Traditional Chinese medicine treatment of this disease should be based on the specific guidance of TCM syndrome differentiation theory to identify deficiency, excess and evil. From the theoretical point of view of combining the whole and local parts, anti-cancer treatment and strengthening the root cause should be combined. Syndrome differentiation treatment Combined with disease diagnosis and treatment. Traditional Chinese medicine believes that the etiology and pathogenesis of lung cancer are internal deficiency of healthy qi, accumulation of phlegm and toxins, and imbalance of yin and yang in the internal organs. There are 5 to 6 specific syndrome differentiation types, but after careful study, the root cause is "qi deficiency." Internal deficiency of healthy qi should be regarded as qi deficiency, which needs no explanation; phlegm coagulation and poison accumulation are caused by retention of water and dampness, insufficient qi and poor transportation and transformation; imbalance of yin and yang in the organs and reduced organ function are also manifestations of qi deficiency. The lungs are delicate organs, the canopy of the five internal organs, and Yang is often insufficient, so "Qi deficiency" should be dominated by "Yang deficiency". Looking at the opinions of doctors, few define "yang deficiency" as the fundamental pathogenesis of lung cancer. The author consulted the opinions of some scholars (attached below) and based on practical observation and application, confirmed that the pathogenesis was correct, and used this to guide clinical treatment, and achieved good results. In clinical practice, it has been observed that the vast majority of patients with lung cancer, especially those in the early, middle and late stages, have a fat tongue, thin and white coating, and other symptoms of Yang Qi deficiency such as pale complexion, fatigue, fatigue, etc. Either obviously or not obviously. It improved after being treated with Yang-warming and strengthening drugs, but after stopping for a period of time (about 1 month), it basically returned to its original state, and was improved again with Yang-warming drugs. Therefore, based on the pathogenesis analysis of traditional Chinese medicine and medical practice, the author proves that the fundamental pathogenesis of lung cancer is "Yang Qi deficiency", so the method of warming Yang and replenishing Qi should be used throughout the treatment of lung cancer. The basic prescription (the main prescription for lung cancer) is: 10g ginseng (or American ginseng), 30g astragalus, 15g Ophiopogon japonicus, 9g Schisandra chinensis, 20g cassia twig, 30~60g Pao Fuzi (fried first), 15g Cuscuta chinensis, 15g Ligustrum lucidum, 3g of deer antler, 15g of fairy spleen, and 15g of adenophora. (1) Syndrome differentiation and treatment 1. Syndrome of spleen deficiency and phlegm-dampness type: cough with excessive phlegm, chest tightness and anorexia, fatigue, pale complexion, loose stools, pale and fat tongue, white and greasy coating, slow or slippery pulse . Treatment method: invigorate the spleen and remove dampness, warm yang and replenish qi, resolve phlegm and disperse stagnation. Prescription: Main prescription for lung cancer, add spleen-strengthening and dampness-reducing herbs, such as Atractylodes 15g, Poria 15g, Pinellia 10g, tangerine peel 10g, Coix seed 15g, oyster 30g, Fritillaria 15g, etc. 2. Syndrome of deficiency of both Qi and Yin: cough, no phlegm or little phlegm or frothy phlegm, or yellow phlegm that is difficult to cough, blood in the phlegm, chest pain and shortness of breath, upset and insomnia, dry mouth and constipation, red tongue, peeling or peeling coating The skin is peeled off without moss, and the pulse is thready and rapid. Treatment method: Replenishing qi and nourishing yin, warming yang and clearing the lungs. Prescription: The main prescription for lung cancer is to add qi-tonifying and yin-replenishing medicine, such as Adenophora 30g, Ophiopogon japonicus 15g, Hedyotis diffusa 30g, Morus alba 15g, Rehmannia glutinosa 15g, Prunella vulgaris 30g, etc. If there is blood in the sputum, add 15g of agrimony, 15g of thistle charcoal, 10g of donkey-hide gelatin (yanghua) and other medicines. 