Bladder Cancer

General

Clinical Manifestations	Hematuria - in the beginning, a small amount of Blood appears at the end of urination. As it progresses, the volume of Blood increases. Blood clots causing pain on urination Pain in the pubic and perineal areas Pain at the end of the penis Anal pain Low back and waist pain and aching Polyuria Oliguria Frequent urination
Treatment Principle
Herb Formulas	Decoct 30g Fr. Fici Bi Li and Caulis Aristolochiae Manshuriensis Guan Mu Tong Gui Zhi Fu Ling Wan For papilloma: Decoct into a pate 60g Rz. Smilacis Glabrae Tu Fu Ling and 30g Petiolus Trachycarpi Zong Lu Pi, then make into 0.3g tablets. Take 5 tablets three times per day. For hematuria: Pound into a juice 120g Hb. Hydrocotyli Sibthorpioiditis Tian Hu Sui and 120g Hb. Polygoni Avicularis Bian Xu and take orally with sugar. Hematuria #1 For epithelial tumor of the Bladder: Decoct 30g Hb. Solani Nigri Long Kui and 30g Hb. Solani Lyrati Shu Yang Quan. Take daily. Topical: Cancer #8
Points

Kidney Yin Deficiency With Empty Fire Rising

Clinical Manifestations	Episodic hematuria with fresh pale or bright red Blood The bleeding may be mild or recurrent Mild urinary pain The urine may be concentrated Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back and knees Heel pain Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth Irritability Restlessness Thirst Night sweats Five sole Heat Malar flush Facial flushing Low grade fever in the afternoon Dry mouth and throat, maybe recurrent sore throat Bone steaming fever Dry stools and/or Constipation Heightened libido Symptoms are worse in the afternoon If Heart Fire also Flares: Insomnia Frequent dreams Palpitations If Liver Yang also Rises: Dizziness Blurred vision T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Kidney Yin Subdue Fire Cool the Blood Stop bleeding
Herb Formulas	Zhi Bai Di Huang Wan modified Chinese patent medicines: Zhi Bai Di Huang Wan Da Bu Yin Wan Zhi Bai Ba Wei Wan Yun Nan Bai Yao (take this formula along with either of the above formulas)
Points	KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 KI-2, KI-3, KI-6, LU-7, REN-4, UB-23, UB-28 KI-6, KI-10, LIV-1, REN-3, REN-4, SP-1, SP-6, UB-23

Qi And Blood Stagnation

Clinical Manifestations	Pain that is fixed, stabbing and /or severe or Pains that move around Distention Depression Irritability Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas, Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy
Treatment Principle	Activate the Blood Break up Stagnation
Herb Formulas	Bladder Cancer #5
Points	GB-40, GB-41, LIV-3, LIV-14, PC-6, SJ-6, ,SP-6, SP-10, ST-36, UB-17, UB-18, UB-40

Blood Heat

Clinical Manifestations	High fever Confusion of mind Delirium Mania Dark yellow urine Excessive skin rashes all over body Hematuria T: Deep red, dry or Purple red C: None P: Rapid or Thready and rapid or Thready and feeble
Treatment Principle	Cool the Blood Dispel Heat and Toxins from the Xue Stage Promote Blood Circulation
Herb Formulas	Bladder Cancer #12 With Toxic Damp-Heat: Bladder Cancer #14
Points	To clear Heat and Toxins: Bleed the Jing Well points, DU-14, LI-11, ST-44 To promote Blood circulation: SP-10, UB-17 To treat hemafecia: SP-1, ST-25, ST-37 To restore consciousness: DU-26, K-1 To nourish Yin: KI-3, SP-6 To calm the Shen: HT-7

Blood Stagnation

Clinical Manifestations	Sharp, stabbing rough pain during urination without burning Decreased urination or Interrupted urination or Constant urination or Anuria Lower abdominal fullness Fixed, stabbing lower abdominal pain which may radiate to the genitals Maybe hematuria Palpable masses which may or may not be painful Purple urine with blood clots Dark or purplish spider naevi or broken vessels on the trunk , around the inner ankle and inner knee Dark, ashen, sallow or purplish facial complexion Dark or purplish lips and conjunctiva Dark rings under the eyes T: Dark purple or with brown or purplish echymosis spots and/or dark and distended sublingual veins C: Thin P: Slow and choppy or Thin or Deep and choppy or Thready and choppy
Treatment Principle	Relieve Stasis Shrink the tumor Promote urination Warm Yang
Herb Formulas	Shao Fu Zhu Yu Tang modified Tao He Cheng Qi Tang modified For mild cases with Yin Deficiency, Heat and Phlegm: Qian Gen San modified For the elderly and other Qi deficient patients: Bu Zhong Yi Qi Tangmodified With Toxic Heat: Bladder Cancer #3 For migration of the tumor to the groin, take the following two pills in addition to the above formula: 1. Powder and mix 60g Rz. Dryopteris Guan Zhongand 30g Ammonium Chloride with Rx. Oryzae Glutinosae Nuo Dao Gen, make pills and take four pills twice daily. 2. Powder and mix 60g Sm. Strychni Ma Qian Zi, 30g Olibanum Ru Xiang, 15g Myrrh Mo Yao and 9g Rx. Glycyrrhizae Gan Caowith Rx. Oryzae Glutinosae Nuo Dao Gen, make green bean-size pills and take five pills twice daily. Chinese Patent Medicines: Yun Nan Bai Yao to be taken along with Qi Li San Sheng Tian Qi Pian Yan Hu Suo Zhi Tong Pian Fu Ke Wan Jin Wan
Points	REN-3, REN-4, SP-1, SP-6, SP-10, ST-29, UB-17, UB-28 LIV-3, SP-6, SP-10

