August 30, 2023
Gingival cancer is more common in the middle-aged and elderly, and lower gingival cancer is more common than upper gingival cancer. Most of gingival cancer is squamous cell carcinoma. The causes are environment, radiation, chemical factors, injury, infection and other factors, but also related to body immunity, endocrine, nutrition, metabolism and so on. Poor restoration (denture), or sharp tooth root, tooth edge friction mucosa; mucosal leukoplakia, lichen planus and other precancerous lesions; oral mucosal fibrosis caused by betel nut chewing can also easily lead to gingival cancer.
1. Western medicine diagnosis.
In the early stage, gingival cancer has no obvious symptoms. When you infiltrate further into the deep, there will be a significant mass. Most of the masses are ulcerative type and exogenous type. Exogenous ones are like cauliflower. Ulcer type is a relatively deep ulcer, if found that 1 to 3 months do not heal, it should be suspected of gingival cancer. Pathological examination is the most direct standard. In a certain time, there will be pain, some pain is obvious, some patients are not sensitive to pain, there is no obvious pain. Gingival cancer is most likely to occur in the mandible, which can be found in either the molar area or the premolar area. After gingival carcinoma invades bone, X-ray can show the characteristics of bone destruction of malignant tumor. Submandibular lymph node metastasis is common in gingival cancer, and deep superior cervical lymph nodes are involved in the later stage.
Second, diagnosis of traditional Chinese medicine.
"the disharmony of yin and yang and qi" is the pathogenesis basis of cancer, "dissipation" is the key to the transformation of cancer pathogenesis, and qi stagnation, blood stasis and phlegm coagulation is the external manifestation of the pathogenesis of "cancer".
III. Composition of traditional Chinese medicine prescriptions.
6 grams of Coptis chinensis, 15 grams of Scutellaria baicalensis, 15 grams of bean root, 15 grams of forsythia, 15 grams of dandelion, 15 grams of honeysuckle, 15 grams of Prunella vulgaris, 20 grams of Hedyotis diffusa, 20 grams of Radix Scutellariae, 20 grams of chuanbei, 20 grams of raw oysters, 15 grams of cat claw grass, 9 grams of licorice. Take water decoction, 1 dose a day, in the morning and evening, 20 days as a course of treatment.
IV. Clinical observation.
Jiaozuo Zhonghai traditional Chinese Medicine Cancer Hospital used traditional Chinese medicine combined with pingyangmycin hydrochloride in the treatment of gingival cancer. Most patients take medication for 15 to 20 days, the symptoms will be significantly alleviated or disappeared. In order to increase the curative effect, vitamin B2 tablets should be taken regularly, 4 tablets once, twice a day, and folic acid tablets 2 tablets once, twice a day for 20 days. Instruct the patient to gargle with light salt water frequently.
(the writer is the second standing member of the Food and Drug Safety Education Committee of the China Medical Education Association and the academic dean of Jiaozuo Zhonghai traditional Chinese Medicine Cancer Hospital).
Above, Zhang Zhonghai
