The treatment of advanced hemoptysis in lung cancer for 2 weeks was ineffective. Traditional Chinese medicine applied two prescriptions to eliminate phlegm and stop bleeding.

Lung cancer is a malignant tumor that occurs in trachea, bronchus and lung. Traditional Chinese medicine believes that both external and internal toxins can cause lung cancer. External poison is related to the living and working environment of patients. The fur of nose and mouth is attacked by external poison, which leads to deficiency of qi and blood and mutual accumulation of toxin and blood stasis. Endotoxin is closely related to emotional disorder, improper diet, overwork and other factors of patients. Many lung cancer patients have long-term cough, bloody sputum, chest tightness and shortness of breath, accompanied by chest and back pain, loss of appetite, rapid weight loss, fatigue, and postoperative wound pain and affected side pain. When coughing, the pain is aggravated and it is miserable. Therefore, after a series of operations and chemotherapy, patients often don't have the physical and mental strength to continue to receive high-intensity western medicine treatment, and instead hope to relieve pain, delay life expectancy and improve quality of life through TCM conditioning.

Clinically, hemoptysis has always been a very common and recurrent representative symptom of lung cancer, which belongs to the category of "blood syndrome" in traditional Chinese medicine. Traditional Chinese medicine emphasizes that qi is the handsome of blood and blood is the mother of qi. If qi and blood are out of balance, qi deficiency or qi stagnation, qi can not promote blood circulation. At this time, the qi and blood will be blocked, the patient's temper will be weak, and the body fluid will not be transported normally, thus accumulating into phlegm, which will lead to blood stasis and stagnation of meridians, leading to blood not following menstruation and causing hemoptysis. This process has a great relationship with spleen and kidney. Many patients continue to use western medicine to stop bleeding after receiving western medicine treatment, but the effect is not good, and excessive hemoptysis will be life-threatening at any time. Chinese medicine treatment of hemoptysis in lung cancer patients pays attention to symptomatic hemostasis, reducing qi and purging liver. Let me analyze it in detail through a case.

This 52-year-old male patient has central lung cancer in the right upper lung, with a mass of about 4.9CM*3.6CM*3.9CM and enlarged lymph nodes in the right hilum and mediastinum. After chemotherapy, the lesion shrank to 4.4CM*3. 1CM*3.4CM. After three months, he suddenly coughed up blood, about 30ML, and immediately went to the hospital for western medicine treatment. The cough stopped temporarily, but two days later, I coughed up blood again. I coughed up blood repeatedly for half a month. The blood was bright red and I coughed so badly that I could hardly breathe. My family is in a hurry. When I was admitted to the hospital, the patient was pale, listless, hoarse and weak, lost appetite and had few bowel movements. He often feels thirsty because of long-term cough and chest and back pain. Judging from his tongue pulse, his tongue coating is red and yellow, and his pulse is slippery. Family members are anxious to treat symptoms of hemoptysis. Due to excessive phlegm-heat in patients, blood collaterals are damaged, and the treatment is mainly to clear heat and stop bleeding, replenish qi and strengthen spleen.

This prescription is modified with Shihui Powder and Sisheng Pill. Dendrobium powder is a famous prescription for cooling blood and stopping bleeding in traditional Chinese medicine, including Cirsium japonicum, Platycladus orientalis leaves, Imperata rhizome, Gardenia and so on. It has the effect of clearing away heat and purging fire, and is specially used for treating hemoptysis. Sisheng Pill contains four kinds of medicinal materials: raw lotus leaf, raw mugwort leaf, raw cypress leaf and raw rehmannia root. Strengthen the efficacy of Shihui Powder, and treat hemoptysis due to blood heat. After taking it for 2 weeks, the bleeding symptoms gradually stopped. Take Guipi decoction at the same time, replenish qi and blood, strengthen spleen and nourish heart. After taking it for two weeks, the mental state improved obviously, the appetite increased and the defecation situation improved.

Many lung cancer patients have symptoms of hemoptysis. If the patient can't stand the intensive treatment after chemotherapy, TCM conditioning is the treatment method to minimize the pain of the patient. How to "survive with tumor", improve the quality of life of cancer patients and prolong their lives needs patients and their families to face together. It is very important to adjust the patient's mood while cooperating with the treatment.