Lung Cancer

General

Clinical Manifestations	Coughing Bloody sputum Chest pain A choking sensation over the chest May be signs of infection If the tumor invades the pleura: Dyspnea If the tumor invades the phrenic nerve: Horner's syndrome (ptosis miosis) Enopthalmos Ipsolateral decreased sweating on the involved side If the tumor compresses the superior vena cava: Swelling of the face, neck and upper chest Engorgement of the vein
Treatment Principle
Herb Formulas	Take 1.5g powdered Rz. Dysosmae Pleianthae Ba Jiao Lian daily. Take 60ml water solution of Rx. Wikstroemiae Pu Yin daily. Take 10-30ml garlic juice Da Suan twice daily. Take a decoction of 3g Rx. Scutellariae Barbatae Ban Zhi Lian and Hb. Solani Lyrati Shu Yang Quan Take 15g Hb. Hedyotis Diffusae Bai Hua She She Cao and 15g Hb. Scutellariae Barbatae Ban Zhi Lian as a tea. Decoct 60g Hb. Scutellariae Barbatae Ban Zhi Lian and 60g Hb. Hedyotis Diffusae Bai Hua She She Cao and take daily. Take a liquid extract of Hb. Erodii/Geranii Lao Guan Cao daily. Take a decoction of 60g Hb. Selanginellae Juan Bai and 30g Hb. Hedyotis Diffusae Bai Hua She She Cao  once daily. For the prevention and treatment of tumors: Lung Cancer #46 Lung Cancer #47 Initial stage: To dissipate limbs and dissolve Phlegm: Jie Geng Tang For dyspnea and mild fever: Jia Wei Xiao Yao San For a constricted esophagus and obstruction of food in the throat: Kai Guan Li Ge Fang For epistaxis: Cancer #2 For hemoptysis: Grind equal portions of charred Fr. Zizyphi Jujube Da Zao and tea-fermented Galla Chinensis Wu Bei Zi into a powder and take 10g each time with rice porridge. For malignant hydatidiform mole metastasized to the Lung: Hong Sheng Dan For toxic Wind-Damp-Heat with edema of the neck: Si Shun Qing Lian Yin For pulmonary edema or ascites: Decoct 120g dried Hb. Solani Nigri Long Kui in water and take once daily. For tension and resistance under the ribs, trypanosomiasis with severe chest pain and muscular hardness from the ribs to the umbilicus: Chai Hu Shu Gan Tang For malignant tumors: Zi Gen Mu Li Tang For a secondary pleural tumor: Decoct 50g Hb. Scutellariae Barbatae Ban Zhi Lian and 50g Rz. Typhonii Preparatum Zhi Bai Fu Zi in water and take daily as a tea.
Points

Wind-Heat Attacking The Lungs With Underlying Spleen And Stomach Heat

Clinical Manifestations	Severe sore and swollen throat High fever with convulsions in infants Difficulty swallowing Carbuncles Acute localized infection Lymphangitis Furuncles Abscesses Boils T: Red C: Greasy and yellow P: Rapid
Treatment Principle	Expel Wind Clear Heat Ventilate the Lungs
Herb Formulas	Liu Shen Wan
Points	DU-14, DU-16, GB-20, LI-4 + LU-7 or LI-4 + SJ-5, LU-5, LU-10, LU-11, ST-44, UB-12, UB-13

Perverse Dryness Attacks The Lungs

Clinical Manifestations	Dry cough with little or no sputum Sputum is difficult to expectorate Maybe hemoptysis Cough may cause chest pain Dry or sore throat Hoarse voice Dry lips and mouth Thirst Dryness in nose Epistaxis Chills and fever Headache Anhidrosis Dry skin and hair Constipation T: Red tip C: Thin, yellow and dry P: Superficial, maybe rapid
Treatment Principle	Clear the Lungs Moisten Dryness
Herb Formulas	Qing Zao Jiu Fei Tang With Heat: Lung Cancer #25 Lung Cancer #30 If symptoms persist for a long time: Yang Yin Qing Fei Tang
Points	KI-3, LU-1, LU-6, SP-6, UB-13

