Balance of support and detoxification

Malignant tumors are common and frequent diseases that seriously endanger people’s lives and health, with high morbidity and mortality rates in recent years. At present, the treatment of malignant tumors is gradually developing in the direction of individualized treatment, comprehensive treatment and evidence-based medicine. The research on tumor prevention and treatment is also changing from “pathology-based” to “pathology-biology-based”, and from killing tumor cells to changing the tumor microenvironment [1]. Recent studies have found that the strength of tumor aggressiveness already exists in the primary tumor stage, and the metastatic recurrence of tumors is the most concentrated manifestation of the biological characteristics of cancer, which is also the most difficult problem to be solved at present. Various therapies aiming at “tumor elimination” have improved the therapeutic effect of tumors to a certain extent, but have not significantly affected the overall survival rate. Therefore, it has been suggested [2] that “tumor elimination actually accelerates the emergence of cancer resistance and recurrence.” And it is debated whether the treatment of tumors is to eliminate them completely or to allow them to survive [3]. The current trend of views tends to emphasize that while maximizing the elimination of tumors (surgery, radiotherapy, chemotherapy, local treatment), attention is paid to the modification of a small amount of residual tumors and the modification of the tumor host organism (such as biological therapy, Chinese medicine and traditional Chinese medicine) in an effort to make the tumor cells reformed, reduce the invasive and metastatic potentials, and make the tumor host organism unsuitable for the tumor’s growth. This viewpoint tends to be consistent with the viewpoints of Chinese medicine on the prevention and treatment of tumors all along, emphasizing the contradictory balance between the organism and the tumor, i.e., the balance between correcting and detoxifying. The etiology of tumor originates from imbalance 1.1, the root cause lies in internal deficiency For the understanding of the etiology of tumors, Chinese medicine practitioners through the ages have mostly discussed the theory of “internal deficiency”. The Nei Jing puts forward that “where evil comes from, its gas must be weak”, “all diseases are born in the gas”, and believes that “when the essence is taken away, it is weak.” The record of tumor is relatively simple. Its records on tumors are relatively simple. In the Han and Tang dynasties, the discussion of “accumulation” in “The Origin and Candidates of All Diseases” and “Qianjin Fang” indicated the initial formation of academic thinking on tumor support and cultivation. In the Song, Jin and Yuan Dynasties, the academic thought of tumor supportive and cultivation-oriented gradually matured. Dongxuan Jushi proposed the term “cancer” for the first time in Wei Ji Baoshu. During the Ming and Qing Dynasties, the academic thought of tumor support and cultivation was deeply developed, for example, Zhang Jingyue believed that “people with spleen and kidney insufficiency and weakness and disorders often have the disease of accumulation……………………..”. Medical Zong Biren” is directly pointed out that “the accumulation of the formation of the person, the lack of positive qi, and then the evil entrenchment of the.” Based on the theory of “internal deficiency”, modern researches have also deeply explored the role of “internal deficiency” in tumor development, and found that the immune function (positive qi) of tumor patients is suppressed, and the occurrence and development of tumors and prognosis are closely related to the cellular immune state of tumor-bearing organism [4]. Tumor development and prognosis are closely related to the cellular immune status of the tumor-bearing organism [4]. 1.2. Cancer toxin is an indispensable condition Tumor development, under the condition of deficiency of positive qi, cancer toxin is a key factor to produce tumor. There are many ancient medical writers who have written about cancer toxins, but none of them have explicitly mentioned the concept of “cancer toxin”, instead, they are generally called “poisonous evil”. For example, “Zhongzangjing” thinks that “the canker sores and ulcers are made by the five viscera and six bowels of the stored poison that does not flow to be born, not only the Yingwei congestion and the hair.” With the deepening of basic and clinical research, the concept of “cancer toxin” is more and more recognized, and it is considered that “cancer toxin” is the main contradiction or the main aspect of the contradiction in the process of malignant tumor occurrence and development. Professor Zhou Zhongying