The lump in the breast is hard like a stone, uneven and shaped like a cavity, so it is called breast rock, also known as milk rock, breast chestnut, etc. It is equivalent to breast cancer in modern medicine. Ancient medical doctors have discussed this disease a lot, such as Ming Chen Shigong, “The Authentic Book of Surgery”. It is said that “depression hurts the liver, thought hurts the spleen, accumulation of thoughts in the heart, the wish is not ambitious, resulting in the meridian gangrene, nucleation, at first like a bean, gradually like a chess piece; half a year, two years, three years, no pain, gradually and large, the beginning of pain, pain is no solution, later swelling like a heap of chestnuts, or like a bowl, purple gas is filthy, gradually ulcerated, deep as a rock cave, convex like a pan lotus, pain and pain even heart, bleeding is The name is “breast rock.”
According to relevant information, there are about 1.5 million breast cancer cases and about 500,000 deaths in the world every year. The incidence of breast cancer is more common in western countries (such as the United States, Canada, Australia. New Zealand, South Africa) and Western Europe are the highest, Eastern and Southern European countries are the second highest and Asian, African and Latin American countries are the lowest. Although China is a low incidence area for breast cancer, its incidence rate is rapidly increasing year by year in recent years due to changes in living environment, dietary structure and living habits, and the age of onset is about 10 years earlier than that in western countries. Nowadays, breast cancer has become the most common malignant tumor among women, and people call it the killer of women. Since early stage breast cancer (no pain, no itch, small lump) lacks obvious conscious symptoms, it is not easy to attract people’s attention, therefore, more than 75% of breast cancer patients detected by outpatient clinics are already in the middle and late stage, and less than 25% are in the early stage.
Although the treatment of breast cancer has made great progress in recent years, the overall treatment effect is not satisfactory and the 10-year survival rate is not satisfactory. The cases of invisible killers have shocked mankind and sounded the bell, forcing us to adopt multiple methods of comprehensive treatment to enhance the cure rate of breast cancer. Western medicine treatment for breast cancer is mainly based on surgery, supplemented by radiotherapy, chemotherapy and endocrine therapy, which have absolute efficacy in eliminating lumps or clinical cure, but there are many patients who can hardly bear the toxic side effects of post-operative radiotherapy or inhibit recurrence and metastasis after surgery, which helplessly reduce the quality of life. Traditional Chinese medicine has unique advantages and definite efficacy in treating advanced breast cancer. It has quite good efficacy by activating and tonifying qi and blood, regulating yin and yang, supporting the righteousness and eliminating evil, enhancing physical constitution, stimulating autoimmune function, reducing toxicity of radiotherapy drugs and increasing their efficacy; enhancing anti-disease ability, preventing and reducing recurrence and metastasis of breast cancer after surgery; inhibiting the growth of advanced tumor, improving clinical symptoms, prolonging survival and improving patient’s quality of life, etc.
Breast Rock (advanced breast cancer)
Zhao, 71 years old, was diagnosed in November 2001. She was found to have a left breast lump for half a year, which gradually increased in size, with occasional stabbing pain and nipple overflow, and was diagnosed as breast cancer by mammogram and fine needle aspiration pathology smear of a hospital, and was advised to have surgery, but she and her family disagreed and requested conservative treatment. The left nipple was mildly indented and a little dark red blood-like discharge could be squeezed out, and a lump about 4×3×3M could be palpated near the areola to the middle of the outer upper quadrant, with not very clear border, not smooth, uneven, hard texture, adherent to the skin and chest wall, and poor mobility. No abnormal findings. The tongue is light red, with thin white coating and a sunken pulse. The mammogram of the left breast showed a 3×2×2M size high-density shadow with burr and abnormal blood vessels around the edge, accompanied by clusters of sandy and small forked calcified foci. Needle aspiration pathology suggested: invasive ductal carcinoma. The treatment is to invigorate the ying and channel, regulate qi, resolve phlegm, and soften hardness and disperse nodules. Proposed formula: Radix Angelicae Sinensis, Radix Paeoniae Alba, Psidium Guajavae, Cyperus rotundus, Aconite, Radix Trigonellae Sinensis, Saponariae Sinensis, Pericarpium Citri Reticulatae, Trigonellae Sinensis, Curcuma longae, Gecko, Crab shell, Toad skin, Rhizoma Polygonati, Licorice. Method: Some drugs are directly dried and crushed, sieved; some drugs are decocted and filtered, concentrated, dried and crushed. The drugs are mixed, water beaten into pills, mung bean seeds large, comfrey powder coated, drying, packaging, sterilization. Each time 6g, 3 times a day, after meals, warm water delivery. At the same time, take triamcinolone twice a day, 10mg each