A cervical pinch nerve case

Dr. David Song

Ms. Y, 45 2007-09-25

She has left hand tingling and numbness for two months, sharp burning pain for over 10 days.

The numbness appeared on the early August, tried western medicine but no effect. The pain started on the whole left arm on the early September, anti-inflammatory and painkiller didn’t work. She had X-ray at that time, reported degeneration on the C4, 5. Sept. 14 morning, the pain suddenly increased to unbearable, found nowhere to put the arm, and totally could not sleep. She been off work since last week, visited a chiropractor every day. After 3 days treatments, she felt a little better, and then it got even worse.

Now, there is burning pain on the ulnar side of left arm. No extension of the neck, hard to lie face down. No left triceps tendon reflex. The left ulnar skin is more sensitive than the right. Pulse is thin and rapid, and tongue is reddish with peeled coating in the center.

X-ray pictures showed:

C5 Luschka joints are sharp (both); C4, C5 vertebra slight moved backwards, increased C6~7 rear space; Narrow on right C4~5, C5~6, C7~T1 foramen, especially C4~5 reduced to half; narrow on left C4~5, C5~6, C7~T1foramen, C7~T1 reduced to half.

Impression: acute cervical spondylosiol (C8 never is stimulated).

After one session of acupuncture and slight Tui Na massage, the pain was reduced right away. She had 6 sessions of similar treatments, the pain on the arm was totally gone, only slight numbness on the left baby finger remained.

一例急性颈神经根炎

By Dr. David Song

Y女士，45岁 2007-09-25就诊

左手麻近两个月，疼痛十余日。

八月初出现左手麻木感，曾服西药未效。九月初开始整条左臂痛，消炎止痛药无效。摄X线提示C4、5退化。至九月十四日晨起，突加重，疼痛近至难忍，无法入睡，手臂无处摆放。上周起休息，每日看整脊医师，初三日稍减，后更重，乃来诊。

现全臂尺侧烧灼痛，颈后伸完全受限，不能俯卧，左三头肌反射未引出，余稍活跃。左手背尺侧皮肤敏感。脉细数，沉无力，舌红，中心有剥苔。

所携X线片可见：

张口位：轴突坐侧间隙稍宽，C1-2左侧侧块间隙窄，但显示不清；

正位：C5双侧钩突变尖，C6-7间隙模糊；

侧位：C4、5椎体轻度后移，C6、7后缘间隙增宽，C2、3、4曲度减小，C7、T1后凸成角；

斜位R：C4-5，C5-6，C7-T1间孔变窄，以C4-5明显，宽度缩小一半；

斜位L：C4-5，C5-6，C7-T1间孔变窄，以C4-5明显，缩小1/3，C7-T1次之，宽度缩一半。

考虑C7-T1处骨刺压迫神经或C6-7间盘刺激神经根。中医诊为阴虚火热。

治以针灸双手远端穴位，配合颈部弱电疗及轻手法推拿，一次痛减，共六次疼痛全消，仅余左小指部阵麻，临床治愈。

针推并用治疗颈痛一例

By Dr. David Song

L 女，45岁

2010-07-14就诊

颈引左肩痛十天，伴阵发头此痛，位置不定。无手麻、头晕。曾就近针灸治疗，未效。

查体：颈上段双侧肌紧张伴压痛，颈7胸1右侧肌肉紧张并高起，有压痛，左肩胛内缘条索样压痛。

印象：颈肌纤维炎。

经三次针灸配合推拿，特别行颈椎扳法后疼痛全消而愈。

Diet & Acupuncture Weight-loss

What & How to Eat During Weight-Loss by Acupuncture

By Dr. Kathryn Tian

Why do we do acupuncture to lose weight? It is because acupuncture can improve the metabolism and balance the hormone of the body. As long as the good metabolism and the normal hormone level are set up, over-weight will never happen again. During acupuncture treatment, try the following method about eating. By this method, you can lose weight while you are eating whatever you want without suffering from hunger.

Food You can Eat:

1) Protein: Boiled egg is the best. 3-5 pieces a day. One of them should be the whole while others only the white parts. You can also eat chicken without skin, lean pork, lean beef and any kinds of fish. Skim milk and plain yogurt will be perfect.

2) Vegetables： Any kinds. Broccoli, lettuce, green pepper, spinach, Galan, Bok choi, cucumber, celery and tomato are the best.

3) Fruits: Any kinds. Grapes, grapefruits, lemon, kiwi, strawberry and orange are the best.

4) Drink: Water and green tea are the best. Black coffee is OK.

Food You can not Eat：

1) Starch: Include anything having starch in it, i.e. rice, bread, noodle, macaroni and etc.

2) Sugar: Anything having sugar in it, especially the desserts.

3) Fat: All kinds of fried food, fat meat, any kinds of internal organs of animals.

4) Drink and Others: Anything having alcohol, pops, fruit juice and all kinds of fast food.

Quantity of the Three meals：

1) Breakfast: Eat until really full. You can eat proper amount of the things you actually not allowed to eat but you like so much.

