Esophageal Cancer

General

Clinical Manifestations	Progressive dysphagia Vomiting after eating Upper portion of the esophagus: choking sensation on swallowing Lower portion of the esophagus: Vomiting after eating
Treatment Principle
Herb Formulas	Stew 500g Fr. Fici Bi Li with 100g of lean meat for one-half hour then consume both the meat and broth. Grind 30-60g of the shell or kernel of Fr. Trapae Bispinosae Ling Jiao into a powder. Take 6g raw or with honey at a time. Wash and decoct 120g of Pseudobulbus Cremastrae/Pleiones Shan Ci Gu then mix with120g white honey and make a paste. Take 9-15g orally twice a day. Steep Sm. Impatientis Ji Xing Zi in wine for three days, grind it into a powder and roll the powder in wine to form mung bean size pills. Take eight pills each time with warm boiled water. if there is dysphagia, decoct six pills into a broth and drink. Discontinue use once the effect has been gained. Decoct 30g Sm. Impatientis Ji Xing Zi and 30g Hb. Salviae Chinensis Shi Jian Chuan and then blend with 2-3g Salmiacum Xi Sha for sipping. Grind Rx. Sophorae Tonkinensis Shan Dou Gen with vinegar and suck. Roast 15g of Rx. Kansui Gan Sui with wheat flour and pulverize wit 3g of Rx. Aucklandiae Mu Xiang. Mix with wine for ingestion. Patients with strong constitutions should take 3g at a time. Patients with weak constitutions should take 1.5g at a time. Powder Bombyx Batryticatus Jiang Can and Sm. Strychni Ma Qian Zi and take orally. Combine Bombyx Batryticatus Jiang Can with Caulis Bambusae in Taeniam Zhu Ru and take orally. Make Fol. et Ram. Sarcandrae Zhong Jie Feng into 0.3g tablets and take 4-6 tablets three times per day. Decoct 9g Rz. Dysosmae Pleianthae Ba Jiao Lian and take as a tea daily. Take equal amounts of the juices of Rx. Ginseng, Ren Shen, Arillus Longan Long Yan Rou, Rz. Phragmitis Lu Gen, sugar cane, pear and milk and stew with a small amount of ginger juice into a soft extract for taking slowly. Pulverize 0.5kg Rx. Semiaquilegiae Tian Kui Zi and immerse in 5kg sorghum or cereal wine for 7 days. Take 50ml three times a day. Powder 1 g Rx. Ophiopogonis Mai Men Dong and 0.3g Salmiacum Pi Shuang mix with water and apply topically. Take 3g Fol. Hibisci Fu Rong Ye twice daily. Take one dose a day of 6-12g Hb. Sedi Chui Pen Cao  combined with 9-16g Hb. Capsellae Ji Cai. Cancer #1 Stomach Cancer #5 Li Ge Tang To kill cancer cells: Yin Qian Sha For pain: Zhong Tong Wan For a constricted esophagus and obstruction of food in the throat: Kai Guan Li Ge Fang For esophageal cancer and dysphagia: pound 0.3g Os Canis Gou Gu, 60g Rx. Clematidis Wei Ling Xian and 6g salt into a mass, mix with 1 cup of water and take twice daily. For esophageal cancer in the stationary stage with hard nodules: Grind 500g fresh Hirudo Sheng Shui Zhi with 2500g Sargassum Hai Zao into a fine powder and make into pills. Take 6g twice a day. For advanced esophageal cancer: Esophageal Cancer #9 For ulcerative esophageal cancer: Esophageal Cancer #31 For post-operative esophageal cancer: Shi Guan Ai Tang High-positioned: Esophageal Cancer #21 For lymphatic metastasis: Esophageal Cancer #22 For strengthening the long-term post-treatment therapeutic Effects: Ye Zhong Wan For difficulty swallowing: Ban Xia Hou Po Tang For swelling under the Heart without pain: Ban Xia Xie Xin Tang For swelling and hardness under the Heart with Qi Deficiency: Xuan Fu Hua Dai Zhe Tang For esophageal stricture: Zhi Zi Chi Tang Li Ge Tang For esophageal stricture, swelling of the throat and esophagus and hoarseness: Ju Pi Zhi Shi Sheng Jiang Tang For vomiting, difficulty swallowing and gradually increasing debility: Li Ge Tang  For Yin damage following radiotherapy: Wu Zhi An Zhong Yin + Liang Ge San modified Topical: Crush equal portions of Sm. Armeniacae Xing Ren, Sm. Sojae Preparatum Dan Dou Chi, Massa Medicata Fermentata Shen Qu, Rz. Zingiberis Gan Jiang, Fr. Corni Shan Zhu Yu, Per. Zanthoxyli Chuan Jiao into a powder, mix with honey and rub it on the chest several times a day. Chinese Patent Medicines: Nao Sha San Jiang Jun San Shen Nong Pian Zhi Ai San Lan Han Guo Chong Ji With Kidney Yin Deficiency: Liu Wei Di Huang Wan With Stomach Qi and Yin Deficiency: Gu Ben Wan
Points

