Tongue cancer is mostly caused by fumigation of heart and spleen fire or yin deficiency fire. At the initial stage, it is mostly manifested as excessive heat, followed by excess and deficiency, and there may be a decline in healthy qi in the later stage. Traditional Chinese medicine (TCM) treats this disease with the principles of clearing away heat and purging fire, detoxifying and dispersing stagnation, or using the products of strengthening the body resistance, which can relieve pain, prolong the survival period and improve the survival rate. In addition to syndrome differentiation, traditional Chinese medicine can also use single prescription, prescription and external treatment to improve the curative effect.
(1) drug therapy
1) Fire toxin and blood stasis type.
Main symptoms: lump appears on one side of the tongue, which is difficult to reach, or accompanied by ulcer and erosion, burning sensation, sometimes salivation, bad breath, occasional restlessness, constipation, red or purple tongue, thin yellow fur and thready pulse.
Treatment: purging fire, removing blood stasis and detoxicating, reducing swelling and resolving hard mass.
Prescription 1: Daochi Powder (a direct prescription for children's medicine), Rhinoceros horn and Dihuang Decoction (a thousand prescriptions), Radix Rehmanniae 20-30g, Akebia Akebia 6-9g, Glycyrrhrizae Radix 3g, Bamboo Leaves 9g, Rhinoceros horn 3g (instead of buffalo horn 30g), Radix Rehmanniae 30g, Radix Paeoniae Alba 12g and Cortex Moutan 9g.
Under extremely hot conditions, Rhizoma Chuanxiong, Cortex Phellodendri, Scutellariae Radix, Fructus Gardeniae, Folium Bambusae, Radix Sophorae Tonkinensis and Radix et Rhizoma Rhei are added. For those who are full of poison, add anti-cancer and detoxification, such as Hedyotis diffusa, Shuyangquan, Sabina vulgaris, Vaccaria seed, Solanum nigrum, etc. Prunella vulgaris, Shā rotto Katakuri, Fritillaria cirrhosa, seaweed, etc. Stir-fried Semen Ziziphi Spinosae, Semen Platycladi, Caulis Polygoni Multiflori and Cortex Albizziae for insomnia; Nashaojia cereal malt, burnt hawthorn and fingered citron tablets; Poria cocos, Alisma orientalis and Semen Plantaginis are added into loose stool.
Analysis: Daochi Powder is a prescription for clearing heart and promoting diuresis. The heart meridian is full of heat, which leads to tongue coating and aphtha. In the prescription, rehmannia root is used to cool blood, bamboo leaves are used to clear the heart, and Akebia stem is used to reduce fire and facilitate urination; Raw licorice root tip purging fire has the effects of clearing heart, cooling blood, promoting diuresis and conducting heat. The rhinoceros horn in Rhinoceros Horn Rehmannia Decoction can clear away heat and cool blood, and can detoxify (because rhinoceros horn is rare and expensive, it is replaced by water horn every time). Self-relieving and releasing camp heat; Mudan bark can clear blood and store heat, and cool blood and remove blood stasis. The combination of the two drugs is suitable for tongue cancer of fire poison and blood stasis type.
Prescription ②: Xianfang Huoming Drink (surgical play) is modified. Pangolin 10g, Trichosanthis Radix 10g, Radix Angelicae Dahuricae 10g, Radix Paeoniae Rubra 10g, Olibanum 5g, Myrrha 5g, Gleditsia sinensis 10g, angelica tail 10g, Pericarpium Citri Tangerinae/kloc-0.
For those with excessive toxic heat and broken flowers, the weight of Loulou 15g, Scutellaria barbata 15g, and puffball 3g should be increased; Heat toxin accumulation, qi stagnation and blood stasis, unbearable pain, add scorpion 3g,10g; Hive-hive; For patients with toxic heat, yin deficiency, dry mouth, red tongue and undressing without coating, Radix Rehmanniae 15g, Radix Scrophulariae 10g and fresh Rhizoma Phragmitis 20g are added; Neck caking, add kelp 10g and laver 10g.
Analysis: Pangolin and Gleditsia sinensis in the prescription are swollen and firm; Angelica sinensis, Radix Paeoniae Rubra, Olibanum, Myrrha, promoting blood circulation to remove blood stasis, dredging collaterals and relieving pain; Shā rotto Katakuri, Trichosanthis Radix, Prunellae Spica, Radix Angelicae Dahuricae, and Pericarpium Citri Tangerinae, dispelling wind and resolving phlegm, softening and resolving hard mass; Honeysuckle, rhubarb and licorice clear away heat and toxic materials. The whole prescription has the functions of detumescence, softening hardness, promoting blood circulation and relieving pain, and clearing away heat and toxic materials. For the treatment of tongue cancer with heat toxin accumulation, long-term mass or cervical lymph node metastasis, healthy qi will not fall.
