Traditional Chinese medicine treatment.
In the early stage, gastric cancer is mainly characterized by standard excess, with qi stagnation, blood stasis, phlegm coagulation and evil heat, while in the later stage, it is mainly caused by deficiency of qi and blood, haggard of body fluid and weakness of organs. Treatment should weigh the severity of the disease, according to the performance of different stages, take different measures, or remove pathogens, or support upright, or dispel pathogens and support upright simultaneously.1. Treatment based on syndrome differentiation.(1) disharmony between the liver and stomach.Main symptoms: epigastric fullness, pain and both sides, choking or belching, thin white or thin yellow fur, red tongue, pulse string.Treatment principles: soothing the liver and stomach, reducing adverse events and relieving pain.Prescription: Chaihu Shugan Powder ("Syndrome and treatment Criterion") plus or minus.Bupleurum 15g, Radix Paeoniae Alba 10g, Angelica 10g, Poria cocos 10g, substitute ochre 15g, Rhizoma Pinelliae 15g, Radix Glycyrrhizae 10g, Tulip 10g.Prescription: in the early stage of the disease, depression injures the liver, liver loss and catharsis, liver depression invades the stomach, stomach disharmony, so epigastric distension or pain, string and two ribs, belching stale or hiccup, eating less or vomiting nausea; the tongue is reddish, the fur is thin and yellow, and the pulse string is the disharmony between the liver and stomach. In the prescription, Bupleurum soothing the liver and relieving depression, covering flowers and reducing qi, replacing ochre to sedate adverse qi, are used as monarch medicine; supplemented by Yujin, Pinellia ternata regulating qi and stomach, reducing adverse and antiemetic medicine; licorice to reconcile all kinds of medicine.Dialectical addition and subtraction:1) if the mouth is bitter and dry, epigastric distension with burning heat, undeclared heat, go to Angelica, Bupleurum, ginger, add Evodia, Coptis chinensis, Scutellaria baicalensis and so on.2) if the constipation is dry and the viscera qi is blocked, add melon betel kernel, Yu plum kernel, hemp kernel and so on.3) if the stool is still not unobstructed after taking medicine, remove Pinellia ternata, Poria cocos, ginger, add raw rhubarb 12g (lower), mirabilite 10g (mirabilite).4) if belching and swallowing acid, sagging and smelly, those who stop eating in the stomach, drink Hawthorn, Shenqu, forsythia, semen Raphani (broken) and so on.(2) deficiency and cold of spleen and stomach.Main symptoms: epigastric pain, like warm press, cold or eating cold pain drama, eating hot food is comfortable, vomiting water, thin stool, or eating dusk vomiting, or dusk vomiting, God tired limbs cold, tongue light fat tooth marks, white smooth moss, fine or slow pulse.Treatment principle: warming the stomach, invigorating the spleen and replenishing qi.Prescription: Lizhong decoction (Treatise on febrile Diseases) and Sijunzi decoction (Taiping Huimin he prescription). Cooked aconite 10g, ginger 10g, ginseng 15g, Atractylodes macrocephala 15g, Poria cocos 10g, Amomum villosum 6g, licorice 10g, astragalus 15g, Coix seed 10g, Pinellia ternata 10g, tangerine peel 10g.Prescription: the disease lasts for a long time, resulting in spleen yang deficiency, yang deficiency and yin Sheng, cold from endogeny, cold coagulation and qi stagnation, so epigastric dusk pain, like warm and happy press, god fatigue and cold limbs; stomach loss of warmth, acceptance, decay of maturity, so vomiting at dusk, vomiting at twilight, vomiting clear water, thin stool; light fat tooth marks of tongue, white and smooth fur, sunken pulse or slow for the manifestation of spleen and stomach deficiency and cold. In the prescription, ginseng, Atractylodes macrocephala and canned ginger warming qi and invigorating the spleen are used as monarch drugs; supplemented by cooked aconite, Amomum villosum warming and dispelling cold, Pinellia ternata and tangerine peel regulating qi and stomach, reducing adverse pressure and stopping vomiting as minister drugs; Radix Astragali, Poria cocos and Shengxu Yi kernel invigorating spleen and removing dampness as adjuvant drugs; licorice warming middle invigorating spleen and regulating all kinds of drugs.Dialectical addition and subtraction:1) if loose stool and diarrhea, belong to spleen and kidney yang deficiency, add yam, Euryale fruit, chicken gold, catechu, psoralen, cardamom to strengthen the spleen and kidney.2) if epigastric distension belching, vomiting, white and thick greasy moss, cold and dampness, reducing human parameters, add patchouli, Atractylodes, grass and fruit, and so on.