3. Colorectal Cancer

3. Colorectal Cancer The tonifying herbs are the same as before, with special prescriptions including Intestinal Cancer Formula No. 1 (Angelica sinensis, White peony, Atractylodes, Houpu, Tangerine peel, Licorice, Citrus aurantium, Wood Fragrance, Coptis chinensis, Scutellaria baicalensis, Raw Coix Seed, Astragalus, Windproof), and Intestinal Cancer Formula No. 2 (Raw Coix Seed, Half Branch Lotus, Winter Melon, Pinellia ternata, Atractylodes, White peony, White Snake Tongue Herb, Female Privet, Black Dry Lotus, Locust Flower, Mountain Cudweed, Salvia miltiorrhiza, Leech, Eshu, Windproof).

Commonly used medications include Xiangsha Liu Jun Tang, Banxia Xie Xin Tang, Peony Soup, Shengyang Yi Wei Tang, Zhenren Yangzang Tang, Locust Flower Powder, Raw Coix Seed, Chicken Internal Gold, and Raw Hawthorn.

4. Liver Cancer The tonifying herbs are the same as before, with special prescriptions including Liver Cancer Formula No. 1 (Bupleurum, Citrus aurantium, White peony, Licorice, Seaweed, Kelp, Tortoise Shell, Sanleng, Eshu, Green Peel, Tangerine Peel, Yanhu Suo, Chuanlianzi, Processed Frankincense, Processed Myrrh, White Snake Tongue Herb, Half Branch Lotus, Turtle Shell, Softshell Turtle Shell, Xiangfu, Turmeric, Whole Scorpion, Centipede), Liver Cancer Formula No. 2 (Astragalus, Mountain Cudweed, Weilingxian, Cinnamon twig, Licorice, Red Peony, White Peony, Crane Grass, Raw Coix Seed, Buddha's Hand), Liver Cancer Formula No. 3 (Turmeric, Chicken Internal Gold, Buddha's Hand, Turtle Shell, Strychnos Nux-Vomica, Raw Coix Seed, Half Branch Lotus, Salvia miltiorrhiza), Liver Cancer Formula No. 4 (Angelica sinensis, Rehmannia glutinosa, Peach kernel, Safflower, Goji berries, Chrysanthemum, Turtle Shell, Softshell Turtle Shell, Centipede, Whole Scorpion), and Liver Cancer Formula No. 5 (Artemisia, Mountain Cudweed, Bupleurum, Angelica sinensis, White peony, Green Peel, Xiangfu, Oyster Shell, Red Peony, Northern ginseng, Ophiopogon japonicus, Jade Bamboo, Dendrobium, Goji berries, Chuanlianzi, He Shou Wu, Turtle Shell).

Commonly used medications include Xiao Chaihu Tang, Bupleurum Soothes the Liver Tang, Artemisia Wormwood Tang, Xiangsha Liu Jun Tang, Shengyang Yi Wei Tang, Raw Coix Seed, Chicken Internal Gold, and Raw Hawthorn.

5. Breast Cancer The tonifying herbs are the same as before, with special prescriptions including Breast Cancer Formula No. 1 (Bupleurum, Pangolin, Wood Passage, Road Passage, Flower Powder, Processed Frankincense, Processed Myrrh, Angelica sinensis, Turmeric, Summer Dried Grass, Zhebei Mu, Sanleng, Eshu, Patrinia, Meat Cistanche), and Breast Cancer Formula No. 2 (Bupleurum, Scutellaria baicalensis, Pinellia ternata, Licorice, Ginger, Jujube, Flower Powder, Zhebei Mu, Pangolin, Soap Nut Thorn, Processed Frankincense, Processed Myrrh, Tangerine Peel, White Peony, Red Peony, Windproof).

Commonly used medications include White Snake Tongue Herb, Half Branch Lotus, Dragon Fruit, Lithospermum, and August Leaf.

