Early rectal cancer-Pulsatilla soup
Rectal cancer is seen in two diseases of "intestinal wind" and "dirty poison" in ancient books. The common symptoms of "dirty poison" and "intestinal wind" are bleeding, but the blood of dirty poison is dull and the blood of intestinal wind is bright. In essence, ancient times cannot be diagnosed so accurately. Rectal cancer has both visceral toxicity and intestinal wind. Intestinal wind is often caused by hemorrhoids and internal hemorrhoids. When we exclude internal hemorrhoids and diagnose it as rectal cancer, this situation is more common. With the changes in the modern dietary structure, food is becoming more and more refined, or sitting for a long time and less moving, or the poison or harmful substances in the food has increased, so that the incidence of rectal cancer has gradually increased in these years, especially in large cities. For the treatment of rectal cancer, we must first look at the performance of rectal cancer, bleeding, blood in the stool, mucus in the stool, poor stool, and tenesmus.
Generally speaking, the early stage of rectal cancer is mostly a strong body with a red tongue and thick yellow coating. It is seen in the addiction to spicy food, tobacco and alcohol, which causes the large intestine to become toxic by damp heat, poor qi and blood stagnation. From this pathogenesis, it is Pulsatilla soup certificate. This is what Zhang Zhongjing said in Pulsatilla decoction, "Pulsatilla decoction is the master of Pulsatilla soup." This again involves the "hot dysentery" is "epidemic dysentery", infectious dysentery, bacterial dysentery. Of course, Pulsatilla decoction syndrome should contain bacillary dysentery, but we have found clinically that the initial manifestation of rectal cancer is the manifestation of Pulsatilla decoction syndrome. Therefore, Pulsatilla decoction with Pulsatilla, Coptis, Phellodendron, Qinpi to clear heat, remove dampness and detoxify, is the representative prescription of early rectal cancer. Of course, in such a comparison, the ancient dirty poison also means this.
In ancient times, intestinal wind and visceral poison were considered together, and it was believed that wind evil entered the intestines, and was formed by damaging the large intestine veins in conjunction with damp and heat. So I used the experience of the ancients to treat intestinal wind, and used Fangfeng and Nepeta to treat intestinal wind, and used Rehmannia glutinosa, Moutan bark, Sanguisorba, and Sophora japonica to cool blood. Of course, I also use hedgehog skin as a medicine for rectal cancer. Chungen and Sangbaipi can clear away heat and dry dampness, and can also be used for anal exudate and dampness caused by rectal cancer.
In particular, it is worth mentioning that for the treatment of tenesmus, on the one hand, we take the peony in the peony soup to relieve the contracture, and the peony invigorates blood and yin. This is the peony and licorice soup. The other is to use Muxiang and Coptis to reduce stagnation, as well as Citrus aurantium and betel nut to reduce stagnation. Don’t forget that, whether Fructus Aurantii or Fructus Aurantii, is a very effective medicine for treating rectal cancer, it is the medicine that ancients often used to treat intestinal wind and visceral poison.
There is another medicine that may be overlooked by everyone, and that is Xiebai. Maybe Gualou Xiebai Decoction is so famous, so we only thought that Xiebai is used to treat coronary heart disease and chest palsy, but ignored that Xiebai is the gas of the large intestine. Zhang Zhongjing said in the addition and subtraction method of Sini San, "the one who is severe, add scallion white", it can be seen that the treatment of scallion white has historical origin and cannot be replaced. Zhang Zhongjing mentioned the original prescription of Sini San (because it is a powder, the four herbs are powders) five liters of water, three liters of scallion white, and five liters of boiling water. No one in the past, including current experts and professors, raised any questions about this article. But I have a question, because it is absolutely impossible for Xiebai Sansheng. Horizontal comparison, Gualou Xiebai Baijiu soup, Scallion White is only half a liter, followed by Gualou Xiebai Pinellia Soup, Scallion White is only three or two, and we use Sini San, the amount is also very small, as small as a few grams, just It is impossible to use three-liter scallion white, how much is three-liter scallion white? According to the current textual research, it costs more than 300 grams or 400 grams, so it is almost impossible. Moreover, using my ratio, Si Ni San is to take lightly, that is to say, in a war, I can send a squad leader to deal with it. If I need to send someone to it, it is impossible to send a general. The order is reversed so much that it is impossible to imagine it. We believe that scallion white is three or two, and we usually use 10 grams or 12 grams for clinical use.
