Different types of liver cancer dialectical treatment and basic formula

Due to the complex etiology of liver cancer, different clinical manifestations can be found in different stages. The classification method can be summarized into five types: liver qi stagnation, qi stagnation and blood stasis, liver and gallbladder dampness and heat, spleen deficiency and dampness, and liver and kidney yin deficiency. Now let's learn about the dialectical treatment and basic prescriptions of liver qi stagnation and qi stagnation and blood stasis.

1. Liver Qi Stagnation

Main symptoms: fullness in the right flank, chest tightness and discomfort, aggravated by depression, thin white tongue coating, and stringy pulse.

Treatment principle: Soothe the liver and regulate qi.

Prescription: Xiaoyao powder with modifications. Bupleurum 9g, Citrus aurantium 12g, White Peony 15g, Atractylodes 15g, Angelica 15g, Chuanxiong 12g, Cyperus 12g, Green and Tangerine Peel 9g each, Curcuma 12g, Cortex Moutan 12g, Gardenia 9g.

Add or subtract: For nausea, poor appetite, and greasy tongue coating, add Patchouli, Pinellia, Lablab dahurica, and Amomum villosum; for bloating or pain in the flank, add Toosendan fruit and Corydalis yanhusuo.

2. Qi stagnation and blood stasis

Main symptoms: abdominal mass, or distension or pain, or hard texture, or irregular gathering and dispersion, pain in no fixed location, or fixed pain, or pain in a fixed location. At the same time, there may be dull face and emaciation, thin white or thin yellow tongue coating, dark purple edges of the tongue or ecchymosis, and sluggish or thin and stringy pulse.

Treatment principle: Regulate Qi and activate blood circulation, soften and disperse nodules, break up blood stasis and eliminate symptoms.

Prescription: Chaihu Shugan Powder combined with Taohong Siwu Decoction with modifications. 10g each of Bupleurum, White Peony Root, Peach Kernel, Carthamus Tinctorius, Chuanxiong, Trillium, Curcuma, 15g of August Fructus, 12g of Cyperus rotundus, 12g of Angelica sinensis, and 30g of Solanum nigrum.

Add or subtract: If the pain in the ribs is like stabbing and fixed, add 15g of red peony root, 15g of salvia miltiorrhiza, and 10g of black snake; if the bowel movement is not smooth or constipated, add 9g of raw rhubarb, 12g each of bitter orange and Magnolia officinalis; if the abdomen is bloated and the appetite is poor, add 12g of white hyacinth bean, 3g of agarwood, and 10g each of green tangerine peel.