Tuesday, January 13, 2009

Lung cancer may not have a cough

范某patients is a more than 60-year-old woman, six months ago began to feel pain in the left shoulder, when the light when the heavy, with calcium supplements and traditional Chinese medicine treatment, no effect. After a hospital diagnosis of periarthritis of shoulder, manager of therapy, acupuncture, massage and other treatment, his condition had improved, but soon after aggravating. Jan ago, accompanied by family members of patients treated in our hospital, after X-ray film inspection, has found her left shoulder humeral head and multiple lung metastases. After CT examination, she finally found the left apex walnut-sized mass of primary lung cancer. Surprisingly, the widespread transfer of the body due to lung cancer patients had died did not cough, hemoptysis, such as respiratory symptoms.

Lung cancer is a common cancer, the incidence increased in recent years, the typical symptoms of久治不愈coughing, bloody sputum, difficulty in breathing, chest pain and so on. For years the medical science with a wide range of publicity, when the patients most of the above symptoms can lead to the attention of their own and their families, timely to go to the hospital for treatment. But a small number of patients with special performance, such as there is no cough, hemoptysis, such as respiratory symptoms, but the bone and joint pain, neck swelling, abdominal pain, loss of appetite, headache and other symptoms. They often repeated in the orthopedic clinic, physiotherapy units, such as传染科. If these sections of the lack of vigilance doctor easily lead to misdiagnosis, misuse of governance, to bring in patients with irreparable consequences. I according to their years of clinical experience, that the following points will help patients and doctors to detect lung cancer are not typical.

▲ smoking history of patients, such as the emergence of unexplained bone and joint pain, headaches, even if there is no respiratory symptoms, we should also think of the possibility of lung cancer.

▲久治不愈on the same site of the pneumonia patients, should be alert to the possibility of occurrence of lung cancer. By chest X-ray film and CT examination can not be a clear diagnosis of patients and can be used for fiberoptic bronchoscopy to help diagnosis.

▲ over 40 years of age who best conditional annually chest X-ray examination.

▲ similar clinical manifestations of lung cancer and chest X-ray examination in patients with normal, should be further CT examination, because CT found that lung cancer is more sensitive than chest X-ray.

▲ exfoliated cells in sputum examination is simple, easy, no harm to the patient, should give full play to the role of the inspection means to help clear diagnosis.

What are the symptoms of early lung cancer

In recent years, the incidence of lung cancer increased significantly. However, the early symptoms of lung cancer and what does?
Implicit gradually lung cancer, and its early symptoms are not many, and some people even be aware of, but only occasionally found in the examination. Once there were significant symptoms, often in close late, when treatment has been very difficult, but the relatively higher mortality rates of patients. Therefore, for lung cancer, your in the diagnosis and early treatment.

Following the early symptoms and signs of early diagnosis of lung cancer have some help:

1, the sudden dry cough, cough for more than two weeks, and anti-inflammatory treatment does not work, or the original nature of chronic cough sudden change;

2, bloody sputum and sudden severe chest pain, and no obvious reason for the interpreter;

3, lung auscultation, there are limitations wheezing sound,笛音, rhonchus not cough and change;

4, repeatedly appear somewhere in the lung inflammation change;

5, can not be used to explain the limitations of the general bronchitis increased lung markings or limitations of emphysema;

6, long-term smoking, coughing change, and blood and sputum.

Tumor confirmed the basis for

Pathological examination is the most accurate diagnosis of the tumor the most reliable methods. It is made of the sick organ secretions smear or remove the lesions directly into slices or small organizations, Indian films, placed under a microscope to observe the cell morphology, structure, etc., to determine the nature of the tumor.
Histopathological pathology is usually divided into two major parts and cell pathology. Pathological diagnosis can not only determine the tumor's benign or malignant prognosis, but more importantly to provide a reliable basis for treatment.

However, pathological diagnosis, also have limitations. Their biopsy specimens, giant body biopsy material, and random checks are ultimately in the light microscope to see only a very small portion of lesions, and sometimes can not replace the entire lesion. In addition the reliability of pathological diagnosis and pathological specimens are also selected. In particular the reliability of cytopathology and histopathology is still a gap compared to, and sometimes there are false-negative results. Clinical diagnosis and pathological diagnosis does not match, the pathological diagnosis should be reviewed, if the pathological diagnosis of the exact accurate, may wish to consider whether the selection of pathology specimens properly. If necessary, to be based on many occasions, so once again pathological diagnosis. In order to avoid misdiagnosis, delaying medical treatment time.

Tumor biochemical, immunological and diagnostic imaging although a great deal of development, but to determine the nature of the tumor is still rely largely on the pathological diagnosis.

A lot of patients that do, such as advanced inspection ct, pet or mri, such as cancer can be confirmed, which is not accurate

Lung diseases which need to identify

Lung cancer cases according to tumor location, pathological type and course of disease sooner or later, such as different situations presented in the clinical symptoms and x-ray findings also varied, easily confused with other lung diseases. Therefore, the lung cancer cases in particular, early diagnosis, early treatment of early diagnosis is important. (A) TB
1. Tuberculoma easily confused with peripheral lung cancer. Tuberculoma was particularly prevalent in young patients. Lesion often located on the tip, after the paragraph or paragraphs under the dorsal, the general growth was not obvious, longer course, in the x-ray films uneven mass density, we can see light sparse areas, often calcified points, the edge of smooth boundaries clear the lungs often otherwise scattered foci of tuberculosis.
2. Miliary tuberculosis of the x-ray findings with the diffuse type bronchioloalveolar carcinoma is similar to

Extrapulmonary manifestations of lung cancer

The mortality rate of lung cancer accounts for the first malignancy. Poor prognosis of lung cancer primarily related to the low rate of early diagnosis, understanding the performance of lung cancer early, regular medical check-ups on high-risk groups is the key to early diagnosis.
Generally speaking, the lung cancer early symptoms of cough, hemoptysis, chest pain, shortness of breath and other respiratory performance. However, clinical found a considerable number of patients with lung cancer is not the beginning of the performance of pulmonary symptoms but the performance of extra-pulmonary symptoms, easily make the wrong impression, so the timing of the loss of early detection.
The appearance of lung cancer commonly available:
Abnormal secretion of tumor cells with a variety of material related to the performance: the limbs, unexplained joint pain, finger pain; appear clubbed fingers (toes), or fingers and toes were remote hammer-shaped drum; male abnormal breast development; limb pain, fatigue; edema, hypertension, high blood sugar; diarrhea, food satisfied decline, suffering from weight loss, lethargy; skin pigmentation, skin rash, such as intractable.
Metastasis of lung cancer caused by extra-pulmonary performance: such as headache, vomiting, hoarseness, low back pain, upper limb pain and so on, easily misdiagnosed as cerebrovascular accident, and so on periarthritis of shoulder.
In short, the first symptom of lung cancer varied, easy to be ignored. High-risk groups for lung cancer, such as the above-mentioned symptoms should check the hospital soon.

Precancerous lesions of lung cancer.

World recognized smoking-related lung cancer, smoking and lung cancer with the cause of a causal relationship. The incidence of lung cancer in our country there is an upward trend.
Precancerous lesions of lung cancer: When bronchial epithelial cells by a long-term carcinogenic substances to stimulate and influence, they gradually change hyperplasia, a serious pre-cancerous cells are some of the changes. Such as to stimulate long-term smoking, it has the potential to proliferation of cancerous cells. Sputum cytology of lung cancer is detected an important means of precancerous lesion and contribute to systematic observation of bronchial epithelial cells from the precancerous condition to the whole process of transition.
Prevention and treatment: First, to avoid smoking and non-smokers in public places. Air pollution and smoking increase in the number of precancerous lesions of the lung and lung cancer incidence soared an important factor. Emphysema and chronic bronchitis, and lung cancer are relatively more expensive.
Diet can prevent lung cancer. Eat more fresh vegetables, fruits, carotenoids, such as drinking low-fat milk. For example: 300 mg per day of vitamin C to eat food, his suffering from chronic bronchitis may eat daily 100 mg vitamin C foods were the incidence of 1 / 3 of the following. Whether from food or drugs to obtain vitamin C, its effectiveness is likely to have antioxidant, thereby protecting the lung tissue. Carotene to prevent smokers suffering from the role of oral leukoplakia. Can be used in addition to vitamin B, folic acid, tonkinensis such to prevent precancerous lesions.

Often accompanied by headache in patients with lung cancer

(1) guard against brain metastases: the incidence of brain metastases from lung cancer accounted for about 20% ~ 50%. If clinical headache, vomiting, twitching limbs, mental abnormal symptoms should first brain CT, to exclude the brain metastases. In addition, EEG, cerebral angiography is also conducive to the diagnosis.
(2) lung cancer patients in chemotherapy, some chemotherapy drugs such as vincristine, colchicine, fluorouracil and other central nervous system have different degrees of damage, sometimes caused headaches.
(3) superior vena cava syndrome occurs, due to blocked blood reflux, causing head and neck edema and headache occurred.
(4) lung cancer patients with respiratory function often affected, causing the body with the outside world and poor gas exchange, resulting in lower oxygen content, caused by asphyxia due to headaches and dizziness.

