Effectively Treating Cancer and Radiation Side Effects with TCM
By Chien-Fu Liao, TCM Doctor (Taiwan)
Compiled by: Compiled by Mira Chen
If you'd like to earn continuing education credits for this article, click here to purchase the course and get CEUs! [1]
1. Introduction
Oncology is the medical discipline dedicated to the study, diagnosis, treatment, and prevention of cancer, a complex and diverse group of diseases characterized by the abnormal and uncontrolled growth of cells within the body. The field of oncology encompasses various specialized areas, including medical, surgical, and radiation oncology, each focusing on distinct aspects of cancer care. Oncologists, healthcare professionals specialized in oncology, work collaboratively to develop personalized treatment plans for patients, incorporating advancements in research, technology, and multidisciplinary approaches to improve outcomes and enhance the quality of life for individuals affected by cancer.
Understanding Cancer from the Perspectives of Western Medicine
Western medicine identifies causes like poor diet, smoking, infections, environmental exposures, and genetics. These lead to DNA mutations and dysregulation of normal cell growth and death cycles, causing uncontrolled cell proliferation.
The main factors include:
- Poor Diet: Insufficient vegetables/fruits, excessive processed foods. Lack of vital vitamins/minerals impairs cellular repair.
- Lifestyle: Smoking, alcohol abuse, lack of exercise. Obesity is a major risk factor.
- Infections: Viruses like hepatitis B/C. Bacteria and parasites.
- Occupational Exposure: Industrial chemicals, asbestos, radiation etc.
- Pollution: Air pollution, power lines, radioactive contamination.
- Medications: Toxicities and side effects. Overuse of drugs/supplements.
Western medicine uses interventions to directly destroy cancer cells - surgery, radiation, chemotherapy drugs, immunotherapy. Western medicine also uses objective diagnostic testing - imaging like CT scans, lab tests, endoscopy. These identify tumor location and staging based on degree of spread. These powerfully treat cancer but create toxicity.
Western Cancer Treatments:
- Surgery: Removal of tumors. Often damages qi, blood, fluids and leads to imbalance.
- Radiation: DNA damage to cancer cells. Harms normal tissue and depletes qi/essence.
- Chemotherapy: Cytotoxic chemicals to kill rapidly dividing cells. Highly toxic with severe side effects.
- Targeted Therapy: monoclonal antibodies and small molecules that target cancer specific proteins and genes. Expensive with side effects.
- Immunotherapy: Stimulates the immune system to attack cancer. Can cause autoimmunity.
Western medicine relies heavily on technology for diagnosis and staging. Imaging like CT scans and tumor markers from biopsies determine cancer type and spread. Mainstream treatment utilizes aggressive therapies to attack and kill cancer cells, including surgery, chemotherapy drugs, radiation, and newer targeted drugs and immunotherapy. Western technology like ultrasound and CT scans offer accurate diagnosis that TCM methods cannot match. However, TCM provides insights into the underlying root causes and deficiencies that led to cancer. The two approaches complement each other. Combining appropriate Western treatment with TCM herbs that minimize side effects and strengthen the body is an effective strategy. However, once Western treatment damages qi severely, TCM has limited ability to help.
Surgery removes solid tumors but can damage surrounding tissue. Chemotherapy uses toxic chemicals that kill rapidly dividing cells, however it cannot differentiate between cancerous and healthy cells. This leads to immune suppression, organ damage, hair loss, nausea, and other harsh side effects. Radiation aims to damage cancer DNA, but also harms normal tissue. Targeted drugs block specific cancer genes and proteins but are expensive and have limitations. Immunotherapy stimulates the immune system against cancer but can cause autoimmunity.
While often effective initially, these treatments have serious downsides. They are highly cytotoxic and patients are often left weak and debilitated, vulnerable to recurrence. Metastatic cancers remain largely incurable. There is a major need for therapies that effectively eliminate cancer without demolishing the body's natural vitality and healing capacity. Integrative medicine offers hope through evidence-based complementary therapies to support health during conventional treatment. Integrating Chinese and Western medicine allows for a comprehensive approach. Chinese medicine can reduce side effects, improve quality of life, and synergize with Western treatment.
Understanding Cancer from the Perspectives of Chinese Medicine
Cancer is a difficult disease to treat for both Chinese and Western medicine. Both Chinese medicine and Western medicine provide important insights into cancer, which are useful for licensed acupuncturists to understand. While conventional Western medicine utilizes surgery, chemotherapy, and radiation to treat cancer, Dr. Liao, a practitioner of Traditional Chinese Medicine (TCM), provides an alternative approach that focuses on improving quality of life and strengthening the body's immune system to fight cancer naturally.
Cancer was first recorded in Chinese medical texts during the Wei-Jin period (220-580AD). Early texts focused on pathology, with limited treatment options. Later texts like Zhang Zhongjing's Shang Han Lun (Treatise on Cold Damage Disorders, 220AD) and the works of Taoist alchemist Ge Hong (283-343AD) provided herbal formulas and acupuncture protocols. By the Song Dynasty (960-1279AD), texts like Yang Shiying's Ren Zhai Zhi Zhi Fu Yi Fang Lun offered detailed descriptions of cancer's characteristics and development. The Ming Dynasty (1368-1644) produced extensive records on cancer diagnosis, treatment and prevention.
2. Cancer Pathology in TCM
In Traditional Chinese Medicine (TCM), discerning cancer involves recognizing distinct markers such as alterations in complexion and skin color, pulse characteristics, voice, and the emergence of anomalous masses. This diagnostic process heavily relies on subjective information and a deep understanding of traditional diagnostic principles.
TCM identifies various contributing factors to cancer, encompassing imbalances in the Six Pathogenic Factors, Seven Emotions, dietary habits, and constitutional (Zheng Qi) deficiencies. These factors engender disharmony within the zang-fu organs, obstruction along the meridians, and stagnation of Qi and Blood. Ultimately, the accumulation of toxic Phlegm leads to the formation of abnormal growths. Understanding and addressing these underlying imbalances is integral to TCM's approach to cancer diagnosis and treatment.
Holistic diagnosis and treatment recognize combinations of patterns in each cancer case. A comprehensive approach to cancer diagnosis and treatment involves identifying intricate patterns within each case. This entails acknowledging both excesses and deficiencies, as well as the presence of cold and heat within the body. Overemphasizing aggressive measures against cancer cells may disrupt the body's vital energy, known as qi. Striking a harmonious balance between fortifying the body and gently promoting clearance is essential. Contemporary imaging technologies play a pivotal role in precisely pinpointing tumors, guiding the application of acupuncture and herbal treatments. Traditional Chinese Medicine (TCM) aims to restore the body's natural equilibrium, bolstering the immune system's resilience against cancer. An integrated healthcare approach optimizes treatment outcomes.
Cancer can manifest in any bodily tissue, with a predominant pathological factor being the presence of phlegm. Stagnation of qi and blood sets the stage for the accumulation of phlegm, which transforms into abnormal growths. Complicating matters, heat toxins originating from emotions, diet, or overexertion amalgamate with the phlegm, exacerbating the condition. Addressing the root causes of cancer involves a holistic strategy encompassing the reversal of deficiencies, facilitation of qi and blood movement, and effective clearance of phlegm and heat. This approach in Traditional Chinese Medicine aims to attenuate the foundational contributors to cancer and promote the body's inherent healing mechanisms.
At the core of cancer's initiation lies a deficiency in the intricate cellular and physiological mechanisms within the body. When essential components like nutrients and regulatory molecules are deficient or imbalanced, the precise orchestration of cellular processes is disrupted, culminating in uncontrolled cell proliferation. Masses begin to form and transform into malignancies, exacerbated by a weakened immune system and compromised DNA repair mechanisms stemming from these deficiencies. These abnormal growths can manifest in diverse regions of the body, ranging from muscle layers to the intestines.
