringy.
Dialectic:
Dampness and heat are blocked in the lungs, qi stagnation and phlegm coagulation, and liver depression and discomfort cause pulmonary obstruction.
Evolution:
Bupleurum chinensis, white peony, red peony, peach kernel, poria cocos, atractylodes, salvia, chuanqiong, licorice.
(Bupleurum chinensis)
Use bupleurum and white peony to soothe the liver and relieve depression; Use red peony and peach kernel to invigorate blood and dispel blood stasis; Poria cocos and atractylodes macrocephalus strengthen the spleen and promote dampness, while helping qi and blood biochemistry; Then use salvia miltiorrhiza and Chuanxiong to strengthen the effect of blood circulation and blood stasis, and use licorice to reconcile various medicines.
By harmonizing qi and blood, improving the internal environment, and comprehensively regulating the physique, the whole formula finally achieves the purpose of dissipating nodules.
The result? Mr. Li had a follow-up CT examination 3 months later, and the nodules in both lungs had disappeared. However, the conditioning has not stopped, continue to take medicine to improve physical fitness, and try to make up for the lung function damage caused by the removal of the lungs.
Although it is said that the vast majority of nodule patients have undergone nodule surgery, the impact on their lives is very small, especially some young and middle-aged people, who can go to work and study normally one month after surgery...... Everyday life is completely unaffected. However, for older patients, especially sub-healthy people with a history of long-term smoking, underlying diseases, poor cardiopulmonary function or a history of lung surgery in the past, pulmonary nodules may have varying degrees of lung function decline after surgery, and chest tightness and asthma after activity may occur.
Therefore, for benign pulmonary nodules, we can do regular follow-up. Change your lifestyle habits and diet, and then completely regulate it through the conditioning of traditional Chinese medicine.