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Chih-Nan Huang1Jia-Ming Chen1*
1Department of Traditional Chinese Medicine, Changhua Christian Hospital, Changhua, Taiwan
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The 58-year-old man of this case had no obvious symptoms before he was diagnosed with prostate cancer, the diagnosis on 2013/8 had found that the cancer has metastasized to end-stage prostate cancer complicated with multiple bone metastases. Generally, end-stage prostate cancer patients aren’t able to live over 3.5 years, under such circumstance, the only ways to extend life are hormone therapy, radiotherapy, and chemotherapy. The patient was continuously treated with combination of radiotherapy and hormonal therapy from 2013/8 to 2015/8, and 2015/8~2017/12 for the first phase of chemotherapy (taxotere). Due to a number of discomfort symptoms: tired, sweat, vomit inverse, constipation, urologists recommended to merge traditional Chinese medicine into treatment to treat the side effects caused by radiotherapy and chemotherapy. Symptoms including tired, sweat, vomit inverse, constipation and PSA (prostate specific antigen ＜4 ng/mL) stability were significantly improved for up to 1.5 years after the intervention of Chinese medicine. However, it was found that the PSA began to rise in May 2017, so the second phase of the taxotere was started in June 2017. Urologists originally considered the need for further treatment with chemotherapeutic drugs, and during this period the patient hoped that the Chinese medicine practitioners could provide assistance in resisting the recurrence of cancer. We prescribed the San Zhong Kwei Jien Tang by syndrome differentiation and treatment of traditional Chinese medicine, and collaborate with Urology physicians during the second chemotherapy by using the same dose of chemotherapy drug (taxotere). The PSA began to drop in August 2017/9 and maintained within the desired value PSA＜4 ng/mL, the chemotherapy was also stopped. The patient is still in the urology and Chinese medicine clinics follow-up treatment, his physical condition is good enough to engage in normal activities.
【Keywords】Integrative Medicine, Prostatic cancer, multiple bone metastasis,PSA, San Zhong Kwei Jien Tang
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212.19 中西醫結合治療男性攝護腺癌合併多發性骨轉移病案
