Among them, strengthening the spleen and stomach is the fundamental, because Dr. Sun believes that “spleen and stomach deficiency” is the fundamental factor in the occurrence, development and metastasis of gastric cancer. Specifically in the treatment of “deficiency of spleen and stomach”, the first priority is to strengthen the spleen and promote clearness, because Dr. Sun found from his clinical experience that spleen deficiency in gastric cancer patients is often accompanied by qi stagnation, blood stasis, phlegm coagulation, dampness, food stagnation, bleeding and other pathologies, and it is easy for the spleen and kidney to lead to deficiency of both spleen and kidney. If the spleen qi cannot be raised, the stomach qi cannot be lowered, and the spleen and stomach qi is blocked, there will be qi stagnation and erratic reversal and gastro-intestinal food accumulation; and qi stagnation and reversal and gastro-intestinal food accumulation will lead to blood stagnation, which will not be pushed and will remain, which will become gastro-intestinal blood stasis; if the spleen is deficient in qi stagnation and blood stasis and the water cannot be transported and pushed, the water will also be stagnant, which will become dampness in the middle jiao; if the dampness does not go for a long time and coalesces, it will become phlegm; if the spleen qi is deficient and cannot control the blood, it will If the spleen is deficient, there is no source of Qi and blood biochemistry, and because the spleen does not regulate blood, chronic bleeding and further loss of Qi and blood, resulting in the inability of Qi and blood and essence to produce each other, resulting in the loss of kidney essence, and eventually the spleen and kidney are both deficient. Therefore, Sun Shi formula often to Huang Qi as the ruler, strengthen the spleen and ascending clear; to the party ginseng or prince’s ginseng to participate in atractylodes, Poria as the minister, to assist Huang Qi to strengthen the spleen, ascending clear, transport and transformation, and atractylodes, Poria permeate dampness and phlegm, water conductive diuretic function, supplemented by Huang Qi to remove the gastric phlegm and dampness; adjuvant white peony, both biochemical blood, slow the effect of pain, but also “in addition to blood paralysis, breaking hard accumulation ” (Shen Nong Ben Cao Jing), “smooth the blood vessels, …… remove water qi” (Famous Doctor Bu Lu). On this basis, for spleen deficiency and qi stagnation, it is given to Buddha’s hand and green calyx plum to regulate qi and strengthen the spleen; for spleen deficiency and blood stasis, it is added to peach kernel, ground dragon and water saffron seeds to invigorate blood without hurting the qi of the spleen and stomach; for spleen deficiency and dampness obstruction, it is added to cardamom kernel, coix seed and almond to dissolve dampness and awaken the spleen; for spleen deficiency and phlegm coagulation, it is added to Chen Pi, Qing Hanxia and bamboo rhizome to dry dampness and strengthen the spleen and transport phlegm; for spleen deficiency and food stagnation, it is added to Jiao Shanzha and Jiao Betel nut to eliminate food and transport the spleen; for spleen deficiency and bleeding, it is added to Bletilla and If the spleen is deficient and the kidney essence is deficient, add Fructus Lycii, Radix et Rhizoma Polygonati, Rhizoma Polygonati, Radix et Rhizoma Polygonati, Radix Angelicae Sinensis, Radix et Rhizoma Polygonati, etc.; if the kidney energy is deficient, add Semen Cuscutae, Radix et Rhizoma Polygonati, Radix et Rhizoma Bonesetter, etc. It is easy to see from the above medicine, all the medicine in the line of chemistry, dispersed in the guard, tonic without stagnation, always does not deviate from the four basic principles, that is, clear and healthy is the main, and in the spleen and stomach, do not harm the right qi, take into account the kidney essence, profoundly reflects the teacher’s medicine to adhere to the “spleen and stomach is the essence of the latter day, the source of qi and blood biochemical”, “with stomach qi is born It is a profound manifestation of the academic thought that “the spleen and stomach are the essence of the latter part of the body, the source of Qi and blood biochemistry” and “if there is stomach qi, there is life. 1. Harmonizing the stomach and eliminating food Stomach cancer is, after all, a disease of the stomach, so Dr. Sun believes that this disease is “spleen deficiency as the root and stomach disease as the symptom”. As