Zheng (upright) qi deficiency signifies a general weakening of the body's defense mechanisms and organ functionalities. The occurrence of cancer is intimately tied to the state of the body's zheng (upright) qi, as malignancy can only take hold when the system is vulnerable.
During the Ming Dynasty, the eminent Traditional Chinese Medicine practitioner Zhang Yue Jing conveyed that individuals with deficiencies in the Spleen and Kidney often grapple with conditions characterized by stagnation and anomalous growths. The imbalance or dysfunction of the zang-fu organs stands out as a significant underlying factor contributing to cancer development.
Once cancer infiltrates the organs, it disrupts both organ function and the body's zheng (upright) qi. Consequently, patients typically experience escalating deficiencies over time due to this impairment. The initial phase involves a depletion of qi, followed by a subsequent stage where both blood and yin levels diminish. Finally, in the last stage, Yang undergoes a decline, marking the progressive nature of the condition.
The Goal of Cancer Treatment in TCM
The primary goal is improving quality of life, not just prolonging life. Patients lose meaning without quality of life. Restoring sleep, appetite, energy and reducing pain enable patients to better tolerate treatments. Happy patients have lower cancer risk. TCM aims to normalize the body so the immune system can handle cancer cells, rather than rely on strong medication. Medications are toxic and damaging. Cancer can affect any part of the body by cells mutating from damaged DNA and losing the ability to undergo normal apoptosis. Cancer cells grow rapidly, unconstrained by normal cell growth limitations.
Treatment Principles of TCM for Cancer
Cancer exists in diverse forms, each presenting unique symptoms. To formulate an appropriate treatment plan, it's essential to factor in Traditional Chinese Medicine's differential diagnosis, the patient's constitution, Western medical assessments, and the specific stage of the cancer.
The main goals are to restore balance in the body, improve immune function, prevent recurrence and metastasis, and relieve symptoms. Treatment should be tailored to each patient's specific condition and pattern differentiation.
In TCM, the goal is to first improve the patient's quality of life. As Dr. Liao explains, "When there is no quality of life, many patients may not want to prolong their lives." He shares the story of an 80-year-old breast cancer survivor whose TCM treatment focused on reducing her severe arm swelling and pain. Within weeks, she was able to sleep and her pain was relieved. "So first and foremost, the important thing is to improve the quality of life, not to prolong the lifespan," says Dr. Liao.
Once quality of life improves, TCM aims to enhance the immune system's ability to kill cancer cells naturally. Dr. Liao explains that it is impossible to kill every cancer cell, since we generate new ones daily. The key is strengthening the body so it can clear cancer cells faster than they develop. Conversely, aggressive Western treatments like chemotherapy further weaken the body, allowing cancer to progress. TCM's multi-pronged approach includes herbal remedies, acupuncture, massage, and lifestyle changes like a healthy diet, rest, and reduced stress. "Comprehensive treatment can help alleviate the side effects of Western treatments and improve the quality of life," explains Dr. Liao.
Cancer Formation and the Role of the Immune System
Cancer starts when cells lose the ability to undergo normal apoptosis due to DNA mutations. In a healthy individual, natural killer cells can find and destroy abnormal cells. However, when qi and blood stagnate, the immune system cannot access or kill cancerous cells behind “closed doors”. Removing obstructions enables immune cells to seek and destroy tumors. Addressing deficiency and stagnation can create an environment where cancer cannot thrive.
Cancer evolves over stages. First qi deficiency allows stagnation to develop. Constipation is a major contributing factor, as it leads to accumulation and eventually cancer cell formation. The immune system cannot reach and kill cancer cells in areas of the body with qi and blood stagnation. Therefore, the first treatment strategy should be opening up areas of stagnation. Then phlegm accumulates, followed by toxic heat. This leads to zang-fu disharmony. Tonifying herbs seem to help “stabilize” cancer cells in one location initially. Later, as qi improves, the boosted immune system can surround and kill cancer. Pathogens like cancer can only attack when the body's qi is weak. When qi is strong, the body can effectively clear cancer cells. Avoid overusing cold, bitter anti-cancer herbs as this can deplete qi. Foods like milk further aggravate phlegm and should be avoided.
3. Comprehensive TCM Cancer Therapy
Treatment Approaches
The first goal is restoring normal bodily functions and immune regulation. Good digestion, organ function and detoxification enable proper metabolism and nutrient absorption. Next, directly inhibit cancer growth and kill cells after the body's qi is strong enough. Attacking cancer without tonifying qi first can injure the patient. Anti-cancer herbs should be used judiciously.
Chinese medicine aims to regulate the zang-fu organs, resolve stagnation and phlegm, and restore balance so the immune system can clear the cancerous cells. The digestive system must be treated first when using TCM for cancer. The practitioner should ensure the patient can eat, sleep, drink and defecate properly. "If the digestive system is weak and absorption is poor, how effective do you think the herbs can be?", asks Dr. Liao.
He explains how herbs that strengthen the Spleen and improve digestion allowed one of his ovarian cancer patients to regain appetite, resolve ascites and edema, and achieve negative cancer markers within 3 months. This strengthens qi and allows proper immune function. Zhang Zhongjing always treated digestion first to normalize bowel movements when formulating treatment plans. Cancer patients often develop deficiency because cancer cells take nutrients meant for healthy cells. Patients become emaciated while the tumor grows. Tonifying qi is important but detoxification cannot be neglected. The ideal approach is balanced formulas that strengthen qi while dispelling pathogens.
Cold, raw foods like melons deplete qi and should be avoided. Getting proper and restful sleep is also critical, as insomnia is a common issue in cancer patients. Sleeping pills have side effects like severe insomnia and are best avoided. Lifestyle factors like good diet, restful sleep and regular bowel movements create an environment unfavorable to cancer by minimizing free radicals and supporting proper DNA repair.
In TCM, phlegm is any abnormal water accumulation in the body, not just sputum. Phlegm accumulation leads to qi and blood stagnation. Heat forms over time when phlegm obstructs normal fluid metabolism. Phlegm combined with heat becomes ideal nutrients for cancer. Patients should avoid foods that generate phlegm like cold, salty, fried, barbecued and dairy foods. Boiled, steamed dishes are best. Milk is especially problematic - it nourishes cancer cells. Herbs like Da Huang (Radix et Rhizoma Rhei) help stabilize cancer cells in place and prevent metastasis.
Oxygen kills cancer cells while cancer cells thrive in low oxygen environments. New research is exploring hyperbaric oxygen therapy as an adjunct cancer treatment. Oxygen also moves qi and blood, which can help treat cancer from a TCM perspective. Ultimately, cancer manifests in complicated combinations of heat/cold and excess/deficiency. Careful diagnosis using both TCM and Western methods is needed to understand the complete picture.
The main therapies include: herbal formulas and dishes, acupuncture, qi gong, massage, emotional support and fostering happiness. Lifestyle normalization and establishing hobbies also help. External herbal applications may be used. Modalities include acupuncture, herbs, diet, and Qigong. Support is tailored to each patient's needs.
Acupuncture for Cancer
Acupuncture can regulate organ functions, enhance immunity, reduce side effects, and improve constitution. The practitioner emphasizes utilizing channel theories to select effective points that address the patient's particular condition.
Needling is suitable for excess conditions while moxa is best for deficient patients.
Additionally, all traditional acupuncture points listed can be found on the eLotus CORE website [2] under TCM Acupuncture. This site includes more than 300+ traditional points for your reference for FREE.
Examples of points include Baihui (GV 20) to lift sunken qi, Shangxing (GV 23) for frontal headaches, Taiyang (Ex-HN5) for temporal headaches, and Zhigou (TH 6) for hypochondriac pain. Moxa is excellent for deficient patients and can be applied on needles or used with a moxa box. Care is taken to avoid hair and sensitive areas when using moxa.