2) Lunch: Eat until full. You can only eat the things that are allowed according to the above info.

3) Supper: Eat as little as possible. Eat only the things that are allowed.

Other Points for Attention:

1) Normal daily regimen is important. Sleep longer if possible.

2) Proper exercise should be walking or swimming. Avoid strenuous exercise.

In the treatment course of acupuncture, if you can eat and exercise like the above, you can usually lose 5-10 pounds in one month.

How does Tui Na Work on Lower Back Pain?

By Dr. David Song

TuiNa, also known as Chinese massage, is one of the therapeutic methods of TCM (traditional Chinese medicine), also named as AnMo (massage 按摩).

Normally Chinese people have known that TuiNa can relieve the chronic pain of the muscles and joints for over thousands years. The effects have been gradually accepted by the western world.

I. About the Orthopedic Lower Back Pain (LBP)
A. Pain comes from the muscles:
Strain, acute inflammation (sprain, attacked by cold)/myofibrositis
B. Pain comes from the joints (include ligaments, cartilage and bones):
Sprain (twisted/displaced), arthritis (rheumatoid or osteoarthritis/”Bi” syndrome), lumbar spondylolisthesis
C. Pain comes from the bones:
Osteoporosis, bone tumor
D. Pain comes from the nerves:
Protrusion of lumbar intervertebral disc (PLID), spinal canal stenosis

II. Key Points of TuiNa therapy:
A. Chronic muscle pain:
Strains, myofibrositis and myofascitis
Key symptoms and signs: stiff muscles, lower or no elasticity of the muscles, pressing pain on the surface or inside the muscles, nodes or tight strips may be found.
Pathomechanism: chronic inflammations of muscular fibers and fascia. Blongs to “muscle Bi” or Flaccidity syndrome (Wei). There is stagnations of Qi and Blood or no enough nourishment of the muscles.
Goal of the treatment: restore the elasticity of the muscles.
Key points of the manipulations: gentle manipulations are major; drawing and point pressing could be chosen when necessary in the spasm case. Drawing and point pressing may cause side effects.

B. Acute muscle pain:
Sprain, contusion, acute occurring of the chronic pain
Key symptoms and signs: sharp pain, tender spot, swelling feeling, the pain may radiate to the hip, but no shooting pain on the leg and foot, limited motion due to pain and spasm.
Pathomechanism: spasm, swelling or hematoma
Blood stasis, wind-cold-dampness
Goal of the treatment: release spasm, reduce swelling
Key points of the manipulations: combine the gentleness and toughness, local and distal. Special manipulations may be used: pressing, drawing, point pressing.
Common questions: Displaced joint or small muscle spasm;
Deep and thorough of the manipulation;
Instant cure.

C. Displacement of the joint:
Key symptoms and signs: Limited motion on certain way; blocked feeling; fixed pressing pain spot nearby the joint.
Pathomechanism: disorder of the relationship of the joint.
Goal of the treatment: adjust the joint, restore the motion.
Key points of the manipulations: Ban (turning).
The conditions of using turning method;
The functions of the turning method;
The limits and the side effects.

D. Arthritis:
Osteoarthritis and Ankylosing spondylitis.
Key symptoms and signs: chronic pain related to overuse, weather change and rest, deep pressing pain on the lumbar spine; limited motion on all directions.
Pathomechanism: damaged structure of the joints, inflammation
Combined excess and deficiency in TCM. Kidney, Liver, Blood stasis and Wind-Cold-Dampness
Goal of the treatment: stop pain, prevent the further damage on the joints
Key points of the manipulations: relax the soft tissues; drawing and vibrating; be careful on pressing and moving joints methods.

E. Protrusion of lumbar intervertebral disc (PLID):
Key symptoms and signs: shooting pain on the lower leg or foot; abnormal sense on the certain dermal segmentation; reduced strength on certain muscles; approved by CT scan or MRI.
Pathomechanism: mechanical and chemical stimulations on the nerve root; Bladder channel and Gallbladder channel; Blood stasis.
Goal of the treatment: stop pain by removing the stimulations on the nerve root; restore the nerve functions as much as we can; strengthen the lower back.
Key points of the manipulations:
Urgent stage: sharp shooting pain, not reduced during the night or lying down, SLR <>A. The difference between acupuncture and TuiNa:
Acupuncture -
Points, Easy be too strongand, Better in regulating Qi and Blood, Better in regulating organs, Stop pain as pain killer;
Tui Na -
meridians Area (big or small), Easy be gentle, Better in relaxing muscle, Better in adjusting joint, Easy be accepted.

B. What is not good for acupuncture?
Very tender and stiff muscles;
Nerve pain (Right on the pain spot);
Weak and tough muscles or tendons;
Patient who is afraid of needles.

C. How to combine acupuncture and TuiNa?
TuiNa – Acupuncture – TuiNa;
TuiNa – Acupuncture;
Acupuncture – TuiNa.
For the big tight muscle or arthritis, acupuncture can be used as the major method; for the other problems, usually use TuiNa as the major one. For electronic needling or warm needling, the effects will depend on the patient’s response.
The acupoints used in the treatments: AShi points are more useful and effective. The secret is the depth and the quantity of the stimulation.

