Early rectal cancer-Pulsatilla soup

Rectal cancer is seen in two diseases of "intestinal wind" and "dirty poison" in ancient books. The common symptoms of "dirty poison" and "intestinal wind" are bleeding, but the blood of dirty poison is dull, and the blood of intestinal wind is bright. In essence, ancient times cannot be diagnosed so accurately. Rectal cancer has both visceral toxicity and intestinal wind. Intestinal wind is often caused by hemorrhoids and stool bleeding caused by internal hemorrhoids. When the internal hemorrhoids are ruled out and it is diagnosed as rectal cancer, this situation is more common. With the changes in the modern dietary structure, the food is becoming more refined, or sitting for a long time and less moving, or the poison or harmful substances in the food has increased, so that the incidence of rectal cancer has gradually increased in these years, especially in large cities. For the treatment of rectal cancer, we must first look at the performance of rectal cancer, bleeding, blood in the stool, mucus in the stool, poor stool, and tenesmus.

Generally speaking, the initial stage of rectal cancer is mostly a strong body with a red tongue and thick yellow coating. It is seen in the addiction to spicy food, tobacco and alcohol, which causes the large intestine to become toxic, poor qi and blood stagnation. From this pathogenesis, it is Pulsatilla soup certificate. This is what Zhang Zhongjing said in Pulsatilla decoction, "Pulsatilla decoction is the master of Pulsatilla decoction". This also involves "heat dysentery" is "epidemic dysentery", infectious dysentery, bacillary dysentery. Of course, the Baitouweng Decoction Syndrome should contain bacillary dysentery, but it is clinically found that the initial manifestation of rectal cancer is the manifestation of the Baitouweng Decoction Syndrome. So Pulsatilla decoction with Pulsatilla, Coptis, Phellodendron, Qinpi to clear heat, remove dampness and detoxify, is the representative prescription of early rectal cancer. Of course, in such a comparison, the ancient dirty poison also means this.

In ancient times, intestinal wind and visceral toxin were considered together, and it was believed that wind evil entered the intestines and was formed by harming the large intestine veins in conjunction with damp and heat. Therefore, with the help of the ancients' experience in treating intestinal wind, they used Fangfeng and Nepeta to treat intestinal wind, and used Rehmannia glutinosa, Moutan bark, Sanguis sylvestris, and Sophora japonicus to cool blood. Of course, I also use hedgehog skin as a medicine for rectal cancer. Tsubaki root and Sangbaipi can clear away heat and dry dampness, and can also be used for anal exudate and dampness caused by rectal cancer.

In particular, it is worth mentioning that for the treatment of tenesmus, on the one hand, the peony in the peony soup is taken to relieve the contracture, and the peony invigorates blood and yin. This is the peony and licorice soup. The other is to use Muxiang and Coptis chinensis to resolve stagnation, as well as Citrus aurantium and betel nut to resolve stagnation. Don’t forget that Fructus Aurantii or Fructus Aurantii is a very effective medicine for treating rectal cancer. It is a medicine that ancients often used to treat intestinal wind and visceral toxins.

There is another medicine that may be overlooked by everyone, and that is Xiebai. Maybe Gualou Xiebai Decoction is very famous, so I only thought that Xiebai is used to treat coronary heart disease and chest numbness, but ignored that Xiebai is the gas of the large intestine. Zhang Zhongjing said in the addition and subtraction method of Sini San, "the one who is heavy, add scallion white", it can be seen that the treatment of scallion white has historical origins and cannot be replaced. Zhang Zhongjing mentioned that when he talked about the original prescription of Sini San (because it is a powder, the four herbs are powders) five liters of water, three liters of scallion white, and five liters of boiled water. No one in the past, including current experts and professors, has raised any questions about this article. But to ask questions, because Xiebai Sansheng is absolutely impossible. Horizontal comparison, Gualou Xiebai Baijiu soup, Scallion Baijiu soup is only half a liter, followed by Gualou Xiebai Banxia Tang, Scallion White is only three or two, but with Sini San, the amount is also very small, as small as a few grams, not It is possible to use three liters of scallion white, how much is the amount of three liters of scallion white? According to the current research, it costs more than 300 grams, or 400 grams, so it is almost impossible. Moreover, using our ratio, Si Ni San is to take lightly, that is to say, to fight a war, it is enough to send a squad leader to deal with it. If you want to send someone to it, it is impossible to send a general. The order is reversed so much that it is impossible to imagine it. I think that scallion white is three or two, and 10 grams or 12 grams is usually enough for clinical use.

