Chinese medicine standardization during surgery, radiotherapy and chemotherapy

1.Surgery combined with TCM treatment Surgery is the main means of treating malignant tumors at present, but tumor surgery will definitely bring various injuries and complications to tumor patients because of the large resection area. Taking oral Chinese medicine before and after surgery can expand the indications of surgery and reduce the complications and sequelae of surgery. 1.1 Pre-operative Chinese medicine treatment: Before surgery, we can take some prescriptions to nourish qi and blood, or strengthen spleen and qi, nourish liver and kidney and calm the mind to enhance the patient’s physical constitution and stabilize the patient’s emotion, such as Siwu Tang, Tianwang Tonic Heart Dan and Sour Date Soup. 1.2 Post-operative Chinese medicine treatment: Surgery often damages qi and blood and affects the function of the internal organs. Post-operative manifestations of qi and blood deficiency or qi and yin injury, disharmony between the Ying and the Wei, and disharmony between the spleen and the stomach can be added to benefit qi and blood, nourish blood and produce muscle, supplemented with heat-clearing and detoxifying herbs to help patients recover strength, promote wound healing, and prevent infection. If the patient is suffering from poor appetite, abdominal distension and spleen and stomach disorder, Xiang Sha Liu Jun Zi Tang can be added and reduced; if the patient has obvious abdominal distension, constipation for several days, dry mouth, yellow thick and dry tongue coating, increase liquid and Cheng Qi Tang; if the postoperative patient has dripping sweat or sweating when moving, fear of wind, fatigue and weakness, the evidence of imbalance of Ying and Wei and deficiency of the surface, Yu Ping Feng San can be added and reduced; if the postoperative patient has dry mouth and tongue, nausea and little appetite, dry stool, red tongue without moss, sunken and thin pulse, the evidence of deficiency of stomach yin, the patient can take Sha Shen Shen Tang. Postoperative dry mouth and tongue, nausea and poor circulation, dry stools, red tongue without coating, sunken pulse and deficiency of stomach yin. If the tumor is difficult to heal and pus flowing after surgery, it is advisable to give herbs to benefit qi and detoxify, such as: Astragalus 30g, Radix Angelicae Sinensis 15g, Yinhua 18g, Forsythia 15g, Dampi 15g, Saponaria 15g, Radix Codonopsis 15g. In the process of radiotherapy, fever, oral ulcers, etc. often occur, and local congestion, edema, erosion and pain can occur in radiotherapy. Clinically, the formula of clearing heat and detoxifying and cooling blood, nourishing Yin and moistening dryness are mostly used to prevent and control hyperthermia and inflammatory reaction during radiotherapy. Commonly used drugs for clearing heat and detoxifying toxins include: Yinhua 12g, Lianjia 15g, Shandougen 6g, Sagittaria 6g, Panax notoginseng 9g, Dandelion 9g, Huanglian 6g (can be replaced by Horsetail Lian). The following formula is commonly used if the patient develops more serious mouth ulcers and throat ulcers during treatment: 30g of raw Astragalus, 12g of Dashengdi, 9g of Ginseng, 12g of Yinhua, 9g of Panax quinquefolium, 6g of Sanguisorba, 6g of Huanglian. one dose daily, decocted into 100ml of water, and taken once in the morning and once in the evening, 50ml each time. For patients with dry throat, dry mouth, dry tongue, dry stool, yellow urine and other heat toxins injuring yin and damaged fluids, while clearing heat and detoxifying toxins, nourishing yin and moistening dryness to produce fluids should be the method, commonly used formula is: Shengdi 9g, YuanShen 9g, MaiDong 12g, Dendrobium 12g, pollen 12g, rehmannia 15g. 1 dose daily with water decoction. 