LUNG CANCER, PULMONARY CARCINOMA

Clinical Manifestations
  • Coughing
  • Bloody sputum
  • Chest pain
  • A choking sensation over the chest
  • May be signs of infection
  • If the tumor invades the pleura: Dyspnea
  • If the tumor invades the phrenic nerve:
    Horner's syndrome (ptosis miosis)
    Enopthalmos
    Ipsolateral decreased sweating on the involved side
  • If the tumor compresses the superior vena cava:
    Swelling of the face, neck and upper chest
    Engorgement of the vein
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Severe sore and swollen throat
  • High fever with convulsions in infants
  • Difficulty swallowing
  • Carbuncles
  • Acute localized infection
  • Lymphangitis
  • Furuncles
  • Abscesses Boils
  • T: Red
  • C: Greasy and yellow
  • P: Rapid
Treatment Principle
  • Expel Wind
  • Clear Heat
  • Ventilate the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Dry cough with little or no sputum
  • Sputum is difficult to expectorate
  • Maybe hemoptysis
  • Cough may cause chest pain
  • Dry or sore throat
  • Hoarse voice
  • Dry lips and mouth
  • Thirst
  • Dryness in nose
  • Epistaxis
  • Chills and fever
  • Headache
  • Anhidrosis
  • Dry skin and hair
  • Constipation
  • T: Red tip
  • C: Thin, yellow and dry
  • P: Superficial, maybe rapid
Treatment Principle
  • Clear the Lungs
  • Moisten Dryness
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • No chills
  • Aversion to Heat
  • Cough
  • Asthma
  • Restlessness
  • Thirst
  • Dark yellow urine
  • Dyspnea
  • Chest pain
  • Shortness of breath
  • Thick yellow Phlegm
  • T: Red
  • C: Thick and yellow, maybe dry and sticky
  • P:  Rapid, maybe slippery, maybe forceful
Treatment Principle
  • Clear Lung Heat
  • Transform Phlegm
  • Dissipate nodules
  • Stop cough
  • Inhibit the growth of cancer cells
Herb Formulas
Points
Clinical Manifestations
  • Tumor develops quickly
  • Long-standing illness
  • Pain
  • Redness
  • Ulceration
  • Discharge of yellow or bloody, foul-smelling fluid
  • Fatigue
  • Fever
  • Anxiety
  • Dry mouth
  • Thirst
  • Dark urine
  • Bitter taste
  • Red eyes
  • Insomnia
  • Anorexia
  • Abdominal distention and discomfort
  • Suffocating sensation in the chest
  • Maybe abdominal pain on palpation
  • Dislike of oily foods
  • Nausea
  • Vomiting
  • Lassitude
  • Maybe thirst or thirst with no desire to drink
  • Diarrhea with foul smell or
  • Constipation
  • Sweet sticky taste or bitter taste in mouth
  • T: Red
  • C: Thick, yellow and greasy (maybe sticky)
  • P: Wiry or Rolling and rapid or Wiry, overflowing and rapid or Soft and rapid
Treatment Principle
  • Clear Lung Heat
  • Eliminate Damp-Heat
  • Resolve Toxicity
  • Tonify Lung and Spleen Qi
  • Inhibit the growth of cancer cells
Herb Formulas
Points
Clinical Manifestations
  • Severe, dry hacking cough
  • No sputum expectorated
  • Small amounts of difficult to expectorate sputum
  • Blood tinged sputum (when Yin Deficiency Fire is present)
  • Shortness of breath
  • Stuffy chest
  • Thirst
  • Heartburn
  • Afternoon fever
  • Night sweats
  • Malar flush (especially in the afternoon)
  • Five Sole Heat
  • Malar flush
  • Dry mouth and throat
  • Itching in throat
  • Hoarse voice, low voice or loss of voice
  • Emaciation
  • T: Red and dry
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Moisten the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Cough with little yellow sputum
  • Spitting saliva
  • Wheezing
  • Shortness of breath
  • Dry, uncomfortable sensation in throat
  • Hiccups
  • Dry mouth
  • Coughing up difficult-to-extectorate Phlegm
  • Scanty urination
  • Hoarseness
  • Thirst
  • Asthma
  • Flushed face
  • Five sole Heat