IV. A clinical case:
♀ 46
2004-9-30
Lower back pain for 1 day.
Used to have this kind of pain once or twice a year for 10 - 15 years. Last time pain was 5 months ago. Usually relates to the weather or hard work. Also has tingling on left leg for quite a while. This time pain is more like soreness and hard to bend or straighten up the back.
Examination: Spine (-), Bend forward 10°~ 15°, backward 15°, SLR (-), reflection (-), tight muscles found on left lower back no pressing pain, L4-5, L5-S1 pressing pain (±), left side radiate to the hip.
Idea: muscle pain on the lower back.
Treatment:
1) TuiNa: pressing and point pressing on the lower back;
2) Acupuncture: left ShenShu (UB23), left DaChangShu (UB25), both L4-5 JiaJi
2004-10-7
Getting worse for the whole week, continuous pain on the lower back, especially when standing up after long time sitting. Tight muscles on the left side, L5-S1 pressing pain (+)
Treatment:
1) TuiNa: pressing;
2) Acupuncture: left ShenShu (UB23), left CiLiao (UB32), both L5-S1 JiaJi (moxa on left);
3) Ban (turn) left waist.
2004-10-14
Pain is reduced but still there. Tightness on the back of left thigh. Tight muscles on the both sides of the lower back, no pressing pain point.
Treatment:
1) TuiNa half hour: pressing, grasping and rolling;
2) Acupuncture: Both ShenShu (UB23), QiHaiShu (UB24), DaChangShu (UB25), WeiZhong (UB40)
2004-10-21
Greatly improved, still a little bit pain and tightness feeling. Tight muscles on the lower back and thigh, WeiZhong (UB40) pressing pain (+).
Treatment:
1) TuiNa: Gun (rolling)
2) Acupuncture: both ShenShu (UB23), left L4-5 JiaJi, left WeiYang (UB39)
2004-10-28
No pain, sometimes tightness feeling on the left lower back and thigh. Mild tight muscles on the left lower back, no pressing pain point.
Treatment:
1) TuiNa: on the muscles;
2) Acupuncture: left QiHaiShu (UB24), left sacral-iliac joint Ashi, left WeiZhong (UB40)

V. Final words:
TuiNa is an useful method in lower back problems. Combining with acupuncture, TuiNa can make very good effects. The key points of this therapy are:
1) Combine the meridian therapy and modern anatomy together to find out the exact problem area;
2) Find out the quantity of the stimulation which fits the certain patient;
3) Well trained TuiNa and acupuncture skill.

A Tui Na Case of Lower Back Pain

By Dr. David Song

Male, 40+
In the spring of year 2000
He had acute lower back pain for 2 weeks.
The pain came to the lower back in a sudden when he put his coat on in the morning 2 weeks ago. He tried physiotherapy, but no effect. The pain is always there on a fixed spot, and getting worse whenever he moves his back. He had no injury on the back, and no shooting pain down to the legs.
He is used to be quite healthy, and doing office work. He is afraid of needles.
Examinations:
Spine (-); Motions: left 0° right 0° forward 10° backward 10°
SLR (-); Pressing pain (+++) on right side of L4~5, pressing pain (+) on both sides of TianZhu (BL10), WieZhong (BL40); Stiff muscles on both side of lumbar spine.
Diagnosis:
Lower back pain (acute myofibrositis)

In TCM view, this pain was caused by cold. Although the patient didn't catch cold at all, but the early spring temperature drop could cause the tight muscles on the lower back and some small motion triggered muscle spasm, usually this type spasm should disappear in half to one day, but did not happen on him.
According to the above understanding, I gave him Tui Na massage (The patient refused to use needle). After 4 sessions, the pain was gone and he could move freely again. He had 6 sessions in total.

What is Tui Na Massage

What is Tui Na 推拿?

Tui Na, or say Chinese massage, is one of the therapeutic methods of TCM (traditional Chinese medicine), also named as An Mo ( 按摩). This kind of therapy uses hands and other parts of our body to stimulate the meridians system (also known as energy channels), acupoints, and soft tissues (such as muscles, tendons...) to treat some diseases with special hand techniques.

Normally Chinese people are used to have Tui Na for relieving the chronic pain of the muscles and joints, some chronic internal medical diseases and for relaxing . This method has been used for thousands years in China and the effects are also approved by the modern research.

This Tui Na massage is not as same as the massage therapy or chiropractic which is widely accepted by the western people. First, the foundation theories are quite different. Comparing with them, a Tui Na practitioner is usually more concerning on the patient's whole body condition in a TCM view; Second, Although sometimes a Tui Na practitioner also adjust the patient's spine and other joints, but it is not the key part of the treatment and not always necessary. Third, quite often a western guest comes to my clinic for a deep tissue massage, because Tui Na is usually harder and deeper than a massage therapy. Of cause, it's not painful at all.