believes that [5] cancer toxin is a specific pathogenic factor leading to tumor development, which is one of the poisonous evils, and it is a kind of disease evil with obvious harm to the human body based on the dysfunction of internal and external factors and the dysfunction of internal organs of the human body, and it has the characteristics of proliferative, infiltrative, recurrent, and effusive etc. Professor Ling Changquan[6] has also believed that “cancer toxin” is the main contradiction or contradiction in the process of occurrence and development of malignant tumors. Prof. Ling Changquan [6], combining the understanding of malignant tumors in Chinese and Western medicine, defined cancerous toxin as “formed and newborn cancer cells or the accumulation of cancer cells as the main body”. It is also believed that cancer toxin is the core of the pathogenesis of malignant tumors. Cancer toxin and its pathological metabolites spread to the whole body through the circulation of blood and lymphatic fluids, resulting in the dysfunction of the whole body, which then depletes the positive qi and entangles with qi, blood, phlegm, and heat, and further produces a series of pathological changes. Once formed, cancer toxin has the characteristics of rapid growth, spreading and flowing, etc. It is necessary to take the means of combating toxin with toxin in a timely manner to eliminate cancer toxin to the maximum extent. 1.3 Imbalance between positive qi and cancer toxin At present, the incidence of tumors tends to be younger and younger, and this phenomenon can not be explained simply by internal deficiency or cancer toxin. From the viewpoint of the law of development of positive qi in human body, young and middle-aged people are in the condition of “firmness of sinews and bones, long hair, strong and vigorous body” or “strong sinews and bones and vigorous and full muscles”, and even if they are “beginning to decline”, they will not become cancerous. Even if “the beginning of decline”, it will not become accumulation and tumor. The accumulation of cancerous toxins also needs a certain period of time. Therefore, it can be considered that the occurrence of tumor is the balance between positive qi and cancerous toxin is broken, and the internal deficiency of positive qi is dominant or cancerous toxin is dominant, and finally cancerous toxin is dominant. This imbalance phenomenon has also been found in modern studies. For example, Jia Yongsheng et al [7] classified oncogenes into yin and yang, and took oncogene myc and oncogene p53 as examples to illustrate their relevance. p53 mainly promotes apoptosis, so it is yin, and the yin of yin is to inhibit cell growth and promote apoptosis, while the yang of yin repairs the damaged DNA to make the cells continue to survive. myc mainly promotes cell growth and proliferation, so it is yang, and the yang of yang promotes cell growth and proliferation, while the yang of yang promotes cell growth and proliferation, while the yang of yang promotes cell growth and proliferation, while the yang of yang promotes cell proliferation. growth and proliferation, while the yin in yang is to induce apoptosis. This kind of yin and yang manifestation in tumor development is mostly due to P53 inactivation or myc activation. In addition, in the process of tumor development, the cell signaling network will also be imbalanced. For example, the signaling pathways related to cell growth, division and proliferation are often in an abnormally active state, such as growth factors and receptors, G proteins, cell cycle regulators, etc., thus manifesting uncontrolled proliferation. In contrast, important mechanisms related to the body’s removal of abnormal and senescent cells as well as apoptotic mechanisms are inhibited, such as TNF, Fas/FasL, etc., thus apoptosis is reduced [8]. 2, the treatment of tumors lies in the balance 2.1, the law of treatment The understanding of Chinese medicine for the treatment of disease can be summarized as “attack when it is real, and replenish when it is weak”. For the treatment of malignant tumors, the commonly used clinical treatments include benefiting qi and strengthening the spleen, nourishing yin and generating body fluid, warming the kidney and strengthening the yang, activating blood circulation and removing blood stasis, softening and dispersing hardness and knottyness, clearing heat and removing toxins, dispelling dampness and removing phlegm, and dispelling the liver and resolving depression. From the pathogenesis of tumors, there are only two methods to support justice and detoxification. Fuzheng, also known as supporting and consolidating the root and cultivating the root, is a major therapeutic rule established based on the theory of “internal deficiency” of