2) The heart and spleen are suppressed by fire.
Main symptoms: the tongue becomes thick or hard, such as bacteria like beans, or erosion, the drooling smells fishy, thirst and excessive drinking, less yellow urine, pale tongue with yellow fur and rapid pulse.
Treatment: clearing heart and purging spleen, detoxifying and dispersing depression.
Prescriptions: Daochi Powder (direct prescription of infantile syndrome) and Xiehuang Powder (direct prescription of infantile syndrome) are modified. 20g of Radix Rehmanniae, 0g of bamboo leaves10g, 0g of Akebia Akebia10g, 0g of gypsum15g (fried first), 0g of Pogostemon leaves15g, 0g of Gardenia10g, 6g of Coptidis Rhizoma and 6g of Sophora Tonkinensis15g.
Constipation, upset and insomnia, 2 grams of lotus seed, 20 grams of Ziziphus jujuba seed 10; Polygonum multiflorum Thunb. Flos Lonicerae 15g, Spica Prunellae 15g, and Herba Hedyotidis Diffusae 30g are added for patients with swelling, pain and fever.
Analysis: Radix Rehmanniae, Folium Bambusae, Caulis Akebiae and Glycyrrhrizae Radix in Zhong Fang are Daochi Powder, which has the functions of clearing away heart-fire and promoting diuresis, so that excess heat of heart meridian can be revealed from stool. Patchouli leaves, windbreak and evacuation means "fire depression"; Gypsum and gardenia will diarrhea the spleen and stomach to accumulate heat; Rhizoma Coptidis, Radix Sophorae Tonkinensis, Herba Taraxaci, Radix Actinidiae Cirrhosae and Trichosanthis Radix are added for clearing away heat and toxic materials, resisting cancer and resolving hard mass. The whole prescription has the functions of clearing away heart fire, purging spleen, detoxicating and dispersing depression, and is a commonly used prescription for treating tongue cancer with deficiency of both heart and spleen.
3) Deficiency of Yin due to excess heat.
Main symptoms: tongue cancer induration increases, invading muscle layer or floor of mouth complicated with infection, or oral mucosal erosion, dry mouth and throat, irritability and fever, red constipation, pale red and purple tongue and thready pulse after radiotherapy.
Treatment: clearing away heat, purging fire, removing toxic substances, dispersing stagnation and nourishing yin.
Prescriptions: Zengye Decoction in Treatise on Epidemic Febrile Diseases and Dougen Erdong Decoction in Encyclopedia of Cancer Prevention and Rehabilitation. Radix Rehmanniae 12g, Radix Scrophulariae 10g, Radix Ophiopogonis 15g, Radix Asparagi 18g, Herba Dendrobii 12g, Rhizoma Anemarrhenae 12g, Radix Sophorae Tonkinensis 12g, and Gynostemma pentaphyllum.
Analysis: Radix Sophorae Tonkinensis, Radix Scutellariae, Rhizoma Chuanxiong and Herba Scutellariae Barbatae in Zhong Fang clear away heat and purge fire, while Fructus Trichosanthis and Bulbus Fritillariae Thunbergii detoxify and dissipate stagnation; Radix Rehmanniae, Radix Scrophulariae, Radix Asparagi, Radix Ophiopogonis, Herba Dendrobii and Rhizoma Anemarrhenae nourish yin and promote fluid production; Radix Pseudostellariae, Rhizoma Dioscoreae, Atractylodis Macrocephalae and Glycyrrhrizae Radix have the effects of invigorating spleen, invigorating qi, strengthening body resistance, eliminating pathogenic factors, invigorating qi and nourishing yin, and clearing away heat and toxic materials.
4) Syndrome of deficiency of positive energy and toxic stasis.
Main symptoms: emaciation, mental fatigue, tongue bacteria as big as lotus or oral mucosa erosion, red tongue with little coating and rapid pulse.
Treatment: invigorating qi, nourishing blood and nourishing yin, removing toxic substances and removing blood stasis, and dispersing stagnation.
Main drugs: Er Shen Xianhecao Decoction (A Complete Collection of Cancer Prevention and Rehabilitation), Codonopsis pilosula 15g, Adenophora adenophora 30g, Poria 10g, Atractylodis Macrocephala 10g, Glycyrrhiza uralensis Fisch. 5g, Angelica sinensis 15g, Astragalus membranaceus 30g, Rehmannia glutinosa 20g, Agrimonia pilosa 30g, Anemarrhena/kloc.
