The Thirty-Six Stratagems is the first book in the history of Chinese military science devoted to the art of military “trickery” and has traditionally been regarded as a treasure trove of military tactics. Nowadays, “The Thirty-Six Stratagems” has gone far beyond the scope of military struggle and has been widely used in various fields. Whether it is the unpredictable business world or the complex and diverse interpersonal relationships, you can learn from it. The sixth stratagem is called “Sounding East and Striking West”, which means to attack here while in fact attacking there. This is to create a false image to give the enemy the illusion of a strategy to win by surprise, the false image does not hurt the enemy, but the real action in the dark is the specific action to control the enemy. Recent research has found that many tumors in the human body will also this trick. At this time, if we are blinded by him and simply “treat the headache and the foot”, we will delay the disease and make a big mistake. Now, the usual “deceptive means” of these tumors will be “exposed” to help you shine your eyes and identify the “real culprit”. Recently, Mr. Liu had fever, cough and weakness for unknown reasons for three days, and he could not eat and lost a lot of weight. When he has a fever, he eats compound aspirin, the fever will soon recede, but it will soon return. Mr. Liu wondered why this cold was so difficult to deal with. So, he came to the downtown hospital and asked for a full examination. When the doctor examined him, he found that the lymph nodes in his neck and armpits were swollen, so he was given lymph nodes for pathological examination. It turned out that the “culprit” of the fever was non-Hodgkin’s lymphoma. Expert comment: Lymphoma is a malignant tumor that occurs in the lymphatic reticular cells, mainly located in the lymph nodes. Non-Hodgkin’s lymphoma is particularly prevalent in our patients, who not only have painless enlargement of bunches of lymph nodes in the neck, armpit or groin, but also often have inexplicable periodic fever, sweating, cough, shortness of breath, weight loss, lethargy and other flu-like symptoms. Therefore, in the face of these early traces, X-rays, ultrasound, CT and other examinations should be done promptly to clarify the diagnosis, and it is best to take a lymph node biopsy for pathological examination. 2.Hepatocellular carcinoma hidden behind low blood sugar Xiao Ming, who has just returned to China from MBA abroad, is the vice president of a large listed company in China. He was busy with various social engagements all day long, and his work was very prosperous. However, recently he always feels unwell, dizzy, sleepy and want to sleep. A few days ago, Mr. Xiao suddenly fainted during a presentation, and everyone rushed him to the hospital. A blood test revealed that his blood glucose was only 2.4mmol/L, nearly two times lower than normal. Mr. Xiao usually pays more attention to reasonable diet and nutrition, how could he have serious hypoglycemia? After a comprehensive examination, it was found that primary liver cancer was playing a role. Expert comment: Primary liver cancer is a kind of malignant tumor with extremely high malignant degree, which is intimidating. It often manifests as vague pain and weakness in the liver area, gradual loss of weight or symptoms such as low fever, loss of appetite and abdominal fullness. In addition to the above symptoms, some tumors also cause some specific systemic symptoms outside the liver. Such as abnormal changes of endocrine, neuromuscular, connective tissue, blood system and blood vessels, hypoglycemia is one of them. Research shows that about 19.1% to 36.4% of liver cancer patients have hypoglycemia as a complication. The clinical manifestations are general weakness, excessive sweating, dizziness or with mental disorder. This is due to ectopic secretion of insulin or secretion of an insulin beta-cell stimulating factor by hepatocellular carcinoma cells, which causes hypoglycemia. In addition, some scholars believe that the hypoglycemic response occurs because liver cancer tissues can utilize glucose but cannot manufacture it. Therefore, when the above symptoms of the organism appear, especially for those who have a history of hepatitis cirrhosis and intestinal parasites, they should not just stay on the surface of the symptoms, but should promptly do abdominal ultrasound or CT and other examinations to exclude liver cancer. 3.Stomach cancer that looks like skin disease Hao Ran, who is past his prime, has long skin and looks like a young man of 27 or 28 at first glance. Recently, he found that red spots, capillary dilation and pigmentation appeared on the back of his hands for unknown reasons. He then went to a clinic near the company to see a doctor, said he had a skin disease, and gave him some ointment to wipe. However, after a week, not only did not work, but Hao Ran felt that the arm muscles were also sore, swollen and uncomfortable, and even sometimes the movement of the arm was a little disobedient. He felt that he could not delay any longer, so he went to the hospital for examination. After the doctor’s examination, he finally found out the real root of the disease – it was the stomach cancer that was “doing evil”. Expert comment: Stomach cancer is one of the malignant tumors that seriously endangers people’s health. Patients with gastric cancer often suffer from upper abdominal distension and pain, nausea and loss of appetite. In recent years, it has been found that some patients with gastric cancer do not