Treatment of esophageal cancer with TCM differentiation of symptoms

The TCM syndrome differentiation and treatment of esophageal cancer is as follows:

(1) Phlegm and Qi obstruction type:

Treatment method: Relieve depression, resolve phlegm, and moisten the stomach.

Prescription: Qi Ge San combined with Xiao Yao San with modifications. Danshen 30g, Curcuma 15g, Amomum 10g, Adenophora 10g, Fritillaria 15g, Poria 12g, Trichosanthes 15g, Tangerine Peel 12g, Atractylodes 12g, Angelica 10g, Bupleurum 9g, White Peony 12g, Licorice 6g, Ginger 6g.

(2) Phlegm-dampness accumulation type

Treatment method: Remove dampness and resolve phlegm, reduce adverse effects and stop vomiting.

Prescription: Erchen decoction combined with Xuanfu Daizhe decoction with modifications. 12g of Pinellia ternata, 12g of dried orange peel, 12g of Poria cocos, 10g of Xuanfu flower, 20g of Daizhe stone, 15g of whole Trichosanthes, 30g of Coix seeds, 15g of Atractylodes macrocephala, 20g of stir-fried Chinese yam, 20g of Plantago seed, 6g of Licorice root, and 6g of ginger.

(3) Stasis and toxicity type:

Treatment method: Promote blood circulation, remove blood stasis, detoxify and eliminate evil.

Prescription: Taohong Siwu Decoction combined with Xijiao Dihuang Decoction. Peach kernel 15g, safflower 20g, red peony root 12g, Chuanxiong 10g, raw earth 12g, rhinoceros horn 10g, salvia miltiorrhiza 20g, pangolin 15g.

(4) Fluid deficiency and heat accumulation type:

Treatment method: Clear heat and nourish yin.

Prescription: Wuzhi Anzhong Drink with added ingredients. Pear juice, lotus root juice, milk, ginger juice, fei juice, adenophora root, and radix rehmanniae. First, decoct the adenophora root and radix rehmanniae and add them to the five juices. Take them frequently and don’t rush.

(5) Yin-dry Yang-hair type:

Treatment method: Nourish yin, strengthen yang, invigorate qi and nourish blood.

Prescription: Dabuyuan decoction with modifications. Cornus officinalis 15g, stir-fried yam 20g, cooked rehmannia glutinosa 12g, raw sun-dried ginseng 10g, tortoise glue 12g, Eucommia bark 10g, Lycium bark 12g, Polygonum multiflorum 12g. For yin deficiency, replace cooked rehmannia with raw rehmannia glutinosa, add Adenophora odoratum, Polygonatum odoratum, Dendrobium officinale, etc.; for yang deficiency, use 20g of tortoise glue, Eucommia bark 15g, add Epimedium brevicornum 12g, Rhubarb 12g, Cuscuta chinensis 15g; for qi deficiency, add Astragalus membranaceus and use more ginseng; for blood deficiency, use more Polygonum multiflorum, Lycium bark, add Ligustrum lucidum, etc.

2. External treatment

(1) Acupuncture treatment: Main acupoints: Tianding, Tiantu, Tanzhong, Shangwan, Zhongwan, Xiawan, Neiguan, Zusanli, etc. If the lesion is in the upper esophagus, add Futu, Qishe, Dazhui; if it is in the middle, add Qihu, Yufu, Chengman, etc. If it is in the lower part, add Qimen, Burong, etc.; if there is a lot of phlegm and constipation, add Fenglong and Dachangshu. If the chest pain extends to the back, add Xinshu and chest and back Ashi points; if it is difficult to eat, re-puncture Neiguan, chest and epigastric distension and add Daling. The manipulation should be balanced tonic and purgative, twisting the needle (20-30mm) once a day for 10 days as a course of treatment.

(2) Ear acupuncture: Select the kidney, spleen, stomach, esophagus, Shenmen, and endocrine acupoints and leave the needle in place with a diameter of 20-30 mm. Apply once a day for a course of 10 days.