Chief Points:
Vertex Headache: Baihui (GV 20), Xingjian (LR 2), Tongtian (BL 7)
Frontal Headache: Shangxing (GV 23), Touwei (ST 8), Hegu (LI 4)
Temporal Headache: Shuaigu (GB 8), Taiyang (Ex-HN5), Xiaxi (GB 43)
Occipital Headache: Houding (GV 19), Tianzhu (BL 10), Kunlun (BL 60)
Hypochondriac pain: Yanglingquan (GB 34), Qiuxu (GB 40), Qimen (LR 14), Zhigou (TH 6), Zusanli (ST 36), Taichong (LR 3), Xingjian (LR 2)
Nausea: Geshu (BL 17), Neiguan (PC 6), Pishu (BL 20)
Poor appetite: Zusanli (ST 36), Weishu (BL 21), Zhongwan (CV 12), Neiguan (PC 6), Taibai (SP 3)
Indigestion: Zusanli (ST 36), Pishu (BL 20), Gongsun (SP 4), Tianshu (ST 25)
Insomnia: Shenmen (HT 7), Sanyinjiao (SP 6), Anmian (Ex-HN16), Shenmen (HT 7), Zusanli (ST 36), Taiyuan (LU 9), Gongsun (SP 4), Yinbai (SP 1), Feishu (BL 13), Yanglingquan (GB 34)
Palpitation: Ximen (PC 4), Shenmen (HT 7), Xinshu (BL 15), Juque (CV 14)
Low-grade fever: Dazhui (GV 14), Quchi (LI 11), Hegu (LI 4), Shaoshang (LU 11), Daling (PC 7), Jianshi (PC5), Yongquan (KI 1), Zusanli (ST36), Fuliu (KI 7), Fenglong (ST 40)
Thirst: Shanglianquan (Ex-HN21), Hegu (LI 4), Zusanli (ST 36)
Twitching: Yintang (Ex-HN3), Baihui (GV 20), Dazhui (GV 14), Hegu (LI 4)
Acupuncture and moxa are useful for reducing chemotherapy side effects like nausea, vomiting, poor appetite, insomnia and more. Neiguan (PC 6) in particular is excellent for nausea. The practitioner shares a case where regular acupuncture and moxa allowed a pediatric brain cancer patient to finish chemotherapy early.
Herbal Therapy for Cancer
Herbs treat cancer by clearing heat/toxins, moving blood/removing stasis, dispelling phlegm/damp, and softening hardness. Use caution when using toxic herbs to fight toxin (cancer). Adjust treatment to severity and patient's constitution.
He explains cancer patients can recover rapidly when the proper herbal formulas are prescribed to address deficiencies. He emphasizes being thoughtful in selecting herbs based on the channels and organs they target. For instance, he cautions against using Niu Zhang Zhi (Antrodia Mushroom) for stomach cancer, as it enters the Liver channel rather than the Stomach channel. Each herb has specific channel entering properties.
The synergy of multiple compounds in herbs makes them more effective and less prone to resistance compared to singular, purified compounds. The practitioner cites malaria treatment with quinine as an example. Quinine loses efficacy after the first year as plasmodium builds resistance. Yet in Africa, malaria was treated simply by soaking the herb Qing Hao (Herba Artemisiae Annuae) in water, which remained effective long-term.
Treatment adjusts based on cancer severity and patient constitution. A gentler approach is necessary if the deficiency is too severe. Ensure patient compliance with rest and avoid overexertion. Rest completely - sleep heals. Avoid overexertion that drains energy needed to combat cancer. Mild exercise only. Hot springs are dangerous - avoid. Even healthy people must be careful.
Herbs boost immunity, reduce side effects, enhance cancer treatment efficacy, prepare patients for surgery, and prolong life. Key actions include:
- Clearing heat/detoxifying
- Moving blood
- Tonifying qi and blood
- Generating fluids
- Boosting marrow and essence
For a detailed understanding of each herb or formula mentioned in this article, refer to Dr. John Chen [3] and Tina Chen's [4] herbal books listed below.
Single Herbs: Chinese Medical Herbology and Pharmacology [5]
Formulas: Chinese Herbal Formulas & Applications (Pharmacological Effects & Clinical Research) [6]
Herbs that Strengthen the Constitution
Tonify Qi, Strengthen Spleen
Traditional Chinese Medicine (TCM) aims to restore equilibrium in the body by regulating the functions of zang-fu organs, bolstering the immune system, fortifying the body's overall constitution, alleviating symptoms, and impeding the spread of cancer cells. Essential treatment approaches involve reinforcing Spleen qi, nourishing yin and blood, and strengthening yang.
Chief Herbs:
Huang Jing (Polygonatum sibiricum)
Huang Qi (Astragalus membranaceus)
Ren Shen (Panax ginseng)
Dang Shen (Codonopsis pilosula)
Tai Zi Shen (Pseudostellaria heterophylla)
Bai Zhu (Atractylodes macrocephala)
Fu Ling (Poria cocos)
Chen Pi (Citrus reticulata peel)
Gan Cao (Radix et Rhizoma Glycyrrhizae)
Tonify Blood
Clinical manifestations include dizziness, blurry vision, palpitations, insomnia, sallow complexion, pale lips and nails, fatigue, a thready pulse and a pale tongue.
Chief Herbs:
Ba Zhen Tang (Eight-Treasure Decoction)
Zhi He Shou Wu (Radix Polygoni Multiflori Praeparata)
Ji Xue Teng (Caulis Spatholobi)
Shu Di Huang (Radix Rehmanniae Praeparata)
Dang Gui (Radix Angelicae Sinensis)
E Jiao (Colla Corii Asini)
Bai Shao (Radix Paeoniae Alba)
Gui Ban Jiao (Colla Plastrum Testudinis)
Zi Cao (Lithospermum Erythrorhizon)
Tonifying blood helps address toxic side effects of chemo/radiation which damage white and red blood cells. Ji Xue Teng (Caulis Spatholobi) boosts white blood cells. He Shou Wu (Radix Polygoni Multiflori Praeparata) nourishes blood. Blood tonics help after surgery with blood loss, or in weak constitutions.
After surgery, common issues are qi and blood deficiency leading to fatigue and poor appetite. Herbs like Ren Shen (Panax Ginseng), Dang Gui (Angelica Sinensis), and Huang Qi (Astragalus Membranaceus) help tonify qi and blood. Bloating and constipation indicate qi stagnation, so herbs like Xiang Fu (Rhizoma Cyperi) and Sha Ren (Amomum Villosum) are used.
Nourish Yin, Generate Fluids
Dr. Liao discusses how to nourish yin and generate fluids in cancer patients, who often suffer from yin deficiency heat. Cancer cells consume yin, leading to deficiency. Chemotherapy exacerbates this. Signs include five heart heat, night sweats, irritability, insomnia, dry stools. Heat must be cleared before yin can be nourished. Yin tonics are mostly used for late-stage cancer patients.
Chief Herbs:
Gan Lu Yin (Sweet Dew Decoction)
Huang Qi (Astragalus Membranaceus)
Zhi He Shou Wu (Radix Polygoni Multiflori Praeparata)
Sha Shen (Radix Glehniae seu Adenophorae)
Tian Dong (Radix Asparagi)
Mai Dong (Radix Ophiopogonis)
Xuan Shen (Radix Scrophulariae)
Shi Hu (Caulis Dendrobii)
Tian Hua Fen (Radix Trichosanthis)
Gui Ban (Plastrum Testudinis)
Yu Zhu (Rhizoma Polygonati Odorati)
Xi Yang Shen (Radix Panacis Quinquefolii)
Huang Jing (Rhizoma Polygonati)
Nu Zhen Zi (Fructus Ligustri Lucidi)
Zhi Mu (Rhizoma Anemarrhenae)
Gui Ban Jiao (Colla Plastrum Testudinis)
Nourish yin with night sweats, thirst, insomnia. Huang Qi (Astragalus Membranaceus), Xuan Shen (Radix Scrophulariae), Tian Dong (Radix Asparagi) clear some heat. Gan Lu Yin (Sweet Dew Decoction) for dry mouth, burning tongue.