Lung Heat With Qi Deficiency

Clinical Manifestations	Progressive dysphagia Vomiting after eating High fever No chills Aversion to Heat Cough Asthma Restlessness Thirst Dark yellow urine Dyspnea Chest pain Weakness Fatigue Shortness of breath Thick yellow Phlegm T: Red C: Thick and yellow, maybe dry and sticky P:  Rapid, maybe slippery, maybe forceful
Treatment Principle	Clear Lung Heat Relieve Fire toxicity Improve the throat Invigorate the Blood Dissipate masses Tonify Qi Transforms Dampness
Herb Formulas	Esophageal Cancer #3
Points	Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-44. UB-13

Lung Heat With Qi And Blood Stagnation

Clinical Manifestations	Progressive dysphagia Vomiting after eating Fixed, palpable masses High fever or Fever Aversion to Heat Irritability Restlessness (neither activity nor resting brings relief) Heat sensation in the chest Thirst Has urge to vomit but cannot May have dark yellow urine Pain that is fixed, stabbing and /or severe or Pains that move around Distention Depression Irritability Pan is worse with pressure Dark complexion 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: Red or Purple with possible purple or red spots C: Yellow P: Rapid or Forceful and rapid or Choppy and rapid or Wiry and choppy and rapid
Treatment Principle	Clear Lung Heat Resolve toxicity Reduce swellings Dissolve Phlegm Promote the movement of Qi Invigorate the Blood Dispel Blood Stasis Soften hardness
Herb Formulas	Jia Wei Xi Sha San Zhe Shi Tu Bie Chong Tang With Phlegm Stagnation: Xi Sha San Esophageal Cancer #45
Points	For Lung Heat: DU-14, HT-7, LI-11, PC-6, ST-44

Phlegm-Damp Obstructs The Lungs

Clinical Manifestations	Cough with copious, thin, white, frothy sputum Chest congestion with full feeling Dyspnea which is worse when lying down Sometimes asthma T: Pink C: Thick, white and greasy or sticky P: Slippery
Treatment Principle	Activate the Spleen Dry Dampness Expel Phlegm Purge the Lungs
Herb Formulas	Hou Zao San Esophageal Cancer #71
Points	LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20

Lung And Stomach Yin Deficiency

Clinical Manifestations	Hacking cough with little yellow sputum or No sputum Blood tinged sputum (when Yin Deficient Fire is present) Spitting saliva Wheezing Shortness of breath Dry, uncomfortable sensation in throat Hiccups Dry mouth Dry throat Itching in throat Coughing up difficult-to-extectorate Phlegm Nausea Hoarse voice, low voice or loss of voice Thirst Asthma Flushed face Five sole Heat Afternoon fever Night sweats Malar flush (especially in afternoon) Emaciation Vomiting No appetite or Famished but with no desire to eat Abdominal distention after meals Dry stools Irritability with low grade fever Maybe dry retching or T: Red and dry C: Little or None P: Thready and rapid or Deficient and rapid
Treatment Principle	Clear and Nourish the Lungs and Stomach Generate Fluids Moisten Dryness
Herb Formulas	Sha Shen Mai Men Dong Tang Mai Men Dong Tang Wu Zhi An Zhong Yin + Sha Shen Mai Men Dong  modified Esophageal Cancer #68 With Spleen and Stomach Deficiency Cold and Phlegm: Esophageal Cancer #66 Chinese Patent Medicines: Mai Wei Di Huang Wan
Points	UB-13, UB-17, UB-21, UB-43, ST-36, SP-6, REN-12, LU-1, LU-5, LU-, LU-7 + KI-6, LU-9, LU-10, KI-3

