Chinese medicine treatment of liver cancer
More than 80% (50-90%) of primary liver cancer in China occurs on the basis of cirrhosis, especially nodular liver cancer often has obvious cirrhosis and poor liver function. Surgery is still the preferred method to improve the long-term outcome of primary liver cancer. Transcatheter hepatic artery embolization chemotherapy, ablation therapy and biologic targeted therapy have become the other three major means of western hepatocellular carcinoma treatment at present. Chinese medicine treatment can be used throughout the whole course of hepatocellular carcinoma treatment.
2.According to the course and symptoms of hepatocellular carcinoma, combined with the discussions of medical texts in past generations, the disease can be classified as “fatty gas”, “accumulation”, “Y”, “dropsy” and “dropsy” in Chinese medicine. dropsy”, “jaundice”, “vomiting blood”, “blood in stool” and other diseases.
The liver pulse …… is slightly urgent for fatty qi, and is under the dewlap like an overlapping cup. The Warring States “Spiritual Pivot” Evil Qi internal organs disease form
The accumulation of the spleen is called gangrene, in the stomach and epigastrium, covering as large as a plate. Han Hua Tuo’s Book of Difficulties
The pathogenesis and treatment principles of Y accumulation were also described in detail by successive medical practitioners.
The accumulation is also yin qi, which has a constant place of origin, its pain does not leave its part, there is a constant up and down, and there is a poor place to the left and right. Han Hua Tuo, “The Book of Difficulties
Y, the hardness in the abdomen, pressed by the hand, is also called Y. Jin Liu Wansu, “Suwen Xuanji Original Disease Style
The meridians are affected by disease and enter the five organs of the intestines and stomach to accumulate, and develop fulang, xiben, fat qi, vu qi, and peng dolphin. Tang Sun Simiao, “Preparedness and urgency of a thousand gold prescriptions
It is said that the accumulation is caused by the deficiency of positive qi, and then the evil qi is concentrated. Ming Li Zhongzhi, “The essential reading of medical science
The Y is also a sign, blood and food are blocked, and there are signs that can be tangible, certain and not moving. Qing Ye Tianshi, “Clinical evidence guide medical case
The great accumulation of the great gathering, it can be committed, the decline of its most half only. The Warring States “Internal Classic
The firm is eliminated, the retained is attacked, the knotted is dispersed, and the guest is removed. Nei Jing of the Warring States
A strong man has no accumulation, but a weak man does. Therefore, the treatment of accumulation, when first nourishing the righteousness, the accumulation will be removed …… evil and righteousness, it is appropriate to review. Jin Zhang Yuan, “The key to living methods
The first, the disease is still strong, the evil is shallow, then any subject to attack. In the middle, suffer from disease for a long time, the evil is deeper, the righteousness is weaker, any subject and attack and supplement. The last one, the disease demon after a long time, the evil invasion, the righteousness of the residual, then any subject to supplementation. Ming Li Zhongzhi, “The essential reading of medical science
The method of treatment is from the meridians, and then investigate its qi and blood bias. If the Qi is deficient, the middle is tonified to move the Qi; if the Qi is stagnant, the depression is opened to promote the flow; if the blood is weak, the camp is nourished to open the ligaments; if the blood is stagnant, the ligament is entered to attack the paralysis. This is the general treatment of Y obstruction. Qing Ye Tianshi’s “Clinical evidence guide medical case”.
3. Modern Chinese medicine recognizes that liver cancer is always a disease of positive deficiency and evil solidity, and different stages of the disease have different emphasis on positive deficiency and evil solidity
Early stage of hepatocellular carcinoma: the evidence is mainly based on evil, liver qi stagnation, qi stagnation and blood stasis, and complemented by positive deficiency and spleen weakness.
Middle stage of hepatocellular carcinoma: the evidence is mostly based on both positive deficiency and evil actuality, with spleen deficiency and qi weakness, blood stasis and phlegm stagnation.
Late stage of liver cancer: the evidence is that there is a great deficiency of vital energy and the disease evil is strong. Qi and blood deficiency, spleen and stomach disharmony, qi stagnation and blood stasis, phlegm and dampness.
Principles of TCM treatment.
Support the righteous: strengthen the spleen and stomach, nourish the blood, nourish the yin, moisten the intestines, warm the yang and transform the qi, etc.
Removal of evil: activating blood circulation, resolving blood stasis, resolving phlegm and dispersing knots, as well as promoting the flow of Qi, resolving dampness, inducing diuresis, reducing yellowing, diarrhea, clearing heat and detoxifying toxins, etc.
Chinese medicine treatment.
Early stage: to invigorate blood stasis, soften hardness and disperse nodules, and to remove liver and Qi. The aim is to get rid of the disease.
Middle stage: strengthen the spleen and stomach, move Qi, remove stasis and disperse knots. It also focuses on supporting the righteousness and dispelling the evil.
Late stage: strengthening the spleen and tonifying Qi is the main focus, harmonizing the stomach, eliminating distention, inducing diuresis and reducing yellowing. Care for protecting the righteousness and saving the people first.
