The process of tumor development is the process of the struggle between the body’s positive qi and evil qi. At present, the understanding of Chinese medicine on the etiology and mechanism of tumor treatment is relatively complete, but the clinical efficacy is hardly satisfactory, why in the end? I think the main reason is that the details of etiology-illness-mechanism treatment are not grasped accurately enough. Below I will be these treatments in the clinical application of experience to report to you for reference. 1.Fu Zheng Cultivation Method The most commonly used method can be the great disadvantage of applying Fu Zheng drugs at present: that is, many Chinese medicine doctors, regardless of what tumors, regardless of what stage, and even regardless of qi and blood, cold, heat, yin and yang, all the time replenish qi, nourish blood, strengthen the spleen and stomach, nourish the liver and kidneys, and can achieve good therapeutic effect? Supporting positive qi is very important in tumor treatment, and it is a very important part of tumor treatment, but how to support positive qi is a difficult point in tumor treatment, my understanding is: in the early stage of the disease, the foci are limited to one organ to emphasize the identification of internal organs, and to supplement the positive qi of a certain organ, and at the same time to take into account the metastatic parts of the organs that are easy to metastasis of the tumor to identify the medication; it is important to emphasize here that each internal organ has its own unique characteristics, and there are different methods of supplementation. Here, it should be emphasized that each viscera has its unique characteristics and has different complementary methods, and it is impossible for a single tonic drug to tonify all viscera. The following is a description of the treatment of common tumors. Pay attention to “five flavors to support five organs”, “Neijing” and “Typhoid Miscellaneous Diseases” have much discussion, such as the treatment of hepatocellular carcinoma, “The Essentials of the Golden Chamber” cloud “the disease of the liver, complementary to acid, help to burn with bitter, beneficial to the adjustment of sweet medicines”, the ancients said very clearly, the treatment of liver disease, reuse of acidic medicines such as white peony, cornelian cherry, etc. Sour medicines such as plum to tonify the liver, and the treatment of liver disease, the treatment of liver disease, the treatment of liver disease, the use of acid medicine such as white peony, cornelian cherry, The first thing you need to do is to use some of the bitter drugs such as huzhang, Huangbai, Huanglian, etc. to prevent the liver from becoming too strong, and then use the sweet drugs to replenish the qi, look at the Wu Mei Pills to understand how the ancients treated the liver disease. We look at their own prescription, the treatment of liver disease are which drugs, can be effective? Today, in order to illustrate their own point of view is correct, often out of context, and sometimes “qu yi”, distorting the meaning of the original text, such as the “treatment of the liver to supplement the spleen” view, Zhang Zhongjing said, “the treatment of the future of the disease, see the disease of the liver, know that the liver passes to the spleen when the first The real spleen, four seasons of the spleen is not evil, that is, do not make up for it; in the workers do not know its transmission, see the liver disease, do not understand the real spleen, but the treatment of the liver also” This paragraph is based on the Zhongshi at the time, many doctors treating liver disease do not go to the real spleen proposed to strengthen the spleen. Nowadays, doctors tend to treat liver disease without tonifying the liver, but use the spleen to treat liver disease, is it not overkill? I emphasize here “the treatment of the disease, see the disease of the liver, know that the liver spread the spleen, when the first solid spleen, four seasons of the spleen is not evil, that is, do not make up for it”, the spleen is not evil, can not make up for it, the acidity of the liver is the key. At present, the western medicine biphenyl ester is schizandra extract, lower transaminase effectively, western medicine have recognized the “sour taste liver”, and our Chinese medicine? Most of us are still struggling to strengthen the spleen to treat liver disease! In the “five flavors to support the five organs” at the same time, but also pay attention to the characteristics of each viscera and the wisdom of the ancients, such as lung cancer, we should pay attention to tonifying the kidney to resolve phlegm and pass through the network, which is easy to ignore the oncology department. In treating esophageal cancer, it is necessary to deeply understand “three Yang junctions are called diaphragm”, but the historical understanding of “three Yang junctions are called diaphragm” is mostly incomplete or misinterpreted. Breast cancer is the main topic of soothing the liver and strengthening the spleen to fight against cancer. Breast cancer is closely related to mood and sleep, and mood and liver qi, sleep and spleen deficiency are tightly linked. Osteosarcoma has to tonify the kidney, strengthen the spleen and pass the yang to disperse the knot to be effective. Osteosarcoma is cold phlegm immersed in bone, tonifying the kidney