Easy to be confused with lung diseases signal

Easy to be confused with lung diseases are tuberculosis, pneumonia, lung abscess, lung benign tumor Mucormycosis
(1) Tuberculosis: diagnosis of lung cancer and tuberculosis most confused. Tuberculoma, hilar lymph node tuberculosis, acute miliary tuberculosis, hollow shape, such as pleural effusion TB change, can be very similar to lung cancer.
Tuberculoma was particularly prevalent in young patients with TB lesions at a good site (apex, the leaves and under the dorsal posterior segment), the border clear, and sometimes contains calcifications, often around the satellite kitchen. If so empty formation, while as the center empty, thin wall, rules, can be found in sputum Mycobacterium tuberculosis. These features and peripheral lung cancer can be differential.
Hilar lymph node tuberculosis and central lung cancer easily confused, but the former were more common in children or young people, many TB poisoning symptoms such as fever, tuberculin test positive, effective anti-TB treatment.
Acute miliary tuberculosis with diffuse alveolar carcinoma phase identification. The former patients younger fever and other symptoms of systemic poisoning, X-ray on the see-distributed, small, light density of miliary nodules on both sides of symmetry, often accompanied by toxaemia. And diffuse alveolar carcinoma size两肺see Disseminated nodular lesions, border clearance, the density of the deep, progressive development of the expansion of clinical sexual difficulty breathing.
Tuberculous pleural effusion by pleural effusion out mostly yellow, hydrothorax can identify Mycobacterium tuberculosis, and malignant pleural effusion is mostly blood, which can be found in cancer cells.
(2) pneumonia: cancer should be to identify obstructive pneumonia. Sharp onset of pneumonia, there shivering, fever and other symptoms毒血, and then respiratory symptoms, antibiotic therapy effective, rapid absorption of lesions, rare hemoptysis, and obstructive pneumonia cancer inflammatory infiltration slow absorption, absorption is not complete, often hemoptysis. But the most reliable methods of identification for sputum cytology examination or bronchoscopy.
(3) pulmonary abscess: with cancer empty secondary infection phase identification. Primary pulmonary abscess acute onset, poisoning symptoms, often high fever, chills, cough, sputum pyronaridine stinking lot of pus, blood cells and neutrophils increased. See the X-ray thin hollow wall with a fluid level, surrounded by inflammatory changes. The first empty cancerous lung cancer symptoms such as chronic cough, sputum blood repeatedly, and then cough aggravated脓痰number. See chest cancer are eccentric empty mass, wall thickness, wall surfaces. Sputum cytology and bronchoscopy can be further identification.
(4) benign lung: is characterized by fewer symptoms, course length, X-ray on the brink of mass see smooth, rare sub-leaf density, calcifications were petal-like structure. Such as chondroma, hamartoma, such as benign lipoma. If growth in the bronchial lumen can have obvious symptoms, but a longer course of disease and lung cancer different.
(5) pulmonary aspergillosis: in the chest was often accompanied by mass around the sub-stoves, there were often empty formation of a single small-form-like; a diffuse disease often showed a small mass and distribution of asymmetry on both sides. Sputum culture-shaped bacteria often Minowa or Candida albicans.  lung metastasis What are the symptoms
Malignant lung is the highest organ fat, according to statistics about 50% of malignant tumors spread through direct infiltration, airway cultivation, lymphatic metastasis and blood to the lungs, cough, hemoptysis or血痰, chest pain, if the tumor metastasis to the bronchial has been the subject of obstructive pneumonia and atelectasis, fever, chest tightness, dyspnea and other symptoms.

Treatment of pleural effusion of lung cancer drug

Pleural effusion caused by lung cancer chemotherapy in the diagnosis of lung cancer when combined 1 percent of patients have a pleural effusion, has been no surgical indications. At this point, only to receive chemotherapy temporary effect. Commonly used drugs are as follows:

1, nitrogen mustard

Asepsis will be in the chest cavity effusion pumping as much as possible to do (also placed small ducts), according to 0.4mg/kg, diluted with saline 200m1, one into the chest, once the largest amount of not more than 20mg. Immediately after injection to allow patients to change the direction of position, continuing for about 15 minutes to ensure even distribution of all liquid surface of the chest cavity. Once a week. Effective rate was 55% ~ 87%, a week before and after the drug should pay attention to the situation of bone marrow function and whole body.

2. Ah Ping

Its response rate of about 64% ~ 88%, the drug will enable the emergence of inflammatory pleural adhesion, gap disappeared. The beginning of the available 50 ~ 100mg dissolved in saline injection in lomi chest, if the patient's response is not heavy, every 2 ~ 5, the further injection of 100 ~ 200mg, until the liquid until reduced. Can also be used 600 ~ 800mg single injection. The main reaction to fever, local pain, there are some low blood pressure patients.

3. Tetracyclines

Tetracycline as a hardening agent for cancer treatment of pleural effusion. Are generally placed in a sealed chest catheter to the tetracycline 500mg dissolved in 30ml normal saline into the thoracic cavity, and then injected saline 10m1 washing pipe, duct clamp 6 hours and at the same time continue to transform the body, and then suction drainage tube then about 24 hours to determine the non-liquid and then pull out the drainage tube. It is reported that patients on other drugs (nitrogen mustard, etc.) is invalid, the method succeeded in controlling the growth of liquid 3 ~ 19 months. Satoshi Kitamura also reported the use of doxycycline 500mg, 2 weeks Intrapleural injection 2 or 3 times, the liquid can completely disappear.

4. Other

Self-ADM of adenocarcinoma-induced pleural effusion is better, the chest cavity of a 6 ~ 12mg. In addition, canola can also be used Xiaoliu 30 ~ 40mg / meeting, 5 - fluorouracil 750 ~ 1000mg / times. There are colloidal gold (198Au) colloidal phosphate (32P) and the polio vaccine, Ⅱ, Ⅲ type vaccinia vaccine.

Research progress of lung cancer chemotherapy

Times of life "to fight cancer to enjoy life," the Forum a series of reports

Chemotherapy is one of the means of treatment of lung cancer, especially in the past 10 years, chemotherapy drugs and treatment programs to enhance the development of non-small cell lung cancer after chemotherapy efficacy, reduced toxicity.

In 1995, the British medical journal published by the international non-small cell lung cancer collaborative group of 52 global research summary, when the results of the view that non-small cell lung cancer adjuvant chemotherapy after surgery or not, patients with metastasis and recurrence rate and no difference in survival time .

Therefore, at the time to surgical resection of non-small cell lung cancer, are not in favor of chemotherapy after surgery.

Subsequent years, many new, more effective chemotherapy drugs are all listed, the more clinical trials are under way.

In 2003, the international adjuvant chemotherapy for lung cancer in the United States Conference of Clinical Oncology (ASCO) meeting on the report of 1867 cases of non-small cell lung cancer research findings: post-operative use of platinum drugs in patients with adjuvant chemotherapy and no chemotherapy, compared to patients , 5-year survival rates were 44% and 40%, which can prove that chemotherapy can improve the efficacy, but 23 percent of patients have a more obvious toxicity.

By 2004, the National Cancer Institute of Canada study, 482 cases of Ⅰ B and Ⅱ non-small cell lung cancer patients, vinorelbine plus cisplatin chemotherapy and non-chemotherapy compared to 5-year survival rates were 69% and 54 %, chemotherapy group of 5-year survival rate increased by 15%. That same year, the United States reported in 344 cases of patients, post-operative use of carboplatin in the treatment of Catalonia, the 4-year survival rate was 71 percent, than non-chemotherapy increased 12%.

Now, non-small cell lung cancer has begun to take shape a consensus, usually加泰索Dili cisplatin, paclitaxel, gemcitabine, vinorelbine, etc. A. According to patient's specific circumstances, to choose different combinations can be achieved to improve efficacy, reduce toxicity purpose, especially targeting drug emerged, its mechanism and different from traditional chemotherapy drugs. Traditional chemotherapy drugs are cytotoxic drugs, is toxic to kill tumor cells, but at the same time will inevitably harm normal cells. The targeted drugs into tumor cells can block the adoption of specific epidermal growth factor receptor pathway, inhibit tumor cell proliferation, invasion, metastasis, adverse reactions of light, the patient can be well tolerated.

The country into at least two patients with lung cancer are being "over-treatment“

Lung cancer death rate over the past decade has become the fastest-growing tumor diseases, into at least two patients are receiving "over-treatment." "Over-treatment" not only fail to achieve better therapeutic effect, but increased the suffering of patients. "Over-treatment" mainly refers to surgery and radiotherapy abuse. Surgical patients with lung cancer is the main method of treatment. Statistics show that the method of examination as a result of the slow and anti-cancer awareness is not strong, was diagnosed with lung cancer, the 75% of patients have locally advanced or advanced in lost opportunities for surgical treatment. However, the clinical physicians or patients still insist on surgical treatment, he met four diagnosed with lung cancer (late) after the surgery patients. In addition, patients with early stage lung cancer after surgical resection of lesions, no radiation, there are still some patients to receive radiotherapy for insurance purposes, they undermine the body's immune system.

According to Wei Ge, the lung cancer death rate is the fastest over the past decade tumor, the average mortality rate has reached 116/10 million, more than 10 years ago, more than doubled. Smoking, air pollution and inhaled fumes kitchen is an increase in lung cancer patients an important reason.

Individualized treatment of lung cancer

The beginning of the year, a 55-year-old male patient with chest pain due to血痰, CT examination revealed left lower lung shadow was diagnosed as lung cancer in a hospital in the lower left pneumonectomy and mediastinal lymph node dissection and postoperative pathologic diagnosis was no lymph node metastasis in early lung adenocarcinoma. Unfortunately, this should be the extremely lucky, because the early effects of surgical treatment of lung cancer has been quite good. However, whether postoperative adjuvant therapy should be carried out to produce a heated debate. Party's view is: Although patients with early lung cancer, but the pathological type is adenocarcinoma, there are easy to transfer the tendency for insurance purposes, should be held in post-operative chemotherapy and radiotherapy to prevent recurrence and metastasis. The other view is that: Since the early days, so do not overdo plus chemotherapy and radiotherapy, not to mention the two treatments are not 100 percent effective. Two points of view refused to give joy to win, but also suffered the patients, how to choose?

Medical activities is uncertain and full of controversy and, for the best cancer treatment, almost no unanimous view, more often is the public that the public and reasonable, rational po po said.

First take a look at this case the need for postoperative radiotherapy. The 20th century, 90 years ago, many doctors for insurance purposes, often to allow lung cancer patients - whether early or late relative ---- accepted after mediastinal radiotherapy, and its purpose is to reduce local recurrence and metastasis to extend the life of patients The survival time. Unfortunately, this goal can not achieve. Through an integrated high-quality clinical research findings, we were astonished to find, for early lung cancer, using the old methods of postoperative radiotherapy, not only fail to improve survival rates, but increased mortality. The cause of death was mainly caused by radiation therapy-induced complications. Therefore, in lung cancer has been made in academic circles for such a consensus for early lung cancer, there is no need to give the old methods of postoperative radiotherapy. Of course, the premise is that these early stage lung cancer, including the same side of the mediastinal lymph nodes must be removed clean.

Well, then chemotherapy?

The so-called chemotherapy, is the adoption of several anti-cancer drugs combined into a certain program for cancer patients. As a result of intravenous drug delivery is, therefore, the drug's role is systemic, a feature that allows doctors often consider the use of chemotherapy to eliminate or prevent the transfer of specific cancer cells. However, until now, a large number of clinical research tells us that post-operative chemotherapy for early lung cancer patients would have minimal benefits, we look forward to the chemotherapy drugs significantly reduce or even eliminate the cancer cells the effect of transfer did not occur. But the chemotherapy drugs to patients has brought about obvious side effects: hair loss, vicious vomiting, leukopenia and so on. Therefore, we must in the early post-operative chemotherapy in lung cancer to choose between the pros and cons. On the current evidence available, under normal circumstances do not advocate for such patients postoperative chemotherapy.

But things is not absolute. Since the early lung cancer, in general, there was a slight benefit of postoperative chemotherapy, then the possibility of a slight overall advantage of these transformed into the absolute benefits of a particular patient? If so, how to choose the patients? How reasonable the application of anti-cancer drugs? Here, it gives us of early lung cancer patients should also be divided into two serious proposition.