time, for one month, rest for 10 days, then take the second course of treatment, for 3 courses, the lump was obviously reduced, the pain was also reduced, the liver and kidney function was not abnormal, rest for one month. The lump was reduced and the pain was relieved. Method: Some drugs are directly dried and crushed, sieved; some drugs are decocted and filtered, concentrated, dried and crushed. The drugs are mixed, water beaten into pills, mung bean seeds large, comfrey powder coated, dried, packed and sterilized). Each time 6g, 3 times a day, after meals, warm water delivery. Triamcinolone was also continued to be applied routinely, and after 3 months, the first pill was stopped and applied. In this way, the pills were used interchangeably, and sometimes the Chinese medicine was stopped for a period of time. After 6 years of intermittent treatment, the breast lump was not significantly enlarged, but he died six months later due to brain metastasis in the head.
The reason why the lump was not discovered was that it was hidden in the breast square for a long time and did not cause any pain, so it was not noticed. Especially nowadays, children work outside all the time, except for children left behind, few people care about their health, so how can they have support for their old age, which should be highly valued by the society and government. For breast cancer over 70 years old, if it is detected early, the lump is small, there is no distant metastasis, no other major diseases, and the body is good, surgery is still the best choice. If the lump is found late, larger, or has distant metastasis, accompanied by other major diseases, and in poor health, it is not an indication for surgical treatment. From clinical experience, the normal physiological function of old people is weaker, and the differentiation and growth of the tumor cells are also delayed, even without any treatment, the development of the disease is slow, and the threat to life is much slower than that of young people. It is not uncommon for people to survive with tumor for more than 10 years if they are treated with Chinese and Western medicines.
The Breast Rock Pill used is specially designed for lumps with phlegm and blood clots. According to Chinese medicine, the occurrence of breast cancer is mostly attributed to liver qi stagnation, phlegm and blood clotting. The liver is the master of drainage, which is responsible for the smooth flow of qi and the intake and distribution of blood. Once the qi and blood are not allowed to go beyond, when they are ascending, they do not ascend, when they are descending, they do not descend, when they are changing, they do not change, so the transmission and transformation are not normal and they become depressed. Liver is wood, spleen is earth, liver disease insults earth, spleen loss of health, phlegm and turbidity. The nipples belong to the liver meridian of Jueyin and the breasts belong to the stomach meridian of Yangming, which can be divided but cannot be separated, and are bound to invade each other. The liver collects blood, the spleen is not in charge of the blood collection, the blood is not regulated, the meridians are blocked, and the blood is stagnant. The invisible qi, tangible phlegm, accompanied by the blood, through the meridians and the complexes, stagnation and obstruction, agglomeration and fetish, gangrene, nucleus, rock, for poison. The treatment should be to regulate the Qi, resolve the phlegm, clear the channels, detoxify and disperse the knots.
In this formula, San Leng, Curcuma longa and Shan Ci mushroom are used to enter the liver and spleen, move Qi and break blood, eliminate stagnation and disperse knots; Gua Pou Ren and Chen Pi are used to dredge the liver and strengthen the spleen, regulate Qi and dissolve phlegm, resolve depression and disperse knots; Radix Angelicae Sinensis and Radix Paeoniae are used to harmonize the Ying and Wei, promote the smooth flow of Qi, break up stagnation and disperse knots; Shanjia, Gecko and Crab Shell are used to search for good lines, penetrate the meridians, guide stagnation and disperse knots; Toad Skin and Xiong Huang are used for their toxicity, attack their toxic diseases, defeat toxicity and disperse knots; Glycyrrhiza glabra is used to detoxify and harmonize the nature of the drugs. The combined use of all the drugs is a miracle. Because this formula has more attacking and dispersing drugs, it is easy to deplete the vital energy when taken for a long time, so it is only suitable for real evidence. For long term use, it can be used alternatively with Apocynaceae Pill which is used for both attacking and tonifying. It should be used with caution for people with serious heart, liver and kidney diseases and weak spleen and stomach; liver and kidney functions can be checked after 3 months of taking the medicine for one course, if there is no abnormality, the next course can be taken after 30 days of rest. Xiong Huang is a heavy metal such as arsenic sulfide AsS, which is more toxic and should be applied reasonably with reference to the pharmacopoeia. It should be noted that there are commercially available andrographis containing arsenic, so care should be taken when selecting it, as the red and yellow one is pure, such as white crystals, or crushed red and white, it contains arsenic.
