Lung Cancer
    101
 Presented by Alma Myers
   for Western Clinical 1
    with Anna Brantman
What is Lung
 Cancer?
• Lung cancer is the uncontrolled growth
  of abnormal cells in one or both lungs.
  These abnormal cells do not carry out
  the functions of normal cells and do not
  develop into healthy lung tissue. As they
  grow, the abnormal cells can form tumors
  and impede the function of the lung,
  which is to provide oxygen to the body
  via the blood.
• There are different types of lung cancer
  and each type is treated differently.
How does it
 happen?
• All cells in the body contain the
  genetic material called deoxyribonucleic
  acid (DNA). Every time a mature cell
  divides into two daughter cells, it
  replicates its DNA exactly. The
  daughter cells are clones of the original
  cell, identical in every way. It is in this
  way that our bodies continually replenish
  themselves. Old cells die off and the
  next generation takes their place.
• A cancer begins with an error,
  or mutation, in a cell's DNA.
  DNA mutations can be caused by
  the normal aging process or
  through environmental factors,
  such as cigarette smoke or
  breathing in asbestos.
• Researchers have found that it takes a series
  of genetic changes to create a lung cancer cell.
  Before becoming fully cancerous, cells can be
  precancerous, which means they have some
  irregularities (mutations) but still function as
  lung cells. However, precancerous changes may
  signify progression toward cancer. When a cell
  with a genetic mutation divides, it passes along
  its abnormal genes to the two daughter cells,
  which then divide into four cells with errors in
  their DNA and so on. Once a cell has a genetic
  mutation, it may develop more. With each new
  mutation, the cell becomes more irregular and
  may not be as effective in carrying out their
  function in lung tissue. At a later stage of
  disease, some cells can migrate away from the
  main tumor and start growing in other parts of
             the body.
           »These sites are called metastases.
Primary versus
Secondary Lung
    Cancer
• Primary lung cancer starts in the
  lungs. The cancer cells are abnormal
  lung cells. Sometimes, people will have
  cancer from another part of their
  body travel, or metastasize, to their
  lungs. This is called secondary lung
  cancer, because the lungs are
  secondary compared to the original,
  primary, location of the cancer.
• Secondary lung cancer is not lung
  cancer, but rather the type of cancer
  from its original site, such as breast
  cancer. Secondary lung cancer will be
  treated differently than primary lung
  cancer, because it is a different
  disease. This presentation will focus
  on primary lung cancer.
Non-small cell lung cancer
        (NSCLC)
• NSCLC accounts for about 80% of lung cancers. There are
  different types of NSCLC, including
• Squamous cell carcinoma (also called epidermoid carcinoma). This
  is the most common type of NSCLC. It forms in the lining of the
  bronchial tubes and is the most common type of lung cancer in
  men.
• Adenocarcinoma. This cancer is found in the glands of the lungs
  that produce mucus. This is the most common type of lung cancer
  in women and also among people who have not smoked.
• Bronchioalveolar carcinoma. This is a rare subset of
  adenocarcinoma. It forms near the lungs' air sacs. Recent clinical
  research has shown that this type of cancer responds more
  effectively to the newer targeted therapies.
• Large-cell undifferentiated carcinoma. This cancer forms near
  the surface, or outer edges, of the lungs. It can grow rapidly.
Small cell lung cancer
         (SCLC)
• SCLC accounts for about 20% of all
  lung cancers. Although the cells are
  small, they multiply quickly and form
  large tumors that can spread
  throughout the body. Smoking is
  almost always the cause of SCLC.
Lung Cancer
 Symptoms
Some symptoms of lung
cancer that are in the chest:
 • Coughing, especially if it persists or becomes intense
 • Pain in the chest, shoulder, or back unrelated to pain from
   coughing
 • A change in color or volume of sputum
 • Shortness of breath
 • Changes in the voice or being hoarse
 • Harsh sounds with each breath (stridor)
 • Recurrent lung problems, such as bronchitis or pneumonia
 • Coughing up phlegm or mucus, especially if it is tinged with
   blood
 • Coughing up blood
Some symptoms of lung
     cancer in the body:
•   Loss of appetite or unexplained weight loss
•   Fatigue
•   Headaches, bone or joint pain
•   Bone fractures not related to accidental injury
•   Neurological symptoms, such as unsteady gait or
    memory loss
•   Neck or facial swelling
•   General weakness
•   Bleeding
•   Blood clot
Lung Cancer
 Statistics
• When you read about statistics, it is always
  important to remember that they are
  compiled from populations, or groups, of
  people. They do not represent individual
  experiences.
• Lung cancer is one of the most common cancers.
  In 2007, lung cancer accounted for
  approximately 15% of all cancer diagnoses and
  29% of all cancer deaths. It is the second most
  diagnosed cancer in men and women (after
  prostate and breast, respectively), but it is the
  number one cause of death from cancer each
  year in both men and women. Because lung
  cancer can take years to develop, it is mostly
           found in older people. The average age
           of a person receiving a lung cancer
           diagnosis is 69 years.
• Overall, lung cancer affects men more than
  women, but that gap is closing. In 2007, an
  estimated 114,760 men and an estimated
  98,620 women will be diagnosed with lung
  cancer and an estimated 89,510 men and an
  estimated 70,880 women will die from lung
  cancer.
• Cigarette smoking is the cause of most lung cancers,
  but there are other factors, too. Exposure to asbestos,
  radon, environmental factors, or secondhand smoke
  can cause lung cancer. Sometimes, a person develops
  lung cancer and doctors do not know why. There are
  often internal factors (inherited or from our genes) as
  well as external or environmental factors (from outside
             of our bodies) involved in the development of
             any type of cancer.
• Lung cancer is the subject of a great
  amount of research. Promising areas of
  research include the study of
  chemopreventive agents and research
  into targeted therapies, both of which
  show potential to halt the progression of
  the development of a cancer cell.
  However, lung cancer does not receive as
  much attention, both in funding and in
  public awareness, compared to other
  types of cancers that are not as common.
  Advocates for lung cancer research are
          working hard to raise awareness
          of this imbalance.
•
Here are some organizations that work
  to support people with lung cancer by
  raising awareness of the disease and
  offering information and services to
          patients and families.
• Lung Cancer Alliance
  www.lungcanceralliance.org
• American Society of Clinical Oncology's
  People Living with Cancer www.plwc.org
• National Lung Cancer Partnership
  www.nationallungcancerpartnership.org
When Smokers Quit -
   What Are the
Benefits Over Time?
• 20 minutes after quitting: Your heart rate and blood
  pressure drops.
• 12 hours after quitting: The carbon monoxide level in your
  blood drops to normal.
• 2 weeks to 3 months after quitting: Your circulation improves
  and your lung function increases.
• 1 to 9 months after quitting: Coughing and shortness of breath
  decrease; cilia (tiny hair-like structures that move mucus out of
  the lungs) regain normal function in the lungs, increasing the ability
  to handle mucus, clean the lungs, and reduce the risk of infection.
• 1 year after quitting: The excess risk of coronary heart disease
  is half that of a smoker's.
• 5 years after quitting: Your stroke risk is reduced to that of a
  nonsmoker 5 to 15 years after quitting.
• 10 years after quitting: The lung cancer death rate is about half
  that of a continuing smoker's. The risk of cancer of the mouth,
  throat, esophagus, bladder, cervix, and pancreas decrease.
• 15 years after quitting: The risk of coronary heart disease is
  that of a nonsmoker's.
Lung Cancer
 Treatment
Surgery
• Curative surgery: The removal of a tumor when it
  appears to be confined to one area, which means
  an early stage cancer. This type of surgery aims
  to completely remove the cancerous tumor, and
  may include remove a wedge, a lobe, or an entire
  lung.
• Palliative surgery: The goal of this surgery is to
  make the patient more comfortable, e.g., laser
  surgery for the removal of an obstruction or
  opening of an airway.