3, chemotherapy combined with traditional Chinese medicine treatment Patients in the process of chemotherapy can appear digestive disorders, organism weakness, bone marrow suppression and other toxic side effects, the treatment is roughly as follows: 3.1 digestive disorders most patients often appear after radiotherapy and chemotherapy stomach fullness, loss of appetite, nausea, vomiting, abdominal distension or abdominal discharge. The tongue is mostly seen to be fat and large, with thin, white, greasy or yellow tongue coating. Chinese medicine identifies this as spleen and stomach disharmony, and treatment is based on strengthening the spleen and stomach. For those who have poor appetite, weak spleen and stomach, and like hot drinks, we should give 15g of Radix Codonopsis, 12g of Atractylodes Macrocephala, 12g of Poria, 6g of Glycyrrhiza glabra, 9g of Pericarpium Citri Reticulata, 9g of Radix et Rhizoma Polygonati, 6g of Radix et Rhizoma Macrocephala, 6g of Radix et Rhizoma Saxifraga, and so on. If nausea, vomiting sour water, bitter water, most of the evidence of stomach heat, it is appropriate to use fried Chen Pi 6g, Qing Hanxia 9g, Poria 12g, bamboo rhizome 9g, Huang Lian (or Horsetail Lian) 6g, Madonnas 9g, loquat leaves 12g decoction; such as vomiting clear water, cold water, most of the evidence of spleen and stomach deficiency, it is appropriate to use fried Chen Pi 6g, Jiang Hanxia 9g, Poria 9g, moxibustion licorice 6g, Dang Shen 12g, clove 3g, persimmon 6g The symptoms should be reduced by adding 3 slices of ginger, 5 red dates, etc. 3.2 Weakness of the body: general fatigue, mental weakness, palpitation, shortness of breath, insomnia, sweating, dry throat, dry mouth, dry tongue and alopecia. For those who are weak in qi and blood and the symptoms are hot, such as cancer patients with qi and blood deficiency caused by excessive heat toxicity during radiotherapy, the method of cooling and tonifying qi and blood can be used, such as 30g of raw astragalus, 12g of sage, 9g of raw earth, 15g of salvia, 15g of salvia. Radix Angelicae Sinensis 9g, Radix Rehmanniae 9g, Radix Rehmanniae Sinensis 15g, Colla Corii Asini (melted) 9g, Panax Ginseng Powder 3g, Rhizoma Polygonatum 15g, Rhizoma Polygonatum 9g, Rhizoma Longan 9g, Red Date 5, etc., plus or minus. 3.3 Bone marrow suppression: The main symptoms are WBC decrease, platelet reduction and anemia, which generally belong to liver and kidney deficiency. 15g. Chinese patent medicines applied in conjunction with chemotherapy: Jian spleen and kidney punch 30g, taken orally twice a day. Zhenqi Fuzheng capsule 3-6 capsules, three times a day, orally. Ginseng and Astragalus tablets 3-4 capsules, three times a day, orally. Blood generating granules 8g, three times a day, orally. 3.4 Phlebitis caused by chemotherapy drugs: Erhuang Decoction with addition and reduction of external application, Huanglian 30g, Huangbai 30g, Hujian 30g, Dahuang 30g. 3.5 Liver function damage caused by chemotherapy: clinical manifestations are discomfort in the liver area, weakness, anorexia, abdominal distension and diarrhea with elevated SGPT. Chinese herbal medicine strengthens the spleen, enhances Qi, resolves dampness and eliminates turbidity. Commonly used formula: Yin Chen (later down) 12g, Fu Ling 15g, Pigmy 12g, Fried Atractylodes 12g, Ze Di 9g, Coix Seed 18g, Chen Pi 9g, Prince’s Ginseng 18g, Wu Wei Zi 6g, Hou Pu 12g, Citrus Aurantium 12g, Qing Han Xia 9g, Sheng Gan Cao 6g, Fructus Lycii 15g, Tiger Balm 12g, Dropsy 12g. 3.6 Chemotherapy-induced renal Damage: Clinical manifestations include decreased urine output, proteinuria, elevated urea nitrogen and creatinine, swelling of both lower extremities, thick tongue with white coating and slippery pulse. Chinese medicine is used to strengthen the spleen, tonify the kidneys, promote water retention and reduce swelling. Commonly used formula: Prince’s ginseng 18g, fried atractylodes 12g, poria 12g, poria 12g, zedoary 9g, coix seed 18g, wolfberry 15g, psyllium (packet) 12g, raw astragalus 30g, chasteberry 15g, mulberry bark 15g, raw herb 6g. 3.7 Chemotherapy-induced cardiac damage: early on, weakness, chest tightness, shortness of breath, palpitations, electrocardiogram It shows flat T wave and S-T segment depression; heart failure may appear in the later stage. Chinese herbal medicine is used to warm Yang and promote water circulation and activate blood circulation to remove blood stasis. Commonly used formula: Radix Codonopsis pilosulae 15g, Radix Astragali 30g, Radix Macrocephala 12g, Radix Aconiti (first decoction) 3g, Rhizoma Chuanxiong 9g, Fructus Schisandrae 9g, Cornu Cervi Pantotrichum 12g, Radix Salviae Miltiorrhizae 15g, Radix Angelicae Sinensis 6g, Radix Glycyrrhiza Uralensis 12g, Radix Ginseng (simple) 9g, Fructus Lycii 12g.