The idea of traditional Chinese medicine treatment for patients with advanced liver cancer
07.11
hospitalization
Guo Moumou, male, 75 years old, liver cancer
Tatsumi: dizziness, dry mouth, warm water, stool 2 days unsolved, naco, night sleep, normal urination;
Tongue veins: the tongue is dark and red, peeling moss, pulse floating strings, inches are not pressed
TCM Analysis:
1. According to the tongue image, it indicates insufficient qi and yin;
2. According to the pulse string, it indicates that there is insufficient righteous qi;
3. Dizziness, combined with the basis of liver disease, considering yin, weakness and hyperyang;
4. Dry mouth, unsolved stool, consider weakness in qi deficiency, yin deficiency and intestinal loss
Treatment: Nourish qi and nourish yin, flat liver latent yang
Prescription medicine: raw pulse drink plus or minus
Prescriptions are as follows: Ginseng, Mai Dong, Schisandra, Yam, Astragalus, Guizhi, White Peony, Burning Licorice, Ginger, Jujube, Fire
Hemp seeds, gastropods, citrus aurantium
According to the language: according to the tongue image, consider the lack of qi and yin, choose the raw pulse to drink and add yam, the right pulse is weak, consider the lack of qi, add astragalus,
And the stool is not solved, add hemp seeds combined with citrus fruit; Because of the consideration of age, lack of righteous qi, and lack of qi and yin, the guizhi soup was chosen
and yin and yang, reconcile the spleen and stomach, reconcile the liver and spleen;
08.09
Re-admission
Tatsumi: 2 days of unsolved stool, low amount of plain, and hard, bloating, bitter mouth, no dry mouth, waist pain, nothing else;
Tongue vein: Tongue as shown in the picture, the pulse float string force is weak
The prescription is as follows: Ripe Ground, Bai Shu, Dang Ginseng, Schisandra, Mai Dong, Beef Knee, Black Shun Tablets, Large Belly Skin, Oysters, Sawa, Genji
Ginseng, yam, tangerine peel
According to the language: according to the tongue image, consider yin deficiency, according to weak pulse, consider qi deficiency, according to the stool 2 days unresolved, and hard, consider intestinal loss
Run, according to the bitter mouth, consider the yin deficiency leading to less yang evidence, according to the bloating, combined with liver disease and spleen thoughts, consider the spleen deficiency is not lucky; treat
Choose Quanzhen Yiqi soup to add and subtract, add the skin of the big abdomen to improve the water, because of the good treatment of water, do not cure the water and cure the qi, add oyster Ze diarrhea soft
Firm water without hurting the yin, stool hard, add liquid soup; Insufficient qi and yin, add raw pulse drink plus yam, fear of greasy, add Chen
Skin;
08.22
Tatsushita: tired, back pain, burning sensation in the abdomen, nacha, sleep at night, two stools are normal
Tongue vein: Tongue as shown in the picture, the pulse is thin
According to the language: add malt, half-branched lotus on the basis of the original square; Go to ginseng and yam; Add malt to digest the stomach, add half a lotus to clear the pyrolysis
Toxic antitumor; There is a feeling of heat in the abdomen, I think the yin is not yang, there is currently a small amount of ascites, no obvious bloating discomfort, so go to the big belly skin plus
Use turtle shells, and nacha, so add malt; Its back pain, considered osteoporosis may also be excluded from bone metastasis, from the main bone of the kidney
Direction prescription, there is cooked yellow in the square; Western medicine plus oxycodone analgesic treatment;
08.26
Weak chord force
On the basis of the original formula, go to malt plus chicken inner gold, go to half a branch lotus plus Yin Chen, bilirubin from 80 units into the hospital to more than 200 units now,
Consider the possibility of obstruction, and perform PTCD catheter drainage after improving full abdominal CT+ enhancement;
08.30
Tatsumi: bitter mouth, nacha, night sleep, big can, urine yellow
Tongue vein: Tongue as shown in the picture, the pulse floating string slippery, the left force is weak
The prescription is as follows: Xuan Ginseng, Oysters, Zhejiang Shellfish, Half-branched Lotus, Dang Ginseng, Mai Dong, Schisandra, White Peony, Ripe Ground, Sichuan Neem
Bai Shu, Yin Chen, Chicken Neijin, Silk Seed, Turtle Nail
According to the language: from the mouth bitter, tongue red, weak left vein, combined with the left for blood, liver body yin and use yang thoughts, so liver yin is not clear, so
Choose to add white peony Yin Chen, and the liver and kidney homology, advanced tumor, insufficient qi and yin, add raw pulse drink and cooked land, to avoid nourishing yin coagulation
Stagnation, with the addition of Neem to relieve hepatic diarrhea fever; The tumor is advanced for the process of insufficient positive qi, sputum stasis and interlocking, and here
Lack of righteous qi, obviously insufficient qi yin, has chosen to drink raw pulse, and added Xuan Ginseng oyster Zhejiang shellfish shell soft and firm loose sputum solution
Poison, Nacha continues to chicken inner gold to eliminate the accumulation of stomach, add silk seeds in the yin to seek yang;
09.03
WeChat follow-up, not optimistic, after PTCD drainage jaundice is still progressively elevated
Summary: In the advanced stage of tumor, the evil is real and the false, and the key to treatment is to help the right and dispel the evil, and there is a point of stomach qi and a point of hope
On the basis of the support of Chinese medicine, it is necessary to firmly control the tool of Western medicine to drive away evil spirits, and the combination of Traditional Chinese medicine and Western medicine can fundamentally solve the problem
Question; In the treatment of advanced tumors, I also feel the failure, because I can't solve the problem fundamentally, and in the past one or two years
For patients with advanced lip service red in liver cancer, I have the same yin and yang from Guizhi soup, hot licorice soup, raw pulse drink, Baoyuan soup, Quanzhen Yiqi soup and so on
From the perspective of adjustment, qi and blood double supplementation, I found that there is a certain effect, and blindly seeking anti-tumor and other treatments is not ignored
Think;