After surgery, potential
    side effects include:
• Pain. One of the most common side effects
  associated with surgery. Some surgery for lung
  cancer requires cutting through the ribs and/or
  cutting a nerve. This can take several months to
  heal. A patient should be honest with his or her
  health care team about pain because there are
  many options to alleviate it
• Infection. Infections at the site of the wound
  and inside the body are another possible side
  effect. Antibiotics give by a doctor are able to
  treat most infections.
Chemotherapy
• Chemotherapy uses strong chemicals or
  drugs to kill cancer cells, stop their
  reproduction, or slow their growth. There
  are many types of chemotherapy drugs,
  and they may be given in combination with
  each other, and also in combination with
  surgery and radiation.
• This therapy may be given daily, weekly, or
  monthly, and can continue for months or
  possibly years. Some drugs may be given in
  cycles, with rest periods between
  treatments to allow the body to recover.
Side effects
• Nausea and vomiting. Chemotherapy may cause nausea and
  vomiting, but there are medications that may help with
  these issues. Even though eating may be difficult if the
  patient has nausea and vomiting, it is important to eat
  frequent, small meals to maintain strength. Eating and
  drinking slowly and avoiding fatty foods may help. After
  eating, it is important to not lie down flat for at least two
  hours, as this may worsen symptoms.
• Hair loss. Hair loss can occur on all parts of the body. Hair
  may fall out completely or may thin. Usually, hair grows back
  after treatment is completed.
• Fatigue. Chemotherapy affects the bone marrow and the
  body's ability to make red blood cells, which may
  temporarily cause anemia. Anemia can make patients feel
  weak and tired. Getting more sleep at night and resting
  during the day can help with fatigue. Eating foods rich in
  iron and regular exercise can also help. .
Side effects (cont.)
• Infections. Chemotherapy's effects on bone marrow may
  also lower the number of white blood cells, which help fight
  infection. To prevent infection, patients should avoid exposure
  to people who have a cold, flu, or other contagious disease.
  Frequent hand washing helps minimize infections.
• Bleeding. Chemotherapy can affect other blood cells called
  platelets, which may lead to easier bruising or bleeding.
  Patients should alert their doctors if bleeding occurs.
• Mouth sores. Because the lining of the mouth contains cells
  that are susceptible to chemotherapy, a person may develop
  sores there during therapy. Because mouth sores are painful, a
  patient experiencing them may avoid eating. A dietician or
  oncology nurse will have ideas about how to get appropriate
  nutrition through beverages, such as liquid supplements and
  homemade smoothies, and through soothing foods, such as
  yogurt or puddings.
Side effects (cont.)
• Loss of appetite. Whether due to nausea or
  vomiting or some other reason, many patients
  undergoing chemotherapy report losing their
  appetites. Eating small meals of healthful foods can
  help and patients should keep in mind the
  importance of staying strong through good
  nutrition. Liquid supplements that contain vitamins
  and minerals can help maintain nutrition and avoid
  weight loss.
• Diarrhea. Chemotherapy may cause diarrhea
  because it affects the cells lining the
  gastrointestinal tract. There are medicines
  available to help with this side effect. Patients
  should alert their doctors if diarrhea continues.
Radiation
• Radiation therapy (also called radiotherapy) may be
  effective for the treatment of lung cancer. It uses high-
  energy rays, similar to X-rays, but stronger, to kill or shrink
  cancer cells. Usually, lung cancers are treated from an
  external source of energy. However research is underway to
  study the use of implanted radioactive seeds into or near
  the lung cancer.
• Radiation therapy is usually spaced over a number of weeks
  or months because the doses needed to kill cancer cells
  cannot be given all at once. The number of treatments a
  patient receives depends on the type and extent of the
  tumor, as well as the radiation dosage and how the patient is
  affected by the treatment.
Side effects
• Fatigue. Fatigue is the most common side effect of radiation.
  A patient undergoing radiation therapy should rest as much as
  possible at night and limit their activities during the day.
• Eating problems. Nausea may occur with radiation, as can loss
  of appetite. Some medications are available to help with
  nausea and some patients find it useful to eat frequent, small
  meals throughout the day.
• Hair loss. Hair loss may occur on the part of the body
  undergoing radiation.
• Skin reactions. The skin in the treatment area may become
  dry, irritated, and sensitive, and should be treated gently. In
  some cases, the skin may resemble skin that has been
  sunburned and it may peel. The affected area should be kept
  out of direct sunlight for at least a year after treatment.
New Treatments
• Chemotherapy regimens: Different combinations of existing
  chemotherapy drugs are being explored.
• Targeted therapies: These therapies, which include monoclonal
  antibodies, anti-angiogenesis drugs, and growth factor
  inhibitors, are designed to treat only the cancer cells, thus
  sparing normal cells from damage
• Photodynamic therapy: The use of light (photo) to shine on
  cancer tissue and activate drugs is another promising area of
  research.
• Lung cancer vaccines: Vaccines use the body's immune system
  to fight diseases by engineering cancer cells so that they are no
  longer cancerous, but still contain components that the immune
  system will recognize as foreign.
• Gene therapy: As scientists learn more about how the genetic
  changes in cancer cells, they are working to design ways to
  correct those changes. The area of gene therapy, in which
  normal copies of damaged genes are inserted into cells, has
                much promise, but is still largely experimental.
TCM
Real or Imaginary
Lung Cancer in TCM

• If we have a problem with the Lungs,
  we'll see pathology consistent with
  problems of respiration. We'll see
  asthma, coughing, perhaps even Lung
  cancer. However, on other levels,
  we'll see sadness. This is the emotion
  associated with the Metal element,
  the Lung element.
Some of the associations with
the metal element are as follows:
     •   Yin organ: Lungs
     •   Yang organ: Large Intestine
     •   Season: Autumn
     •   Emotion: Sadness
     •   Direction: West
     •   Color: White
     •   Sensory Organ: Nose
• The soul associated with the Lungs is called the Po.
  The Po is called the animal spirit. This is the part
  of us that is instinctive and animalistic. The Po is not
  eternal, it dies along with our body. I believe that it
  is the Po that harbors the fear of death, because for
  the Po, death is real. To the Hun, the spirit of the
  Liver, death is liberation, to the Po death is final.
  That is why we grieve for the passing of loved ones.
  It is the Po's recognition of the end of life. The Po is
  quick to recognize the loss of anything important in
  our lives, and so "sadness" is the emotion associated
  with the Metal element.
• On another level, Metal energy not only regulates the
  breathing in and out of air in our lungs but the
  bonding and releasing of attachments in our lives.
• It might be interesting to see what
  happens if we were to offer smokers an
  alternative to smoking in the form of yogic
  practices that incorporate breathing such
  as Kriya or Pranayana Yoga…
• …The true therapy of smoking lies not in
  the ingestion of the smoke, but in the
  deep, mindful breathing that takes place
  while one is smoking…
• Of all conditions which the
  herbalist/traditional Chinese medical
  doctor may treat, cancer represents a
  major test of the herbal tools we have at
  our disposal. A common and largely
  accurate perception of the damaging
  effects of malignancy is that "if the
  cancer doesn’t kill you, the biomedical
  treatments for it will." This statement,
  while accurate in some regards, doesn’t
  take into account the growing
  effectiveness of chemotherapy against
  many forms of cancer.
One of the most appropriate and
     effective roles the TCM
    doctor/herbalist can fulfill


• To help reestablish an underlying balance in the
  individual, and to unravel the complex patterns
  inherent in the body which can, if left
  untreated, lead to the development of cancer.
• Another appropriate role for TCM doctors and
  advanced herbalists is in the use of herbs as an
  adjunct to ongoing biomedical treatment for
  existing cancer.
This can be addressed using any
 or all of three main approaches:

• 1) to offset the damaging side-effects of
  radiation and chemotherapy;
• 2) to benefit the patient’s immune system,
  which biomedicine overwhelms and supplants
  with its powerful agents; and
• 3) to aid in tumor reduction itself, potentially
  shortening the length of time the patient needs
  to receive radiation and/or chemotherapy.
Nutrition and
    Supplements
Following these nutritional tips
 may help reduce symptoms:
•   Try to eliminate suspected food allergens, such as dairy (milk, cheese,
    and ice cream), wheat (gluten), soy, corn, preservatives and chemical
    food additives. Your health care provider may want to test you for
    food allergies.