3. Qi stagnation and blood stasis type Syndrome: cough, bloody phlegm, shortness of breath, fullness or tingling in the chest and flanks, dry stool, petechiae or purple spots on the tongue, thin yellow coating, stringy or astringent pulse. Treatment method: warming yang and promoting qi, removing blood stasis and dispersing stagnation. Prescriptions: The main prescription for lung cancer is to add blood-activating and blood-stasis-removing drugs, such as Angelica sinensis 15g, Rehmannia glutinosa 15g, peach kernel 10g, Salvia miltiorrhiza 15g, red peony root 15g, Citrus aurantium 10g, Curcuma longum 10g, toodandan 10g, etc. 4. Severe heat and toxin type Syndrome: high fever, shortness of breath, cough, thick yellow or bloody phlegm, chest pain and bitter mouth, thirsty to drink, constipation, short red urine, red tongue, yellow and dry coating, large and rapid pulse. Treatment method: clear away heat and release fire, detoxify and disperse swelling. Recipe: Baihu Chengqi Decoction (modified and subtracted). Medicinal uses: 30g of gypsum, 10g of Anemarrhena, 10g of rhubarb, 10g of coptis, 30g of Houttuynia cordata, 15g of dandelion, 15g of Agrimony, 10g of Trichosanthes trichosanthes, 10g of Scutellaria baicalensis. This type is a special type of lung cancer. It is mostly accompanied by signs of excessive heat caused by pulmonary infection. It is a standard sign and the actual condition is still "yang deficiency". Following the principle of "treating the symptoms when it is urgent", treatment should be to clear away heat and relieve fire, detoxify and disperse swelling, and when necessary, be combined with intravenous medication. After the condition improves, the main prescription for cancer is given to warm yang and replenish qi, which can be modified or subtracted according to the syndrome. 5. Syndrome of deficiency of both Qi and blood: dull complexion, dizziness and tired limbs, mental fatigue and laziness, spontaneous sweating when moving, shortness of breath, palpitations, loss of appetite, leukopenia, pale tongue, fat tongue body, and less coating. Thready pulse. Treatment method: Replenishing qi and raising blood, warming yang and nourishing yin. Prescription: The main prescription for lung cancer is to add Qi and blood nourishing medicine, such as Angelica sinensis 9g, Psoralen 15g, Fried Atractylodes 12g, Antler slices 12g, Rehmannia glutinosa 20g, Amomum villosum 30g, Ziheche 12g, Lycium barbarum 15g, chicken blood 20g rattan, 10g donkey hide gelatin (yangchong). The symptoms of lung cancer are complex and there are many comorbidities. With the different stages of disease development, the syndrome differentiation is also complicated. Traditional Chinese medicine should be applied throughout the treatment, so it should be grasped the specific situation and used flexibly to achieve appropriate treatment. In order to make it easier to master the medication, you can refer to the following commonly used medications to choose additions and subtractions. Cough with sticky phlegm: Trichosanthes trichosanthes, Platycodon grandiflorum, almond, Pediculus chinensis, aster, Tinglizi, etc. Phlegm and blood: Jiejie, Imperata rhizome, Agrimony, Eclipta, Bacteria, Panax notoginseng, etc. Difficult to spit out excessive phlegm: sea clam powder, saponaria thorn. Spontaneous sweating due to qi deficiency: ginseng, cordyceps, schisandra chinensis, floating wheat, raw astragalus, calcined keel, calcined oysters, etc. Dry mouth and tongue: Trichosanthes, Radix Rehmanniae, Scrophulariaceae, Anemarrhena, Adenophora, etc. Chest and back pain: Yuanhu, Panax notoginseng, Frankincense, Myrrh, Aconitum, Yunnan Baiyao. Pleural effusion: Tinglizi, Plantago, pig's root, genkwa, etc. Dispersing soft and hard knots: Prunella vulgaris, Fritillaria, oysters, pangolins, leeches, silkworms, mangosteen, etc.