  • Maybe a high fever
  • No chills
  • Aversion to Heat
  • Cough
  • Asthma
  • Restlessness
  • Thirst
  • Dark yellow urine
  • Dyspnea
  • Chest pain
  • Thick yellow Phlegm
  • T: Red and dry
  • C: Thick and yellow, maybe dry and sticky
  • P:  Rapid, maybe slippery, maybe forceful or Thready and rapid or Deficient and rapid
Treatment Principle
  • Nourish Lung Yin
  • Clear Lung Heat
  • Resolve toxicity
  • Activate the Blood
  • Dry Dampness
  • Expel Phlegm
  • Inhibit the growth of cancer cells
Herb Formulas
Points
Clinical Manifestations
  • Soft, weak cough with clear thin sputum
  • Physical and mental exhaustion
  • Soft, weak voice
  • Reluctance to speak
  • Shortness of breath
  • Pale face
  • With Wei Qi Deficiency:
    Spontaneous perspiration (daytime)
    Low resistance to common cold
    Tendency to a blocked nose
  • T: Pale
  • C: Thin and white
  • P: Weak
Treatment Principle
  • Reinforce the Lungs
  • Strengthen Qi
Herb Formulas
Points
Clinical Manifestations
  • Coughing
  • A low or soft voice
  • Hoarseness
  • Shortness of breath
  • Chest pain
  • Sometimes facial edema
  • T: Pale
  • C: White
  • P: Thready
Treatment Principle
  • Tonify Lung Qi
  • Nourish Lung Yin
  • Dissolve masses
Herb Formulas
Points
Clinical Manifestations
  • Weakness
  • Shortness of breath
  • Cough
  • Copious white sputum
  • Puffiness
  • Chest pain
  • Abdominal distention
  • Anorexia
  • Edema of the face and legs
  • Weak limbs
  • Constipation or
  • Loose stools
  • T: Pale with teethmarks
  • C: White
  • P: Soft and feeble
Treatment Principle
  • Tonify Lung and Spleen Qi
  • Dissolve masses
  • Dissolve toxins
  • Expel pathogenic factors
Herb Formulas
Points
Clinical Manifestations
  • Cough with little yellow sputum
  • Spitting saliva
  • Wheezing
  • Shortness of breath
  • Dry, uncomfortable sensation in throat
  • Hiccups
  • Dry mouth
  • Coughing up difficult-to-extectorate Phlegm
  • Nausea
  • Epigastric pain
  • Scanty urination
  • Hoarseness
  • Thirst
  • Asthma
  • Flushed face
  • Five Sole Heat
  • Vomiting
  • T: Red and dry
  • C: Little or None
  • P: Thready and rapid or Deficient and rapid
Treatment Principle
  • Nourish Yin
  • Moisten the Lungs and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Unproductive cough or
  • Scanty, sticky phlegm or
  • Sometimes blood-streaked sputum
  • Shortness of breath
  • Dry mouth
  • Dry throat
  • Low back and knees sore and weak
  • "Steaming Bone" tidal fever
  • Night sweats
  • Malar flush
  • Afternoon tidal fever
  • Maybe hoarse voice
  • Maybe pain in shin, foot, and heel
  • General lassitude
  • Sterility
  • Spermatorrhea
  • T: Red and dry
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Moisten the Lungs
  • Reinforce the Kidneys
  • Dissolve toxins
Herb Formulas
Points
Clinical Manifestations
  • Unproductive cough
  • Scanty, sticky phlegm or
  • Sometimes blood-streaked sputum
  • Chronic wheezing which is severe and may be constant
  • Wheezing may be worse at night
  • Wheezing and panting which is worse on exertion
  • The patient may develop a barrel chest and a thick neck
  • Tightness and fullness in the chest
  • Shortness of breath (difficult to inhale)
  • Dyspnea exacerbated by exertion
  • Asthma (inhalation difficult)
  • Soft, weak voice
  • Spontaneous perspiration
  • Aversion to Wind
  • Emaciated body
  • Exhausted Shen
  • Dispirited
  • Limbs cold
  • Face blue-green-colored
  • Maybe superficial edema of limbs and body
  • Maybe dysuria
  • Maybe stress incontinence on coughing
  • Dry mouth
  • Dry throat
  • Warm, dry skin
  • Chronic sore throat
  • Low back and knees sore and weak
  • "Steaming Bone" tidal fever
  • Fine sole Heat