•   Eat foods high in B-vitamins and iron, such as whole grains (if no allergy),
    dark leafy greens (such as spinach and kale), and sea vegetables.
•   Eat antioxidant foods, including fruits (such as blueberries, cherries, and
    tomatoes) and vegetables (such as squash and bell pepper).
•   Avoid refined foods such as white breads, pastas, and sugar.
•   Eat fewer red meats and more lean meats, cold-water fish, tofu (soy, if
    no allergy) or beans for protein. You should use quality protein sources,
    such as organic meat and eggs, whey, and vegetable protein shakes as
    part of a balanced program aimed at gaining muscle mass and preventing
    wasting that can sometimes be a side effects of cancer therapies.
•   Use healthy cooking oils, such as olive oil or vegetable oil.
•   Reduce or eliminate trans-fatty acids, found in such commercially baked
    goods as cookies, crackers, cakes, French fries, onion rings, donuts,
    processed foods, and margarine.
•   Avoid caffeine and other stimulants, alcohol, and tobacco.
•   Exercise lightly, if possible, 5 days a week.
• A multivitamin daily, containing the antioxidant vitamins A, C,
  E, the B-complex vitamins and trace minerals such as
  magnesium, calcium, zinc and selenium.
• Probiotic supplement (containing Lactobacillus acidophilus),
  5 - 10 billion CFUs (colony forming units) a day, for maintenance
  of gastrointestinal and immune health. You should refrigerate
  your probiotic supplements for best results.
• Omega-3 fatty acids, such as fish oil, 1 - 2 capsules or 1 tbsp. of
  oil one to two times daily, to help decrease inflammation and help
  with immunity. Cold-water fish, such as salmon or halibut, are
  good sources.
• Vitamin C, 500 - 1000 mg one to two times daily, as an antioxidant
  and for immune support.
• Alpha-lipoic acid, 25 - 50 mg twice daily, for antioxidant support.
• Resveratrol (from red wine), 50 - 200 mg daily, to help decrease
  inflammation and for antioxidant effects.
• L-theanine, 200 mg one to three times daily, for nervous system
  and immune support.
• Melatonin, 2 - 6 mg at bedtime, for immune support and sleep.
  Higher doses may be beneficial in lung cancer, so check with your
  health care provider.
• Limit diet to quality, not quantity. Cancer cells will
  absorb the nutrition from food so a small diet of anti-
  cancer foods would be beneficial. The cancer cells
  reproduce faster than normal cells and they will die
  faster as well. A diet bringing in the minimal amount of
  calories to maintain the bodies metabolism is optimal.
• do not eat sugar
• become vegetarian (fish is the least harmful, make
  transition slowly)
• eat good quality protein - tofu, beans, eggs, nuts,
  mushrooms
• do not eat cold or bitter foods
• do not eat foods which create damp cold or damp heat
Homeopathy
• An experienced homeopath can prescribe a
  regimen for supporting general health during
  lung cancer that is designed especially for you.
  Acute remedies may be useful for relief of
  symptoms associated with complications.
• Homeopathy may help reduce symptoms and
  strengthen overall constitution, reduce the
  effects of stress during cancer, and may help
  decrease the side effects of chemotherapy.
• Radium bromatum is specific for radiation
  poisoning, especially followed by arthritic
  complaints. Acute dose is three to five pellets
  of 12X to 30C every 1 - 4 hours until symptoms
  are relieved.
Physical
Medicine
• Castor oil pack over lungs may decrease
  side effects of chemotherapy and aid the
  lungs in detoxification. Saturate a cloth
  with castor oil and apply directly to the
  skin, placing a heat source (heating pad or
  water bottle) on top. Leave in place for 30
  minutes or more. For best results, use
  castor oil packs for three to four
  consecutive days per week. Packs may be
  used daily.
Acupuncture
• While acupuncture is not used as a treatment for
  cancer itself, evidence suggests it can be a valuable
  therapy for cancer-related symptoms (particularly
  nausea and vomiting that often accompany
  chemotherapy treatment). Studies have indicated that
  acupuncture may help reduce pain and shortness of
  breath. Acupressure (pressing on rather than needling
  acupuncture points) has also proved useful in
  controlling breathlessness. Patients can learn this
  technique to treat themselves.
• Some acupuncturists prefer to work with a patient
  only after the completion of conventional medical
  cancer therapy. Others will provide acupuncture or
  herbal therapy during active chemotherapy or
  radiation. Acupuncturists treat cancer patients based
  on an individualized assessment of the excesses and
  deficiencies of qi located in various meridians. In many
  cases of cancer-related symptoms, a qi deficiency is
  usually detected in the spleen or kidney meridians.
• Acupuncture enhanced the cellular immunity
  of patients with malignant tumors:
  percentages of CD3+, CD4+, ratios of
  CD4+/CD8+, and the levels of beta-EP
  increased, while the levels of SI-2R
  decreased.
• Acupuncture was performed on breast and
  uterine cancer patients who had suffered skin
  injuries from radiation therapy. Radionuclide
  and rheographic studies as well as evaluation
  of hemostatic function showed acupuncture to
  be effective for edema and pain. It also
  improved lymph flow and rheovasographic
  indexes, and normalized stasis.
• figures 2A and 2B were
  taken on June 15 before
  and after acupuncture
  treatment, respectively.
  The maximum
  temperature of the
  abdominal area reduced
  from 38.450C to 37.130C
  due to acupuncture.
• Figures 2C and 2D were
  taken on June 28 before
  and after acupuncture
  treatment. The maximum
  temperature of the belly
  reduced from 39.030C to
  37.490C.
Traditional Chinese
       Medicine Cancer
         Treatment:
• Cancer caused by basic internal
  causes and pathogenic factors
  Pathogenic factors: Blood stasis,
  Phlegm, Toxic substance
  Basic Internal Cause:
  Qi/Blood/Yin/Yang deficiency
TCM Cancer Pattern:
•   Spleen Deficiency Leading To Kidney Deficiency
•   Yang Deficiency with: Deficiency (ie fatigue)
•   Dampness (ie teeth marks)
•   Blood Stagnation (purple tongue)
•   Toxins
•   When treating cancer the spleen is deficient and
    special care must be taken not to damage the
    spleens function. Any type of tonification of the
    body will not only strengthen the zheng Qi it will
    also strengthen the cancer cells! One must also
    limit their sexual activity in order to save their
    kidney essence.
Emotions Linked To
                 Cancer:
Clinically 90% of cancer patients had an excessive emotional situation prior
to the onset of the cancer symptoms. Tradiionally if they were sad they will
have lung symptoms and possibly lung cancer. If they were angry then they will have
liver cancer.
    Generally there is a 5 stage emotional response to cancer:
• Denial - Not Me (wants 2nd and 3rd opinions, does not want to accept)
• Anger - Why Me (nervous and angry, does not know what to do)
• Agreement - Help Me (unfocussed, getting as much info as possible)
• Depression - Kill Me (difficulty dealing with their position)
• Acceptance - Treat Me (focussed on treatment)
Acupuncture can be beneficial for these emotions:
• Depression - yin tang, Du 20, St 36, Pc 6 MOXA - Ren 4,6,10
• Frustration - Lv 3, Gb 34 (help release emotions - induce crying)
• Anger - calming points, liver and heart meridians
• Over Thinking (help me) - spleen and stomach points
TCM Cancer Treatment:
• Must attack the tumor and strengthen vital Qi at
  the same time.
• Attacking Tumor -must use toxic herbs or
  poisoning herbs. Hot Toxic are better than Cold
  Toxic.
• Strengthening Zheng Qi/Vital Qi -must keep
  spleen Qi strong, use the least spleen harmful
  herbs.