Lung And Kidney Yin Deficiency

Clinical Manifestations	Progressive dysphagia Vomiting after eating Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Maybe hoarse voice Maybe pain in shin, foot, and heel Sterility Spermatorrhea T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys
Herb Formulas	Mai Wei Di Huang Wan Bai He Gu Jin Tang Ba Xian Chang Shou Wan Shi Guan Ai San Hao Fang Esophageal Cancer #19
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

Damp-Heat Injures The Spleen And Stomach

Clinical Manifestations	Anorexia Abdominal distention and discomfort Suffocating sensation in the chest Epigastric mass Maybe abdominal pain on palpation Yang jaundice (sclera and skin are bright yellow) Dislike of oily foods Nausea Vomiting Lassitude Scanty, dark urine Maybe thirst or thirst with no desire to drink Diarrhea with foul smell or Constipation Fever Sweet sticky taste or bitter taste in mouth T: Pink C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid
Treatment Principle	Clear Heat Benefit Dampness
Herb Formulas	Bai Jiang Gua Lou Tang
Points	LI-11, REN-12, SP-9, ST-36, ST-44, UB-20 For Damp-Heat Diarrhea: LI-4, SP-9, ST-25, ST-36, ST-44, UB-25 For Damp-Heat Dysentery: LI-4, LI-11, SP-9, ST-25, ST-37, ST-44

Spleen Qi Deficiency

Clinical Manifestations	The patient is in very poor condition Only semi-solids and liquids may be swallowed 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 Vomiting of water T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Ba Zhen Tangmodified Bu Qi Yun Pi Tang Jia Jian Esophageal Cancer #65
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Spleen Yin Deficiency With Phlegm-Damp Accumulation

Clinical Manifestations	Poor appetite Distension after eating Dry stools Dry mouth and throat Dry lips Thin body Dull complexion without luster Night sweating Five Sole Heat (only if there is Empty Heat) Bleeding (in small quantity) Dizziness Vertigo Mental cloudiness Heavy head Heavy sensation in the body Cough with Excess sputum Chest and epigastric distention Suffocating sensation in the chest and epigastrium Nausea Profuse sputum Vomiting Anorexia Fatigue Borborygmus Tinnitus Mouth glutinous No thirst Likes to sleep Maybe palpitations T: Normal or Red if there is Empty Heat C: Little or None or White and greasy or Sticky and white P: Thready or Rolling or Wiry and slippery
Treatment Principle	Strengthen the Spleen Nourish Yin
Herb Formulas	Esophageal Cancer #34
Points	LIV-13, REN-4, REN-12, SP-6, ST-36

Spleen And Stomach Deficiency Cold With Phlegm

Clinical Manifestations	Progressive dysphagia Vomiting after eating Frequent epigastric and abdominal distention and fullness which is worse after eating Vomiting of partially digested food about twelve hours after eating Vomiting relieves the abdominal discomfort The vomitus may have thick or thin frothy mucus Maybe epigastric masses and/or splash on palpation Stuffiness in the chest General weakness Acid regurgitation Nausea Mild constant epigastric pain; relieved by warmth and pressure Anorexia 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	Zhi Po Liu Jun Zi Tang Esophageal Cancer #52 Without Phlegm: Kang Ai Er Hao Fang Zhi Ye San
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Phlegm Obstructing The Stomach

