Cancer Treatment Support With Chinese Medicine

William Robert Morris, O.M.D.

The Fu Zheng (supplementation) Principles of Surgery, Chemotherapy and Radiotherapy

This is a common hospital support formula for surgical procedures. Today’s med-legal climate suggests that such efforts are risky here in the US. This author does not recommend such strategies at this time in North America. Further, none of the treatment strategies published here is presented as a replacement to the legal application of the standard of care within any jurisdiction.

Pre-Operative Integrated Fu Zheng Therapy

Jianpi Liqi Decoction

10g         Radix Codopnosis

9g           Rhizoma Atractylodis Macrocephalae

12g         Poria

12g         Radix Astragali

10g         Radix Ophiopogonis

6g           Radix Aucklandie

10g         Radix Glehniae

6g           Pericarpium Citri Reticulate

15g         Semen Trichosanthis

15g         Semen Nelumbinis

9g           Endothelium Corneum Gigeriae Galli

30g         Fructus Hordei et Setariae Germinatus

9g           Massa Medicata Fermentata

4.5g        Rhizoma Coptidis

3g           Radix Glycyrrhizae

Integrated FZ Treatment After Surgery

FZ and Consolidating the Superficies: Herbs Commonly Used

Radix Astragali, Radix Saposhinkoviae, Radix Atractylodis Macrocephalae, Fructus Schisandrae, Fructus Tritici Levis, Concha Ostreae, Radix Codonopsis , Radix Paeonie Alba, Radix Glycyrrhizae

Nourishing the Yin to Produce Body Fluid

Radix Panacis Quinquefolii, Radix Pseudostellariae, Radix Panacis Quinquefolii Lateralis, Radix Ginseng Alba, Herba Dendrobii, Rhizoma Polygonati Odorati, Rhizoma Anemarrhenae, Poria, Polyporus, Radix Scrophulariae, RadixRehmanniae, Nodus Nelumbinis Rhizonatis Rhizoma Imperatae, Rhizoma Polygonati, Radix Paeoniae Alba, Cotex Moutan, Fructus Trichosanthis, Tremmella

Prevention and Treatment of Reactions to Chemotherapy

Yiqi Buxue Jianpi Decoction

Radix Astragali                                         15-30g

Radix Codonopsis                                      15-18g

Radix Atractylodis Macrocephalae             12g

Poria                                                        12g

Radix Glycyrrhizae                                    4.5g

Radix Rehmanniae Preparata                     15g

Fructus Lcyii                                             12g

Radix Polygoni Multiflori                            12g

Rhizoma Polygonati                                   10g

Fructus Ligustri Lucidi                               15g

Radix Glehniae                                          10g

Radix Ophiopogonis                                   10g

Caulis Spatholobi                                       24g

Semen Euryales                                         12g

Rhizoma Dioscorea                                    12g

Nausea and Vomiting

Fructus Evodia, Rhizoma Coptidis, Rhizoma Pinelliae, Caulis Bambusae in Taeniam, Calyx Khaki, Flos Caryophylli

Abdominal Distension

Radix Aucklandiae Pericarpium Citri Reticulatae, Fructus Citri Sarcodactylis, Massa Medicata Fermentata.  Decrease sefficiently Radix Ophiopogonis, Caulis Spatholobi.

Abdominal Pain

Rhizoma Corydalis, Herba Chelidonii, Radix Linderae

Loss of Appetite

Endothelium Corneum Gigeriae Galli, Fructus Hordei Germinatus, Fructus Setariae Germinatus, Fructus Crataegi, Massa Medicata Fermentata, Semen Euryales, Semen Nelumbinis.  Decrease sufficiently Radix Rehmanniae Preparata, Fructus Psoraleae, Caulis Spatholobi, Radix Polygoni Multiflori

Dry Tongue and Mouth

Herba Denrobii, Rhizoma Anemarrheneae, Rhizoma Polygonati Odorati, Nodus Nelumbinis Rhizomatis, Radix Scrophulariae, Rhizoma Imperatae, Radix Rehmanniae, Radix Aspasagi, Radix Pseudostellariae, Succus Bambusae.  Decrease sufficiently Radix Astragali, Radix Codonopsis, Radix Rehmanniae Preparata, Radix Polygonati Multiflori, Semen Euryales, Rhizoma Dioscoreae.

