STOMACH CANCER - GASTRIC CANCER

Clinical Manifestations
  • Early stage:
    Often no symptoms
    Upper abdominal pain
    Discomfort in the upper abdomen
  • Middle stage:
    Anorexia
    Progressive dysphagia
    Nausea
    Weight loss
    Melaena
  • Late stage:
    Vomiting after eating
    Edema
    Ascites
    Anemia
    Hepatomegaly
    Abdominal tumor
    The tumor is firm and irregular
Treatment Principle
Herb Formulas
  • Anti-cancer herbs:
    Ba Qia - Rz. Smilacis Chinensis
    Bai Hua She She Cao -
    Hb. Hedyotis Diffusae
    E Zhu - Rz. Curcumae
    San Leng - Rz. Sparganii
    Shi Jian Chuan - Hb. Salviae Chinensis
    Xi Shu - Fr. et Cx. Camptothecae
    Teng Li Gen - Rx. Actinidiae
    Wa Leng Zi - Concha Arcae
    Pu Tao Teng Ye - Caulis Vitis Viniferae
  • Decoct 20g of dried Fr. Fici Pumilae Bi Li and drink or eat five fruits after meals every day.
  • Grind 30-60g of the shell or kernel of Fr. Trappae Bispinosae Ling Jiao into a powder. Take 6g raw or with honey at a time.
  • Steep 20 Scolopendrae Wu Gong and 6g Flos Carthami Hong Hua in 0.5kg wine and 60% alcohol for twenty days, filter and dilute with cold, boiled water at a ratio of 6:4 water to wine. Take the 0.5kg of decoction over the period of one week.
  • Decoct 500 kilos into a thick syrup. Take 4g twice a day.
  • 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.
  • Stew 12.5kg Venenum Bufonis Chan Su  in 6kg wheat flour to make a paste. Take orally two to three times per day.
  • Decoct 2.5g Hb. Chelidonii Bai Qu Cai in 300ml of water and take three times a day.
  • Decoct 3g of Radix Alocasiae seu Euphorbiae Lang Du in 200ml of water, filter, add two eggs and boil, drink the broth and eat the eggs.
  • Prepare 30g of Rz. Polygoni Cuspidati Hu Zhang as a syrup and take 20-30ml two to three times a day.
  • Extract the juice from 750g of the leaves of Sm. Lablab Bai Bian Dou. Take frequently without dosage restriction.
  • Make Fol. et Ram. Sarcandrae Zhong Jie Feng into 0.3g tablets and take 4-6 tablets three times per day.
  • Stew 9g Alumen Ming Fan with 180g vinegar for five minutes and drink (said to be very effective immediately).
  • Boil 1150g Flos Gossampini Mu Mian Hua and 150g lean pork in 5kg water for 7-8 hours. Boil down to the volume of one bowl. Take once daily. Usually the pain is alleviated after one week, but continue until recovery is complete.
  • Decoct 120g Hb. et Rx. Gei Lu Bian Qing and 30g Hb. Pteris Feng Wei Cao and take daily.
  • Decoct the stem and pulp of Caulis Helianthi Annui Xiang Ri Gui Jing Sui  and take 4.5-6g daily for one year.
  • For early-stage Stomach cancer: Stomach Cancer #49
  • For advanced Stomach cancer: Stomach Cancer #12
  • For fullness and distention due to Qi Stagnation: Ping Wei San modified
  • For fullness and distention in the chest with throat obstruction: Take a decoction of Rx. Aucklandiae Mu Xiang, Fr. Amomi Sha Ren, Fr. Aurantii Immaturus Zhi Shi and CX. Magnoliae Officinalis Hou Po first to disperse Accumulation and Stagnation then take (Wu Wei) Yi Gong San modified.
  • For pain:
    1. Decoct 40g Hb. Agrimoniae Xian He Cao and 30g Fr. Jujube Da Zao, into a thick broth and take four times a day for forty days.
