Chinese medicine for advanced gastric cancer? Laidaxia

Chinese medicine treatment of gastric cancer;

1. Dialectical treatment for patients with advanced gastric cancer who can't be operated, or who have distant metastasis after operation, or who don't operate for various reasons, comprehensive treatment of traditional Chinese medicine is given priority to, including the combination of syndrome differentiation and disease differentiation. Dialectical treatment is based on the above four types of syndrome differentiation.

1, disharmony between liver and stomach: syndrome differentiation of disharmony between liver and stomach, rising of stomach qi, and treatment with soothing the liver and regulating the stomach, lowering adverse qi and relieving pain. Prescription: Radix Bupleuri, Curcuma Longa, Fructus Aurantii, Inula (fried), Ochre, Pinellia ternata, Rose, Cortex Moutan, Chelidonium majus, Sam Sun Charcoal, and Glycyrrhrizae Radix. This syndrome refers to patients with liver depression and qi stagnation, liver failure to disperse qi, taking advantage of the spleen and stomach, making the spleen and stomach function out of control, stomach qi rushing up and frequent belching. Radix Bupleuri, Radix Curcumae and Flos Rosae Rugosae are used for soothing the liver and regulating qi. Fructus Aurantii, Inula, Ochre and Pinellia ternata can reduce qi, relieve adverse reactions and stop vomiting; Hang Shao, licorice softens the liver and neutralizes it; Jiao Sanxian strengthens the spleen and eliminates diseases; Chelidonium majus can relieve pain. In addition, anti-cancer Chinese herbal medicines were added.

2. Spleen-stomach deficiency-cold type: The key point of syndrome differentiation is its deficiency-cold manifestations, such as warm stomach, hot drinks, pale complexion, cold limbs and loose stool, and deep and thin pulse. And spleen and stomach deficiency and cold syndrome differentiation, middle energizer is not transported. The treatment is to warm the middle warmer and dispel the cold, strengthen the spleen and regulate the stomach. Prescription drugs include ginseng, codonopsis pilosula, Atractylodes macrocephala, Poria, Pinellia ternata, Alpinia officinarum, long pepper, Haloxylon ammodendron, dried tangerine peel, licorice, astragalus root, cardamom and so on. This type of spleen deficiency has a weak stomach, a small appetite and slow transport, so the pain is not great. If you press it warmly, the cold will dissipate, so the pain will be relieved. Spleen dominates the limbs, while yang deficiency leads to tepid limbs. Alpinia officinarum and piper longum are used to warm the middle warmer and dispel cold; Righteousness helps to warm yang, while Polygonatum odoratum and nutmeg can warm stomach and relieve pain. Choose another warm anticancer Chinese herbal medicine.

3. Internal resistance type of blood stasis: the key points of syndrome differentiation of this type are obvious pain, abdominal distension, refusal to press, excessive blood stasis and heat syndrome. Syndrome differentiation is blood stasis and toxin resistance, blood stasis and stomach heat, and the treatment is detoxification and blood stasis, clearing heat and nourishing yin. The prescription is raw cattail pollen, trogopterori, snake slough, liline, hairyvein agrimony, nidus vespae, rhizoma corydalis, chelidonium majus, aged charcoal, Polygonatum odoratum, lotus root node, etc. And other anticancer Chinese herbal medicines. Blood stasis, collateral injury for a long time, vomiting blood in the stool, blood stasis tangible, so the pain is limited, refused to press; Blood stasis consumes heat and hurts the stomach yin, so dry mouth and cold drink make the pulse string slippery. Snake slough, honeycomb detoxification and blood stasis; Raw Pollen Typhae, Oletum Trogopterori, Rhizoma Corydalis and Chelidonium majus promote blood circulation, remove blood stasis and relieve pain; Blood charcoal, aged brown charcoal, and Herba et Gemma Agrimoniae stop bleeding and promote granulation; Polygonatum odoratum and lotus root nodes nourish and benefit stomach yin.