Constipation

Fructus Cannabis, Fructus Trichosanthis, Radix Rhei, Herba Cistanches, Folium Semae.  Decrease sufficiently Fructus Psolarae, Radix Polygonati Mulitflori, Radix Rehmanniae Preparata, Radix Codonopsis, Semen Euryales, Rhizoma Dioscoreae.

Liver cancer has four differentials according to Wang Jin Ling, they are: Liver depression Qi stagnation, Toxipathic Heat, Blood Stasis, and Depletion of Qi and Yin:

Dr. Shen’s Liver Cancer Treatment

Chai Hu                                                        (Bupleurum) 9

Chuan Xiong                                                 (Rz Ligustici wallichi) 12

Bai Shao                                                       (Rx Peonia alba) 18

Huang Lian                                                   (Coptis) 15 raw good stuff

Mu Xiang                                                      (Rx Saussurea) 12

Fu Ling                                                         (Poria cocos) 15

Zhi Ke                                                            (Fr Pc Citri aurantium) 9

Yu Jin                                                             (Tbr Curcuma) 18

Yuan Hu Suo                                                (Rz Corydalis) 18

Nan Sha Shen                                               (Rx Adenophorae) 18

Lu Lu Tong                                                  (Aquilaria) 18

Mai Dong                                                      ( Zhi Bei Mu) 18

Bai Hua Shi Shi Cao                                    (Oldenlandia) 15

Ban Zhi Lian                                                 (Hb Scutellaria barbata) 15

Gao Cao                                                       (Glycyrrhizae) 6

Long Gu                                                       (Os Draconis) 24

Dr Wang’s Cancer Treatments

Liver Cancer has four differentials: Liver Depression Qi Stagnation, Toxipathic Heat, Blood Stasis, Deficiency of Qi and Yin.

Liver Qi consists of Liver attacking Spleen like symptoms such as chest fullness, abdominal pain, fatigue, poor appetite, loose stools

Treatment Principle: Regulate Liver Qi, Tonify the Spleen, Anticancer

Chai Hu Shu Gan Tang

Bupleurum                                      (Chai Hu)

Peonia alba                                     (Bai Shao)

Cyperi                                              (Xiang Fu)

Aurantium                                       (Zhi Shi)

Ligusticum wallichi                        (Chuan Xiong)

Citri                                                  (Chen Pi)

Saussurea                                        (Mu Xiang)

Glycyrrhizae                                    (Gan Cao)

Mylabris                                         (Ban Mao)

Sm Akebia                                      (Ba Yue Zha)

Toxipathic Heat presents with high fever, jaundice (late stage), thirst, hypochondriac pain, abdominal mass, easy bleeding, weakness.

Treatment principle: disperse heat and detox

Liver Cancer Formula #1

Spica Prunella                                 (Xia Ku cao)

Sargassum                                       (Hai Zao)

Salvia                                               (Dan Shen)

Oldenlandia                                     (Bai Hua She She Cao)

Paris polyphylum                           (Chuan Shen)

Cynachum paniculatum                  (Bai Wei)

Sm Akebia                                      (Ba Yue Zha)

Blood Stagnation presents with hypochondriac pain, chest distension, abdominal mass, anorexia, fatigue, and possible juaundice.

Treatment principle: soften mass and activate Blood

Liver Cancer Formula #2

Bupleurum                                      (Chai Hu)

Poria                                                (Fu Ling)           

Peonia rubra                                    (Chi Shao)

Peonia alba                                     (Bai Shao)

Rubia cordifolia                               (Qian Cao Gen)

Curcuma                                         (Yu Jin)

Cyperi                                              (Xiang Fu)

Mylabris                                         (Ban Mao)

Deficiency of Qi and Yin

yin jaundice presents with a dark face, abdominal distenstion and mass, ascites, weakness, shortness of breath, tidal fever, night sweats, easy bleeding.