to protect the bone, strengthening the spleen to dissolve the phlegm, and many osteosarcoma patients wantonly drink cold, so tonifying yang to pass the yang is very important. Gallbladder cancer treatment is partly similar to liver cancer, but different. Gallbladder is a clean official, belongs to Qiheng’s internal organs, and is easy to be blinded by phlegm and dampness, so it should be added with heat-removing and dampness-eliminating drugs on the basis of the formula for treating liver cancer. Pancreatic cancer belongs to syncopal disease, which is deficiency of liver yang and internal obstruction of cold and dampness, when warming yang and inducing dampness to replenish liver and fight against cancer, it can be used as Wu Mei Pill. Urological tumor is kidney deficiency and internal obstruction of dampness and toxicity, it should tonify the kidney and benefit dampness to fight against cancer, but the aggravation of urinary system diseases is often caused by upper respiratory tract infections, so medicines such as Momordica charantia, chrysanthemum, honeysuckle and other medicines to protect throat should be added in the prescription. To multiple organ metastasis, this is a major deficiency of vital energy, mainly yin and yang identification, large doses of supplemental yin or supplemental yang in order to replenish vital energy, to support the correct cultivation of the root, so that the party may be able to salvage the condition of a diarrhea straight down the situation. This is I prefer to use my proposed “Chinese medicine tumor suppression should pay attention to the four major treatments of warming yang and activating the blood to poison to attack poison to facilitate urination and defecation” Here I want to remind you that sometimes the positive qi is weak because of the evil qi is full of, and often help the positive instead of more uncomfortable, at this time the urgent need to get rid of the evil, the evil to go to the positive since the restoration. This is also the reason why I especially like blood cupping. In support of the positive, moxibustion role is essential, can be said that the Dou material said “method of health care, burning the first, the second medicine, epiphyllum, the third,” in the solution of acute and emergency, the role of moxibustion is not a drug can be reached. We must not be unaware of this. Acupuncture acupuncture points should pay attention to the original points, collection points, joint points, and back acupuncture points; Ren vein, ducal vein and other strange meridians on the twelve meridians can not be ignored to regulate the role of. Multi-visceral transfer to pay attention to the meridians between the rendezvous points, complementary points. 2, heat and toxin elimination method Chinese medicine doctor’s favorite treatment method, it is no wonder, at present, we apply the most Chinese medicine to alleviate the side effects of radiotherapy, radiotherapy side effects are mostly manifested as heat, the application of heat and toxin elimination is not wrong, but heat and toxin elimination is applied to the treatment of all the tumors, that would be a little bit wrong, why? Why? Tumors have heat toxicity, but not all tumors have heat toxicity, and not every stage has heat toxicity. My experience is that such tumors as head and neck tumor, breast cancer, skin cancer, vulvar and cervical cancer, esophageal cancer, central lung cancer, anal canal cancer and other tumors are closely related with heat, these tumors such as heat-clearing drugs, or pungent and cooling drugs, or heat-clearing and detoxifying drugs, or heat-clearing and dampness-drying drugs and so on, can still achieve partial curative effect; but even so, many tumors should not apply too much heat-clearing and detoxifying drugs or excessive amounts of such drugs, or they will promote the progress of tumors. Why? Many tumors are not fire, but cold, phlegm, stasis, the application of heat and toxin removing drugs will aggravate these pathogenic factors. The ancient saying “under accumulation of Yin, there must be Fu Yang”, Fu Yang is under accumulation of Yin, and overuse of heat-cleansing drugs will aggravate Yin evil. In fact, as early as in Song Dynasty, Dou Cai, “Magpie Heart Book”, said that “heat disease is Yang, Yang evil easy to disperse easy to cure, not die; cold disease is Yin, Yin evil easy to ambush, so people do not realize that for a long time, it becomes cold, erosion of the internal organs and death.” From this, it is easy to see that visceral tumors are mostly caused by yin and cold, the formation of a longer time, poor prognosis; and belongs to the yang evil caused by the history of the tumor is not long, the prognosis is good for a long survival. This explains why breast cancer, thyroid cancer have short formation time and good prognosis, while liver cancer and pancreatic cancer have poor prognosis, and it also provides a great cure for us to treat these tumors. Through these data, we can also analyze and conclude that tumors with strong physique and early stage of disease such as fast growth can be considered from the perspective of heat and fire, and heat-removing and detoxifying can be reused to alleviate the rapid growth of the stage. In addition, the side effects caused by radiotherapy and most minimally invasive treatments are mostly recognized as fire-heat injuries, and the method of