tumors. Its purpose is to improve the state of “deficiency evidence” of tumor patients by supporting and regulating their yin and yang, qi and blood, so as to improve the body’s own anticancer ability and achieve the purpose of getting rid of the tumor. The law of detoxification is a major therapeutic law established for the pathogenesis of cancerous toxins. In the process of tumor occurrence, development and recurrence and metastasis, besides cancer toxin, there also exist phlegm, stasis and other pathological products, however, cancer toxin is the most crucial point among them, which directly determines the degree of malignancy of malignant tumors, and is different from chronic miscellaneous illnesses caused by qi stagnation, blood stagnation and phlegm congealment etc. Therefore, supporting correctness and detoxification are the key factors to eliminate cancer, which can help to eliminate cancer. Therefore, supporting correctness and detoxification are the fundamental laws in tumor treatment. 2.2 Staged treatment The two main features of Chinese medicine are “holistic concept” and “diagnosis and treatment”. Individualized diagnosis and treatment plan of modern medicine is the modern interpretation of TCM’s “different treatment for the same disease” and “different treatment for the same disease”, which is the modernization of “evidence-based treatment”. The Su Wen? The “Treatise on the Essentials of the Supreme Truth” discusses that “the firm is cut down”, “the retained is attacked”, “the knot is dispersed”, “the guest is removed”, “the loss is removed”, and “the loss is treated with the same treatment”. The principles of “cutting if it is firm”, “attacking if it stays”, “dispersing if it is knotted”, “removing if it is a guest” and “benefiting if it is damaged” reflect the different treatments according to the nature of different diseases. Due to the large differences in patients’ physical status, tumor staging and tumor biological properties, the clinical treatment rules are also different. In terms of staging, in the early stage of the tumor, patients generally have good physique, sufficient positive energy, the tumor is in the growth stage, and the cancerous toxin is in full bloom, at this time, there is no obvious tumor-related immunosuppression, i.e., the evidence of deficiency is not obvious. In terms of treatment, the main focus should be on dispelling the evil spirits and detoxifying the toxin, and the tumor should be removed by actively adopting surgery, radiotherapy, chemotherapy, and local treatments (such as cryosurgery, laser, and radiofrequency, etc.) as soon as possible. This kind of means of attacking evils and removing toxins is not obvious when the deficiency evidence is not obvious, so the application of Chinese medicine mainly lies in the adjuvant treatment of various treatments, and it mainly focuses on supporting the corrections, so as to make the corrections and detoxification reach a balance. In the middle stage of tumor, the tumor increases in size, consumption increases, obvious immunosuppression is formed, and the consumption of human body’s positive qi is obvious. During this period, the forces of good and evil are often evenly matched, or the positive and evil are equal, or the cancerous toxin is slightly reduced, or the positive qi is slightly stronger. During this period, the forces of positive and evil are often equal, or positive and evil are equal, or the cancer poison is slightly reduced, or the positive energy is slightly stronger. When the tumor tends to be in advanced stage, the cancer poison is blazing, and the positive qi is exhausted, so the positive qi is unable to fight against the evil, which becomes the situation that the evil is in full bloom and the positive is in decline. At this time, “treat the symptom if it is urgent, and treat the root if it is slow”. If the emergency is obvious, the treatment of symptom will be based on treating the symptom, and then the treatment of corrective therapy will be based on corrective therapy, because the possibility of cure for advanced tumors is relatively small, therefore, corrective therapy should be accompanied by detoxification, so as to make the cancerous toxin and the positive qi gradually tend to be balanced, and to achieve long term survival with the tumor. 