A. Support the righteousness and cultivate the root, improve the immunity, dispel the evil and fight against cancer Lowered immunity can induce tumor or promote its recurrence and metastasis. It is a characteristic of Chinese medicine to help the body to cultivate the essence, and the treatment of Chinese medicine is often carried out by improving the immune function of the body. Therefore, taking Chinese medicine for a reasonable period of time during the recovery period of cancer is of practical value in restoring the body and strengthening the immune system. However, it should be done under the guidance of a professional physician, and should not be taken indiscriminately or blindly copied from other people’s experience. Wang Wen, Department of Traditional Chinese Medicine, Xijing Hospital: The method of tonifying qi and nourishing blood is applicable to middle and late stage cancer, dizziness due to deficiency of qi and blood after surgery and radiotherapy, little breath and lazy speech, weakness and spontaneous sweating, pale or atrophied face, palpitation and insomnia, pale lips and nails, withered hair, pale and tender tongue, and weak pulse. 【Chinese Medicine】Ginseng, Astragalus, Atractylodes, Yun Ling, Huang Jing, Yam, Radix Angelicae Sinensis, Radix Paeoniae Alba, Fructus Lycii, Radix et Rhizoma Shou Wu, Radix Rehmanniae Praeparata, etc. Nourishing Yin and nourishing Blood: Applicable to middle and late stage of deficiency of Yin due to fever, infection, toxemia, ulceration, oozing, or combined with bleeding symptoms such as coughing and bleeding in stool, evidence of Blood deficiency and Kidney Yin deficiency, with red tongue without coating and thin pulse. Radix Rehmanniae Praeparata, Radix Angelicae Sinensis, Radix Paeoniae Alba, Radix Rehmanniae Praeparata, Radix Longan, Radix Rehmanniae Praeparata, Radix Zingiber Officinalis, Radix Tortoise, Radix Ginseng. Chinese herbal medicine】North ginseng, asparagus, maitong, smallpox powder, dendrobium, yu zhu, xuan ginseng, raw earth, Zhi mu, turtle nail, wu mei. Warming the kidney and strengthening the yang method: applicable to middle and late stage cancer, after radiotherapy, cold form and limbs, lumbar soreness and cold pain, frequent and clear urination, loose stools. Chinese herbs]: Radix et Rhizoma rehmanniae, Radix et Rhizoma Xian Ling Spleen, Radix et Rhizoma Bacopa Monnieri, Radix et Rhizoma Cistanches, Cordyceps Sinensis, Cortex Eucommiae, Radix et Rhizoma Chuan Gui. Method of strengthening the spleen and stomach: Applicable to middle and late stage cancer with damaged spleen and stomach, loss of appetite, bloating after meals, nausea and vomiting, fatigue, loose stools, pale and fatty tongue with teeth marks on the sides, thin white coating and weak pulse. Radix et Rhizoma Ginseng, Radix Codonopsis Pilosulae, Radix Astragali, Rhizoma Atractylodis Macrocephalae, Rhizoma Polygonati, Poria, Job’s Tears, Chen Pi, Radix et Rhizoma Glycyrrhizae. Spleen deficiency and dampness stop, with moving qi to resolve dampness; with ascites with light percolation and dampness; after radiotherapy and chemotherapy stomach yin deficiency with nourishing stomach yin; often used in combination with qi to eliminate food. Strengthening the spleen and kidney method: for advanced cancer, surgery, radiotherapy, deficiency of qi and blood, loss of medulla oblongata, thinness and weakness, dizziness and tinnitus, lack of color, lazy speech, abdominal distension or swelling of limbs, loose stools, pale tongue, greasy coating, sunken or thin pulse. Herbs]: Ginseng, Astragalus, Cistanches, Epimedium, Semen Cuscutae, Boneset, Bacopa monniera, Fructus Lycii, Radix et Rhizoma, Radix et Rhizoma Polygonati, Zizhejiang. Diversifying the liver and regulating qi: Indicated for emotion, chest and menstruation; chest and epigastric fullness, belching, generalized evil, vomiting; lower abdominal distension and pain, urgency and heaviness; breast distension and pain; neck gall tumor. Traditional Chinese medicine】Chenpi, Citrus aurantium shell, Buddha’s hand, neem seed, aromatic herb, mucuna pruriens, yanhuosuo, yujin, knife