Guiding the prevention and treatment of tumors in TCM with the idea of “treating the future disease” The idea of “treating the future disease” is a high generalization of the idea of preventive medicine in TCM, which is of great significance in the prevention, diagnosis and treatment of diseases. The idea of “treating the disease before it becomes a disease” runs through the field of Chinese medicine oncology, and the early intervention in all aspects of tumor occurrence and development has important guiding significance in slowing down and reducing the occurrence of tumors, promoting the recovery of patients, and improving the overall survival rate of patients. 1. The origin and meaning of “treating the future disease” is an academic idea of prevention of disease put forward by ancient medical doctors, including the prevention of disease occurrence and how to control and handle the disease after it occurs so as not to aggravate it further. The term “treating the disease before it occurs” was first used in Suwen? “The sage does not treat the already sick and treats the not yet sick; he does not treat the already chaotic and treats the not yet chaotic, and this is what is meant by this.” Subsequently, the “difficult classic”, “Golden Chamber Essentials” and so on to take the lead and play, such as “difficult classic? Seventy-seven difficult” cloud: “the so-called treatment of the disease, see the disease of the liver, it is known that the liver when the transmission of the spleen, so the first solid spleen qi, not to get the liver of the evil, so that the treatment of the disease”. This means that diseases of internal organs may be transmitted according to the law of multiplication or insult of the five elements, and when treating them, one should first identify the organs that are likely to be transmitted, so as to take corresponding measures to prevent transmission. Later medical practitioners have added to and enriched the idea of “treating the disease before it is diagnosed”, and Tang Dynasty medical practitioner Sun Simiao has categorized diseases into five elements. Sun Simiao divided diseases into three stages, namely, “not yet sick”, “wanting to be sick” and “already sick”, and put forward the idea that “the top doctor treats the disease of not yet sick, and the bottom doctor treats the disease of already sick” and “the top doctor treats the disease of not yet sick” and “the bottom doctor treats the disease of already sick”. He also proposed that “the upper doctor should treat the disease that is not yet sick, and the lower doctor should treat the disease that is already sick” and “eliminate the disease that has not yet arisen, treat the disease that is not yet sick, and treat the disease that is not yet sick, and treat the disease that is not yet sick before there is nothing to do.” According to the law of development of warm disease in the Qing Dynasty, Ye Tianshi, a warm disease expert, the heat evil injures the stomach yin, and further development can damage the kidney yin, advocating the addition of salty and cold products to nourish the stomach at the same time as sweet and cold products to prevent kidney yin from being damaged, and put forward the prevention and control principle of “the first place not subject to the evil”, which can be regarded as a model of the specific application of the principle of preventing the change of the existing disease. In a nutshell, Chinese medicine’s “treating the disease before it develops” mainly includes the following aspects: (1) “preventing the disease before it develops”, before the disease develops, taking targeted measures to prevent the occurrence of various causes that may lead to the disease; (2) “seeing the small and knowing the big picture”; (3) “seeing the small and knowing the big picture”; (4) “seeing the small and knowing the big picture”; (5) “seeing the small and knowing the big picture”. “Seeing the small and knowing the big picture”, on the precursor of certain diseases, early discovery, early diagnosis, early treatment, timely nip the disease in the bud; (3) “already sick to prevent the change”, grasp the law of disease transmission, timely stop the spread of the disease, deterioration and transmission; (4) (4) “prevention of recurrence after the disease”, in the stable or intermittent period when the disease has not yet attacked, that is, to take consolidating treatment or preventive measures in advance to prevent the recurrence of the disease. This idea, which seems to be very advanced and full of materialistic dialectics today, can be applied in the field of TCM oncology, and it can be carried out in all stages before and after the onset of tumor. What do you mean? What do you mean by tumor? What do you mean? What do you mean by “what is wrong”? What do you mean? What do you mean? What do you mean? Zhang Jingyue of the Ming Dynasty said: “The spleen and kidney deficiency and weakness and disorder of the person, more accumulation of disease.” Jin? Zhang Elemental “treatment method of the machine” said: “the strong people have no accumulation, the weak people have, the spleen and stomach weakness, gas and blood two decline, the four seasons have a feeling, all can become accumulation”. Therefore, before the occurrence of tumor, we should take precautions against various reasons that may lead to tumor, such as genetic factors, immune factors, chronic diseases and other internal causes, including toxic carcinogens and other external causes. The so-called primary prevention