Yin deficiency with dry mouth calls for yin tonics like Shi Hu (Caulis Dendrobii) and Mai Men Dong (Radix Ophiopogonis).
Sweating and spontaneous perspiration point to wei (defensive) qi deficiency, so herbs like calcined Mu Li (Concha Ostreae) and Fu Xiao Mai (Fructus Tritici Levis) can consolidate wei (defensive) qi.
Warm the Kidney, Tonify Yang
Yang tonics primarily target the Kidney and the Spleen. Symptoms may encompass an aversion to cold, chilly extremities, lumbar and leg soreness, fatigue, breathlessness occasionally progressing to asthma, reluctance to engage in conversation, a pallid complexion, increased urination, loose stools, a pale and flaccid tongue, along with a soft, deep pulse.
Strengthen yang for cold hands/feet, fatigue, weak back/knees. Fu Zi (Radix Aconiti Lateralis Praeparata), Yin Yang Huo (Folium Epimedii), Lu Jiao (Cornu Cervi) tonify qi, yin, and yang. Tonifying the yang and strengthening the Kidney can stimulate bone marrow stem cell growth, stimulate the endocrine system and improve metabolism. If yin and yang are both deficient, tonify yang first.
Yang tonics like Yin Yang Huo (Folium Epimedii) treat yang deficiency, with cold extremities, intolerance to cold, weak back/knees. This stimulates bone marrow, the endocrine system, and metabolism. Yang must be strengthened before yin can be nourished in combined deficiency.
Chief Herbs:
Fu Zi (Radix Aconiti Lateralis Praeparata)
Lu Jiao (Cornu Cervi)
Yin Yang Huo (Folium Epimedii)
Xian Mao (Rhizoma Curculiginis)
Rou Cong Rong (Herba Cistanches)
Ba Ji Tian (Radix Morindae Officinalis)
Bu Gu Zhi (Fructus Psoraleae)
Rou Gui (Cortex Cinnamomi)
The practitioner gives the example of using purgative herbs on the navel to dispel ascites caused by liver cancer. This helps warm yang energy and dissolve excess fluid accumulation. San Fu Tie is a similar topical herbal medicine used for this purpose.
Herbs that have Anti-Cancer Properties
To address cancer cells, one should utilize one or a combination of the following techniques: Promote blood circulation to eliminate blockages, alleviate toxic heat, reduce hardness and shrink tumors, and deploy specific herbs with toxic properties to counteract toxicity.
Toxic heat is one of the main cancer diagnoses. It is most evident during mid to late stages where pain and localized swelling that feels hot are evident. Other symptoms may include fever, heat sensation in the hands, feet, and chest, irritability, thirst, constipation or dry stools, yellow or dark yellow urine, red tongue with yellow coat, rapid pulse.
Clear Heat and Detoxify
These herbs with heat and toxin properties can effectively manage and alleviate edema and inflammation in the tissue surrounding the cancer. In essence, they have the potential to restrain or impede the progression of cancer to some degree.
Chief Herbs:
Bai Hua She She Cao (Herba Hedyotis)
Ban Zhi Lian (Herba Scutellariae Barbatae)
Yu Xing Cao (Herba Houttuyniae)
Ban Bian Lian (Herba Lobeliae Chinensis)
Ku Shen (Radix Sophorae Flavescentis)
Long Kui (Herba Solani Nigri)
Qi Ye Yi Zhi Hua (Senecio scandens)
Shan Dou Gen (Radix et Rhizoma Sophorae Tonkinensis)
Juan Bo (Euphorbia humifusa)
Tu Fu Ling (Rhizoma Smilacis Glabrae)
Tian Kui Zi (Radix Semiaquilegiae)
Bai Mao Teng (Solanum Lyratum)
Invigorate Blood and Remove Stasis
The majority of cancer patients experience blood stasis. Cancer patients with blood stasis will show symptoms of swelling, fixed pain, dry skin to the extent of flaking, brittle nails, purple tongue with petechiae on the surface or sublingually, varicose veins and a thready, choppy pulse.
Herbs that promote blood circulation can efficiently regulate blood flow, decrease viscosity, and return the blood from a thick, jelly-like state to a normal condition. This helps deter cancer cells from "settling" in areas where the blood is stagnant or thick, subsequently diminishing the likelihood of metastasis. Also, blood movers can improve circulation for immune cells to target cancer better. Most of the above herbs have excellent effects to relieve pain as well. Use caution in deficiency.
Chief Herbs:
Pu Huang (Pollen Typhae)
Dan Shen (Radix et Rhizoma Salviae Miltiorrhizae)
E Zhu (Rhizoma Curcumae)
San Qi (Radix et Rhizoma Notoginseng)
Ling Xiao Hua (Flos Campsis)
Chuan Xiong (Rhizoma Chuanxiong)
Chi Shao (Radix Paeoniae Rubra)
Tao Ren (Semen Persicae)
Xi Hong Hua (Stigma Croci)
Dang Gui (Radix Angelicae Sinensis)
Chuan Shan Jia (Squama Manis)
Wang Bu Liu Xing (Semen Vaccariae)
Su Mu (Lignum Sappan)
Ru Xiang (Olibanum)
Mo Yao (Myrrha)
Gui Jian Yu (Aurantiamide acetate)
Soften and Resolve Phlegm and Masses
The primary signs of damp and phlegm accumulation involve skin swelling, lymphatic swelling, chest tightness, bloating in the abdomen, feelings of nausea, vomiting, heaviness and swelling in limbs, shortness of breath, persistent cough with phlegm, excessive discharge, presence of fluids in the chest and abdomen, a thick coat on the tongue, a dark tongue color, and a slippery pulse. Besides showing anti-cancerous effects, the herbs below can also reduce immune suppression.
Phlegm/damp resolving herbs like Hai Zao (Sargassum) treat swelling and tumors and clear lung phlegm symptoms. Hai Zao Yu Yu Tang is often used in thyroid cancer for its phlegm reducing effect and its effect to reduce chemo/radiation side effects.
Eliminate phlegm/damp for swelling, fullness, nausea: Er Chen Tang (Two-Cured Decoction) and Hai Zao (Sargassum) are the two most important herbs to eliminate phelgm/damp for swelling, fullness or nausea. They also reduce radiation side effects. Xia Ku Cao (Spica Prunellae) clears heat, reduces swelling, lowers blood pressure.
Chief Herbs: Also reduces immune suppression
Ban Xia (Rhizoma Pinelliae)
Dan Nan Xing (Arisaema cum Bile)
Gua Lou (Fructus Trichosanthis)
Zao Jiao Ci (Spina Gleditsiae)
Xia Ku Cao (Spica Prunellae)
Mu Li (Concha Ostreae)
Hai Zao (Sargassum)
Kun Bu (Thallus Eckloniae)
Huang Yao Zi (Rhizoma Dioscoreae Bulbiferae)
Jiang Can (Bombyx Batryticatus)
Shan Ci Gu (Pseudobulbus Cremastrae seu Pleiones)
Mao Zhua Cao (Clinacanthus nutans)
Toxic Herbs to Clear Toxicity
Cancer is a complex condition stemming from diverse pathologies that result in the accumulation of toxins. In addressing bodily toxicity, a certain approach involves utilizing increasingly toxic herbs to counteract the toxicity, akin to the principle of using poison to neutralize poison.
Chief Herbs:
Toxic animals and insects:
Quan Xie (Scorpio)
Wu Gong (Scolopendra)
Ban Mao (Mylabris)
Chan Chu (Bufotes viridis)
Di Bie Cong (Eupolyphaga)
Shui Zhi (Hirudo)
Minerals:
Xiong Huang (Realgar)
Pi Shuang (Arsenicum Sablimatum)
Botanicals:
Teng Huang (Rhubarb - Rheum Rhabarbarum)
Mao gen (Ranunculus Japonicus Thunb.)