Anti-cancer and anti-tumor: Hedyotis diffusa, Solanum nigrum, Scutellaria baicalensis, Snakeberry, Scutellaria barbata, Phyllostachys sinensis, Dandelion, Frontendax, Houttuynia cordata, Prunella vulgaris, Scutellaria baicalensis, South Star, Pinellia ternata, Cantharis, Toad, Cordyceps sinensis, Shou Gong, Lithospermum sinensis, Shi Jian Chuan, Huang Yaozi, etc. (2) Unilateral prescription 1. Bianca javanica emulsion injection, 30~80ml, 500ml 5% glucose saline, intravenous drip, 20~30 days is a course of treatment, with an interval of 10 days before the next course of treatment. 2. Pork root extract, 40 mg daily, intramuscular injection, combined with chemotherapy. Suitable for all types of lung cancer. 3. 30g of fresh nightshade, once a day, decoction in water, suitable for patients with lung cancer and pleural effusion. 4． Lung squamous cell carcinoma: 30g of Lithospermum root, 30g of Conch, 15g of Beanroot, 15g of Caoheche, 15g of Prunella vulgaris, 15g of seaweed, 20g of Fritillaria and 10g of Pediculus. Decoction in water, 1 dose per day. 5. Recipe for lung adenocarcinoma: 30g Shuyangquan, 30g nightshade, 30g sarsaparilla, 30g mountain conch, 30g raw Yiren, 30g raw oyster, 15g snakeberry, 15g Prunella vulgaris, 15g Shanzi mushroom, 10g Zhejiang Fritillaria. Decoction in water, 1 dose per day. 6. Recipe for undifferentiated lung cancer: 30g Xu Changqing, 30g Scutellaria barbata, 30g Hedyotis diffusa, 30g Solanum nigrum, 30g Smilax 30g, 30g Agrimony, 30g Diopterin, 15g Flea, 15g Wild Chrysanthemum, 10g Pediculus 10g, Platycodon 10g . Decoction in water, 1 dose per day. 7. Xiaojin Powder: 30g each of Crimson Snake Powder, Aroid Star, Baiji, Fenghuang Yi, Guangdong Chenpi, Whole Trichosanthes Trichosanthes, 60g Adenophora ginseng, 15g American ginseng, 45g fried turtle shell, 20g each milk powder, and 12g cinnabar. ***Grind into fine powder, take 1g each time, three times a day, and drink as a drink. It is suitable for patients with lung cancer due to yin deficiency, blood stasis and phlegm accumulation. (3) Famous doctor’s experience Mr. Li Peiwen from China-Japan Friendship Hospital believes that there are many TCM syndrome differentiations for lung cancer. Those complicated by massive hemoptysis, infection, DIC, and respiratory acidosis are often related to lung yin deficiency. As the disease progresses to the advanced stage, lung yin deficiency appears. And the more. Therefore, prevention and treatment of yin deficiency syndrome are of great significance. Lung cancer has many similar symptoms to diseases such as "breathing" and "cough" in traditional Chinese medicine, but "pulmonary fistula" in traditional Chinese medicine has many similarities with advanced lung cancer. The occurrence of "pulmonary fistula" due to deficiency of heat is often a serious risk factor. disease. Deficiency of lung qi, insufficient body fluid, and lack of moisturizing and nourishing will lead to "withered lung leaves". There are many reasons for lung yin deficiency, such as ① The patient has always had lung and kidney yin deficiency, and the symptoms of yin deficiency worsened after suffering from lung cancer; ② During the surgical resection of lung cancer, the body fluid was lost too much and was not replenished in time after the operation; ③ Radiotherapy "Heat poison damages yin"; ④ During the treatment of malignant effusion, a large amount of diuretics are given, causing body fluid loss or hypokalemia; ⑤ Bleomycin, pingyangmycin, high-dose cyclophosphamide chemotherapy or combination with The superposition of radiotherapy toxicity causes pulmonary fibrosis, etc. To