Colorectal Cancer

General

Clinical Manifestations
Treatment Principle
Herb Formulas	Cancer #1 Decoct 60g Hb. Scutellariae Barbatae Ban Zhi Lian and 60g Hb. Hedyotis Diffusae Bai Hua She She Cao and take daily. Take a decoction of 120g Hb. Hedyotis Diffusae Bai Hua She She Cao and 120g Rz. Curculiginis Xian Mao daily. Take a liquid extract of Hb. Erodii/Geranii Lao Guan Cao daily. Use 25 ml of a retention enema once daily consisting of 200g Hb. et Sm. Sophorae Alopecuroides Ku Dou Zi and 10g of starch mixed with 1000ml saline solution. With continuous bleeding: Parch Bul. Lilii Bai He with wine and grind into a powder for oral administration with water. Decoct 20g of dried Fr. Fici Bi Li and drink or eat five fruits after meals every day. Make Fol. et Ram. Sarcandrae Zhong Jie Feng into 0.3g tablets and take 4-6 tablets three times per day. Take 1 gram of powdered Hirudo Shui Zhi with water or wine. For hematemesis: 1. Grind 30g Bombyx Batryticatus Jiang Can and 30g Fr. Mume Wu Mei into a powder, blend with rice and make small boluses. Take 100 boluses three times daily with water before meals. 2. Soak 5 kg Fr. Chebulae Mu Gua in wine, wrap in a piece of cloth, simmer and crush. Mix with 30g Rx. Angelicae Dahuricae Bai Zhi, 30g Rx. Saposhnikoviae Fang Feng and 30g Rx. Gentianae Macrophyllae Qin Jiao, parch, pulverize and blend with rice to make small pills. Take 9g morning and evening. For constipation: Finely crush 21g Aloe Lu Hui  and 15g Cinnabaris Zhu Sha,  blend with rice and wine to make boluses. Take 9g with wine.  Topical: 1. Cancer #8 2. Grind Aloe Lu Hui into a powder in white wine and mix with a small amount of Borneolum Bing Pian for external application. 3. Powder 10g Rz. Zingiberis Recens Sheng Jiang and 0.6g Realgar Xiong Huang, spread on a piece of general plaster and apply to the sacrococcygeal area to stop pain.
Points

Spleen And Stomach Qi Deficiency

Clinical Manifestations	Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath Epigastric fullness and distention No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Stools not solid Urine clear and abundant T: Pale or Pale and flabby - may have teethmarks C: Thin and white P: Weak and Deficient or Even, forceless and deficient
Treatment Principle	Invigorate the Spleen and Stomach Benefit Qi
Herb Formulas
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Spleen And Stomach Deficiency Cold

Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure Anorexia Abdominal pain and fullness after meals Nausea Vomiting Loose, unformed stools Excessive salivation Cold limbs Lassitude Weakness Sallow or pale, dull complexion Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale C: White and greasy P: Deep, thready and forceless
Treatment Principle	Strengthen the Spleen Warm Yang Warm the Center Dispel Cold
Herb Formulas	Kang Ai Er Hao Fang Tao Hua Tang Wei Feng Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Liver And Kidney Yin Deficiency

Clinical Manifestations	Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), weakness Tinnitus Deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five Sole Heat Low-grade fever Night sweats Irritability Insomnia Stools difficult to pass Constipation Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Run Chang Tang
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Qi And Blood Deficiency

Clinical Manifestations	Fatigue Loose stools Poor appetite Dizziness Pale face Weak voice Shortness of breath Reluctance to speak Sweating with little or no exertion Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Run Chang Tang
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

Qi And Blood Deficiency With Qi And Blood Stagnation

Clinical Manifestations	Fatigue Loose stools Poor appetite Dizziness Pale face Weak voice Shortness of breath Reluctance to speak Sweating with little or no exertion Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods 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: Pale or Pale, thin and dry or Purple, possible purple or red spots C: White P: Choppy or Wiry and choppy or Weak or Thin and choppy
Treatment Principle	Tonify Qi Nourish the Blood Regulate Qi Invigorate the Blood Break up Stasis Resolve Hardness Inhibit the growth of cancer cells
Herb Formulas	Colon Cancer #5
Points

