How to properly view the role of Chinese medicine in the treatment of breast cancer?

      Traditional Chinese medicine is the traditional medicine of the motherland, which has certain adjuvant therapeutic effects on tumors, thus occupying a certain position in the comprehensive treatment concept of tumors. However, the anti-tumor effect of TCM is still very limited, and we must look at it correctly. In fact, the treatment of tumor in Chinese medicine is still mainly positioned in the “adjuvant role”.  This is also the case for the comprehensive treatment of breast cancer. In clinical practice, the use of TCM for breast cancer treatment is usually due to the inability, inappropriateness or unwillingness of the patient to undergo surgery, radiotherapy, chemotherapy and other comprehensive treatments. Although TCM has the therapeutic strategies of detoxifying the liver, activating blood stasis, softening phlegm and detoxifying, its anti-cancer effect is very limited and slow in effect; its supportive effect and auxiliary effect in surgery, radiotherapy and chemotherapy are still acceptable, which is the so-called “auxiliary effect”. Therefore, we should adopt more effective and faster-acting anti-tumor measures in time! Therefore, we should adopt more effective and faster-acting anti-tumor measures in a timely manner, and should not prefer weak and slow-acting Chinese medicine treatments to avoid delaying the disease.  We have indeed encountered many cases in our clinical practice where attempts to treat breast cancer through TCM have ultimately failed, leading to progression of the disease and loss of the best time for treatment. In a 43-year-old female patient, when the invasive breast cancer was clearly identified through coarse needle aspiration, the tumor size was 2cm, and the axillary lymph nodes did not metastasize, and the conditions for breast conservation and sentinel lymph node biopsy were available (minimal surgical trauma, beautiful postoperative appearance, and high quality of life), however, the patient gave up the regular comprehensive treatment and went to use Chinese medicine internally and externally; six months later, the treatment failed, the tumor increased to 8cm, the skin was infiltrated In the end, only neoadjuvant chemotherapy and modified radical surgery could be performed. A 23-year-old female patient, a university student, was diagnosed with right breast intraductal carcinoma when the tumor was 2cm in size. Considering that the lesion was diffuse, it was suggested to remove the breast, reconstruct it in stage I or place a prosthesis in stage II; however, the patient’s family insisted on giving up the formal treatment and used traditional Chinese medicine to treat her; one year later, the tumor increased to 7cm, with obvious lymph node metastasis in the axilla, and the tumor became infiltrative, and finally only neoadjuvant chemotherapy and modified radical surgery could be performed. chemotherapy, modified radical surgery (postoperative skin defect was relatively large), and other treatments after surgery. A 56-year-old female, when diagnosed with right-sided breast cancer, the tumor was 4 cm in size, without axillary lymph nodes and distant metastases; after 1 year of failed TCM treatment, and then once gave up treatment, the tumor gradually developed to more than 10 cm in size, with imminent local rupture, mass invasion of chest wall, enlarged axillary lymph nodes, fusion with obvious swelling of upper limbs, and liver and lung metastases.  These patients lack understanding of the basic features of breast cancer and eventually lose the best time for treatment. Therefore, most of the patients are probably based on the following considerations: (1) blind fear that surgery, radiotherapy, chemotherapy and other comprehensive treatment measures will bring sequelae and complications; (2) excessive superstition in the anti-cancer effect of Chinese medicine; (3) listening to untrue rumors and advertisements, rather than the reasonable advice of the specialist physicians in regular hospitals; (4) believing that Chinese medicine treatment is non-toxic, non-side effects, inexpensive and cost-effective, and can save money; (5) believing that Chinese medicine treatment can save money. (5) some other considerations.  Given the professional nature of medicine, it is understandable that tumor patients do not have these basic knowledge and seek medical treatment indiscriminately. However, as medical practitioners, we have the responsibility to give them the most professional and authoritative explanation and advice. Therefore, we must emphasize: (1) Draw your attention to the fact that patients must first receive standardized and comprehensive treatment!  (2) We strongly appeal to relevant TCM physicians that if a malignant tumor patient comes to seek medical treatment before receiving formal treatment (the patient is not clear and lacks discernment about the condition and treatment methods), please be sure to advise the patient to first receive formal treatment in a timely manner, and then consider the adjuvant treatment of TCM to avoid delaying the condition and losing the best treatment time!  (3) It is strongly urged that relevant advertisements and rumors should not blindly exaggerate the anti-cancer effects of TCM, so as not to delay the patient’s condition.