clearing heat should also be applied. Some people may say that tumors are closely related to inflammatory mediators and should be cleared of heat and toxins. I will tell you truthfully that chronic inflammation is not inflammation and should not be cleared of heat and toxins alone. We all know that chronic pelvic inflammation is not effective with heat removing and detoxification alone, it is necessary to warm yang and activate blood to clear the heat effect, and the same or even more so for tumor. A scholar in the United States found that Huanglian extract acts on breast cancer cells, the tumor necrosis factor produced by it is more than 100 times of the unmedicated cancer cells, while the lung adenocarcinoma cells only produce several times of the tumor necrosis factor, it is hard for him to explain this problem, in fact, this problem is very simple, breast cancer is heat and phlegm, lung adenocarcinoma is cold and dampness, Huanglian can dry the dampness and clear the heat, which is in line with the pathogenesis of breast cancer and so produces a lot of tumor necrosis factor, which is a very important factor for the lung cancer. There are many factors which are not suitable for lung adenocarcinoma, so the result is unsatisfactory. So it seems that not all tumors belong to heat, but many of them belong to cold. The method of clearing heat and removing toxins by acupuncture is introduced in the part of “Analyzing the pathogenesis of tumors and identifying and treating thinking”. Activating blood circulation and removing blood stasis method Activating blood circulation and removing blood stasis is based on the clinical manifestations of tumor and the high coagulation state of tumor blood in modern medicine. According to Chinese medicine, blood stasis is one of the etiological mechanisms of tumors, and the formation of lumps is related to blood stasis. As early as in “Neijing”, there are a lot of discussions about “accumulation” and “obstruction in the abdomen” related to blood stasis. For example, “Suwen – lifting pain theory” said: “cold gas away in the small intestine between the membrane original, the blood, the blood cry shall not be injected into the large intestine, blood and gas can not be, so the host of the past and into the accumulation of carry on”, “the spiritual center – the water bloating chapter” said: “the obstruction of the mass in the cell, the cold gas away in the zi Men, the zi Men closed, the gas can not pass, when the bad blood when the blood stasis evidence. The gas is not allowed to pass, when the bad blood is written not written, 衃 to stay stop, day to day to get bigger, strong as a cup, menstruation is not to time down”. It was pointed out that one of the reasons for the formation of lumps and obstruction in the abdomen was related to the internal invasion of cold evil and internal obstruction of blood stasis. Tumor patients often show clinical symptoms and signs related to blood stasis, such as fixed lumps, pain in a fixed place, lightness of day and heaviness of night, dull and dark skin, skin and nails in the wrong place, bruises on the lips and tongue, petechial spots on the tongue, varicose veins under the tongue, sunken pulse, etc. Modern medicine believes that cancer cells release blood stasis, which is the cause of the formation of masses and stony obstruction. Modern medicine believes that certain substances released by cancer cells can easily cause high blood coagulation, which creates conditions for the formation of cancer thrombus and tumor metastasis, so activating blood circulation and removing blood stasis is an important rule in the treatment of malignant tumors. Because of different reasons for the formation of blood stasis and different manifestations of symptoms, clinically there are different treatments such as regulating qi and activating blood, tonifying qi and activating blood, nourishing blood and activating blood, warming menstruation and activating blood, diarrhea and heat to break up blood, etc. Generally speaking, there are not too many cases of activating blood and removing blood stasis alone, and most of them are used in combination with other treatments at the same time, so one should be very careful in differentiating the different parts of the blood stasis. Different parts of the body have different medicines, which should not be overlooked. Activating blood circulation and removing blood stasis in acupuncture has been introduced in the part of “Analyzing the pathogenesis of tumors and thinking of identifying and treating tumors” in the previous section. At present, there is a saying that activating blood circulation and removing blood stasis drugs are easy to promote metastasis, and many tumor patients have different degrees of blood stasis in clinic, so most of the doctors dare not use the drugs for activating blood circulation and removing blood stasis. Are the drugs for activating blood circulation and removing blood stasis so terrible? It is not scary at all, if there is blood stasis in the clinic, you can use the drugs for activating blood circulation and removing blood stasis. I personally believe that phlegm, blood stasis and toxicity are three important factors and important pathological products in tumor formation. Phlegm obstruction can easily lead to stagnation of qi and blood stasis, blood stasis can lead to poor blood circulation, which