Analysis: Codonopsis pilosula, Poria cocos, Atractylodes macrocephala, Glycyrrhiza uralensis Fisch. Angelica sinensis nourishes blood and blood; Rehmannia glutinosa nourishes yin and blood, Radix Adenophorae and Rhizoma Anemarrhenae nourishes yin and produces fluid; Astragalus membranaceus and Agrimonia pilosa are used for benefiting qi and nourishing toxin; Bamboo leaves, Sophora Tonkinensis, Paris polyphylla and Indigo Naturalis clear away heat and toxic materials.
(2) external therapy
1) Beiting Dan (Secret History of Danxi).
Medicine: 65438+ 0.5g of sal ammoniac, 0.5g of human white, 3g of moss, 3g of tile pine and 3g of green chicken arrow, and 0.3g of musk and borneol.
Usage: Puncture the tongue fungus (lesion site) with a magnetic needle and apply a little bit of Beitingdan.
2) Shuicheng ointment (medical mirror)-external prescription 1.
Drugs: Cinnabar, Bletilla striata, Ampelopsis, Galla Chinensis, Radix Curcumae, Realgar and Olibanum.
Usage: Apply the medicine, grind it into fine powder, adjust it with rice vinegar and apply it externally to the affected area.
3) External application of prescription 2.
Medicine: Sedum sarmentosum juice 12g, honey rose 30g, myrrh 6g and borneol 15g.
Usage: grind cotton gauze, stick it on the affected area, and change it frequently.
4) External application of prescription 3.
Medicine: 30g of Cortex Phellodendri, 9g of Indigo Naturalis, 3g of Cinnamomum cassia, and 0.6g of Borneolum Syntheticum.
Usage: Grind each medicine into fine powder, then grind it into fine powder, store it in a porcelain jar, and apply a little to the affected area.
5) External application prescription 4.
Drugs: Sophora Tonkinensis 10g, Borneolum Syntheticum1g.
Usage: grind the medicine into fine powder and apply it externally to the affected area.
6) Formula 5 for external application.
Medicine: Syndilol.
Usage: Grind vinegar into thick juice and apply it to the affected area.
7) External application of prescription 6.
Medicine: Golden Cream or Yuru Cream plus Mylabris powder.
Usage: Apply a little to the affected area at a time.
8) gargle prescription 1.
Drugs: Alum 3g, Tonglu 3g.
Usage: grind the medicine into fine powder, apply it to the affected area, and rinse your mouth with warm vinegar.
9) gargle recipe 2.
Medicine: Rhizoma Cimicifugae is soaked in 50% ethanol to make fluid extract, 30g of Solanum lyratum and 30g of Malva seed.
Usage: Mix the medicines and rinse your mouth with proper amount of potassium iodide and water, 3 ~ 5g each time.
10) gargle recipe 3.
Medicine: Gynostemma pentaphyllum.
Usage: decoct soup or rinse mouth with boiling water.
1 1) gargle prescription 4.
Medicine: 7 locusts (fried), 45g salt.
Usage: decoct with 1000ml water to 250ml, put it in your mouth and spit it out for a moment. Do not swallow it, 3 ~ 5 times a day.
12) external washing prescription 1.
Medicine: Radix Rhapontici150g, Veratrum nigrum150g, 95% ethanol 500ml.
Usage: soak the above two herbs in ethanol for 72 hours and then filter. Soak the medicine with cotton or soft cloth to clean the sore surface.
13) external washing formula 2.
Medicine: Eupolyphaga Seu Steleophaga10g, Mint10g.
Usage: Apply medicine and crush juice, and twist the swollen part under the tongue.
(3) Single prescription
1) stir-fried with scallops.
Medicine: Rhizoma Smilacis Glabrae 30g, Fritillaria thunbergii 30g.
Usage: daily 1 dose, decocted.
2) Stir-fry two beans.
Medicine: sword bean 60g, red bean 60g, Pinellia ternata 10g, Coptis chinensis 10g.
Usage: daily 1 dose, decocted.
3) Plum blossom tongue Dan.
Drugs: Olibanum, Myrrha, Borax, Bear Bile, Borneolum Syntheticum, Realgar, Lepidium, Sanguis Draxonis, Lignum Aquilariae Resinatum, Margarita, Calculus Bovis, Musk, Cinnabar, Bufonis Venenum preparata, Bai Meihua and Concha Haliotidis.