bean, August zha, thick park, cardamom, ninety aromatic worms Activating blood circulation and resolving blood stasis: applicable to blood stasis evidence, internal or body surface mass, stabbing pain, fixed pain; repeated bleeding with purple-black color; lingering low fever; skin nail error; dark purple tongue, or petechiae, petechiae, or sublingual veins with thickening and bruising; astringent pulse. Objective indicators: blood rheology suggesting hyperviscosity; microcirculatory disorders; connective tissue fibrotic changes. Chinese medicine]: Angelica sinensis, Salvia miltiorrhiza, Semen lingzhi, Cortex lanceolata, Boswellia serrata, Myrrh, Trigonella sp., Curcuma longa, Phellodendron, Fructus wulingensis, Lithospermum, Verbascum, Fructus tigrinus, Liu Yifanu, Leech, Blood, Ghost feather, Phlegm dispelling method: for digestive tract tumors with chest and epigastric congestion, vomiting and vomiting of phlegm, ascites and jaundice, loose stools; lung cancer with pleural effusion, pericardial effusion, nameless masses, non-painful and non-itchy tongue with thick and greasy coating, moistened or slippery pulse. . Chinese medicine] Guaouhu, Soapberry, Semen, White Mustard Seed, Bile Star, Mountain Cigar Mushroom, Bayberry, Atractylodes, Patchouli, Perilla, Job’s Tear, Che Qianzi, Dioscorea Z, Fangji, Mouton Softening and Dispersing Method: For hard tumors, no pain, no itching, unchanging skin color and nameless poisoning. Chinese herbs]: Seaweed, kombu, sea pumice, raw oyster, Xia Ku Cao, turtle nail, vine pear root, stone see through, curcuma, August zha, guaou, earth turtle worm, stiletto. It is often used in combination with clearing heat and detoxifying toxins and regulating qi and resolving phlegm. Clearing heat and detoxifying method: It is used for heat and toxicity, heat and headache, redness of the face and eyes, dryness of the mouth and throat, irritability of the five hearts, yellow urine and constipation, local burning pain, red tongue, thin yellow fur, and counted or fine pulse. Chinese herbs]: Bupleurum, honeysuckle, wild chrysanthemum, forsythia, half-blossom, half-branch lily, dandelion, daidin, fishy grass, septoria, sanshorea, shanduan root, gentian grass, cypress on stone. Heat toxin is easy to injure Yin, combined with nourishing Yin and cooling Blood, cold is easy to injure stomach, with the method of strengthening the spleen and stomach Attacking toxin with poison: applicable to evil real and not deficient, commonly used clinically for skin cancer, cervical cancer, head, face, limbs, breast and penis cancer; also commonly used for esophageal cancer, stomach cancer, liver cancer, rectal cancer and other gastrointestinal tumors. Chinese medicine】Spotted cucumber, beehive, whole scorpion, centipede, leech, dung beetle, toadstool, earth turtle worm, shou guang, stellate, arsenic, strychnine, goldenseal, raw epiphyllum, aconite, dahlia, coriander. Mostly used with the support of the root, moderate and careful control of the dose. As surgery, radiotherapy, chemotherapy and other anti-cancer treatments all have different degrees of complications and toxic side effects, combining with Chinese medicine to treat different conditions can help increase the efficacy and reduce side effects, and also help the body recover as soon as possible, so that the whole treatment plan can be completed on time and in the right amount. (a) The principles of diagnosis and treatment in conjunction with surgery: preoperative adjustment of yin and yang, qi and blood, and function of internal organs, replenishing qi and blood, strengthening spleen and benefiting qi, and nourishing liver and kidney. In the early postoperative period, for gastrointestinal dysfunction caused by surgery, anesthesia, bleeding, fasting, and gastrointestinal decompression, use Six Junzi Tang with qi-regulating and stagnant drugs; for postoperative deficiency sweating caused by lack of consolidation of Ying and Wei, use Yu Ping Feng San with prince’s ginseng, Wu Wei Zi, Bai Shao, floating wheat, and calcined dragon peony; for postoperative complications of inflammation and fever, use The