Treatment options for gallbladder cancer

TCM treatment of gallbladder cancer is divided into syndrome differentiation and treatment, single prescription treatment and acupuncture treatment. Currently, most TCM treatments for gallbladder cancer are performed after surgery or in combination with chemotherapy. However, there are also reports of patients who are unable to undergo surgery or are unwilling to undergo surgery and are treated with Chinese medicine alone.

1) Stasis type:

Treatment method: Gallbladder cancer treatment method is to soothe the liver and regulate qi, reduce adverse reactions and relieve pain. Prescription: 10 grams of bupleurum, 10 grams of scutellaria, 12 grams of fructus aurantii, 15 grams of white peony, 12 grams of pinellia, 6 grams of dried tangerine peel, 10 grams of trillium, 10 grams of curcuma, 18 grams of oldenlandia diffusa, 15 grams of malt, 6 grams of rhubarb, and 10 grams of atractylodes.

2) Damp-heat type:

Treatment method: Clear away heat and dampness, soothe the liver and regulate qi. Prescription: 12 grams of Bupleurum, 10 grams of Scutellaria, 15 grams of Artemisia Capillaris, 9 grams of Rhubarb, 12 grams of Pinellia, 10 grams of Curcuma, 15 grams of Lysimachia, 15 grams of Hedyotis diffusa, 12 grams of Citrus aurantium, 12 grams of Malt, 10 grams of Gardenia, 6 grams of Tangerine peel, and 12 grams of Atractylodes.

3) Fire poison type:

Treatment method: Gallbladder cancer treatment method: purging fire and detoxifying, soothing the liver and clearing heat. Prescription: 10 grams of bupleurum, 10 grams of scutellaria, 9 grams of rhubarb (added later), 10 grams of immature bitter orange, 10 grams of gardenia, 30 grams of gypsum, 15 grams of capillaris, 30 grams of imperata root, 6 grams of coptis, 15 grams of white peony root, 15 grams of oldenlandia diffusa, and 18 grams of malt.

4) Deficiency of vital energy type:

Treatment method: Nourish both Qi and blood, strengthen the spleen and benefit the kidney. Prescription: 20 grams of Pseudostellaria baicalensis, 30 grams of Astragalus membranaceus, 10 grams of Atractylodes macrocephala, 12 grams of Poria cocos, 6 grams of Tangerine peel, 12 grams of Polygonatum sibiricum, 30 grams of Millettia reticulata, 15 grams of White Peony Root, 10 grams of Epimedium, 12 grams of Rehmannia glutinosa, 15 grams of Malt, and 15 grams of Oldenlandia diffusa.

2. Clinical syndrome differentiation and addition and subtraction of medication:

If the heat is severe, add gypsum, honeysuckle, isatis root, and forsythia; if there is constipation, use more rhubarb, and add Glauber's salt, Magnolia bark, and radish seed; if there is pain, add costus root, toosendan fruit, Corydalis yanhusuo, and white peony root; if there is vomiting, add pinellia, bamboo shavings, ginger, magnetite, loquat leaf, patchouli, inula, and amomum; if there is loose stool, add atractylodes, coix seed, lentil, yam, and pomegranate peel; if there is blood stasis, add peach kernel, safflower, red peony root, and Radix Angelicae Sinensis; if there is loss of appetite, add patchouli, perilla, malt, malt, hawthorn, Shenqu, and yam; if there is abdominal distension, add radish seed, dried tangerine peel, amomum, agarwood, Magnolia bark, tangerine peel, and costus root.

3. Commonly used anti-cancer Chinese medicines for gallbladder cancer:

White flower oldenlandia, Scutellaria barbata, fleabane, smilax, August lily, Sophora flavescens, Duchesnea sinensis, Solanum nigrum, Tripterygium wilfordii, Pear root, Water yam root, Wild grape root, Polygonum cuspidatum, Scutellaria baicalensis, etc. 4. Chinese medicine therapy after gallbladder cancer surgery 1) After cholecystectomy, right hypochondrium or stomach distension, less appetite, bitter mouth, constipation, fatigue, yellow greasy tongue coating, stringy pulse, treatment should be soothing the liver and gallbladder, clearing dampness and heat. The prescription is Da Chaihu decoction with modifications, medicinal use: 10 grams of Bupleurum, 10 grams of processed Pinellia, 12 grams of stir-fried Scutellaria baicalensis, 10 grams of Citrus aurantium, 10 grams of raw rhubarb (added later), 30 grams of white flower oldenlandia, 10 grams of fleabane, 30 grams of large-leafed moneywort, 10 grams of Curcuma aromatica, and 10 grams of Aucklandia lappa.

2) After palliative surgery, the common bile duct is incised and a T-tube is placed for drainage, or percutaneous transhepatic bile duct drainage is performed. Symptoms include scleral skin jaundice, distension and pain in the right hypochondrium, local palpable masses, constipation, or clay-colored stools, bitter and sticky mouth, poor appetite and nausea, yellow and greasy tongue coating, and stringy and rapid pulse. Treatment should be to soothe the liver and soften the hard masses, and to clear dampness and heat. The prescription is Da Chaihu Tang combined with Da Huang Zhe Chong Wan with modifications. Medicinal use: 10 grams of Bupleurum, 10 grams of processed Pinellia, 10 grams of Scutellaria, 10 grams of Guang Muxiang, 10 grams of Zhishi, 10 grams of Guang Yujin, 30 grams of Artemisia capillaris, 10 grams of Zhe Chong, 10 grams of peach kernel, 6 grams of leech, 30 grams of Hedyotis diffusa, 12 grams of Polygonum cuspidatum, and 10 grams of raw rhubarb (added later). If the bile duct is secondary infected, the symptoms are high fever that does not subside, add 12 grams of Gentiana, 10 grams of Coptis chinensis, and 10 grams of Gardenia.