Blood Stagnation

Clinical Manifestations	Chronic diarrhea with a feeling of incomplete evacuation or tenesmus Purple or black stools which are sticky or tarry Fixed or localized sharp or stabbing abdominal pain (usually in the lower left quadrant) which is worse with pressure A dark complexion Dark rings around the eyes Purple nails Spider naevi or vesicular abnormalities over the abdomen, face and legs (inner knee and ankle) T: Purple or Brown or Purple stasis spots, maybe dark, distended sublingual veins C: White P: Wiry or Choppy or Thready
Treatment Principle	Transform and eliminate Blood Stagnation from the Intestines
Herb Formulas	Shao Fu Zhu Yu Tang With Toxic Heat: Colon Cancer #2 With Toxic Heat and Phlegm: Yan Zhong Wan Yi Hao Chinese Patent Medicines: Xue Fu Zhu Yu Wan Fu Ke Wu Jin Wan With bleeding: add Sheng Tian Qi Pian to either of the above formulas
Points	Ahshi points over the abdomen, Ahshi points along the Stomach channel between ST-36 to ST-39, LI-4, LIV-3, REN-6, SP-6, SP-8, SP-10, ST-25, UB-17, UB-25 With Bleeding: + Ahshi points over the Ba Liao on the sacrum With Cold: + Moxa Ear: Large Intestine, Distal Segment Rectum, Abdomen, Sanjiao, Shenmen, Adrenal

Blood Stagnation With Damp-Heat In The Intestine

Clinical Manifestations	Chronic diarrhea with a feeling of incomplete evacuation or tenesmus Purple or black stools which are sticky or tarry Bloody or pussy diarrhea Heat Fever Fixed or localized sharp or stabbing abdominal pain (usually in the lower left quadrant) which is worse with pressure Abdominal pain with rigidity Burning around the anus A dark complexion Dark rings around the eyes Purple nails Spider naevi or vesicular abnormalities over the abdomen, face and legs (inner knee and ankle) T: Purple or Brown or Purple stasis spots, maybe dark, distended sublingual veins C: Greasy and yellow P: Wiry or Choppy or Thready
Treatment Principle	Transform and eliminate Blood Stagnation from the Intestines Clear Heat
Herb Formulas	Shao Yao Tang
Points

Blood Stagnation With Phlegm-Heat

Clinical Manifestations	Expectoration of thick, yellow sputum Rapid breathing with a harsh voice Restless fever Sore throat Constipation Dry stools Mania Shortness of breath Dyspnea Nausea Vomiting Chest and/or epigastric fullness Pain in the ribs Pain that is fixed, stabbing and /or severe Pain 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: Scarlet or Purple, possible red spots C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid or Choppy or Wiry and choppy
Treatment Principle	Clear Heat Expel Phlegm Eliminate Dampness Invigorate the Blood Break up Stagnation Purge accumulations Inhibit the growth of cancer cells
Herb Formulas	Cancer #18 Rectal Cancer #4
Points

Blood Heat

Clinical Manifestations	Initial stage Chronic, stubborn skin lesions Sores Enlarged lymph nodes Nodules Malignant abscesses and sores Syphilitic sores Red itching skin Hardness T: Pale with red spots P: Rapid and pecking
Treatment Principle	Clears Heat Cool the Blood Dissipates swellings Dispels noxious sores Disperses nodules and hardness
Herb Formulas	Zi Gen Mu Li Tang
Points