June 25, 2014: Three Outpatient Cases

Case 1

Patient, female, with hypertension, arteriosclerosis, dizziness, fatigue, weak legs, palpitations, shortness of breath, and general discomfort.

Prescription: Gypsum, Ophiopogon japonicus, Windproof, Chrysanthemum, Pinellia ternata, Tangerine peel, Poria, Salvia miltiorrhiza, Hook Vine, Summer Dried Grass, Mistletoe, Raw Coix Seed, Scutellaria baicalensis, Wu Zhu Yu, Turtle Shell, Mulberry Bark, Wood Passage, Su Leaf, Areca nut, Cinnamon twig, Citrus aurantium.

After taking the above prescription for 5 doses, the effect was remarkable.

Case 2

Patient, female, with pure aplastic anemia, pale complexion, fatigue, palpitations, and hemoglobin level of 66 g/L.

Prescription: Adzuki beans, Black soybeans, White hyacinth bean, Salvia miltiorrhiza, Party ginseng, Ophiopogon japonicus, Schisandra, Complementary bone, Epimedium, Dodder seed, Female Privet, Goji berries, He Shou Wu, Lotus Seed Heart, Cistanche, Mulberry, Chicken Blood Vine, Cornus officinalis, Rehmannia glutinosa, Ginseng beard, Prince ginseng, Northern ginseng.

After taking the above prescription for 10 doses, all symptoms alleviated, and hemoglobin rose to 78 g/L.

Case 3

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Patient, female, 49 years old, with megaloblastic anemia and jaundice. Total bilirubin: 120 mmol/L; indirect bilirubin: 110 mmol/L; hemoglobin: 5 g/L; mean corpuscular volume: 110 mmol/L. Subsequently, the diagnosis was revised to hemolytic anemia (paroxysmal nocturnal hemoglobinuria, with brown urine upon waking).

Prescription: Bupleurum, Citrus aurantium, White Peony, Licorice, Rheum, Coptis, Scutellaria, Artemisia, Gardenia, Rehmannia, Cornus, Dioscorea, Ginseng, Pseudoginseng, Codonopsis, Glehnia, Mugwort, Sophora, Motherwort, Aristolochia, Alum, Lycopus.

After taking the above formula for 10 doses, significant improvement was observed: total bilirubin decreased to 40 mmol/L, and indirect bilirubin to 24 mmol/L.

June 29, 2014: Traditional Chinese Medicine Treatment of Polycythemia Vera

This disease is most commonly seen in middle-aged men aged 40–45, with the primary characteristic being elevated red blood cell count and hemoglobin levels. Laboratory findings include hemoglobin >175 g/L, red blood cells >600×10^12/L, and hematocrit >53%. Patients often present with generalized flushing or purplish discoloration, dizziness, headache, conjunctival edema, increased blood viscosity, hepatosplenomegaly, and sometimes elevated white blood cells and platelets.

Western medical treatment: busulfan, hydroxyurea, cyclophosphamide.

Traditional Chinese Medicine treatment: ① Tonifying the body and consolidating the root: Lanzhou Formula, core components of the Lanzhou Formula. ② Activating blood circulation and removing stasis: Fuyuan Huoxue Decoction, Xuefu Zhuyu Decoction, Taohong Siwu Decoction, Guanxin No. 2, Panax notoginseng, leech. ③ Nourishing yin and cooling blood: Xijiao Dihuang Decoction, Huangqi Fangji Decoction, Qingying Decoction. ④ Clearing heat and draining fire: Longdan Xiegan Decoction, Huanglian Jiedu Decoction, Hedyotis diffusa, Scutellaria barbata, Solanum nigrum. ⑤ Heavy sedation and calming yang: Antelope horn, Shijueming, Pearl Oyster Shell, Raw Dragon Bone, Raw Oyster Shell. ⑥ Softening hard masses and dispersing nodules: Sanleng, Ezhushi, Prunella vulgaris, Hai Zao Yu Hu Wan. ⑦ Anti-cancer: Indigo Naturalis, Realgar, Camptotheca acuminata, Taxus chinensis, Sarcandra glabra, August Fruit.