In 2001, we launched a research project, that is the nature of lung cancer through research, of lung cancer by detecting changes in a number of tags to see if it early screening of lung cancer metastasis and recurrence in easy, but it is also sensitive to chemotherapeutic drugs in particular type, we call the early lung cancer in high-risk type, this type of lung cancer patients given postoperative chemotherapy, it may be targeted rather than feeling the way across the river. Day-ping to the benefit of chemotherapy in the direction of tilt, we should not hesitate to adjuvant chemotherapy patients. When we can not identify early lung cancer in high-risk type, the early post-operative chemotherapy in lung cancer patients are naturally cautious.

The tremendous progress of medical science, allow us to early lung cancer after treatment with some of the new attempt. A step forward in this regard, just the most important new drugs in foreign markets, "the Iraqi force Sand" (Iressa). Mechanism of this drug is completely different from previous chemotherapy, it will not bring to patients, such as hair loss and bone marrow transplant side effects, because it is the role of signal transduction in cells of a certain point, it is called targeted therapy. In Japan and Europe and the United States study, the Iraqi forces were on the sand refractory lung cancer can be achieved satisfactory results. Application of the former period of time, our experience also shows that the Iraqi forces sand on a small tumor burden of patients particularly effective. Therefore, in foreign countries have begun to force the Iraqi sand as postoperative adjuvant treatment of early lung cancer drugs, clinical research, believe that in the near future, we will be able to find early lung cancer one of the most appropriate model of comprehensive treatment.

The beginning of this article that patients who have not received postoperative chemotherapy or radiotherapy. Almost one year since, the patient did not show any tumor recurrence or metastasis of the signs, which initially proved correct treatment measures. Of course, the final conclusion, to be observed in recent years.

In response to the title of this article, lung cancer treatment, is not an easy task, which requires a doctor's knowledge, wisdom, courage, technology, ethics and conscience, but also of lung cancer patients and their families and with the knowledge of doctors with . What is the treatment of lung cancer better able to speak a few words is not clear, but its basic elements, that is, according to phases and physical state of the first to develop the basic principle of treatment, and then in this framework can be the basis of all patients Comprehensive after specific information to determine the details of the design of treatment, which is the highest state of lung cancer ---- individual treatment.

Chinese medicine non-toxic lung cancer adjuvant therapy

Lung cancer is the Oncology bronchial diseases, early treatment of choice for surgical resection. However, due to various reasons, medical treatment, most patients have advanced to lost opportunities for surgical treatment. In recent years, Chinese medicine treatment of lung cancer has been cause for concern efficacy in alleviating symptoms and prolong survival time has played a feature. The traditional Chinese medicine for lung cancer Etiology, Pathogenesis, Diagnosis and Treatment of the relevant literature and clinical experience are summarized below.

1 sputum knot is the pathological basis of lung cancer

"Nan-Jing" goes: "lung of the product, fine-sounding name Ben income ... ... It is cold and heat sprinkling rate, cough, pulmonary obstruct." "Qi Suwen disease theory" goes: "胁下full gas against the disease, two or three very fine-sounding name ... ... disease rate plot." "Yu-machine Suwen Shinzo articles on" documented the advanced lung cancer fever, chest pain Shoulder cited, the symptoms of cachexia, pointing out that "big bone haggard, big meat subsidence, the gas chest full, breathing the inconvenience, which cited shoulder pain , the body heat from the meat breaking  ". Can be seen, "Ben income", "obstruct the lung", "interest rate plot," "pulmonary plot" are traditional Chinese medicine can be classified as bronchial lung disease areas.

Pathogenesis of lung cancer, "Origin and Development of rhinoceros and Miscellaneous Diseases candle" on a more fair, said: "evil plot chest, blocking inverse gas, gas may not pass for sputum ... ... for the blood, are邪正相搏, evil not only win, are not allowed on the system was formed and shaped block. " The awareness of colorectal sputum chest tangible result of the pathogenesis caking. And whether it is within the virtual righteousness, organs disorders, or transgression外邪lungs, cold and heat too, have to undergo a lung Ben Yu, the accumulation of phlegm into the pathological process. Without sputum, there is no plot to Health and lung, the sputum colorectal cancer in the lung is the pathological basis.生痰spleen for the source of the lung for the storage of sputum, and lung Qi Deficiency, yin and yang, estranged by the cold or wind-heat in the evil, the beginning not to accumulate virtual祛邪are ineffective, so time reveals detention into phlegm, sputum gas cementation is a plot into the lung. Phlegm of heat, burn the blood, then spit sputum cough blood. Subcutaneous痰凝forward to, then see缺盆tuberculosis, flow in the bone, then into Gubi, flow in the brain, the目瞑headache. Visceral Disease lung machine with the lungs, spleen two closely related to the dirty, sputum colorectal cancer through the original sent to the transfer of the entire course.

2 Syndrome Treatment

According to the pathogenesis of lung cancer, according to TCM Syndrome Differentiation characteristics, generally divided into the lung to lung cancer Yu-heat, Qi-deficiency and dampness, heat deficiency, Yin Deficiency four common clinical syndrome types. Its main points of differentiation and treatment methods are as follows.

2.1 Yu-heat type of lung disease

Cough poor, bloody sputum, chest pain or shortness of breath胸胁, lips dry mouth, constipation, red tongue or暗红, moss yellow, pulse string or thin string. The evidence for lung Ben Yu,痰壅blood stasis. Xuanfei治宜qi, removing除痰. Side with the daughter of Weijing Decoction. Prescription: Weijing 30g, peach kernel, Health coixenolide, poria, white gourd-jen of the 15g, Zhejiang Fritillaria 20g, mulberry leaves, Notoginseng the 10g, Sauropus 5g, law Banxia 12g, dried tangerine peel, licorice all 6g.

Qi-deficiency syndrome phlegm Type 2.2

痰多coughing, chest tightness, short-gas, gas lazy words纳呆weight loss, abdominal distension would pond. Dark or light red tongue short while toothed India and Carex白腻pulse moisten or Waterloo. Evidence is weak lung, cervical disease and the mother of missing spleen Jian Wan, dampness resistance.治宜Buqi Jianpi,除痰Sanjie. Side with Shenling Baishu Powder. Prescription: Changium, Health coixenolide the 20g, Poria, Atractylodes macrocephala, Zhejiang Fritillaria, white lentils, fried pangolin (先煎) of 15g, Chinese yam 25g, Campanulaceae, villosum (after) the 10g, dried tangerine peel, licorice all 6g .

2.3 Deficiency-heat-type disease

Cough less sputum, or dry cough, throat irritation, or expectoration with bloodshot, chest full of breath, hot flashes sweating, dizziness, ringing in the ears, upset dry mouth, yellow urine, dry stool. Red purple-red tongue, moss-ray stripping or no moss tongue-ray pulse can not string a few. The evidence for lung kidney-yin deficiency, heat Phlegm,治宜Zishen Qingfei,除痰Qingre. Side with diarrhea White Powder. Prescription: Morus alba,生地黄, Anemarrhena, Adenophora, Ophiopogon, Zhejiang Fritillaria, turtle (先煎), Health coixenolide, Yuxingcao the 15g, licorice 6g.

Yin Deficiency Syndrome Type 2.4

Dry expectoration less咳声low, or less bloody sputum, weight loss神倦, dry mouth short gas, loss of sleep soundly目瞑, irritability palpitations, poor body纳差, mamillata dry or嫩红, moss or dry white moss, pulse Shen Fine. Permit an肺脾deficiency, yin depletion. Yiqi Yangyin治宜, Fuzheng In addition to the plot. All parties with Shengmaisan Liuweidihuang Decoction. Prescription: Changium, Ophiopogon, Schisandra, poria,熟地黄, dogwood, lily, Zhejiang Fritillaria the 15g, Chinese yam 25g, Campanulaceae 10g, Cordyceps sinensis, Glycyrrhiza the 6g.

Concise treatment of lung cancer

First, small-cell lung cancer

Treatment with combined chemotherapy and radiotherapy-based.


Commonly used first-line combination chemotherapy programs:

(1) EP or EC: etoposide, cisplatin or carboplatin

(2) CAV: cyclophosphamide + doxorubicin + vincristine

(3) CAE: cyclophosphamide + doxorubicin + etoposide

Second-line program


(1) VIP: Etoposide + Ifosfamide + Cisplatin

(2) IME: Ifosfamide + Methotrexate + Etoposide

Chemotherapy can not immediately ease the transfer of parts, especially the brain, epidural and bone metastases, radiotherapy needed.

Second, non-small cell lung cancer

Early stage non-small cell lung cancer (Ⅰ A, Ⅰ B, Ⅱ A, Ⅱ B) treatment, the preferred surgical resection, postoperative adjuvant chemotherapy. Ⅲ A non-small cell lung cancer patients with preoperative induction chemotherapy (neoadjuvant chemotherapy), and postoperative adjuvant chemotherapy. Can not be surgically removed for locally advanced non-small cell lung cancer can be combined with chemotherapy and radiotherapy. Metastatic advanced non-small cell lung cancer treatment: chemotherapy, biological therapy, supportive therapy. EGFR gene protein over-expression of non-small cell lung cancer treated with ZD1839 available, especially for the poor effect of chemotherapy, and do not advocate and chemotherapy combined.

Combined with chemotherapy commonly used programs:

(1) NP: Navelbine + Cisplatin

(2) PP: Paclitaxel + Cisplatin

(3) GP: Gemcitabine + Cisplatin

(4) TP: Taxotere + Cisplatin

Herbs on what the role of lung cancer patients

(1) to improve lung cancer symptoms: such as patients with lung cancer associated with long-term low-grade fever, and even high fever, cough, loss of appetite, consumption reduction, sweating, weakness, abnormal stools (constipation or dilute it), hemoptysis, or even a small amount of refractory recurrent hemoptysis, etc. Chinese medicine may improve symptoms.

(2) reduce the chemotherapy and radiotherapy response: Chinese medicine in chemotherapy and radiotherapy 3 ~ 5 days before the beginning of service, reduce the chemotherapy and radiotherapy, so that patients on chemotherapy and radiotherapy to enhance tolerance. Will enable a more successful completion of radiotherapy treatment, prevention of radioactive reaction; is conducive to the successful completion of intermittent, long-term treatment combined with chemotherapy; also enhance radiotherapy and chemotherapy efficacy.

(3) to improve the immune function: According to the report of Chinese medicine can improve immune function, may be conducive to the achievement of the purpose of curing cancer.

