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Ming-Huei Cheng1*Huan-Chin Lin1Ting-Fang Huang2
1Department of Traditional Chinese Medicine, Feng Yuan Hospital of the Ministry of Health
and Welfare, Feng Yuan, Taiwan
2Department of Dentistry, Feng Yuan Hospital of the Ministry of Health and Welfare, Feng Yuan, Taiwan
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A 40-year-old male presented with tongue ulcer, dysphagia, and hemoptysis for one year. He had a history of >20-year chewing betel quid, tobacco, and alcohol use. Advanced Oropharyngeal cancer (squamous cell carcinoma, C02.1 malignant neoplasm of border of tongue, iT2N1M0) was found, with metastatic lymphadenopathies. The tumor was treated by concurrent chemoradiation therapy (cisplatin*3). However, he has suffered from neck mass(a cluster of metastatic lymphadenopathies with central necrosis, in right upper neck and invades into the right parotid gland, 5cm), sore throat, dysphagia, otalgia, headache, odynophagia, change in voice, loss of appetite, weight loss(92Kg to 54.4Kg), sallow complexion, and fatigue after refusing the surgical excision since one month ago. The pulse diagnosis was string-like, fine, and slippery. Also, the tongue diagnosis was red tongue with thin fur. According to such many signs, a diagnostic conclusion according to Traditional Chinese Medicine Theory, pattern, suggested retained dampness heat toxin in tongue with dual deficiency of qi and yin constitutions. Therefore, we used the therapeutic principle--clearing heat, detoxify, dispelling phlegm, dispersing nodules, tonifying qi and enriching yin.After the Chinese Medicine based on the principle was given to the patient, he reduced the dose of morphine (one time 2 hours to 4 hours). Additionally, right
lymph node mass shrank from 5cm to 1cm, and otalgia, headache, odynophagia all were relieved..
【Keywords】Traditional Chinese Medicine; Oral squamous cell carcinoma; Tongue cancer; Retained dampness heat toxin; Dual deficiency of qiand yin; Xian Fang Huo Ming Yin
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242.6 中藥治療第三期口腔癌淋巴轉移腫塊病例報告