Bi ma (Ricinus Communis)
Ma Qian Zi (Semen Strychni)
Ba Dou (Fructus Crotonis)
Zhi Cao Wu (Radix Aconiti Kusnezoffii Cocta)
Zhi Chuan Wu (Radix Aconiti Cocta)
Ba Jiao Lian (Rhizoma et Radix Dysosmae)
Da ji (Euphorbia pekinensis)
Lang Du (Strychnos wallichiana)
Ban Mao (Mylabris), Lang Du (Strychnos Wallichiana), and Ma Qian Zi (Semen Strychni) exhibit remarkable efficacy in alleviating swelling and pain. They can be used for treating pain associated with cancer.
Herbs That Can Be Used Externally
External TCM Treatment
TCM has various topical treatment strategies including acupuncture, massage, herbal application, steaming, inhaling, suppositories, etc to help dispel toxins and to relieve pain and swelling. They are to be included in the overall treatment for optimal recovery.
Topical use of herbs can be beneficial for addressing cervical cancer, skin cancer, or cancer that has spread to the lymph nodes.
Inhalation of herbs is effective for managing nasopharyngeal cancer and lung cancer.
Additionally, purgative herbs that help eliminate excess water can be applied topically to alleviate ascites associated with liver cancer.
TCM Treatment for SURGERY
Cautions Regarding Surgery and TCM Treatment for Patients Undergoing Surgery
The practitioner cautions against over-reliance on surgery, which can severely damage the body and disrupt organ functions. He feels surgery is only appropriate for early to middle stage cancers, not late stage. While it can quickly remove tumors, surgery cannot prevent recurrence or metastasis on its own. Furthermore, anesthesia, blood loss and trauma from surgery can severely damage the body, disrupt zang fu functions and injure qi and blood.
He shares the analogy of hemorrhoid removal leaving behind vascular tissue that leads to recurrence. The traditional method involved needling and topical plasters to eventually eliminate the entire root structure. Similarly, lingering cancer cells often remain after surgery.
It is best to use Chinese herbs before and after surgery to reduce the risk of side effects and promote recovery. The most suitable herbs to be used before or after surgery include tonics for the qi, blood, Spleen, Liver and Kidney.
Pre-Surgery Preparation
Beginning two weeks before the surgery, it's crucial for the patient to enhance overall bodily strength. Emphasizing the enhancement of organ functions, notably the Liver and Kidney, through the use of Chinese herbs is vital. This approach ensures a more seamless recovery and helps mitigate the potential for severe or prolonged side effects.
Chief Formulas:
Si Wu Tang (Four-Substance Decoction)
Ba Zhen Tang (Eight-Treasure Decoction)
Si Jun Zi Tang (Four-Gentlemen Decoction)
Shi Quan Da Bu Tang (All-Inclusive Great Tonifying Decoction)
Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia)
Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction)
Advise patients to focus on restoring qi, blood and organ functions through herbs and acupuncture before and especially after surgery. This can strengthen immunity so the body can fully eliminate any remaining cancer cells. Many patients opt to skip surgery after following this approach.
Post-Surgical Recovery
Surgery can cause significant depletion of both qi and blood, resulting in manifestations of qi and blood deficiency or qi and yin deficiency. This imbalance may lead to disharmony in ying and wei qi or present symptoms related to the Spleen and Stomach. Before prescribing herbs, a thorough differential diagnosis is necessary.
Common post-surgical gastrointestinal issues include poor appetite, indigestion, abdominal fullness, and constipation. It is essential to address these gastrointestinal disturbances FIRST before considering the use of herbs for tonifying or balancing the body.
In cases where the patient specifically experiences SP/ST qi deficiency, Xiang Sha Liu Jun Zi Tang (Six-Gentlemen Decoction with Aucklandia and Amomum) can be administered to improve appetite and boost energy.
For weakness or deficiency after surgery, use tonic herbs for the different purposes below.
Herbs to address post-surgical bloating and constipation with heat
Zhi Qiao (Fructus Aurantii)
Hou Po (Cortex Magnoliae Officinalis)
Mu Xiang (Radix Saussureae)
Da Huang (Radix et Rhizoma Rhei)
Herbs to address post-surgical Spleen qi deficiency
Ren Shen (Radix et Rhizoma Ginseng)
Huang Qi (Radix Astragali)
Dang Gui (Radix Angelicae Sinensis)
Dang Shen (Radix Codonopsis)
Gan Cao (Radix et Rhizoma Glycyrrhizae)
Dan Shen (Radix et Rhizoma Salviae Miltiorrhizae)
Ji Nei Jin (Endothelium Corneum Gigeriae Galli)
Chen Pi (Pericarpium Citri Reticulatae)
Ji Nei Jin (Endothelium Corneum Gigeriae Galli)
Fu Ling (Poria)
Herbs to address post-surgical spontaneous sweating or sweating upon exertion
Main formula is Yu Ping Feng San (Jade Windscreen Powder), and these herbs can be added.
Tai Zi Shen (Radix Pseudostellariae)
Wu Wei Zi (Fructus Schisandrae Chinensis)
Ji Nei Jin (Endothelium Corneum Gigeriae Galli)
Fu Xiao Mai (Fructus Tritici Levis)
Calcined Long Gu (Fossilia Ossis Mastodi)
Calcined Mu Li (Concha Ostreae)
Mai Dong (Radix Ophiopogonis)
Fang Feng (Radix Saposhnikoviae)
Huang Qi (Radix Astragali)
Herbs to address post-surgical thirst, dry stool, nausea, dry stool
Individuals displaying symptoms such as parched mouth and tongue, dry and hard stools, reduced appetite, nausea, or a tongue without coating or with a reflective appearance are presenting signs of Stomach yin deficiency. The surgical procedure has significantly depleted their yin and bodily fluids, necessitating replenishment. Large doses of yin tonic herbs must be used.
Sha Shen (Radix Glehniae seu Adenophorae)
Mai Dong (Radix Ophiopogonis)
Shi Hu (Caulis Dendrobii)
Tian Hua Fen (Radix Trichosanthis)
Yu Zhu (Rhizoma Polygonati Odorati)
Huang Qi (Astragalus Membranaceus)
Xuan Shen (Radix Scrophulariae)
In cases where a patient does not undergo chemotherapy or radiation following surgery, the primary treatment objective should revolve around restoring bodily equilibrium and averting the spread and recurrence of cancer.
The approach to restoring balance varies for different organs and types of cancers. For lung cancer, restoring lung balance involves nourishing Lung yin. In cases of dampness and phlegm in the body, restoring balance necessitates the use of phlegm-resolving and mass-dissipating herbs. Addressing GI cancer requires strengthening the Spleen and harmonizing the Stomach to restore GI balance. When dealing with breast cancer, regulating and spreading Liver qi is essential. The concept of "Dispelling Evil" entails eliminating cancer cells by utilizing various herbs to clear heat, detoxify, promote blood circulation, remove stasis, soften hardness, dissipate mass, resolve phlegm, and dispel dampness. Enhancing the immune system is crucial for controlling remaining cancer cell activity, preventing metastasis, and averting recurrence, constituting a long-term strategy. In late-stage cancer, the use of herbs to strengthen the body and alleviate symptoms becomes particularly vital.
4. TCM Treatment for Radiation
Herbs to Decrease Specific Radiation Side-effects
For chemotherapy, Dr. Liao says targeted therapy is still toxic like radiation despite claims. Herbs aid proper metabolism from point A to B to C to reduce side effect accumulation and work synergistically with chemotherapy. Toxic side-effects of radiation are directly related to the location, area and dosage of the treatment. Systemic reactions generally involve GI disturbance and RBC decrease.