A lower back & leg pain case

By Dr. David Song

Mr. C, 63-year-old

1^st visit @ 2008-04-28

He had visited me in March for the lower back pain. At that time, he could not sit for a little longer. A CT-Scan showed the disc problem on L5~S1. After 2 times of acupuncture treatments, the pain was completely gone. One week ago, after played table tennis, he got the pain on lower back and right hamstring. A chiropractor said it was pinched nerve. He could not sit down, even disturbed his sleep.

I found there was pressing pain on the lower back and tightness and pain on the right hamstring.

After two session of acupuncture and Tui Na massage, ha could walk, run, and standing without any pain, but there was always burning feeling on the hamstring whenever sit or lied on the side

After another 4 sessions with moxibustion added , his was completely gone.

In this case, although there was disc problem reported in the CT-Scan, but the pain on the hamstring was not related to the disc. Actually the pain was in the muscles only. It is always important to know where exactly the pain is at first, then we need to find out the right way to work on it.

癌症病人怎样服用中药

得了癌症应当合理服用中药。在笔者的临症实践中，曾有病人提出这样的问题：“听朋友说，人参能增强体质抗肿瘤，得病以后我一直服用人参，但情况并没有变化，反而有时更不舒服，这是为什么呢？”又有病人问：“听说癌就是瘀血块，化了瘀血就能好，我能不能吃丹参呢？”

人参，味甘、微苦，性温；功效大补元气，补脾益肺。在中药学中，人参属于补虚扶正药中的补气药。如病人确有气虚证候，即语声低微，短气懒言，呼吸困难，纳呆食少，面色恍白，疲倦无力，畏寒肢冷等，可以考虑使用。但因人参比较温燥，所以如果病人舌质淡且水滑，舌苔薄白，脉沉缓弱，则更加相宜。同时应注意服用人参时，不能吃萝卜及饮茶，否则会降低疗效。但是，如果病人不是气虚证候，而是阴虚火旺，津液亏耗之证，则人参就不宜使用了。此证病人的临床表现是：心烦失眠，时有烘热之感，睡觉时出虚汗，口臭，牙龈出血，双目干涩，口干口苦，舌红少苔，脉细数。温燥的人参会使病人更加烦热，以上症状更加严重。同时，根据笔者的临症经验，热毒是癌症的主要病因之一，癌症病人热象多于寒象。癌症病人的虚弱常常是气阴两虚，所以宜益气与滋阴并用。尤其是肝癌病人，最怕热性药，一般不用人参之类的温燥之品，沙参、麦冬等滋阴药是比较好的选择，食疗可用甲鱼炖服。另外，放化疗、尤其是放疗会令病人产生更多热毒，治疗期间要慎用温燥性的补药。同时，在使用补虚药时，要注意扶正与祛邪的关系。当病人有厚腻舌苔时，不宜进补，应辩明有何种邪气，邪气清除以后再行进补。

由此可见，补虚扶正药在癌症治疗中不应盲目滥用，否则反致人体阴阳失衡，病情加重，只有辩证论治才能收到良好效果。

得了癌症要不要吃中药

不幸得了癌症的病人常常有这样一个问题：“得了这个病，要不要吃中药？”对于这个问题的回答，说法不一。有鉴于此，中国及欧美许多国家都在进行科学研究。

研究结果林林总总，但基本结论是一致的 ---- 中药治疗是癌症治疗的有效手段。合理服用中药，可以有效减轻各种不适症状，如疼痛、食欲降低、恶心、呕吐、口干、失眠、疲乏及精神忧郁等；可以显著延长生存期，服用中药和不服用中药的两组病人比较，服用中药组病人之5年，10年，15年生存率都显著高于不服用中药组的病人；可以明显提高生存质量，接受中医治疗的病人和不接受中医治疗，仅使用放化疗手术治疗的病人大相径庭。在笔者曾工作过的中国中医肿瘤治疗中心，病人们行走自如，生活自理，精神愉快，饮食睡眠样样不差，外人很难看出他们是肿瘤病人。另外，合理服用中药可以明显改善放化疗毒副作用。众所周知，放化疗均有严重毒副作用。最常见的是消化道反应，病人出现恶心、呕吐、厌食、腹泻等现象。中医讲，脾胃为气血生化之源。脾胃大伤，不能正常进食，势必造成气血虚弱，免疫功能下降。“邪之所凑，其气必虚”，癌毒之邪很容易再次侵犯人体。西医讲，免疫功能下降使人体对肿瘤细胞的产生失去监视能力，易致肿瘤复发与转移。合理服用中药可以调节脾胃功能，增强免疫能力，大大降低肿瘤的复发率及转移率。其次，放化疗会造成严重的骨髓抑制，致全血细胞，尤其是白细胞水平显著下降。病人出现贫血、乏力、脱发、失眠、免疫力下降、易感染、易感冒等现象。笔者参与研究的“癌症生血汤”，可以明显、持久、稳定地增加血细胞，尤其是白细胞水平，增强免疫力，有效降低骨髓抑制。

