胰臟癌第二診
上(shang)(shang)周11/28來(lai)(lai)診的(de)(de)(de)女胰臟(zang)癌病(bing)(bing)(bing)患，服藥一(yi)周后(hou)今(jin)天(tian)(tian)來(lai)(lai)復診，胃口尚(shang)未恢復，但是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)可(ke)(ke)以(yi)(yi)吃比原(yuan)先多約三倍的(de)(de)(de)食物，大便(bian)不(bu)(bu)下(xia)利(li)了(le)，嘔心(xin)去除，有(you)(you)(you)餓感，睡眠(mian)仍然(ran)因為(wei)腹痛(tong)(tong)(tong)而(er)不(bu)(bu)易入眠(mian)，雙腳開始熱(re)起來(lai)(lai)，臉上(shang)(shang)氣(qi)色(se)恢復許(xu)多，唯(wei)外圍可(ke)(ke)見淡青色(se)，眼眶(kuang)周圍也(ye)可(ke)(ke)以(yi)(yi)看(kan)(kan)到(dao)淡青色(se)，這(zhe)(zhe)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)肝臟(zang)原(yuan)色(se)，現(xian)在(zai)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)冬天(tian)(tian)，顏色(se)出現(xian)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)相生之(zhi)色(se)，表示好轉，病(bing)(bing)(bing)人(ren)(ren)(ren)自述(shu)她(ta)(ta)(ta)的(de)(de)(de)右側(ce)小(xiao)腹近闌尾(wei)處很痛(tong)(tong)(tong)，上(shang)(shang)周是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)肚臍下(xia)方疼痛(tong)(tong)(tong)，現(xian)在(zai)位置移轉到(dao)右下(xia)腹，我(wo)(wo)(wo)用(yong)觸診時(shi)(shi)，病(bing)(bing)(bing)人(ren)(ren)(ren)拒按(an)，小(xiao)便(bian)顏色(se)中黃(huang)色(se)，舌(she)苔是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)黃(huang)白(bai)相間厚而(er)稍干(gan)狀，脈(mo)象(xiang)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)沈而(er)有(you)(you)(you)力的(de)(de)(de)附骨脈(mo)，病(bing)(bing)(bing)人(ren)(ren)(ren)說她(ta)(ta)(ta)可(ke)(ke)以(yi)(yi)感覺到(dao)有(you)(you)(you)戰(zhan)爭在(zai)她(ta)(ta)(ta)的(de)(de)(de)腹部般，身(shen)體忽冷忽熱(re)，這(zhe)(zhe)種寒熱(re)并(bing)結(jie)的(de)(de)(de)現(xian)象(xiang)就(jiu)(jiu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)厥陰(yin)癥，她(ta)(ta)(ta)雖然(ran)仍在(zai)厥陰(yin)癥中，但是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)氣(qi)色(se)恢復很快(kuai)(kuai)，可(ke)(ke)以(yi)(yi)吃下(xia)食物，大便(bian)回復正常，這(zhe)(zhe)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)好現(xian)象(xiang)。她(ta)(ta)(ta)最(zui)大的(de)(de)(de)敗(bai)筆就(jiu)(jiu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)來(lai)(lai)此之(zhi)前已經(jing)做(zuo)(zuo)過(guo)十次鈷(gu)六(liu)十照(zhao)射，這(zhe)(zhe)部分就(jiu)(jiu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)中醫(yi)(yi)的(de)(de)(de)盲點(dian)了(le)，但是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)現(xian