Combination of Chinese and Western medicine for lung cancer

  The patient was a 66-year-old female with cough, sputum, blood in sputum and chest pain with shortness of breath for 3 months. Results: 5cm sized mass in the right hilar of the lung with enlarged mediastinal lymph nodes. Bronchoscopy was performed to find neoplasm in the bronchus of the middle section of the right lung and the opening of the bronchus of the lower lung. The biopsy result: squamous cell carcinoma, moderately differentiated, clinical stage IIIB. Initially, simultaneous radiotherapy and chemotherapy were proposed, but the patient and family refused because of the toxic side effects, so the treatment plan was revised to radiotherapy plus adjuvant chemotherapy. The radiation therapy was administered by three-dimensional conformal technique, and the target area included the tumor and the positive lymph node drainage area in the mediastinum, the hilar and seventh station lymphatic drainage areas were routinely included in the field, the supraclavicular lymphatic drainage area was not routinely irradiated prophylactically, the PTV was 0.5cm outside the CTV, and the radiation dose was 60Gy/30f/6w at >95% PTV. The radiation therapy was still smooth, but during the radiotherapy period, there was II degree myelosuppression and gastrointestinal reactions, which resolved after symptomatic support treatment. Adjuvant chemotherapy was started 1 month after radiotherapy with TP (docetaxel 75 mg/m2 d1 and carboplatin AUC 5 d1) for four cycles. Three months after radiotherapy, the tumor almost completely disappeared, but the right lung radiotherapy area showed fibrous changes with exudation, and the adjacent pleura was mildly thickened with a small amount of pleural effusion, and the clinical diagnosis was radiation pneumonia.  At the time of consultation, the patient was still breathing steadily when calm, but shortness of breath was obvious after activity, with coughing, coughing sputum, light pain in the right chest, no panic, palpitations, weakness of both lower limbs, abnormal sensation and activity in the morning, slightly poor sleep, epigastric distention and fullness, obvious after meals. The patient’s tongue is large, reddish and pale, most obvious at the tip of the tongue, dark red at the edges and slightly dry in the center, with little white and slightly yellowish coating. The pulse is sunken and thin in the right inch and sunken and slightly stringent in the guan-rule. The patient’s symptoms include shortness of breath after activity, weakness of the lower limbs and laziness, and a reddish tongue with pale color and bruises on the edges, with a sunken, thin and slightly stringent pulse. Prescription 1: 10g of Radix Polygoni Multiflori, 15g of Ophiopogonis Macrocephalae, 10g of Salviae Miltiorrhizae, 10g of Radix et Rhizoma Ginseng, 10g of Rhizoma Atractylodes Macrocephalae, 10g of Radix Astragali, 10g of Radix Paeoniae Alba, 10g of Eucommiae, 10g of Radix et Rhizoma Polygalae, 10g of Fructus Houpao, 15g of Fried Semen Germinatus, 15g of Jiao Shen Qu, 6g of Glycyrrhiza Uralensis. After taking 3 doses, the patient’s cough, sputum and asthma improved, and weakness and abdominal distension The weakness and abdominal distension were significantly reduced. After taking 7 more doses, the patient’s symptoms and condition stabilized. Later, the patient developed blood in sputum after catching a cold. At the time of consultation, the patient’s tongue was large, red in texture, dark red at the edge of the tongue, with little yellowish coating. The pulse was floating at the right inch and the ulnar part was sunken and slightly stringent. Prescription 2: Scutellaria baicalensis 10g, Huanglian 10g, Dampi 10g, Radix et Rhizoma ginseng 10g, Dahurica dahurica 10g, Gui Zhi 10g, Fangfeng 10g, Zhi Mu 10g, Bai Shao 10g, Platycodon grandiflorus 10g, Lily 10g, Gardenia 10g, Angelica sinensis 10g, Yam 15g, Sangbai Pi 15g, Moxibustion licorice 6g, Atractylodes macrocephala 10g, Poria 10g. After taking 6 doses, the patient’s cough, sputum and The cough, cough and shortness of breath were significantly relieved, the sputum and blood stopped, and the weakness and abdominal distension were also relieved. The outpatient sees that the patient is moving freely. The tongue is red, without coating, with a watery smooth tongue. The pulse is sunken and thin, with little force at the inch and slightly string at the ruler. He changed prescription three and kept taking it, and received more satisfactory results.  Mai Dong 15g, Dan Shen 10g, Xuan Shen 10g, Yu Zhu 10g, Dan Pi 10g, Sheng Di Huang 10g, Zhi Mu 10g Bai Shao 10g, Mandarin 10g, Lily 10g, Angelica 10g, Yam 15g, Sang Bai Pi 15g, Moxibustion Gan Cao 6g, Bai Zhu 10g, Fu Ling 10g, Cuscuta 10g, Bai Hua Shi Tong Cao 15g. Press: In this case, the patient’s evidence is seen in shortness of breath after activity, lazy The patient has a reddish tongue with pale, bruised edges and a sunken, thin, slightly stringent pulse, which is due to the deficiency of lung and kidney yin. CT examination in Western medicine revealed radiation pneumonia after radiotherapy and chemotherapy for lung cancer. After administering drugs to nourish lung and kidney yin deficiency, pacify the liver and relieve depression, and harmonize the spleen and stomach, the symptoms were significantly relieved. Later, due to wind and cold, he developed blood in sputum, deficiency heat and floating pulse. Later, he continued to use medicines to nourish the Yin of the lung and kidney, to clear and lower the lung Qi and to regulate the Qi and Blood for maintenance.