Treatment principle: Boost Qi and Nourish Yin

Yi Qi Yang Tang

Rx Trichosanthes                           (Tian Hua Fen)

Rehmannia                                      (Shu Di)

Peonia alba                                     (Bai Shao)

Dendrobium                                    (Shi Hu)

Carapax Amydae                           (Bie Jia)

Codonopsis                                     (Dang shen)

Dioscorea                                        (Shan Yao)

Astragalus                                       (Huang Qi)

Dolichoris                                       (Bai Bian Dou)

Lung Cancer

Dr Wang gives three patterns and corresponding formulas, they are: Yin Xu with Fire Flaring, Depletion of Qi and Yin, Depletion of Lung and Spleen.

Yin Xu with Fire Flaring presents with chest pain, dry cough, scanty or yellow sputum with possible blood, dry mouth, thirst, tidal fever, 5 soles, night sweats.

Treatment principle: Nourish Yin, Detox, Dissolve Mass

Lung Cancer Formula #1

Lilly                                                                (Bai He)

Rehmannia praep                                         (Shu Di)

Rehmannia                                                    (Sheng Di)

Scrophularia                                                  (Xuan Shen)

Bulb Fritillaria cirrhosa                                 (Chuan Bei Mu)

Platycodon                                                    (Jie Geng)

Oldenlandia                                                   (Bai Hua She She Cao)

Ophiopogonis                                                (Mai Men Dong)

Peonia rubra                                                  (Chi Shao)

Peonia alba                                                   (Bai Shao)

Angelica sinensis                                          (Dang Gui)

Spica Prunella                                               (Xia Ku Cao)

Scutellaria barbata                                        (Ban Zhi Lian)

Depletion of Qi and Yin presents withchest pain, cough, feeble voice, white sputum, shortness of breath, facial edema, hoarseness.

Treatment Principle: Boost Qi and Nourish Yin

Lung Cancer Formula #2

Codonopsis                                                   (Dang Shen)

Ophiopogonis                                                (Mai Men Dong)

Schizandra                                                    (Wu Wei Zi)

Astragalus                                                     (Huang Qi)

Aster                                                              (Zi Wan)

Cx Mori                                                        (Sang Bai Pi)

Rehmannia                                                    (Shu Di)

Blb Fritillaria cirrhosa                                   (Chuan Bei Mu)

Scutellaria barbata                                        (Ban Zhi Lian)

Oldenlandia                                                   (Bai Hua She She Cao)

 Depletion of Lung and Spleen presents with chest pain, cough with profuse sputum, shortness of breath, weakness, poor appetite, edema of face and legs, constipation.

Treatment Principle: Boost Lung and Spleen, Dissolve Mass

Lung Cancer Formula #3

Codonopsis                                                   (Dang Shen)

Ophiopogonis                                                (Mai Men Dong)

Astragalus                                                     (Huang Qi)

Cx Mori                                                        (Sang Bai Pi)

Blb Fritillaria cirrhosa                                   (Chuan Bei Mu)

Citri                                                                (Chen Pi)

Pinellia                                                            (Ban Xia)

Atractylodes alba                                         (Bai Zhu)

Glycyrrhyzae                                                 (Gan Cao)

Scutellaria barbata                                        (Ban Zhi Lian)

Oldenlandia                                                   (Bai Hua She She Cao)

Houttuynia                                                    (Yu Xing Cao)

Stomach Cancer

Dr. Wang gives five differentials for stomach cancer they are Liver Qi Attacking Stomach, Cold of Spleen\Stomach, Stomach Heat Invades Yin, Blood Stasis and Toxicity, Qi and Blood Xu.

All of these formulas are modified with Scute Barbata, Oldenlandia, and Houttuynia or Prunella.

Liver Qi Attacking Stomach has stomach distension and pain, hypochondriac pain, related to emotions, nausea and vomiting, weak weight loss.

Treatment Principle: Regulate Qi, Relieve Pain, Anticancer

Su Gan Wan

Bupleurum                                                    (Chai Hu)

Corydalis                                                      (Yan Hu Suo)

Peonia alba                                                   (Bai Shao)

Poria cocos                                                   (Fu Ling)

Curcuma longa                                              (Yu Jin)

Cx Magnolia                                                  (Huo Po)

Citri                                                                (Chan Pi)

Aurantium                                                     (Zhi Shi)

Aquillaria                                                      (Chan Xiang)      

Saussurea                                                      (Mu Xiang)

Melia                                                              (Chuan Lian Zi)

Amomum cardamomum                               (Sha Ren)

Amomum villosum                                       (Cao Guo)

Cold of Spleen\Stomach has stomach pain better with warmth and pressure, cold extremities, regurgitating watery fluids, anemia, leg edema.