Blood Deficiency With Damp-Heat

Clinical Manifestations	Restlessness Fever or tidal fever Red eyes Dry mouth and throat Palpitations Lower abdominal pain Difficult urination Painful urination Increased menstrual flow Uterine bleeding Early menstruation Aching in limbs Dizziness Mental instability Red face Thirst Turbid urine Red cheeks Wheezing Nervousness Headache Red eyes Dry mouth Anorexia Infertility Abdominal pain Spontaneous sweating or night sweats with fever Anxiety Dry eyes Hypochondriac pain Somnolence Insomnia Aching shoulders Five Sole Heat Premenstrual tension Hot flashes Fatigue Lassitude Depression Constipation with flushing up Pale complexion Bitter taste in mouth Abdominal distention near the umbilicus Epistaxis Irregular menstruation Heaviness in the lower abdomen T: Red or Red edges C: Thin and yellow P: Thready and rapid
Treatment Principle	Nourish the Blood and Yin Clear Heat Relieve toxicity Inhibit the growth of cancer cells
Herb Formulas	Zhi Bai Si Wu Tang
Points

Damp-Heat

Clinical Manifestations
Treatment Principle
Herb Formulas
Points

Toxic Heat

Clinical Manifestations	Tumor develops quickly Long-standing illness Pain Redness Ulceration Discharge of yellow or bloody, foul-smelling fluid Fatigue Fever Anxiety Dry mouth Thirst Dark urine Bitter taste Red eyes Insomnia Aversion to Heat Thirst Cough Asthma A bitter taste in the mouth Local redness, swelling and pain Maybe fever and chills T: Red C: White or Yellow and greasy or Thick, sticky, dry and yellow P: Wiry or Rolling and rapid or Wiry, overflowing and rapid or Rapid and forceful or Wiry and rapid
Treatment Principle	Clear Heat Eliminate toxins Reduce swelling Soften hardness Invigorate Blood circulation Stop pain Inhibit the growth of cancer cells
Herb Formulas	Stomach Cancer #23 Stomach Cancer #24 Kang Ai San Hao Fang Cancer #6 Cancer #9 Colon Cancer #1 Colon Cancer #3 Rectal Cancer #1 Rectal Cancer #2 Colorectal Cancer #1 Cancer #34 With tenesmus and purulent, bloody stools: Rectal Cancer #7 Topical: Rectal Enema #2
Points

Toxic Damp-Heat

Clinical Manifestations	Hemafecia Abdominal distention and pain 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 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 Yellow vaginal discharge with foul smell Pruritis vulvae 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 Stop bleeding Reduce swellings Eliminate Damp-Heat Inhibit the growth of cancer cells
Herb Formulas	Colon Cancer #4 Rectal Cancer #5 Rectal Cancer #9 Colon Cancer #7
Points

Toxic Damp-Heat With Blood Stagnation

Clinical Manifestations	Anorexia Nausea Vomiting Weight loss Melaena Epigastric focal distention Fullness and tightness with very slight or no pain Dry heaves Borborygmus Diarrhea Edema Ascites Anemia Local redness Swelling and pain Maybe fever and chills Hepatomegaly Abdominal tumor The tumor is firm and irregular Subcardiac distention Heartburn Resistance below the Heart Soft epigastrium Ascites T: Normal or with a red tip C: Thin, yellow and greasy P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle	Clear Heat Resolve toxicity Promote diuresis Invigorate the Blood Disperse Blood Stagnation Reduce swellings Inhibit the growth of cancer cells
Herb Formulas	Cancer #7 Rectal Cancer #3 Rectal Cancer #6 Colon Cancer #6
Points

Phlegm-Heat

Clinical Manifestations	Edema Cough with sticky, yellow, difficult to expectorate sputum Rapid breathing with a harsh voice Restless fever Sore throat Constipation Dry stools Mania Shortness of breath Dyspnea Nausea Vomiting Chest and/or epigastric fullness Pain in the ribs Ascites C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid
Treatment Principle	Resolve Phlegm Resolve toxicity Promote urination Alleviate pain Circulate water Reduce edema Invigorate the Blood Dispel Blood Stasis Inhibit the growth of cancer cells
Herb Formulas	Rectal Cancer #8
Points