method of clearing heat and detoxifying toxins, according to the site of heat, clearing lung heat, liver heat, stomach heat, and deficiency heat; postoperative fistula formation, a large amount of digestive fluid loss, dry mouth and throat, poor nausea, nausea, red tongue without moss, to nourish yin and produce fluids, the drug selection of raw earth, maitong, sage, etc. In the late postoperative stage, we should use drugs with the ability to eliminate residual cancer cells and regulate yin and yang qi and blood, and use drugs with the ability to eliminate obstruction, disperse nodules quickly and dispel phlegm nuclei as much as possible, and take them for a long time in order to reduce recurrence and metastasis. (2) The principle of diagnosis and treatment in combination with radiotherapy is characterized by “heat, heat toxicity and fire”, with the early stage being based on clearing heat and detoxification, generating fluid and moistening dryness, tonifying qi and nourishing blood; the middle stage being based on clearing heat and dampness, strengthening spleen and stomach; and the late stage being based on nourishing liver and kidney. The treatment of side effects in radiotherapy: 1. Radiation inflammation: manifested as heat toxicity symptoms, local burning and pain, mucous membrane redness, swelling and congestion, red tongue with yellow coating, pulse number. (3) Radiation cystitis, manifesting as frequent urination, urgent urination, painful urination, hematuria, lumbosacral pain, with medicine based on raw earth, white foxglove, large and small thistle, Xianhecao, Moutong, Cunningham, etc.; (4) Radiation enteritis, manifesting as abdominal pain, diarrhea, unpleasant stools, pus and blood stools, burning in the anus, with formula based on Ge Gen Scutellaria Tang and Lian Li Tang with addition and subtraction. 2. Gastrointestinal reaction: manifesting as loss of appetite, abdominal distension, nausea and vomiting, fatigue and weakness, with Six Gentlemen’s Tonic plus or minus, vomiting with spineflower, bamboo rhizome and yam, dyspepsia with barley, mucuna pruriens, chicken neijin and jiao sanxian; blood picture decreases, manifesting as pale face, dizziness, shortness of breath, palpitations and palpitations, restlessness at night, with Siwu Tang and Erzhi Wan plus or minus. Treatment after radiotherapy (1) reduced saliva secretion, dry mouth and pharynx, with Yu Niu Decoction or Sha Shen Mai Dong Tang plus or minus; 2) local fibrosis, pain, stiffness, accompanied by fever, redness and swelling, to soften the hard nodes, activate blood circulation and remove blood stasis, with benefit to Qi and nourish Yin; 3) pulmonary fibrosis, with symptoms of shortness of breath, shortness of breath, or cough, coughing sputum, purple tongue, white or yellow coating, fine pulse, treatment to nourish Yin and benefit Qi, soften the hard nodes, with benefit to Qi and remove blood stasis, with benefit to Qi and nourish Yin. 4) spinal cord injury, treatment is to nourish the kidney and fill the marrow, accompanied by invigorating blood and dispelling wind. After radiotherapy, special attention should be paid to prevent local recurrence and distant metastasis, improve the quality of survival, and increase the long-term survival rate. (3) Treatment with chemotherapy 1. Systemic reactions: clinical dizziness, white face, fatigue, depression, loss of appetite, poor sleep, dreamy and easily frightened, and dysfunctional bowel movements. Treatment is to nourish the blood and nourish the liver and kidneys, often using Si Jun Zi Tang, Eight Precious Tang, Ten Perfect Tonic Tang, Six Flavored Di Huang Tang plus or minus. 2. Gastrointestinal reactions: clinically common: loss of appetite, epigastric fullness, nausea and vomiting, abdominal pain and diarrhea. The treatment is to strengthen the spleen and stomach, lower the rebellion and stop vomiting, and is often applied to Sijunzi Tang, Lijunzi Tang, Xuanduodaioche Tang, and Orange Peel and Bamboo Roo Tang with addition and reduction. 