Usage: 0. 15g per pill, 3 pills each time, taken with white wine or boiled water, or soaked in vinegar and applied to the affected area.
4) Liushen Pill.
Drugs: Calculus Bovis, Realgar, Pearl, Musk, Borneolum Syntheticum, etc.
Usage: 0.35g per pill, each time 10 ~ 20 capsules. It melts slowly at noon. Five times a day.
5) Xiaojin Dan.
Drugs: Bai Jiao incense, Radix Aconiti Kusnezoffii, Oletum Trogopterori, Lumbricus, Semen Momordicae, Olibanum preparata, Myrrha preparata, Radix Angelicae Sinensis, Moschus, and Gu Mo charcoal.
Usage: each pill1.46g. If the lump will collapse for a long time, take 2 tablets a day. Children take 1 capsule every time, grind it into powder and take it with wine.
6) Diai Pills.
Medicine: Hedyotis diffusa, Andrographis paniculata, Polygonum cuspidatum, Xu Changqing, Impatiens balsamina, Hirudo, Xu Changqing, Asiatic Herb, Venenum Bufonis, Gecko, Scolopendra, and Trapa Trapa powder.
Usage: each time 10g, three times a day, swallowed.
7) centipede powder.
Medicine: centipede.
Medicine: Scolopendra is washed, dried and ground into powder, 2-4g each time, once a day/kloc-0, and taken with safflower wine.
8) Purple root syrup.
Keywords medicine, purple grass root,
Usage: Every 100ml syrup contains Arnebia euchroma 16g, once 10ml, three times a day.
(4) medicated diet therapy
1) composition: dried ebony 10g, and proper amount of honey.
Usage: After the ebony is decocted, add 1/3 ebony soup, 1/3 honey, 1/3 cold boiled water, and add a little lemon juice to make a drink.
2) Pharmaceutical composition: 50g bamboo leaves, pigeon eggs 10.
Usage: Put bamboo leaves into a pot and add 300ml of water, then put them into pigeon eggs and cook until cooked. Take out the pigeon eggs, break its shell, and cook it in a pot. In addition, scald some fresh bamboo leaves with boiling water, quickly take out the substrate placed at the bottom of the basin, put crane eggs on the basin with fresh bamboo leaves as the substrate, and eat pigeon eggs.
3) Pharmaceutical composition: 50 grams of Coicis Semen, 300 grams of fresh wax gourd, and a little oil and salt.
Usage: Fresh wax gourd is peeled, washed and diced for later use. Wash coix seed and put it into a clean pot, add appropriate amount of water and cook soup. After the Coix lachryma-jobi seeds are boiled and blossomed, put in wax gourd and cook, and add a little oil and salt to serve. Eat coix seed and winter melon and make soup, 1 ~ 2 times, once a day.
4) Drug composition: 1 bitter gourd, a little salt and chopped green onion.
Usage: firstly, add 1750 ~ 2000ml of water into the pot, bring to a boil, add bitter gourd and simmer until soft and cooked, turn off the fire, add a little salt and chopped green onion, and mix well to serve.
5) Medicine composition: watermelon 1/8 China fruits, ribs150g, a little salt, 2000ml of cold water.
Usage: Wash watermelon skin, peel it and cut it into dices; Wash the ribs, put them in a pot, add cold water, bring them to a boil with high fire, add diced watermelon peel, cook for 20 minutes with low fire, add a little salt and oil, and serve.
Ten medicine combinations: 60g of carrot, 60g of water chestnut, and 30g of water chestnut.
Usage: Cut carrots into pieces, add water and cook with clear water for about 5 minutes, add water and stir-fry with clear water, and leave the tea to future generations after boiling.
7) Pharmaceutical composition: Tianqi 10g, Lentinus edodes 5g, chicken 1 piece (about 250g), jujube 10, cooking wine, sesame oil, refined salt, 3 slices of ginger and onion 10.
Usage: Notoginseng Radix is sliced, mushrooms are soaked in warm water, pedicled and finely cut; After the chicken is slaughtered, the internal organs are removed and washed; Jujube is washed and pitted. Put the above food and seasoning into the chicken belly, put the chicken into a magnetic bowl and put it into a pot. After steaming in water, add oil and salt to taste.
8) Pharmaceutical composition: Radix Rehmanniae 30g, Millet 30g, Coicis Semen 30g, and proper amount of sugar.
Usage: Boil Radix Rehmanniae in 400ml water for half an hour, discard the residue of Radix Rehmanniae, filter out the liquid medicine, cook it with millet and Coicis Semen into porridge, and finally add appropriate amount of sugar to serve.