On October 12, 2022, Dr. Wu received a male patient who was diagnosed with liver malignancy in Wuhan, China in August 2021, and was treated with radiation therapy and liver tumor intervention, and has been undergoing comprehensive treatment with lenvatinib + tirelizumab.

Tongue: Tongue is pale coating is white with teeth marks

TCM Diagnosis: Liver Qi Stagnation, blood stagnation, spleen weakness and excess dampness

Proposed Treatment style: Open Liver Qi Flow, increase blood flow, reduce stagnation and tumor growth

TCM prescription:

Xi Huang Cao 10g, Tu Gua Gen 6g, Lu E Mei 6g, Ji Nei Jin 20g, Chai Hu 15g, Dan Shen 10g, Ze Lan 10g, Chi Shao 10g, Tu Bie Chong 3g, San Leng 3g, E Zhu 3g, Wu Zhi Mao Tao 10g, Tie Bao Jin 10g, Ci Diao Gen 10g, Ban Zhi Lian 10g, Bie Jia 10g, Ling Zhi 10g, Wu Wei Zi 6g.

Take with decoction, one dose per day. A total of ten doses per prescription.

November 8, 2022 return diagnosis: Patient Edema lessened, but still has lowered appetite, so prescribed additional formula, which the patient has used 200 doses of, now with improved appetite, normal eating, recovered energy, ability to take care of himself and no longer feel constant fatigue, edema has also completely disappeared.

Return Diagnosis: Spleen Deficiency, Live Qi Stagnation, Qi and Blood stagnation

Proposed treatment style: Support Spleen and increase Qi, Open Liver Qi flow, reduce stagnation and tumor growth.

Return Prescription:

Tu Gua Gen 6g, Lv E Mei 6g, Tu Bie Chong 6g, Tie Bao Jin 10g, Fu Ling 10g, Dang Shen 6g, Zhi Gan Cao 3g, Fo Shou 10g, Chen Pi 10g, Fa Ban Xia 6g, Su Geng 10g, Su Ye 6g, Gua Lou 6g, Chai Hu 10g, Hou Po 6g, Da Fu Pi 6g, Huo Xiang 12g, Ban Zhi Lian 10g, Yuan Hu 3g, Dan Shen 6g, Wu Zhi Mao Tao 20g.

Take with decoction, one dose per day. Total of twenty doses per prescription.

He originally went to the hospital in recent days for a check-up and was admitted. The following are the results of Western medical diagnosis and examination:

Diagnosis of admission: hepatic malignancy

Diagnosis and treatment: after admission, complete relevant auxiliary examinations: blood analysis (blood routine) white blood cells 2.73 (10*9/L) ↓, average platelet volume 13.20 (fL) ↑, platelet distribution width 18.50 (fL) ↑, monocytes ratio 10.30% ↑, the number of midnuclear cells is 1.58(10*9/L)↓, the distribution width of red blood cells CV 15.60% ↑, and the distribution width of red blood cells is SD 57.10(fL)↑: Carcinoembryonic antigen assay (CEA) chemiluminescence, alpha-fetoprotein assay (AFP) chemiluminescence: carcinoembryonic antigen 7.36 (ng/ml)↑: electrolyte, myocardial enzyme profile, renal function I., Liver function I.: direct bilirubin 9.80 (umol/L)↑, alanine aminotransferase 51.00 (U/L), aspartate aminotransferase 51.00 (U/L)↑, albumin 31.30(g/L)↓, A/G 0.95↓, serum 5' nucleotidase 34.20(U/L)↑, total bile acids 62.90 (umol/L)↑: Upper abdominal CT non-contrast scan, 1 Large hepatic CA in the right lobe of the liver, further examination is recommended: 2. Cirrhosis, splenomegaly, ascites: 3 The size of the gallbladder is significantly increased, please combine clinical:4. bilateral peritoneal, mesenteric and bilateral perirenal fascial thickening; 5. A small amount of fluid in the chest cavity on the right side of the lesion. Immunotherapy with tirelizumab and symptomatic treatment such as liver protection and analgesia.

Outcome: Improvement

Diagnosis of discharge: immunotherapy for malignant tumors, primary hepatic malignant tumors, cirrhosis, splenomegaly, abdominal effusion, abnormal liver function, decreased white fineness

Discharge: current patient does not complain of specific discomfort

Dr. Wu said in his diagnosis to patients, "It's never too late to see if you can stimulate the patient's self-healing potential."

Dr. Wu diagnosed that too much use of Western medicine has caused "loss of spleen and kidney yang".

After taking herbs, the patient’s health condition improved. He wanted to do some tests and wanted Dr. Wu to give advice on what to do. But Dr. Wu said that if he is in good health, he is not recommended to do too many tests.

The following are the results of the examination issued by the hospital, the communication with the patient's family and the prescription prescribed by Dr. Wu.

Note: The prescriptions in this article are for the reference of medical practitioners only and are not recommended for patients to use by themselves!

Liver malignancies TCM (Traditional Chinese Medicine ) case study

Note: The prescriptions in this article are for the reference of medical practitioners only and are not recommended for patients to use by themselves!