3. Bone marrow suppression: clinically it is common that the blood picture decreases, especially leukocyte and platelet reduction, some patients also have erythrocyte reduction and hematocrit decrease, and in severe cases the whole blood reduction is complicated by aplastic anemia, leukocyte reduction treatment is mainly to tonify Qi, supplemented by nourishing the liver and kidney; erythrocyte reduction treatment should be qi and blood double tonification, platelet reduction treatment is mainly to tonify Qi and blood intake, cool blood and stop bleeding. The entire chemotherapy period should be combined with Chinese medicine to reduce the toxic side effects of chemotherapy, protect the bone marrow, and promote the recovery and reconstruction of bone marrow hematopoietic function. 4. Nerve injury: numbness at the fingertips is common in clinical practice, and treatment is based on activating blood circulation, tonifying the kidney and benefiting the qi. 5. Organ damage: 1) Toxic myocarditis, clinical palpitations, shortness of breath, chest tightness and discomfort are common, and heart failure may occur in severe cases. There are ST changes in ECG. Treatment is to nourish the heart, benefit the qi, nourish the blood and calm the mind; 2) toxic hepatitis, clinically common food loss, poor nano, pain and discomfort in the liver area, epigastric fullness, fatigue and weakness, and in severe cases, skin and sclera yellow staining. Treatment is based on clearing damp heat in the liver and gallbladder, supplemented by strengthening the spleen and benefiting the qi; 3) kidney and bladder injury, clinical symptoms of bladder irritation are common, and laboratory tests often show proteinuria and hematuria, treatment is based on clearing heat and dampness, detoxifying and laxative. (1) The restoring effect of Chinese medicine on the hematopoietic function of bone marrow 1. Heart and spleen deficiency: palpitation, shortness of breath, tiredness, dizziness, little food, lack of color, poor sleep, pale tongue, teeth marks, thin white moss, weak pulse. Treatment: Tonify the heart and spleen, nourish blood and calm the mind. This formula is based on GUI Spleen Tang or Bazhen Tang with addition and subtraction. 2. Yin deficiency of liver and kidney: dizziness, tinnitus, soreness and weakness of waist and knees, heat in the heart of hands and feet, insomnia and dreaminess, red tongue or less moss, thin pulse. Treatment: Nourishing Yin and cooling Blood, tonifying Liver and Kidney. This formula is based on Guei Shao Di Huang Wan plus reduction. Yang deficiency of the spleen and kidney: body weakness, pale complexion, cold fear, cold limbs, poor appetite, loose stools, soreness and weakness of the waist and knees, pale and fat tongue, thin white fur, thin and late pulse. Treatment: Warming the spleen and kidney, benefiting qi and filling essence. This formula is based on the addition and subtraction of Right Return Drink. (2) Protective effect of Chinese herbs on liver function 1. The main symptoms are pain in the liver area and dysthymia. The formula is based on Chai Hu Dredging Liver San and Si Wu Tang with addition and subtraction. 2. The main symptoms are weakness, abdominal distension, diarrhea and poor appetite, with dark or light red tongue and thin or sunken pulse. Treatment: Benefit Qi, harmonize the stomach and nourish Blood. This formula is based on tonifying Zhong Yi Qi Tang or Si Jun Zi Tang with addition and reduction. 3. The main symptoms are tingling in the liver area, dark complexion, purple lips and large liver size, with dark tongue with petechiae and stringent or astringent pulse. Treatment: Diversify the liver and Qi, activate blood circulation and remove blood stasis. The formula is based on Prosperity San and Diaphragmatic Expelling Stasis Tang with addition and reduction. 4. Bright yellow face with abdominal distension as the main symptom, with red tongue, yellow coating or stringent pulse. Treatment: Clearing heat and relieving dampness to subdue yellow. This formula is based on Artemisia Umbelliformis Tang with addition and subtraction. 