Dr. Liao discusses treating side effects of radiation therapy. Radiation to the chest can lead to lung fibrosis and pneumonia. Bird’s nest is highly effective for this. It clears heat, moistens dryness, and boosts immunity. Real bird's nest should sink in water without additives.
Commonly used formulas like Xiang Sha Liu Jun Zi Tang (Six-Gentlemen Decoction with Aucklandia and Amomum), Gui Pi Tang (Restore the Spleen Decoction), Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) to restore digestive, immune, and neurological functions damaged by chemotherapy.
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In a broader sense, herbs known for promoting blood circulation can alleviate vascular spasms, enhance microcirculation, improve blood flow to tissues, inhibit platelet aggregation, and regulate metabolism in connective tissues. Consequently, they heighten the radiosensitivity of cancer or tumor cells. The adverse effects of radiation are directly correlated with the treatment's location, area, and dosage. Common systemic reactions often encompass gastrointestinal disturbances and a reduction in red blood cells. According to Traditional Chinese Medicine (TCM), radiation is classified as a "fire toxin" that can impair qi and blood, leading to disruptions in GI functions and deficiencies in the Liver and Kidneys.
Clear Heat, Detoxify
Radiation side effect symptoms include inflammation and heat sensation.
Jin Yin Hua (Flos Lonicerae Japonicae)
Lian Qiao (Fructus Forsythiae)
Pu Gong Ying (Herba Taraxaci)
Huang Lian (Rhizoma Coptidis)
Shan Dou Gen (Radix et Rhizoma Sophorae Tonkinensis)
Nourish Yin, Generate Fluids
Radiation side effect symptoms include toxic heat injuring yin and essence, leading to dry mouth and tongue.
Tian Hua Fen (Radix Trichosanthis)
Shi Hu (Caulis Dendrobii)
Huang Qi (Astragalus Membranaceus)
Mai Dong (Radix Ophiopogonis)
Cool Blood, Tonify Qi
Radiation side effect symptoms include deficient heat, fatigue, palpitation, and dizziness.
Huang Qi (Radix Astragali)
Huang Qi (Astragalus Membranaceus)
Ji Xue Teng (Caulis Spatholobi)
Sha Shen (Radix Glehniae seu Adenophorae)
If patient appears fragile and weak with cold limbs, add:
E Jiao (Colla Corii Asini)
San Qi (Radix et Rhizoma Notoginseng)
Huang Jing (Rhizoma Polygonati)
Nourish Liver and Kidney
Radiation side effect symptoms include weak constitution, fatigue, palpitations, shortness of breath, decreased WBC and RBC.
Zhi He Shou Wu (Radix Polygoni Multiflori Praeparata)
Du Zhong (Cortex Eucommiae)
Tu Si Zi (Semen Cuscutae)
Wu Zhu Yu (Fructus Euodiae)
Strengthen Spleen, Harmonize Stomach
Radiation side effect symptoms include GI symptoms due to deficiency.
Bai Zhu (Rhizoma Atractylodis Macrocephalae)
Ban Xia (Rhizoma Pinelliae)
Chen Pi (Pericarpium Citri Reticulatae)
Huang Lian (Rhizoma Coptidis)
Ji Nei Jin (Endothelium Corneum Gigeriae Galli)
Zhi Gan Cao (Radix et Rhizoma Glycyrrhizae Praeparata cum Melle)
Side Effects of Radiation: Head
According to Traditional Chinese Medicine (TCM), the brain is considered the sea of marrow. To mitigate radioactive encephalomyelitis and related neurological disorders, it's essential to administer Chinese herbs that nourish both the jing and the marrow. Additionally, incorporating blood-moving herbs can augment the overall effectiveness of the treatment. The side-effects of radiation for individuals with primary or secondary brain cancer/tumor due to metastasis may include edema, heightened pressure in the head, headaches, cerebral hyperemia, nausea, vomiting, and similar symptoms.
Chief Herbs:
Nu Zhen Zi (Fructus Ligustri Lucidi)
Lu Rong (Cornu Cervi Pantotrichum)
Yin Yang Huo (Folium Epimedii)
Gou Qi Zi (Fructus Lycii)
Rou Cong Rong (Herba Cistanches)
Bu Gu Zhi (Fructus Psoraleae)
Huang Qi (Astragalus Membranaceus)
Shu Di Huang (Radix Rehmanniae Praeparata)
Wu Zhu Yu (Fructus Euodiae)
Xian Mao (Rhizoma Curculiginis)
Ji Xue Teng (Caulis Spatholobi)
Chuan Xiong (Rhizoma Chuanxiong)
Dan Shen (Radix et Rhizoma Salviae Miltiorrhizae)
Niu Xi (Radix Achyranthis Bidentatae)
Side Effects of Radiation: Nasopharyngeal and Tongue Cancer
The adverse effects of radiation encompass damage to the nasal cavity, resulting in anomalies in olfaction, as well as symptoms like a runny or congested nose, tinnitus, and headaches. Use herbs that clear Lung Heat.
Chief Herbs:
Cang Er Zi (Fructus Xanthii)
Xin Yi Hua (Flos Magnoliae)
Bai Zhi (Radix Angelicae Dahuricae)
Chuan Xiong (Rhizoma Chuanxiong)
Shi Gao (Gypsum Fibrosum)
Sang Bai Pi (Cortex Mori)
Bo He (Herba Menthae)
Side Effects of Radiation: Throat and Neck
Radiation exposure to the throat and neck frequently leads to increased blood flow and swelling in the oral mucosa, ulcers, edema, discomfort in the throat, painful and swollen gums, along with sensations of thirst and diminished appetite. Use herbs that clear heat and nourish yin.
Chief Herbs:
Tian Hua Fen (Radix Trichosanthis)
Shi Hu (Caulis Dendrobii)
Mai Dong (Radix Ophiopogonis)
Sha Shen (Radix Glehniae seu Adenophorae)
Lu Gen (Rhizoma Phragmitis)
Wu Mei (Fructus Mume)
Gan Cao (Radix et Rhizoma Glycyrrhizae)
Side Effects of Radiation: Esophagus
Frequent adverse effects encompass esophagitis, challenges in swallowing, discomfort in the ribs or breastbone, occasionally extending to the back or shoulder blade. This is often accompanied by a tongue appearing crimson with a yellowish coating and a quick, slippery pulse. It is crucial to alleviate heat, purify, enhance blood circulation, dispel phlegm, and harmonize qi.
Chief Herbs:
Pu Gong Ying (Herba Taraxaci)
San Qi (Radix et Rhizoma Notoginseng)
Zhi Qiao (Fructus Aurantii)
Xuan Fu Hua (Flos Inulae)
Huang Qin (Radix Scutellariae)
Zi Su Geng (Caulis Perillae)
Xian He Cao (Herba Agrimoniae)
Ban Zhi Lian (Herba Scutellariae Barbatae)
Side Effects of Radiation: Chest and Lung
Pneumonia and fibrosis frequently occur as side effects of lung radiation. Key concerns involve chest congestion, difficulty in breathing, and a dry cough with minimal sputum. Secondary infections are prevalent, presenting symptoms such as fever, a productive cough with yellowish sputum, and breathing difficulties. Radiation can significantly damage Lung yin. It's imperative to restore and hydrate the lungs using yin tonics, and incorporating blood-moving agents is crucial to minimize the risk of fibrosis development in the lungs.