(4) to improve the physical condition, improve the quality of life

Oxygen treatment of lung cancer should pay attention to

Oxygen therapy is to correct the hypoxia-targeted measures to increase the oxygen clinical concentration, improve alveolar oxygen partial pressure, oxygen saturation and content, to ensure that tissue oxygen supply.

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Oxygen and oxygen therapy in two ways: one is the low concentration of oxygen, another is a high concentration of oxygen.

Low concentrations of oxygen (oxygen concentration of less than 50%): generally used for chronic bronchitis, emphysema, pulmonary heart disease and so on, also known as chronic obstructive pulmonary disease, chronic respiratory failure in the loss of compensatory time, oxygen must take blood The increase in oxygen pressure, high blood pressure can weaken the carotid sinus reflex on the respiratory center stimulation, thereby reducing the amount of ventilation, there are increasing the possibility of carbon dioxide retention. So be careful with oxygen, the general use of low oxygen concentration, if necessary, increase by mechanical respiratory therapy.

High concentrations of oxygen (oxygen concentration greater than 50%): in patients with acute respiratory failure, such as breathing, cardiac arrest, acute respiratory distress syndrome, acute poisoning (such as carbon monoxide poisoning or gas poisoning), such as respiratory depression, we must use every second counts high concentration or pure oxygen for emergency treatment, but not long-term use to prevent oxygen toxicity or other complications.

In short, they should pay attention to the oxygen in the oxygen inappropriate application also has side effects, especially for patients. Should be applied under the guidance of doctors.

Do you want to lung cancer radiotherapy

In the famous British medical journal "Lancet", there is a cancer research over the past 30 years Review. It is surprising to find that, for some types of lung cancer patients, whether or not the application of radiation therapy is a debatable issue.

For non-small cell lung cancer patients with nine research data show that radiotherapy after surgery, many patients will actually lose more chance of survival, especially those who have not been the proliferation of cancer patients.

Non-small-cell malignancies, including more than 10 kinds of different cell types of lung cancer, accounting for 80 percent of cases. 1 / 5 by surgical treatment, followed by radiotherapy or chemotherapy to impose further.

Cambridge, UK scientists have studied a number of countries in patients with lung cancer in 2128. About half were randomly assigned to receive postoperative radiotherapy, including some that have not yet violated the lymph nodes of patients with lung cancer. After two-year survival rate of patients to receive radiation therapy for 48 percent, but only the survival rate of patients who underwent surgery for 55%, that is not radiotherapy better. One study showed that only those patients with advanced radiotherapy after showing good role. While the other three studies showed that did not include violations of lymph node cancer patients, radiotherapy are brought serious damage.

Therefore, many once regarded as a conventional radiotherapy means doctors, has begun to reconsider their treatment programs. Now, doctors use to deal with postoperative radiotherapy or surgery can not achieve violations to the lungs or lymph nodes outside the lung cancer tissue.

Scientists pointed out that over the past lung excessive doses of postoperative radiotherapy, which is obviously harmful. Treatment will cause excessive similar bronchopneumonia as local acute radiation pneumonitis. In fact, this may lead to cancer patients is one of the causes of death.

Note lung cancer chemotherapy

1. At present, lung cancer chemotherapy in general can not achieve radical, so in a certain stage of chemotherapy may be with surgery or radiation therapy to strengthen the local or regional control of tumors. At the same time, chemotherapy should be tolerated as far as possible, according to the patients given higher doses. Chemotherapy for lung cancer, the degree of gastrointestinal reaction and bone marrow depression are hard to avoid the number of treatment should be based on patient's response and efficacy of an appropriate increase, as much as possible to achieve complete remission.

2. The interval between treatments, because the existing drug toxicity after stopping often in the continuation of a few weeks, each week intervals during the day since the beginning of chemotherapy every 4 to 6 weeks, but must be made after the disappearance of drug toxicity by The next course of treatment.

3. Chemotherapy in the process of withdrawal or dressing indications.

(1) the treatment of 1 to 2 treatment lesions still progress, or, having stabilized in the rest period deteriorate again.

(2) toxicity up to 3 ~ 4, of a certain threat to patient health.

(3) there are complications, such as fever> 38 degrees, or have bleeding tendencies.

(4) rapid deterioration of patients with normal circumstances, there cachexia.

Small cell lung cancer (SCLC) treatment

Following the recommended treatment is based on the U.S. National Cancer Institute and Clinical Center, O-mei proposed treatment.

In determining the treatment plan, the tumor staging and histologic classification is a very important factor, because the majority of patients already diagnosed and obvious potential transfer. In the difference between the smaller stages, the survival was no significant difference, therefore, small-cell lung cancer patient's actual treatment, do not use the past referred to the complexity of the TNM staging system, most commonly used is filled with period and limited hours period, but the stages were difficult to determine the justice, are of the view that limited small cell carcinoma refers to tumors confined to the organ side of the chest, mediastinal and supraclavicular lymph node, and diffuse tumor futures extensive, beyond the limited definition of the above the scope of such patients are often accompanied by distant metastasis.

Limited SCLC

Only 1 / 3 of the patients in the time of diagnosis is limited and chemotherapy for limited SCLC is the principal means.

Chemotherapy with cytotoxic substances in different cell division cycle, such as: VCR to stop the formation of microtubules, adriamycin prevent DNA and RNA synthesis, these drugs, the role of goals in the process of cell division, so fast split cells greater impact than other cells, because cancer cells are rapidly dividing cells, they are subject to the influence of drugs than normal cells, to a large, this feature also explains the side effects, such as chemotherapy-induced hair loss and bone marrow transplant.

Complete remission patients after treatment for 2 years there are still 35% to 65% of the lesions involving the central nervous system (CNS), therefore, to alleviate the patients often take preventive brain irradiation (PCI), but much remains to be further PCI study of neural toxicity to confirm the survival of the period of its advantages.

Treatment options

1. One of the following programs can be combined with chemotherapy and chest radiotherapy

o EC: etoposide + cisplatin + 4000-4500 cGy chest radiation therapy

o ECV: etoposide, cisplatin + vincristine + 4500cGy chest radiotherapy

Complete remission of patients should also be given to preventive brain irradiation (PCI) in order to prevent the transfer of CNS.

1. There are effects of damage or poor lung function of patients, combined with chemotherapy (do or do not PCI).

Of highly selective cases, chemotherapy or chemotherapy plus chest radiotherapy after surgical resection line (do or do not PCI).

Ongoing program of new drugs, different doses, the primary tumor surgically removed, the new radiation therapy programs and technologies, as well as the timing of radiation therapy research, including NSCLC and SCLC immune therapeutic use, there is currently no effective found. The use of autologous bone marrow transplantation has studied high-dose chemotherapy for many years, but almost did not demonstrate that extended the survival time. With the biological characteristics of small cell carcinoma of understanding of the gradual increase, will find a new factor, autocrine growth factor and its receptor, interferon, such as the role will be further studied.

Lung cancer patients with poor survival, and the need for new treatment options, making a large number of patients to join clinical trials group and the use of unconfirmed drugs, in clinical studies, with particular attention to the following questions: in the use of unconfirmed drug treatment , taking into account the ethical issues; and recommended before the experimental treatment, taking into account the likely increase the suffering of patients.

Filled with a view to SCLC

Filled with a view to the patient's chemotherapy patients is similar to limited use, and by the extensive transfer of chest radiotherapy seldom used.

Treatment programs

1. Documents reportedly one of the following programs combined with chemotherapy (do or do not PCI) have better efficacy, and survival is similar.

CAV: cyclophosphamide + doxorubicin + vincristine

CAE: cyclophosphamide + doxorubicin + etoposide

EP or EC: etoposide, cisplatin or carboplatin

ICE: ifosfamide + carboplatin + etoposide

1. Chemotherapy can not immediately ease the transfer of parts, especially the brain, epidural and bone metastases, radiotherapy needed.

Second-line treatment for relapse in patients with a slight survival benefit.

In Taxol (paclitaxel) research, topoisomerase I inhibitor (irinotecan), vinorelbine and gemcitabine as a new agent is currently being used and added to the new program, it seems to help to prolong survival period, different doses of clinical research and high-dose chemotherapy are also being used.

Of high-risk patients, in the past, with or without a history of tumor, and used to prevent the occurrence of cancer preventive chemotherapy, in the absence of a history of cancer patients with β-carotene or vitamin A, no apparent benefits of preventive treatment. Second primary tumor on the incidence of vitamin A, β-carotene may reduce the occurrence of further research will produce more results.

Experts on lung cancer treatment

The main treatment of lung cancer are surgery, chemotherapy, radiotherapy and Chinese medicine treatment, about 50 percent more than in the time of diagnosis in patients with lung cancer surgery have lost the opportunity, non-small cell lung cancer, especially lung cancer to chemotherapy and radiotherapy are not sensitive, Late weak patients with lung cancer, chemotherapy would accelerate a deterioration in their conditions, while the pure Chinese medicine "Heaven Fuxing standard lung cancer treatment options to ease" and "sleeve opening cancer by Water Act" to the patients with lung cancer treatment has brought new hope. With "Fuxing days" series of systemic anti-cancer drug treatment of 1-2 months after treatment, most patients with cough, chest pain, symptoms have been alleviated Hydrothorax or disappeared, the disease under control, patients can be long-term "with survival."

How to make the late, or relapse after surgery, patients transferred to rehabilitation?

Advanced lung cancer, as well as post-operative recurrence, metastasis, often complex and changeable, but as long as the cause of this disease to seize the essence of both temporary and permanent cures, many patients can pull through.

Firmly hold the hand of life to grasp the initiative of life and death at an early date to return to the ranks of healthy people.

Difficulties and Countermeasures of lung cancer

Lung cancer is the most common malignant tumor of mankind is one of intractable diseases, easy to relapse and easy transfer. Although a small number of early patients were positive long-term survival after treatment available, but most patients with a variety of reasons lost the timing of early aggressive treatment. How can this part of patients receive appropriate medical treatment, so that their lives can be extended, is Chinese and Western medicine treatment of problems. Surgery, radiotherapy and chemotherapy, although for the effective treatment, but how to make the effect of better and more durable; how to reduce those in the medical treatment in these areas there are great advantages and research value.

One of the difficulties: early detection, early diagnosis of lung cancer was the key to cure

1, early detection
(1) attention to precancerous lesions of the prevention and treatment, attention to a number of carcinogenic, cancer-promoting factor in prevention. To suffer from various forms of chronic pneumonia, tuberculosis patients should pay attention to.
(2) of lung cancer screenings, as soon as possible to check and found that small, confined tumor without metastasis.
(3) to educate the masses with precancerous lesions of the lung cancer clinical manifestations of lung cancer has great importance for timely treatment.
(4) to improve the grassroots and the general hospital of lung cancer diagnosis level, there is awareness of the referral system and to reduce misdiagnosis.