of tumor can reduce the incidence of tumor. It is mainly embodied in the aspects of regimen, regulating emotions and moods, proper living, diet, prudent labor, cultivating righteousness, and preventing the attack of diseases and evils. To cultivate positive qi, attention should be paid to emphasize on mental conditioning, strengthen physical exercise, and have regularity in life and living. Plain mood, happy spirit, is conducive to the circulation of blood, qi smooth, yin and yang and adjust, positive qi sufficient. As the “Su Wen? Ancient days of truth” cloud: “calm and empty, the true gas from the spirit of the internal guard, the disease safe from”, “the positive energy within, the evil can not be dry.” In addition, in terms of diet, do not make partiality, disorder or eat unclean products, avoid eating moldy unclean food. Diet and regulation, spleen and stomach healthy movement, can produce essence, nourish the human body, to maintain good health. What do you mean by “what?”? What do you mean? What do you mean? What do you mean? What do you mean by “hot wine”? Also need to pay attention to prevent a variety of factors that are not conducive to health, living and working properly. Suwen? Ancient days of truth,” said: “its knower, the law of yin and yang, and in the art of number, food and drink in section, living and living regularly, do not make labor, so can form and God, and the end of their days, the degree of 100 years is gone.” . Preventing from the source is one of the important ways to fight against tumor. Pre-cancer Intervention to Prevent Malignant Tumors The occurrence of malignant tumors is also a gradual process, and there must be precursors, which can be treated urgently at this time to receive good results. The treatment of malignant tumors at this time can achieve good results. Yin and Yang should be like the great theory” said: “good treatment of the skin, followed by the treatment of skin, followed by the treatment of tendons and veins, followed by the treatment of six internal organs, followed by the treatment of the five viscera, treatment of the five viscera, half dead and half alive”. Tumor diseases should be eliminated in the budding stage to prevent them from becoming serious, small and big, and spreading from local to other organs. Pre-cancerous state refers to the state of systemic or local diseases that are prone to malignant transformation, and pre-cancerous lesions refer to the pathological and histological changes that are more likely to be transformed into tissues. For example, precancerous state of gastric cancer includes: ① chronic atrophic gastritis, ② gastric polyp, ③ residual gastritis, ④ pernicious anemia with significant atrophy of gastric body, ⑤ a few patients with gastric ulcer; precancerous lesions include chronic atrophic gastritis with intestinal epithelial hyperplasia, atypical hyperplasia, and gastric adenoma and so on. Other precancerous lesions include high-grade intraepithelial neoplasia and intestinal epithelial hyperplasia in esophageal cancer, diffuse thyroid adenoma in thyroid cancer, human papilloma virus (HPV) infection in cervical cancer, ulcerative colitis and familial adenomatous polyposis in colorectal cancer, and so on. In the early stage when the evil is prevalent and the righteousness is not yet greatly weakened, the treatment focuses on dispelling the evil, “when the evil is first guest and the accumulation is not yet firm, it will be eliminated first and then harmonized”. In this way, therapeutic intervention in precancerous lesions or precancerous state can improve the cure rate and prevent malignant changes. 4. Prevention of disease and metastasis – to secure the place not yet subjected to evil and prevent metastasis Disease development and metastasis are regular. Therefore, according to the law of disease metastasis, “to secure the place not yet subjected to evil” can be used in the treatment to protect the parts that may be affected in advance and to enhance the ability of resisting the evil. Jin Gui Yao Liao? Organ and meridian successive disease” has pointed out that: “the treatment of the future disease, see the liver disease, know the liver spread the spleen, when the first solid spleen.” This is the use of the five elements multiply and insult law derived from the treatment of disease prevention measures. According to the theory of the five elements, the liver belongs to wood and the spleen belongs to earth, and the wood of the liver is most likely to multiply and attack the earth of the spleen, therefore, when treating liver disease, it should be accompanied by appropriate medicines to strengthen the spleen and the stomach. The knowledge of Chinese medicine on metastasis of cancer can be traced back to Huang Di Nei Jing (The Yellow Emperor’s Classic of Internal Medicine). The beginning of all diseases is born” cloud: “false evil in the people also ……, stay and do not go, then pass the shed in the veins ……, pass the shed in the stomach and intestines outside the fund-raising between the original. Staying in the pulse, stay and not go, rest and become a product. Or by the grandchildren pulse, or by the veins, or by the meridians, or by the veins, or by the veins of the Fuchong, or by the brawn tendons, or by the stomach and intestines of the fund-raising original, connected to the slow tendons.” Between the viscera, physiologically there exists a mutual capitalization, mutual constraints on the relationship between birth and restraints; pathologically there exists a mutual influence, mutual changes in the multiplication of insults and hyper-injury relationship. An organ has a disease, can be based on its own laws and affect other organs. The Suwen? Yuji true viscera theory” pointed out: “the five organs receive gas in its birth, transmitted to its victory; gas shed in its birth, death of its not victory”. The disease of one organ can affect the related internal organs. Therefore, when treating tumor metastasis, it is necessary to start from the overall concept, contact the relationship of birth and death between internal organs, and treat or firstly secure the undiseased internal organs, so as to block the pathway of the disease and prevent the spread of the disease, and then make the disease develop in the direction of healing. 