• Detoxify Herbs/Formulas: Wu Wei Xiao Du Yin
  Pu Gong Ying, Yuan Hua, Da Qing Ye, (Huang
  Lian/Bai/Qin too cold for spleen)
• Poisoning Herbs For Anti-Cancer Use: Quan Xie,
  Wu Gong, Zhe Chong
Herbs
• Herbs are generally a safe way to strengthen and tone the body's
  systems. As with any therapy, you should work with your health
  care provider to get your problem diagnosed before starting any
  treatment. You may use herbs as dried extracts (capsules,
  powders, teas), glycerites (glycerine extracts), or tinctures
  (alcohol extracts). Unless otherwise indicated, you should make
  teas with 1 tsp. herb per cup of hot water. Steep covered 5 - 10
  minutes for leaf or flowers, and 10 - 20 minutes for roots. Drink
  2 - 4 cups per day. You may use tinctures alone or in combination
  as noted.
• Green tea ( Camellia sinensis ) standardized extract,
  250 - 500 mg daily, for antioxidant, anticancer, and
  immune effects. Use caffeine-free products. You
  may also prepare teas from the leaf of this herb.
• Reishi mushroom ( Ganoderma lucidum) standardized
  extract, 150 - 300 mg two to three times daily, for
  anticancer and immune effects. You may also take a
  tincture of this mushroom extract, 30 - 60 drops two to
  three times a day.
• Olive leaf ( Olea europaea ) standardized extract, 250 -
  500 mg one to three times daily, for anticancer and
  immune effects.
• Milk thistle ( Silybum marianum ) seed standardized
  extract, 80 - 160 mg two to three times daily, for
  detoxification support.
• Fermented wheat germ extract, 1 packet dissolved in
  favorite beverage once daily, for anticancer and immune
  effects.
• Listed below are ten herbs from the Chinese and western herbal
  traditions which address this third treatment approach--tumor
  reduction itself, via their 'antineoplastic' action. Consider that
  different forms of malignancy are treated with different
  substances, and each individual case may require entirely
  separate treatment principles, suggesting that anti-neoplastic
  herb choices must be chosen from appropriate categories of
  action. Obviously, there are more than 10 herbs with
  antineoplastic action in the Chinese and western pharmacopeia,
  but these can be considered a 'jumping off' point for further
  study; this is my personal intent. Information provided on these
  herbs is based on both empirical and clinical evidence gathered
  third-hand; verification of clinical and/or empirical findings is
  difficult to provide without access to the studies themselves, and
  no guarantees are made for these herbs’ effectiveness.
  References for all information is provided below.
• Common Name: Oldenlandia
  Chinese Name: Bai He She She Cao
  Latin: Herba Hedyotidis Diffusae/Oldenlandia Diffusae
  Family: Rubiaceae
  TCM Category: Clear Heat/Relieve Toxicity
  Antineoplastic Action(s):
  --Used in treatment of stomach, esophageal and colon cancer;
  --Activates reticuloendothelial system and increases phagocytosis
  by lymphocytes. Also, in high concentrations shows inhibitory
  affect in vitro on cells from acute lymphocytic and granulocytic
  leukemia.
• Common Name: Selaginaella
  Chinese Name: Shi Shang Bai
  Latin: Herba Selaginellae Doederleinii
  Family: Selaginellaceae
  TCM Category: Clear Heat/Relieve Toxicity
  Antineoplastic Action(s):
  --Mice inoculated with granuloma-180 and injected with Shi
  Shang Bai showed 40-50% tumor inhibition of tumors; Mice with
  hepatic cancer lived significantly longer than control group not
  treated with Shi Shang Bai.
  --Helpful in treatment of lung and throat cancer, and malignant
  hydatidiform moles, with remission in 50% of patients. Commonly
  used in China in treatment of smaller body cancers in nose,
  throat, lung and liver. When used with chemotherapy and
  radiation shown to accelerate cancer remissions.
• Common Name: Sophora Root
  Chinese Name: Shan Dou Gen
  Latin: Radix Sophorae Tonkinensis
  Family: Leguminaceae
  TCM Category: Clear Heat/Relieve Toxicity
  Antineoplastic Action(s):
  --In doses of 60g/kg had significant effect in treatment of
  cervical cancer in mice, and an inhibitory affect on sarcoma-180.
  Used in treatment of acute lymphocytic/granulocytic leukemia,
  inhibiting dehydrogenase activity and cellular respiration of
  malignant cells.
• Common Name: Zedoania
  Chinese Name: E Zhu
  Latin: Rhizoma Curcumae Ezhu
  Family: Zingeberaceae
  TCM Category: Invigorate Blood
  Antineoplastic Action(s):
  --Inhibits granuloma-180, often combined with San Leng (Rhizoma
  Sparganii Stoloniferi).
  –-In China, 80 cases of cervical cancer patients were treated
  with a solution of Zedoania, which was injected directly into the
  tumor sites. 30 patients were completely cured, while 15 were
  found to have a 50% size reduction.
• Common Name: Rhubarb Root and Rhizome
  Chinese Name: Da Huang
  Latin: Radix et Rhizoma Rhei
  Family: Polygonaceae
  TCM Category: Clear Heat/Relieve Toxicity
  Antineoplastic Action(s): --Injected subcutaneously
  had a killing effect on neoplastic granulomas in mice.
  Inhibited growth of melanoma, breast tumor cells and
  ascitic hepatic carcinoma in humans via the actions of
  emodin and rhein, major constituents of Da Huang.
• Common Name: Red Clover
  Latin: Flos Trifolium pratense
  Family: Papilionaceae
  Antineoplastic Action(s):
  --Red Clover contains isoflavone compounds, such as
  genistein, which have weak estrogen properties. Various
  laboratory studies show that these isoflavones may help
  prevent and combat malignant tumors, especially of the
  breast and prostate.
• Common Name: Pau D’Arco, Lapacho, Taheebo
  Latin: Tabebuia impestiginosa
  Family: Rubiaceae
  Antineoplastic Action(s):
  --Lapachol and beta-lapachone (known collectively
  as naphthaquinones) are two primary active
  compounds in Pau D’Arco. These compounds have
  anti-cancer/anti-tumor properties, although the
  effective dosage is considered toxic; Pau D’Arco
  is commonly used in the treatment of cancer in
  Central and South America with good results.
• Common Name: Mistletoe
  Latin: Viscum alba
  Family: Loranthaceae
  Antineoplastic Action(s):
  --Contains anti-tumor proteins, and has been shown by
  current cancer research in Germany to have antineoplastic
  activity.
• Common Name: Cleavers
  Latin: Galium aparine
  Family: Rubiaceae
  Antineoplastic Action(s):
  --Cleavers is considered the best lymphatic tonic in the
  western herbal pharmacopoeia, and is both alterative and
  diuretic. It has a long tradition of use for tumor reduction
  and lymphatic drainage, especially indicated when cancer
  has nodal involvement.
• Common Name: Sweet Violet
  Latin: Flos Viola odorata
  Family: Violaceae
  Antineoplastic Action(s):
  --Sweet Violet has a long tradition and reputation
  as an anti-cancer herb, used especially as a
  poultice for cancers of the skin. Current
  scientific research has yet to bear out this
  reputation in the clinical setting
Western Medicine
Combined With TCM
Cancer Treatments:
4 stages of
       treatment:
1. attack cancer,
2.rebuild immune system,
3.attack cancer,
4.rebuild immune system.
Chemotherapy:
• Blood stasis and Toxic heat Always
  Accompany Chemotherapy
• Between Chemo treatments the Vital Qi
  must be rebuilt and nourished
• After Chemo -Tonify, nourish and rebuild
• for all 3 stages we MUST - tonify,
  detoxify, poisoning (toxic herbs for
  cancer), move stasis, eliminate
  phlegm/damp
Before Chemo

tonify vital Qi (white blood cells) and
  keep emotions calm and healthy
• Ba Zheng Tang Xiang Sha Liu Jun Zi
  Tang
• Bu Zhong Yi Qi Tang Gui Pi Tang
• Shi Quan Da Bu Tang
During Chemo

Treat side effects as well Blood stasis and
  Toxic heat.