2, early diagnosis methods
(1) of suspicious objects repeatedly, repeatedly falling sputum cytology.
(2) of suspicious objects, such as tumor markers inspection. Such as: CEA, electrophoresis of serum-induced factors, serum sialic acid, neural enolase, mucin 1 antigen and neural cell adhesion molecules, such as.
(3) X-ray and CT, MRI, such as inspection, the early diagnosis of lung cancer will have a very important value.
(4) bronchofibroscope cytology and organization of central lung cancer meaningful.
(5) attention to the emergence of extra-pulmonary symptoms, such as: clubbed fingers, anemia or blood cells increased, hypertrophic osteoarthropathy and recent performance of endocrine disorders.
(6) monoclonal antibody diagnosis of lung cancer in early stage and is conducive to the positioning of lung cancer diagnosis.
(7) conditions to allow the hospital to deal with suspicious objects cancer and tumor-related genetic tests. And lung cancer-related genes: c-eph, L-myc (small cell lung cancer), P21 protein.

Although more than a number of examination methods for early diagnosis of lung cancer have a certain significance, but with little specificity, attention should be given comprehensive application.

Difficulties in two: the early detection of recurrence and re-treatment

Early lung cancer patients should be regularly reviewed, paying attention to the original lesions, lungs, brain, bone, liver, kidney, adrenal gland and lymph node recurrence or metastasis, etc. there. After one year should be at least 3 months time, such as X-ray, high-resolution CT, sputum cytology examination and tumor markers of lung cancer screening.

Recurrence should be removed as soon as possible to accept the second, if the disease widespread or transfer, other methods of treatment should be selected. Regardless of which method to choose treatment, should have the participation of Chinese medicine, especially those who can not tolerate surgery or radiotherapy and chemotherapy patients should be based on traditional Chinese medicine-based treatment. Practice has proved that Chinese medicine has to participate in a comprehensive anti-cancer treatment, more effective than to accept a single surgery or radiotherapy and chemotherapy in cancer patients, and the toxicity of light, a good long-term effect.

Can not accept the surgery or radiotherapy and chemotherapy patients relapse, Chinese medicine treatment is the best option. In the disease based on the combination of differentiation, select those who are anti-cancer effect of the application of traditional Chinese medicine differentiation available good effect.

The third difficulty: the side effects of traditional Chinese and western medicine treatment of lung cancer directly affects the efficacy of

Western medicine for lung cancer certainly has some effect, but the radiotherapy and chemotherapy damage caused by the body is a serious problem, he often can not tolerate the patients give up treatment, a direct impact on treatment effect - those who had received surgery or patients boil radiochemical if the transfer or relapse, then the already insufficient blood, organs function of weakness, and then given drugs such as radiation or chemical treatment, Chinese medicine practitioners believe that this is the evil of drug fever, righteousness will undoubtedly hurt the patient more difficult to tolerate, at the same time blood and organs of the body recovery and to strengthen its anti-metastasis and recurrence of the capacity of disadvantaged. To solve these problems, Chinese medicine is superior.
1, the use of Chinese medicine Fuzheng mainly to promote the postoperative, radiotherapy and chemotherapy after the restoration of the body, such as: Chinese medicine Jianpi Bushen law, Jianpi Liqi law, Yangyin Qingre law, Yiqi Yangyin law can also be supplemented by Qi and Blood of law.
2, uphold the use of Chinese medicine to alleviate and treatment of radiotherapy and chemotherapy toxicity. Treatment commonly used are: Yangyin Qingdu heat, Jianpi Bufei, Yiqi Yangyin, Bushen myeloid radiation, such as filling method.
3, the use of Chinese medicine for radiotherapy and chemotherapy sensitizer to enhance the efficacy of extended survival.
4, use of anti-cancer effect of Chinese medicine and radiochemical boil common application, since synergistic anticancer effects.

The fourth difficulty: how to solve the chemotherapy multi-drug resistance problems

Multidrug resistance in tumor chemotherapy efficacy of the main obstacles -, once the tumor cells to chemotherapeutic drug resistance, the structure and function of other different chemotherapeutic agents were also resistant. Multidrug resistance to solve the fundamental problem is how to reverse the + western medicine reversal agents more, but also made great progress, Chinese Herbal Medicine. C1l the existence of multidrug resistance reversal agents, a study reported in the tumor cells in vitro can reverse multidrug resistance, and non-toxic side effects. At present, there are advised to choose the role of Chinese medicine Fuzheng Tonifying (astragalus, cordyceps, ginseng, Psoraleae, coixenolide, bulb, etc.) to carry out clinical and experimental research on the appropriate focus on the effective compound, such as Liuweidihuangwan, Sijunzitang , Shenqi Pill, such as Bazhen Decoction.

Five Difficulties: How to transfer anti-lung cancer

Transfer is one of the basic characteristics of lung cancer, a direct impact on lung cancer + how to control the metastasis of lung cancer lung cancer treatment is difficult and is the current focus of the study one of the topics, how to make use of the transfer of anti-Chinese medicine in Chinese medicine treatment of lung cancer Difficulties and research priorities .
1, traditional Chinese medicine to control the transfer of the process of tumor cells using drugs to lower blood viscosity of blood, increasing blood flow, reducing the tumor cells and vessel wall contact and adhesion, it is possible to block part of the invasion process of tumor cells, reduce the incidence of tumor metastasis. Such as the Chinese medicine contains Ligustrazine Chuanxiong is huoxuehuayu active ingredient, inhibits platelet aggregation, animal experiments have anti-tumor metastasis. It should however be noted that not all Chinese medicine huoxuehuayu have anti-tumor metastasis, such as animal testing found that Chinese medicine Danshen huoxuehuayu, Chishao, safflower, Chinese angelica and promote tumor metastasis role there should be attention. In addition, traditional Chinese medicine compound huoxuehuayu complicated, different varieties of a direct impact on the experimental results, the study should focus on the single drug, there are active monomer of research.
2, inhibit tumor angiogenesis tumor angiogenesis is the proliferation of tumor proliferation and metastasis of an important condition for the -. Interfere with tumor angiogenesis, which can effectively control the proliferation and metastasis of tumors, some traditional Chinese medicine (ginseng, astragalus, cordyceps, dangshen, Ciwujia, medlar, Icariin. Kiwifruit) in this respect have a certain role, to be studied in depth.

Lung cancer patients should pay attention to during what

When lung cancer patients after surgical resection, radiotherapy or traditional Chinese and western medicine anti-cancer drug treatment, condition to achieve complete remission or partial remission, it shall be in the promotion of rehabilitation attention.
Should mainly be done:

(1) a complete ban on smoking. Regardless of when to quit, are not too late.

(2) for qigong exercises is to strengthen the special qigong breathing function, so that to improve lung function.

(3) regular attention to the environment in the air fresh, and more into the environment to exercise or activity.

(4) not to people or the polluted air in public places to avoid exopathic and respiratory infections.

(5) eat less food and irritation of生痰lung injury, such as pepper, Health葱蒜, fat and other objects; eating rich in vitamin A and C Qingfei Moistening Lung food and food such as carrots, grapes, lilies, Sagittaria, fried almonds, ginkgo, walnut, asparagus, Luohanguo, the loquat, pear and so on.

(6) adhere to periodic review and take Yiqi Bufei, Qingre anti-cancer traditional Chinese medicine for several years. If it is partial remission, it should be under close observation by the doctors the necessary comprehensive treatment of Chinese and Western medicine in order to secure long-term mitigation.

Hospice care for cancer patients is the meaning and purpose of what

Cancer treatment have great development in recent years, although we can not say that cancer is "incurable", but the cancer, after all, is "intractable disease", each year the need to implement a number of hospice patients, there is no denying. The so-called hospice, that is, refers to the dying patients with physical and psychological care, concern and support. Hospice Care aims to reassure the patient, so that the final stage of life can be serene, with satisfaction to reach the end of Health. Contains the contents of hospice through medical means and spirit means so that patients, I understand and accept the death of death. At the same time so that families can afford frankly the fact that their loved ones died. Hospice Care is the implementation of end-stage of life, whether it is an incurable disease of end-stage or the so-called "die a natural death" of end-stage, there is always time for the dying, the last time a long short, short of several persons minutes, the elderly for several months, cancer patients can be days or 10 days, regardless of the length of time, the stage before his death is the only way of life is given to human beings can not avoid the laws of nature facts. Life also need to "well from start to finish" and "gifted students" must have "good death." This is the social development and spiritual symbol of people's lives in China entered a "well-off" towards the world today, to carry out medical care for the dying is a symbol of spiritual civilization, sociology and ethics is also an indispensable component.
The implementation of hospice care should pay attention to the following questions: (1) to carry out "good death" of education, arouse public awareness of the importance; (2) to help patients out of fear of death; (3) to the dying the opportunity to leave his funeral arrangements; (4 ) as far as possible to meet the demands of patients so that patients leave with satisfaction

Mental Health and lung cancer

The incidence of lung cancer is very high, which in addition to genetic factors, but also smoking, decreased immune function and poor eating habits, and the United States the most recent study found that women in the evening to eat high-fat food, lung cancer will occur the danger of increased.

My recent research shows that in patients with lung cancer prior to the onset of psycho-social factors are important pathogenic lung cancer risk of one of the factors, that is, lung cancer is related to psychosocial factors following positive correlation:

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1 spirit of the long-term depressed and have less favorable.

2 interpersonal tensions, including within the family, between colleagues, between superiors and their subordinates, among relatives and friends.

3, emotional, psychological self-regulation can not.

4 not meet around the work and daily life, interpersonal, things such as the environment, very rigid. Which suppressed the spirit of long-term risk of smoking was significantly higher than the ratio should be.

Therefore, the adverse psychological and social factors to eliminate or reduce to the minimum extent, the prevention of the occurrence of lung cancer is also important. For example, keep a good mentality optimistic; Institute of psychological self-regulation, any difficulties have been known to take the initiative to talk to relatives so that their "one spit at a faster pace"; others generous, good interpersonal skills; of life to "知足常乐" ; on the environment should take the initiative to adapt to it. In short, the laughter of life will be less trouble.

Lung cancer patient's diet conditioning

Lung cancer is a very common form of cancer, cancer mortality in China ranked the second place. General symptoms of lung cancer was not apparent, early may have cough, dyspnea, bloody sputum, such as inflammation may TB symptoms can be terminally ill with fever, weight loss, fatigue, or even cachexia.

