Early days: Xiao Chai Hu Tang
Patients with early liver cancer are found in physical examinations. Most patients have a history of chronic hepatitis. Patients in this stage often undergo surgery and interventional treatment. Traditional Chinese medicine faces most patients after such surgery and intervention. Even if there are newly diagnosed patients, We also actively recommend the use of Chinese medicine at the same time as surgery or intervention. The joint application of surgery, intervention and Chinese medicine in our clinic can achieve very good results. The clinical manifestations are mainly dry mouth, bitter mouth, poor appetite, chest and thigh discomfort, dry stool, fatigue, red tongue, thin coating, and stringy pulse. The pathogenesis is liver depression and spleen deficiency, cardinality is not good, evil toxins accumulate, and righteousness is even worse. Xiao Chaihu Decoction is used to add flavor.
Xiao Chai Hu Decoction is a good recipe that everyone knows, but Xiao Chai Hu Decoction, used for liver cancer or really as the main prescription for early liver cancer, should be said to be proposed by Mr. Wang Sanhu. Why? Because I understand the functions of Xiao Chai Hu Decoction in combination with cold and heat, replenishing and reducing heat, reconciling the outside and inside, relieving the cardinal, restoring the lifting, regulating the triple focus, soothing the liver and protecting the liver, promoting choleretics and stomach. Not only the indications are very wide, but also in line with the basic pathogenesis of liver cancer patients with liver depression and spleen deficiency, damp-heat accumulating toxins, and cardinal disadvantages. Xiao Chaihu Decoction is the main prescription of the Sanjiao Meridian of Hand Shaoyang, but what about liver cancer? It is often the main focus, the disease and the upper and lower second focus, so in fact its function of eliminating the benefit of the triple focus is very useful, and the "Shanghan Lun" in the "Shanghan Lun" of the small and small Chaihu decoction syndrome is full of chest and flanks, silent eating is the cause of liver cancer Common symptoms, more importantly, I found that Zhang Zhongjing’s Xiao Chaihu Decoction was added and subtracted afterwards. In other words, when he talked about symptoms, he said that there was hardened scab in the probabilities. In addition and subtraction, he said "If the skin is hard, go to the jujube and add oysters", isn't that obvious hepatosplenomegaly? Is it a major manifestation of liver cancer? More importantly, I discovered that there is a record of Xiao Chai Hu Decoction in "The Synopsis of the Golden Chamber · Syndrome and Treatment of Jaundice Disease". Because our TCM talks about jaundice, Yanghuang, Yinhuang, Yinchenhao Decoction for Yanghuang, Yinchenfuzi Decoction for Yinhuang, it sounds simple, but in fact it is not so simple. "Say, "All yellows, those with abdominal pain and vomiting, should use Chaihu Decoction." Everyone thinks that "Zhuhuang" does not include jaundice caused by liver cancer? Jaundice is a common symptom of liver cancer, and "abdominal pain and vomiting" is also a common symptom of liver cancer. Therefore, based on so much, Mr. Wang Sanhu designated Xiao Chaihu Decoction as the early main prescription for liver cancer.

Mid-term: soft liver and choleretics
The middle stage of liver cancer is mostly surgery or intervention. If it recurs in the future, or the opportunity for surgery is lost as soon as it is discovered, or the course of the disease is prolonged, the evil spirits are arrogant, and the righteousness is weak for a while. Diseases include hard lump under the flanks, thin body, dark complexion or pale complexion, lack of energy, low energy, loss of appetite, abdominal distension when eating, abdominal pain, diarrhea, etc., followed by poisoning of liver and gallbladder, righteousness and evilness, law dang Soothing the liver and promoting gallbladder, anti-cancer and detoxification, strengthening the body and exorcising evil. The Ruangan Lidan Decoction was formulated on the basis of Xiao Chai Hu Decoction, that is, weeping pot grass, turtle shell, salvia miltiorrhiza, prunella vulgaris, oysters, mountain mushrooms, etc. were added in the middle. Coix seed, Poria cocos, Atractylodes macrocephala are also commonly used to invigorate the spleen, peach kernels, pangolins, turtle shells, oysters are soft and firm, and pearl grass is also called Yexiazhu, which is anti-hepatitis B virus. This recipe is more comprehensive and practical. After more than ten years of use, everyone has reported that the effect of this recipe is relatively stable and the effect is obvious.