• Tao Hong Si Wu Tang + detoxify
  herbs/formula
• Liang Xue Si Wu Tang + detoxify
  herbs/formula
• Xue Fu Zhu Yu Tang + detoxify
  herbs/formula
After Chemo

Tonify, nourish and rebuild
Surgery
• (post surgery usually Spleen/Lung and
  Qi/Blood Deficiency)
• Tonify before surgery
• Tonify after surgery
• for all stages we MUST - tonify, detoxify,
  poisoning (toxic herbs for cancer), move
  stasis, eliminate phlegm/damp
Radiation
• due to it's extreme heat it damages Qi, Yin and
  Body Fluids
• Use Qi and Yin Tonics - Zheng Ye Tang Sheng Mai
  San
  Sha Shen Mai Men Dong Tang
  Zhu Ye Shi Gao Tang
• Depending on where the radiation is being
  administered use guiding herbs.
• Upper jiao - nose eye symptoms lower jiao - lin
  syndrome
• for all stages we MUST - tonify, detoxify,
  poisoning (toxic herbs for cancer), move stasis,
  eliminate phlegm/damp
Blatantly Plagiarized
      from the following:
•   http://www.lungcancer.org/
•   http://acupuncture.com/
•   http://www.umm.edu/
•   http://www.acupuncturetoday.com/
•   http://tcm.health-info.org/

Lung Cancer 101

  • 1.
    Lung Cancer 101 Presented by Alma Myers for Western Clinical 1 with Anna Brantman
  • 2.
  • 3.
    • Lung canceris the uncontrolled growth of abnormal cells in one or both lungs. These abnormal cells do not carry out the functions of normal cells and do not develop into healthy lung tissue. As they grow, the abnormal cells can form tumors and impede the function of the lung, which is to provide oxygen to the body via the blood. • There are different types of lung cancer and each type is treated differently.
  • 4.
    How does it happen?
  • 5.
    • All cellsin the body contain the genetic material called deoxyribonucleic acid (DNA). Every time a mature cell divides into two daughter cells, it replicates its DNA exactly. The daughter cells are clones of the original cell, identical in every way. It is in this way that our bodies continually replenish themselves. Old cells die off and the next generation takes their place.
  • 6.
    • A cancerbegins with an error, or mutation, in a cell's DNA. DNA mutations can be caused by the normal aging process or through environmental factors, such as cigarette smoke or breathing in asbestos.
  • 7.
    • Researchers havefound that it takes a series of genetic changes to create a lung cancer cell. Before becoming fully cancerous, cells can be precancerous, which means they have some irregularities (mutations) but still function as lung cells. However, precancerous changes may signify progression toward cancer. When a cell with a genetic mutation divides, it passes along its abnormal genes to the two daughter cells, which then divide into four cells with errors in their DNA and so on. Once a cell has a genetic mutation, it may develop more. With each new mutation, the cell becomes more irregular and may not be as effective in carrying out their function in lung tissue. At a later stage of disease, some cells can migrate away from the main tumor and start growing in other parts of the body. »These sites are called metastases.
  • 8.
  • 9.
    • Primary lungcancer starts in the lungs. The cancer cells are abnormal lung cells. Sometimes, people will have cancer from another part of their body travel, or metastasize, to their lungs. This is called secondary lung cancer, because the lungs are secondary compared to the original, primary, location of the cancer.
  • 10.
    • Secondary lungcancer is not lung cancer, but rather the type of cancer from its original site, such as breast cancer. Secondary lung cancer will be treated differently than primary lung cancer, because it is a different disease. This presentation will focus on primary lung cancer.
  • 11.
    Non-small cell lungcancer (NSCLC) • NSCLC accounts for about 80% of lung cancers. There are different types of NSCLC, including • Squamous cell carcinoma (also called epidermoid carcinoma). This is the most common type of NSCLC. It forms in the lining of the bronchial tubes and is the most common type of lung cancer in men. • Adenocarcinoma. This cancer is found in the glands of the lungs that produce mucus. This is the most common type of lung cancer in women and also among people who have not smoked. • Bronchioalveolar carcinoma. This is a rare subset of adenocarcinoma. It forms near the lungs' air sacs. Recent clinical research has shown that this type of cancer responds more effectively to the newer targeted therapies. • Large-cell undifferentiated carcinoma. This cancer forms near the surface, or outer edges, of the lungs. It can grow rapidly.
  • 12.
    Small cell lungcancer (SCLC) • SCLC accounts for about 20% of all lung cancers. Although the cells are small, they multiply quickly and form large tumors that can spread throughout the body. Smoking is almost always the cause of SCLC.
  • 13.
  • 14.
    Some symptoms oflung cancer that are in the chest: • Coughing, especially if it persists or becomes intense • Pain in the chest, shoulder, or back unrelated to pain from coughing • A change in color or volume of sputum • Shortness of breath • Changes in the voice or being hoarse • Harsh sounds with each breath (stridor) • Recurrent lung problems, such as bronchitis or pneumonia • Coughing up phlegm or mucus, especially if it is tinged with blood • Coughing up blood
  • 15.
    Some symptoms oflung cancer in the body: • Loss of appetite or unexplained weight loss • Fatigue • Headaches, bone or joint pain • Bone fractures not related to accidental injury • Neurological symptoms, such as unsteady gait or memory loss • Neck or facial swelling • General weakness • Bleeding • Blood clot
  • 16.
  • 17.
    • When youread about statistics, it is always important to remember that they are compiled from populations, or groups, of people. They do not represent individual experiences. • Lung cancer is one of the most common cancers. In 2007, lung cancer accounted for approximately 15% of all cancer diagnoses and 29% of all cancer deaths. It is the second most diagnosed cancer in men and women (after prostate and breast, respectively), but it is the number one cause of death from cancer each year in both men and women. Because lung cancer can take years to develop, it is mostly found in older people. The average age of a person receiving a lung cancer diagnosis is 69 years.
  • 18.
    • Overall, lungcancer affects men more than women, but that gap is closing. In 2007, an estimated 114,760 men and an estimated 98,620 women will be diagnosed with lung cancer and an estimated 89,510 men and an estimated 70,880 women will die from lung cancer. • Cigarette smoking is the cause of most lung cancers, but there are other factors, too. Exposure to asbestos, radon, environmental factors, or secondhand smoke can cause lung cancer. Sometimes, a person develops lung cancer and doctors do not know why. There are often internal factors (inherited or from our genes) as well as external or environmental factors (from outside of our bodies) involved in the development of any type of cancer.
  • 19.
    • Lung canceris the subject of a great amount of research. Promising areas of research include the study of chemopreventive agents and research into targeted therapies, both of which show potential to halt the progression of the development of a cancer cell. However, lung cancer does not receive as much attention, both in funding and in public awareness, compared to other types of cancers that are not as common. Advocates for lung cancer research are working hard to raise awareness of this imbalance. •
  • 20.
    Here are someorganizations that work to support people with lung cancer by raising awareness of the disease and offering information and services to patients and families. • Lung Cancer Alliance www.lungcanceralliance.org • American Society of Clinical Oncology's People Living with Cancer www.plwc.org • National Lung Cancer Partnership www.nationallungcancerpartnership.org
  • 21.
    When Smokers Quit- What Are the Benefits Over Time?
  • 22.
    • 20 minutesafter quitting: Your heart rate and blood pressure drops. • 12 hours after quitting: The carbon monoxide level in your blood drops to normal. • 2 weeks to 3 months after quitting: Your circulation improves and your lung function increases. • 1 to 9 months after quitting: Coughing and shortness of breath decrease; cilia (tiny hair-like structures that move mucus out of the lungs) regain normal function in the lungs, increasing the ability to handle mucus, clean the lungs, and reduce the risk of infection. • 1 year after quitting: The excess risk of coronary heart disease is half that of a smoker's. • 5 years after quitting: Your stroke risk is reduced to that of a nonsmoker 5 to 15 years after quitting. • 10 years after quitting: The lung cancer death rate is about half that of a continuing smoker's. The risk of cancer of the mouth, throat, esophagus, bladder, cervix, and pancreas decrease. • 15 years after quitting: The risk of coronary heart disease is that of a nonsmoker's.