have obvious gastrointestinal symptoms, but mainly have “extragastric” manifestations. The first “extragastric” manifestations of common gastric cancer mainly include: (1) Recurrent thrombophlebitis: it is manifested as pallor, coldness, soreness and weakness, intermittent claudication, and abnormal sensation, including numbness, tingling and burning sensation of limbs. (2) Acanthosis nigricans: skin pigmentation, especially in both axillae. (3) Dermatomyositis: erythema and capillary dilation, pigmentation on the exposed part or the back of the joint; swelling, pressure pain and movement disorders in the muscle. (4) Carcinoid syndrome: manifested as wheezing or asthma-like inhalation difficulty, paroxysmal tachycardia, watery diarrhea, skin flushing, etc. These special symptoms of carcinoid tumor may appear before the detection of gastric cancer, and some special symptoms of carcinoid tumor may disappear after removal of the cancer. Recently, Uncle Zhang, who is over 60 years old, was stuck with pain in his right leg. Since leg and foot pain is common among the elderly, Uncle Zhang asked his daughter to buy painkillers from the pharmacy, but after taking them for more than 10 days, he still felt that they did not work and he could not sleep at night because of the pain. X-rays revealed that the lower end of Zhang’s right tibia had been partially damaged. The doctor also told Zhang to have a CT examination of his head and lungs, and the CT film showed a mass in the left lung. In order to further clarify the diagnosis, a tracheoscopy was performed. As a result, it turned out that Uncle Zhang had small cell lung cancer. Expert comment: After getting lung cancer, most patients will have typical symptoms such as cough, blood in sputum, hemoptysis and vague chest pain. However, there are some patients, especially the elderly, who have symptoms or signs of organs other than the lungs first. In particular, small cell lung cancer is very insidious and “cunning”. When the lung cancer is small, the cancer cells can metastasize to the liver, brain and bones through blood and other channels. If the bone and periosteum are attacked by cancer cells, bone or joint pain will occur. This reminds us that if elderly people usually have no history of arthritis, or have had arthritis in the past but have been cured, and have bone or joint pain recently, and it is ineffective after taking painkillers or anti-rheumatic drugs, they should go to the hospital for examination by a specialist in time. 5, painless jaundice – beware of pancreatic cancer “strange” Recently, colleagues feel that the manager Liu’s face yellow, so they asked him if he was not feeling well? He said it might be because of the heavy workload during this period, and he would be fine after this period. However, as time goes by, Mr. Liu’s whole body skin is getting more and more yellow, and his appetite is not good, his stomach is also bloated, and he also feels weak. Colleagues said, could it be that you have hepatitis, or hurry to the hospital to check it out. When he went to the hospital, he was surprised that he had advanced pancreatic cancer and lost the best time for surgery, so his colleagues sighed. Expert commentary: pancreatic cancer is a very high malignant tumor, the onset of which is mostly between 40 and 60 years old. Especially in the head of the pancreas, jaundice appears earlier and progresses faster, jaundice will deepen day by day, the discharged stool is clay-colored, and there are symptoms such as epigastric distention and itching of the skin. In the face of this painless jaundice, it must not be easily mistaken for hepatitis. Ultrasound, CT, MRCP (magnetic resonance cholangiopancreatography), EUS (ultrasound endoscopy) and other tests should be done promptly to strive for early diagnosis and treatment so as not to delay treatment. The doctor told him that the normal value for a normal adult male is 120 g/L and his case is moderate anemia, suggesting him to do further examination in order to find out the cause of The doctor told him that the normal value for an adult male is 120 g/L, and suggested that he should undergo further tests to find the “culprit” behind the anemia. But he thought the doctor was making a big deal out of it, so he went to the pharmacy and bought some blood supplements on his own to eat. After a few months of eating, not only no effect, but increasingly pale, and also dizziness, weakness aggravated. It was only then that Wang was alerted and rushed to the hospital for examination. The company’s main business is to provide a wide range of products and services to its customers. The disease has progressed to an advanced stage. Expert comment: According to incomplete statistics, 70% of elderly people over 60 years old have varying degrees of anemia, 10% to 40% of anemic patients may be combined with some kind of tumor, clinically there are many tumor patients with anemia as the first symptom, especially when suffering from myeloma, lymphoma, stomach cancer, lung cancer, ovarian cancer and kidney cancer, the incidence of anemia can be as high as 50% to 60%. Multiple myeloma, also known as plasma cell myeloma, is a proliferation of malignant monoclonal plasma cells in the bone marrow, with a peak incidence between the ages of 50 and 80. It is often combined with anemia, hypercalcemia, multiple osteolytic damage, and renal failure. Therefore, when facing middle-aged and elderly patients with anemia, it is important to pay high attention and examine them carefully in order to detect certain potential malignancies in time.