HERB FORMULAS

NASOPHARYNGEAL CANCER #9

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Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Flos Magnoliae Xin Yi Hua 10g Expels Wind-Cold and unblocks the nasal passages.
With Xi Xin, lifts and spreads the clear Qi while unblocking the nasal orifices to treat headache and sinus distention, nasal congestion and thick nasal discharge due to Wind-Cold and with cooling herbs, for Wind-Heat.
With Xi Xin and Bai Zhi, improves the efficacy of Xin Yi Hua.
With Cang Er Zi, strongly unblocks nasal obstruction and sinus headache due to Wind-Cold or Wind-Heat for sinusitis and rhinitis with loss of smell.
With Xi Xin, Bai Zhi and Cang Er Zi, for Wind-Cold nasal obstruction and sinus headache with greater effect.
With Shi Gao and Bo He, for Heat patterns.
Hb. Asari Xi Xin 3g Releases Exterior Wind, Cold, warms the Lungs, transforms Phlegm and Thin Mucus, disperses and unblocks the Qi of the nasal orifices and promotes the healing of oral ulcerations.
With Sheng Di Huang, for headache and toothache due to Wind-Heat.
With Bai Zhi and Xin Yi Hua, for nasal congestion and rhinorrhea.
With Bai Zhi, for Wind-Cold toothache.
With Shi Gao and Huang Qin, for toothache due to Stomach Fire.
Concha Haliotidis Shi Jue Ming 15g Drains Liver Fire, pacifies the Liver and anchors and sedates Liver Yang.
Concha Margaritaferae Zhen Zhu Mu 30g Calms the Liver, anchors the Yang and drains Liver Fire.
With Dai Zhe Shi, for epistaxis or hematemesis.
Haematitum Dai Zhe Shi 15g Calms the Liver, anchors Floating Yang, clears Liver Fire, cools the Blood and stops bleeding.
With Sheng Di Huang and Bai Shao, for hematemesis and epistaxis.
Magnetitum Ci Shi 6g Anchors Liver Yang, calms the Spirit, benefits the Yin, nourishes the Kidneys, augments the Liver and improves hearing and vision.
Rx. Cyathulae Chuan Niu Xi 15g Invigorates the Blood, dispels Blood Stasis, expels Wind, drains Dampness and tonifies the Kidneys and Liver.
Rx. Paeoniae Alba Bai Shao 15g Nourishes Blood, astringes Yin, adjusts the Ying and Wei, softens the Liver, calms Liver Yang and Liver Wind and alleviates pain.
Ram. cum Uncis Uncariae Gou Teng 15g Drains Liver Heat, pacifies Liver Yang and releases the exterior.
Rx. Angelicae Dahuricae Bai Zhi 15g Expels Wind, eliminates Dampness, unblocks the nasal passages, dispels Cold, alleviates pain, reduces swelling, eliminates toxins and expels pus.
With Gao Ben, for Wind-Cold induced headaches, especially those at the vertex.
With Xi Xin, for Wind-Cold induced headaches, sinus headaches, orbital headaches and toothache aggravated by cold air.
With Huang Qin, for Wind-Heat headache.
With Xin Yi Hua and Cang Er Zi, for headache due to nasal congestion with thick putrid discharge.
Gypsum Fibrosum Shi Gao 15g Clears Heat in the Qi Stage, drains Fire, relieves irritability, quenches thirst, clears Excess Heat from the Lungs and heals eczema, burns and ulcerated sores and wounds.
With Sheng Di Huang, for Excessive Fire with injured fluids.
With Xi Xin, for toothache and gum swelling due to Blazing Stomach Fire.
Exocarp. Citri Reticulatae Ju Hong 6g Vomiting and belching and Phlegm-Damp coughs.
Fr. Citri Reticulatae Retinervus Ju Luo 6g Disseminates the flow in the channels and collaterals, promotes the movement of Qi and transforms Phlegm.
Sm. Persicae Tao Ren 10g Breaks up Blood Stasis, invigorates Blood circulation and Drains abscesses.
Pheretima Di Long 3g Clears Heat, extinguishes Wind, unblocks and promotes movement in the channels and collaterals, calms wheezing, anchors Liver Yang and promotes healing.
Periostracum Serpentis She Tui Pi 3g Dispels Wind, stops spasms and resolves toxins.
Rx. Sophorae Flavescentis Ku Shen 10g Clears Heat, dries Dampness and disperses Wind.
Rx. Rehmanniae Sheng Di Huang 10g Clears Heat, cools the Blood, nourishes Yin and generates fluids.
With Bai Shao, for Blood Deficiency Heat.
With Chuan Niu Xi, powerfully clears Deficiency Fire Blazing Upward with pain and swelling of the gums, epistaxis, hematemesis and other hemorrhage in the upper body.
Rx. Scrophulariae Xuan Shen 30g Clears Heat, cools the Blood, nourishes Yin, drains Fire, relieves toxicity, softens hardness and dissipates nodules.
With Sheng Di Huang, for Excess or Deficiency Heat patterns, Late-stage febrile disease with irritability, thirst and constipation and Kidney Yin Deficiency with Fire Blazing with soreness and swelling in the throat, dry mouth and a parched tongue.
Hb. Menthae Bo He 3g Disperses Wind-Heat, cools and clears the head and eyes, benefits the throat and relieves Stagnation of Liver Qi.
With Gou Teng, prevents convulsions in febrile children.
Fr. Viticis Man Jing Zi 10g Disperses Wind, clears Heat, dispels Wind-Heat in the Liver channel and clears and benefits head and eyes.
With Bai Shao, soothes the Liver.
Fr. Xanthii Cang Er Zi 15g Disperses Wind and Dampness and opens nasal passages.
With Huang Qin, Shi Gao, Bai Zhi and Xin Yi Hua, for acute Wind-Heat patterns.
Rz. Ligustici Gao Ben 10g Expels Wind and Cold.
With Xi Xin, for Wind-Cold-Damp headache, vertex headaches, stiff neck and toothaches.
With Xi Xin, Bai Zhi and Shi Gao, for frontal and migraine headaches.
Rx. Scutellariae Huang Qin 15g Clears Heat, dries Dampness, drains Fire, detoxifies, cools the Blood, stops bleeding and calms ascending Liver Yang.