Classification of symptoms
Liver-depression and spleen-deficiency type or Liver-Qi stagnation
Main symptoms: distension and pain in the chest and hypochondrium, more so on the right side, with lumpiness under the hypochondrium, good breath, or with loss of appetite, tiredness and fatigue, with a pale tongue and tooth marks on the sides, and a thin string pulse.
Treatment: Diversify liver and Qi, harmonize the stomach and strengthen the spleen, resolve phlegm and disperse knots.
Radicals: Chai Hu Dredging Liver San and Six Jun Zi Tang with addition and subtraction
Qi stagnation and blood stasis type
Symptoms: Huge mass under the dorsum, stabbing pain or dull pain in the right dorsum or epigastrium, dysmenorrhea leading to back pain, insomnia and distress, dark or blue tongue with petechiae, thin and astringent pulse.
Treatment: To regulate Qi and activate Blood circulation, resolve blood stasis and eliminate stagnation.
Radicals: Diaphragmatic and Blood Stasis Removal Tang, Plus Reduction
Spleen deficiency with blood stasis
Main manifestations: masses under the dorsum, stabbing pain or dull pain in the right dorsum or epigastrium, dullness, fatigue, abdominal distension, loose stools, vomiting blood or blood in stool, or purpura under the skin, pale tongue with petechiae and stasis, weak pulse.
Treatment: Strengthening the spleen and benefiting Qi, regulating blood flow and stopping bleeding, resolving blood stasis and clearing collaterals.
Treatment: Strengthening the spleen and benefiting Qi, regulating blood and stopping bleeding, resolving blood stasis and clearing blood circulation.
Dampness and heat of liver and gallbladder type Dampness and heat gathering poison
Main symptoms: epigastric mass, pain in the right side of the abdomen, distention and fullness of the abdomen, or abdomen as large as a drum, distress in the heart, bitterness in the mouth, bright yellowish skin of the eyes, body heat or hot flashes, dry stools, short, red and yellow urine like thick tea, purple and dark tongue, yellow thick and greasy coating, slippery pulse.
Treatment: Clearing heat and relieving dampness, dipping fire and detoxicating.
Prescription: Yin Chen Artemisia Tang, Gentian Diarrhea Liver Soup with addition and subtraction
Yin deficiency and internal heat deficiency of liver yin
Main symptoms: distension and pain in the ribs, lethargy and weakness, low fever and night sweating, vexation and heat in the five hearts, dull skin, dry mouth without desire to drink, scanty urination, light red tongue or vivid red with little or no coating, fine pulse.
Treatment: Nourishing Blood, softening the Liver, cooling the Blood and detoxifying the toxin.
Radix: Artemisia annua and turtle nail soup, Consistent Decoction plus reduction
Deficiency of Yang in the spleen and kidney, internal stagnation of water-drink
Main symptoms: epigastric mass, vague painful distention and fullness of the abdomen, or abdomen as large as a drum, pale mouth with vomiting of clear saliva, yellowish and dark eyes, fatigue, cold extremities, swelling of the lower extremities, loose stools, scanty urination, pale white tongue, sunken and thin pulse.
Treatment: Strengthening the spleen and tonifying the kidney, warming the Yang and promoting water retention.
Remedies: Wu Ling San, Zhen Wu Tang plus reduction
Key points of identification and treatment.
1. The main disease is in the spleen and stomach, involving the liver, gallbladder, lung and kidney.
2. Positive deficiency is mainly due to spleen deficiency and qi weakness, which can further develop into lung and spleen deficiency, heart and spleen deficiency, and spleen and kidney deficiency. Evil is dominated by qi stagnation, blood stasis, phlegm, water and dampness, and can be transformed from heat to cold over time.
3, to support the treatment of the righteousness should take into account the removal of evil, do not forget to protect the righteousness. Too much bitter and cold will hurt the Yang energy and the spleen and kidneys; too much attack will hurt the spleen and stomach; too much use of blood will lead to bleeding disease.
4, malignant tumor is a chronic disease, treatment cannot be done quickly, it is advisable to slow down the treatment, or may be effective.
5.The holistic view of TCM treatment: combination of disease identification and evidence-based treatment
At present, the following Chinese medicine preparations are commonly used against liver cancer
1.Elimination of evil is the main focus: Huachansu Tablet/Injection, Eleutherococcus Injection, Anticor Capsules, Anti-cancer Ping Tablets, etc.
2.Both support the righteousness and dispel the evil: Jinlong capsule, Aidi injection, Huaier granule, Kanglaite injection, Hepatofluo, etc.
3, to support the root: spleen and kidney pellets, Zhengqi Fuzheng capsule/granule, Tonic Zhong Yi Qi Wan, Ginseng and Atractylodes, etc.
Jinlong capsule helps to strengthen the root, break the stasis and disperse the knots, solve the depression and open the ligament.
Kanglaite Injection helps to benefit Qi, nourish Yin, eliminate Y and disperse knots.
Adi Injection Clearing heat and detoxifying, eliminating blood stasis and dispersing nodules, benefiting Qi and supporting the righteousness.
Sophora granules Support the righteousness and consolidate the root, invigorate blood and eliminate Y.
Huachansu Tablet/Injection Detoxify, subdue swelling and relieve pain.
Eleutherococcus milk has the effect of activating blood circulation and removing blood stasis.