As early as the mid-term lung cancer patients, their digestive system functions are sound, in the clinical diagnosis, they should seize the time to the body nutritional supplements to enhance physical fitness, and enhance immunity, prevent or delay the emergence of cachexia. If the clinical treatment before nutrients were filling more fully, the body of patients better to chemotherapy, radiation tolerance of a stronger, better treatment effect Chek; the same body better than the nutritional status of patients with poorer patients Then love surgery and faster recovery. So as early as mid-term lung cancer patients in digestion and absorption capacity permitted under the conditions may be added as soon as possible a variety of nutrients, such as high-quality protein, carbohydrate, fat, salt and multivitamins.

For lung cancer patients cough, hemoptysis and other symptoms, Chinese medicine has many Yangyin Moistening Lung and cough to stop bleeding, the convergence of the prescriptions and food side, for example, there is gong Yangyin Moistening Lung and food have almond jellyfish, lily, water chestnuts and so on, and lotus root festival, lotus seeds, persimmon, pear, yam, lilies, and others have白木耳cough, bleeding convergence role. According to the prescription, lung cancer patients can also eat Gejie, turtle shell paste, meat, rice and other food Ziyin补养.

Compared with the digestive tract cancer, lung cancer patient's diet should be better resolved. In addition to the above nourishing food TCM, the lung cancer patients who wish to choose milk, eggs, lean meat, animal liver, soy products, fresh fruits and vegetables and so on. To maximize the patient's food intake and eating frequency. Should pay attention to: Lung cancer patients should avoid Tilletia greasy food, spicy taboos and tobacco, alcohol and other irritating food.

Why is tea beneficial for patients with lung cancer

Miami University Professor Morton, a large number of tea on the regular field visits to people found that certain long-term tea drinking crowd of gastric cancer incidence was significantly higher in these areas the high incidence of gastric cancer the reason lies in the fact that large quantities of drink containing tannin number of Indian tea. Tannic acid content of less Chinese tea, no tea as the drawbacks of India, therefore, recommended Professor Mo Dun drink Chinese tea. A professor from National Taiwan University has done an experiment that will tea ground into powder, mixed in animal feed feeding mice inoculated cancer cells. After three weeks, cancer cells were significantly inhibited or even reduced, therefore, he thought the regular tea can prevent cancer.


The outcome of the current study believe that the main anti-cancer tea polyphenols substances that can inhibit cell mutation, and cell mutations can sometimes cause cancer. In addition, the tea can block the synthesis of nitroso compounds, but also has certain anti-cancer effect.

Some studies have also shown that tea can reduce the radiation of the radiation damage, and the role of anti-radiation. Tea is rich in vitamin c and vitamin e, also has assisted anti-cancer effect. Therefore, regular tea benefit of lung cancer patients, with delicate green tea anti-cancer the best anti-cancer effect.

Lung cancer patients with appropriate services stilbazolium roxburghiana tea.

Astragalus root, also known as independent, with slow aging, enhance and regulate immune function. In particular, it is rich in selenium, it is simply good medicine to treat cancer. Astragalus and Chinese wolfberry with the use, have a stronger ability to enhance the role of resistant organisms.
After lung cancer patients, can persist in stilbazolium, Cha Ki-generation tea, can enhance immune function. As follows: daily from taking Astragalus, 15 grams each person barbarum Cup, were a little boiling water or boiling brew better, half an hour after drinking a day several times. Continue to boil or warm drink goes to sleep at night before, it is best to Astragalus and finished medlar; a day, insist on taking it better long-term use.

How patients with lung cancer tonic

Q: lung cancer patients after surgery and chemotherapy, are now very weak. I would like to fill up the body, but are afraid that good nutrition, may accelerate the growth of cancer cells. I would like to ask how patients with lung cancer in the end tonic?
A: When patients with lung cancer gradually restore physical health, the body immune function, anti-cancer stronger than the ability, you can turn effectively inhibit cancer cell growth. From this perspective, the increase in nutrition will not accelerate the growth of tumor cells. Traditional Chinese medicine practitioners to emphasize辨症soup kitchens, for example, the patient's tongue is greasy and yellow greasy or白腻should Jianpi Huashi eat food, such as:米仁, lentils, etc., and certainly can not eat soft-shelled turtle, so the implementation of diet should be based on the patient's specific circumstances.

Lung disease in several nursing

Is the most common primary lung cancer, elderly people aged above 60 is a high incidence of lung cancer age-old suffering from cancer, its high degree of differentiation, proliferation slow surgical resection survival rate higher , in the pathological type of lung cancer in older men susceptible to phosphorus cancer, older women susceptible to cancer.

[Clinical manifestations]
The symptoms of lung cancer and tumor site, size, type, stage of development, and whether or not complications or metastasis.
1. The original cause the symptoms of cancer
Cough, hemoptysis, mostly blood or sputum continued intermittent blood. Bronchial obstruction caused by tumor stenosis, may have chest tightness, shortness of breath, wheezing and other symptoms, the occurrence of obstructive pneumonia or atelectasis, or tumor necrosis can be caused by fever. Wasting and evil heterogeneity is common in advanced cancer.
2. Tumor symptoms caused by local expansion
Chest pain, dysphagia, hoarseness, superior vena cava stop symptoms. Cancer metastasis, showed symptoms of the corresponding organ.
3. Other than the performance of the lungs
To bone, joint diseases and endocrine disorders caused by the syndrome more common, we can see clubbed fingers, hypertrophic osteoarthritis and Cushing's syndrome.

[Examination]
Chest X-ray examination found that lung cancer is an important method, sputum examination of cancer cells, lung cancer is to check the most simple and effective method of early diagnosis, and provide tissue cell types. Fiberoptic bronchoscopy and biopsy in the diagnosis of decisive significance.

[Treatment]
In a variety of therapeutic programs to the best surgical treatment. According to anatomical cancer, type, whether the transfer and integrated state of the body to choose surgery, radiotherapy, chemotherapy, interventional therapy, herbal therapy and other measures.

[Nursing]
1. To understand the elderly diet, sleep and psychological state, a really good job in psychological care to the sick elderly people are in good state of mind and body, and in order to improve the therapeutic effect.
2. To prevent and control infection.
3. To observe the condition changes, the volume of hemoptysis more elderly people should be ready to save items to prevent suffocation.
4. For elderly people with advanced lung cancer may be an appropriate use of analgesics, to raise the elderly's quality of life.

[Preventive care]
1. Lung cancer patients with typical symptoms of the event, a significant proportion of lung cancer is already advanced. Therefore, high-risk groups regularly carry out X-ray inspection and screening, early detection of lung cancer, early treatment is important.
2. To promote smoking cessation, avoid and reduce inhalation of carcinogenic factors in air and dust, to improve the working and living conditions.
3. To carry out prevention and treatment of lung cancer health education, to improve older people's vigilance against lung cancer, so early detection and treatment.

Patients with lung cancer after breathing gymnastics training

The rehabilitation of patients with lung cancer before surgery should be the basis of thoracic surgery, lung resection and other possible harm and the prevention of radiotherapy, chemotherapy appears to develop such pulmonary lesions. Preoperative patients should guide the practice of respiratory control and the correct way coughing, smoking cessation and the use of bronchodilator drugs, accompanied by the use of antibiotics should浓痰. Breathing exercises would like to emphasize the right and the supine position. Cough is effective through the normal regulation of breathing to achieve, rather than forced or exclude regulated gas volume, the patient should first take a deep breath and then coughing breath when two to three times, will help to rule out the possibility of respiratory secretions.

After surgery, the patient regained consciousness on a cough should encourage their. Doctors should percussion in the lungs and help small bronchioloalveolar lung secretions discharged. If patients need surgery postural drainage, the implementation of the doctor's advice should be to cough secretions and patients can not get out of bed activities so far. Arm, torso and lower extremities of the functional recovery in patients with exercise can withstand the circumstances, after the first day to start, the purpose is to restore and maintain the full range of motion, increase strength and promote blood circulation to help stimulate the cough.

Lung cancer living tips

1, usually wish to feel cheerful, sometimes daily, to keep indoor air fresh, cold warm attention to prevent the passage of the lung caused by外邪pulmonary infection.

2, lung cancer is mainly caused by environmental factors of disease, of which smoking is an important cancer-causing factor to discourage smoking on lung cancer prevention have a positive significance.

3, walnuts Ginseng Decoction walnuts 20 grams of meat (not peeled), 6 grams American ginseng, ginger 3, add water, amount to同煎取汁200ml ginger, add a little rock sugar transfer service, daily 1 times临睡前warm clothes .

4, bretschneideri bretschneideri soup 50 grams, five grams of Cordyceps sinensis,水煎服daily 1.

5, fresh human placenta 1, 10 grams of Cordyceps sinensis. Wash all pieces will be the placenta, and Cordyceps were people inside the porcelain隔水炖cooked, seasoned consumption. Applicable to lung cancer patients, after chemotherapy.

6, carrots 120 grams, the 10 dates. Adding water 1000ml,煎汤300ml, sub-3 second serve. Applicable to lung cancer after chemotherapy were体虚anemia.

7, the whole melon wilt 15 grams, 30 grams Yuxingcao, Dongguashan sub-15 grams, 30 grams grass Ho, coixenolide 30 grams, sugar amount. First full-melon wilt, Dongguashan son, grass Ho煎汤to Java, the increase Yuxingcao, coixenolide煮粥, sugar seasoning take. One day,常食.

Why do I say that when patients with lung cancer radiotherapy with hyperthermia effective

(1) systemic or local hyperthermia, the tumor cell necrosis decomposition, and its decomposition product can stimulate the immune system to play a role, thereby inhibiting the growth of tumor cells.
(2) The study found: high fever and with the use of radiotherapy can significantly reduce the radiation dose. Such as skin metastasis of breast cancer first partial heated to 44 ℃ ~ 46 ℃, 1 hour after radiotherapy, radiation dose can be reduced from 15Gy to 6Gy.
(3) high fever immediately after radiation therapy or radiotherapy immediately after the adoption of the whole body or partial heating method to raise the heat, are all effective ways to enhance the sensitivity of tumor to radiation, thereby enhancing the efficacy.
(4) tumor tissue after heating microcirculation blood flow was significantly lower than the pre-heated blood flow and lead to tumor cells with severe hypoxia, and when combined with radiotherapy heating, thermal destruction cytotoxicity and the direct killing effect of radiation complement each other, so that the tumor cells selectively add to the injury.

Therapeutic methods of lung cancer

(1) Moistening Lung honey cough pills: Lu vespae, Jiangcan all equal, honey appropriate. 3 flavor研末drugs, Lian honey for the pill. 2 times a day, six grams each. Moistening Lung effectiveness Huatan, Sanjie swelling. Applicable to lung cancer cough obvious.