综上所述，中药是癌症治疗的有效手段。那么，究竟应当如何服用中药才能达到治疗的最佳效果呢？是不是得了癌症就要大量进补呢？吃中药应当注意哪些问题呢？下一次我们会对这些问题详细讨论。

客观评估中医药及针灸对癌症的治疗作用（第三篇）

每一个来看诊的病人都会问：“得了这个病，我应当怎样饮食才对治疗最有帮助？”对于这个问题，中医既有讲究又有研究。中医对于各种病都有食疗，对肿瘤也不例外。中医食疗也遵循中医治疗的基本原则，即辩证论治。有研究表明过分营养或营养不良均会造成病情加重。

恶性肿瘤是一种全身性疾病，不但在局部浸润生长，造成压迫梗阻，出血，感染等现象，而且会令整个机体处于营养障碍或代谢紊乱之中。引起恶性肿瘤患者死亡的主要原因是患病机体出现恶病质，体内环境失调不能再行代偿，造成重要脏器功能衰竭。基于恶性肿瘤这一基本生物学特点，长期以来医患均认为，营养状态好的患者，手术安全性大，对放化疗耐受力强，预后较好。而且，良好的营养状态可以保护机体的免疫功能，提高机体自身的抗癌能力，从而延长生命。但是，是不是吃得越多，什么都吃就越好呢？实际不然。在近十余年的临床中逐渐发现，过多的食物，过高的营养反而使肿瘤加速生长，使患者生存期缩短。国外研究表明，肿瘤生长可因饥饿而变慢，在给静脉营养时可使肿瘤生长更快。希尔斯及其同事观察到，在用全肠道外营养而不用抗肿瘤治疗的患者，其残余肿瘤的瘤块增大。西医认为这是因为肿瘤细胞比正常细胞更快吸收营养而造成的。中医认为，饮食自被，肠胃乃伤。过多饮食或过高营养会造成脾胃负担加大，功能减退，脾胃不能运化水谷为精微，变生痰饮，而痰饮是肿瘤生长的基本原因。另外，癌瘤属于病邪，高营养为补益。在病邪亢盛的时候使用补法，中医称为“闭门留寇”。所以，在癌症的进展期，单纯用补法是错误的。如此说来，吃得越少越好喽。曾经治疗一个晚期肺癌病人，来看诊时即向我阐述饥饿疗法的神奇。他每天限量饮食，吃得极少，同时食物的种类也非常少。结果他的体重迅速下降，很快就过世了。看到这里您肯定会说，照你这样说法，怎么都不对喽，吃也不对，不吃也不对，难道是走投无路了不成？不是走投无路，有一条明路可走。我的导师孙桂枝主任说，这条明路就是辩证论治，扶正荡邪。基本上，我们要做的是衡量肿瘤与机体正气的力量比例，从而决定抗癌治疗与营养给予的关系和方法。就象我们在第一篇所谈到的，关键在于这一份“把握”。

那么，中医对肿瘤患者饮食营养问题的处理原则是什么呢？根据郁仁存教授的看法，主要在于以下五个方面：

1、避免肿瘤发病因素的继续作用。饮食不当是肿瘤发病的诱因之一。首先要避免过饥过饱，直肠癌及乳腺癌患者要少食脂肪类食品，胃癌患者忌饮浓茶及咖啡。任何肿瘤患者均不可食用放置过久的食品。

2、保护人体的后天之本------脾胃功能。脾胃为气血生化之源，胃气衰败是肿瘤患者恶病质的主要原因。多种肿瘤治疗，尤其是放化疗均损伤脾胃。所以，肿瘤患者须食用易消化的食物，烹调应以清淡蒸煮为主。流质饮食是比较好的选择。

3、饮食治疗中须扶正与祛邪相结合。如前所述，治疗恶性肿瘤必须扶正与祛邪相结合。在手术、放疗、化疗作为攻邪抗癌的治疗手段时，除扶正补虚的中草药外，辅以营养支持也很重要。谷类、肉类及真菌类食物均有扶正作用。如香菇等真菌类食物可以保护机体免疫力，保护骨髓造血功能，从而起到食补作用。另方面，还可以在饮食中注意攻邪抗癌，在脾胃功能尚好的情况下选择一些具有抗肿瘤作用的蔬菜与干鲜果品，如马齿苋、东风菜，香茶菜、黄花菜、生苡仁、核桃、紫菜、海藻、菱角、慈姑、芋头等。这说明食物治疗也不是单纯只吃一些补养食品或高营养食物，而且要针对病情，吃一些对肿瘤可能有抑制作用的食物，这样就把食物营养与食物治疗结合起来了。

4、注意食物的性味功用，辩证施食。食物也有性味之分，故饮食要根据患者的病情寒热虚实来加以选择。如为毒热壅盛，舌红脉数的病人就不可食用温热补品，如桂元，鹿茸，人参，羊肉，狗肉及虾等，应当食用清热解毒的食物，如马齿苋，芦根，竹笋，藕，黄花菜及鸽肉等。而如为阴疮恶疽，阳气不足以化阴毒的病人，饮食的情况就应当恰恰相反。有人主张吃甲鱼，但应知道甲鱼凉血补阴，适宜阴虚血热的患者，不宜于脾虚或阳虚的患者。郁仁存教授的观点是辩证施食是中医的基本原则。