Clinical Manifestations	Progressive dysphagia Vomiting after eating Frequent epigastric and abdominal distention and fullness which is worse after eating Vomiting of partially digested food about twelve hours after eating Vomiting relieves the abdominal discomfort The vomitus may have thick or thin frothy mucus Maybe epigastric masses and/or splash on palpation Copious salivation Stuffiness in the chest General weakness Acid regurgitation Nausea T: Normal or Bluish and dark red C: Whitish or greasy and white or Yellow and greasy or Yellow- curdy P: Slippery or Wiry or Wiry and large or Wiry and slippery or weak
Treatment Principle	Transform and eliminate Phlegm Harmonize the Stomach Descend Rebellious Qi Purge accumulation Tonify the Spleen
Herb Formulas	Dao Tan Tangmodified Stomach Cancer #20 With Qi Stagnation: Esophageal Cancer #18 For Phlegm Obstruction with dull pain in the chest and back: Esophageal Cancer #13 With Heat: Stomach Cancer #21 For robust patients with copious Phlegm and Heat: Gun Tan Wan For difficult or persistent regurgitation: Xuan Fu Dai Zhe Tang
Points	For regurgitation: PC-6, REN-12, REN-14, REN-17, ST-40, UB-20, UB-21 With Phlegm-Fluids or epigastric splash: + LU-7, REN-9, moxa points on the trunk With Phlegm-Heat: + LIV-2, LU-6, PC-8 With epigastric masses: + LIV-13, SP-4 Ear: Esophagus, Pylorus, Stomach, Spleen, Sympathetic, Shenmen

Heart And Spleen Qi Deficiency

Clinical Manifestations	Progressive dysphagia Vomiting after eating Palpitations Insomnia Much dreaming Easily startled Poor memory Four limbs tired and lethargic Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea T: Pale P: Thready and weak
Treatment Principle	Reinforce and Benefit the Heart and Spleen
Herb Formulas	Gui Pi Tang modified
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20

Liver Qi Stagnation: Phlegm And Qi Stagnant And Blocked With Yin Deficiency Heat

Clinical Manifestations	Esophageal mass Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Dizziness Blurred vision Impaired vision Dry eyes Night blindness Tinnitus Headache Dry throat Thirst Five Sole Heat Night sweats T: Red C: Yellow or Little or None P: Slippery and wiry or Wiry, thready and rapid
Treatment Principle	Spread Qi Resolve Phlegm
Herb Formulas	Mei He Qi Yan Fang
Points	LI-18, LIV-3, PC-5, SI-17, SJ-6

Liver Qi And Blood Stagnation

Clinical Manifestations	Progressive dysphagia Vomiting after eating Epigastric distention and vague pain Belching Salivation Dry mouth and throat A hard, palpable lump in the epigastrium Facial color dark and dull or pale Emaciation Sides and ribs distended on both sides (maybe with sharp pain) Enlargement of the Liver and Spleen Suffocating sensation in chest Tendency to sigh Vomit that looks like bean juice Melancholy Depression Irritability Black stool Inappropriate anger Mental fatigue Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Dark purple (maybe purple spots on edge of tongue) or Red C: Normal or Greasy P: Wiry, choppy and slow or Small and choppy or Thready and rapid or Thready and taut
Treatment Principle	Activate Blood circulation Soften hardness
Herb Formulas	Qi Ge San Ge Xia Zhu Yu Tangmodified Shi Xiao San Xue Fu Zhu Yu Tang Esophageal Cancer #49 With Toxic Heat and Phlegm: Cancer #1 Stomach Cancer #6 Stomach Cancer #18 Esophageal Cancer #63 With chest distention: Shi Guan Ai Yi Hao Fang With Cold and Heat: Stomach Cancer #19 Chinese Patent Medicines: Mu Xiang Shun Qi Wan
Points	REN-14, REN-17, UB-17, UB-18, UB-21, UB-46

Liver Fire

Clinical Manifestations	Progressive dysphagia Vomiting after eating Severe, splitting headaches with dizziness Sudden tinnitus or Sudden deafness Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst Vomiting sour or bitter liquid Insomnia Restlessness Constipation or dry stools Maybe rib pain In severe cases: Mania Hemoptysis Hematemesis Epistaxis Liver Fire Attacks the Lungs: Hemoptysis Rib pain which is severe when coughing Liver Fire Attacks the Stomach: Hematemesis T: Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Excess and rapid
Treatment Principle	Clear the Liver Purge Fire
Herb Formulas	Shi Guan Ai Er Hao Fang Ping Gan Xie Huo Tang Esophageal Cancer #39 With constipation: Dang Gui Long Hui Wan Esophageal Cancer #42
Points	GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19

Liver And Kidney Yin Deficiency

Clinical Manifestations	Progressive dysphagia Vomiting after eating 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	Qi Ju Di Huang Wan With Blood Stagnation: Huo Xue Hua Yu Run Chang Tang Xiang You Jia Yu Biao San With severe Yin Deficiency: Zi Xue Li Ge Ren Chang Tang
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Yin And Fluid Deficiency Of The Throat And Esophagus Due To Heat

