Patient: description of the disease: onset of September last year, now the main symptoms: severe ascites (has been 3 months) can not go down to the ground, things to eat very little, there are 6 days without stool! Had done gallbladder anastomosis surgery and radiotherapy in ** hospital (due to ascites during radiotherapy to stop radiotherapy) after the ** hospital to do chemotherapy, has been eating ** capsule, after the ascites had been in ** Chinese Medicine Hospital ate a few pairs of traditional Chinese medicine, but did not adhere to ~! I hope that Chinese medicine now what better treatment can alleviate the patient’s pain and delay the disease! Thank you! Ouyang Huaqiang, Department of Integrative Medicine, Tianjin Cancer Hospital: Unfortunately, the median survival period of advanced pancreatic cancer with persistent ascites is only about 3 months. The patient has had severe ascites for 3 months, the prognosis is not optimistic, control of ascites should be the main goal of the current treatment. Here to provide you with two suggestions, for reference only: 1, the combination of diuretic method: take several kinds of diuretics with different mechanisms of action for cyclic combination, rotating application. Specific use: hydrochlorothiazide tablets 25mg, po, tid, d1-3; spironolactone tablets 20mg, po, tid, d2-4; amphotericin tablets 50mg, po tid, d3-5; dexamethasone tablets 1.5mg, po, tid, d4-6; furosemide tablets 20mg, po, tid, d5-7. Pay attention to weekly rechecking of albumin and electrolytes, and timely The albumin and electrolytes should be checked weekly and supplemented and adjusted in a timely manner. Daily urination should be controlled within 2500 ml, and the level of albumin and electrolytes should be corrected to prevent excessive diuresis induced hepatic encephalopathy. 2, Chinese medicine umbilical cord therapy: take 300g of pi nitro, or can add 20g of male cloves, 20g of ice chips, pepper, Gan Sui, halberd 30g each, made of powdered medicine, wrapped in cotton cloth bag, applied around the umbilicus, or around the umbilicus for a week to fix, change the powder once a day for 7-14 d. For some patients can significantly reduce ascites, relieve abdominal distension. This method is relatively safe, can be used at your discretion. The inability to pass stools can be applied to laxative drugs for treatment, and if necessary to be enemas. Patient: Thank you! About these two programs we can be treated at the same time? The effect will not be better, because now our family members do not want to give up, the patient himself wants to be good desire is also very strong, carried out a combination of traditional Chinese and Western medicine treatment can be maintained for how long? At present, the patient eats very little food every day due to severe ascites, if the ascites decreases, will it help the patient to eat? Is the patient’s inability to get out of bed and walk related to the lack of food and ascites? Looking forward to your reply! Thanks again~! Ouyang Huaqiang, Department of Integrative Medicine, Tianjin Cancer Hospital: All can be tried, but the first method should prevent excessive diuresis leading to water-electrolyte disorders. The above is only a palliative treatment, which may improve the patient’s quality of life and temporarily relieve cancer-related symptoms, and cannot prolong the survival time much. Patient: In addition, I would like to ask you, which formula of Chinese medicine is ground into powder and wrapped directly in cotton cloth? Is it not necessary to boil it? Is the daily dosage the amount you wrote for me above? Thank you! Ouyang Huaqiang, Department of Integrative Medicine, Tianjin Cancer Hospital: Pi Nitro can be applied externally, which itself is in powder form. The rest of the several medicines, you can use Chinese medicine formula granules (free decoction type), take its pungent warm through the use. Cotton bag should be permeable, if necessary, in addition to the skin nitrogen other than powdered Chinese medicine into the umbilicus, covered with hot water bag to heat.