5. Post-disease regimen to prevent recurrence The “treatment of the future disease” of tumor should also include post-disease regimen to take various measures to prevent the recurrence of the disease. Malignant tumors in the early and middle stages, after radical surgery, or after standardized radiotherapy, achieve complete remission (CR), but there is still a certain recurrence rate, such as gastric cancer patients in the postoperative period, 70%-80% of the patients died of local or distant metastasis, even for early gastric cancer, there is still a recurrence rate of 30-40% in the postoperative period of 10 years; oesophageal cancer, even for very early-stage patients, is still a recurrence rate of 30-40% in the postoperative period. For esophageal cancer, even for patients with very early stage (T1), nearly 50% of patients still have recurrence within 5 years; the same is true for other tumors, although some of the patients can undergo radical surgery after diagnosis, the overall 5-year survival rate is still only 50%-60%, and about 2/3 of the patients who have undergone radical surgery can have recurrence or distant metastasis, and 85% of the recurrence and metastasis occur within 2 years after surgery. Therefore, for most patients, preventing recurrence after surgery is a very important aspect of tumor treatment. Chinese medicine has greater advantages in this aspect. Chinese medicine believes that when the disease is first cured, although the symptoms disappear, but at this time, the evil energy is not exhausted, the positive energy is not restored, the qi and blood are not fixed, and the yin and yang are not leveled. Therefore, after the disease, through the cultivation of positive qi, regulating the function of internal organs, so that its disordered state can be restored. Support the positive qi, mainly from the four aspects of gas, blood, yin, yang, so that qi and blood and balance of yin and yang; regulating the function of the internal organs is mainly from the successive days to start, the first day for this, this element is full of yin and yang, the latter day for the nourishment of the spleen and stomach is healthy, then the qi and blood full. At the same time, we should not forget to get rid of the residual evil, the actual tumor has been removed, but the cancer venom has not been exhausted, modern medicine has also confirmed that even if the early tumor has been infiltrated with tiny metastatic foci after radical surgery, which is also the reason for postoperative adjuvant chemotherapy and radiotherapy. Chinese medicine practitioners can adopt the method of resolving blood stasis and removing toxins, dispersing and dispersing knots and so on, so as to remove the residual toxin, and to prevent the recurrence of the tumor. In addition, it should also be combined with dietary modification, pay attention to proper labor and leisure, living and living in a regular manner. Otherwise, at this time, if the new sense of disease, dietary imprudence, too tired, can help the evil hurt positive, so that the positive energy is more weak, the remaining evil, causing the recurrence of the disease. The theory of typhoid fever in the six meridians after the disease, with “identify yin and yang easy difference after the labor recovery disease pulse evidence and treatment”, pointed out that typhoid fever is newly healed, if you live and work, or dietary imprudence, will occur labor recovery, food recovery of the change, thus showing people the disease is healed, should be careful living, diet, do not work, do a good job of the disease in the later stages of the aftercare treatment and conditioning, in order to consolidate the effect of the disease to prevent the recurrence of the disease to collect the whole. To prevent the disease from recurring, in order to collect the full effect. To sum up, the academic thought of “treating the future disease” in Chinese medicine has a long history, and it is of great value to guide the work of Chinese medicine tumors with the thought of treating the future disease, which is similar to the “three-level prevention” of tumors nowadays, but it highlights the overall concept of “unity of man and nature” and “human-oriented”, and it has the individualization. It has similarities with the current “three-level prevention” of tumors, but it highlights the overall concept of the unity of heaven and man and the human-centeredness, and has the advantage of individualized identification, especially in dealing with the deterioration of cancerous lesions and preventing recurrence and metastasis of tumors after surgery by supporting the positive and dispelling the evil and having better effects, thus, it is more comprehensive and more characteristic.