prevent and treat the occurrence of lung yin deficiency, the basic prescriptions are: Baihe Gujin Decoction and Qingzao Jiufei Decoction: ginseng, asparagus, rehmannia root, scrophulariaceae, lily, and white peony root. , almonds, platycodon, fritillary, mulberry leaves, loquat leaves, Houttuynia cordata, Scutellaria barbata. This recipe nourishes yin and replenishes qi, relieves cough and relieves phlegm. Modern research has the effect of improving immune function, inhibiting tumors and relieving cough. In addition to being good for qi, clearing the heart, moistening the lungs and relieving cough, the main ingredient contains colchicine, which can inhibit the mitosis of tumor cells. The carotene and vitamin C contained in lily are also related to inhibiting tumors. Modern research has confirmed that this medicine can enhance monocytes. Immune function and anti-aging. Asparagus can nourish yin, promote fluid production, relieve cough and stop bleeding, and its tumor inhibition rate in vitro can reach 44%. Some people's compound Asparagus has a significant inhibitory effect on animal lung squamous cell carcinoma and adenocarcinoma, and can reduce lung metastases. Reduce lymphocyte transformation and increase NK cell activity. Loquat leaves, Houttuynia cordata, Scutellaria barbata, and Fritillaria are also important medicines for the lung meridian, which together with other medicines have the functions of relieving cough, moistening the lungs, stopping bleeding, and clearing away heat. Obvious clinical effects are often obtained. (4) Acupuncture therapy 1. Acupuncture the main points of Fengmen, Feishu, Xinshu, Tianquan, Gaoming, Zhongfu, Chize, abdominal and Tongcan tender points. Select the ear points of Lieqi, Neiguan, Zusanli, upper lung, lower lung, heart, large intestine, adrenal gland, endocrine, nose, pharynx, chest, etc., and apply it once a day, leaving 20 to 30 needles each time. Minutes. Suitable for patients with various stages of lung cancer. Acupuncture and decoction can be used at the same time. 2. Acupuncture and acupoint injection at Baihui, Neiguan, chest area, Fengmen, Feishu, Dingchuan and Fenglongtu. Inject 14 to 16 ml of 20% to 50% Ziheche injection into Zusanli and Dazhui points respectively. Once a day or every other day, one course of treatment is for 15 consecutive days, with a rest of 3 to 5 days before starting the next course of treatment. Suitable for patients with pain caused by advanced malignant tumors such as lung cancer. 1. Cancer pain powder: 20g each of kaempferol, frankincense, myrrh, turmeric, rhizome, angelica, and skullcap, cumin, clove, red peony root, and costus. 15g each of Phellodendron, Cortex Phellodendri, and 20g Castor Seed. Mix the medicine into fine powder and mix it with egg white for external application on Rugen point. It is suitable for patients with lung cancer pain. It is composed of more than 20 kinds of Chinese medicines such as pungent, raw Sichuan Wu, Aesculus aesculata, safflower, and Chinese medicine. It is processed into a traditional Chinese medicine plaster with rubber zinc oxide as the base. Before use, wash and dry the skin, and then apply the plaster. In the painful area, change the dressing every 24 hours. It is suitable for patients with lung cancer pain. 3. Take the same amount of camphor, asafoetida, clove, kaempferol, garcinia cambogia, and grind it into powder, seal it and set aside. . When using, sprinkle the medicine on the adhesive tape in order, apply it to the patient's lung cancer pain area, and then apply the ointment on the ointment with a hot towel at about 60℃ for 30 minutes.

