1.Treatment idea of Chinese medicine For the treatment of lung cancer, most TCM doctors adopt the method of benefitting qi, nourishing yin and resolving phlegm. This was also the idea when I was first engaged in tumor clinical practice, and the effect was not good. Later on, we added to this base with the use of the appendage to warm the Yang, why? You go to the radiology department to take a look, there are tumors in the lungs where the alveoli are not moving, here not moving certainly this part of the Yang Qi is not enough, then we need to use the appendage, dry ginger to replenish Yang Qi, with these tonic Yang medicine although there is a certain effect, but still not ideal, and the appendage and we commonly used the half summer, Gua Pou, although nothing terrible side effects, but to go to the pharmacy often stamp, especially troublesome, and then see the sea white BaiDong soup, to me Later on, I saw Hai Bai Bai Dong Tang, which gave me an idea to use Hai Fu Shi and Soapberry. Hai Fu Shi can dispel stubborn phlegm, and the tumor is also stubborn phlegm, the medicine and evidence match, and the efficacy is more ideal. In fact, the etiology of lung cancer is just two aspects, namely, positive deficiency and negative reality, let’s look at positive deficiency first, mainly deficiency of lung and kidney. First of all, there is an ancient saying that chronic diseases affect the kidneys, because the kidneys are the foundation of the human body, the root of yin and yang, the residence of the vital gate, and the system of the vital energy, chronic diseases will damage the yin and yang of the kidneys after a long time. Secondly, in the process of breathing, the lung is the main qi, the division of breathing, the kidney is the main intake of qi, although the lung is the division of breathing, but the inhalation process all rely on the kidney intake, the lung will breathe in the clear qi, rely on the kidney water intake in, this is Huang Yuan Yu’s statement, he said that the kidney water can melt the lung qi into, that is, the clear qi into the water, the kidney deficiency of qi can not be absorbed into the gas. The third is what we do not talk about in the textbook, the kidney is the root of phlegm, why? Once the kidney is not enough, the spleen and lungs are not warmed, then the spleen will produce phlegm, the lungs will be unable to expel phlegm, so to completely get rid of phlegm must replenish the kidney. Although the damaged organs are in the lungs and kidneys, they cannot be replaced simply by the lungs and kidneys, but by the spleen. Chinese medicine believes that lung qi cannot be generated alone, but has to be transformed by replenishing spleen qi, that is, to cultivate earth and produce gold. The evil realities are phlegm, ligament blockage, qi stagnation and cancer gathering. First of all, we should remove phlegm, because lung is the storage device of phlegm, so lung cancer is also prone to lymph node metastasis. Commonly used phlegm-eliminating drugs such as zhebei mum, Chuanbei mum, Guahuo, and Hanxia are not strong enough to remove phlegm. The second should be through the complex, why there is a complex obstruction it? Phlegm is secreted from the tracheal mucosa or alveoli, there are many tiny blood vessels in the interstitial space of the alveoli, if these vessels are blocked it will be easy to generate phlegm, phlegm will affect the blood circulation, phlegm and circulation will affect each other, so the soup medicine should be used to pass the ligament, like the whole scorpion, the dragon, why use the cool nature of the dragon? The phlegm will stick to the alveoli on the trachea wall under what circumstances, and it will stick to the top only when the phlegm is hot, and the cold phlegm is white thin phlegm that can be easily coughed out. The third is anti-cancer, heavy disease needs to use a heavy hammer, the treatment of lung cancer is not white flower snake tongue grass, half a lotus can be competent, we need to use gecko, toad skin, etc. to have a better effect. The fourth plus some heat-clearing drugs, plus some simple heat-clearing drugs, lung heat-clearing drugs such as Baiying, can not only clear heat and dampness, as well as gold buckwheat, fishy grass, scutellaria, etc. can clear lung fire, if the tumor is close to the mediastinum, this time the power of gunpowder to increase a little, squamous carcinoma, small-cell lung cancer lung fire drugs can be reused Dai clam powder, dahli. The fifth is to manage the gas, the lung is the main gas, that the lung tumor affects the gas lift function? In general, it does not affect much, when does it affect much? When the lung lobe infiltrates more will affect the lung function, when there is