5、忌口与发物。《医学入门》指出，肿瘤患者应“断厚味，节色欲，戒恼怒，正思虑，庶乎万全”。《三因方》记述“忌咸、酸、鱼、酢、茶、酱、腌藏、鸡鸭、生冷、牛马杂肉之类”。从现代看来，忌口是必要的，但不宜太严。基本上，需要禁忌的食品为：羊肉、狗肉、鸭肉、鹿肉、酒、浓茶、咖啡、鱼虾类尤其是无鳞鱼、韮菜等。其他食物均须具体病情而决定。

根据郁仁存教授的理论，并结合近年的研究与临床，总结肿瘤患者常用药用食物举例如下：

真菌类：香菇，蘑菇，灵芝，木耳，银耳等。

蔬菜类：洋白菜，芹菜，西兰花，芦笋，麦苗，马齿苋，黄花菜，茄子，丝瓜，南瓜，扁豆，刀豆等。

瓜果种仁类：桃，杏，李，奇异果，枇杷，石榴，核桃，木瓜，花生，苡仁，胡椒，花椒等。

叶根茎类：莲藕，菱角，百合，山药，慈姑，大蒜，萝卜，胡萝卜，芦根，茅根，芦笋，芋头等。

动物类：鸡、鹅、牛、牡蛎、甲鱼、海藻、海蛰、海参、海马、淡菜等。

在肿瘤的治疗中有很多矛盾的地方，这就是肿瘤为疑难重证的原因，综合治疗、辩证论治是解决难题的关键。在中医治疗中，我们结合使用中药、针灸、食疗以期取得最好疗效。（京城医馆田劲梅高级中医师提供。电话：604-4327209）

客观评估中医药及针灸对癌症的治疗作用（第二篇）

上一篇谈到中药对癌症的治疗作用，对于我们中国人来说，是早已认识到的事实。那么针灸呢？针灸对癌症是有益还是有害？实际上，很多病人是这样说的：“什么？针灸也能治疗癌症？”这不能怪病人。在中国，中药是被广泛接受的，因此针灸一般只用于治疗中风，面瘫等疾病。但在北美，针灸比中药的接受程度高，所以反倒有更多的研究与实践。美国国家卫生部（NIH），美国癌症学会（ACS），国家癌症研究会（NCI）均肯定针灸对癌症的治疗及辅助治疗作用，并推荐病人在化疗，放疗及手术治疗中合并使用针灸治疗。UCLA 在两年前曾做严格的临床试验，证明针灸可以显著减轻化疗病人的胃肠道反应，如恶心呕吐等。还有研究表明，针灸可增加唾液腺分泌，从而减轻放化疗中可能出现的口干现象。大量研究表明，针灸可减轻癌痛，减少麻醉药的用量。正在进行的研究逐渐证实针灸可以增强免疫功能，增加自然杀伤细胞的含量，从而达到杀灭癌细胞的作用。更有研究表明，针灸可以减轻放疗造成的水肿并可提升血象。那么，针灸有没有副作用？NIH 声明，针灸针一定要一次性使用，而行针者一定要正规注册的针灸师。只要这样，针灸治疗是没有副作用的。在温哥华行医，大量使用针灸，以下是一个典型病例，请大家体会。