Mid-stage rectal cancer-Sanwu Huangqin Decoction
So what is used in the middle stage of rectal cancer? In other words, for rectal cancer that our Chinese medicine practitioners encounter now, I rarely discourage patients from undergoing surgery, because the size is the main excretion channel of the human body. Therefore, the older generation of people in the rural areas say that it is good to be able to send water and fire. The implication is that they only need to manage their bowel movements and do not need help from others. It is enough to describe the urgency of using the term "water and fire".
The Neijing also says that "small and big things are not good for the symptoms." Therefore, Western medicine is not needed for tumors in other parts. I am also willing to accept individual patients. Rectal cancer can be operated without surgery, but I basically do not accept it. Because once it is blocked, surgery will be done in the end. Rectal cancer can form because of large intestine heat toxicity, damp-heat stagnation, yin fluid injury, Yin deficiency and damp-heat, which are difficult to distinguish. We used to say that "damp and heat are incompatible, such as oil into the noodles. What is more difficult to understand is that the dampness and heat are not exhausted, the yin fluid has been injured, and the dryness and dampness are mixed, forming a tumor. This is the reason why malignant tumors have become the number one intractable disease. The middle stage of rectal cancer is often peeling of the tongue coating, which is a very typical tongue picture with mixed dryness and dampness.
How to prevent recurrence after the operation? After the operation, there are anal bulging, tenesmus, changes in stool characteristics, and pain in the hip, sacrum, perineum, and anus. What should I do? I think we must seize the basic pathogenesis of mixing dryness and dampness. Once the basic pathogenesis is established, it has basic prescriptions, and the representative prescription is Sanwu Huangqin Decoction. Sanwu Huangqin Decoction is a prescription in Sun Simiao's "Prescriptions for Qianjin", which was placed in the "Golden Chamber Synopsis" in the Song Dynasty to treat postpartum diseases. First of all, I used Sanwu Huangqin Decoction as a representative formula for rectal cancer with mixed dryness and dampness, and it has been used for many years. The curative effect is conclusive, the prescription is refined, and the medicine is accurate. Scutellaria baicalensis Georgi, as the prime medicine of the prescription, has one medicine and four uses. It can not only clear the body and heat, but also clear dampness and heat, but also clear the deficiency and heat, but also clear the blood heat. Therefore, it is poisonous to the colorectal fever, blood consumption and yin damage of rectal cancer. It is a rare medicine for blood heat to become poisonous and bleeding. Then use raw rehmannia glutinosa to cool blood and nourish yin, and use sophora flavescens to remove dampness and detoxify to clear away heat. The combination of the three drugs can counteract the side effects, but mutually complement each other.
Late rectal cancer-Huangtu soup
In the late stage of rectal cancer, it is mostly caused by long stool bleeding, which was mistaken for hemorrhoids. Later, anemia was found to be rectal cancer. This is the yellow soil soup syndrome. When we talk about Huangtu Tang syndrome, we are talking about blood in the stool due to yang deficiency. To put it lightly, does Huangtu Decoction only treat yang deficiency? Is it just for treating deficiency and cold?
Loess is for treating deficiency and cold, and Aconite is also for treating deficiency and cold, but how can we turn a deaf ear to the two medicines of Rehmannia glutinosa and Scutellaria baicalensis? This is the reason why there was no carcinogenic theory of cold and heat cementation before. The ancients had a method of scholarship called solitary evidence. Saying that Huangtu Tang cures cold and heat cementation, this is just a one-sided statement, is there any other evidence? I said there is evidence. The upper one of the loess soup is "He who vomits blood is the master of Baiye Tang", and the next one is "the blood comes first in the stool and then the blood, this distant blood is the master of the loess soup".
If we only talk about blood after the stool, can we just use Huangtu Tang? It also shows that Huangtu Tang is only for the pathogenesis of cold and heat cementation. In other words, if vomiting blood (Boye Tang) is an upper gastrointestinal tumor, Huangtu Tang is a lower gastrointestinal tumor. Isn’t the significance of Zhang Zhongjing’s arrangement of provisions a strong evidence? Professor Liu Duzhou, a major typhoid patient, published "The Significance of the Arrangement of Treatise on Febrile Diseases" in Shaanxi Traditional Chinese Medicine. It was published in two issues in series. It was very rare. I was moved, excited, and experienced profoundly. Of course, he did not mention the "Synopsis of the Golden Chamber". "The meaning of the arrangement of clauses is left to us.
From: Gu Daoqihuang> "Dialectical Treatment"