2.3. Use of prescription and medication The “Essay on the Essentials of the Supreme Truth” has the words “Be careful to observe the location of yin and yang and adjust them to level the period…”, emphasizing the adjustment of the balance of yin and yang. In the Qing Dynasty, Zhang Yinan pointed out that “cold and heat should be used in combination with tonicity and diarrhea, and should be sought in evil and righteousness.” In the balance between correcting and detoxification, the prescription and medication are often shown to be opposite and contradictory, mainly in the following aspects: 2.3.1, Attacking and tonifying both Attacking and tonifying both is the most important way of tumor treatment, so as to get rid of the evil without hurting the positive, and to support the positive without leaving the evil behind. Clinically, Si Jun Zi Tang or Liu Jun Zi Tang is often used to add and subtract to support positive qi, and at the same time, anti-cancer and detoxification products such as White Flower Snake Tongue Herb, Bai Ying, Long Quai, Shi Jian Jian Jian, Centipede are added, etc. The weights and dosages of the drugs for supporting positive and detoxification depend on the relationship between positive qi and cancerous toxins of the patients, and the prescriptions should be adjusted anytime to fine-tune the balance in different tumors, different stages, and different physique states so as to make the imbalance gradually return to the equilibrium. 2.3.2 Sharing of heat and cold The clinical manifestations of tumor patients are often intricate and complex, and the TCM diagnosis is often mixed with heat and cold, therefore, the prescription is often adjusted with heat and cold. For example, for nausea, vomiting, diarrhea and other symptoms caused by chemotherapy for tumors, it is commonly used in clinical practice to add and subtract laxative heart soup, which not only uses scutellaria and lian to reduce fire and remove heat, but also uses ginger and summer to open up the junction and disperse the cold, so as to restore the function of the spleen and the stomach in the middle jiao. Drugs for detoxification and anticancer attack are often cold and cool agents, which can easily deplete the yang qi of the spleen and kidney, and clinically, they are mostly used to warm the kidney and strengthen the spleen, so as to avoid injury of yang qi by cold and coolness. 2.3.3 Elevating and lowering are related to each other, as pointed out in “Suwen? Six micro-essays” pointed out that: “in and out of the abolition of the Shenqi perish, lifting and lowering of the rest of the gas to stand alone. Therefore, if not in and out, there is no way to grow strong and old; if not lifting and lowering, there is no way to grow and collect.” Tumor patients, due to the influence of emotion, diet and treatment, mostly have the pathological state of qi imbalance. Adjustment of qi is often caused by lifting and lowering, and ascending and floating drugs are used together with sinking and descending drugs, so that qi can be lifted and lowered in an orderly manner when it is lifted and when it is lowered. Such as lung qi does not descend caused by dry stools, often Platycodon grandiflorum and Citrus aurantium as a group, the former Xuan lung gas, the latter lowering intestinal gas, an ascending and descending. Insomnia caused by heart-kidney disharmony, often with Jiaotai Pill plus subtractions, Huanglian under the heart fire, cinnamon to make up for the kidney water, also belongs to the category of a rise and a fall. 2.3.4 Combination of movement and static because corrective treatment occupies a very important proportion in tumor treatment. However, tonic and beneficent products are often nourishing and greasy, which may affect the functions of spleen and stomach. As tonic drugs are mostly “static”, clinically, “dynamic drugs” and “static drugs” are often used together, so as to make the dynamic and static exist in one and increase the therapeutic effect. Such as the application of warming agents to strengthen the spleen, commonly used raw atractylodes, Poria, raw Semen Coicis, etc., more supplemented by the awakening of the spleen and dampness products to increase its ability to transport and transform, such as patchouli, perilla peduncle, lotus peduncle, sand nuts, etc.. Malignant pleural fluid, the application of Drabanemerosa hebecarpa jujube diarrhea lung soup, hexajiao Drabanemerosa hebecarpa Huang Pill and other diarrhea lungs and water, often add Gui Zhi warming yang qi, increase its “dynamic” nature, in order to gas line water. In short, “Yin and Yang secret, spiritual milk treatment”, the occurrence of diseases are caused by the imbalance of Yin and Yang, the development of tumor is also the process that this balance of Yin and Yang and the contradiction between good and evil are constantly being broken, therefore, the treatment should be based on the general outline of supporting the right and detoxifying the two methods, and constantly adjust the environment in the body so that it tends to be in the homeostatic state again, in order to achieve the purpose of preventing and controlling the tumor. Therefore, the treatment should be based on the two methods of supporting Zheng and detoxification.