Apply hot compress 3 times a day and change the dressing once every 5 to 7 days. (6) Diet therapy 1. Diet after surgery: Lung qi is severely damaged after surgery, so it is advisable to focus on replenishing qi and nourishing blood. Choose almond milk, yam powder, fresh cabbage, white radish, winter melon peel, winter melon seeds, sorbus, lotus root and other foods. 2. Diet during radiotherapy: Lung yin is severely damaged during chemotherapy, so it is advisable to nourish yin and nourish blood. Choose fresh vegetables and fruits, such as spinach, almonds, walnuts, loquats, and wolfberry fruits. 3. Diet during chemotherapy: Qi and blood are damaged during chemotherapy, so it is advisable to supplement Qi and blood. The diet includes soft-shelled turtles, turtles, fresh carp, white fungus, mushrooms, bird's nest, sunflower, sorbus, ginkgo, etc. (7) Modern research on the pathogenesis of lung cancer due to yang deficiency 1. Diagnostic research on lung cancer It is more common to diagnose lung cancer based on tongue signs, meridians and acupoints. Shi Bianzhen et al., through a large number of clinical tongue diagnosis observation studies, proved that lung cancer often manifests as dark purple tongue, fat and enlarged tongue body, cracks on the surface, tooth marks on the edges, swollen and curved large meridians under the tongue, and thick and greasy tongue coating. . Professor Shao Mengyang observed the curative effect of 30 cases and found that those with better curative effects had more obvious changes in tongue appearance. Therefore, he proposed that tongue appearance is not only of great value in the early diagnosis of this disease, but also in the evaluation of the efficacy and prognosis of this disease. It has reference significance. The author has also observed in clinical practice that patients with lung cancer have a pale tongue with white and greasy coating in the early stage, and in the middle and late stages, the tongue is purplish and dark, the tongue is fat and enlarged, with tooth marks on the edges, the large sublingual meridians are swollen and curved④, and the coating is thick. The patient's nose often turns purple, which is a symptom of qi stagnation and blood stasis in cancer patients. After treatment of warming yang and replenishing qi, activating blood circulation and removing blood stasis, the symptoms can be improved and the condition can be controlled. Otherwise, the condition will worsen. 2. Professor Liu Jiaxiang from Shanghai believes that the formation of lung cancer is mainly due to the deficiency of righteousness and the imbalance of yin and yang. The evils of the six evils can take advantage of the deficiency and enter. The evils are stagnated in the lungs and lose their function. As a result, the lung qi is blocked, qi stagnation and blood stasis. , the body fluid is not distributed, and it gathers to form phlegm. The phlegm and blood stasis combine with each other, and form accumulation over time. It can be seen that lung cancer is caused by deficiency, and it is caused by deficiency. Deficiency is the root of the disease, and reality is the symptom of the disease. Traditional Chinese medicine has always advocated "Treatment must seek its root", not to mention the deficiency of righteousness in advanced lung cancer is particularly obvious. Therefore, the treatment of advanced lung cancer should be based on the principle of strengthening the body and eliminating evil as a supplement. Through comparative observation and research , it is concluded that the effects of nourishing yin, promoting fluid, and replenishing temperature and yang in the treatment of advanced lung cancer are: ① prolonging the patient's survival; ② relieving and stabilizing the lesions; ③ improving the patient's quality of life; ④ improving the body's immune function. Comparative observations also show that this therapy is effective. A method with good curative effect in the treatment of advanced primary lung adenocarcinoma. 3. Professor Yu Quanyu believes that the pathogenesis of lung cancer is mostly unified under the principle of righteousness and deficiency and evil. Opinions vary. There are many cases of qi and yin deficiency, but there are no reports on yang deficiency. Yu's clinical research on treating primary bronchial lung cancer has achieved certain results. Yang deficiency is the key to correcting the disease, and it is directly related to the occurrence and development of evil. This is because: first, among the four components of qi, blood, yin and yang, yang qi occupies a dominant position, that is, "Su Wen·Qi Tongtian Lun". ": "Yang Qi is like the sky and the sun. If it loses its place, life will be shortened and it will not flourish." Secondly, judging