  • 23.
  • 24.
    Surgery • Curative surgery:The removal of a tumor when it appears to be confined to one area, which means an early stage cancer. This type of surgery aims to completely remove the cancerous tumor, and may include remove a wedge, a lobe, or an entire lung. • Palliative surgery: The goal of this surgery is to make the patient more comfortable, e.g., laser surgery for the removal of an obstruction or opening of an airway.
  • 25.
    After surgery, potential side effects include: • Pain. One of the most common side effects associated with surgery. Some surgery for lung cancer requires cutting through the ribs and/or cutting a nerve. This can take several months to heal. A patient should be honest with his or her health care team about pain because there are many options to alleviate it • Infection. Infections at the site of the wound and inside the body are another possible side effect. Antibiotics give by a doctor are able to treat most infections.
  • 26.
    Chemotherapy • Chemotherapy usesstrong chemicals or drugs to kill cancer cells, stop their reproduction, or slow their growth. There are many types of chemotherapy drugs, and they may be given in combination with each other, and also in combination with surgery and radiation. • This therapy may be given daily, weekly, or monthly, and can continue for months or possibly years. Some drugs may be given in cycles, with rest periods between treatments to allow the body to recover.
  • 27.
    Side effects • Nauseaand vomiting. Chemotherapy may cause nausea and vomiting, but there are medications that may help with these issues. Even though eating may be difficult if the patient has nausea and vomiting, it is important to eat frequent, small meals to maintain strength. Eating and drinking slowly and avoiding fatty foods may help. After eating, it is important to not lie down flat for at least two hours, as this may worsen symptoms. • Hair loss. Hair loss can occur on all parts of the body. Hair may fall out completely or may thin. Usually, hair grows back after treatment is completed. • Fatigue. Chemotherapy affects the bone marrow and the body's ability to make red blood cells, which may temporarily cause anemia. Anemia can make patients feel weak and tired. Getting more sleep at night and resting during the day can help with fatigue. Eating foods rich in iron and regular exercise can also help. .
  • 28.
    Side effects (cont.) •Infections. Chemotherapy's effects on bone marrow may also lower the number of white blood cells, which help fight infection. To prevent infection, patients should avoid exposure to people who have a cold, flu, or other contagious disease. Frequent hand washing helps minimize infections. • Bleeding. Chemotherapy can affect other blood cells called platelets, which may lead to easier bruising or bleeding. Patients should alert their doctors if bleeding occurs. • Mouth sores. Because the lining of the mouth contains cells that are susceptible to chemotherapy, a person may develop sores there during therapy. Because mouth sores are painful, a patient experiencing them may avoid eating. A dietician or oncology nurse will have ideas about how to get appropriate nutrition through beverages, such as liquid supplements and homemade smoothies, and through soothing foods, such as yogurt or puddings.
  • 29.
    Side effects (cont.) •Loss of appetite. Whether due to nausea or vomiting or some other reason, many patients undergoing chemotherapy report losing their appetites. Eating small meals of healthful foods can help and patients should keep in mind the importance of staying strong through good nutrition. Liquid supplements that contain vitamins and minerals can help maintain nutrition and avoid weight loss. • Diarrhea. Chemotherapy may cause diarrhea because it affects the cells lining the gastrointestinal tract. There are medicines available to help with this side effect. Patients should alert their doctors if diarrhea continues.
  • 30.
    Radiation • Radiation therapy(also called radiotherapy) may be effective for the treatment of lung cancer. It uses high- energy rays, similar to X-rays, but stronger, to kill or shrink cancer cells. Usually, lung cancers are treated from an external source of energy. However research is underway to study the use of implanted radioactive seeds into or near the lung cancer. • Radiation therapy is usually spaced over a number of weeks or months because the doses needed to kill cancer cells cannot be given all at once. The number of treatments a patient receives depends on the type and extent of the tumor, as well as the radiation dosage and how the patient is affected by the treatment.
  • 31.
    Side effects • Fatigue.Fatigue is the most common side effect of radiation. A patient undergoing radiation therapy should rest as much as possible at night and limit their activities during the day. • Eating problems. Nausea may occur with radiation, as can loss of appetite. Some medications are available to help with nausea and some patients find it useful to eat frequent, small meals throughout the day. • Hair loss. Hair loss may occur on the part of the body undergoing radiation. • Skin reactions. The skin in the treatment area may become dry, irritated, and sensitive, and should be treated gently. In some cases, the skin may resemble skin that has been sunburned and it may peel. The affected area should be kept out of direct sunlight for at least a year after treatment.
  • 32.
    New Treatments • Chemotherapyregimens: Different combinations of existing chemotherapy drugs are being explored. • Targeted therapies: These therapies, which include monoclonal antibodies, anti-angiogenesis drugs, and growth factor inhibitors, are designed to treat only the cancer cells, thus sparing normal cells from damage • Photodynamic therapy: The use of light (photo) to shine on cancer tissue and activate drugs is another promising area of research. • Lung cancer vaccines: Vaccines use the body's immune system to fight diseases by engineering cancer cells so that they are no longer cancerous, but still contain components that the immune system will recognize as foreign. • Gene therapy: As scientists learn more about how the genetic changes in cancer cells, they are working to design ways to correct those changes. The area of gene therapy, in which normal copies of damaged genes are inserted into cells, has much promise, but is still largely experimental.
  • 33.
  • 34.
    Lung Cancer inTCM • If we have a problem with the Lungs, we'll see pathology consistent with problems of respiration. We'll see asthma, coughing, perhaps even Lung cancer. However, on other levels, we'll see sadness. This is the emotion associated with the Metal element, the Lung element.
  • 35.
    Some of theassociations with the metal element are as follows: • Yin organ: Lungs • Yang organ: Large Intestine • Season: Autumn • Emotion: Sadness • Direction: West • Color: White • Sensory Organ: Nose
  • 36.
    • The soulassociated with the Lungs is called the Po. The Po is called the animal spirit. This is the part of us that is instinctive and animalistic. The Po is not eternal, it dies along with our body. I believe that it is the Po that harbors the fear of death, because for the Po, death is real. To the Hun, the spirit of the Liver, death is liberation, to the Po death is final. That is why we grieve for the passing of loved ones. It is the Po's recognition of the end of life. The Po is quick to recognize the loss of anything important in our lives, and so "sadness" is the emotion associated with the Metal element. • On another level, Metal energy not only regulates the breathing in and out of air in our lungs but the bonding and releasing of attachments in our lives.
  • 37.
    • It mightbe interesting to see what happens if we were to offer smokers an alternative to smoking in the form of yogic practices that incorporate breathing such as Kriya or Pranayana Yoga… • …The true therapy of smoking lies not in the ingestion of the smoke, but in the deep, mindful breathing that takes place while one is smoking…
  • 38.
    • Of allconditions which the herbalist/traditional Chinese medical doctor may treat, cancer represents a major test of the herbal tools we have at our disposal. A common and largely accurate perception of the damaging effects of malignancy is that "if the cancer doesn’t kill you, the biomedical treatments for it will." This statement, while accurate in some regards, doesn’t take into account the growing effectiveness of chemotherapy against many forms of cancer.
  • 39.
    One of themost appropriate and effective roles the TCM doctor/herbalist can fulfill • To help reestablish an underlying balance in the individual, and to unravel the complex patterns inherent in the body which can, if left untreated, lead to the development of cancer. • Another appropriate role for TCM doctors and advanced herbalists is in the use of herbs as an adjunct to ongoing biomedical treatment for existing cancer.
  • 40.
    This can beaddressed using any or all of three main approaches: • 1) to offset the damaging side-effects of radiation and chemotherapy; • 2) to benefit the patient’s immune system, which biomedicine overwhelms and supplants with its powerful agents; and • 3) to aid in tumor reduction itself, potentially shortening the length of time the patient needs to receive radiation and/or chemotherapy.
  • 41.
    Nutrition and Supplements Following these nutritional tips may help reduce symptoms:
  • 42.