***，女，41岁。

2006年3月24日首诊。患者曾有痛经史，曾做乳房缩小术，孕一产一，母乳时有困难，未能成功母乳。患者本有一良性乳腺肿瘤，情况稳定。但由于近三个月严重缺乏睡眠，肿瘤突然迅速长大，经查为恶性乳腺导管癌。患者曾因不孕求助于针灸，成功育有一女后，深信针灸能治疗疾病，所以看过西医后马上就来针灸。患者就诊时精神高度紧张，头痛，焦虑，多汗怕热，皮肤湿热。舌暗红，苔薄，脉滑，左关弱。中医辩证属肝血亏虚，肝经郁热。针灸处方为：神门，内关，中脘，气海，关元，足三里，太溪，三阴交，太冲。患者4月3日复诊，精神明显放松，体热汗出减少。治疗采取调理肝肾，补气清热抗癌。处方为：上方加肝俞，肾俞，大椎，痞根。由于肿瘤太大，无法手术切除，所以西医先行化疗。患者4月6日开始化疗，出现恶心呕吐，烧心，反酸，纳差，便秘口干，服西药无效。中医认为，化疗首伤脾胃，致清气不升，浊气不降。处方为肾俞，脾俞，胃俞，膈俞，大椎，中脘，关元，气海，支沟，足三里，合谷，三阴交，太溪，太冲。患者4月24日复诊，恶心呕吐及便秘均明显好转，但出现疲倦，脱发，舌暗红，少苔。中医认为乃因化疗伤及血分所致。处方为上方加血海。患者5月9日复诊，已行两次化疗，白细胞一直维持正常，但仍有胃脘不适及脱发。左寸弱，舌嫩，少苔。继用以上处方并加梁门梁丘。5月15日复诊，胃不适完全消失，脉常，舌略暗。5月24日复诊，化疗完成第三次，舌暗红，苔少，脉弱，疲倦，恶心呕吐，并出现口干，咽干，咳嗽。中医认为肝胃郁热，木火刑金。处方加肺俞，行间。患者5月31日及6月5日继续针灸治疗，化疗不良反应逐渐消失，肿瘤不断缩小。患者于6月12日行第四次化疗，出现呕吐，疲倦，舌暗，苔腻，脉弱，中医认为脾胃大伤，湿浊内生，基本处方加下脘，梁门，内关，公孙，梁丘。之后不良反应消失，但肿瘤不再缩小。患者于7月4日更换化疗方案，随即出现失眠，恶梦，盗汗，腹泻，无论何种饮食均自觉金属味道，脉尺强，苔腻，舌暗。这一次的化疗药物除重伤脾胃之外更伤及心肾，致虚火上炎。处方为心俞，风池，安眠，照海，复溜，太溪，合谷，神门。7月13日复诊，失眠，恶梦，盗汗均迅速缓解，但仍腹泻，并出现血色素下降。一旦血象下降，西医会考虑停止化疗，对患者非常不利。所以除针灸外，并予京城医馆自制化疗升血汤。7月21日复诊，血象回升，化疗继续，肿瘤继续缩小。患者终于可于8月10日将缩小的肿瘤切除，术后检查证实无淋巴结转移，无脏器转移。术后行放射治疗，于第三周时出现盗汗，疲倦，失眠，夜尿，咳嗽及严重口干及口疮。左脉滑，右脉弱，舌绛红无苔，有烫伤之感。中医认为放疗主要损伤肺肾之阴，致阴精大亏，虚火内炽。处方：肺俞，太溪，列缺，合谷，照海，复溜，曲池。患者于2006年9月至2007年4月坚持每周针灸治疗，顺利完成放疗，不良反应消失，精神体力恢复，于5月开始正常工作生活。这半年以来坚持每月一到两次针灸治疗，平稳无异常。

试想如果这个病人没有针灸治疗的辅助，她就不能完成化疗的疗程，肿瘤就无法缩小到可手术的程度，如果肿瘤不能手术切除，预后就很难达到临床治愈的水平。从这个病例我亲眼看到针灸治疗对化疗的减毒作用，以及对整个治疗的重要辅助作用。这个病人是一个西裔女士，对针灸的信心及治疗的坚持不懈令我感到欣慰。我感到遗憾和无奈的是，我们自己中国人却很少使用这种既安全又有效的疗法。（京城医馆田劲梅中医针灸师提供。电话：6044327209）

客观评估中医药及针灸对癌症的治疗作用（第一篇）

上星期听了一个讲座，讲到现今污染严重，癌症病人很多，大家要调理身体，多吃保健品。“得了癌症怎么办？手术是伤，化疗是毒。一个癌细胞长到鸡蛋大，或者需要10到15年的时间！不要着急，先调理好身体再说。”众所周知，保健品保护健康，预防疾病，对有些疾病甚至有一定治疗作用。但一个人得了癌，你怎么可以不让他及时去做系统正规的治疗呢？面对病人，人命关天。只有客观地评价一个产品或一种疗法，才有可能让病人得到最大的效益。对于一个医生而言，客观是最基本的。