)在(zai)看(kan)(kan)來(lai)(lai)中醫(yi)(yi)尚(shang)可(ke)(ke)以(yi)(yi)一(yi)戰(zhan)，原(yuan)因是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)她(ta)(ta)(ta)的(de)(de)(de)朋友一(yi)發現(xian)她(ta)(ta)(ta)得到(dao)胰臟(zang)癌時(shi)(shi)，當(dang)時(shi)(shi)就(jiu)(jiu)先警告(gao)她(ta)(ta)(ta)不(bu)(bu)可(ke)(ke)以(yi)(yi)再(zai)喝(he)咖(ka)(ka)啡(fei)再(zai)吃甜(tian)(tian)食了(le)，所(suo)以(yi)(yi)她(ta)(ta)(ta)的(de)(de)(de)病(bing)(bing)(bing)情就(jiu)(jiu)緩下(xia)來(lai)(lai)了(le)，不(bu)(bu)像那位越(yue)南人(ren)(ren)(ren)，他(ta)(ta)在(zai)八月份得到(dao)胰臟(zang)癌時(shi)(shi)，西醫(yi)(yi)不(bu)(bu)知道是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)來(lai)(lai)自喝(he)咖(ka)(ka)啡(fei)吃甜(tian)(tian)食造成的(de)(de)(de)，所(suo)以(yi)(yi)他(ta)(ta)病(bing)(bing)(bing)了(le)以(yi)(yi)后(hou)還(huan)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)繼(ji)續不(bu)(bu)斷的(de)(de)(de)喝(he)咖(ka)(ka)啡(fei)，終(zhong)于使得病(bing)(bing)(bing)情雪上(shang)(shang)加霜快(kuai)(kuai)速的(de)(de)(de)惡化，等到(dao)來(lai)(lai)我(wo)(wo)(wo)這(zhe)(zhe)時(shi)(shi)，已經(jing)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)奄(yan)奄(yan)一(yi)息，只(zhi)(zhi)剩下(xia)最(zui)后(hou)一(yi)口氣(qi)，如(ru)果一(yi)開始被查(cha)出得到(dao)胰臟(zang)癌時(shi)(shi)，他(ta)(ta)的(de)(de)(de)醫(yi)(yi)師就(jiu)(jiu)告(gao)訴他(ta)(ta)立刻停止喝(he)咖(ka)(ka)啡(fei)吃甜(tian)(tian)食的(de)(de)(de)話(hua)，病(bing)(bing)(bing)情將(jiang)不(bu)(bu)致(zhi)于惡化得如(ru)此之(zhi)快(kuai)(kuai)，如(ru)此到(dao)我(wo)(wo)(wo)手上(shang)(shang)之(zhi)時(shi)(shi)，可(ke)(ke)能(neng)還(huan)有(you)(you)(you)解(jie)決辦(ban)法，我(wo)(wo)(wo)治(zhi)(zhi)療同(tong)(tong)樣(yang)被西醫(yi)(yi)認定是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)胰臟(zang)癌的(de)(de)(de)病(bing)(bing)(bing)人(ren)(ren)(ren)，使用(yong)處方都(dou)不(bu)(bu)盡相同(tong)(tong)，有(you)(you)(you)用(yong)過(guo)旋覆(fu)花代赭石湯(tang)，有(you)(you)(you)用(yong)過(guo)黃(huang)土湯(tang)，也(ye)用(yong)過(guo)當(dang)歸四逆湯(tang)加吳(wu)茱萸生姜湯(tang)，還(huan)有(you)(you)(you)就(jiu)(jiu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)現(xian)在(zai)用(yong)的(de)(de)(de)干(gan)姜黃(huang)芩黃(huang)連人(ren)(ren)(ren)參湯(tang)來(lai)(lai)做(zuo)(zuo)加減，也(ye)用(yong)過(guo)小(xiao)柴胡湯(tang)等，西醫(yi)(yi)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)同(tong)(tong)病(bing)(bing)(bing)同(tong)(tong)治(zhi)(zhi)，中醫(yi)(yi)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