The syndrome differentiation and treatment of liver cancer is essentially target
The syndrome differentiation and treatment of liver cancer is essentially targeted therapy.
"Through syndrome differentiation, allowing medication to act on a specific meridian or organ, this process is targeted therapy." As soon as the reporter stated the purpose of the visit, Professor Zheng Weida elaborated on his viewpoint.
At the end of the last century, the medical community conducted in-depth discussions on the causes of malignant tumors. The mechanism of carcinogenesis gradually became clear, and advanced biotechnology based on oncogenes was continuously applied in clinical practice. Molecular targeted therapy, a completely new treatment method, gradually emerged. Based on this, Zheng Weida summarized and established the "New Ten Theories of Cancer Treatment" and the "Weida Cidan Four-in-One Anti-Cancer Rehabilitation Therapy," achieving good therapeutic results.
Three Differentiations in Liver Cancer:
Differentiation of Deficiency, Stage, and Individual
Zheng Weida explained that cancer arises from the initial deficiency of vital energy, followed by the invasion of pathogenic factors, leading to qi stagnation and blood stasis, the mutual binding of stasis and toxins, and their mutual struggle. In treatment, the early stage should focus on attacking while supplementing, the middle stage should balance attack and supplementation, and the late stage should focus on supplementing while attacking, but staging should not be rigidly enforced. The drugs used, whether for tonifying, purging, dispersing, or resolving, should preferably have anti-cancer effects to achieve Do more with less.
Differentiation of Deficiency to Support Vital Energy and Combat Cancer
"Nourishing the vital energy leads to the spontaneous resolution of masses," highlighting the significant importance of the vital energy support method in tumor treatment. Supporting vital energy first requires identifying the deficiencies in qi, blood, yin, and yang to "supplement the deficient and tonify the weak," harmonize yin and yang, generate qi and blood, promote the body's immune function, and enhance its own anti-cancer effects. Whenever liver cancer is detected, it is mostly in the middle or late stages, so it is even more appropriate to support vital energy and dispel pathogenic factors.
Differentiation of Stage for Treatment
For example, after surgical resection of small liver cancer, it is necessary to combine traditional Chinese medicine to support vital energy and strengthen the body's immune function to prevent postoperative recurrence; during tumor treatment, it is necessary to combine traditional Chinese medicine that strengthens the spleen and stomach, nourishes yin, and clears heat to reduce the toxic side effects caused by chemotherapy drugs; late-stage liver cancer should mainly rely on traditional Chinese medicine to support vital energy and combat cancer, appropriately combined with other methods for comprehensive regulation... More importantly, no matter what stage the disease is in, as long as traditional Chinese medicine treatment is combined, it must be based on the patient's physical characteristics, clinical manifestations, etc., to carry out syndrome differentiation and treatment to achieve good therapeutic results.
Differentiation of Individual for Personalized Treatment
It is necessary to combine the patient's clinical symptoms, physical strength, family and social environment, as well as the biological characteristics of liver cancer itself, the size of the tumor, whether there is a capsule, etc., to carry out syndrome differentiation and treatment, and formulate a reasonable, planned, and scientific integrated traditional Chinese and Western medicine treatment plan.
Three Postoperative Taboos:
Avoid Blood-Breaking, Avoid Complacency, Avoid Avoiding Medical Treatment
Avoid Blood-Breaking
In the method of dispelling pathogenic factors and resolving masses, it is appropriate to activate blood circulation but not to break blood. Clinical observation shows that using blood-breaking products, such as Sanleng, ShuiZhi, ShanJia, ZaoJiaoCi, etc., although they have the effect of resolving hardness and relieving pain on tumors, prolonged use can easily lead to tumor spread or metastasis.
Avoid Postoperative Complacency
For early and middle-stage tumor patients, surgical treatment can quickly remove the lesion, but can patients rest easy after surgery?
Data shows that the one-year recurrence rate of tumors in my country is currently 60%, and the number of patients who die from tumor recurrence and metastasis exceeds 80%. In recent years, the five-year survival rate in European and American countries has significantly improved. An important reason is that doctors, in addition to surgical and chemoradiotherapy treatments, also pay attention to each patient's psychological, nutritional, sports, and other factors, thereby reducing the risk of recurrence and metastasis after surgery and chemoradiotherapy.
Avoid Avoiding Medical Treatment
There is an ancient idiom "concealing disease and avoiding medical treatment." There are still many people who avoid medical treatment in modern times. In rural areas, there is still the custom of "believing in witchcraft but not in medicine," and there are also those who believe in traditional Chinese medicine but not Western medicine, or believe in Western medicine but not traditional Chinese medicine, thereby missing the advantages of the two methods of treatment.
Zheng Weida summarized the "Three Essentials of Postoperative Liver Cancer": postoperative prevention first, timely application of traditional Chinese medicine; postoperative regulation of liver and spleen function, recovery of liver function; postoperative psychological adjustment and physical exercise are also important.