    2. Decoct Hb. Aristolochiae Mollissimae Xun Gu Feng and take 9g daily.
    3. Dry 6g Hb. Aristolochiae Mollissimae Xun Gu Feng, 15g Rx. Schisandrae Sphenantherae Bei Wu Wei Zi and 15g Os Sepiae seu Sepiellae Hai Piao Xiao in the sun and grind into a powder. Take 6g three times per day.
  • For gastralgia: Roast and powder equal parts of Rz. Alpiniae
    Officinarum Gao Liang Jiang and Sm. Arecae Bing Lang. Take 6g at a time with millet porridge.
  • For Deficiency type fullness and dull pain in the upper abdomen: Bu Zhong Yi Qi Tang + Ping Wei San
  • For Excess type fullness and dull pain in the upper abdomen:
    Ge Xia Zhu Yu Tang + Ping Wei San
  • For Cold-type fullness and dull pain in the upper abdomen:
    Li Zhong Tang + Wu Zhu Yu Tang
  • For Heat type fullness and dull pain in the upper abdomen:
    Xiang Sha Yang Wei Tang modified
  • For prolonged abdominal pain: Abdominal Tumor Pain #1
  • For Cold type vomiting: Wu Zhu Yu Tang + Da Ban Xia Tang
  • For Heat type vomiting:
    Ju Pi Zhu Ru Tang + Chai Ping Tang + Xiang Sha Yang Wei Tang or
    Rz. Imperatae Bai Mao Gen or Rz. Phragmitis Lu Gen taken at short intervals
  • For vomiting immediately after eating: Take a decoction of Rz. Imperatae Bai Mao Gen and Rz. Phragmitis Lu Gen
  • For regurgitation of food twelve to twenty-four hours after eating due to Stomach Qi Deficiency with Phlegm: Er Chen Tang modified
  • For Deficiency type vomiting: Xiao Ban Xia Tang + Li Zhong Tang
  • For regurgitation and vomiting: mix 1/2 processed and 1/2 unprocessed Alumen Ming Fan with cold water for oral ingestion.
  • For hematemesis: Hematemesis #2
  • For Deficiency-Cold type hematochezia:
    Huang Tu Tang modified
    Bu Zhong Yi Qi Tang
    + stop bleeding herbs
  • For Excess-Heat type hematochezia: Ge Gen Huang Qin Liang Huang Tang modified
  • For Middle Jiao Qi Deficiency: Si Jun Zi Tang modified
  • For continuous salivation after eating followed by vomiting:
    Si Jun Zi Tang modified
  • For Deficiency of Ming Men Fire: Ba Wei Di Huang Wan modified or
    alternate with Hei Xi Dan
  • For a dying patient with regurgitation and lassitude: take a decoction of 30-60g Ginseng Ren Shen and Ginger Juice Jiang Zhi
  • For ulcerative gastric cancer: Wu Ji San #2
  • For infiltrative gastric cancer: Stomach Cancer #26
  • With low-grade metastasis of the lymph nodes: Stomach Cancer #35
  • For lymph node metastasis: Stomach Cancer #47
  • For hematemesis: Cancer #2
  • For ulcerative Stomach cancer: Stomach Cancer #50
  • For post-operative reinforcement: Stomach Cancer #51
  • For unceasing hiccups: Shi Di Tang  modified
  • Topical: Xiao Pi Gao
Points
Clinical Manifestations
  • Upper abdominal discomfort and pain
  • Edema
  • Edema in limbs, especially lower limbs
  • Maybe anasarca
  • Maybe abdominal distention
  • Nausea
  • Vomiting
  • Loose stools
  • Physical and mental fatigue
  • T: Pale
  • C: White and moist
  • P: Soft and even
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Benefit Qi
  • Move water
  • Soften mass
Herb Formulas
Points
Clinical Manifestations
  • A sallow, withered complexion
  • Anorexia
  • Lassitude
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Vomiting of undigested food
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations (pain is relieved by warmth)
  • Cold limbs
  • Feeling chilled
  • Mental fatigue
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale
  • C: Thin and white
  • P: Taut or Tense
Treatment Principle
  • Tonify Spleen Yang
  • Warm the Middle
  • Dispel Dampness
Herb Formulas
Points
Clinical Manifestations
  • Upper abdominal discomfort and pain which is better with warmth and pressure
