What are the TCM treatments for colorectal cancer? Traditional oral Chinese herbal decoctions: They need to be prescribed by a TCM physician after a comprehensive diagnosis and treatment. They are the best individualized treatment methods and should be used continuously throughout the entire process of tumor treatment to achieve the best results. Traditional Chinese medicine oral preparations: suitable for patients with malignant tumors at all stages. Generally, it is mainly composed of drugs for expelling evil spirits, combined with decoctions for strengthening the body, which can make up for the disadvantage that some toxic drugs for expelling evil spirits are not easy to be included in decoctions. Commonly used Chinese medicines for expelling evil spirits include Huachansu Tablets, Pingxiao Capsules, Xihuang Pills, and Fufang Banyan Capsules, etc., and Chinese medicines for strengthening the body include Zhenqi Fuzheng Capsules, Bazhen Granules, Shengmai Oral Liquid, etc. Chinese herbal external preparations: suitable for the analgesic treatment of skin metastasis or liver metastasis of colorectal cancer. Chinese medicine external patch: suitable for the treatment of pleural effusion and ascites, pain relief and superficial metastatic tumors. Chinese herbal anal suppositories: analgesic, anti-inflammatory, and treatment of intestinal metastatic tumors. Chinese herbal intravenous preparations: suitable for patients with colorectal cancer at all stages. There are two types of preparations: strengthening the body and eliminating evil. Those that strengthen the body include Shengmai Injection, Shenfu Injection, etc., while those that eliminate evil include Sophora flavescens Injection, Huachansu Injection, and Elemene Emulsion Injection, etc. Other auxiliary treatments of traditional Chinese medicine (qigong, acupuncture, diet therapy, sound therapy, medicinal bath, psychology): suitable for patients with colorectal cancer at all stages. Traditional Chinese medicine remedies for colorectal cancer: 1. Syndrome of damp-heat accumulation. Main symptoms: Abdominal cramps, blood in stool, or tenesmus, burning sensation in the anus, accompanied by fever, nausea, chest tightness, etc., red tongue, yellow and greasy tongue coating, and slippery and rapid pulse. Treatment method: clear away heat and remove dampness. Prescription: Huaijiao Pills (Taiping Huimin Hejijufang). Sophora japonica 15g, Sanguisorba officinalis 15g, Scutellaria baicalensis 10g, Angelica sinensis 12g, stir-fried Citrus aurantium 10g, Saposhnikovia divaricata 10g. For those with bloody stools, add Herba Artemisiae Argyi, Semen Coix, Herba Patriniae, Cortex Moutan, and Portulaca Oleracea to clear away heat, cool blood, and detoxify; for those with abdominal pain and tenesmus, add Herba Aucklandiae, Herba Arecae, and Radix Paeoniae Alba to regulate Qi and blood; for those with fever, add Herba Lonicerae, Herba Forsythiae, and Radix Puerariae to cool the lungs and dissipate heat; for those with lumps, add Herba Prunellae, Sargassum, and Raw Oyster to soften, disperse lumps, and reduce swelling. Analysis: Sophora japonica and Radix Sanguisorbae clear the intestines, cool blood and stop bleeding, Scutellaria baicalensis clears damp heat in the large intestine, Angelica sinensis promotes blood circulation and removes blood stasis, and stir-fried Citrus aurantium and Saposhnikovia divaricata widen the intestines and promote qi. The whole prescription clears the intestines and stops bleeding, dispels wind and promotes qi. However, this prescription is not good at clearing heat, detoxifying and dispersing stagnation. When using it, it is still necessary to add drugs that clear heat, detoxify, resolve phlegm and disperse stagnation to enhance the efficacy. 2. Qi stagnation and blood stasis syndrome. Main symptoms: abdominal distension and stabbing pain, hard and immovable abdominal mass, diarrhea with purple and black pus and blood, tenesmus, dark purple tongue or with ecchymosis, yellow tongue coating, and wiry or stringy pulse. Treatment method: Promote qi and blood circulation, resolve blood stasis and detoxify. Prescription: Gexia Zhuyu Decoction (Medical Error Correction). Radix Angelicae Pubescentis 12g, Radix Paeoniae Rubra 15g, Rhizoma Pruni 10g, Safflower 6g, Rhizoma Chuanxiong 10g, Cortex Moutan 12g, Rhizoma Corydalis 10g, Rhizoma Cyperi 10g, Rhizoma Linderae 10g, Radix Glycyrrhizae 10g, Fructus Aurantii Immaturus 10g, Fructus Aurantii 10g. For those who have persistent bloody stools, add Rubia cordifolia and donkey-hide gelatin; for those who have persistent lumps, add Gleditsia sinensis and Tribulus terrestris; for those with qi deficiency, add Astragalus membranaceus, Codonopsis pilosula, and White Laba bean; for those with rectal prolapse, add lotus seeds, hedgehog skin, and Cimicifuga heracleifolia. Analysis: This prescription contains peach kernel, safflower, angelica root, chuanxiong, moutan bark, red peony root, corydalis, and tsaoko to promote blood circulation, promote qi and relieve pain, while cyperus, lindera strychnifolia, and fructus aurantii can relax the intestines and promote qi and relieve pain, and raw licorice can clear and resolve the problems and harmonize the other herbs. The combination of these ingredients can promote blood circulation, remove blood stasis, promote qi and relieve pain. |
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