5. If the main symptom is high aminotransferase alone, but other clinical symptoms are not obvious, the treatment is to soften the liver and nourish the blood, clear heat and detoxify the toxin. (3) The protective effect of Chinese medicine on kidney function 1. The treatment formula with edema as the main clinical manifestation: (1) Strengthen the spleen, benefit the qi and promote water retention method: applicable to weak spleen qi with pale yellow face, poor appetite and weakness. For those with abdominal distension and fullness, loose stools, pale tongue, teeth marks, and sunken pulse, the formula is Ginseng and Atractylodes Macrocephalae combined with Wu Ling San plus or minus. (2) Activating blood circulation, resolving blood stasis and promoting water circulation method: Applicable to post-radiation therapy, local blood circulation is obstructed and blood stasis does not work, which is clinically seen as dusky face, purple lips, petechiae on the tongue and stringiness of the pulse. The formula is based on Shao Belly and Blood Stasis Soup combined with Wu Pi Drink plus or minus. (3) Light percolation and dampness dispelling method: applicable to edema with initial symptoms not heavy, with stopping dampness as the main symptom, such as edema, abdominal fullness, unfavorable urination, greasy coating and moist pulse. The formula is based on Wu Ling San combined with Liu Yi San plus or minus. 2. Treatment of renal impairment with proteinuria and elevated BUN Tianjin Hospital of Traditional Chinese Medicine based on Yi Mu Cao, Cicada, Seaweed and Kun Bu, with addition of Baji Tian, Cuscuta, Cistanches, Xian Mao and Xian Ling Spleen in case of Yang deficiency; raw earth, Shu Di, Zhen Zhen Zi, Dry Lotus Grass, Mulberry, Fructus Lycii and Agaricus in case of Yin deficiency; Huang Bai, Che Qian Zi, Ze Xie Di, Pig Ling, Qu Mai, Q Cun, Half Branch Lotus and Lian Qiao in case of Damp Heat; Xiyuan Hospital The treatment of proteinuria with Angelica Paeoniae Paeoniae, Gui Zhi Fu Ling Wan, and Blood Mansions and Blood Stasis Soup; Beijing Hospital of Traditional Chinese Medicine has been effective in treating proteinuria with Deer Antler Gum, Bacopa Monnieri, Boneset, Xian Ling Spleen, and Cuscuta, etc. if the treatment of proteinuria with the method of strengthening the spleen and benefiting Qi alone is ineffective. (1) Nourishing Yin and cooling blood method: Applicable to short red urine with blood, bright red color, may be accompanied by tinnitus, tiredness, lack of desire to drink, sleeplessness, soreness of the waist and knees, red tongue with little coating and fine pulse. The formula is based on Xiao Thistle Drink plus or minus. (2) Clearing heat and diarrhea of fire method: Applicable to red heat and burning pain in urine. Irritability and thirst for drinks, red face and mouth sores, dry stools, red tongue with yellow coating and string pulse. The formula is based on the addition and subtraction of Guoxi San. (4) Prevention and treatment of radiation pneumonia by Chinese medicine 1. Nourishing Yin and moistening the lung to stop cough: for dry cough with little sputum, thirst without desire to drink, dry throat, dry nose, body heat and distress, red tongue with thin white coating and little or no coating, thin pulse. This formula is based on the addition and subtraction of Clear Dryness and Save Lung Soup. 2. Cooling Blood and moistening dryness: for dry cough with itching throat, blood in sputum, pain in the chest, burning in the chest and abdomen, or diarrhea in the stool, red tongue with yellow fur and string pulse. The formula is based on Aconite and Scutellariae Radix plus and minus. 3. Clearing heat and cooling the camp to reduce fever: applicable to body heat, thirst, irritability, dry stool, red tongue with thin yellow coating, and string or large pulse. The formula is based on Yu Nui Decoction with addition and reduction. 4. Clearing heat and resolving phlegm: for coughing up yellow phlegm, stuffiness in the chest and epigastrium, nausea and dullness, with greasy coating and slippery pulse. This formula is based on warming gall bladder soup with addition and reduction. 