for the symptoms of stomach cancer, many scholars have interpreted them with the doctrines of qi stagnation, blood stasis and phlegm coagulation, but Sun Shi has taken a different approach, especially focusing on “food accumulation”. As the stomach is the “sea of water and grain” and the place where food is putrefied, its disease is mostly related to diet, or more directly, to the putrefaction function (marked by gastric acid), such as salt-cured foods, smoked fish, nitrosamines intake, changes in geological water composition, etc., as well as changes in eating habits and eating behaviors, and H. pylori infection, which are related to gastric cancer as reported in the literature. When the disease enters the stomach, it will firstly damage the putrefaction function of the stomach, resulting in the inability of normal digestion of food in the stomach, which will lead to food accumulation, which in turn will affect the harmony and descent of the stomach, or lead to the upward rebellion of stomach qi, which will lead to gas stagnation, blood stasis, phlegm condensation and dampness, resulting in fullness and acid swallowing, which will be more detrimental to the putrefaction of food in the stomach. Rotting of food in the stomach. Therefore, Sun Shi often uses raw malt, chicken’s naijin and ochre to eliminate food stagnation, regulate qi and harmonize the stomach. The combination of raw malt and hen’s naijin can elevate stomach qi, eliminate food stagnation, grind grain and remove congestion, and raw malt can “warm the middle, lower qi, open the stomach, …… remove annoyance, eliminate phlegm, and break Y knots” (Rihuazi Ben Cao), and hen’s naijin can “broaden the middle and strengthen the spleen” (Rihuazi Ben Cao). It is also used to “broaden the middle and strengthen the spleen” (Dian Nan Ben Cao), both of which are used in multiple ways to harmonize the spleen and stomach. The combination of the three herbs can speed up the digestion of stagnant food and reduce the time it stays in the stomach, thus reducing the chance of Qi stagnation, blood stasis, phlegm condensation and dampness gathering in the stomach. To make the tumor tissues in the stomach shrink or disappear, it will be a process of replacing the old with the new, i.e. new normal tissues replace the necrotic or apoptotic cancer tissues, in other words, from the perspective of Chinese medicine, it is also called “removing stasis and creating new” and “removing decay and creating new”. Dr. Sun pointed out that traditional medicine believes that the muscles and tissues of the human body are made of qi and blood. Therefore, when a sore does not close for a long time, traditional surgery believes that it is mostly caused by insufficient qi and blood, internal trapping of poisonous evil, continuous corruption of blood and flesh, and inability to produce new blood in time, so it is necessary to greatly replenish qi and blood and remove poison to produce new muscle. “The tumor is also similar, that is, there is a deficiency of positive energy and deep-seated evil toxins, and the phenomenon of necrosis of tumor tissue and the so-called “corruption of flesh and blood” may occur. Sun’s clinical conclusion is that Angelica dahurica and Phellodendron dahurica can extract poison and remove decay, while Blood Yu charcoal and Sheng Pu Huang can remove blood stasis and create new ones, so the four medicines are often used together. It is also used by the surgeons of …… to attack poison with poison”, and the “Rizhuazi Materia Medica” states that it can “cure …… dysentery, breast The two are used together to remove toxins and corruption, and modern medicine has proven that they both have anti-tumor effects. Both Blood Yu Char and Pu Huang are blood stasis and hemostatic medicines. The purpose of removing blood stasis is to remove rotten blood, while stopping bleeding requires the creation of new materials, because stopping bleeding must make the broken blood vessels close again, which is the result of blood vessel “renewal”; while stopping bleeding is no longer further blood loss, and qi and blood can also be stored, so it can further “create new “It can be seen that the “elimination of blood stasis and the creation of new blood” is also the common result of the action of various mechanisms. Sun’s skillful integration of the four medicines has formed a unique medicinal feature, which has shown extraordinary curative effects in clinical practice. 