(2) burning lung glycyrrhizic Sydney: Licorice 10 grams, Sydney 2, lung about 250 grams. Pear slices peeling, lung wash and cut into slices挤去bubble, and licorice in the same place casserole. Add a little rock sugar,火熬small amount of water 3 hours after the taking. 1 times daily, with Moistening Lung除痰role, not only those who apply to cough.

(3) crystal sugar almond paste: 15 grams of sweet almond, bitter almond 3 grams, 50 grams of rice, crystal sugar amount. The sweet almond and bitter almond soft foam with water, peeled, pounded to increase rice, boiled water and rock sugar thick porridge, once every other day. With Moistening Lung expectorant, cough asthma, such as the effectiveness of Runchang.

(4) bilobalide Calligonum porridge: bilobalide 25 grams, jujube 20, 50 grams glutinous rice. Will bilobalide, jujube, glutinous rice煮粥common accompli. Morning and evening temperature fasting suits, there is swelling, such as the role of detoxification.

(5) Angelica dahurica stewed bird's nest: Angelica dahurica 9 grams, 9 grams of bird's nest, rock sugar amount. Will be Angelica dahurica, bird's nest隔水炖extremely bad, filters to Java. Add rock sugar sauce appropriate moment and then stewed accompli, 1 or 2 times a day. With Bufei Yangyin, cough hemostatic effect.

(6) Ginkgo steamed duck: ginkgo 200 grams,白鸭1. Bilobalide peeled, boiled water and cooked, peeled, core, and then mixed with boiling water after cheuk good boneless kill the duck meat. Add broth,笼蒸duck熟烂to two hours after eating. Can be regularly consumed with补虚antiasthmatic, Lee swollen tides. Suitable for advanced lung cancer can not breath, general weakness,痰多.

(7) schisandrin stew: Schisandraceae 50 grams, duck or pig meat moderate. Schisandrin and meat with fresh steamed or stewed food, and, where appropriate, by adding spices. Meat, medicine, soup are served, Bufei Yishen, Antitussive and Antiasthmatic, suitable for kidney deficiency type of lung cancer patients.

(8) philoxeroides chicken: 15 grams philoxeroides Senate, chicken or duck, pork appropriate. Philoxeroides to participate in a total of炖熟meat, proper seasoning can be joined. Regularly take, Bufei, Qi, Sheng Jin. Applicable to lung cancer blood underemployed.

(9) winter melon soup Vicia Paper: Paper Dongguashan 60 grams, 60 grams Dongguashan son, Vicia 60 grams. Add to the above-mentioned food pot, add water, 3 bowl煎至1 bowl, then add the appropriate spices accompli to Java drinking. The effectiveness of dehumidification, diuresis, reduces swelling. Applicable to lung cancer who have pleural effusion.

(10) ginger beef with rice: fresh beef from 100 to 150 grams, ginger 50 grams, 500 grams of rice, soy sauce, peanut oil, green onion, ginger all a little. System of law: The Wash fresh beef meat chopped into shape, the ginger juice squeezed out about two share Add beef add soy sauce, peanut oil,葱末Autoleveller standby. After washing rice clean water until eight mature remove Li Shui, a total of拌好, can笼蒸1 hour.

(11) sheep bones porridge: raw materials: two sheep bones (weighing about 100 grams or so). 100 grams of rice or glutinous rice, salt, ginger, the little stallion. Usage: Wash mallet first sheep bones into small pieces (such as the size of table tennis), add water decoction, choose soup liquid and wash the rice (or rice)同煮for porridge, porridge cooked after the salt, which can eat .

For recipes on the 1st of lung cancer (surgery recovery)

Breakfast: milk (250 grams of fresh milk, sugar 10 grams), a boiled egg (an egg 50 grams), bread (50 grams of flour), mixed vegetable (celery 70 grams, 10 grams yuba)

Snacks: fruit (Pear 250 grams)

Lunch: Large rice (rice, 100 grams), minced meat tofu (minced meat 100 grams, 100 grams of tofu), green pepper and radish (200 grams of green pepper, radish 50 grams)

Snacks: fresh fruit juice (fresh orange juice 200 grams)

Dinner: Small congee (millet 25 grams),发糕(75 grams of flour), fried bean sprouts (mung bean sprouts 200 grams), steamed fish (Carassius 75 grams) the whole day cooking oil 40 grams

Why do I say that when patients with lung cancer radiotherapy with hyperthermia effective

(1) systemic or local hyperthermia, the tumor cell necrosis decomposition, and its decomposition product can stimulate the immune system to play a role, thereby inhibiting the growth of tumor cells.
(2) The study found: high fever and with the use of radiotherapy can significantly reduce the radiation dose. Such as skin metastasis of breast cancer first partial heated to 44 ℃ ~ 46 ℃, 1 hour after radiotherapy, radiation dose can be reduced from 15Gy to 6Gy.
(3) high fever immediately after radiation therapy or radiotherapy immediately after the adoption of the whole body or partial heating method to raise the heat, are all effective ways to enhance the sensitivity of tumor to radiation, thereby enhancing the efficacy.
(4) tumor tissue after heating microcirculation blood flow was significantly lower than the pre-heated blood flow and lead to tumor cells with severe hypoxia, and when combined with radiotherapy heating, thermal destruction cytotoxicity and the direct killing effect of radiation complement each other, so that the tumor cells selectively add to the injury.

Comprehensive treatment of lung cancer patients

At present, the treatment of lung cancer is surgery, and other therapeutic measures have radiation therapy, chemotherapy, immune therapy, Chinese medicine treatment.

(1) surgical treatment:

We all know that in addition to the surgical treatment, as well as cryosurgery, high temperature, laser, chemical surgery, electrocautery and other tumor surgery. Surgery, including radical resection and palliative resection. To surgery in early stage patients, the total number of patients accounted for 40 percent below the late surgery for palliative surgery.

Surgical excision is the treatment of lung cancer is still the primary means of effective, surgical indications and surgical types of choice primarily on the basis of tumor location, scope and the patient's general condition, especially heart and lung function reserve situation. Operation principle is the complete removal of lesions, and to maximize the retention of healthy lung tissue.

Early lung cancer should be as far as possible the implementation of radical lobectomy, in complete resection of primary tumor and removal of hilar lymph nodes at the same time, we should try our best to retain a healthy lung tissue, so as to achieve the purpose of survival; more advanced lung cancer patients need to try our best surgical resection of primary cancer, has been transferred as far as possible, remove the lymph nodes, supplemented by radiotherapy and chemical therapy and other treatments. Generally speaking, 20% of patients suitable for surgery.

To have distant metastasis, neurological violations and extensive mediastinal lymph node metastasis, the superior vena cava obstruction pressure and cardio-pulmonary function poorly or with other major organ systems can not tolerate serious surgical operation should be regarded as taboo.

Surgical resection of the overall 5-year survival rate of 30% -40%, the effect of surgery and pathology in the major cell type and TNM stage.

(2) radiation therapy:

Intracavitary radiation therapy, including in vitro irradiation; use of equipment, including radium, X-ray machine, cobalt artillery, are multi-purpose accelerator, as well as in recent years after the development of capacity, all kinds of \ "photon knife \" \ "X knife \" and so on.

Before and after surgery can be used as adjuvant therapy to improve surgical resection and postoperative long-term survival rate of inoperable or recurrent squamous cell carcinoma metastasis can be used to radiotherapy;

Simple radiotherapy and radiotherapy at a comprehensive radiotherapy. Simple radiotherapy at radical radiotherapy and palliative radiotherapy. According to pathological types of lung cancer, the scope of disease, whether the transfer of lung function and systemic conditions. Integrated radiotherapy is combined with radiation surgery, chemotherapy for the treatment, than simply a treatment can improve survival rate.

(3) chemical treatment:

In lung cancer treatment has an important position, according to the current point of view, regardless of early or late, whether surgery or radiotherapy, both in combination with chemotherapy can improve survival rate.

Clear in the diagnosis of small cell lung cancer, should be a preoperative induction chemotherapy treatment, surgical resection again. Continue after chemotherapy. Adenocarcinoma and large cell carcinoma after regular chemotherapy. Can not be advanced or lesions can be surgically removed by partial bronchial artery infusion chemotherapy;

(4) Immunotherapy:

Immunotherapy is the use of immune agents to improve the body's immune capacity, the elimination of the body anti-tumor immune suppression or elimination of residual tumor cells. Can be used as post-operative adjuvant chemotherapy and radiotherapy treatment.

Is still not mature enough as a treatment, there are many issues to be resolved, so only in clinical treatment as other adjuvant therapy.

(5) treatment by Chinese medicine:

At present, Chinese medicine for lung cancer is not satisfactory, it is not suitable for surgery, radiotherapy and chemotherapy for advanced patients. It can alleviate symptoms, relieve pain and improve the quality of life, in the clinical applications of more general use.

(6) bio-gene therapy:

The current biological gene therapy of cancer, mainly from the formation of tumor blood vessels have a close relationship between the theoretical approach, mainly the use of biological gene technology, using anti-angiogenesis inhibitor to prevent blood vessel growth, so that occurred in the capillaries and cut off the tumors to shrink nutrient supply, in order to achieve the treatment of cancer of the head, the best at home and abroad, such as: hydroxy it in Nanjing, it is the raw material from Cinobufotalin isolated and synthesized to target the complete human body to kill tumor cells and inhibit tumor angiogenesis monomer components generated.

(7) other forms of treatment:

Cryotherapy, heat treatment, laser treatment, although there is a certain effect on lung cancer, but due to restrictions on a variety of reasons, the application is not universal, the exact effect is also a lack of convincing information.

Lung cancer patients how to find the right medical information

As the saying goes, "Know thy enemy and know,百战不殆", check out不要慌after lung cancer, not to "sick trying everything", the first thing that should be access to information on the development and changes in lung cancer and a variety of treatment methods have a comprehensive understanding, avoid step wrong, in the future treatment of both the overall loser. To help the masses to obtain the correct information, the health of their homes in major cities throughout the country organizing committee has set up a "health science services to their homes of Cancer Prevention and Treatment Center," based around the medical, drug agencies, hired the most experienced of Clinical Oncology experts, to patients provide tumor disease knowledge, treatment programs, such as nutrition and health care obligations of all aspects of the consultation. In addition, the preparation of the organizing committee also organized a "Health Education Series" and other promotional materials science, in various parts of "Science of Cancer Prevention and Treatment Services Center" issued free of charge to patients.