results in the seepage of water out of the veins and leads to phlegm-dampness, and phlegm obstruction and blood stasis lead to the lack of oxygen in tissues, which can easily lead to mutation of oncogenic genes or the emergence of oncogenes, and phlegm, blood stasis and toxicity can interweave with each other to form a carcinoma over time, so it is essential to dispel phlegm and activate blood circulation to fight against carcinoma in treating a carcinoma. I have observed in the clinic that it is not common for many patients with osteolytic bone metastasis to have obvious kidney deficiency, but more often due to blood stasis with blood heat, why? From the clinical symptoms, the pain of bone metastasis is aggravated at night, which is consistent with blood stasis; and from the tongue, many patients with bone metastasis have a dark tongue, or purple, or petechiae, or varicose veins under the tongue, which must be blood stasis. Blood stasis is easy to understand, why is said to hold heat, explain this problem clearly from the treatment of bone metastasis of effective drugs, the treatment of bone metastasis of effective drugs are antipyretic analgesic, bisphosphonates rather than morphine, antipyretic analgesic belongs to the Chinese medicine pungent cool antidepressant, according to the explanation of the existence of bone metastasis blood heat is easy to understand, the bisphosphonate class said that its pungent cool antidepressant on the not easy to understand, it’s actually not hard to understand, bisphosphonates are common side effects The common side effects of bisphosphonates are increased pain, fever, what is easy to pain? Cold is most likely to cause pain, what happens when there is fever? Simple internal heat is not easy to cause fever, even if the fever will not be too high, internal heat with external cold is very easy to fever, high fever, so it is not difficult to understand bisphosphonates are also pungent cool and clearing the heat of the drug. Another evidence is that zoledronic acid can cause jawbone necrosis, jawbone necrosis in Chinese medicine is called “walking horse chancre”, walking horse chancre because of the extreme cold; so it can be presumed that bone metastasis in addition to blood stasis also have internal heat. The treatment of bone metastasis should activate blood circulation and clear heat as the correct treatment. Osteogenic bone metastases also have blood stasis, and also show stasis pain, but it is cold pain, why is this understood? Take a look at the imaging film of bone metastasis to understand, osteolytic destruction is worm-like destruction, many cavities inside the bone, cavity in Chinese medicine is the lack of material, is a Yin deficiency, Yin deficiency is internal heat; and osteogenic destruction is the focal point of a white piece of, as ice ballast gathered together, give a person the feeling of cold, this is the cold condensation, the use of the only living parasitic soup and the fire needle is effective. 4, soften and disperse the knot method All can make the nucleus, lumps soften or dissipate the method called soften and disperse the knot method. Clinically, it is often used in conjunction with other methods, but seldom used alone. Many tumors belong to the category of “scrofula” in Chinese medicine, the causes of which are either phlegm and turbid coagulation, blood stasis, or stagnation of qi, which are all manifestations of evil qi agglomerating in a certain part of the body. Clinically, there are often lumps and hard knots and phlegm nuclei, some of which can be shifted by pushing, but most of them are fixed and immovable or the boundary is not clear, and the size of the lumps is increasing rapidly. Different accompanying symptoms often appear due to different etiologies such as Qi stagnation, blood stasis, phlegm, cancerous toxins and so on. According to the therapeutic principle of “eliminating the firm ones …… and dispersing the nodules” put forward by the “Neijing”, phlegm can be dissolved to disperse the nodules, blood stasis can be dissolved to disperse the nodules, qi can be rationalized to disperse the nodules, and toxin can be detoxified to disperse the nodules, and so on. I think that malignant tumors should not have a separate method of softening and dispersing knots, and the method should be rubbed in other treatments. Resolving phlegm and dampness Resolving phlegm and dampness is commonly used in the treatment of tumors. In addition to blood stasis, phlegm and dampness coagulation is also the main etiology and mechanism of tumors. Zhu Danxi firstly proposed that the occurrence of tumor is related to “phlegm”, and also said that “phlegm is a thing that rises and falls with the gas and goes nowhere”, and “Introduction to Medicine” said that “Galls and tumors are common, and all of them are formed by phlegm and gas. “. After tumor formation, phlegm dampness is still an important pathological product of tumor. Clinically, phlegm dampness symptoms often appear in many tumors, such as esophageal cancer, which often results in phlegm and saliva congestion due to narrowing of ducts, coughing and phlegm in lung cancer, and cancerous thoracic and abdominal fluid, etc. Therefore, the method of resolving phlegm and expelling dampness is very effective. Therefore, resolving phlegm and expelling dampness is one of the important treatments for tumors. Proper