Clinical treatment found that dietary care during gastric cancer chemotherapy can not only enhance the chemotherapy effect of gastric cancer patients, but also improve patients’ immunity and physical fitness. At the same time, experts also pointed out that when the nutrition level is poor and the physique is not good, the chemotherapy effect is poor and the toxic side effects are also great. Therefore, dietary care for gastric cancer patients during chemotherapy is extremely important. Dietary care during chemotherapy for gastric cancer 1.Rational diet and balanced nutrition After total gastrectomy for gastric cancer, the complete loss of gastric function affects the digestion and absorption of food, resulting in different degrees of malnutrition and often accompanied by symptoms such as epigastric distension, nausea, vomiting, diarrhea, dumping, reflux esophagitis, impaired absorption of iron and calcium ions, etc. The physical condition is weak, and a series of toxic side effects are produced after chemotherapy. reactions, bringing more psychological worry, tension and fear to patients. Therefore, we should care, understand, respect and sympathize with patients, patiently explain the precautions during chemotherapy, toxic side effects and corresponding treatment. Diet should be a small number of meals, the principle of high-protein, high-calorie food, balanced nutrition, reasonable diet. 2. Dietary care of nausea and vomiting Most gastric cancer patients have different degrees of nausea, vomiting and anorexia after 1-6h of drug administration, and a few have delayed reaction. Anti-emetic drugs such as granisetron or azasetron should be routinely given before and after chemotherapy according to medical prescription. In addition, adjust the eating time according to individual patient’s condition, have small and frequent meals, eat a light diet, and avoid foods that are too strong smelling, greasy, and easy to produce gas. Most patients after total gastrectomy have symptoms of esophageal reflux, so do not lie down immediately after meals and raise the head of the bed by 10-20 degrees when sleeping, and at the same time, family members should not eat too strong smelling greasy food in the patient’s room to avoid adverse stimulation of the patient and try to keep the patient in a good mood. 3.Care of diarrhea Diarrhea will appear after chemotherapy for gastric cancer, so you should tell the doctor in time and apply antidiarrheal drugs according to medical prescription. Care should pay attention to observe the number, amount and nature of stool, keep the perianal area clean and dry, and wash with warm water after each stool to prevent infection. Carefully observe changes in the condition and pay attention to maintaining water-electrolyte balance. In terms of diet, patients can be instructed to choose easily digestible, high-protein, high-sugar, low-fat food, and avoid stimulating, hyperosmotic food as well as too cold, too hot, gas-producing food. 4.Constipation care Gastric cancer patients are constipated due to physical weakness, low activity, toxic side effects of chemotherapy drugs, unreasonable diet structure and slow intestinal peristalsis. Therefore, before starting chemotherapy, patients should understand their past defecation habits and the use of laxatives, record the defecation situation every day, encourage patients to eat more vegetables, beans and coarse grains, drink enough water, take some honey with warm boiled water every morning, move more and develop the habit of regular defecation. 5, at the same time, it should be noted that even the most thorough food therapy can only play an auxiliary role, because food therapy is a subsidized measure, but does not have the ability to actively control. To essentially change the problem of excessive toxic side effects of chemotherapy, it needs to be combined with professional anti-radiation and chemotherapy drugs. For example, the research on the anti-tumor mechanism of Chinese medicine Ganoderma lucidum has been relatively mature, and medical grade (third generation technology) Ganoderma lucidum spore powder, or highly concentrated Ganoderma lucidum preparation can be used for synergistic treatment to reduce the toxic side effects of chemotherapy. 6.Specific foods During chemotherapy, foods that can stop vomiting and strengthen the spleen, such as ginger, figs, beef pine, etc., can be included. Also available some blood food such as adzuki beans, barley, red dates, etc. After chemotherapy, you should pay attention to eat foods that can increase appetite and are nutritious, such as scrambled eggs with mushrooms, lean meat with hawthorn, dried beef, turtle, turtle, milk, red dates, shiitake mushrooms, straw mushrooms and fresh vegetables and fruits. Medicinal food during chemotherapy for gastric cancer 1. Hooked vine and lotus seed milk soup Composition and usage: 20 grams of hooked vine, 100 ml of fresh milk and 50 grams of white lotus seeds. Boil lotus seeds and hooked vine with appropriate amount of water, remove the dregs and take the water, add rock sugar or granulated sugar to taste, then boil the milk to take. Its effect is to strengthen the spleen and stomach, nourish the deficient blood. Milk is flat and sweet in nature, tonifies deficiency, nourishes Yin and nourishes blood. White lotus seeds are mild and sweet in taste, nourishing the heart and spleen, appetizing the stomach and stopping vomiting. Hooked vine is slightly cold in nature and sweet in taste, enters the liver and pericardium meridian, clears heat, calms the liver and quenches wind. Indicated for chemotherapy-induced dizziness and poor appetite. 2, astragalus cordyceps stewed chicken juice Composition and use: astragalus 20 grams, 15 grams of Cordyceps, 10 grams of asparagus, not laid eggs hen 1, slaughtered and remove the hair and viscera, astragalus, asparagus, Cordyceps into the chicken belly, bamboo sticks sewn, add water to stew 2-3 hours, and salt to taste, drink chicken juice or meal. Its effect is to nourish the deficiency and strengthen the spleen, nourish Yin and blood. Cordyceps sinensis is warm in nature and sweet in taste; it is used in the lung and kidney meridians to nourish deficiencies and benefit the essence. Pharmacological effects have been shown in animal experiments to have anti-cancer effects. Chicken is warm in nature and sweet in taste. It is used in the spleen and lung meridians to nourish the qi and strengthen the table and the middle. Tianma is mild and sweet in nature, it is used in the liver meridian to calm the wind and tranquilize the body. It is suitable for chemotherapy body weakness, shortage of energy, dizziness and palpitation. The effect of chemotherapy is obviously related to the good or bad constitution and nutrition of gastric cancer patients. When the nutritional level is poor and the physique is bad, the chemotherapy effect is worse and the side effects are also large. Therefore, during chemotherapy, nutrition is very important. At the same time, chemotherapy often brings more serious gastrointestinal reactions to patients, such as nausea, vomiting, loss of appetite, therefore, dietary management is also very important.