  • Anorexia
  • Anemia
  • White facial color
  • Lassitude
  • Listlessness
  • Nausea
  • Vomiting of watery fluid
  • Vomiting in the evening the food that was eaten in the morning
  • Loose stools
  • Diarrhea
  • Constipation
  • Cold extremities
  • Edema of the legs
  • T: Pale with teethmarks
  • C: White or Thin and slippery
  • P: Deep and thready or Soft or Deep and slow or Thready, wiry and weak
Treatment Principle
  • Warm the Middle Jiao
  • Warm Yang
  • Relieve Cold
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Upper abdominal pain
  • Discomfort in the upper abdomen
  • Anorexia
  • Nausea
  • Vomiting
  • Weight loss
  • Melaena
  • Edema
  • Ascites
  • Anemia
  • Hepatomegaly
  • Abdominal tumor
  • The tumor is firm and irregular
  • Distention and fullness of epigastrium and abdomen
  • Loose stools
  • Diarrhea
  • Reduced sensation of taste
  • No thirst or preference for hot drinks
  • Sticky sensation in mouth
  • Borborygmus
  • Lassitude
  • Yin jaundice
  • Heavy head
  • Maybe edema
  • Maybe copious white vaginal discharge
  • Maybe cold limbs, fear of Cold or feeling chilled
  • T: Pink
  • C: Thick, white and greasy or sticky
  • P: Deep and slow
Treatment Principle
  • Warm Cold
  • Transform Dampness
  • Harmonize the Stomach
  • Strengthen the Spleen
Herb Formulas
Points
Clinical Manifestations
  • 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
  • C: Thin and white
  • P: Weak and Deficient
Treatment Principle
  • Strengthen Qi
  • Invigorate the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Incessant, dull pain with a cutting sensation in the Stomach
  • A vague, dull , burning epigastric pain, worse when the Stomach is empty and may improve with pressure
  • The pain is worse at night
  • The patient may wake with pain in the early hours of the morning
  • Discomfort in the upper abdomen
  • Anorexia or
  • Indeterminate, gnawing hunger with no desire to eat
  • May desire Cold, bland foods or a liquid diet
  • Mild nausea, worse in the morning when hungry
  • Maybe dry retching or
  • Hiccups
  • Vomiting
  • Hematemesis (fresh Blood)
  • Weight loss
  • Dry skin, hair and mucus membranes
  • Melaena
  • Edema
  • Ascites
  • Anemia
  • Hepatomegaly
  • Abdominal tumor
  • The tumor is firm and irregular
  • A wan, sallow complexion
  • No appetite or
  • Famished but with no desire to eat
  • Abdominal distention after meals
  • Dry throat, mouth, mucus membranes and skin
  • Thirst with a desire for cool drinks
  • Dry, tarry or pellet-like stools
  • Constipation
  • Irritability with low grade fever
  • Malar flush
  • Night sweats
  • Five-sole Heat
  • With Kidney Yin Deficiency
    Dizziness
    Tinnitus
    Low back pain
    Weak and painful knees
  • T: Red with a peeled center or Red and dry or Shiny and dry or Dry and cracked
  • C: Little and dry
  • P: Thready and rapid or Thready and wiry
Treatment Principle
  • Nourish Yin
  • Nourish the Stomach
  • Clear Deficiency Heat
  • Cool the Blood
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Burning sensation in the Stomach
  • Abdominal pain especially after eating
  • Acid regurgitation
  • Stomach upset
  • Dry mouth
  • Anorexia
  • Thirst with a desire to drink
  • Prefers cold food and drinks
  • Five sole Heat
  • Dry stools
  • If Excess Heat is predominant:
    Excess hunger
    Eats a lot
  • If Deficiency Heat is predominant:
    Anorexia
    Discomfort after eating
  • T: Deep red
  • C: None or Peeled
  • P: Thready and rapid or Slippery and rapid
Treatment Principle
  • Nourish Yin
  • Clear Heat
  • Eliminate toxins
Herb Formulas
Points
Clinical Manifestations