Chief Herbs:
Tian Hua Fen (Radix Trichosanthis)
Xuan Shen (Radix Scrophulariae)
Sha Shen (Radix Glehniae seu Adenophorae)
Mai Dong (Radix Ophiopogonis)
Ku Xing Ren (Semen Armeniacae Amarum)
Chen Pi (Pericarpium Citri Reticulatae)
Qian Hu (Radix Peucedani)
Mu Dan Pi (Cortex Moutan)
Ji Nei Jin (Endothelium Corneum Gigeriae Galli)
Nu Zhen Zi (Fructus Ligustri Lucidi)
Bai Bu (Radix Stemonae)
Shi Gao (Gypsum Fibrosum)
Side Effects of Radiation: Upper Abdomen
In addressing the adverse effects of radiation on the upper abdomen, a precise differential diagnosis is essential. For individuals exhibiting reduced appetite and a fondness for warm beverages due to Spleen and Stomach deficiency and coldness, a fundamental formula to consider is Xiang Sha Liu Jun Zi Tang (Six-Gentlemen Decoction with Aucklandia and Amomum) with Chuan Lian Zi (Fructus Toosendan), Yan Hu Suo (Rhizoma Corydalis), Ji Nei Jin (Endothelium Corneum Gigeriae Galli) as they can be valuable for countering abdominal bloating, chest discomfort, and pain in the hypochondriac area.
In cases where Stomach heat results in acid reflux and a bitter taste in the mouth, incorporating Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shaving Decoction) as the foundational formula is recommended to alleviate heat, boost qi, counteract Stomach qi, and mitigate vomiting. If the patient experiences clear and watery vomiting with alleviated Stomach pain upon warmth, indicative of Spleen and Stomach deficiency cold, the suitable formula is Xuan Fu Dai Zhe Shi Tang (Inula and Hematite Decoction).
Chief Herbs:
Xiang Sha Liu Jun Zi Tang (Six-Gentlemen Decoction with Aucklandia and Amomum)
- For hypochondraic distention or pain, rib pain or chest pain, add Chuan Lian Zi (Fructus Toosendan), Yan Hu Suo (Rhizoma Corydalis), Bai Shao (Radix Paeoniae Alba).
- For Stomach heat with acid reflux and bitter taste in the mouth: add Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shaving Decoction)
- For vomiting of clear fluids and stomach pain that lessens with warmth, add Xuan Fu Dai Zhe Shi Tang (Inula and Hematite Decoction)
Side Effects of Radiation: Colorectal
Colorectal cancer treatment focuses on stopping bleeding from toxic heat damaging yin. The principal aftermath of radiation often involves abdominal discomfort, diarrhea, or bloody stools. The diagnosis typically points to toxic heat affecting the yin and damp heat in the lower abdomen. To address this, it's important to eliminate heat, expel dampness, cool the blood, and halt bleeding. Additionally, incorporating herbs that secure the intestines and alleviate diarrhea is beneficial.
Chief Herbs:
Da Huang Mu Dan Tang (Rhubarb and Moutan Decoction)
Bai Tou Weng Tang (Pulsatilla Decoction)
Di Yu (Radix Sanguisorbae)
Huai Hua (Flos Sophorae)
Bai Tou Weng (Radix Pulsatillae)
Xian He Cao (Herba Agrimoniae)
Ma Chi Xian (Herba Portulacae)
Mu Dan Pi (Cortex Moutan)
Chun Pi (Cortex Ailanthi)
Wu Mei (Fructus Mume)
Qin Pi (Cortex Fraxini)
Ji Nei Jin (Endothelium Corneum Gigeriae Galli)
Wu Wei Zi (Fructus Schisandrae Chinensis)
Side Effects of Radiation: Cervix, Prostate
Adverse effects encompass inflammation of the urinary tract, often progressing to infection. The diagnosis usually involves toxic heat affecting the yin and concurrent damp heat in the bladder. Employing herbs with heat-clearing and detoxifying properties that address lin zheng (dysuria syndrome), encourage urination, cool the blood, and halt bleeding is recommended.
Chief Herbs:
Da Xiao Ji (Herba Cirsii Japonici)
Huang Qi (Astragalus Membranaceus)
Bai Mao Gen (Rhizoma Imperatae)
Mu Tong (Caulis Akebiae)
Xian He Cao (Herba Agrimoniae)
Mo Han Lian (Herba Ecliptae)
Qu Mai (Herba Dianthi)
Bian Xu (Herba Polygoni Avicularis)
Ya Zhi Cao (Herba Commelinae)
Side Effects of Radiation: Skin
Skin and hair may exhibit side effects such as roughness, peeling, itching, darkening, ulcers, red spots, and swelling. These effects can occur directly or indirectly. In cases of skin membrane damage, employing yin and blood tonics or external herbs can be beneficial to relieve dermatitis from chemotherapy toxicity.
Chief Herbs:
Dang Gui (Radix Angelicae Sinensis)
Shou Wu (Radix Polygoni Multiflori)
Mu Dan Pi (Cortex Moutan)
Chi Shao (Radix Paeoniae Rubra)
Shu Di Huang (Radix Rehmanniae Praeparata)
Tian Hua Fen (Radix Trichosanthis)
Mai Dong (Radix Ophiopogonis)
Di Fu Zi (Fructus Kochiae)
Bai Xian Pi (Cortex Dictamni)
Ku Shen (Radix Sophorae Flavescentis)
Jin Yin Hua (Flos Lonicerae Japonicae)
E Jiao (Colla Corii Asini)
Gan Cao (Radix et Rhizoma Glycyrrhizae)
5. CHEMOTHERAPY
Herbs to Decrease Specific Chemotherapy Side-Effects
Chemotherapy is effective at directly inhibiting or destroying cancer cells, but it lacks the ability to distinguish between cancerous and healthy cells. As a result, it can lead to adverse effects on various bodily systems, including the immune system, digestive system, and neurological system. Additionally, it may disrupt the production of healthy blood cells, and these toxic side effects can sometimes have enduring consequences. Utilizing the concept of restoring balance, Chinese herbs can increase the treatment effects and reduce the toxic side effects of chemotherapy.
Side Effects of Chemotherapy: General Symptoms
Dizziness, fatigue, poor appetite, insomnia, dry mouth, irregular bowel movement, urinary difficulties
Chief Herbs:
Shi Quan Da Bu Tang (All-Inclusive Great Tonifying Decoction)
Xiang Sha Liu Jun Zi Tang (Six-Gentlemen Decoction with Aucklandia and Amomum)
Gui Pi Tang (Restore the Spleen Decoction)
Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia)
Side Effects of Chemotherapy: GI Symptoms
Chemotherapy medications can trigger reactions in the intestinal wall and impact the central nervous system, leading to a range of digestive symptoms, including reduced appetite, queasiness, emesis, dry mouth, stomach discomfort, diarrhea, and more.
Chief Herbs:
Xuan Fu Dai Zhe Shi Tang (Inula and Hematite Decoction)
Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction)
Er Chen Tang (Two-Cured Decoction)
Si Jun Zi Tang (Four-Gentlemen Decoction)
Shen Ling Bai Zhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder)
Ding Xiang Shi Di Tang (Clove and Persimmon Calyx Decoction)
Jian Pi Wan (Strengthen the Spleen Pill)
Chen Pi (Pericarpium Citri Reticulatae)
Fu Ling (Poria)
Xuan Fu Hua (Flos Inulae)
Zhe Shi (Haematitum)
Ban Xia (Rhizoma Pinelliae)
Sha Ren (Fructus Amomi)
Ji Nei Jin (Endothelium Corneum Gigeriae Galli)
Ji Nei Jin (Endothelium Corneum Gigeriae Galli)
Mai Ya (Fructus Hordei Germinatus)
Zhu Ru (Caulis Bambusae)
For abdominal pain, add Yan Hu Suo (Rhizoma Corydalis), Bai Shao (Radix Paeoniae Alba)
For diarrhea, add Shan Yao (Rhizoma Dioscoreae), Er Cha (Catechu), Qian Shi (Semen Euryales), Rou Dou Kou (Semen Myristicae)
Side Effects of Chemotherapy: Bone Marrow Suppression
A significant effect of many chemotherapy agents is the inhibition of bone marrow, resulting in a decrease in white blood cells (WBC), red blood cells (RBC), and platelets. Myelosuppression is a notable concern that can be addressed with herbal treatments. Chinese herbs are capable of safeguarding the bone marrow and facilitating the restoration of regular blood production functions. Typically, patients experience deficiency in both qi and blood, necessitating tonification for both.