Treatment Principle: Warm Middle Jiao, Boost Spleen, Anticancer

Li Zhong Wan

Ginseng                              (Ren Shen)

Atractylodes alba                           (Bai Zhu)

Dry Zingiberis                                 (Gan Jiang)

Glycyrrhizae                                    (Gan Cao)

Stomach Heat Invades Yin has a burning sensation in the stomach, dry mouth, 5 soles, dry stool, poor appetite, desire for cold raw food.

Treatment Principle: Nourish Yin

Yi Wei Tang

Glehnia                                             (Nan Sha Shen)

Ophiopogonis                                  (Mai Men Dong)

Rehmannia                                      (Sheng Di)

Rz Polygonati                                  (Yu Zhu)

Rock Sugar                                     (Bing Tang)

Blood Stasis and Toxicity has stomach pain with a dislike of pressure, epigastric mass, black and/or dry stool, vomit with bloody fluid, dry rough skin.

Treament Principle: Activate Blood Remove Stasis

Ge Xia Zhu Yu Tang

Angelica sinensis                                          (Dang Gui)

Ligusticum wallichi                                      (Chuan Xiong)

Persica                                                            (Tao Ren)

Carthamus                                                    (Hong Hua)

Pteropus                                                       (Wu Ling Zhi)

Corydalis                                                      (Yan Hu Suo)

Cyperi                                                            (Xiang Fu)

Peonia alba                                                   (Bai Shao)

Peonia rubra                                                  (Chi Shao)

Aurantium                                                     (Zhi Shi)

Glycyrrhizae                                                  (Gan Cao)

Qi and Blood Xu has palpitaions, dizzyness, pale face, shortness of breath, restlessness, insomnia, profuse sweat.

Treatment Principle : Boost Qi and Nourish Blood

Shi Quan Da Bu Tang

• Zeng Ye Tang = "Increase the Fluids Decoction"

• sources: Bensky and Barolet, p. 166.

• signs and symptoms: Dry constipation, thirst.

• tongue and pulse: Dry, red tongue, and slightly rapid, or a weak, forceful pulse.

• indications: Large Intestine Dryness. With the appropriate presentation, this formula may be used in treating conditions conventionally diagnosed as habitual constipation, hemorrhoids, irritable bowel syndrome, aphthous ulcers, hyperthyroid conditions, and the oral side effects from radiation therapy.

• ingredients: dosage for one day:

Ø 15 grams: scrophularia (xuan shen).

Ø 12 grams: ophiopogon (mai men dong), fresh rehmannia (sheng di huang).

• preparation: Prepare as a decoction. According to the source text, this formula should only be prescribed for acute conditions. If one dose does not induce bowel movement within 12 hours, prescribe Zeng Ye Cheng Qi Tang.

• modifications:

Ø for a peeled tongue with a shiny coating and parched mouth and lips due to severe Stomach Yin Xu (Deficiency), add adenophora (sha shen), polygonatum (yu zhu) and dendrobium (shi hu).

Ø for bleeding hemorrhoids, take with Huai Hua San.

Ø for severe constipation, add rhubarb (da huang) and mirabilitum (mang xiao).

• Zeng Ye Tang plus chrysanthemum flower (ju hua), trichosanthes root (tian hua fen), glehnia (sha shen), dioscorea (shan yao) and moutan bark (mu dan pi): Large Intestine Dryness: oral side-effects of radiation therapy: dryness that is worse at night, irritability, dry tongue, rapid thin pulse (Bensky and Barolet, p. 166)

Dang Gui Ji Xue Teng Tang: Qi Xu (Deficiency) with Xue Xu (Blood Deficiency): leukopenia or thrombocytopenia during radiation therapy or chemotherapy (

Mix thoroughly equal parts powdered raw aconite (fu zi) with white vinegar and honey and apply externally. Change the dressing daily (Liang, p. 135)

• Pinellia and Gardenia C. = Li Ke Tang

• sources: Hsu, 1980, p. 555

• signs and symptoms: Dysphagia, trouble swallowing food, vomiting, sticky sputum, thirst.