Lung Heat

Clinical Manifestations	High fever No chills Aversion to Heat Cough Asthma Restlessness Thirst Dark yellow urine Dyspnea Chest pain 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 Transform Phlegm Dissipate nodules Stop cough Inhibit the growth of cancer cells
Herb Formulas	Lung Cancer #2 Gua Lou Bei Mu Xie Fei Tang Lung Cancer #63 With Dryness: Lung Cancer #28 With coughing, shortness of breath and thick, bloody sputum with a fishy smell due to Dampness: Wei Jing Tang  modified
Points

Toxic Damp-Heat In The Lungs With Qi Deficiency

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 Anorexia Abdominal distention and discomfort Suffocating sensation in the chest Maybe abdominal pain on palpation Dislike of oily foods Nausea Vomiting Lassitude Maybe thirst or thirst with no desire to drink Diarrhea with foul smell or Constipation Sweet sticky taste or bitter taste in mouth T: Red C: Thick, yellow and greasy (maybe sticky) P: Wiry or Rolling and rapid or Wiry, overflowing and rapid or Soft and rapid
Treatment Principle	Clear Lung Heat Eliminate Damp-Heat Resolve Toxicity Tonify Lung and Spleen Qi Inhibit the growth of cancer cells
Herb Formulas	Lung Cancer #3 With Yang Deficiency: Lung Cancer #61
Points

Lung Yin Deficiency

Clinical Manifestations	Severe, dry hacking cough No sputum expectorated Small amounts of difficult to expectorate sputum Blood tinged sputum (when Yin Deficiency Fire is present) Shortness of breath Stuffy chest Thirst Heartburn Afternoon fever Night sweats Malar flush (especially in the afternoon) Five Sole Heat Malar flush Dry mouth and throat Itching in throat Hoarse voice, low voice or loss of voice Emaciation T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs
Herb Formulas	Lung Cancer #12 Lung Cancer #17 Lung Cancer #19 Bai He Gu Jin Tang Yang Fei Qu Wei Tang Lung Cancer #25 Lung Cancer #36 Lung Cancer #45 Lung Cancer #50 Lung Cancer #55 Fei Ai Er Hao Fang Due to Lung Heat: Lung Cancer #39
Points	KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, ST-36, UB-13, UB-17, UB-23, UB-43

Lung Yin Deficiency Due To Lung Heat

Clinical Manifestations	Cough with little yellow sputum Spitting saliva Wheezing Shortness of breath Dry, uncomfortable sensation in throat Hiccups Dry mouth Coughing up difficult-to-extectorate Phlegm Scanty urination Hoarseness Thirst Asthma Flushed face Five sole Heat Maybe a high fever No chills Aversion to Heat Cough Asthma Restlessness Thirst Dark yellow urine Dyspnea Chest pain Thick yellow Phlegm T: Red and dry C: Thick and yellow, maybe dry and sticky P:  Rapid, maybe slippery, maybe forceful or Thready and rapid or Deficient and rapid
Treatment Principle	Nourish Lung Yin Clear Lung Heat Resolve toxicity Activate the Blood Dry Dampness Expel Phlegm Inhibit the growth of cancer cells
Herb Formulas	Lung Cancer #4 Lung Cancer #25 Lung Cancer #36 Lung Cancer #38 Lung Cancer #62
Points

Lung Qi Deficiency

Clinical Manifestations	Soft, weak cough with clear thin sputum Physical and mental exhaustion Soft, weak voice Reluctance to speak Shortness of breath Pale face With Wei Qi Deficiency: Spontaneous perspiration (daytime) Low resistance to common cold Tendency to a blocked nose T: Pale C: Thin and white P: Weak
Treatment Principle	Reinforce the Lungs Strengthen Qi
Herb Formulas	Lung Cancer #26 Lung Cancer #54
Points	LU-9, REN-17, ST-36, UB-13, UB-43

Lung Qi And Yin Deficiency

Clinical Manifestations	Coughing A low or soft voice Hoarseness Shortness of breath Chest pain Sometimes facial edema T: Pale C: White P: Thready
Treatment Principle	Tonify Lung Qi Nourish Lung Yin Dissolve masses
Herb Formulas	Lung Cancer #6 An Fei Jie Geng Tang Fu Zheng Yang Yin Fei Ji Tang With Phlegm-Dampness: Lung Cancer #13 With Phlegm-Heat: Lung Cancer #40
Points	LU-1, REN-6, REN-17, SP-6, ST-36