Breast rock (post-operative metastasis of breast cancer to the opposite breast)
Chen, 67 years old, was seen in May 2005. She had a lump in her left breast three years ago, and underwent radical surgery for breast cancer in a hospital, and was treated with conventional radiotherapy and chemotherapy and endocrine therapy with triamcinolone. Six months ago, a lump in the right breast was found again, and the lump was partially excised in the hospital, and the pathology suggested invasive ductal carcinoma of the breast. Due to heart disease and poor physical condition, she could not undergo the second surgery and was given local radiation therapy. Now she has been bedridden for many days, not taking any water, relying on fluids to maintain her life. She has panic and palpitations, restless sleep at night, low fever, spontaneous sweating and night sweats, so she seeks Chinese medicine treatment. On examination: face s white, zygomatic flushing, little breath and lazy speech, panic and shortness of breath when moving, light red tongue, little moss, sunken and thin pulse with knotted generation. The left breast was absent, and a surgical incision of about 3M was seen in the upper inner quadrant of the right breast, which healed well. No enlarged lymph nodes were palpated in the axilla or above and below the clavicle.
The evidence is breast cancer metastasis, which should be treated by another surgery, radiotherapy and chemotherapy, but in view of the old age and frailty and other diseases, she could not bear it. Throughout the symptoms, there is a deficiency of both qi and blood. The treatment is to tonify Qi and nourish Blood, and regulate Yin and Yang. The formula is as follows: Radix Angelicae Sinensis 15g, Radix Paeoniae Alba 10g, Radix Codonopsis Pilosulae 15g, Radix Astragali 15g, Radix Rehmanniae 10g, Rhizoma Atractylodis Macrocephalae 10g, Porphyraeum 10g, Agaricus Bidentatae 10g, Fructus Schisandrae 10g, Fructus Schisandrae 10g, Pericarpium Citri Reticulatae 10g, Radix Magnoliae 6g, Radix Glycyrrhiza Uralensis 10g. After the above prescription for more than a month, he has been eating normally, sleeping peacefully at night, deficiency fever has subsided, night sweats have stopped, heartburn and palpitations have been gradually reduced, he can take care of household chores, and the breast lumps are softer than before. Her tongue is light red, her fur is thin and white, and her pulse is sunken and thin. The vital energy is gradually restored, and the treatment should be balanced with supporting the positive and attacking the evil. The treatment should be a combination of supporting the positive and attacking the evil. 10g of angelica, 10g of peony, 30g of salvia, 10g of Radix Codonopsis, 15 of roasted astragalus, 30g of coix seeds, 10g of poria, 3g of sambucus, 10g of mushroom, 10g of scorpion, 6g of beehive, 10g of Chenpi, 10g of roasted licorice. 30 doses of the medicine were taken orally as water pills, 6g each time, 3 times a day. It has been 3 years since he took the medicine intermittently. So far, there is no recurrence of breast cancer and metastasis, and he is physically fit and can take care of himself.
This case was cured by surgery and radiotherapy for breast cancer in the left breast, but three years later, the right breast recurred, which should have been cured by surgery and radiotherapy again, but in view of the patient’s old age and weakness, as well as her heart disease, she could not bear it, and could only be treated with Chinese medicine. Old illnesses accompanied by new diseases, physical weakness and drug toxicity, fear of not eating. The treatment should be to comfort and relieve his worries, strengthen the spleen and benefit the qi, nourish the yin and replenish the blood, nourish the heart and calm the mind, that is, to promote the body to restore and stimulate the function of the internal organs, promote the metabolism, and generate the ability to resist disease, which is the Chinese medicine’s gu to protect the vital energy, support the righteousness and dispel the evil. The formula used in the treatment is GUI Spleen Tang and Ginseng Yang Rong Tang plus or minus. The formula for the treatment of “spleen is unable to control the heart and blood, resulting in delusion, or vomiting blood and blood”.
