TCM Syndrome Differentiation and Treatment of Laryngeal Cancer with Phlegm Accumulation

Traditional Chinese medicine advocates the treatment of diseases based on syndrome differentiation, that is, through observation, auscultation, questioning and palpation, the patient's medical history, symptoms and other clinical information are collected, and a comprehensive analysis is conducted based on traditional Chinese medicine theory to identify the syndrome and formulate a treatment plan. The syndrome differentiation of laryngeal cancer includes the type of phlegm and turbidity accumulation.

Patients with phlegm accumulation type laryngeal cancer mainly experience chest and flank fullness, thick phlegm, hoarseness, throat pain or ulceration, headache and shortness of breath, pale red tongue, greasy white tongue coating, and slippery pulse.

At this time, the treatment should adopt the method of promoting qi, resolving phlegm, dispersing nodules, promoting dampness, purging turbidity and detoxifying. The prescriptions are as follows:

Banxia Houpu Decoction (Golden Chamber Synopsis) with additions and subtractions: 10g of Pinellia, 10g of Magnolia, 10g of Tangerine Peel, 10g of Poria, 10g of Trichosanthes, 10g of Arisaema, 10g of Fritillaria, 15g of Raw Oyster (pre-decocted), 15g of Prunella Vulgaris, 15g of Sophora flavescens, 10g of Sophora flavescens, 20g of Ligusticum wallichii, 20g of Folium sphaerocephalae, 30g of Hedyotis diffusa.

For those with hoarseness, add 10g of Sterculia lychnophora and 10g of Oroxylum indica; for those with poor appetite and fatigue, add 15g of Chinese yam, 10g of Perilla frutescens, and 20g of Coix seed; for those with severe phlegm and heat, add 10g of Scutellaria baicalensis, 10g of Apricot kernel, 15g of Goldenseal lock, and 30g of Taraxacum mongolicum; for those with severe throat ulcers due to severe heat toxicity, add 30g of Duchesnea sinensis, 10g of Lantern Festival, 20g of Scrophularia ningpoensis, 10g of Arctium lappa, 10g of Rehmannia glutinosa, and 30g of Shuyangquan.

In addition, the Pinellia, Magnolia officinalis, Tangerine peel, Poria, Trichosanthes, Arisaema, Fritillaria, Prunella Vulgaris, and Oyster in the prescription can resolve phlegm, soften hard masses, regulate Qi and disperse nodules; Sophora flavescens, Solanum nigrum, Ligusticum chuanxiong, Fleabane, and Hedyotis diffusa can clear away heat, detoxify, and fight cancer and disperse nodules.

This prescription is for reference only. Patients with laryngeal cancer who have this syndrome can choose to take it after consulting a doctor.