July 8, 2014: Summary of Traditional Chinese Medicine Treatment for Gastric Diseases

Chronic atrophic gastritis combined with erosion or ulcer is currently the most effectively treated condition with TCM. Commonly used formulas are as follows:

1. Xiangsha Liujunzi Decoction combined with Banxia Xiexin Decoction. The main symptoms for this formula are epigastric discomfort, distension pain, mild pain, and a swollen tongue.

2. Ye’s Yangwei Decoction combined with Banxia Xiexin Decoction. In addition to the aforementioned symptoms, a red tongue with little coating is an important indication for using this formula.

3. Huanglian Jiedu Decoction. A red tongue with thick, greasy yellow coating is the standard for using this formula; it can be used in combination with the previous two formulas when necessary.

4. 204 Stomach Medicine (Xiangfu, Yanhusuo, Alum, Calcined Walei): The standard for using this formula is acid reflux; if there is no acid reflux, this formula is not needed.

5. Di Huang Liang Tang. The main symptom for this formula is fixed, unchanging pain located in the center of the epigastrium.

6. Sanzhu Heji. The main symptom for this formula is stomach pain accompanied by distension, located in the center of the epigastrium.

7. Wu-Wu Heji. The main symptom for this formula is stomach pain, with the pain point slightly lower, located in the lower part of the epigastrium.

8. Xiangban Xuandai Tang (combination of Xiangsha Liujunzi Decoction, Banxia Xiexin Decoction, and Xuanfudai Zhe Tang). The main symptoms for this formula are hiccups, belching, nausea, and epigastric distension and discomfort.

9. Xiangban Danhe Tang. The main symptom for this formula is epigastric pain, accompanied by pain in both flanks.

10. Xiangban Sisi Ping Tang (combination of Xiangsha Liujunzi Decoction, Banxia Xiexin Decoction, Sini San, Siji Tang, and Pingwei San). The main symptom for this formula is chest and epigastric discomfort, accompanied by hiccups and loss of appetite.

11. Ye-San Sisi Ping (combination of Ye’s Yangwei Decoction, Banxia Xiexin Decoction, Sini San, Siji Tang, and Pingwei San). The main symptoms are the same as above, but with a red tongue and little coating as a distinguishing feature.

12. Ba Jiefen. The main symptom for this formula is external pathogenic factors combined with epigastric discomfort.

July 11, 2014: Paroxysmal Nocturnal Hemoglobinuria

In the early summer of the Jiawu year, a patient, a 49-year-old woman, was seen in the outpatient clinic of the Provincial Hospital of Traditional Chinese Medicine. She had anemia, jaundice, elevated indirect bilirubin, mild hepatosplenomegaly, and tea-colored urine. The general hospital initially misdiagnosed her as having megaloblastic anemia, but after taking the prescribed medication, her condition improved.

Prescription: Rehmannia 12 g, Cornus 30 g, Ginseng 15 g, Pseudoginseng 15 g, Codonopsis 15 g, Glehnia 15 g, Moutan Bark 6 g, Poria 12 g, Alisma 10 g, Mugwort 15 g, Sophora 15 g, Motherwort 15 g, Saltpeter 10 g, Lycopus 10 g, Alum 6 g, Gardenia 10 g, Rheum 10 g, Polyporus 10 g, Atractylodes 10 g, Cinnamon 10 g. One dose per day, decocted in water.

After taking the medicine for 10 doses, the patient’s hemoglobin increased from 62 g/L to 98 g/L, jaundice alleviated, total bilirubin decreased from 89 mmol/L to 43 mmol/L, and indirect bilirubin dropped particularly significantly, with urine becoming clear.

Note: Paroxysmal nocturnal hemoglobinuria is a benign clonal disorder caused by acquired genetic mutations in hematopoietic stem cells. Clinically, it manifests as intravascular hemolysis, anemia, thrombosis, and jaundice. Western medical treatment for this condition mainly uses dextran and hydrocortisone.