  • Tinnitus
  • Night sweats
  • Malar flush
  • Maybe hoarse voice
  • Aversion to Heat
  • Finger clubbing
  • Large, red skin reaction to needles or pressure
  • Maybe kyphosis of the upper back
  • Maybe pain in shin, foot, and heel
  • Sterility
  • Spermatorrhea
  • Patients who used steroids as children may be small in stature
  • T: Red and dry or Pale, moist and swollen
  • C: None or Mirrored or White
  • P: Thready and rapid, may be fuller if on steroids or Deep and thready or Weak
Treatment Principle
  • Tonify Qi
  • Nourish Yin
  • Clear Heat
  • Cool the Blood
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Coughing
  • Swelling and pain of the throat
  • Thick, salty sputum with mucus and Blood
  • Chills
  • Aversion to Cold
  • Nausea
  • Vomiting
  • Fullness and congestion in the chest
  • Distention of chest and epigastrium
  • Coughing up copious, thin, white sputum
  • A dry mouth
  • No thirst
  • Foul-smelling sputum
  • Dyspnea
  • Sallow complexion
  • Anorexia
  • Rolled lips
  • Pale lips
  • Stiff tongue
  • Tired limbs
  • Heavy limbs
  • Abdominal and epigastric distention after meals
  • Maybe bleeding
  • Stifling sensation in the chest and epigastrium
  • Acid regurgitation
  • Shortness of breath
  • Loose stools or diarrhea
  • Lethargy
  • Thin muscles
  • Fatigue
  • Does not like to speak
  • Weak, soft voice
  • Maybe enuresis
  • Maybe borborygmus
  • Maybe cold extremities
  • Maybe abundant clear urine
  • Muscle weakness in arms and legs
  • Weak abdomen
  • T: Pale and flabby, may have teeth marks
  • C: White and greasy
  • P: Soft and weak
Treatment Principle
  • Tonify Qi
  • Strengthen the Spleen and Stomach
  • Dry Dampness
  • Circulate Qi
  • Eliminate Phlegm and pus
  • Clear Heat and Toxins
  • Inhibit the growth of cancer cells
Herb Formulas
Points
Clinical Manifestations
  • Cough with little yellow sputum
  • Spitting saliva
  • Wheezing
  • Shortness of breath
  • Dry, uncomfortable sensation in throat
  • Hiccups
  • Dry mouth
  • Coughing up difficult-to-extectorate Phlegm
  • Nausea
  • Scanty urination
  • Hoarseness
  • Thirst
  • Asthma
  • Flushed face
  • Five sole Heat
  • Vomiting
  • T: Red and dry
  • C: Little or None
  • P: Thready and rapid or Deficient and rapid
Treatment Principle
  • Nourish Lung Yin
  • Benefit the Stomach
  • Generate Fluids
  • Descend Qi
  • Harmonize the Middle Jiao
Herb Formulas
Points
Clinical Manifestations
  • Coughing fits with hemoptysis
  • Burning pain in chest and sides
  • Dizziness
  • Face and eyes red
  • Bitter taste in mouth
  • Dry lips
  • Short-tempered
  • Irascibility
  • Restlessness
  • Maybe dark urine
  • Maybe constipation
  • T: Red
  • C: Thin, yellow and dry
  • P: Wiry and rapid
Treatment Principle
  • Clear Liver Fire
  • Purge the Lungs
Herb Formulas
Points
Clinical Manifestations
  • A dry cough with little sputum
  • The sputum is yellow or bloody
  • A dry mouth
  • Thirst
  • Tidal fever
  • Five Sole Heat
  • Night sweats
  • Chest pain
  • T: Red
  • C: Little or None
  • P Thready and rapid
Treatment Principle
  • Tonify Yin
  • Resolve toxicity
  • Dissolve masses
Herb Formulas
Points
Clinical Manifestations
  • Chronic coughing
  • Wheezing
  • Shortness of breath
  • Dilute sputum
  • Fatigue
  • Aversion to Cold
  • Loose stools
  • Poor appetite
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • T: Pale or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Thin and choppy or Deep, feeble and thready
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Amnesia
  • Palpitations
  • Feverishness
  • Anorexia
  • Emaciation
  • Pale face
  • Insomnia
  • Dyspnea on mild exertion
  • Fatigue
  • Shortness of breath.