Lung And Spleen Qi Deficiency

Clinical Manifestations	Weakness Shortness of breath Cough Copious white sputum Puffiness Chest pain Abdominal distention Anorexia Edema of the face and legs Weak limbs Constipation or Loose stools T: Pale with teethmarks C: White P: Soft and feeble
Treatment Principle	Tonify Lung and Spleen Qi Dissolve masses Dissolve toxins Expel pathogenic factors
Herb Formulas	Lung Cancer #7 Lung Cancer #18 Liu Jun Zi Tang  modified
Points	LIV-13, LU-1, REN-17, SP-4, SP-6, UB-13, UB-20

Lung And Stomach Yin Deficiency

Clinical Manifestations	Cough with little yellow sputum Spitting saliva Wheezing Shortness of breath Dry, uncomfortable sensation in throat Hiccups Dry mouth Coughing up difficult-to-extectorate Phlegm Nausea Epigastric pain Scanty urination Hoarseness Thirst Asthma Flushed face Five Sole Heat Vomiting T: Red and dry C: Little or None P: Thready and rapid or Deficient and rapid
Treatment Principle	Nourish Yin Moisten the Lungs and Stomach
Herb Formulas	Sha Shen Mai Men Dong Tang
Points

Lung And Kidney Yin Deficiency

Clinical Manifestations	Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Shortness of breath Dry mouth Dry throat Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Afternoon tidal fever Maybe hoarse voice Maybe pain in shin, foot, and heel General lassitude Sterility Spermatorrhea T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys Dissolve toxins
Herb Formulas	Lung Cancer #9 Lung Cancer #25 Lung Cancer #51
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

Lung And Kidney Qi And Yin Deficiency

Clinical Manifestations	Unproductive cough Scanty, sticky phlegm or Sometimes blood-streaked sputum Chronic wheezing which is severe and may be constant Wheezing may be worse at night Wheezing and panting which is worse on exertion The patient may develop a barrel chest and a thick neck Tightness and fullness in the chest Shortness of breath (difficult to inhale) Dyspnea exacerbated by exertion Asthma (inhalation difficult) Soft, weak voice Spontaneous perspiration Aversion to Wind Emaciated body Exhausted Shen Dispirited Limbs cold Face blue-green-colored Maybe superficial edema of limbs and body Maybe dysuria Maybe stress incontinence on coughing Dry mouth Dry throat Warm, dry skin Chronic sore throat Low back and knees sore and weak "Steaming Bone" tidal fever Fine sole Heat Tinnitus Night sweats Malar flush Maybe hoarse voice Aversion to Heat Finger clubbing Large, red skin reaction to needles or pressure Maybe kyphosis of the upper back Maybe pain in shin, foot, and heel Sterility Spermatorrhea Patients who used steroids as children may be small in stature T: Red and dry or Pale, moist and swollen C: None or Mirrored or White P: Thready and rapid, may be fuller if on steroids or Deep and thready or Weak
Treatment Principle	Tonify Qi Nourish Yin Clear Heat Cool the Blood Stop bleeding
Herb Formulas	Zheng Yin Li Lao Tang Jia Wei
Points

Spleen And Stomach Qi Deficiency With Phlegm Stagnation In The Chest And Empty Fire Rising

Clinical Manifestations	Coughing Swelling and pain of the throat Thick, salty sputum with mucus and Blood Chills Aversion to Cold Nausea Vomiting Fullness and congestion in the chest Distention of chest and epigastrium Coughing up copious, thin, white sputum A dry mouth No thirst Foul-smelling sputum Dyspnea Sallow complexion Anorexia Rolled lips Pale lips Stiff tongue Tired limbs Heavy limbs Abdominal and epigastric distention after meals Maybe bleeding Stifling sensation in the chest and epigastrium Acid regurgitation Shortness of breath Loose stools or diarrhea Lethargy Thin muscles Fatigue Does not like to speak Weak, soft voice Maybe enuresis Maybe borborygmus Maybe cold extremities Maybe abundant clear urine Muscle weakness in arms and legs Weak abdomen T: Pale and flabby, may have teeth marks C: White and greasy P: Soft and weak
Treatment Principle	Tonify Qi Strengthen the Spleen and Stomach Dry Dampness Circulate Qi Eliminate Phlegm and pus Clear Heat and Toxins Inhibit the growth of cancer cells
Herb Formulas	Lung Cancer #8
Points

