December 24, 2010 night today is the Christmas Eve 2010, outside the window of the sky wind and snow. I came home from work in the wind and snow. I thought there would be no new questions on my personal website, because most of the questions are usually from young people, and Christmas Eve is still a holiday for young people and children in China, so I thought the children would be playing. I was still online on time, and after I finished my emails, I opened my personal website and a new question popped up. After reading the question carefully, I guessed it was a daughter who was worried about her mother and a child who was asking for advice from her mother. In the snowy sky, the little girl selling matches was waiting. It is often said that people go higher and water flows lower. It is common for parents to feel sorry for their children and run around for their children’s affairs. And I often see another scenario in and my own section, where daughters/ sons are anxious, anxious, contributing money for their father’s or mother’s health, and some don’t even care if their own little family’s life is affected, which is both a reward and a love, a love that should be protected and respected. I am a mother, a daughter, and more importantly, a doctor, and I try to answer your questions from the height of all three as a Christmas gift to you. First of all, I have to tell you rationally that this is a locally advanced breast cancer, which should be treated with chemotherapy after surgery and local radiotherapy after chemotherapy. Chemotherapy is my strong point, so I will talk more about it. Chemotherapy after surgery for locally advanced breast cancer should be at least 6 cycles of chemotherapy with a regimen containing Adriamycin or 4 cycles of chemotherapy with AC regimen followed by 2-4 cycles of chemotherapy with Paclitaxel. The main toxic side effects of chemotherapy are myelotoxicity, that is, leukopenia, thrombocytopenia, etc., followed by gastrointestinal reactions, liver toxicity, etc., manifested as nausea and vomiting, poor appetite, so in the chemotherapy cycle, patients should be encouraged to increase nutrition, the best way is to encourage patients to eat as much as possible, not necessarily to eat any good food, just drink a little more soup and water. You should eat one to two eggs and loach soup every day, which are very nutritious foods and have the effect of maintaining bone marrow function. There is no taboo during chemotherapy, patients can eat whatever they want, just don’t eat too greasy food during chemotherapy, otherwise you won’t be able to open your appetite for a long time after chemotherapy, and breast cancer patients should not use estrogen, don’t use anything like Program Youth. Chinese medicine says avoid spicy food refers to pepper, not green pepper, and eat less pepper. It is good to make a stir-fried meat with green pepper or shredded pork with squash for patients to open their appetite. If you don’t want to eat rice, it is okay to eat less because rice is only a carbohydrate and you should eat more protein-containing food. Secondly, the role of chemotherapy and radiotherapy after breast cancer surgery is confirmed by evidence-based medical evidence, while TCM treatment at this time only plays an auxiliary role. If there are no other symptoms, do not use TCM treatment now, because your family is not well-off, and using TCM treatment increases both the patient’s gastrointestinal burden and your financial burden. Chinese herbal medicine treatment cannot replace chemotherapy and radiotherapy. Thirdly, if you want to use the regulating drugs during chemotherapy, you can use methoprene tablets orally, which can not only increase the appetite and improve the problem of insufficient nutrition, but also protect the bone marrow function and reduce the damage of chemotherapy drugs to the bone marrow function. Fourthly, skin protectants can be used during radiotherapy, and there is no need to use Chinese medicine orally. Fifth, is whether to use endocrine therapy after the end of chemotherapy, your condition description did not write clearly the hormone receptor situation, I also did not see the patient’s age, menstruation, whether to use endocrine therapy, with what endocrine secretarial drug treatment needs to be determined according to age, menstruation, hormone receptor situation. I am waiting for your reply. (The use of megestrol during chemotherapy is not affected by these factors).