3.Anti-cancer and detoxification The reason why gastric cancer is different from ordinary gastric and epigastric diseases is that there is a kind of “cancer toxin” embedded in it. Because “cancer toxin” is embedded in it, the cancerous tissue has sufficient blood supply, vigorous metabolism, rapid growth, depletion of qi and blood, and easy necrosis and shedding, which is considered as heat toxin from the perspective of “yin and yang” in Chinese medicine. The disease of “carbuncle”. Therefore, the so-called anti-cancer detoxification, most of the use of heat detoxification, softening and dispersion of the products; for gastric cancer, Sun often like to use the formula vine tiger soup, by the vine pear root, tiger scepter two drugs. The root is sour, slightly sweet, cool in nature, and slightly toxic, with the effect of clearing heat, diuretic, activating blood circulation, and reducing swelling, and was originally used to treat hepatitis, edema, bruises, rheumatic joint pain, gonorrhea, dysentery, sores and boils, etc. Modern research has shown that it has a good inhibitory effect on gastric cancer]. It is bitter and cold in nature, and has the functions of clearing heat and detoxifying, relieving dampness and yellowing, and activating blood circulation and resolving blood stasis, etc. According to the “Rizhuazi Ben Cao”, it can “treat sores and carbuncles”, and modern research shows that it also has certain anti-tumor effects. The combination of the two drugs can not only fight cancer and detoxify the toxin, but also soften the hardness and disperse the knots, and can be used in cases of tumor tissue necrosis and carbuncles caused by heat and flesh rot. In addition, Sun also commonly used Cao He Che, white flower snake tongue grass, half a lotus, snake berries, gold buckwheat, stone see through, acute, etc., are anti-cancer detoxification products, but each dose of the formula but with 2-3 flavors, but at most 5 flavors, you can get the effect without harming the right; Sun also believes that heat toxicity deep, seemingly into the bone marrow, non-turtle plate, turtle shell, through the mountain armor, dragon peony and other types can not sink into the inside and Therefore, 2-3 flavors are often used. In summary, Sun’s medicine is generally simple and moderate, but it has its own characteristics and is permeated with his profound understanding of the pathogenesis of gastric cancer, so it can stand up to a thousand refinements in clinical practice, and the actual efficacy proves that his academic thinking is correct and practical. 4.Example of the case Patient Huang Moumou, female, 38 years old, was examined by gastroscopy in June 2004, which showed a huge ulcer in the gastric sinus with hard edges and yellow-white filthy moss on the surface. Postoperative pathology: ulcerated hypodifferentiated adenocarcinoma with indolent cells and 3/46 lymph node metastases. 5 cycles of postoperative chemotherapy. At the time of consultation, the patient was obviously emaciated, with a yellowish complexion, occasional vague pain in the upper abdomen, bloating after eating, accompanied by nausea, eructation, acid reflux, loss of appetite, shortness of breath, weakness, a dull tongue with tooth marks and scattered petechiae on the sides, thin white and moist coating, and a weak pulse. Based on the four consultations, Dr. Sun concluded that this patient’s evidence was characterized by deficiency of Qi and Blood and residual toxicity. The treatment should be to strengthen the spleen and promote clearing, harmonize the stomach and lower rebelliousness, benefit Qi and nourish Blood, eliminate food and dissolve accumulation, and complement with anti-cancer and detoxification. Herbs: Astragalus membranaceus 15g, Radix Paeoniae Alba 10g, Radix Codonopsis Pilosulae 15g, Rhizoma Atractylodis Macrocephalae 10g, Poria Cocos 15g, Rhizoma Malvae 30g, Radix Ochraceae 15g, Radix Angelicae Sinensis 30g, Angelicae Dahuricae 10g, Rhizoma Polygonati 5g, Radix Haematoxylin 10g, Radix Phellodendron Bupleuri 10g, Rhizoma Tigris 15g, Rhizoma Polygonati 30g, Rhizoma Acanthopanax 5g, Rhizoma Safflower 8g, Rhizoma Peach Kernel 5g, Rhizoma Dioscorea 6g, Rhizoma Citriodora 10g, Rhizoma Fructus 10g Every 2 days 1 dose, divided into 2 doses. After taking the medicine for 1 month, the patient’s general condition improved significantly, abdominal pain was relieved, appetite increased, and tongue texture turned light red with thin white coating. The patient’s condition was stable and no recurrence was seen on gastroscopy in April 2008, pathology: mild chronic inflammation of gastric mucosal tissue. Weight gain of 10 Kg.