[Review of the condition] Patient, male, 55 years old. Last year, he went to the hospital for chest pain and found a pulmonary nodule, about 30mm in size, with smooth edges. After a puncture, it was benign.

[About the author] Guo Wei, PhD in Traditional Chinese Medicine from Shandong University of Traditional Chinese Medicine, Deputy Chief Physician of Shandong Xinzhonglu Traditional Chinese Medicine Hospital.

[Condition review] Patient, male, 55 years old. Last year, the patient went to the hospital for chest pain and found a lung nodule, about 30mm in size with smooth edges. He underwent puncture and found it to be benign. After further examination at the hospital, bronchoscopy and puncture were performed. The pathological results were chronic inflammation, and hormone therapy was recommended for 3 months. Then I considered taking traditional Chinese medicine for treatment. The patient reported pain in the right shoulder, pain in the right flank, no chest tightness, shortness of breath, and no cough, but pain in the right shoulder and ribs. The patient was a non-smoker, had unformed stools for three to four months, and had stomach pain. Smellous stool and poor digestion. Pathology showed that the size of the lung nodules was 31mm x 22mm, and there were also gallbladder polyps . The tongue was purple and dark, and the tongue coating was white and greasy.

[Syndrome Differentiation and Treatment] Traditional Chinese medicine diagnoses as chest obstruction. The syndrome is phlegm and blood stasis. The treatment is to resolve phlegm and blood stasis, clear the lungs, regulate qi, disperse stagnation and relieve pain. Choose Gua Trichosanthes, Xiebai Zhishi Decoction combined with and consistent decoction of for treatment. Take the medicine continuously for 3 weeks.

[Effectiveness feedback] After taking the medicine for 3 weeks, the patient reported that the pain in the right shoulder and flank was mostly relieved, the stool began to take shape, and the fishy smell disappeared. The tongue becomes pale red and the tongue coating becomes thinner. CT review showed that the shadow of the lung nodule shrank to 25mm times 22mm. The patient was satisfied with the curative effect and asked him to continue taking the medicine.

[Note analysis] The nodule shadow in the lungs excludes the possibility of malignant tumors. Treatment with traditional Chinese medicine can still be effective. Nodules in the lungs are mostly caused by insufficient righteousness and phlegm and blood stasis. For treatment, drugs that can widen the chest, regulate qi, remove blood stasis and dissipate stagnation, such as Gualou Xiebai Zhishi decoction, plus Chuanxiong, salvia miltiorrhiza and other blood-activating and dissipating drugs are added as appropriate. In clinical practice, the righting drugs may be added according to the patient's condition. Taking into account both strengthening the body and dispelling evil. The patient in this case also had the problem of gallbladder polyps, so he chose the modified and subtracted treatment of Yiguijian. The prescription contained more yin-nourishing medicine . In order not to cause greasiness and phlegm, the dosage was strictly controlled. Then add Corydalis and so on to enhance the qi-regulating and pain-relieving effect of Melia toochean. Because the patient still has the problem of unformed and fishy stools, consider spleen deficiency and dampness , and then add Magnolia officinalis, Alisma, , Jiao Shenqu, Jiao Malt and other hydration and dampness, spleen-strengthening and digestion drugs as appropriate. Good effect.

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