(3) stomach heat injures yin.Main symptoms: noisy and burning in the epigastric stomach, fullness of acid, pain after eating, dry mouth, dry urine, dry tongue coating or.Less fur, no fur, red tongue, fine pulse.Treatment principles: clearing heat and stomach, nourishing yin and moistening dryness.Prescription: Yu Nu Jian (Jingyue Quan Shu) plus or minus. .Sand ginseng 15g, Ophiopogon 15g, Polygonum odoratum 10g, raw place 10g, Anemarrhena asphodeloides 10g, Hedyotis diffusa 10g, American ginseng 15g, Chinese yam 15g, licorice 10g.Prescription: stomach heat inside Sheng, burning Yin Jin, so epigastric noise burning, ruffian full swallowing acid, pain after eating, dry mouth like to drink, urine red stool dry; tongue coating yellow or less fur, no fur, red tongue, fine pulse is the manifestation of stomach heat damaging yin. Radix Ophiopogonis, Radix Rehmanniae, Polygonatum odoratum, Radix Ginseng nourishing Yin and benefiting stomach; American ginseng clearing heat and replenishing qi; Radix Hedyotis diffusa; Radix Hedyotis diffusa; Radix Glycyrrhizae. The combination of various medicines has the effects of nourishing yin and clearing heat, detoxification and anti-cancer, invigorating the spleen and stomach.Dialectical addition and subtraction:1) stomach heat, vomiting, nausea, spitting, sputum and phlegm qi, go to Anemarrhena, add Pinellia ternata and Coptis chinensis to reduce reverse and resolve phlegm.2) patients with epigastric pain and abdominal distension and disharmony between qi and blood should be treated with wood incense, abdominal skin and yanhusuo for promoting blood circulation and regulating qi.3) stool, add raw rhubarb to relieve defecation.(4) Internal obstruction of blood stasis.Main symptoms: severe epigastric pain, subcardiac ruffiness, skin nail error, or upper abdominal mass, purple or ecchymosis of tongue, purple distension of sublingual veins, astringent veins.Treatment principles: regulating qi and activating blood circulation, detoxification and dispelling blood stasis.Prescription: Xiagxia Zhuyu decoction ("Medical Forest to correct mistakes") is added and subtracted.Wulingzhi 15g, peach kernel 10g, safflower 10g, red peony 10g, moutan bark 10g, Chuanxiong 10g, Wuyao 10g, Rhizoma Corydalis 15g, Rhizoma Cyperi 15g, Fructus Aurantii 10g.Prescription: Qi and blood stasis in the epigastric, not open then pain, so epigastric pain is severe. Blood stasis blocking collaterals, poor operation of qi and blood, skin loss of nourishment, so wrong skin nail; purple tongue or ecchymosis, purple distension of sublingual veins, astringent veins are the syndrome of internal obstruction of blood stasis. In the prescription, Radix Paeoniae Rubra, peach kernel, safflower promoting blood circulation, removing blood stasis and nourishing blood are used as monarch drugs; Wuling Zhi Zhi, Xiangfu, Fructus Aurantii, Cortex moutan, Fructus Aurantii, Cortex Aurantii and Corydalis for promoting blood circulation and relieving pain are used as adjuvants.Syndrome differentiation addition and subtraction.1) for those who are tired after taking medicine, add astragalus and Codonopsis pilosula to replenish qi.2) after taking medicine, those who take the medicine will be treated with Shenqu and patchouli.(5) phlegm-dampness obstructs the stomach.Main symptoms: epigastric riffraff, vomiting phlegm salivation, yellow and fat face, light mouth, loose stool when knot, tongue fat edge tooth mark, white and greasy fur, pulse.Treatment principle: eliminating phlegm and stomach, dryness and dampness and invigorating spleen.Prescription: Erchen decoction ("Harmony Bureau") plus or minus. .Pinellia ternata 10g, ginger 10g, orange red 10g, Poria cocos 10g, black plum 10g, licorice 10g.Square explanation: this syndrome is mostly due to improper diet, excessive drinking, or internal injury of fatigue, damage to the spleen and stomach, loss of health of the spleen, internal stagnation of dampness, and accumulation of dampness into phlegm. Phlegm and dampness accumulates in the epigastric stomach and suppresses qi, so the epigastric diaphragm is ruffled.