Clinical Manifestations	Difficulty swallowing maybe with a burning of painful sensation Food is difficult to swallow but Fluids are easy After eating, the bulk of the ingested food may be vomited up, possibly mixed with mucus Gradual weight loss Dryness oft the mouth and throat Dry skin Thirst Pain in the chest and upper back An uncomfortable burning sensation in the epigastrium A hoarse or croaky voice Five-Sole-Heat Low-grade afternoon fever Night sweats Facial flushing A tendency toward constipation T: Red and dry with multiple surface cracks C: Maybe yellow P: Wiry, thready and rapid
Treatment Principle	Nourish and moisten Yin and Fluids Clear Heat Disperse accumulations
Herb Formulas	Wu Zhi An Zhong Yin With severe Dryness, constipation and lack of saliva: + Zeng Ye Tang  modified Chinese Patent Medicines: Lan Han Guo Chong Ji With Kidney Yin Deficiency: Liu Wei Di Huang Wan With Stomach Qi and Yin Deficiency: Gu Ben Wan
Points	KI-6, KI-27, LI-18, LU-7, REN-14, REN-17, REN-22, SP-6, ST-36 With Stomach Heat: + PC-8, ST-44 Ear: Stomach, Esophagus, Diaphragm, Throat, Kidney, Lung Shenmen

Yin Deficiency Generating Deficiency Fire

Clinical Manifestations	Progressive dysphagia Blockage of swallowed food Unsmooth swallowing with pain Difficulty swallowing water Vomiting immediately after eating Burning pain in the Stomach Chest and hypochondriac pain A sensation of Heat in the chest Five Sole Heat Constipation Dry mouth and throat Episodic hematuria with fresh red Blood The urine may be concentrated T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin and Blood Moisten Dryness Generate Fluids
Herb Formulas	Sha Shen Mai Men Dong Tangmodified Liu Wei Di Huang Wan Fu Fang Wu Mei Tang Esophageal Cancer #33 Ping Gan Xie Huo Tang Esophageal Cancer #55 With hematuria: Zhi Bai Di Huang Wan modified Chinese patent medicine: Wu Zhi An Zhong Yin
Points	REN-17, SP-6, ST-36, UB-20, UB-21, UB-46 With distinct Yang Deficiency: REN-6, SP-4 With vomiting immediately after eating: moxa Zhongkui With hematuria: 1. KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 2. KI-2, KI-3, KI-6, LU-7, REN-4, UB-23, UB-28

Qi Stagnation

Clinical Manifestations	Progressive dysphagia Vomiting after eating Poor general condition Emaciation Lassitude Chest distention T: Dry and rigid C: Thin and white P: Moderate, thready and forceless
Treatment Principle	Regulate Qi in the Middle Jiao Strengthen the Spleen to promote Body Fluid Warm Yang Resolve Phlegm and Dampness
Herb Formulas	With Phlegm Stagnation: Shi Guan Ai Wu Hao Fang Han Hua Ding For lymphatic metastasis of esophageal cancer: Li Qi Tang
Points

Qi And Yin Deficiency

Clinical Manifestations	Progressive dysphagia Vomiting after eating Fatigue Lack of energy Shortness of breath Soft, weak voice Reluctance to speak Spontaneous perspiration Five-Sole-Heat Dry throat Persistent thirst Afternoon fever Dry stools Constipation Scanty, dark-colored urine Night sweats T: Red or Swollen and scalloped C: Little or None or White P: Thready and rapid or Deep, weak, soft and small or Floating
Treatment Principle	Tonify Qi Nourish Yin
Herb Formulas	Esophageal Cancer #46
Points	KI-3, KI-6, LU-5, LU-7, LU-9, ST-36, UB-13, UB-23, UB-43 With severe Heat: + LU-10 DU-14, KI-7, LI-4, LU-9, UB-13 With severe Qi Deficiency: + ST-36 With Phlegm: + ST-36, ST-40 With severe panting: + Dingchuan or LI-18 With chest oppression: + PC-6, REN-17