4. Deficiency of both qi and blood: This type is mostly in the late stage of gastric cancer. After a long illness, cachexia, anemia, blood consumption and gas injury, and acquired chemical sources are insufficient, so qi and blood are passive, so both qi and blood are deficient, and spleen and kidney yang are also insufficient for a long time. However, this type is often accompanied by excess, and the tumor mass is obvious. Because of the great loss of qi and blood, it can't be captured, so it can only replenish qi and blood, strengthen the spleen and tonify the kidney. Medicinal Radix Astragali, Ginseng Radix, Radix Codonopsis, Atractylodis Rhizoma, Poria, Rhizoma Polygonati and Glycyrrhrizae Radix; Angelica sinensis, Radix Rehmanniae Preparata, Radix Paeoniae Rubra and Colla Corii Asini nourish yin and replenish blood; Placenta Hominis can replenish vitality, kidney and essence; Pericarpium Citri Tangerinae, wheat and rice buds, Fructus Amomi and Endothelium Corneum Gigeriae Galli can invigorate the spleen, stimulate appetite and help digestion, while Herba Epimedii can tonify kidney and warm yang.

Clinical treatment based on syndrome differentiation;

Pinellia ternata, ginger, bamboo shavings, clematis, Inula, ochre, Pogostemon, Eupatorium etc. Was added to the vomit.

Dendrobium, Ophiopogon japonicus, Trichosanthis Radix, Adenophora adenophora, etc. are used for dry mouth.

Rhizoma Corydalis, Rhizoma Cyperi, Herba Chelidonii, Lignum Dalbergiae Odoriferae, Oletum Trogopterori, Radix Aconiti, Fructus Piperis Longi, and Fructus Mori are added for stomachache.

Cannabis seed, Prunus mume seed, rhubarb, mirabilite, Fructus Trichosanthis, sheep's hoof, Polygonum cuspidatum, etc.

Loose stool adds catechu, agrimony, pomegranate peel, atractylodes rhizome, lentils, atractylodes macrocephala, yam, poria cocos, poppy shell, etc.

Used for hematemesis and hematochezia, blood charcoal, palm charcoal, persimmon leaves, bletilla striata, agrimony, rhubarb, squid bone powder, etc. Or 2g Yunnan Baiyao with 4ml Luo 'an blood.

For abdominal distension, Fructus Aurantii, Cortex Magnolia Officinalis, Semen Raphani, Charcoal Arecae, Pericarpium Arecae, Aquilaria Resinatum, etc.

Two, single, biased, prescription, prescription spread around a lot, but not many proved effective. At present, the traditional Chinese medicine that may have a certain effect on gastric cancer is Sarcandra glabra tablets, 3 ~ 5 tablets each time, 3 times a day; 10% brucea javanica oil emulsion: 4 ~ 10 mg mixed with 500ml 10% glucose solution, once a day, with a total dose of 6 ~13 g. Hydroxycamptothecin extracted from Camptotheca acuminata is used for intravenous drip, which has certain curative effect on gastrointestinal cancer, but it belongs to the scope of chemotherapy drugs. 30 ~ 50g of sunflower stalk is used for folk use, and it is decocted for tea to treat gastric cancer. Diarrhea occurred after taking it, and the curative effect needs to be verified. It is simple and cheap to use local materials in rural areas. In addition, there are patients with gastric cancer treated with snake venom, croton preparation and rattan pear root, and the curative effect is difficult to determine and evaluate.

3. Chinese herbal medicines are commonly used for gastric cancer, such as Scutellaria barbata, Hedyotis diffusa, Sophora Tonkinensis, Rhizoma Paridis, Solanum lyratum Thunb, Solanum nigrum, Herba Rabdosiae Cirrhosae, Herba Sarcandrae, Camptotheca acuminata, Lysimachia christinae, Stellera chamaejasme, snake venom, Lycoris radiata, dried toad skin, Smilax glabra, Smilax China, etc.

Tetrasaponin (life-saving factor) extracted from ginseng has high concentration and good efficacy.