Stomach And Lung Yin Deficiency

Clinical Manifestations	Cough with little yellow sputum Spitting saliva Wheezing Shortness of breath Dry, uncomfortable sensation in throat Hiccups Dry mouth Coughing up difficult-to-extectorate Phlegm Nausea Scanty urination Hoarseness Thirst Asthma Flushed face Five sole Heat Vomiting T: Red and dry C: Little or None P: Thready and rapid or Deficient and rapid
Treatment Principle	Nourish Lung Yin Benefit the Stomach Generate Fluids Descend Qi Harmonize the Middle Jiao
Herb Formulas	Mai Men Dong Tang
Points

Liver Fire Scorches The Lungs

Clinical Manifestations	Coughing fits with hemoptysis Burning pain in chest and sides Dizziness Face and eyes red Bitter taste in mouth Dry lips Short-tempered Irascibility Restlessness Maybe dark urine Maybe constipation T: Red C: Thin, yellow and dry P: Wiry and rapid
Treatment Principle	Clear Liver Fire Purge the Lungs
Herb Formulas	Lung Cancer #1 Xie Bai San Dai Ge San Xie Bai San + Dai Ge San modified Lung Cancer #35 With hemoptysis: Ke Xue Fang modified For Shen Disturbances due to Blood Heat: An Gong Niu Huang Wan Zi Xue Dan Zhi Bao Dan Xi Jiao Di Huang Tang Qing Ying Tang Chinese Patent Medicines: Qing Qi Hua Tan Wan Long Dan Xie Gan Wan Qing Fei Yi Huo Pian With hemoptysis: Yunnan Bai Yao
Points	LIV-2, LU-5, LU-6, LU-10, PC-6, UB-13, UB-18 GB-34, LIV-2, LIV-3, LU-5, LU-6, SP-10, UB-13, UB-18

Yin Deficiency Generates Internal Heat

Clinical Manifestations	A dry cough with little sputum The sputum is yellow or bloody A dry mouth Thirst Tidal fever Five Sole Heat Night sweats Chest pain T: Red C: Little or None P Thready and rapid
Treatment Principle	Tonify Yin Resolve toxicity Dissolve masses
Herb Formulas	Lung Cancer #5
Points

Qi And Blood Deficiency

Clinical Manifestations	Chronic coughing Wheezing Shortness of breath Dilute sputum Fatigue Aversion to Cold 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 or Deep, feeble and thready
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Ba Zhen Tang modified Lung Cancer #53
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

Qi, Yang And Blood Deficiency

Clinical Manifestations	Amnesia Palpitations Feverishness Anorexia Emaciation Pale face Insomnia Dyspnea on mild exertion Fatigue Shortness of breath. Weight loss Dry skin Dry mouth Dry throat Dry lips Uterine bleeding Irregular menstruation May suddenly lose consciousness Slack jaw Restless at night Lassitude Tendency toward being frightened easily Weakness Sallow complexion Dizziness Tremors in the limbs Spontaneous perspiration Fever and severe chills General debility Mental instability Coughing and gasping. Night sweats Amnesia. Diarrhea Turbid urine Nocturnal emission Impotence Constipation Feeble breathing. Tired limbs T: Pale C:White P: Thready and weak or thready, rapid and weak or Deep and weak
Treatment Principle	Replenish Yang Warm and tonify Qi and Blood
Herb Formulas	Ren Shen Yang Rong Tang
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 With Blood Stagnation: Lung Cancer #59
Points