)同(tong)(tong)癥同(tong)(tong)治(zhi)(zhi)，就(jiu)(jiu)像今(jin)天(tian)(tian)這(zhe)(zhe)病(bing)(bing)(bing)人(ren)(ren)(ren)跟我(wo)(wo)(wo)抱怨(yuan)說有(you)(you)(you)右下(xia)腹痛(tong)(tong)(tong)，而(er)且是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)拒按(an)，也(ye)就(jiu)(jiu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)實癥，但是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)此處是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)陽實，不(bu)(bu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)陰(yin)實，當(dang)然(ran)比較好處理(li)，如(ru)果病(bing)(bing)(bing)人(ren)(ren)(ren)服用(yong)我(wo)(wo)(wo)今(jin)天(tian)(tian)開的(de)(de)(de)薏苡附子(zi)敗(bai)醬散成功的(de)(de)(de)痛(tong)(tong)(tong)減少(shao)，就(jiu)(jiu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)病(bing)(bing)(bing)情轉為(wei)陽實癥，也(ye)就(jiu)(jiu)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)我(wo)(wo)(wo)們可(ke)(ke)以(yi)(yi)據此而(er)判定病(bing)(bing)(bing)人(ren)(ren)(ren)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)救回來(lai)(lai)了(le)，依照(zhao)仲景學說，陰(yin)實者死，陽實是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)可(ke)(ke)以(yi)(yi)救治(zhi)(zhi)的(de)(de)(de)，希望(wang)天(tian)(tian)下(xia)所(suo)有(you)(you)(you)醫(yi)(yi)師都(dou)抱著科學精神，先假(jia)設我(wo)(wo)(wo)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)對(dui)(dui)的(de)(de)(de)，建(jian)議胰臟(zang)癌病(bing)(bing)(bing)人(ren)(ren)(ren)立刻停止喝(he)咖(ka)(ka)啡(fei)吃甜(tian)(tian)食，然(ran)后(hou)看(kan)(kan)看(kan)(kan)病(bing)(bing)(bing)情惡化的(de)(de)(de)速度是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)否減慢(man)下(xia)來(lai)(lai)，如(ru)果減緩就(jiu)(jiu)證明(ming)我(wo)(wo)(wo)是(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)對(dui)(dui)的(de)(de)(de)，這(zhe)(zhe)只(zhi)(zhi)對(dui)(dui)病(bing)(bing)(bing)人(ren)(ren)(ren)更有(you)(you)(you)利(li)的(de)(de)(de)，為(wei)何不(bu)(bu)做(zuo)(zuo)呢?
一(yi)(yi)位金發(fa)碧(bi)眼的(de)(de)美(mei)女，36歲，其父(fu)親陪同(tong)她(ta)來看我(wo)，尚未問(wen)診就看見她(ta)一(yi)(yi)直不(bu)(bu)(bu)斷的(de)(de)搖頭晃(huang)腦，我(wo)問(wen)她(ta)怎么(me)發(fa)生(sheng)(sheng)(sheng)(sheng)的(de)(de)?她(ta)說自今年初(chu)開始至今，我(wo)問(wen)她(ta):[發(fa)病(bing)(bing)(bing)之(zhi)(zhi)前(qian)妳是(shi)(shi)否有吃(chi)(chi)過(guo)(guo)什(shen)么(me)西(xi)(xi)藥(yao)(yao)(yao)(yao)(yao)?]