It is a representative formula that is recognized and respected by later generations of physicians to benefit the qi and nourish the blood, and to strengthen the spleen and nourish the heart. The original formula is made up of Yuan Zhi and Zao Zao Ren, which are used to nourish the heart and tranquilize the mind, with the addition of Shu Di, Aconite, Mai Dong and Wu Wei Zi, which are intended to nourish the essence and blood, nourish the yin fluid, astringent the yin energy, nourish the heart and yang, and tranquilize the mind. It can be said that the heart and spleen are treated together, the emphasis is on nourishing the spleen, so that the spleen is prosperous, then there is a source of Qi and blood biochemistry; Qi and blood are balanced, the emphasis is on replenishing Qi, Qi is prosperous and can produce blood; balancing Yin and Yang, the emphasis is on submerging Yang, Yang is assisted by Yin is inexhaustible; supporting the righteous and eliminating evil, the emphasis is on supporting the righteous, strong Qi can reject the enemy in a thousand miles away, without fighting and winning. In the late stage of the disease, the vital energy is restored, the body is well, the formula is increased for the cause of the disease, the disease mechanism, the disease, the taste of attacking the poison with poison, and finally with pills slowly figure effect.
Breast Rock (postoperative breast cancer metastasis to lung)
Shen, 59 years old, was seen in November 1987. The lump was removed under local anesthesia for fibroadenoma, which healed well at that time, but soon a lump was found above the surgical incision, which was thought to be a chronic inflammation after surgery, and was not improved by antibiotics and herbal treatment, but worsened. She went to a city hospital and was diagnosed with breast cancer and underwent immediate radical mastectomy and conventional chemotherapy. Shortly after the treatment, she developed chest tightness and asthma, coughing and spitting with blood, low fever and night sweating, and was found to have lung cancer with large amount of pleural fluid by CT. After three courses of chemotherapy, he developed dry retching, vomiting, difficulty in eating and drinking, hair loss, difficulty in getting up from bed, and could no longer insist on the treatment. On examination: emaciated, depressed, dyspnea, flushed cheeks, little breath and lazy speech, coughing paroxysmally, sputum thin with blood, right breast is missing, no mass is palpable in the left breast, no enlarged lymph nodes are palpable in the axilla and upper and lower clavicle. The tongue is red with little coating and the pulse is sunken and fine. This is a case of post-operative breast cancer with toxic evil flowing in the lung, blocking the upper jiao, loss of promotion and descent, accumulation of phlegm and turbidity, and deficiency of both qi and yin over time.
Treatment is to tonify the spleen and benefit the lung, nourish Yin and clear heat. The treatment is to tonify the spleen and benefit the lung, nourish the yin and clear heat. 10g of Zhi Mu, 15g of Fu Ling, 15g of Astragalus, 12g of Ginseng, 10g of Atractylodes, 10g of Agaricus, 10g of Wu Wei Zi, 10g of Mai Dong, 10g of Radix Platycodon, 10g of Yin Chai Hu, 6g of Peppermint, 10g of Dou Hua, 10g of Licorice, 6g of Fried Rhubarb. one dose daily, decoction with water, one cup of child’s stool as a guide. After using the above medicine for 5 payments and the hemoptysis stopped, the food was improved, and after 10 days, he was bedridden, with light asthma and cough, chills and fever subsided, and less night sweats. The above formula to remove peppermint, Yin Chai Hu, paragraph of winter flowers, rhubarb, child stool, add 30g of raw Coix Seed, 10g of Semen Coix, 10g of Citrus aurantium, 10g of roasted lily, 10g of Chuan Bai Mu, a piece of ginger, 3 jujubes as a guide, every 2 days a dose, decoction with water. After the above access to treatment for more than 2 months, the lung lesions have shrunk, pleural fluid only a small amount, there is no fever, night sweats, hemoptysis, sometimes still have cough and sputum, the patient’s spirit is good, the body restored to normal, life has been able to take care of themselves, and later persuaded to carry out chemotherapy, with the disease to survive for more than two years, and finally returned to the West because of the disease.
