What is an abscess?
Before explaining this problem, we must talk about pus. Without pus, there would be no abscess. Pus accumulates like a reservoir and turns into an abscess.
Where does pus come from?
Pus is the "stuff" that forms during inflammation of body tissues.
This "stuff" is a thick or watery mixture visible to our naked eyes, basically in liquid form.
The specific components contained in it are mainly pus cells.
Pus cells are white blood cells that are sacrificed in the fierce battle between the human body and bacteria.
In addition to pus cells, there are a large number of bacteria, necrotic tissue fragments and exudate.
From the above descriptive text, we can draw a conclusion that it is produced by the inflammatory process of the human body, but not necessarily.
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Does inflammation necessarily produce pus? Not necessarily.
In terms of Western medicine and Chinese medicine, when there is inflammation but no pus or abscesses, anti-inflammatory treatment is the main treatment.
Especially in traditional Chinese medicine surgery, it is clearly stated that the elimination method is appropriate at this stage.
Another question arises, if pus and abscesses are formed, is it impossible to reduce inflammation?
That is also incredibly wrong.
If the above statement is still difficult to understand, let’s take an example of a common disease that is known to almost everyone: acne on the face.
Pustular acne is the most common type of pustules.
We know that pustules will burst on their own when they grow to a certain stage.
Regardless of whether the pustules and acne break out on their own, the doctor will generally prescribe you an antibiotic ointment or even an oral antibiotic. This shows that it is correct to use antibiotics to treat the inflammation process in the human body from beginning to end.
So is it wrong for Dr. Ma to prescribe the anti-inflammatory injection?
Let me use this example to illustrate another point that we all know, which is often reported in the news. Some people have acne pustules that have not broken and need to go to the hospital for surgery to remove them.
This shows that if the abscess does not burst on its own, it will be useless to ignore it and only take anti-inflammatory measures. In the end, surgery will be needed and a large scar will be left.
That is to say, when the abscess reaches a certain stage, if it does not burst on its own, surgical intervention is required. Both Western medicine and Chinese medicine have very clear research results on this point: the abscess must be cut open and drained.
Do you think Dr. Ma doesn’t understand the above statement? He absolutely cannot say he doesn’t understand.
Now comes the most critical question: how to judge what stage the abscess is at.
Being stared at expectantly by Dr. Xie and Dr. Wen, as if he were being stared at by a teacher in class, Dr. Ma recalled the classroom knowledge and suddenly realized that he had made an elementary mistake.
Is it enough to just observe with a medical flashlight?
In a medical examination, palpation is the most important thing in this case. So you can understand why the gold standard for physical examination of appendicitis is palpation of McBurney's point.
If you have appendicitis, it is not impossible for you to rely on more advanced medical equipment such as a CT machine to do the physical examination instead of your doctor.
If you order a CT scan for a small abscess like this, you will be laughed at by everyone in the clinic. It will make you look like you are a super incompetent surgical diagnostic technician. Because this abscess is not like appendicitis, which grows outside and your doctor can touch it at any time to make a diagnosis.
If it really can't, it will be just as the common people mock, that with the machine you doctors won't be able to treat patients and are useless.
In summary, Dr. Ma should have worn gloves to palpate the abscess. Visual examination alone cannot identify the abscess in detail. It is necessary to feel the fluctuation of the abscess and observe the patient's specific pain before making a judgment.
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