Qi And Blood Deficiency

Clinical Manifestations	Fatigue Loose stools Poor appetite Dizziness Pale face Weak voice 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	Ba Zhen Tang
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

Alternating Qi And Phlegm Stagnation (Early-Stage)

Clinical Manifestations	A sensation of an object stuck in the throat Difficulty swallowing Vomiting of food and Phlegm A dry mouth Maybe acute pain T: Red C: Thin or thick P: Thready and wiry
Treatment Principle	Regulate Qi Eliminate Phlegm Moisten Dryness
Herb Formulas	Xuan Fu Dai Zhe Tang modified Sha Shen Tang Esophageal Cancer #47 Esophageal Cancer #57 Esophageal Cancer #58
Points	PC-5, REN-6, REN-12, SP-6, ST-21, ST-36, ST-40, UB-20, UB-21 + general points

Blood Stagnation

Clinical Manifestations	Extreme dysphagia Vomiting after eating A definite obstruction between the pharynx and diaphragm General debility A localized pricking sensation in the chest and back Sharp pain Hemoptysis Maybe hematemesis Melaena Constipation Emaciation Dry skin Diminished saliva T: Dark blue or red with echymoses C: Thick and greasy P: Deep, sluggish and choppy or Choppy and uneven or Small and choppy
Treatment Principle	Tonify and Regulate Qi Activate the Blood Break up Stasis Nourish the Blood
Herb Formulas	Tao Ren Zhe Shi Tang Shi Guan Ai Si Hao Fang Esophageal Cancer #26 Esophageal Cancer #40 Tong Yu Tang Esophageal Cancer #59 With chest and back pain: Gong Chong Tang With Heat: Esophageal Cancer #69 With Toxic Heat: Esophageal Cancer #70 With Rebellious Qi, dry stools and chest distention: Ye Ge Yan Fang With Yin and Yang Deficiency: Esophageal Cancer #23 For pain: Zhong Tong Wan
Points

Blood Stagnation With Phlegm Obstruction

Clinical Manifestations	Progressive dysphagia Vomiting immediately after eating Vomiting of saliva and undigested food Chest pain Emaciation Loss of appetite, especially for meat Stomach distention Hard stools Dull pain A rancid taste in the mouth T: Normal or Cyanotic C: Thick and white P: Weak and choppy
Treatment Principle	Transform and eliminate Phlegm Descend Rebellious Qi
Herb Formulas	Tong You Tang modified Esophageal Cancer #7 Huo Xue Hua Yu Tang #2 Ci Gu Gao Esophageal Cancer #24 With Toxic Heat: Kai Yang Han Hua Gao Kai Dao San With Toxic Heat and Phlegm: Yan Zhong Wan Yan Zhong Wan Yi Hao Chinese Patent Medicine: Xi Huang Wan + Liu Shen Wan
Points	PC-6, REN-14, REN-17, UB-15, UB-17, UB-46 KI-27, LI-18, PC-5, PC-6, REN-14, REN-17, REN-22, ST-36, UB-17, UB-46 Ear: Stomach, Esophagus, Liver, Throat, Diaphragm, Shenmen

Phlegm Stagnation

Clinical Manifestations	Wheezing Panting Dyspnea with lots of sputum The sputum is difficult to expectorate The sputum rattles in the throat Chest and diaphragm blocked Inability to sleep Fullness of the chest Anorexia Nausea T: Normal or Pale C: Sticky and white P: Slippery or Slippery and large
Treatment Principle	Expel Phlegm Descend Qi
Herb Formulas	Esophageal Cancer #27
Points	LU-1, LU-5, LU-7, ST-40, UB-13 LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20 Dingchuan, LU-5, REN-22, UB-13 LI-4, LU-9, ST-40, UB-12, UB-13 With Heat: + DU-14, LI-11, LU-11 With Cold: + moxa UB-20, UB-23 With nausea: + PC-6, REN-12, SP-4 LU-5, PC-6, REN-12, REN-22, ST-40 LIV-13, LU-5, PC-6, REN-12, ST-36, UB-20 DU-14, PC-6, REN-22, ST-36, UB-13 For severe panting: + Dingchuan For a headache, nasal congestion and a runny nose: + LI-20, Yintang For a fever: + LI-4 For fever and chills: + SJ-5 For profuse Phlegm: + REN-12, ST-36, ST-40 For a severe cough: + LU-5, For chest oppression : + PC-6, REN-17 For children with Food Stagnation: + bleed Sifeng

