I. Identification and treatment
In treating tumors, including esophageal cancer, the first treatment is to identify yin and yang. For tumors in the neck, phlegm and qi are obstructed, dispel phlegm and qi, soften hardness and disperse nodules; for cancer in the chest, lung heat and yin deficiency, phlegm is contained within, clear lung and nourish yin, dissolve phlegm and disperse nodules. For abdominal accumulation, Qi stagnation and blood stasis, promoting blood circulation and eliminating stasis, regulating Qi and eliminating accumulation. Thirdly, to distinguish between cold and heat, to warm the cold, to clear the heat, and to cautiously respond to the true cold and false heat or vice versa. Fourthly, to distinguish between deficiency and reality, and to discuss each of attack and supplement. Zhang Hongliang, Department of Oncology, Xinjiang Uygur Autonomous Region Hospital of Traditional Chinese Medicine
At the same time, attention should be paid to “treating the symptoms in an emergency”, often with choking and vomiting as the main focus, switch on and off, Xiao Han Xia Tang, and vinegar boiling sand. Pay attention to both local and overall, and take a comprehensive approach. The combination of evidence and disease identification.
Modern research commonly used treatment methods are and stomach and subdue rebellion method, whirligig flower, party ginseng, French half summer, ochre, corrugated seeds, zelenium, plate orchid root, angelica, guavas, almonds, orange red, incense, Buddha’s hand, red and white peony, mountain cigarette, jiao white atractylodes; nourishing yin and smooth qi method, north and south sage, day maiden, dendrobium, clove, descending incense, sink incense, made half summer, acute seeds, dung beetle, stone see through, Xu Changqing, cardamom. To activate the blood and soften the firmness, Curcuma longa, Radix Angelicae Sinensis, Kun Bu, Seaweed, Psidium guajava, Turtle shells, Radix et Rhizoma rawhide, Radix et Rhizoma chasteensis. To resolve blood stasis and clear heat, Jin Yin Hua, Sheng Nan Xing, Dang Ginseng, Dendrobium, Loi Ye, Sheng Ma Ye, Citrus aurantium, Dai Ochre, Qing Dai.
Identification and typing, domestic scholars have gradually agreed on the staging of esophageal cancer, which is generally divided into four types of treatment.
In case of phlegm and qi interlocking, to open up the phlegm, moisten the dryness and subdue the qi, Qi Di San with added flavor or Xuan Yu Dai Ochre Tang combined with Si Wei San.
For phlegm and blood stasis, to dissolve phlegm and disperse knots and remove blood stasis to penetrate the diaphragm, Tong Yu Tang with addition and subtraction or Blood Mansions and Blood Stasis Soup or Er Chen Tang with Peach Red and Four Wonders Soup.
For heat poisoning and yin injury, detoxify and clear heat, nourish yin and generate fluid, combining Consistent Decoction with Nourishing Stomach Soup with addition and subtraction or Sha Shen Mai Dong Tang, etc.
For Qi deficiency and Yang weakness, to benefit Qi and nourish Blood, warm Yang and open knots, combining Angelica Sinensis Blood Tonic Tang with Gui Zhi Ginseng Tang or Qi Tonic and Spleen Tonic Tang with Zhen Wu Tang.
Add and subtract with evidence
Vomiting and belching: Radix et Rhizoma spinosa, Ocimum sanctum, Radix et Rhizoma ginger, Pericarpium chenopodium.
Vomiting of mucus: Sempervivum album, Chen Pi, Gallica nancifera, Green Pores.
Retrograde: Wei Ling Xian, Guang Mu Xiang, Persicaria.
Qi stagnation and chest pain: Gua Pou, Yu Jin, August Zha, Citrus aurantium, Bai Quai.
Blood stasis and chest pain: red peony, peach kernel, lactobacillus, yuanhu, wuling fat.
Yin deficiency and fire: Radix Rehmanniae, Mai Dong, Radix et Rhizoma Ginseng, Radix Salviae Miltiorrhizae, Radix Scutellariae Sinensis, Radix et Rhizoma Turtlefish, Radix et Rhizoma Tortoise.
Vomiting blood and defecating blood: palm charcoal, Guanzhong charcoal, Xianhecao, Lu Hifang, Bupleurum, Panax notoginseng.
Dripping water: Channeling San, Vinegar Sand.
Constipation and bloating: Manchurian, Cistanche.
Fatigue: Radix Codonopsis, Radix Astragali, Radix Astragali.
Hot flashes and night sweats: Yin Chai Hu, Xuan Shen, Sheng Di.
Second, the treatment of disease identification
Prepared Chinese medicines: Pingxiao capsule, Donglingcao tablet, Huachansu tablet and needle, Crow’s milk, Antico tablet, Compound red bean curd capsule, Zebrano sodium needle and tablet, Xihuang pill, Liuwei Dihuang pill.