However, in some remote areas and sub-county medical units, due to the limitation of medical conditions and treatment level, there are still many cases of misdiagnosis and misdiagnosis, which give an opportunity to the disease that can easily metastasize and recur. This case should remind us that every doctor, no matter when and where, should not only do his or her best in diagnosing, treating and caring for each patient, but also be serious and standardized, in order to prevent the ancient saying that “a difference of a millimeter is a mistake of a thousand miles”. It is a case of postoperative breast cancer
In addition, the toxic side effects of chemotherapy are reflected in a large amount, so that the body is too weak to bear and the treatment is terminated. At this time, either the infusion conditioning, continue chemotherapy, may complete the course of treatment, perhaps before the completion of the person has been casualties, that is, people often say “the disease has not beaten people to, is the drug to send people to death”; or terminate chemotherapy, wait for the recovery of their physique before making arrangements, no doubt the latter is a wise choice. The patient’s physique is thin, depressed, less breath and lazy speech are the manifestations of Qi deficiency; chest tightness and asthma, coughing and spitting with blood are the characteristics of the disease location in the lung, the loss of lung qi in declaring and lowering, and damage to the lung meridians; flushed cheeks, low fever, night sweats, red tongue, and sunken and fine pulse are the symptoms of lung and kidney yin deficiency. The treatment should be to tonify the spleen and benefit the lung, nourish Yin and clear heat.
The formula used is Ming Chen Shigong’s Zhi Mu Fu Ling Tang plus reduction, using Si Jun Zi Tang to strengthen the spleen and transport dampness, combined with Huang Qi to nourish the middle qi and lung qi, to cultivate the deficiency, that is, the so-called “deficiency is to nourish its mother”, “cultivate the earth to benefit its gold”; to Aconite into the lung and kidney, to benefit yin and nourish water, to nourish blood and stop bleeding. It is used to nourish the kidney, moisten lung dryness and converge lung fire to lower the heat of Yin deficiency; it is used to clear lung heat and promote the lung orifice with Yin Chai Hu and Peppermint Leaf to relieve the heat of the floating surface of the muscle; it is used to nourish the lung and stop cough with Radix et Rhizoma Polygonati and Radix Platycodonis; it is used to direct heat downward and has the effect of clearing heat and stopping bleeding. Although the body is weak, a small amount, occasionally used, the benefits outweigh the disadvantages, but to stop the disease, not a large number of long use; the use of children’s stool is intended to stop bleeding in the lungs, the former master in the treatment of pulmonary carbuncle lung atrophy hemoptysis commonly used, the effect is immediate, the author applied to lung cancer hemoptysis also often received rafter effect, but must be used within one year of age during breastfeeding healthy children urine, and to be fresh. When the vital energy gradually recovered, the disease evidence gradually reduced, the above to mint, silver Chaihu, paragraph of winter flowers, rhubarb, child stool, for deficiency heat has receded, hemoptysis has stopped, more with no benefit.
Add coix seeds 30, half asia 10, heliotrope 10, intended to strengthen the spleen and transport dampness, eliminate phlegm and drinks, eliminate the chest water; add roasted lily, Chuanbei mother, work in the benefit of the qi and at the same time the benefit of the qi, moisten the lungs and phlegm and have the effect of dispersing the knot. In this way, the treatment is to balance the urgency of the disease, nourish the qi and blood, to help the righteousness and dispel the evil, to regulate the spleen and kidney, and to strengthen the lung gold. Even though the cancer cannot be cured, it is the best outcome to improve the patient’s physical condition, alleviate the disease, improve the symptoms, improve the quality of life and prolong the survival period with tumor. Some people may ask why we don’t use Artemisia annua and turtle shell soup or Bone Clear. It is to treat the late stage of warming disease, when yin has been injured and the evil heat has not been exhausted. This formula is for treating deficiency of liver and kidney yin and internal disturbance of deficiency fire caused by deficiency strain and fever, bone steaming and tidal fever, while this formula is for treating deficiency of both qi and yin, which is to nourish earth and benefit gold and nourish water to control fire. This is the difference in the evidence, the difference in the formula, the identification of the evidence, usually up to change.