Blood Stagnation

Clinical Manifestations	Chronic stabbing pain in the chest Pain in the hypochondrium Hemoptysis Chronic, stubborn headache with a fixed, piercing quality Palpitations Chronic incessant hiccups Five Sole Heat Choking sensation when drinking Dry heaves Depression or low spirits with a sensation of warmth in the chest Chest distention Dry, scaly skin Dark rings under the eyes Spider naevi on the cheeks, nose, trunk, inner knee and ankle Dizziness Chronic tinnitus Irritability Fidgeting A bad temper Extreme mood swings Evening tidal fever Dark or purplish lips, conjunctiva or nail beds Dark complexion Dark sclera Hair loss on the head and body Chronic gum disease with dark, purplish, patchy or dark, red atrophic gums Loose teeth Painful receding gums Frequently bleeding gums Vomiting after intake of water Palpitations Persistent daytime drowsiness Insomnia (persistent with much dreaming) Restless sleep Forgetfulness T: Dark-red or purple with purple spots on the edges P: Choppy or Wiry and tight or Wiry and choppy or thready or Deep and choppy or Wiry
Treatment Principle	Invigorate the Blood Dispel Blood Stasis Spread Liver Qi
Herb Formulas	Xue Fu Zhu Yu Tang Lung Cancer #20 Lung Cancer #44 Lung Cancer #56 With Toxic Heat: Lung Cancer #10 With Toxic Heat and Phlegm: Yan Zhong Wan Yi Hao
Points	SP-6, SP-10, ST-36, UB-17, UB-40

Phlegm-Heat

Clinical Manifestations	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 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	Lung Cancer #14 Lung Cancer #15 Lung Cancer #22 Lung Cancer #31 Lung Cancer #32 Lung Cancer #41 Lung Cancer #43 Lung Cancer #48 Lung Cancer #58 Complicated by super caval syndrome: Lung Cancer #24
Points	LI-11, LU-5, ST-40, UB-13

Phlegm-Damp

Clinical Manifestations	Dizziness Vertigo Mental cloudiness Heavy head Heavy sensations 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: Thick C: White and greasy or Sticky and white P: Rolling or Wiry and slippery
Treatment Principle	Strengthen the Spleen Harmonize the Stomach Eliminate Dampness Resolve Phlegm
Herb Formulas	Lung Cancer #11
Points	GB-34, LIV-13, REN-12, ST-36, ST-40 PC-6, REN-12, ST-8, ST-40, UB-20 DU-20, DU-23, GB-20, GB-34, LI-4, REN-12, ST-36, ST-40, ST-41 REN-12, PC-6, ST-41

Toxic Heat

Clinical Manifestations	Fever Shortness of breath Aversion to Heat Thirst Cough Asthma A bitter taste in the mouth Local redness, swelling and pain Maybe fever and chills T: Normal or Red C: Thin white or yellow P: 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	Lung Cancer #16 Cancer #9 Lung Cancer #21 Fei Ai Wan Lung Cancer #27 Lung Cancer #34 Lung Cancer #37 Lung Cancer #49 Lung Cancer #57 Lung Cancer #65 With Shen disturbance: Gui Ya Dai Su San With Qi Stagnation: Lung Cancer #29 With Blood Stagnation: Lung Cancer #23 Lung Cancer #52 With hemoptysis: Lung Cancer #33 With obstructive pneumonia: Lung Cancer #42 With Phlegm-Damp: Lung Cancer #64
Points

Toxic Phlegm-Heat With Qi And Yin Deficiency

Clinical Manifestations	Fever Shortness of breath Aversion to Heat Thirst A bitter taste in the mouth Local redness, swelling and pain Maybe fever and chills Cough with sticky, yellow, difficult to expectorate sputum or Soft, weak cough with clear thin sputum or Severe, dry hacking cough Rapid breathing with a harsh voice Restless fever Sore throat Constipation Dry stools Mania Dyspnea Nausea Vomiting Chest and/or epigastric fullness Pain in the ribs Physical and mental exhaustion Soft, weak voice Reluctance to speak Shortness of breath Pale face Small amounts of difficult to expectorate sputum Blood tinged sputum (when Yin Deficiency Fire is present) Afternoon fever Night sweats Malar flush (especially in afternoon) Five Sole Heat Dry mouth and throat Itching in throat Hoarse voice, low voice or loss of voice Emaciation T: Red and dry or Scarlet C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and forceful or Wiry and rapid or Rapid and smooth or Slippery and rapid or Thready and rapid
Treatment Principle	Clear Heat Resolve toxicity Eliminate Hot Phlegm Stop bleeding Invigorate the Blood Reduce swelling Disperse s nodules Eliminate masses Alleviate pain Inhibit the growth of cancer cells
Herb Formulas	Lung Cancer #66
Points

Toxic Damp-Heat

Clinical Manifestations	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 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 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	Promote urination Dispel Dampness Clear Heat Relieve Fire toxins Tonify the Liver and Kidneys Strengthen the sinews and bones
Herb Formulas	Cancer #24
Points