，她(ta)說:[吃(chi)(chi)過(guo)(guo)一(yi)(yi)種(zhong)叫做Cymbalta的(de)(de)抗(kang)憂郁(yu)(yu)藥(yao)(yao)(yao)(yao)(yao)物(wu)，吃(chi)(chi)約二(er)個半月，之(zhi)(zhi)后(hou)停下二(er)個月后(hou)就發(fa)生(sheng)(sheng)(sheng)(sheng)這種(zhong)病(bing)(bing)(bing)了。]，她(ta)說:[之(zhi)(zhi)前(qian)她(ta)找(zhao)過(guo)(guo)明(ming)尼(ni)蘇達州一(yi)(yi)位西(xi)(xi)醫(yi)，他也(ye)立(li)刻跟我(wo)ㄧ樣(yang)問(wen)她(ta)吃(chi)(chi)過(guo)(guo)什(shen)么(me)西(xi)(xi)藥(yao)(yao)(yao)(yao)(yao)，中(zhong)(zhong)西(xi)(xi)醫(yi)都有同(tong)樣(yang)的(de)(de)疑慮，但是(shi)(shi)那位西(xi)(xi)醫(yi)不(bu)(bu)(bu)敢寫下病(bing)(bing)(bing)歷，只敢說可能(neng)是(shi)(shi)西(xi)(xi)藥(yao)(yao)(yao)(yao)(yao)造成(cheng)的(de)(de)。]，我(wo)聽(ting)完后(hou)就告(gao)訴(su)她(ta)，我(wo)ㄧ點也(ye)不(bu)(bu)(bu)奇怪他會(hui)如此做，因為(wei)他不(bu)(bu)(bu)愿意(yi)得(de)罪西(xi)(xi)藥(yao)(yao)(yao)(yao)(yao)廠，得(de)罪他們的(de)(de)后(hou)果都不(bu)(bu)(bu)好(hao)，誰愿意(yi)犧(xi)牲呢?但是(shi)(shi)我(wo)卻看到(dao)了此女的(de)(de)一(yi)(yi)生(sheng)(sheng)(sheng)(sheng)就毀在這個西(xi)(xi)藥(yao)(yao)(yao)(yao)(yao)上(shang)，這就是(shi)(shi)活生(sheng)(sheng)(sheng)(sheng)生(sheng)(sheng)(sheng)(sheng)的(de)(de)人間悲劇，如果我(wo)無(wu)法幫她(ta)，她(ta)將沒有未來了，所以只有我(wo)最笨，最胡涂，要去得(de)罪西(xi)(xi)藥(yao)(yao)(yao)(yao)(yao)廠，真是(shi)(shi)吃(chi)(chi)飽飯沒事干。這種(zhong)因為(wei)服用抗(kang)憂郁(yu)(yu)藥(yao)(yao)(yao)(yao)(yao)物(wu)后(hou)產生(sheng)(sheng)(sheng)(sheng)晃(huang)動的(de)(de)后(hou)遺癥我(wo)是(shi)(shi)看多了，這類藥(yao)(yao)(yao)(yao)(yao)物(wu)傷到(dao)肝臟，肝為(wei)風(feng)(feng)臟，風(feng)(feng)主(zhu)動，故病(bing)(bing)(bing)人搖晃(huang)不(bu)(bu)(bu)止，是(shi)(shi)肝風(feng)(feng)內(nei)動的(de)(de)現(xian)(xian)象，藥(yao)(yao)(yao)(yao)(yao)物(wu)用平肝氣，鎮驚之(zhi)(zhi)類的(de)(de)藥(yao)(yao)(yao)(yao)(yao)物(wu)，同(tong)時病(bing)(bing)(bing)人里陽上(shang)浮，無(wu)法內(nei)守(shou)，陽貴在要密，所以必須同(tong)時將陽氣內(nei)斂起來才(cai)行。讀者(zhe)現(xian)(xian)在看到(dao)這個案例時，是(shi)(shi)否體會(hui)到(dao)我(wo)說的(de)(de)西(xi)(xi)藥(yao)(yao)(yao)(yao)(yao)是(shi)(shi)魔，中(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)是(shi)(shi)佛呢?你是(shi)(shi)繼(ji)續迷信西(xi)(xi)藥(yao)(yao)(yao)(yao)(yao)呢?還是(shi)(shi)喜歡中(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)了呢?每天都有非常好(hao)的(de)(de)案例出現(xian)(xian)，實在是(shi)(shi)因為(wei)太忙(mang)而無(wu)法一(yi)(yi)一(yi)(yi)盡述(shu)給讀者(zhe)聽(ting)，只能(neng)盡我(wo)能(neng)做多少(shao)的(de)(de)就做多少(shao)了。
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