• indications: Esophageal stricture causing dysphagia. With the appropriate presentation, may be used in conditions conventionally diagnosed as esophageal cancer, gastric cancer, esophageal stenosis, esophageal polyps, throat obstructions and pain.

• note: After taking this formula most patients will spit out a glue-like sputum, experience immediate relief in the chest, and discover that the difficulty with swallowing has been completely eliminated.

• ingredients: dosage for one day:

Ø 8 grams: pinellia (ban xia).

Ø 3 grams: gardenia (zhi zi).

Ø 0.5 - 1 gram: aconite (fu zi).

• Forsythia and Laminaria C.

• sources: Dharmananda, 1986, p. 483.

• signs and symptoms: Thyroid tumor.

• indications: Heat and Phlegm Accumulation.

• ingredients: dosage for one day:

Ø 5 grams: laminaria (kun bu), sargassum (hai zao), phellodendron (huang bai), anemarrhena (zhi mu), trichosanthes root (tian hua fen), platycodon (jie geng), scirpus (san leng), zedoria (e zhu), forsythia (lian qiao), coptis (huang lian), scute (huang qin), white peony (bai shao yao), pueraria (ge gen), cimicifuga (sheng ma), bupleurum (chai hu), Chinese angelica (tang kuei) (dang gui), licorice (gan cao), ginger (gan jiang).

• Tang Kuei Sixteen Herb C. = Shih Liu Wei Liu Chi Yin.

• sources: Hsu, 1980, p. 402.

• signs and symptoms: Swelling of shoulders, neck or limbs; emphysema; goiter; breast cancer, fibrocystic disease and intraductal papillomas; painful sores and tumors.

• indications: With the appropriate presentation, may be used in conditions conventionally diagnosed as fibrocystic disease, breast cancer, intraductal papillomas, goiter, cervical lymphadenoma, and severe abscess of unknown etiology.

• ingredients: dosage for one day:

Ø 3 grams: Chinese angelica (tang kuei) (dang gui), cinnamon twig (gui zhi), platycodon (jie geng), cnidium (chuang xiong), ginseng (ren shen), white peony (bai shao yao).

Ø 2 grams: lindera (wu yao), areca seed (bing lang), licorice (gan cao), astragalus (huang qi), magnolia bark (hou po), perilla (zi su), angelica (bai zhi), saussurea (mu xiang), chih-ko (zhi ke), siler (fang feng).

• Lithospermum and Oyster Shell C. = Zhu Gen Mu Li Tang.

• sources: Hsu, 1980, p. 632; Dharmananda, 1986, p. 478.

• signs and symptoms: Weak constitution, anemia, fatigue, lymphadenoma, breast cancer, malignant skin diseases.

• indications: With the appropriate presentation, may be used in conditions conventionally diagnosed as breast cancer, mastitis, lymphadenitis in the neck.

• ingredients: dosage for one day:

Ø 5 grams: Chinese angelica (tang kuei) (dang gui).

Ø 4 grams: oyster shell (mu li).

Ø 3 grams: lithospermum (zi cao), white peony (bai shao yao), cnidium (chuang xiong).

Ø 2 grams: astragalus (huang qi), cimicifuga (sheng ma).

Ø 1.5 grams: lonicera (jin yin hua), rhubarb (da huang).

Ø 1 gram: licorice (gan cao).

• Bupleurum and Peony F. = Jia Wei Xiao Yao San or Dan Zhi Xiao Yao San = "Augmented Rambling Powder".

• sources: Hsu, 1980, p. 87; Yeung, p. 72; Bensky and Barolet, p. 148.

• signs and symptoms: Irritability, gynecological problems, headaches, dizziness, narcolepsy or insomnia, lassitude of the arms and legs, cirrhosis, red eyes, dry mouth, palpitations, poor appetite, lower abdominal pressure, painful urination, menstrual irregularity, increased menstrual flow or uterine bleeding.