July 18, 2014: Traditional Chinese Medicine Treatment of Primary Thrombocythemia

This disease is an idiopathic myeloproliferative disorder. Its characteristics include abnormal proliferation of megakaryocytes in the bone marrow, elevated platelet counts, and corresponding increases in both the red and white blood cell lines. Clinical manifestations include bleeding, thrombosis, and splenomegaly. In addition to nosebleeds, bleeding may also occur in the gums and mucous membranes of the skin, especially in the gastrointestinal mucosa, which can lead to hematochezia, hematuria, and hematemesis. Thrombosis can occur in the heart, brain, lungs, kidneys, and mesentery. Western medical treatment typically involves drugs such as hydroxyurea and interferon, which only provide symptomatic relief and have no curative effect.

Case 1

In June 2014, Ms. Li, a 50-year-old woman, suffered from primary thrombocythemia, with platelet counts reaching as high as 1200×10^9/L. After treatment with the following prescription, she showed improvement.

Prescription: Curcuma 10 g, Chicken Gizzard Membrane 10 g, Paris polyphylla 10 g, Salvia miltiorrhiza 30 g, Astragalus 20 g, Polygonum multiflorum 20 g, Dioscorea 10 g, Sanleng 10 g, Ezhushi 10 g, Isatis indigotica 10 g, Gentiana macrophylla 10 g, Shenqu 10 g, Alisma 10 g, Rehmannia 12 g, Cornus 30 g, Ginseng 15 g, Pseudoginseng 15 g, Glehnia 15 g, Codonopsis 15 g, Cicada Slough 6 g, Mulberry 10 g, Coix Seed 20 g, Peach Kernel 10 g, Polygonatum 20 g, Hedyotis diffusa 20 g, Taxus chinensis 10 g, Camptotheca acuminata 10 g. Two doses every three days, decocted in water.

The above prescription was taken concurrently with Blood-Nourishing Granules, Xiaofeng II, and Qingkou II for a total of 20 doses, resulting in a reduction of platelet count to 254×10^9/L.

Case 2

In April 2014, Dr. Zhang’s son, age 3, repeatedly suffered from colds, and after recovery, his platelet count remained persistently high, peaking at 600×10^9/L. He was diagnosed with reactive thrombocythemia. Dr. Zhang was extremely anxious and restless, seeking treatment from me. I reassured him that there was no need to worry, as this was reactive thrombocythemia, different from secondary thrombocythemia, and the prognosis was very good.

Prescription: Coix Seed 100 g, Hawthorn 100 g, Lithospermum 100 g, Black Snake 50 g, Centipede 5 pieces, Sanleng 50 g, Ezhushi 50 g, Verbena 50 g, Green Wind Vine 50 g, Hedyotis diffusa 100 g, Half Branch Lotus 100 g, Chicken Gizzard Membrane 100 g, Ginseng 50 g, Pseudoginseng 50 g, Codonopsis 50 g, Glehnia 50 g, Cornus 100 g, Shan Zhu Yu 100 g. All ingredients were finely ground, sieved, and administered at 5 g each time, twice daily, mixed with warm water.

After half a month of taking the above prescription, due to the child’s crying and restlessness, the prescription was adjusted.

Prescription: Coix Seed 30 g, Chicken Gizzard Membrane 10 g, Hawthorn 10 g, Rehmannia 12 g, Cornus 30 g, Ginseng 15 g, Pseudoginseng 15 g, Glehnia 15 g, Codonopsis 15 g. All ingredients were finely ground, 5 g each time, twice daily.

After one month of continued use, the child’s platelet count returned to normal.

July 18, 2014: Case Study on the Treatment of Accelerated Chronic Myelogenous Leukemia

Mr. Zhao, 58 years old, has been suffering from chronic myelogenous leukemia for 10 years, with excellent results under my treatment. I used a modified version of the Lanzhou Formula along with the proprietary medicine Dahuang Qichong Wan.