Phlegm-Heat

Clinical Manifestations	Progressive dysphagia Vomiting after eating 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 Chest and/or epigastric fullness Pain in the ribs T: Scarlet C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid
Treatment Principle	Clear Heat Resolve Phlegm
Herb Formulas	Esophageal Cancer #1 Esophageal Cancer #2 Esophageal Cancer #4 Esophageal Cancer #28 Cancer #4 Esophageal Cancer #35 Esophageal Cancer #50 With lymphatic metastasis: Esophageal Cancer #51 With Dampness: Esophageal Cancer #6 With nodules: Esophageal Cancer #54 With Yin and Blood Deficiency: Esophageal Cancer #73
Points	LI-11, LU-5, ST-40, UB-13

Toxic Heat

Clinical Manifestations	Progressive dysphagia Vomiting after eating 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	Esophageal Cancer #5 Esophageal Cancer #14 Esophageal Cancer #16 Han Hua Er Hao Fang Kang Ai San Hao Fang Esophageal Cancer #25 Kai Guan San Esophageal Cancer #32 Esophageal Cancer #37 Esophageal Cancer #38 Esophageal Cancer #41 Esophageal Cancer #43 Esophageal Cancer #48 Cancer #9 Esophageal Cancer #62 Esophageal Cancer #64 With Blood Stagnation: Esophageal Cancer #8 Kang Ai Si Hao Fang Esophageal Cancer #67 Esophageal Cancer #72 With Yin Deficiency: Jia Wei Zi Sheng Shen Qi Wan Esophageal Cancer #21 With Yin and Blood Deficiency: Esophageal Cancer #20 With Qi Stagnation and constipation: Esophageal Cancer #36 With Qi and Blood Deficiency: Esophageal Cancer #53 With Qi, Yin and Blood Deficiency: Kang Ai Pian With Qi and Blood Stagnation and Yin and Blood Deficiency: Kang Ai Yi Hao Fang With Qi, Blood and Phlegm Stagnation: Esophageal Cancer #44 With intense thirst and a sore throat: Run Jian Hua Yu Xiao Yan Tang With Phlegm: Esophageal Cancer #15 With Qi and Yin Deficiency, Phlegm and Food Stagnation: Esophageal Cancer #10 With Phlegm and Food Stagnation: Esophageal Cancer #11 With Phlegm and Blood Stagnation: Esophageal Cancer #12 With a hot diaphragm and a sore throat: Peng Shuang Wan With a hard mass (tumor): Esophageal Cancer #17 For nervous metastasis with pain: Jiang Chong San With bleeding: Esophageal Cancer #30
Points

Toxic Damp-Heat

Clinical Manifestations	Progressive dysphagia Vomiting after eating Local redness, swelling and pain Maybe fever and chills Anorexia Abdominal distention and discomfort Suffocating sensation in the chest Dislike of oily foods Nausea Vomiting Lassitude Maybe thirst or thirst with no desire to drink Diarrhea with foul smell or Constipation Scanty, dark urine Fever Sweet sticky taste or bitter taste in mouth Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation Aching in bones Aching in leg and heel Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold
Treatment Principle	Dispel Wind-Dampness Resolve Phlegm Clear Heat Resolve Dampness Resolve toxicity Dissipate nodules Inhibit the growth of cancer cells
Herb Formulas	Esophageal Cancer #56 Esophageal Cancer #60
Points

Toxic Damp-Heat With Blood Stagnation

Clinical Manifestations	Upper abdominal pain Discomfort in the upper abdomen 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 Activate the Blood Disperse Blood Stagnation Reduce swellings Inhibit the growth of cancer cells
Herb Formulas	Cancer #7 Esophageal Cancer #61
Points

Excess Fire

Clinical Manifestations	Progressive dysphagia Vomiting after eating Generalized weakness Severe pain in the chest and back Irritability T: Dark red and smooth or Crimson and dry C: Yellow P: Taut and thready or Thready and rapid or taut, rapid and difficult
Treatment Principle	Nourish Yin Reduce Fire Regulate Qi Calm the Liver
Herb Formulas	Esophageal Cancer #29
Points