Postoperative Treatment Based on Differentiation
Due to the coexistence of cold and heat, the mixture of deficiency and excess, the complexity of the condition, and the many complications, different stages of the disease course have different manifestations. Common symptoms and signs include mental fatigue, abdominal distension, nausea and vomiting, poor appetite, diarrhea, irritability, dry mouth, night sweats, insomnia and dreaminess, hiccups, jaundice, pleural and abdominal effusion, etc. In this regard, traditional Chinese medicine syndrome differentiation treatment can often achieve satisfactory results, improve the quality of life of patients, reduce postoperative recurrence and metastasis, and prolong the survival time of patients.
Liver Qi Stagnation Type
Symptoms: Pain in both flanks or distending pain in the right flank, a feeling of fullness and discomfort in the chest. Emotional imbalance, irritability, worsening after anger. Poor appetite, purple tongue, thin white coating, wiry pulse.
Treatment Principle: Soothe the liver and regulate qi.
Prescription: Bupleurum, White Peony Root, Immature Bitter Orange, Licorice Root, Chuanxiong, Cyperus Rotundus, Medicated Leaven, Gardenia, Atractylodes, Coix Seed, Finger Citron, Sichuan Chinaberry.
Liver Depression and Spleen Deficiency
Symptoms: Pain in the liver area, abdominal distension, especially after meals, poor appetite, loose stools, limb fatigue, shortness of breath and reluctance to speak, sallow or grayish or swollen or emaciated complexion, pale tongue with white coating, slow and weak pulse.
Treatment Principle: Soothe the liver and strengthen the spleen.
Prescription: Modified Bupleurum and Six Gentlemen Decoction. Bupleurum, White Peony Root, Codonopsis, Atractylodes, Poria, Tangerine Peel, Pinellia, Costus Root, Amomum, Chinese Yam, Hawthorn, Curcuma, Licorice Root, Salvia.
Liver-Stomach Disharmony
Symptoms: Discomfort in the liver area, distending pain in the stomach, radiating to both flanks, bitter taste in the mouth, irritability, belching, reduced food intake or vomiting, thin yellow or yellow greasy tongue coating, wiry and thin pulse.
Treatment Principle: Harmonize the liver and stomach.
Prescription: Modified Bupleurum and Warm Gallbladder Decoction. Bupleurum, White Peony Root, Poria, Pinellia, Tangerine Peel, Licorice Root, Bamboo Shavings, Immature Bitter Orange, Coix Seed, Eupatorium, White Cardamom.
Stasis and Toxin Binding
Symptoms: Huge mass under the flank, fixed and immovable, hard to the touch. Flank pain like a stab, radiating to the back, fixed pain, worse at night. Dark tongue with ecchymosis, deep and thin or choppy pulse.
Treatment Principle: Resolve stasis and detoxify.
Prescription: Cremastra Appendiculata, Zedoary, Nux Vomica, Brucea Javanica, Honeycomb, Astragalus, Chinese Angelica, Artificial Bezoar, Borneol, Salvia, etc. (Note: This formula is a new product in the national medical insurance catalog "Cidan Capsule").
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Postoperative Rehabilitation and Regulation Prescriptions for Liver Cancer
Liver and Spleen Deficiency
Symptoms: Dull complexion, dizziness, limb numbness, tinnitus, dry eyes, blurred vision, pale nails, poor appetite, fatigue, shortness of breath and reluctance to speak, sallow or grayish complexion, pale tongue, thin and weak pulse.
Treatment Principle: Tonify the liver and strengthen the spleen.
Prescription: Pseudostellaria Root, Atractylodes, Poria, Prepared Licorice Root, White Hyacinth Bean, Chinese Yam, Coix Seed, Dipsacus, Psoralea, Jujube, Ginger.
Qi and Blood Deficiency
Symptoms: Fatigue, shortness of breath and reluctance to speak, shortness of breath on exertion, dizziness, spontaneous sweating, grayish or sallow complexion, palpitations, insomnia, numbness and spasm of hands and feet, etc., pale and swollen tongue, thin and weak pulse.
Treatment Principle: Benefit qi and nourish blood.
Prescription: Chinese Angelica, Astragalus, Chuanxiong, White Peony Root, Prepared Rehmannia, Notoginseng Powder (to be taken with water), Polygonatum, Human Placenta, Mulberry, Fleeceflower Root, Salvia, Codonopsis, Atractylodes, Poria, Prepared Licorice Root.
Liver and Kidney Deficiency
Symptoms: Dizziness, tinnitus, deafness, night sweats, nocturnal emission, dry mouth and throat, five-center heat, vexation and insomnia, limb numbness, irritability, etc. Pale tongue with little coating, thin pulse.
Treatment Principle: Tonify the liver and kidneys.
Prescription: Bupleurum, Scrophularia, Raw Rehmannia, White Peony Root, Wolfberry, Schisandra, Eucommia, Dipsacus, Sichuan Chinaberry, Ligustrum.