Late stage: Zhuling soup, Zhenwu soup, Chaihu Guizhi dried ginger soup
Look at the advanced stage of liver cancer. It is often accompanied by lung metastasis, bone metastasis, and a large amount of ascites, or high liver function, cachexia, or because of frequent ascites pumping, the more serious it is, the formation of a kind of wet turbidity. Exhausted, yin fluid has been injured, red tongue with no coating or map tongue, this is a typical late stage liver cancer. In the case of ascites, we use Polyporus Soup. At this time, it is necessary not only to dilute water, but also to use donkey-hide gelatin to nourish yin and strengthen the body. Only donkey-hide gelatin, which contains trace elements and mainly nourishes yin and nourishes blood, can correct this serious electrolyte disorder and correct the situation of yin deficiency that is difficult to return. In order to prevent the antidiuretic hormone from exerting its effect, only Zhulingtang can achieve diuretic effects at the same time. Otherwise, pure diuretic is not effective.
Since everyone can see jaundice, which is a manifestation of the degree of dampness and heat of liver cancer, excessive use of Hedyotis diffusa and Scutellaria barbata leads to excessive heat-clearing, injury to the spleen and yang, which in turn affects the kidney and yang, resulting in damage to both Yin and Yang. Righteousness is declining. At this time, the patient we saw was indifferent, low voice, thin body, big abdomen like a drum, dry mouth not wanting to drink, and cold and timid appearance. At this time, the yang deficiency and water are flooded, so we choose Zhenwu Decoction to warm the yang and conserve water. In the advanced stage of liver cancer, a pigling soup with yin deficiency and water stop, and a Zhenwu soup with yang qi decline, this is a special case. So what we most often happen is the period of transition from Yang Huang to Yin Huang, and the transition period from Xiao Chaihu Decoction to Zhenwu Decoction. The special manifestation of the disease is not only bitter mouth, red tongue, dizziness, but also stomach cold caused by liver meridian heat toxin. In the case of cold, the stomach is full, the stomach is cold and cannot eat cold things, and the tongue coating is white and greasy, such as the coexistence of cold and heat.

A large part of liver cancer patients is the phenomenon of cold and heat cementation of liver and gallbladder damp-heat and spleen and stomach deficiency and cold, so Mr. Wang Sanhu used Zhang Zhongjing’s Chaihu Guizhi Ganjiang Decoction. To add another digression, Mr. Wang Sanhu put forward a point of view called tuberculous disease, which is a metastasis of malignant tumors in the chest and abdomen. The Chaihu Guizhi Ganjiang Decoction Syndrome is comparable to chest disease. The Chaihu Guizhi Ganjiang Decoction is milder, but they have the same characteristics, so Zhang Zhongjing put it together to talk about it. Zhang Zhongjing said in the original text, "Typhoid On the 5th or 6th, he had sweated and returned, his chest and flanks were full, and he was slightly knotted." Note that micro-knots are not chest knots, but there are similarities. "It's not easy to urinate, thirsty and not vomiting, but sweating on the head, and those who are upset by the cold and heat, this is unresolved, and the main one is Chaihu Guizhi Ganjiang Decoction." He did not use ginseng, but he used cinnamon sticks and dried ginger to warm the spleen and yang, Bupleurum sylvestris to promote the new generation, scutellaria baicalensis to clear away dampness and heat, and use both cold and heat. , That is trichosanthes, which has the effect of nourishing yin. In fact, he took care of not only liver heat and cold spleen, but also the damage of yin fluid. Therefore, Chaihu Guizhi Ganjiang Decoction is a very useful prescription for treating liver cancer.