FORMULA ACTIONS

  • Expels Wind-Heat and Wind-Cold
  • Anchors Liver Yang
  • Calms Liver Wind
  • Clears Heat
  • Cools the Blood
  • Nourishes Yin
  • Drains Fire
  • Relieves toxicity
  • Softens hardness
  • Dissipates nodules

SYNDROMES

  • Late-Stage nasopharyngeal cancer with headache, tinnitus and deafness

CLINICAL MANIFESTATIONS

  • Epistaxis, usually a small amount of Blood (initial stage)
  • Nasal obstruction (early stage)
  • Tumor in the nose
  • Tinnitus
  • Headache
  • Deafness
  • Masses of the neck
  • Vernet's syndrome
  • Platoplegia
  • Asymmetry of the palate
  • Disappearance of the mouth opening
  • Migraines
  • Dysphagia
  • Choking sensation while drinking
  • Hoarseness
  • Exophthalmos
  • Blindness
  • Usually asymptomatic at the early stage
  • The tumor may appear as a cauliflower-like nodule or ulceration on the nasopharynx or as membrane erosion of abnormal color
  • If the tumor infiltrates to the submucosal layer, the surface of the membrane will be smooth and the nasopharynx will be depressed
  • Cranial nerve involvement is reflected by:
    Paralysis of the eyeball
    Facial hypothesia or hypoalgesia
    Difficulty opening the mouth
    Inclination of the tongue when it protrudes
    Aphasia
    Paralysis of the soft palate
    Disappearance of the gullet response

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For a dry throat: For dysphoria due to Excess Deficiency Fire:
+ 15g Rx. Trichosanthis Tian Hua Fen
+ 9g Rehmannia Six Pills
Liu Wei Di Huang Wan
+ 15g Rx. Ophiopogonis Mai Men Dong + 15g Rx. Trichosanthis Tian Hua Fen