Understanding of bladder cancer from a TCM perspective and ideas for evidence-based treatment

Bladder cancer is a malignant tumor that occurs on the mucosa of the bladder. It is the most common malignant tumor in the urinary system and one of the ten most common tumors in the whole body. It accounts for the first place of incidence of genitourinary tumors in China, while in the West its incidence ranks second only to prostate cancer.

To recognize bladder cancer, we must first understand what are the characteristics of bladder cancer. Clinically, most of the patients with bladder cancer have a punctate lesion in the bladder rather than a large lesion, and surgery is mostly performed by electrodesection rather than removal of the entire bladder. However, a few patients have large lesions. In the past, there was a master who suffered from bladder cancer, and the tumor fell off after I used the Chinese medicine spotted cyst and blocked the urethra and could not be discharged by itself, and the patient could not be operated even after finding the urology department.

Bladder cancer is very easy to recur after surgery, some people have repeatedly cut it forty or fifty times, and it still keeps recurring; and the disease is not easy to metastasize at the early stage, nor is it easy to have lymph node metastasis.

First of all, the bladder is a bowel, which is the most important pathway for the dampness to go out. If the dampness can be drained, it is not easy to form large swellings and lymph node metastasis. It can be seen that the main pathogenesis of bladder cancer is damp-heat. To treat bladder cancer, we need to clear damp-heat and use Ermiao San plus Haijin Sha, Qian Qian Cao and Tu Fu Ling.

The reason why the bladder can’t drain all the dampness is because of the unfavorable bladder gasification. Therefore, to treat bladder cancer, we need to replenish kidney qi to strengthen the qi-transformation function of the bladder to expel dampness, and we can use Liu Wei Di Huang Wan plus Centipede to replenish the kidney.

Tumor flowing into the bladder is not formed in three or two days, but is a long-term evolutionary process. Cancer toxins accumulate and stasis is generated after a long period of time, so blood activating and anti-cancer drugs should be added. As we can see from the Treatise on Typhoid, there are two internal diseases of the sun, one is the accumulation of water in the sun and the other is the accumulation of blood in the sun, as mentioned earlier, Ermiao San and Wuling San are used for the accumulation of water in the sun, and Peach Kernel Cheng Qi Tang and Radix Dang Tang are used for the treatment of blood stasis in bladder cancer. Softening hardness and dispersing nodules.

Bladder cancer has cancerous toxins, so we should attack the toxins with the toxins, and gecko, red bean curd and longan can be used. Zanthoxylum is also very effective for bladder cancer, use Zanthoxylum to steam eggs and remove Zanthoxylum to eat eggs. Treating bladder cancer by tonifying the kidney, clearing heat and dampness, invigorating blood and fighting cancer is not enough, there is still a cure missing, what cure? We need to look at what kidney disease is most afraid of, kidney disease is most afraid of colds, that is, upper respiratory tract infections, a cold will appear proteinuria, the condition will be repeated, why is this linkage of the situation?

Western medicine believes that the flora of these two places are the same, but Chinese medicine does not think so, Chinese medicine is from the meridian to understand, Shao Yin kidney meridian is through the throat, that is to say, the kidneys and throat is through the Shao Yin kidney meridian contact, so some kidney disease Western medicine advocate cutting off the tonsils, but also to avoid these parts of the repeated infection again induced kidney disease. How to keep the throat area out of trouble? Adding pungent and cooling relievers, such as honeysuckle, chrysanthemum and other drugs that clear the throat, the throat is less prone to fire, which naturally protects the kidneys.

Bladder cancer is prone to recurrence, why is that? It is mainly because of heavy dampness, so the treatment of bladder cancer must be strong to get rid of dampness. Besides, acupuncture can also be used to prevent recurrence. Acupuncture points such as Tianshu, Zhongji, Waterway, Guilai and Zhangmen are used to dispel dampness on the one hand, and on the other hand, acupuncture can make the qi and blood gather around the bladder to expel evil. In addition, acupuncture is also effective in controlling the symptoms of advanced bladder cancer, such as in the case of an elderly patient, Zhang, who had a large bladder cancer mass and was reluctant to have it examined, and was in severe pain.

In addition, have you ever thought about this question, the uterus, bladder and rectum are side by side and located adjacent to each other, if a tumor appears, why would it appear alone? Why would the evil Qi gather in a certain local organ? Why does it grow on the uterus alone? Why does it grow on the bladder alone? Why does it grow on the rectum alone?

There must be a reason for the growth of tumor in a certain organ. Uterus cancer, bladder cancer and rectal cancer are all the same in that there is dampness in the lower jiao. The main reason for their diseases is the deficiency of positive qi. If the evil Qi gathers in a certain area alone, it must be because the righteous Qi of the corresponding area is insufficient, and Chinese medicine or acupuncture can correct such an insufficient state, so Chinese medicine has a great advantage in the prevention of tumor recurrence.

Because the bladder is adjacent to the uterus and rectum, many patients with cervical cancer and rectal cancer are extremely prone to radioactive cystitis during radiotherapy.