  • Burning Heat and pain in the epigastrium
  • Irritating thirst: drinks copious fluids and prefers cold drinks
  • Excessive appetite: hungry again quickly after eating (as if food vanishes)
  • Swelling, pain, ulceration and bleeding of gums
  • Foul breath
  • Toothache
  • Maybe vomiting right after eating
  • Vomiting acid or undigested food
  • Constipation
  • Maybe scanty, red urine
  • T: Red
  • C: Thick, yellow and dry
  • P: Slippery, big, Excess and rapid
Treatment Principle
  • Clear and Purge Stomach Fire
Herb Formulas
Points
Clinical Manifestations
  • General signs and symptoms:
    Epigastrium Cold with pain
  • Mild cases:
    Constant pain
  • Severe cases:
    Sudden bouts of sharp pain
    Pain is aggravated by Cold and relieved by warmth and hot drinks
    Cold hands and feet
  • Cold Penetrates the Stomach and Intestines:
    Pain is sudden and sharp
    Pain is relieved by warmth
    Nausea
    Diarrhea
    Loose stools
    T: Pink
    C: White
    P: Deep and tight
  • Retention of Fluid in the Stomach due to Cold:
    Pain is dull
    Pain is relieved by warmth
    Succussion sound in the epigastrium on palpation
    Vomiting of clear, watery fluid
    T: Pink
    C: White and sticky
    P: Thready or Thready and slow
  • Stomach Deficiency with Stagnation of Cold:
    Pain is dull
    Pain is relieved by warmth and pressure
    Vomiting clear, watery fluid
    T: Pale
    C: Thin and white
    P: Deep and slow or Deep and thready
Treatment Principle
  • Warm the Stomach
  • Warm Cold
Herb Formulas
Points
Clinical Manifestations
  • Sharp, stabbing epigastric pain with fixed location
  • Epigastric or abdominal pain and distention
  • The pain may start intermittently but becomes more constant
  • Pain is severe after eating
  • The pain may radiate to the back
  • Dislike of pressure and Heat on the epigastrium
  • Pain predominates over distention or
  • Pain but no distention
  • Dysphagia
  • Epigastric rumbling
  • May be abdominal or epigastric lumps or masses
  • Nausea
  • Vomiting purple/black blood or "coffee grounds"
  • Indeterminate gnawing hunger
  • Anorexia
  • Weight loss
  • Weakness
  • Dry stools with blood like tar (melaena)
  • Hemafecia with dark, purple Blood or mixed dark and fresh Blood
  • Constipation
  • Dry, rough skin
  • Darkish, purplish or a blotchy complexion, lips and conjunctiva
  • Dark rings around the eyes
  • Spider naevi on the cheeks, epigastrium, trunk and around the inner ankle and knee
  • Maybe hemorrhoids
  • Maybe irregular menstruation with dark, purple, clotted Blood
  • With significant Deficiency from chronic Blood loss:
    A pale or sallow complexion
    Dizziness
  • T: Dark purple with purple spots or dots and dark, distended sublingual veins
  • C: White or Grayish white or Yellow
  • P: Wiry and choppy or Wiry or Choppy or Thready and choppy or Deep and thready
Treatment Principle
  • Invigorate the Blood
  • Adjust Qi
  • Transform Stagnation
  • Soften the Liver
  • Stop pain
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • 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
  • T: Normal
  • C: Greasy and white
  • P: Slippery or Wiry
Treatment Principle
  • Transform and eliminate Phlegm
  • Harmonize the Stomach
  • Descend Rebellious Qi
Herb Formulas
Points
Clinical Manifestations
  • Epigastric fullness, distention and pain with dislike of pressure
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • T: Pink
  • C: Thick and greasy
  • P: Slippery
Treatment Principle
  • Clear Food
  • Conduct Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Distention and pain in the Stomach