    Try to eliminate suspected food allergens, such as dairy (milk, cheese, and ice cream), wheat (gluten), soy, corn, preservatives and chemical food additives. Your health care provider may want to test you for food allergies. • Eat foods high in B-vitamins and iron, such as whole grains (if no allergy), dark leafy greens (such as spinach and kale), and sea vegetables. • Eat antioxidant foods, including fruits (such as blueberries, cherries, and tomatoes) and vegetables (such as squash and bell pepper). • Avoid refined foods such as white breads, pastas, and sugar. • Eat fewer red meats and more lean meats, cold-water fish, tofu (soy, if no allergy) or beans for protein. You should use quality protein sources, such as organic meat and eggs, whey, and vegetable protein shakes as part of a balanced program aimed at gaining muscle mass and preventing wasting that can sometimes be a side effects of cancer therapies. • Use healthy cooking oils, such as olive oil or vegetable oil. • Reduce or eliminate trans-fatty acids, found in such commercially baked goods as cookies, crackers, cakes, French fries, onion rings, donuts, processed foods, and margarine. • Avoid caffeine and other stimulants, alcohol, and tobacco. • Exercise lightly, if possible, 5 days a week.
  • 43.
    • A multivitamindaily, containing the antioxidant vitamins A, C, E, the B-complex vitamins and trace minerals such as magnesium, calcium, zinc and selenium. • Probiotic supplement (containing Lactobacillus acidophilus), 5 - 10 billion CFUs (colony forming units) a day, for maintenance of gastrointestinal and immune health. You should refrigerate your probiotic supplements for best results. • Omega-3 fatty acids, such as fish oil, 1 - 2 capsules or 1 tbsp. of oil one to two times daily, to help decrease inflammation and help with immunity. Cold-water fish, such as salmon or halibut, are good sources. • Vitamin C, 500 - 1000 mg one to two times daily, as an antioxidant and for immune support. • Alpha-lipoic acid, 25 - 50 mg twice daily, for antioxidant support. • Resveratrol (from red wine), 50 - 200 mg daily, to help decrease inflammation and for antioxidant effects. • L-theanine, 200 mg one to three times daily, for nervous system and immune support. • Melatonin, 2 - 6 mg at bedtime, for immune support and sleep. Higher doses may be beneficial in lung cancer, so check with your health care provider.
  • 44.
    • Limit dietto quality, not quantity. Cancer cells will absorb the nutrition from food so a small diet of anti- cancer foods would be beneficial. The cancer cells reproduce faster than normal cells and they will die faster as well. A diet bringing in the minimal amount of calories to maintain the bodies metabolism is optimal. • do not eat sugar • become vegetarian (fish is the least harmful, make transition slowly) • eat good quality protein - tofu, beans, eggs, nuts, mushrooms • do not eat cold or bitter foods • do not eat foods which create damp cold or damp heat
  • 45.
  • 46.
    • An experiencedhomeopath can prescribe a regimen for supporting general health during lung cancer that is designed especially for you. Acute remedies may be useful for relief of symptoms associated with complications. • Homeopathy may help reduce symptoms and strengthen overall constitution, reduce the effects of stress during cancer, and may help decrease the side effects of chemotherapy. • Radium bromatum is specific for radiation poisoning, especially followed by arthritic complaints. Acute dose is three to five pellets of 12X to 30C every 1 - 4 hours until symptoms are relieved.
  • 47.
  • 48.
    • Castor oilpack over lungs may decrease side effects of chemotherapy and aid the lungs in detoxification. Saturate a cloth with castor oil and apply directly to the skin, placing a heat source (heating pad or water bottle) on top. Leave in place for 30 minutes or more. For best results, use castor oil packs for three to four consecutive days per week. Packs may be used daily.
  • 49.
  • 50.
    • While acupunctureis not used as a treatment for cancer itself, evidence suggests it can be a valuable therapy for cancer-related symptoms (particularly nausea and vomiting that often accompany chemotherapy treatment). Studies have indicated that acupuncture may help reduce pain and shortness of breath. Acupressure (pressing on rather than needling acupuncture points) has also proved useful in controlling breathlessness. Patients can learn this technique to treat themselves. • Some acupuncturists prefer to work with a patient only after the completion of conventional medical cancer therapy. Others will provide acupuncture or herbal therapy during active chemotherapy or radiation. Acupuncturists treat cancer patients based on an individualized assessment of the excesses and deficiencies of qi located in various meridians. In many cases of cancer-related symptoms, a qi deficiency is usually detected in the spleen or kidney meridians.
  • 51.
    • Acupuncture enhancedthe cellular immunity of patients with malignant tumors: percentages of CD3+, CD4+, ratios of CD4+/CD8+, and the levels of beta-EP increased, while the levels of SI-2R decreased. • Acupuncture was performed on breast and uterine cancer patients who had suffered skin injuries from radiation therapy. Radionuclide and rheographic studies as well as evaluation of hemostatic function showed acupuncture to be effective for edema and pain. It also improved lymph flow and rheovasographic indexes, and normalized stasis.
  • 52.
    • figures 2Aand 2B were taken on June 15 before and after acupuncture treatment, respectively. The maximum temperature of the abdominal area reduced from 38.450C to 37.130C due to acupuncture. • Figures 2C and 2D were taken on June 28 before and after acupuncture treatment. The maximum temperature of the belly reduced from 39.030C to 37.490C.
  • 53.
    Traditional Chinese Medicine Cancer Treatment: • Cancer caused by basic internal causes and pathogenic factors Pathogenic factors: Blood stasis, Phlegm, Toxic substance Basic Internal Cause: Qi/Blood/Yin/Yang deficiency
  • 54.
    TCM Cancer Pattern: • Spleen Deficiency Leading To Kidney Deficiency • Yang Deficiency with: Deficiency (ie fatigue) • Dampness (ie teeth marks) • Blood Stagnation (purple tongue) • Toxins • When treating cancer the spleen is deficient and special care must be taken not to damage the spleens function. Any type of tonification of the body will not only strengthen the zheng Qi it will also strengthen the cancer cells! One must also limit their sexual activity in order to save their kidney essence.
  • 55.
    Emotions Linked To Cancer: Clinically 90% of cancer patients had an excessive emotional situation prior to the onset of the cancer symptoms. Tradiionally if they were sad they will have lung symptoms and possibly lung cancer. If they were angry then they will have liver cancer. Generally there is a 5 stage emotional response to cancer: • Denial - Not Me (wants 2nd and 3rd opinions, does not want to accept) • Anger - Why Me (nervous and angry, does not know what to do) • Agreement - Help Me (unfocussed, getting as much info as possible) • Depression - Kill Me (difficulty dealing with their position) • Acceptance - Treat Me (focussed on treatment) Acupuncture can be beneficial for these emotions: • Depression - yin tang, Du 20, St 36, Pc 6 MOXA - Ren 4,6,10 • Frustration - Lv 3, Gb 34 (help release emotions - induce crying) • Anger - calming points, liver and heart meridians • Over Thinking (help me) - spleen and stomach points
  • 56.
    TCM Cancer Treatment: •Must attack the tumor and strengthen vital Qi at the same time. • Attacking Tumor -must use toxic herbs or poisoning herbs. Hot Toxic are better than Cold Toxic. • Strengthening Zheng Qi/Vital Qi -must keep spleen Qi strong, use the least spleen harmful herbs. • Detoxify Herbs/Formulas: Wu Wei Xiao Du Yin Pu Gong Ying, Yuan Hua, Da Qing Ye, (Huang Lian/Bai/Qin too cold for spleen) • Poisoning Herbs For Anti-Cancer Use: Quan Xie, Wu Gong, Zhe Chong
  • 57.
  • 58.
    • Herbs aregenerally a safe way to strengthen and tone the body's systems. As with any therapy, you should work with your health care provider to get your problem diagnosed before starting any treatment. You may use herbs as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, you should make teas with 1 tsp. herb per cup of hot water. Steep covered 5 - 10 minutes for leaf or flowers, and 10 - 20 minutes for roots. Drink 2 - 4 cups per day. You may use tinctures alone or in combination as noted.
  • 59.