Damp-Heat

Clinical Manifestations	Urinary frequency Urinary urgency Painful urination or Continuous dripping of urine or Sudden interruption to the urinary stream Turbid urine or Pus and blood in the urine or Sand and stones in the urine Fever Thirst Dry mouth Low back pain Colicky pain in the low back, possibly radiating to the groin T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness by diuresis
Herb Formulas	Bladder Cancer #11 Topical: Cancer #8
Points	KI-7, LIV-2, REN-3, SP-6, SP-9, UB-23, UB-28, UB-39 For retention of urine: 1. REN-3, SP-6, SP-9, UB-28 2. REN-3, SP-6, SP-9, UB-39 For Blood Lin: 1. KI-3, LIV-2, REN-3, SP-6, SP-9, SP-10, UB-28 2. KI-1, KI-7, LIV-3, REN-3, SP-10, UB-17, UB-23, UB-27 For Stone Lin: 1. KI-2, KI-3, LIV-2, REN-3, SP-9, UB-28, UB-39 2. KI-1, LIV-1, REN-4, UB-23, UB-28, UB-40 For Milky Lin: 1. KI-3, KI-6, LIV-2, REN-3, SP-9, UB-23, UB-28 2. REN-4, REN-6, SP-6, SP-9, UB-22, UB-27, UB-28

Toxic Heat

Clinical Manifestations	Hematuria Blood clots causing pain on urination Pain in the pubic and perineal areas Pain at the end of the penis Anal pain Low back and waist pain and aching Polyuria Oliguria Local redness, swelling and pain Maybe fever and chills T: Normal C: Thin white or yellow P: Rapid and forceful
Treatment Principle	Clear Heat Eliminate toxins Reduce swelling Soften hardness Activate Blood circulation Stop pain
Herb Formulas	Si Miao Tang Bladder Cancer #6 Bladder Cancer #7 With Dampness: Bladder Cancer #1 Bladder Cancer #2 Bladder Cancer #4 For migration of the tumor to the groin, take the following two pills in addition to the above formula: 1. Powder and mix 60g Rz. Dryopteris Guan Zhong and 30g Ammonium Chloride with Rx. Oryzae Glutinosae Nuo Dao Gen, make pills and take four pills twice daily. 2. Powder and mix 60g Sm. Strychni Ma Qian Zi, 30g Olibanum Ru Xiang, 15g Myrrh Mo Yao and 9g Rx. Glycyrrhizae Gan Cao with Rx. Oryzae Glutinosae Nuo Dao Gen, make green bean-size pills and take five pills twice daily. With Blood Stagnation and Dampness: Shen Shou Wei Sheng Tang Bladder Cancer #9 Bladder Cancer #10 With Phlegm and Yin Deficiency: Bladder Cancer #8 With Phlegm: Cancer #4
Points

Toxic Damp-Heat

Clinical Manifestations	Hematuria - in the beginning, a small amount of Blood appears at the end of urination. As it progresses, the volume of Blood increases. Blood clots causing pain on urination Pain in the pubic and perineal areas Pain at the end of the penis Anal pain Low back and waist pain and aching Oliguria Frequent urination Pain and fullness in ribs on both sides Maybe pain in the right hypochondrium Bitter taste in mouth Nausea Vomiting sour and bitter fluids Anorexia Maybe alternating chills and fever Concentrated, dark urine Local redness, swelling and pain Maybe fever and chills Abdominal distention and discomfort Suffocating sensation in the chest Dislike of oily foods Maybe thirst or thirst with no desire to drink Lassitude Diarrhea with foul smell or Constipation Fever Sweet sticky taste or bitter taste in mouth Dizziness Tinnitus or deafness Women: Yellow vaginal discharge with foul smell Pruritis vulvae Men: Pain, swelling and burning sensations of testicles Spermatorrhea or premature ejaculation T: Pink C: Yellow and greasy or sticky P: Wiry and rapid or Slippery and rapid
Treatment Principle	Clear Heat Resolve toxicity Invigorate the Blood Reduce swellings Promote urination Eliminate Damp-Heat Inhibit the growth of cancer cells
Herb Formulas	Bladder Cancer #13 With Blood Heat: Bladder Cancer #14
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