• tongue and pulse: red tongue with wiry rapid pulse.

• indications: Liver Qi Stagnation with Xue Xu (Blood Deficiency) causing Internal Heat. With the appropriate presentation, may be used in conditions conventionally diagnosed as stomatitis, chronic hepatitis, cirrhosis, urethritis, cystitis, constipation, leukorrhea, chronic endometritis, menopausal disturbance, infertility, premenstrual tension, menstrual irregularity, eczema, hyperkeratosis of the palms, and leukoderma.

• ingredients: dosage for two days:

Ø 9 grams: white peony (bai shao yao), poria (fu ling).

Ø 6 grams: moutan (mu dan pi), bupleurum (chai hu), Chinese angelica (tang kuei) (dang gui), white atractylodes (bai zhu).

Ø 3 grams: gardenia (zhi zi), honey-baked licorice (gan cao).

Ø 1 gram: fresh ginger (sheng jiang), mentha (bo he).

• Bupleurum and Tang Kuei F. (Xiao Yao San) plus corydalis (yan hu suo), cyperus (xiang fu), saussurrea (mu xiang), salvia (dan shen) and carthamus (hong hua): Liver Qi Stagnation with Xue Yu (Blood Stasis)

• Cervical Cancer Formula.

• sources: Hsu, 1982, p. 76; Flaws, Cervical Dysplasia & Prostate Cancer, p. 62.

• signs and symptoms: Cervical or uterine cancer.

• indications: Liver Qi Stagnation with Heat and Toxins causing cervical or uterine cancer.

• cautions and contraindications:

• ingredients:

Ø scute (huang qin), solanum, dandelion (pu gong ying), Chinese angelica (tang kuei) (dang gui), white peony (bai shao yao), white atractylodes (bai zhu), poria (fu ling), blue citrus (qing qi), bupleurum (chai hu), salvia (dan shen).

• modifications:

Ø with painful menstruation due to Stagnation and Damp-Heat, add patrinia (bai jiang).

Ø for excessive menstruation (menorrhagia) with Stagnant Heat and Xue (Blood), add selaginella (shi shang bai).

Ø with yellow vaginal discharge, add ailanthus bark (chun pi).

Ø with lymph node enlargement, add prunella (xia ku cao).

Ø with substantial Xue Yu (Blood Stasis), add zedoria (e zhu).

Ø with Phlegm, add arisaema (tian nan xing).

• Yin Healing Powder.

• sources: Flaws, Cervical Dysplasia & Prostate Cancer, p. 72.

• indications: Mild cervical dysplasia.

• cautions and contraindications:

• ingredients:

Ø cinnabar (zhu sha), borneol (bing pian), borax (peng sha), indigo (qing dai).

• administration: Apply to the cervix either by an intravaginal applicator or on the head of a tampon. Usually applied before bed at night and kept in place until morning.

• Qing Peng San.

• sources: Flaws, Cervical Dysplasia & Prostate Cancer, p. 73

• signs and symptoms: Cervical dysplasia with abnormal vaginal discharge.

• indications: Damp-Heat with abnormal vaginal discharge.

• ingredients:

Ø powdered phellodendron (huang bai)

Ø powdered lithospermum (zi cao), borax (peng sha), alum (bai fan), borneol (bing pian)

Ø powdered indigo (qing dai)

Ø powdered chaparral

• administration: Apply to the cervix either by an intravaginal applicator or on the head of a tampon. Usually applied before bed at night and kept in place until morning.

• Fu Zheng = "External Supportive Therapies".

• sources: Flaws, Cervical Dysplasia & Prostate Cancer, p. 74.

• signs and symptoms: To promote the growth of healthy new tissue after any course of escharotic therapy but before having a new Pap smear.

• indications: Severe cervical dysplasia or cervical carcinoma in situ; use as post-escharotic therapy.

• ingredients:

Ø Cod liver oil on the head of a tampon.

Ø Liquid folate on the head of a tampon.

Ø Egg whites applied to sterile cotton and inserted with a tampon or intravaginal applicator.

• administration: One of the above methods are used as suppository during the post-menstrual phase, after the administration of escharotic therapy (see Si Yao You Gao).