One. Prevent recurrence and metastasis after radical tumor resection
Most solid malignant tumors are in the early and middle stages, and radical surgery is the main treatment. However, due to the biological characteristics of tumors, especially some poorly differentiated cancers, it is easy to metastasize through blood vessels and lymphatic vessels, or locally invade, clinically easy to relapse, or distant metastasis, causing the patient to die in a relatively short time. The key reason why the survival rate cannot be effectively improved. For example, 70% to 80% of patients with gastric cancer die from local or distant metastases after surgery. Even if it is early gastric cancer, there is still a recurrence rate of 30% to 40% 10 years after surgery. Esophageal cancer in patients undergoing surgery, even if It is a very early stage patient (T1), and nearly 50% of patients still relapse within 5 years. Although some patients can undergo radical surgery after diagnosis, the overall 5-year survival rate is still only 50%-60%. About 2/3 of patients who have undergone radical surgery can have recurrence or distant metastasis, and 85% The recurrence and metastasis occurred within two years after surgery. Therefore, for cancer patients, preventing recurrence and metastasis after surgery is a very important aspect of cancer treatment. In this regard, clinically, we often encounter some painful lessons. For example, Guo Moumou, female, 63 years old, was treated for middle and lower esophageal cancer in March 2007. Postoperative pathology: middle and lower esophageal squamous cell carcinoma , Differentiation grade II, tumor invaded the adventitia of the esophagus, peripheral lymph nodes were negative, the upper and lower resection margins were negative, the patient did not receive other treatments after the operation, and did not have regular inspections, in April 2008, due to upper abdomen fullness, loss of appetite, check up CT of the abdomen showed: multiple metastases in the liver, come to seek medical advice. We are very sad that the patient did not receive timely treatment after the operation and lost a good opportunity for treatment. The patient was asked why he did not continue treatment after the operation. The patient said that he thought he would be cured after surgery. This situation still exists in the grass-roots units. The patient has no understanding of the complexity of the tumor and requires comprehensive treatment.
We believe that patients after radical tumor resection should continue to be treated with traditional Chinese medicine or integrated traditional Chinese and Western medicine, and the principle of phased treatment is adopted in clinical practice. That is to say, patients with early postoperative vitality will inevitably suffer greater damage. The treatment is mainly on recovery, focusing on conditioning. For example, patients after radical resection of gastrointestinal tumors often use Erchen Decoction, Sijunzi Decoction, Xiangsha Liujun Decoction, etc.; In the middle postoperative period, the patient should eliminate the evil as much as possible without overly damaging the patient's righteousness, that is, control and eliminate the tumor cells. In the design of the treatment plan, we advocate the integrated treatment of Chinese and Western medicine under the guidance of Chinese medicine theory. The third stage is mainly for patients who do not have any tumors for a relatively long period of time after surgery. The main task is to prevent local recurrence, distant metastasis and the appearance of double cancer. This stage often lasts for a long time and is the key stage of prevention and control work. Traditional Chinese medicine at this stage adopts a multi-step, multi-step, and multi-channel overall prevention and treatment, which is different from Western medicine, which only blocks a certain transfer step or route in a single step.
The development and spread of any disease is regular. In clinical work, combined with the metastasis of common tumors, certain protective treatments are given to the organs that are prone to metastasis, "first place where there is no evil", and protect the parts that may be affected in advance to enhance their ability to resist evil , Thereby reducing the rate of tumor metastasis. "The Synopsis of the Golden Chamber · Zangfu Meridian Diseases" once pointed out: "If the husband treats the disease before he sees the disease of the liver, he knows that the liver transmits the spleen, and the spleen is the first." This is a treatment and prevention measure based on the law of five elements. . There are many cases of liver and lung metastasis of colorectal cancer. According to the above-mentioned traditional Chinese medicine theory, special attention should be paid to strengthening the spleen and liver, replenishing Qi and benefiting the lung in the treatment of patients with colorectal cancer to achieve the purpose of preventing liver and lung metastasis.
two. Actively treat precancerous lesions and prevent the occurrence of tumors
The development of malignant tumors is a gradual process. In the process of developing cancer, there is often a period of precancerous lesions, which is some benign lesions with potential cancer. Despite the tendency to become cancerous, not all precancerous lesions will develop into cancer. Most of the precancerous lesions stay at this stage and are stable for a long time. Some of them are self-healing or subsided after treatment. Only a small part of the precancerous lesions continue to develop and eventually develop into cancer. Such as large intestine villous adenoma, colorectal polyps, leukoplakia, atrophic gastritis with intestinal metaplasia, breast epithelial dysplasia, severe cervical dysplasia, etc. are all precancerous lesions.