from the age distribution of this disease, it shows a pattern of increasing after the age of 40 and more obviously after the age of 50 to 60. Furthermore, from the perspective of the underlying pathogenic factors of the disease, since the occurrence of tumors mainly lies in the stagnation of Qi and blood, and the lungs govern Qi, regulate water channels, and transport body fluids, therefore, the underlying cause of lung cancer is not only due to blood stasis and internal knots, but also related to It is related to phlegm and turbidity. "Suwen·Tiaojing Lun" says: "Those with blood-qi like warm and abhor cold. If cold, they will weep and be unable to flow". It can be seen that Yang deficiency leads to Yin excess, and Yin excess leads to coldness, which is the main internal cause of the occurrence and aggravation of lung cancer. Therefore, the clinical application of products with strong warming power has achieved good results. The basic formula is: 120g of Fuzi, 30g of Wangbuliuxing, 30g of Astragalus, 15g of Guizhi, and 12g of Curcuma. Combined with the homemade compound Sansheng Acupuncture (composed of raw aconite, raw Chuanwu, raw Nanxing and other drugs) 5 to 10ml intramuscular injection, 2 times a day, or 10 to 20ml, added to 50% GS 40ml for intravenous injection, or 50 to 70ml plus 500ml of 10% GS for intravenous infusion, the cumulative dose reaches 800ml. For lung cancer patients, some patients may not have Yang deficiency or Yin excess, and some may even have clinical manifestations dominated by Yin deficiency. Yu believes that this is the complexity of lung cancer. He believes that yang deficiency, which is the main pathogenesis, can be manifested by aversion to cold due to insufficient warmth and coldness of the limbs. It can also be manifested by coughing up phlegm, water accumulation in the chest and hypochondrium caused by yang qi transformation, or constipation and red tongue caused by yang deficiency and yin deficiency. As manifested by less coating, there may also be secondary pathogenesis such as chest pain, purplish tongue and other heat-toxin invasion or blood loss, which may be involved. Therefore, the author's treatment is based on syndrome differentiation, that is, lung cancer is used as the basis for diagnosing yang deficiency. At the same time, through the combination of disease differentiation and syndrome differentiation, the different manifestations of yang deficiency in different lung cancer patients can be treated based on syndrome differentiation. The medicine for warming yang and dispersing cold emphasizes the supernormal, and the administration method adopts decoction and injection, and the effect is obvious. During the application process, there have been no obvious complications such as damage to yin and dryness or accelerated spread of cancer, and no complications such as heart, liver, and kidney have occurred. Functional impairment and other toxic side effects. Through relevant modern research, it has been confirmed that the fundamental pathogenesis of lung cancer "yang deficiency" is correct, and thus the main prescription for lung cancer is correct. Let people boldly innovate in practical applications, combine disease and syndrome differentiation, and provide comprehensive treatment of traditional Chinese and Western medicine to contribute to breakthroughs in the treatment of lung cancer. (8) Combination of traditional Chinese medicine with radiotherapy and chemotherapy. Both radiotherapy and chemotherapy are harmful to the human body. According to the four diagnostic methods combined with ginseng, it is believed that radiotherapy and chemotherapy belong to the category of "heat poison" and are easy to damage yin, so the treatment should nourish yin and nourish blood, clear away heat and detoxify.

1. During chemotherapy, the main purpose is to nourish and activate blood, supplemented by strengthening the spleen and stomach. Angelica sinensis 9g, red peony root 9g, chuanxiong 9g, rehmannia 9g, millipedia 15g, trichosanthes 9g, ligustrum lucidum 15g, dangshen 9g, atractylodes 9g, raw coix kernel 15g, raw astragalus 30g, 5 jujubes. 2. During radiotherapy, the main purpose is to nourish and activate blood, supplemented by nourishing yin and stomach. Angelica sinensis 9g, red peony root 9g, chuanxiong rhizome 9g, rehmannia 9g, white lentil 9g, skullcap 6g, Imperata root 15g, trichosanthes 15g, Ophiopogon japonicus 9g, tangerine peel 9g, trichosanthes 9g. 3. During the rest period between radiotherapy and chemotherapy and after the completion of radiotherapy and chemotherapy, it is advisable to use the main prescription of traditional Chinese medicine for lung cancer to treat lung cancer through syndrome differentiation.