Chief Herbs: For Decreased RBC, Tonify Qi and Blood
Huang Qi (Radix Astragali)
Dang Shen (Radix Codonopsis)
Dang Gui (Radix Angelicae Sinensis)
Shu Di Huang (Radix Rehmanniae Praeparata)
E Jiao (Colla Corii Asini)
Lu Jiao Jiao (Colla Cornus Cervi)
Ji Xue Teng (Caulis Spatholobi)
Shou Wu (Radix Polygoni Multiflori)
Chief Herbs: For Decreased WBC, Tonify Qi, Strengthen Spleen, Liver, and Kidney
Huang Qi (Radix Astragali)
Sha Shen (Radix Glehniae seu Adenophorae)
Huang Jing (Rhizoma Polygonati)
Nu Zhen Zi (Fructus Ligustri Lucidi)
Gou Qi Zi (Fructus Lycii)
Tu Si Zi (Semen Cuscutae)
Ji Xue Teng (Caulis Spatholobi)
Dang Gui (Radix Angelicae Sinensis)
Wu Zhu Yu (Fructus Euodiae)
Bu Gu Zhi (Fructus Psoraleae)
Yin Yang Huo (Folium Epimedii)
Chief Herbs: For Low Platelets, Tonify and Cool Blood, Stop Bleeding
Huang Qi (Astragalus Membranaceus)
Nu Zhen Zi (Fructus Ligustri Lucidi)
Wu Zhu Yu (Fructus Euodiae)
Huang Qi (Radix Astragali)
Gui Ban Jiao (Colla Plastrum Testudinis)
Gui Ban Jiao (Colla Plastrum Testudinis)
Ji Xue Teng (Caulis Spatholobi)
Side Effects of Chemotherapy: Liver Damage
Large doses or prolonged use of some chemotherapy drugs may cause damage to liver function, leading to toxic hepatitis, fibrosis, fatty liver, etc. Patients will exhibit hypochondriac discomfort, pain, hepatomegaly, jaundice, etc. Incorporate herbs to alleviate heat, eliminate dampness, harmonize Liver qi, prevent metastasis and support the Gallbladder.
Chief Herbs:
Yin Chen Hao Tang (Artemisia Scoparia Decoction)
Long Dan Xie Gan Tang (Gentiana Decoction to Drain the Liver)
Da Chai Hu Tang (Major Bupleurum Decoction)
Si Wu Tang (Four-Substance Decoction)
Yin Chen (Herba Artemisiae Scopariae seu Capillaris)
Zhi Zi (Gardenia jasminoides)
Long Dan (Radix et Rhizoma Gentianae)
Qing Ye (Folium Isatidis)
Chai Hu (Radix Bupleuri)
Yu Jin (Radix Curcumae)
Mu Dan Pi (Cortex Moutan)
Side Effects of Chemotherapy: Hair Loss
Typically, hair regrowth occurs within 1-3 months following the completion of chemotherapy. To mitigate hair loss and stimulate hair regrowth, it's beneficial to enrich the blood, nourish yin, maintain a cool blood condition, and facilitate blood circulation.
Chief Herbs:
Mu Dan Pi (Cortex Moutan)
Huang Qi (Astragalus Membranaceus)
Chi Shao (Radix Paeoniae Rubra)
Nu Zhen Zi (Fructus Ligustri Lucidi)
Dang Gui (Radix Angelicae Sinensis)
Ji Xue Teng (Caulis Spatholobi)
Zhi He Shou Wu (Radix Polygoni Multiflori Praeparata)
Side Effects of Chemotherapy: Urinary
Primary harmful effects affecting the urinary system encompass frequent urination, urgency, pain, and occasionally hematuria. Chinese herbs are highly effective in encouraging urination, eliminating dampness, alleviating toxicity, maintaining a cool blood condition, and halting bleeding.
Chief Herbs:
Che Qian Cao (Herba Plantaginis)
Che Qian Zi (Semen Plantaginis)
Zhu Ling (Polyporus)
Hua Shi (Talcum)
Ze Xie (Rhizoma Alismatis)
Fen Bi Xie (Rhizoma Dioscoreae Hypoglaucae)
Wu Yao (Radix Linderae)
Bai Mao Gen (Rhizoma Imperatae)
Da Xiao Ji (Herba Cirsii Japonici)
Yi Zhi (Fructus Alpiniae Oxyphyllae)
Ya Zhi Cao (Herba Commelinae)
Side Effects of Chemotherapy: Neurological
Neurological side effects are treated by nourishing jing, marrow and Kidney qi. Specific substances can induce peripheral neuropathy and autonomic dysfunction, resulting in toe numbness, reduced response in the Achilles tendon reflex test, muscle weakness, constipation, and intestinal spasms. Chinese herbs offer effective remedies for addressing these neurological side effects, falling into various categories. These herbs are known for dispelling wind, invigorating blood, opening channels and collaterals, reviving, calming the shen, and promoting the smooth flow of Liver qi.
Chief Herbs:
Xiao Huo Luo Dan (Minor Invigorate the Collaterals Special Pill)
Ji Xue Teng (Caulis Spatholobi)
Shou Wu Teng (Caulis Polygoni Multiflori)
Bu Gu Zhi (Fructus Psoraleae)
Tu Si Zi (Semen Cuscutae)
Ba Ji Tian (Radix Morindae Officinalis)
Rou Cong Rong (Herba Cistanches)
Gu Sui Bu (Rhizoma Drynariae)
Huang Qi (Astragalus Membranaceus)
Shu Di Huang (Radix Rehmanniae Praeparata)
Dan Shen (Radix et Rhizoma Salviae Miltiorrhizae)
Chuan Xiong (Rhizoma Chuanxiong)
Xu Duan (Radix Dipsaci)
Huang Qi (Radix Astragali)
Dang Shen (Radix Codonopsis)
Zhi Qiao (Fructus Aurantii)
Hou Po (Cortex Magnoliae Officinalis)
6. Conclusion: Integrating TCM and Western Medicine
- Improving quality of life first, not simply prolonging life span. This provides a foundation to withstand treatments.
- Enhancing the immune system's natural ability to inhibit cancer cell growth and kill cancer cells.
- Employing natural herbal remedies and acupuncture to strengthen bodily balance and organ function.
- Understanding each patient's unique circumstances to ensure adherence to TCM guidance. Use acupuncture and herbs before and after mainstream treatment to enhance effects and reduce side effects.
- Herbal formulas are tailored to each patient's constitution and pattern differentiation. Experienced herbalists combine therapy based on the individual's needs.
- Herbs should be used before and after surgery to strengthen the body.
- Herbs should be used to reduce the toxic side effects of radiation and chemotherapy.
- Key herbs nourish qi and blood, clear heat and toxicity, resolve phlegm, move blood, tonify yin, and consolidate effects. Formulas should harmonize the core organs affected.
- Guiding the medicines and reducing toxicity promotes proper metabolism. Herbs aid the body in processing medications and preventing side effect accumulation.
- An open, flexible approach is warranted. Apply whatever therapy is clinically indicated regardless of previous fear or bias. Monitor closely and adjust dosing as needed.
- Counsel patients on diet and lifestyle factors that support recovery. Stress management, moderate exercise, and a whole foods diet boost immunity.
- Each cancer has unique factors that require specialized therapy under a skilled herbalist. Integrative oncology combines evidenced-based conventional care with herbs individualized to the patient for optimal healing.
In summary, TCM excels at regulating bodily function and strength to improve quality of life for cancer patients. Multimodal TCM care aims to restore immune balance and normalize metabolism to inhibit cancer growth. When integrated properly with Western treatments, TCM enables patients to better tolerate conventional therapies while speeding recovery. Combining holistic TCM support with Western medicine's strengths provides optimal benefit.
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