Path of Medicine With a System

Chrysanthemum, there are many poems about chrysanthemums, but in modern times, the more famous one is this one: When autumn comes and September 8th, I will kill all the flowers after they bloom. The fragrance of the sky penetrates Chang'an, and the whole city is covered with golden armor.

Moreover, I don't know which great god used the chrysanthemum as a metaphor for the anus. This great god is very good, and the description and metaphor of anus are very good. Not in the medical field, probably specialized in anal and anal-related professional work.

Otherwise, ordinary people would never be able to describe such an apt metaphor. Why is the chrysanthemum described as an anus, not a lily, not a morning glory?

There are two types of flowers on the chrysanthemum inflorescence, one of which is the simple chrysanthemum, commonly known as the "flower heart". There is room 1 under the house, and the stamens of the medicine are gathered around the main flower.

This is the kind of flower that looks like an anus. Especially the tight anus is very similar.

The anus has a complex structure. It is about 4cm long, and when it extends from the rectum to the anus, it begins to thicken, as thick as the lips. And a vertical anal column.

The mouth has teeth, and the anus has an anal column, just like teeth opening from the throat, and the anal column is such a muscle cord, just like a toothless old man or old lady. It is not an exaggeration at all. In some strange diseases, anal teeth will appear, and these teeth come out of the anal column.

It is estimated that Nuwa was lazy when she created a human being, so she used her mouth as a template to make an anus.

People are so strange, things that were originally irrelevant, but after careful analysis, you will find that they come from the same source.

For example, the kidney and the testicle (a) are cousins, and the kidney is almost an enlarged version of **. The two of them played close together until the moment before birth.

There is a rich sublingual venous plexus under the tongue, and a super-developed rectal and internal and external venous plexus in the anus. How developed the venous plexus at this end is, it is almost a spider web lying around the anus.

At present, there are many theories on the etiology of hemorrhoids, such as the theory of falling and varicose veins, but they are all inseparable from the venous plexus.

Sitting and standing for a long time, squatting for half an hour when you go to the bathroom to watch your mobile phone, and foreign objects plugged in the anus are the main culprits of hemorrhoids.

Many people have a white wine feast the first day, not to mention a headache the next day, and the anus also hurts. This is because a large amount of irritating food can cause congestion at the end of the blood vessel.

Over time, the blood vessels were enlarged and thickened by the blood, and then congested, and then the congested blood vessels took the surrounding fat and turned into a bag.

Suddenly one day, this bag suddenly fell out of the anus and hung in the anus like a ball, which is the source of prolapsed hemorrhoids.

Hemorrhoid prolapse not only looks weird, but also very painful, like twisting pain after incarceration. It can make a strong man cry for his father and mother, crying and screaming: Yao! youngest! youngest!

What a hero has no tears, let him have a prolapse and incarceration try.

There is a white line at the anus, which tightens the place where the intestine is derived like a rubber band. This is the dividing line of the famous internal and external hemorrhoids.

Above the white line are internal hemorrhoids, and below the white line are external hemorrhoids. Of course, since there are internal and external hemorrhoids, there is a mixture.

Anal fistula is a disease that finds another way. 90% of anal fistulas are caused by perianal abscesses. This thing is to open a hole in the buttocks directly to the intestines, forming an anus without anal column!

Anal fistula treatment is very troublesome. If there is an incision treatment, the lumen is directly violently incised, allowing the body to grow new granulation to block it, which is very painful.

The second is hanging thread therapy. Use a rubber band or a caustic medicine thread to enter from the fistula opening on the buttocks, then pass through the rectum and finally exit from the anus, and then it is tightened.

In fact, it is to tie up the tissue in the anal fistula channel with a rope, let it die due to ischemia, and then rely on the body to regenerate new tissue.

The third way is to directly cut off the entire fistula tract. Originally, the toothpick-thin channel is cut into a chopstick-thick channel, and then sutured.

The most frightening thing is complicated anal fistula, which cannot be treated. It can only be drained by hanging a line. In technical terms: living with a fistula is also a safe choice. All the way, all the way smelly!

Because of some special anal fistulas, once the estimation is insufficient, the levator ani muscle is damaged during treatment, which is a big deal. Maybe taking a breath of cool air can spray feces from the anus.