obvious coughing and wheezing, stagnant chest, etc., when there is chest tightness or chest pain to regulate the qi, regulate the qi, the blood in several qi-regulating drugs can be, like Chai Hu, Citrus Aurantium, Radix Platycodon, Chuan Niu Kne, etc., can be, some time ago a friend talked to me about Yu Jin to treat the gold of the depression is very good, “the herb from the new” also said Yu Jin can open the lung gold of the depression, treatment of lung depression can Choose to use tulip. To regulate lung qi is not to regulate its depression, but to regulate its elevation, elevation normalized the depression will be relieved, which requires the addition of orris and almonds to regulate lung qi on the basis of yujin. In addition, when do we need to regulate the qi? The evidence is very correct, the medicine is very fierce, but the tumor slowly grows, then we need to add the qi medicine, sometimes will receive very satisfactory results. 2.Effective acupuncture methods We have been doing research work on acupuncture for lung cancer for 5 or 6 years. Before that, when Tian Zhen was a graduate student, we were stabbing blood cupping at the back dorsal acupoints and stabbing blood cupping at the nodes of the Yangming meridian of the hands and feet. Later, Tian Yehong, Yi Jianmin, Wang Zeying and others treated lung cancer by using Liuhe acupuncture to tonify the lungs, spleen and kidneys, and acupuncture of the bladder meridian, lung meridian and large intestine meridian to help the lung cancer to disappear. Later they went to study buried thread and came back to bury the thread for the patients, but the effect was still not satisfactory. Then later we adopted fire acupuncture around the tumor body surface area, as well as fire acupuncture point at the relevant dorsal acupoints, together with acupuncture at the relevant points of the Ren channel, the tumor was well controlled, and some of the tumors shrunk and disappeared. Therefore, in the treatment of lung cancer, fire acupuncture at the dorsal acupoints and fire acupuncture at the corresponding body surface areas of the tumor should be used to support the tumor and eliminate it; and the relevant points of the Ren channel should be used to regulate qi, resolve phlegm and harmonize the stomach. If the disease is more serious and the phlegm and fire are more prevalent, blood cupping can be performed at the relevant dorsal acupuncture points. The organic combination of fire acupuncture, milli-acupuncture and blood cupping can achieve better therapeutic effect. (1) Whether all lung cancer chemotherapy regimens must choose platinum drugs: Almost all lung cancer chemotherapy regimens contain platinum drugs, which I think is the bottleneck to improve the efficacy of lung cancer, and the clinic should choose drugs with more obvious cold and hot properties according to Chinese medicine, instead of cisplatin, carboplatin and other drugs with less obvious cold and hot properties, according to the clinical evidence of both cold and hot. Only in this way can we improve the efficacy of lung cancer treatment. (2) Whether the dose of current chemotherapy drugs is reasonable or not: You can see from “Ten Lectures on Chinese Medicine Tumor Treatment” that I analyzed why the dose of Irinotecan varies so much from top to bottom. In fact, once the chemotherapy regimen is determined, the drug dose is determined according to the body surface area. ASCO modifies the treatment regimen every year, and it is difficult to see the dose modified according to the pathological type. I think the determination of drug dose should be closely related to the type of pathology and the site of the swelling, in addition to the body surface area. (3) How to combine targeted and chemotherapeutic drugs? When to combine? Previously, it was thought that ERSA and Troche are large molecules and cannot be used in combination with chemotherapy drugs for lung cancer, I think this statement is wrong. In the treatment of advanced breast cancer, there is the regimen of paclitaxel combined with Tricor, and in pancreatic cancer, there is the regimen of Kinzel combined with Tricor, why can’t ERSA and Tricor be combined with chemotherapy drugs in lung cancer? This reasoning does not make sense. If these two targeted drugs can be combined with the pathological type of lung cancer to reasonably select chemotherapy drugs, the efficacy will be greatly improved. (4) Which factor is the most important and how to judge it? In my “Insights”, I talked about 7 guiding principles for choosing chemotherapy drugs. It is still unclear which of these 7 factors is the most important, and there is no research data on which is more important in terms of site or pathology.