  • Epigastric distention and pain (worse when emotionally upset)
  • Distention and pain in the sides or flanks
  • Weakness
  • Weight loss
  • Fetid belching or hiccupping
  • Acid regurgitation
  • Difficulty swallowing
  • Nausea
  • Vomiting
  • Anorexia
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry or Thready and wiry or Deep and thready
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
  • Descend Rebellious Qi
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Upper abdominal pain
  • Discomfort in the upper abdomen
  • Anorexia
  • Nausea
  • Vomiting
  • Weight loss
  • Melaena
  • Edema
  • Ascites
  • Anemia
  • Hepatomegaly
  • Abdominal tumor
  • The tumor is firm and irregular
  • Flushed face or
  • Dim complexion
  • T: Dark purplish
  • C: Thick, greasy and yellowish
  • P: Weak, wiry and choppy
Treatment Principle
  • Regulate Qi
  • Invigorate the Blood
  • Tonify Spleen Qi
  • Nourish Stomach Yin
Herb Formulas
Points
Clinical Manifestations
  • Epigastric distention and vague pain
  • Dysphagia
  • 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
Points
Clinical Manifestations
  • Upper abdominal discomfort and pain
  • Anorexia
  • Nausea
  • Vomiting
  • T: Light colored
  • C: Thin
  • P: Wiry
Treatment Principle
  • Harmonize the Liver and Stomach
  • Eliminate discomfort
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Upper abdominal pain
  • Large tumor
  • Fatigue
  • General lassitude
  • Loose stools
  • Poor appetite
  • Dizziness
  • Blurred vision
  • Pale or sallow face
  • Weak voice
  • Shortness of breath
  • Reluctance to speak
  • Sweating with little or no exertion
  • Night sweats
  • Palpitations
  • Restlessness
  • Insomnia
  • Irritability
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • Severe cases: Edema of the limbs
  • T: Pale or Pale, thin and dry
  • C: Thin and white or Little
  • P: Weak or Thin and choppy or Deep and thready
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Stabbing pain in the epigastrium which is worse with pressure
  • Substantial or insubstantial mass beneath the Heart which is painful on palpation
  • Vomiting food mixed with Blood
  • Dry, black stools
  • Melaena
  • Dry skin
  • T: Purple or Purple spots
  • C: White
  • P: Deep and thready or Choppy
Treatment Principle
  • Dissolve toxins
  • Resolve Stagnation
  • Invigorate the Blood
  • Stop pain
Herb Formulas
Points
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
  • 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
Herb Formulas
Points
Clinical Manifestations
  • 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
Points
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
Points
Clinical Manifestations
  • Loss of appetite, especially for meat
  • Stomach distention
  • Dull pain
  • Difficulty swallowing
  • Vomiting of saliva and undigested food
  • A rancid taste in the mouth
  • T: Normal
  • C: Thick and white
  • P: Tense and smooth or Tense and small
Treatment Principle
  • Resolve Phlegm
  • Dissolve hardenings
Herb Formulas
Points
Clinical Manifestations
  • Hard, immovable lumps anterior or posterior to the ear
  • Soft, painless lumps
  • Fullness in the chest
  • Hypochondriac pain
  • Epigastric fullness, distention and pain with dislike of pressure
  • Difficulty swallowing
  • Sighing
  • Anxiety
  • Insomnia
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Expectoration of sticky sputum
  • Unformed stools or
  • Knotted constipation
  • T: Pink
  • C: Sticky or Thick and greasy
  • P: Wiry or Wiry and slippery
Treatment Principle
  • Clear Food
  • Conduct Stagnation
  • Resolve Phlegm
  • Dissolve hardenings
Herb Formulas
Points