Third, external treatment
1, acupuncture method: ear acupuncture esophagus, diaphragm, sympathetic, Shen Men.
2, fire cupping method: mainly for chest and back pain, more painful points.
3.Containing method: Yu Ren Cun’s channel dispersion.
4.Patching method: “Theory of parallelism” Jinxian cream or ferula external patch.
5, rubbing hair: take dung beetle, mother of pearl, Qing Dai, Yuan Ming powder, wood incense, incense, cinnabar, and
The powder is made of dung beetle, mother of pearl, Qing Dai, Yuan Ming powder, wood incense, incense, cinnabar, cinnabar and niuhuang.
6, enema method.
Part-time treatment
1. Cough: if the cough is severe after eating, more esophageal-tracheal fistula is treated with Chinese herbal medicine, identifying it as “pulmonary carbuncle”, with internal stagnation of heat and stagnation, add reduction to Qianjin Reed Stem Soup; for phlegm and dampness in the lungs, Sanzi Nourishing Parental Soup and Ping Stomach Soup; for lung and spleen deficiency, Ginseng and Atractylodes; for liver fire in the lungs, Diabai San and Dai Clam San; for yin deficiency and fire, Baihe Solid Gold Soup.
2.Bleeding: vomiting and blood in the stool, caused by the tumor breaking down and damaging the blood vessels. For liver fire offending the stomach, combining Gentian and Liver Dissolution with Ten Ash San; for congestion of stomach heat, combining Heart Dissolution with Ten Ash San; for deficiency of Qi and loss of regimen, Gui Shen Tang.
3. Acid reflux: for phlegm and turbidity, combining Ping Gastric San with Er Chen Tang; for food stagnation, Bao He Wan; for liver qi offending the stomach, Zuo Jin Wan; for spleen and stomach deficiency, Xiang Sha Liu Jun Zi Tang.
V. Combination of Chinese and Western medicine
1.Radiation therapy
(1) Radiation esophagitis, in Chinese medicine, mostly due to fire and heat, depletion of qi-yin, see painful swallowing, dry mouth and throat, burning pain in the esophagus, red tongue and stringy pulse.
Insufficient stomach yin, yin deficiency and fire, nourishing stomach yin, clearing heat and generating fluid, Sha Shen Mai Dong Tang; blood stasis and injury to yin, blood viscera and blood stasis soup.
(2) Radiotherapy augmentation: honeysuckle, gynostemma, poria, raw earth, astragalus, atractylodes, prunus seed, salvia, Chenpi, wolfberry, licorice, alba, yam, cardamom, chasteberry.
There are also sensitizers from the perspective of activating blood circulation and resolving blood stasis: safflower, sumac, henbane, red peony, panax quinquefolium powder, chuanxiong.
(3) Other radiation injuries such as radioactive cremasteritis, bronchitis, pneumonia, ulcer, perforation, bone marrow suppression, decreased immune function, commonly used treatment: clearing heat and detoxifying, cooling and tonifying qi and blood, generating fluid and moistening dryness, strengthening the spleen and stomach effectively.
2.Surgery
(1) Pre-operative adjustment.
(2) Postoperative adjustment.
3.Chemotherapy
Combine with chemotherapy to reduce toxicity and increase effectiveness. Based on Bajhen Tang, add or subtract with evidence and add or subtract with disease, there is a lot of clinical experience to draw on for stomatitis, skin lesions, toxic hepatitis, myocarditis, nephritis, hemorrhagic cystitis, pancreatitis, pulmonary fibrosis, bone marrow suppression, co-infection, amenorrhea, sperm reduction, and nervous system involvement.
4.Preventing precancerous changes
There are credible studies on the prevention of cancerous changes by Zengchengping and Liu Wei Di Huang Wan.
5.Anti-recurrence and metastasis
At present, some results have been achieved mainly in the use of qi-supplementing herbs to improve immune function. Commonly used herbs and formulas such as ginseng, wolfberry, poria, turmeric, jujube, yam meat, asparagus, pollen, water saffron seed, licorice, dahurica, cinnamon, eucommia, bone marrow, acanthopanax, Zhi Mu, puzzle nut, cuscuta, coix seed and Bajhen Tang, ginseng nourishing glory soup, ginseng returning to the spleen soup, Liu Jun Zi Tang, Liu Wei Di Huang Tang, Chai Hu sparing the liver The method of invigorating blood stasis is also used.
In addition, blood activation and stasis removal methods can also be used to fight metastasis in multiple ways, such as turmeric, curcuma longa, Chuanxiong, rhubarb, water saffron seeds, and peony bark.