Lung cancer patients how to ensure the correct and standardize the treatment

At present, the existence of tumor therapy in various disciplines "Eight Immortals Crossing the Sea", the phenomenon of fragmentation of the non-standard, "A Better Cancer Institute", "Encyclopedia of Cancer" is quite common, along with some people to promote the so-called remedies, secret and some strange therapy, patients are often at a loss. Here are four simple principles that can help standardize the treatment of patients who have the direction, to avoid straying into astray:
1, five to tie in with the application of conventional. Surgery, radiotherapy, chemotherapy, Chinese medicine, bio-treatment is the five major conventional cancer treatment, and now to promote the integration of the five methods of treatment is a reasonable match, the patient must first condition of patients from the four methods to choose and combinations.
2, to continue treatment after surgery. Operation of "radical surgery" and "palliative surgery" two. The so-called "radical surgery" means a smaller preoperative tumor surgery more thorough, but not really thorough, in 3-12 months or so scattered cells can re-grow into Mission; "palliative surgery" refers to the preoperative on the relatively large tumor, or CT has been found to have been a transfer of lesions, surgery is not complete, the general 1-3 months or so tumors can be re-generated, so after surgery must be based on the situation of the use of other means for further treatment.
3, radiotherapy and chemotherapy to find doctors. Radiotherapy and chemotherapy indication, contraindication, specific programs are very complex, rather than any doctor can be the development of radiotherapy and chemotherapy programs, we must look to the tumor specialist radiotherapy and chemotherapy professional doctors to determine whether the needs of radiotherapy and chemotherapy? What time? Choose what kind of program?
4, modern traditional Chinese medicine treatment of lung cancer will be elected. Modern medicine with surgery, radiotherapy, chemotherapy, can be attenuated efficiency and improve the cure rate can not be surgery and radiotherapy and chemotherapy in the advanced patients, the disease can be controlled with medicine, prolonging life, improve the quality of life, the realization of "survival zone" . Chinese medicine commonly used drug treatment is a two-Ling consolidate scattered, some major hospitals at home and abroad are implementing the "surgery, radiotherapy and chemotherapy plus dual-Ling consolidate scattered" standardization program, to prevent tumor recurrence and metastasis effect is very remarkable. In addition, patients with complications can also increase with some symptomatic treatment of traditional Chinese medicine.

Choice of chemotherapy in patients with lung cancer

In recent years, the incidence of lung cancer increased year by year, for various reasons, patients with lung cancer at the time of diagnosis, most of them have varying degrees of transfer, lost the opportunity to surgery, although some patients also made surgery, but soon in the lungs or other parts there metastases. So lung cancer chemotherapy (hereinafter referred to chemotherapy) as a systemic treatment methods, the importance of more and more attention. Patients with lung cancer chemotherapy how to choose them?

First, acute symptoms, relief permanent, partial body combine. Patients with lung cancer in accordance with clinical symptoms of systemic conditions and choose a different chemotherapy, if serious, such as dyspnea or hemoptysis symptoms, to be used in interventional chemotherapy, that is, select bronchial artery or pulmonary artery catheterization treatment; if there is a large number of the pleural effusion, thoracic drainage should be taken of the chest cavity after local chemotherapy, but an improvement in symptoms or the time of diagnosis has been widely lesions or bone, brain, lung and other distant metastasis, and should be the preferred intravenous systemic chemotherapy. Even if only a relatively limited tumor must also be added to systemic chemotherapy, because of distant metastasis of lung cancer is more common, is a systemic chemotherapy to prevent an effective means of tumor metastasis.

Second, treatment must be standardized, after clean-up is essential. After a lot of patients with lung cancer tumor after chemotherapy significantly reduced, or even disappear, but soon they recurrence or metastasis, one of the reasons is lack of standardized treatment. Squamata type of lung cancer, glandular and small cell undifferentiated type, such as the cytology. Clinical stages have different drug programs, methods and treatment of chemotherapy also varied, so must be given standardized treatment. Generally speaking, small cell lung cancer as a result of a vicious high degree of early distant metastasis, it is necessary to maximize the use of the entire table clock chemotherapy, duration of treatment longer. Scales adenocarcinoma give more consideration to local chemotherapy, treatments may be some shorter. Lung cancer patients may be due to the existence of the body have been found tiny metastases, it is only prudent, it should be a "cleaning" of systemic chemotherapy to destruction of residual cancer cells in vivo, as patients in phases, Phase Ⅱ above, after the need for chemotherapy, time after 3-4 weeks is appropriate, methods, and treatment according to different cell types and stages of the.

Third, the combination of immunochemotherapy, biological missile good effect. Because chemotherapy drugs have greater toxicity, and some interventional treatment such as chemotherapy, such as a certain traumatic. So that the use of chemotherapy subject to certain restrictions. And immunization and chemotherapy combination of methods, that is, monoclonal antibody (referred to as monoclonal antibody) and the whole knot of anti-cancer drug therapy to make up for the shortage, greatly widened the road of anti-cancer treatment. As the monoclonal antibody with a specific direction, it is known as biological missile after it enters the body through the tumor tissue, when its linked to drugs or radioactive substances (known as warheads) and vector (mAb) generated after the separation of cancer cells killing off specific role, and very little of normal tissue injury, can significantly improve the efficacy and reduce side effects of chemotherapy.

Chinese medicine treatment of lung cancer commonly used drug

Chinese medicine treatment of liver cancer that both the strengths and evil, commonly used drug is Ganoderma lucidum, in drugs approved by the state (State药准字), the Ganoderma lucidum tumor drug is currently only one - two-Ling to consolidate scattered. Two-Ling consolidate scattered to the "disease" treatment, that is common for a variety of lung cancer treatment, to the "disease" treatment-oriented, but also according to the Syndrome Differentiation of TCM use different prescriptions for the "certification" treatment, while traditional Chinese medicine have of "disease" treatment. To rule "disease" mainly with the government "permit" and the government, "disorder" is a Chinese medicine treatment of lung cancer general principles.
Chinese medicine practitioners believe that the tumor is due to: First of all the vigor of the human body emerged虚损evil deeds take advantage of a vulnerability in a site of condensation from "tumor", pent-up emotion is bound to produce a long period of time the fire Yam Yam Yam火性and sinister, This will in turn hurt the human body Yuanyang, forming a vicious circle, so the tumor progressed very rapidly. According to this theory, our scientists use "Crepis Grass" (Ganoderma lucidum) has developed a new type of drug - two-Ling consolidate scattered, the results achieved very satisfactory results. Ganoderma lucidum is the yin of the penis, to "consolidate Crepis." U.S. FDA has allowed the drug into the U.S. clinical trials, the United Nations will also be included in the procurement of drugs.
In 1997, Shanghai Institute of Materia Medica, Chinese Academy of Sciences found that: Two-Ling to consolidate a wide range of casual leukemia and human entity with significantly inhibit cancer cells, and showed significant dose-effect relationship. This result is caused by the U.S. interest in the University of Pittsburgh School of Medicine, they used the most advanced experimental techniques have proved that the preparation of cancer cells can activate Caspase, Caspase is a kind of enzyme, controls the process of apoptosis of cancer cells, which, once activated, cancer will inevitably take the road to death. What is in the end issued instructions to activate Caspase it? Then they found that the agents can increase tumor suppressor gene P53, China's Shanghai University researchers also found that the drug can cut oncogene Ras, tumor suppressor gene P53 and oncogene Pas changes in the formation of the "apoptosis command", and then through the ASPP "apoptosis instructions" to convey to the Caspase. Oncogenes and tumor suppressor genes is to control cell of the seesaw of life and death, just like traditional Chinese medicine in the "Yin" and "Yang", double-ling will be to consolidate scattered seesaw back to their original position, reversing the incidence of cancer of the fundamental direction.
Two-Ling and reinforce the efficacy quickly scattered clinical research has been supported by the University of Chicago, the General Hospital of Tianjin Medical University, Xi'an Jiaotong University First Hospital and other units to carry out a long-term clinical observation, indicating that two-Ling consolidate scattered with surgery, radiotherapy and chemotherapy can improve the success rate of surgery and promote postoperative recovery, reduce side effects of radiotherapy and chemotherapy, radiotherapy and chemotherapy to improve results, the effective prevention of tumor recurrence and metastasis of critically ill patients have a better late results. "Chinese Journal of Medicine", "Practical Journal of Cancer" and other professional publications at the national level for nearly 30 papers, clinical trials of the relevant summarized.
Western treatment of lung cancer has been the existence of "lame phenomenon", the doctor has a headache for this purpose, "the lame phenomenon" is mainly manifested in two aspects: First, as early as mid-term patients, there are measures in critical terminally ill have no method; Second, Although it is known that the tumor is essentially a genetic disease, is a systemic disease, but only for clinically localized disease, in view of the surface treatment, can not prevent the recurrence and metastasis. Two-Ling consolidate scattered for this phenomenon to provide a solution, so "surgery, radiotherapy and chemotherapy plus dual-Ling consolidate scattered" in the West treatment of lung cancer is also becoming the "gold standard."

Herbs can be used with radiation therapy at the same time you

Herbs can be used with radiation therapy at the same time, there are two roles:
(1) Sensitizer: As the tumor cells exist "hypoxic cells", which reduces the effect of radiation therapy. Through the use of Chinese medicine can reduce the proportion of hypoxic cells, and enhance the sensitivity of radiotherapy.
(2) attenuated: Chinese medicine to prevention and treatment of lung cancer radiotherapy toxicity.
Reduqing: Chinese medicine will be attributable to radiation "hot drug", in patients with dry mouth,咽燥, pharyngodynia, or even a sense of radioactive esophagitis dysphagia, esophageal burning sensation when swallowing. Yangyin Shengjin through traditional Chinese medicine, Qingrejiedu can effectively prevent the recurrence of such symptoms, commonly used drugs include: Adenophora, Ophiopogon, habitat, chrysanthemum, public Britain, reed rhizome, Dendrobium, lilies, tonkinensis, Trichosanthin so.
Myelosuppression:症见leukocyte reduction or even red blood cells, platelets have also been suppressed. Chinese medicine used Yiqi Yangxue, Jianpi Bushen law, commonly used drugs such as: Health Effects, Chinese angelica, atractylodes, donkey-hide gelatin, jujube, medlar, Ligustrum lucidum,鹿角胶, Dodder, Xianling spleen, Eclipta grass, etc. .
Digestive system response: If nausea, vomiting, loss of appetite, bowel disorders. Jianpi appropriate treatment and stomach, Jiangni antiemetic, commonly used drugs:水牛角, Chenpi,代赭石,竹茹, clove, Inula, ginger, jujube, etc. Aurantii.
Radiation pneumonitis and pulmonary fibrosis: This is the lung cancer radiotherapy, one of the more serious complications, especially the radiation field is too large and are susceptible to higher doses. Through traditional Chinese medicine, in the beginning of the use of radiotherapy Yangyin Moistening Lung, Qingre Jiedu, huoxuehuayu medicine is an effective way to reduce the radiation pneumonitis and the incidence of pulmonary fibrosis.