Mid-stage rectal cancer-Sanwu Huangqin Decoction

So what is used in the middle stage of rectal cancer? In other words, the rectal cancer encountered by Chinese medicine is rarely discouraged from surgery, because the size can be the main excretion channel of the human body. Therefore, the older generation of people in rural areas say that it is good to be able to send water and fire. The implication is that they only need to manage their bowel and bowel without other people's help. It is enough to describe the urgency of using “water and fire” to describe the bowel.

"Internal Classic" also says that "small and big is bad for its symptoms." Therefore, other tumors do not need western medicine methods, and individual patients are still willing to accept it. Rectal cancer can be operated without surgery, but basically it is not accepted. Because once it is blocked, surgery will be required in the end. Rectal cancer can be formed because of large intestine heat toxicity, damp heat for a long time, yin fluid injury, Yin deficiency and damp-heat, which are difficult to distinguish. We used to say that "damp and heat are incompatible, such as oil into the noodles, which is difficult to distinguish." What is more difficult to understand is that the dampness and heat are not exhausted, the yin fluid is injured, the dryness and dampness are mixed, and the formation of tumors is the reason why malignant tumors have become the number one intractable disease. The middle stage of rectal cancer is often peeling of the tongue coating, which is a very typical tongue picture with mixed dryness and dampness.

How to prevent recurrence after the operation? After the operation, there are anal bulging, tenesmus, changes in stool characteristics, and pain in the buttocks, sacrum, perineum, and anus. What should I do? I think we still have to seize the basic pathogenesis of mixing dryness and dampness. Once the basic pathogenesis is established, it has basic prescriptions, and the representative prescription is Sanwu Huangqin Decoction. Sanwu Huangqin Decoction is a prescription in Sun Simiao's "Prescriptions for Qianjin". It was put in the "Golden Chamber Synopsis" in the Song Dynasty to treat postpartum diseases. First of all, Sanwu Huangqin Decoction was used as a representative prescription for rectal cancer and dampness. It has been used for many years, the curative effect is conclusive, the prescription is refined, and the medication is accurate. Scutellaria baicalensis Georgi, as the emperor medicine of the prescription, has one medicine and four uses. It can clear the heat, dampness and heat, as well as the deficiency and heat, and also clear the blood and heat. Therefore, it is poisonous to the large intestine fever, blood loss and yin damage caused by rectal cancer. It is a rare medicine for blood-heat, poisoning, bleeding and blood circulation. Then use Rehmannia glutinosa to cool blood and nourish yin, use Sophora flavescens to dry dampness and detoxify and clear away heat. The combination of the three drugs can counteract the side effects of each other and complement each other on the contrary.

Late rectal cancer-Huangtu soup

In the late stage of rectal cancer, most of the stool bleeding time is long, mistaken for hemorrhoids, and then anemia, then it is discovered that it is rectal cancer. This is the yellow soil soup syndrome. When talking about Huangtu Decoction syndrome, Chinese medicine refers to blood in the stool due to yang deficiency. To put it lightly, does Huangtu Decoction only treat yang deficiency? Is it just for treating deficiency and cold?

Loess is for treating deficiency and cold, and Aconite is also for treating deficiency and cold, but how can we turn a deaf ear to the two medicines of raw rehmannia and scutellaria? This is the reason why there was no carcinogenic theory of cold and heat cementation before. The ancients had a method of scholarship called solitary evidence. Saying that Huangtu Tang cures cold and heat cementation, this is just a one-sided statement, is there any other evidence? I said there is evidence. The previous article of the loess soup is "He who vomits blood, Bai Ye Tang is the master", and the next one is "the blood comes first in the stool and then the blood, this distant blood, the loess soup is the master".

If we only talk about the blood before the stool, can we just use the loess soup? It also shows that Huangtu Tang is only for the pathogenesis of cold and heat cementation. In other words, if vomiting blood (Boye Tang) is a tumor of the upper gastrointestinal tract, Huangtu Tang is a tumor of the lower gastrointestinal tract. Isn’t the meaning of Zhang Zhongjing’s arrangement a strong evidence?