application of resolving phlegm and expelling dampness can not only improve the symptoms, but also effectively control some tumors. In many tumors, phlegm-dampness can not be resolved by Semixia, Gallus gallus, Psidium guajava, Job’s tears, etc., and it is necessary to use Hai Fu Shi, Qing Mineral and pores, etc. to resolve stubborn phlegm. Moreover, some tumors closely related to phlegm-dampness drink need to use Gan Sui, Dajia, Coriandrum sativum, Strychnos and other severe and violent products to eliminate phlegm-dampness drink before they can be effective. Chinese medicine has clear identification of phlegm, dampness and drink (I found that the tongue coating and tongue texture of phlegm-dampness patients are mostly mixed together in the clinic), and the treatments are different, which Chinese medicine clinicians must be aware of. My point of view is that in addition to clinical symptoms of phlegm-dampness when the identification of phlegm-dampness, but also from the generation of phlegm-dampness and visceral characteristics, phlegm-dampness caused by the physical signs to identify. Chinese medicine believes that the spleen and stomach are the source of phlegm, and the lung is the storage of phlegm, so tumors of gastrointestinal tract and lung are very easy to have lymph node metastasis; gallbladder is the purifying organ, and it is most easy to be disturbed by phlegm and dampness, so tumors of gallbladder are prone to lymph node metastasis; in addition, tumors closely related to phlegm and dampness are difficult to be resected cleanly, and it is easy to have metastasis with peripheral infiltration, for example, primary brain tumors, pancreatic cancers, cholangiocarcinomas, ovarian cancers, and tumors of the intestine, and so on, which are this kind of situation. The treatment of these tumors should focus on the treatment of phlegm-dampness. Lymph node metastasis is mostly caused by phlegm-dampness, if the tumor has lymph node metastasis, it means that the patient has heavy phlegm-dampness and needs to strengthen the treatment of expelling phlegm-dampness and resolving dampness. It should be emphasized here that not all tumors have phlegm-dampness, such as hepatocellular carcinoma, which is not easy to infiltrate the intestinal tract of hepatic flexure even if the tumor is close to the peritoneum, and it is not easy to have lymph node metastasis, therefore, expelling phlegm-dampness and resolving phlegm-dampness should not be the main treatment method for hepatocellular carcinoma. It is also necessary to explain to everyone that different medicines and dosage should be used for different parts of phlegm-dampness drinking; and it is necessary to pay attention to the use of medicines for phlegm-dampness in meridians and channels, which can provide valuable treatments for lymphoma and non-visceral tumors. At present, doctors of traditional Chinese medicine do not know the evidence of Dashenggang Tang, and they think that the evidence of Dashenggang Tang is rarely seen in clinic, but in fact, many peritoneal carcinomas or metastatic carcinomas of peritoneum and incomplete intestinal obstruction are the evidence of Dashenggang Tang, which is often used to reduce the symptoms of Dashenggang Tang. How to recognize the factors of phlegm-dampness drinking in tumor, I simply summarize that there is surely phlegm in those who see lumps; those whose tumors are hard to be cut cleanly, cerebral effusion, and a large amount of ascites are mostly wetness; and those who are accompanied by pleural effusion, pericardial effusion, and abdominal confined effusion are mostly dampness-dispersing. Acupuncture methods for treating phlegm-dampness are introduced in the section of “Analyzing the pathogenesis of tumors and thinking of treatment”. Tumor is a cancerous poison, so it is necessary to fight poison with poison, which has been discussed in detail earlier and will not be repeated here. Here, we would like to talk about the viewpoint of “removing the disease with big poison”, which is described in “Suwen. Five often political theory” “big poison cure, ten to its six; often poison cure, ten to its seven; small poison cure ten to its eight; no poison cure to its nine. Grain, meat, fruit and vegetables, food and nutrition to the end, do not make too much also, hurt its positive also. Not exhaustive, the line back to the law, the first years of gas, no伐天和, no Sheng Sheng, no virtual, and the legacy of premature death and suffering, no evil, no loss of righteousness, the absolute human long life.” At present, people often quote is “big poison cure, ten to its six …… cereals, meat, fruits and vegetables, food and nutrition to the end, do not make too much also, hurt its positive also”. Often do not see the back of the said “not exhaustive, line back to the law”, is to say that the disease has not gone, you can continue to “poison to attack poison”, but then “to poison to attack poison” must follow But then “attacking poison with poison” must follow the condition of “must first age gas, no伐天和, no shengsheng, no false false false”, so it seems that even if we can’t see the tumor with our naked eyes, even if the tumor markers are higher than normal, we can also “attacking poison with poison”. The main method of acupuncture is to fight poison with poison, which is mainly peri-puncture, or fire needle, or manhole needle, or milli-needle.