TCM Syndrome Differentiation and Treatment of Pancreatic Cancer

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

(1) Damp-heat toxicity type:

Treatment method: clear away heat, detoxify and remove dampness.

Prescription: Yinchenhao Decoction combined with Huanglian Jiedu Decoction. Yinchen 30-60g, Gardenia 15g, Rhubarb 10g, Coptis 3g, Scutellaria 10g, Phellodendron chinense 10g. Radix dougen, Shuyangquan, Diding; if the tumor is hard, you can add Curcuma, Corrugated Seed, and Jiangshi; if the pain is obvious, add Wulingzhi, Yuanhu, and Panax notoginseng.

(2) Qi and blood stasis type:

Treatment method: Promote blood circulation and remove blood stasis, soften hard masses and eliminate lumps.

Prescription: Gexia Zhuyu Decoction combined with Biejia Jianwan. Wulingzhi 10g, Angelica 20g, Chuanxiong 10g, Peach Kernel 10g, Cortex Moutan 10g, Red Peony 10g, Corydalis 3g, Licorice 9g, Cyperus 10g, Safflower 10g, Citrus Aurantium 10g, Roasted Biejia 30g, Belamcanda 20g each, White Peony Root, Peony Root, and Herba Epimedii 15g each, Ginseng 3g, Pinellia ternata, Ledebouriella 10g each, Bee Nest 15g, Red Salt 30g. If the tumor is hard, add Trillium, Curcuma, Nasal Sand, Alum, etc. to soften and disperse the nodules and eliminate the hard accumulation; if the patient is weak in qi, add Astragalus, Codonopsis, Atractylodes, etc. to invigorate qi and strengthen the spleen; if the patient has poor appetite, add Chicken Gizzard, Shenqu, Hawthorn, Malt, etc. to help digestion.

(3) Spleen deficiency and dampness obstruction type:

Treatment method: Strengthen the spleen, eliminate dampness and harmonize the middle.

Prescription: Xiangsha Liujunzi Decoction with modifications. 10g of costusroot, 10g of amomum villosum, 10g of ginseng, 20g each of atractylodes and tuckahoe, 6g of roasted sweet tan. For symptoms of blood stasis, coldness, and qi deficiency, add roasted aconite and cinnamon bark; for obvious pain, add Chuanlianzi and Yuanhu.

(4) Yin deficiency and internal heat type:

Treatment method: Nourish yin and clear heat.

Prescription: Yi Guan Jian with modifications. 10g of Radix Adenophorae, 10g of Radix Ophiopogonis, 20g of Radix Angelicae Sinensis, 25g of Radix Rehmanniae, 30g of Fructus Lycii, 5g of Fructus Chuanlian. If the tongue is red and dry, add Dendrobium; if the lump is painful and hard when pressed, add Carapax Trichosanthis, Plasma Tortoise, Oyster, Fructus Corrugosae; if thirsty, add Radix Trichosanthis, Gypsum, Rhizoma Anemarrhenae; if pain occurs, add Radix Paeoniae Alba and Licorice.