想来在温哥华行医已有八年之久，所见所听越来越多，今天终于有机会与大家分享。是不是一个秘方可以根治癌症？是不是放化疗手术期间不能合并其他疗法？因为在北京是中西医结合肿瘤科医生，所以在这里也看了很多肿瘤病人。大部分病人都是抱着极大的怀疑来看诊。最重要的原因是这里的西医生明确表示，不许吃中药，否则不负责治疗效果。专科医生正襟危坐，这一番话对于已经心惊胆颤的癌症病人震慑实在不小。有一些病人干脆对我说，我明明知道我们中国人都用中西医结合，我亲戚也治得很好，可医生这么一说，我实在害怕。还有一些病人是抱着极大的希望来看诊，他们说田医生，您要用您的秘方把我完全医好。对于第一种病人，我会说，正确地使用中西医结合是治疗癌症的最好方法，这要靠您自己决定，因为生命最终是自己把握的。对于第二种病人，我会说辩证论治就是秘方，你没有必要盯住癌症，你要盯住的是自己的生命。记得在北京跟从我的导师孙桂枝主任看诊时，看着导师的方子没有什么特别，就想，这些看上去一点也不复杂的方子，就能让这些晚期癌症病人活下去吗？有一次憋不住，就委婉地问。孙主任说，治癌是持久战，你把正气弄强，盯住它打，它就不能把你怎么样，你看我很多病人虽然长着癌，不都活得好好的吗？这秘诀就是把握正邪的力量，把握好了就越治越好，把握不好就输了。于是我就记住这些话，尽最大的努力去把握。真的就有非常好的病人。这些非常好的病人，一方面是治疗的结果，另一方面是他们自己把握着自己的生命。我有一个乳腺癌肺转移的病人，晚期中的晚期，她一面化疗，一面吃中药，再加食疗及保健品。我每次见她都不能相信自己的眼睛，她美丽，容光焕发，我说我都不能相信你是一个晚期的病人，她说人人都这样讲，做化疗的护士不敢下针，反复问我是不是病人，我越来越有信心，我得了癌，那又怎么样，我一样旅行，做好吃的饭给家人，打扮得漂漂亮亮，我很快乐，我很好。我从心底里佩服她的勇气，也更加努力地工作。记得当初，她刚刚发现肺转移的时候来到我这里，整个的人都要崩溃了，因为西医说最长不过6个月。记得我当时对她说，只要你坚持住，治疗方法日新月异，只要你坚持住！我马上开中药疏理肝气，因为中医讲乳腺为肝经所过，而疏理肝气又可以放松精神，提高免疫力，直接抗癌。她很听话，吃了中药，精神也放松了。到现在，三年过去了，她这么好，我怎么能不高兴呢？！另外，我要提到的是她的先生，那么淡定，那么默默地支持。我一直都相信，家庭的支持是最重要的。我这里就有相反的例子。当初在广安门医院肿瘤科时曾经主管过一个晚期肝癌的老人家，他虽然有黄疸和腹水，但在中西医结合治疗下精神体力都还好，能自理生活。但有一天他的儿子不知因为什么事在医院跟他吵嘴，第二天我去上班时，护士说老人家已经过世了。病历上写着他死于肝癌，但我们相信他死于失去对生命的向往。在此地看过一个晚期病人，吃中药都已经有了转机，但她的孩子说，西医说了没救了，放弃了。孩子没有时间带母亲来看病。家人的放弃是对病人的最大打击，医生又有何用？我至今不能忘记这个孩子怀疑的眼睛，我私下里想是不是如果我说你妈妈是晚期没救了，你才不会觉得我是一个骗子。但我不会这样说，原因是一个真实的经历。那天是在肿瘤科值夜班，一个病人突然病危，他是一个前列腺癌骨及脑转移的晚期病人，大汗淋漓，血压下降，处于阴阳离决的时刻。太太说放弃了吧，他太痛苦，但太太又不肯签字。我们只能抢救。大剂量参附注射液下去，汗止了，血压回升，他没有死。第二天早晨，我们查房时，早已不能说话的他，双手合十对我表示感谢。我出了病房眼泪就掉下来了，她的太太没有想到，我们做医生的也没有想到，他对生命的依恋与向往。从那一刻起，我明白我永远不会对病人说没希望，我做不到。

我的那位非常好的病人当初患乳癌并没有任何转移，但她在做了手术及化疗后，没有系统的辅助治疗。肺转移发生在两年以后。我有另一个病人，在化疗中就接受中医治疗，至今无复发及转移，病历如下。

***， 女， 50岁。患者于2004年4月行乳腺癌切除术，5月开始行化疗。第一次化疗即出现口干咽干，以夜间为甚。并伴脱发。舌淡暗，脉弱。辩证为气阴两伤，津血不足。处方：玉竹，沙参，麦冬，枸杞子，茯苓，白术，白芍，陈皮。服药5剂后，口咽干燥明显好转，但脱发仍存在。患者于6月行第二次化疗，再次出现咽干，甚至造成吞咽困难，严重疲倦，且无食欲，舌胖大淡白，苔白厚。辩证为中气真阴大伤，痰浊内生。中医讲脾胃为气血生化之源，肿瘤病人最忌脾胃受损，急拟健脾益气，滋养真阴之处方：木香，砂仁，陈皮，法夏，太子参，茯苓，黄精，白芍等。患者服后，食欲增加，体力明显改善，但仍咽干，咽中如有物梗阻，拟理气化痰方剂并嘱病人使用食疗方法：秋梨，莲藕，牛奶，生姜，韭菜按适当比例调好，打汁，日服一杯。服后口咽干燥消失，食欲续增。患者于7月行第三次化疗，由于化疗药的严重毒副作用，病人体力骤降，频繁嗳气，恶心，口淡无味，咽紧，口干，以夜间为甚。舌淡嫩，苔厚腻，脉弦滑，右尺尤甚。白细胞严重下降到0.8。此乃正虚邪盛，属危险之象。予京城医馆自制化疗升血汤3周，白细胞升至4.5，病人顺利完成化疗，随访至今，无复发或转移，生活一切正常。

总之，合理地、科学地、艺术地综合治疗是治疗癌症的最好方法。这综合治疗包括西医治疗，中医治疗，保健品治疗，食疗以及精神疗法。我们希望每一个病人都能说：“得了癌，那又怎么样，我很好，我很快乐。” （ 京城医馆田劲梅中医师提供。电话：6044327209）