    • Green tea( Camellia sinensis ) standardized extract, 250 - 500 mg daily, for antioxidant, anticancer, and immune effects. Use caffeine-free products. You may also prepare teas from the leaf of this herb. • Reishi mushroom ( Ganoderma lucidum) standardized extract, 150 - 300 mg two to three times daily, for anticancer and immune effects. You may also take a tincture of this mushroom extract, 30 - 60 drops two to three times a day. • Olive leaf ( Olea europaea ) standardized extract, 250 - 500 mg one to three times daily, for anticancer and immune effects. • Milk thistle ( Silybum marianum ) seed standardized extract, 80 - 160 mg two to three times daily, for detoxification support. • Fermented wheat germ extract, 1 packet dissolved in favorite beverage once daily, for anticancer and immune effects.
  • 60.
    • Listed beloware ten herbs from the Chinese and western herbal traditions which address this third treatment approach--tumor reduction itself, via their 'antineoplastic' action. Consider that different forms of malignancy are treated with different substances, and each individual case may require entirely separate treatment principles, suggesting that anti-neoplastic herb choices must be chosen from appropriate categories of action. Obviously, there are more than 10 herbs with antineoplastic action in the Chinese and western pharmacopeia, but these can be considered a 'jumping off' point for further study; this is my personal intent. Information provided on these herbs is based on both empirical and clinical evidence gathered third-hand; verification of clinical and/or empirical findings is difficult to provide without access to the studies themselves, and no guarantees are made for these herbs’ effectiveness. References for all information is provided below.
  • 61.
    • Common Name:Oldenlandia Chinese Name: Bai He She She Cao Latin: Herba Hedyotidis Diffusae/Oldenlandia Diffusae Family: Rubiaceae TCM Category: Clear Heat/Relieve Toxicity Antineoplastic Action(s): --Used in treatment of stomach, esophageal and colon cancer; --Activates reticuloendothelial system and increases phagocytosis by lymphocytes. Also, in high concentrations shows inhibitory affect in vitro on cells from acute lymphocytic and granulocytic leukemia.
  • 62.
    • Common Name:Selaginaella Chinese Name: Shi Shang Bai Latin: Herba Selaginellae Doederleinii Family: Selaginellaceae TCM Category: Clear Heat/Relieve Toxicity Antineoplastic Action(s): --Mice inoculated with granuloma-180 and injected with Shi Shang Bai showed 40-50% tumor inhibition of tumors; Mice with hepatic cancer lived significantly longer than control group not treated with Shi Shang Bai. --Helpful in treatment of lung and throat cancer, and malignant hydatidiform moles, with remission in 50% of patients. Commonly used in China in treatment of smaller body cancers in nose, throat, lung and liver. When used with chemotherapy and radiation shown to accelerate cancer remissions.
  • 63.
    • Common Name:Sophora Root Chinese Name: Shan Dou Gen Latin: Radix Sophorae Tonkinensis Family: Leguminaceae TCM Category: Clear Heat/Relieve Toxicity Antineoplastic Action(s): --In doses of 60g/kg had significant effect in treatment of cervical cancer in mice, and an inhibitory affect on sarcoma-180. Used in treatment of acute lymphocytic/granulocytic leukemia, inhibiting dehydrogenase activity and cellular respiration of malignant cells.
  • 64.
    • Common Name:Zedoania Chinese Name: E Zhu Latin: Rhizoma Curcumae Ezhu Family: Zingeberaceae TCM Category: Invigorate Blood Antineoplastic Action(s): --Inhibits granuloma-180, often combined with San Leng (Rhizoma Sparganii Stoloniferi). –-In China, 80 cases of cervical cancer patients were treated with a solution of Zedoania, which was injected directly into the tumor sites. 30 patients were completely cured, while 15 were found to have a 50% size reduction.
  • 65.
    • Common Name:Rhubarb Root and Rhizome Chinese Name: Da Huang Latin: Radix et Rhizoma Rhei Family: Polygonaceae TCM Category: Clear Heat/Relieve Toxicity Antineoplastic Action(s): --Injected subcutaneously had a killing effect on neoplastic granulomas in mice. Inhibited growth of melanoma, breast tumor cells and ascitic hepatic carcinoma in humans via the actions of emodin and rhein, major constituents of Da Huang.
  • 66.
    • Common Name:Red Clover Latin: Flos Trifolium pratense Family: Papilionaceae Antineoplastic Action(s): --Red Clover contains isoflavone compounds, such as genistein, which have weak estrogen properties. Various laboratory studies show that these isoflavones may help prevent and combat malignant tumors, especially of the breast and prostate.
  • 67.
    • Common Name:Pau D’Arco, Lapacho, Taheebo Latin: Tabebuia impestiginosa Family: Rubiaceae Antineoplastic Action(s): --Lapachol and beta-lapachone (known collectively as naphthaquinones) are two primary active compounds in Pau D’Arco. These compounds have anti-cancer/anti-tumor properties, although the effective dosage is considered toxic; Pau D’Arco is commonly used in the treatment of cancer in Central and South America with good results.
  • 68.
    • Common Name:Mistletoe Latin: Viscum alba Family: Loranthaceae Antineoplastic Action(s): --Contains anti-tumor proteins, and has been shown by current cancer research in Germany to have antineoplastic activity.
  • 69.
    • Common Name:Cleavers Latin: Galium aparine Family: Rubiaceae Antineoplastic Action(s): --Cleavers is considered the best lymphatic tonic in the western herbal pharmacopoeia, and is both alterative and diuretic. It has a long tradition of use for tumor reduction and lymphatic drainage, especially indicated when cancer has nodal involvement.
  • 70.
    • Common Name:Sweet Violet Latin: Flos Viola odorata Family: Violaceae Antineoplastic Action(s): --Sweet Violet has a long tradition and reputation as an anti-cancer herb, used especially as a poultice for cancers of the skin. Current scientific research has yet to bear out this reputation in the clinical setting
  • 71.
    Western Medicine Combined WithTCM Cancer Treatments:
  • 72.
    4 stages of treatment: 1. attack cancer, 2.rebuild immune system, 3.attack cancer, 4.rebuild immune system.
  • 73.
    Chemotherapy: • Blood stasisand Toxic heat Always Accompany Chemotherapy • Between Chemo treatments the Vital Qi must be rebuilt and nourished • After Chemo -Tonify, nourish and rebuild • for all 3 stages we MUST - tonify, detoxify, poisoning (toxic herbs for cancer), move stasis, eliminate phlegm/damp
  • 74.
    Before Chemo tonify vitalQi (white blood cells) and keep emotions calm and healthy • Ba Zheng Tang Xiang Sha Liu Jun Zi Tang • Bu Zhong Yi Qi Tang Gui Pi Tang • Shi Quan Da Bu Tang
  • 75.
    During Chemo Treat sideeffects as well Blood stasis and Toxic heat. • Tao Hong Si Wu Tang + detoxify herbs/formula • Liang Xue Si Wu Tang + detoxify herbs/formula • Xue Fu Zhu Yu Tang + detoxify herbs/formula
  • 76.
  • 77.
    Surgery • (post surgeryusually Spleen/Lung and Qi/Blood Deficiency) • Tonify before surgery • Tonify after surgery • for all stages we MUST - tonify, detoxify, poisoning (toxic herbs for cancer), move stasis, eliminate phlegm/damp
  • 78.
    Radiation • due toit's extreme heat it damages Qi, Yin and Body Fluids • Use Qi and Yin Tonics - Zheng Ye Tang Sheng Mai San Sha Shen Mai Men Dong Tang Zhu Ye Shi Gao Tang • Depending on where the radiation is being administered use guiding herbs. • Upper jiao - nose eye symptoms lower jiao - lin syndrome • for all stages we MUST - tonify, detoxify, poisoning (toxic herbs for cancer), move stasis, eliminate phlegm/damp
  • 79.
    Blatantly Plagiarized from the following: • http://www.lungcancer.org/ • http://acupuncture.com/ • http://www.umm.edu/ • http://www.acupuncturetoday.com/ • http://tcm.health-info.org/