As early as in the "Inner Classics", Chinese medicine has the idea of "not cure the disease, cure the disease before it". We believe that clinical treatment at this stage must not be underestimated, because after proper treatment, most precancerous lesions can return to normal, that is, "reverse" or stop developing. As the "Suwen·Yin-Yang Yingxiang Dalun" said: "A good treatment treats the skin and hair, secondly treats the skin, secondly treats muscles and veins, secondly treats the six organs, secondly treats the five internal organs, and treats the five internal organs.Tumor diseases should be eliminated at the budding stage to prevent them from becoming more severe, from small to large, and from spreading to other organs. For example, for patients with precancerous lesions of gastric cancer, chronic atrophic gastritis with dysplasia, the use of traditional Chinese medicine treatment based on the spleen-invigorating method not only reduced the patient’s clinical symptoms, but also showed that the degree of dysplasia was reduced after half a year. Its effect of transforming into gastric cancer. We have further proved through animal experiments that traditional Chinese medicine with the spleen invigorating can effectively protect the gastric mucosa, prevent gastric mucosal lesions, and prevent the occurrence and development of atypical hyperplasia of precancerous lesions. Here are a few examples:
1. Dysplastic hyperplasia of esophageal squamous epithelium. Barrett's esophagus is a precancerous lesion of esophageal cancer. The precancerous lesions can be reversed through the treatment of Chinese medicine compound to invigorate the spleen and nourish qi, clear away heat and detoxify, and soften firmness and resolve phlegm. Patient Lin Moumou, male, 48 years old, in 2002 due to upper abdomen discomfort, easy to return to acid, in the local examination of gastroscope, indicated Barrett's esophagus, came to see a doctor, at that time the patient had good appetite, upper abdomen discomfort, easy to heartburn, sometimes eating Discomfort behind the sternum, smooth stool, fine pulse, thin and greasy tongue coating, syndrome of spleen deficiency, phlegm dampness, internal heat toxin, invigorating the spleen and eliminating phlegm, detoxification and dampness, patients should see a doctor every two months, and the prescription should be adjusted according to syndrome differentiation. Symptoms basically disappeared, and the gastroscope was reviewed once a year. After 3 years of treatment, the esophagus basically returned to normal.
2. Chronic atrophic gastritis with intestinal metaplasia or atypical hyperplasia is considered to be a precancerous lesion of gastric cancer. Through Chinese medicine compound prescriptions to invigorate the spleen and nourish qi, clear away heat and detoxify, soften firmness and reduce phlegm, it can degrade precancerous lesions and reduce gastric cancer. The possibility of occurrence.
3. Single or multiple colonic adenomas, especially villous adenomas, larger than 1CM, easy to become cancerous. Although they can be resectioned under colonoscopy, the patient’s intestinal environment and genetic background are prone to produce such adenomas, so , It is necessary to apply Chinese medicine compound treatment to reduce the number of adenomas or delay the growth. Patient Zhang Moumou, male, 53 years old, in March 2002 due to hemorrhoid hemorrhage, he had an internal hemorrhoid in the rectum and 5 polyps in the descending colon and transverse colon. The largest one was 1x1cm. The pathology report was villi. In the future, patients will be checked with colonoscopy every 9 months or a year, and there are adenomas or polyps. Seek a doctor in January 2005. After differentiation of symptoms and signs of Chinese medicine, they will be treated with medicines for strengthening the spleen and qi, detoxification and softening. After half of the treatment, the patient's colon polyps gradually decreased, and the adenomas basically disappeared. Regular inspections are still required.
4. Patients with hepatitis B and liver cirrhosis are high-risk groups of liver cancer. When serum alpha-fetoprotein gradually rises, the risk of liver cancer further increases. At this time, we recommend that we should follow up and check closely and cooperate with Chinese medicine. The spleen soothes the liver, clears away heat and detoxifies, softens the firmness and dispels knot medicine, can prevent or delay the occurrence of liver cancer.