Dahuang Qichong Wan formula: leech, horsefly, grub, earthworm, rhubarb, Rehmannia, Chuanxiong, peach kernel, apricot kernel, bee hive, dung beetle, pill bug, corydalis, shepherd’s purse, bupleurum, scutellaria, pinellia, cinnamon, white peony, mirabilite, citrus aurantium, thickleaf, magnolia bark, artemisia, and others. All ingredients were ground into powder and made into water pills, 8 g per dose, twice daily.

Over the past 10 years, the patient’s condition has remained stable, with complete blood counts within the normal range and no splenomegaly. In April 2014, the patient experienced a relapse due to a cold. Ultrasound examination revealed that the spleen had enlarged to 96 mm below the umbilicus, partially extending into the pelvis. Laboratory tests showed: white blood cells 600×10^9/L, hemoglobin 60 g/L, basophils 27%, platelets 32×10^9/L. Bone marrow examination indicated: 7% promyelocytes, 3% early myelocytes. Diagnosis: accelerated phase of chronic myelogenous leukemia. I promptly administered hydroxyurea at 20 mg/kg, three times daily; Qingkou II two pills, three times daily; and Blood-Nourishing Granules one bag, twice daily.

Prescription: Curcuma 10 g, Chicken Gizzard Membrane 10 g, Paris polyphylla 10 g, Salvia miltiorrhiza 20 g, Astragalus 20 g, Polygonum multiflorum 20 g, Dioscorea 10 g, Sanleng 10 g, Ezhushi 10 g, Isatis indigotica 10 g, Gentiana macrophylla 10 g, Shenqu 10 g, Alisma 10 g, Ginseng 15 g, Pseudoginseng 15 g, Codonopsis 15 g, Glehnia 15 g, Cicada Slough 6 g, Mulberry 10 g, Coix Seed 30 g, Peach Kernel 10 g, Polygonatum 20 g, Hedyotis diffusa 15 g, Taxus chinensis 10 g, Camptotheca acuminata 15 g. One dose per day, decocted in water.

After taking the above prescription for 20 doses, the patient showed comprehensive improvement: the spleen had shrunk to normal size, complete blood counts returned to normal, basophils were at 7%, and bone marrow examination revealed a typical picture of chronic myelogenous leukemia.

July 19, 2014: Case Study on Idiopathic Thrombocytopenic Purpura

Ms. Zhang, 47 years old, suffers from idiopathic thrombocytopenic purpura (ITP), has been hospitalized multiple times without success, and has been taking hormones for a year. Currently, she takes prednisone 10 mg once daily, with a moon-faced appearance and excessive hair growth, and her platelet count is 3×10^9/L. She seeks treatment from me.

Prescription: Honeysuckle 15 g, Forsythia 15 g, Dandelion 15 g, Patrinia 15 g, Viola 15 g, Moutan Bark 10 g, Salvia miltiorrhiza 20 g, Lithospermum 15 g, Agrimonia 15 g, Eclipta 15 g, Motherwort 15 g, Rush 15 g, White Peony 15 g, Ligustrum 10 g, Rehmannia 12 g, Lycopus 10 g, Xiangfu 6 g, Ginseng 15 g, Pseudoginseng 15 g, Glehnia 15 g, Codonopsis 15 g, Cornus 30 g, Rhubarb 10 g, Coptis 6 g, Scutellaria 10 g, Resin and Myrrh each 6 g, Tribulus 30 g, Astragalus 30 g. One dose per day, decocted in water.

At the same time, she took Blood-Nourishing Granules one bag, twice daily; Xiaofeng II two pills, three times daily; and Shengbao Dan two pills, three times daily. Prednisone dosage was reduced by one tablet per week, and discontinued after 10 weeks.

After taking the above prescriptions for a total of 40 doses, the patient’s platelet count rose to 148×10^9/L, bleeding spots and symptoms disappeared, prednisone was discontinued, and her general condition improved.

July 21, 2014: Neonatal Hemolytic Anemia