5. Tonifying the lung and benefiting the kidney method: Indicated for prolonged coughing, coughing with emission of drowning, shortness of breath with movement, red or light red tongue, thin coating and sunken pulse. The formula is based on Baihe Gujin Tang with addition and subtraction. (V) Protective effect of Chinese medicine on myocardial injury caused by chemotherapy drugs 1. Heart yin deficiency: symptoms include palpitation, chest tightness, heat in the hands and feet or low heat, dry mouth and night sweating, red tongue with little or no moss, thin or fine pulse. This formula is based on Tianwang Tonic Heart Dan plus or minus. 2. Heart and spleen deficiency: palpitations, shortness of breath, aggravated by movement, anxiety and forgetfulness, fatigue and lethargy, less florid face, pale and fat tongue, thin and weak pulse. This formula is based on GUI Spleen Tang with addition and reduction. 3. Qi and Yin deficiency: palpitations and palpitation, chest tightness and shortness of breath, sleeplessness, dryness of the mouth and throat, spontaneous sweating and night sweating, light red tongue or less fluid, weak pulse. This formula is based on the formula of “Sheng Wei San” plus or minus. 4. Heart Yang deficiency: palpitations and shortness of breath, pale complexion, unheated extremities, loose stools and weakness, pale tongue with thin and moist coating and thin pulse. The formula is based on Gui Zhi Gan Cao Tang with addition and subtraction. 5. With predominantly knotty pulse, restlessness, palpitations and irregular pulse rhythm. The treatment is to tonify Qi and Blood. To nourish Yin and harmonize Yang, add or subtract from the formula with Fuyi Tang. (vi) Treatment of radiation cystitis with Chinese herbal medicine 1. Clearing and tonifying the lower jiao, clearing lymphatic and cooling the blood: for urgent pain in urination, distension and pain in the abdomen, hematuria under the mirror, red tongue with yellow fur and stringed or stringy pulse, formula with Bazheng San plus or minus. Strengthening the spleen and tonifying the kidney, warming the kidney yang: applicable to shortage of breath and weakness, lumbago and tiredness, nocturnal urination, frequent urination, sweating and cold extremities, fat tongue, teeth marks, white fur and sunken pulse. The formula is based on Ginseng and Atractylodis Macrocephalae with addition and subtraction. 3. Clearing diarrhea of actual heat: for urgent urination, yellow and red urine, astringent pain in urine, red throat and dry tongue, and stringiness of pulse. This formula is based on the formula for clearing actual heat in the bladder with addition and reduction. 4. Activating Blood circulation, dispersing blood stasis, cooling blood circulation and relieving pain: for stabbing pain in the abdomen, short and red urination, burning urine, blood in urine, disturbed heart and thirst, restless sleep at night. The tongue is dark red and the pulse is counted. The formula is based on Xiao Thistle Drinking Zi with addition and subtraction. (VII) Treatment of radioactive proctitis with Chinese medicine 1. Clearing heat and cooling blood method: Applicable to loose stools, burning pain in the anus, and dryness and thirst in the mouth. The tongue is red and vivid, and the pulse is stringy or fine. The formula is based on the addition and subtraction of Clear Stomach San. 2. Strengthening the spleen and relieving urgency method: for loose stools, abdominal pain, urgent downward injection, weakness and tiredness, white fur on the tongue and sunken pulse. The formula is based on Ginseng Ling Bai Zhu San with addition and reduction. 3. Stopping diarrhea by fixing astringency: applicable to diarrhea that does not stop, dozens of lines per day, not thinking about eating and drinking, with pale or light red tongue, thin white fur and sunken pulse. The formula is based on Zhen Zhen Yang Dou Tang with addition and reduction. 4. Promoting blood circulation and stopping bleeding: Indicated when there is fresh blood in the stool, bloody water-like stool, urgency and heaviness, dark red tongue, white or yellow fur, thin pulse. This formula is based on Sophora Flower San with addition and reduction.