"Lift up the bed!" Zhang Fan said to the itinerant nurse after tidying up, standing in front of the operating bed and making gestures. The advanced operating bed is like a tower crane. Below it is the kind of cross-triangular hydraulic steel bars. After being slowly unfolded by electric remote control, the bed will rise.

The old-fashioned operating bed is like an old-fashioned cannon. When the bed is raised, the itinerant nurse has to hold the disc with the handle and rotate it. Because there is no booster, people with no strength in their arms can't shake it at all.

After adjusting the operating table, Zhang Fan started the operation, which is very simple to do.

Use a guide wire that has a certain hardness but can be turned, like a thin guide wire like a hard plastic rod, with a silk thread tied at one end, and slowly enter.

Anal fistula is not necessarily a straight line. It is like a bullying person. When it encounters a place with rich vascular plexuses and a lot of immune factors in the system, it will go around.

Zhang Fan slowly inserted the plastic rod into the anal fistula. This must not be rushed, otherwise it would either go the wrong way or insert it into the normal fat layer.

This kind of surgery is usually performed by married doctors, and unmarried doctors can't do it, especially single Wang, who doesn't know what it means to take it slowly. And because Zhang Fan has a system, he will.

The guide wire with silk thread entered the anal fistula little by little, and Zhang Fan approached the patient's anus, that is to say, disinfected, otherwise Xun would have died of fumigation.

Zhang Fan closed his eyes, and felt the direction of the guide wire through the feeling of his hands. Inserting it bit by bit, when he suddenly felt a breakthrough, Zhang Fan knew that the guide wire had entered the rectum at this time.

Even the textbooks say it is a sense of breakthrough, but what is a sense of breakthrough. Inserting into the normal fat layer is also a breakthrough, and protruding from the fistula is also a breakthrough.

How do novice doctors understand it? Really, this kind of feeling can only be experienced after getting married. For example, when you play with a balloon, the moment you pop the balloon with your finger is a sense of breakthrough.

Those who don't understand will never understand, and those who understand will understand as soon as the teacher says it.

For example, Zhang Fan closed his eyes now, felt the breakthrough sensation from the guide wire, and he understood that it had entered the rectum, and absolutely did not enter the fat.

After entering the rectum, you have to be more careful. The wall of the rectum is very thin. It is easier to insert the fat layer here.

Feeling, experience, surgery under such unvisualized conditions are too important. It is absolutely true that one more operation can result in one more operation.

Experience can be practiced through work.

And the cultivation of hand feel is very troublesome. It is necessary to practice more and practice more, but not too much practice.

For example, the sensory system of the belly of the hand is the most sensitive, but once it is used too much, the skin of the belly of the hand will become keratinized and the sensitivity will decrease.

So Zhang Fan never comes to do housework at home, just to keep the skin of his hands sensitive.

After entering the rectum, Zhang Fan then used gentle force to turn the guide wire from the opening, parallel to the rectum. This is a small difficulty. What is kneading energy? For example, when you are arguing with your wife, you push her and then pull towards your arms with a little force. This is soft energy.

"Tweezers!" Zhang Fan said to Zhuang Hongxu when he felt that the anus was approaching.

Zhuang Hongxu quickly handed the tweezers to Zhang Fan. Release the closure, the toothed forceps slightly opened the small mouth, and then inserted it along the anus, and when the toothed forceps entered about three or four centimeters, propped it open.

It is directly a simple anal spreader.

"It's coming out, it's coming out." The roving nurse's sharp eyes saw the black guide wire for the first time. Zhang Fan pulled the thread at the head of the guide wire to align with the tail of the guide wire in his hand.

Here comes the difficulty of the operation. Although the front is difficult, there are traces to follow. But the last step is really all based on experience.

Not only Zhuang Hongxu, but even the doctor in charge of the bed watched Zhang Fan's operation with wide-eyed eyes.

Holding the guide wire in one hand and the rubber band in the other, Zhang Fan slowly began to operate...

The eyes of several assistants were getting bigger and bigger. This step of the operation is the most critical step. The previous director could not explain it at all, but Zhang Fan opened his mouth at this time! ~

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