Dialectical radiation oral mucositis, the way of nourishing yin, not the way of kings
Irradiation of nasopharynx, oral cavity, nasal cavity, neck, etc. during radiotherapy is caused by long-term irradiation to cause a series of inflammatory reactions, among which oropharynx and oral mucosa and salivary gland damage are the most obvious, easy to form acute oral mucositis, manifested as dry mouth, sore throat, dysphagia, further lead to mucosal ulcers, erosions, bleeding, and secondary bacterial or fungal infections, affecting radiotherapy compliance.
Radiotherapy-induced oral mucositis occurs in up to 90%, and some patients require oral opioid analgesics to reduce oral pain. Therefore, in the process of treatment, early intervention can reduce the occurrence of oral mucositis and improve radiotherapy compliance and quality of life.
Modern medicine mostly uses mouthwashes, surface anesthetics, mucosal coatings, painkillers and antimicrobial infections for symptomatic treatment.
Chinese medicine believes that radiation is fiery and poisonous. Radiation mucositis is equivalent to heat and evil invasion, internal and external heat and poison intertwined, fire burning liquid, dry mouth, decreased saliva, drinking, oral pain, difficulty swallowing, etc., which belongs to the image of internal injury of Yin deficiency liquid. As the amount of radiation increases, heat poisons and blood, ulcers and bleeding occur, and the pain is unbearable.
Radiation xerostomia is caused by hot poison, but the pathogenesis is quite complex, and clinical classification and differentiation are required. In terms of treatment, do not blindly stick to nourishing yin or clearing heat, it is necessary to flexibly use products that activate blood circulation and remove stasis, reduce dampness, dissolve phlegm, relieve cough and asthma, relieve surfaces, and regulate qi on the basis of nourishing yin and moisturizing, clearing heat and rejuvenating jins, in order to achieve good results in the prevention and treatment of radioactive xerostomia.
Commonly used Chinese medicine treatments
Initial stage: Yin deficiency and fire, loss of jin liquid,
In the middle and late stages, it is qi and yin deficiency, humid heat internal resistance, liver qi stagnation, lung and spleen deficiency, and qi stasis and blood stasis.
Clinically, it is treated according to different periods.
Common treatment: nourishing yin and rejuvenating, clearing heat and detoxification.
Yin medicine:
Mai Dong, Jade Bamboo, Dendrobium, Sand Ginseng, Goji Berry, Tiandong
Antipyretic medicine ranks second,
Commonly used drugs are: ginseng, raw land, danpi, gold and silver
Flowers, dandelions, wild chrysanthemums, etc.
Commonly used proprietary Chinese medicine
Traditional Chinese medicine gargle: new healing liquid, etc
Traditional Chinese Medicine Powder:
Contains liquid relief: raw gypsum, Panax notoginseng powder, white and powder, etc
Watermelon cream powder: watermelon cream, huanglian and fritillary and other traditional Chinese medicines,
Tin scatter: pearls, flying green dai, plum blossom ice chips, wall money, ox yolk, etc
Muscle growth: androgen, calcined gypsum, green dai, yellow cypress, yellow essence, puhuang, licorice, ice chips and other components.
Qingxingning: ginseng, wheat dong, licorice, bellflower, etc.
However, in the clinical testimony, except for a small number of patients, if only the use of Yangyin Shengjin Qingxing and detoxification, the effect is not very good, why?
This is mainly because patients often have other diseases. For example, in addition to suffering from injuries and sore throats, the tongue is pale and moist, the pulse is weak and slow, and if the yin is nourished, it is often easy to cause diarrhea. Although this hot poison is attacked, it is in line with the humidity of the taiyin soil, and it is slowed down into the true vein of the taiyin, so it is a cool and moist product, which is easy to hurt the yang qi in the stomach, and can be matched with laurel branches and poria.
or decreased appetite, fatigue, bloating, sweating. In particular, there is a lot of sweat, and the doctor is responsible for the lack of sweat, and frequent ginseng, stilbene, etc., ginseng is floating, but it aggravates the dryness of the oropharynx, which is actually not combined with the pulse image.
There is a lot of sweat, if the pulse is strong and flooding, it can naturally be accompanied by the Yangming Qing method. If the pulse does not have the image of yangming, the pulse is weak and insufficient, the use of clear methods will cool the spleen and stomach, although it can relieve the sore throat for a while, it is not the right way to cure.
If the disease is less yang and three scorching fire, and the water is lacking in yuan yang, if only wheat dong and sand ginseng, do not nourish kanshui, latent floating yang, and use a gas dredging machine, the oropharynx is dry and cannot be fully healed. The way of medicine is only to focus on the pulse, distinguish the slightest, and draw the boundary. #TCM##伤寒论 #