  • Weight loss
  • Dry skin
  • Dry mouth
  • Dry throat
  • Dry lips
  • Uterine bleeding
  • Irregular menstruation
  • May suddenly lose consciousness
  • Slack jaw
  • Restless at night
  • Lassitude
  • Tendency toward being frightened easily
  • Weakness
  • Sallow complexion
  • Dizziness
  • Tremors in the limbs
  • Spontaneous perspiration
  • Fever and severe chills
  • General debility
  • Mental instability
  • Coughing and gasping.
  • Night sweats
  • Amnesia.
  • Diarrhea
  • Turbid urine
  • Nocturnal emission
  • Impotence
  • Constipation
  • Feeble breathing.
  • Tired limbs
  • T: Pale
  • C:White
  • P: Thready and weak or thready, rapid and weak or Deep and weak
Treatment Principle
  • Replenish Yang
  • Warm and tonify Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Initial stage
  • Chronic, stubborn skin lesions
  • Sores
  • Enlarged lymph nodes
  • Nodules
  • Malignant abscesses and sores
  • Syphilitic sores
  • Red itching skin
  • Hardness
  • T: Pale with red spots
  • P: Rapid and pecking
Treatment Principle
  • Clears Heat
  • Cool the Blood
  • Dissipates swellings
  • Dispels noxious sores
  • Disperses nodules and hardness
Herb Formulas
Points
Clinical Manifestations
  • Chronic stabbing pain in the chest
  • Pain in the hypochondrium
  • Hemoptysis
  • Chronic, stubborn headache with a fixed, piercing quality
  • Palpitations
  • Chronic incessant hiccups
  • Five Sole Heat
  • Choking sensation when drinking
  • Dry heaves
  • Depression or low spirits with a sensation of warmth in the chest
  • Chest distention
  • Dry, scaly skin
  • Dark rings under the eyes
  • Spider naevi on the cheeks, nose, trunk, inner knee and ankle
  • Dizziness
  • Chronic tinnitus
  • Irritability
  • Fidgeting
  • A bad temper
  • Extreme mood swings
  • Evening tidal fever
  • Dark or purplish lips, conjunctiva or nail beds
  • Dark complexion
  • Dark sclera
  • Hair loss on the head and body
  • Chronic gum disease with dark, purplish, patchy or dark, red atrophic gums
  • Loose teeth
  • Painful receding gums
  • Frequently bleeding gums
  • Vomiting after intake of water
  • Palpitations
  • Persistent daytime drowsiness
  • Insomnia (persistent with much dreaming)
  • Restless sleep
  • Forgetfulness
  • T: Dark-red or purple with purple spots on the edges
  • P: Choppy or Wiry and tight or Wiry and choppy or thready or Deep and choppy or Wiry
Treatment Principle
  • Invigorate the Blood
  • Dispel Blood Stasis
  • Spread Liver Qi
Herb Formulas
Points
Clinical Manifestations
  • Cough with sticky, yellow, difficult to expectorate sputum
  • Rapid breathing with a harsh voice
  • Restless fever
  • Sore throat
  • Constipation
  • Dry stools
  • Mania
  • Shortness of breath
  • Dyspnea
  • Nausea
  • Vomiting
  • Chest and/or epigastric fullness
  • Pain in the ribs
  • T: Scarlet
  • C: Yellow or Yellow and greasy or Yellow and smooth
  • P: Rapid and smooth or Slippery and rapid
Treatment Principle
  • Clear Heat
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Vertigo
  • Mental cloudiness
  • Heavy head
  • Heavy sensations in the body
  • Cough with Excess sputum
  • Chest and epigastric distention
  • Suffocating sensation in the chest and epigastrium
  • Nausea
  • Profuse sputum
  • Vomiting
  • Anorexia
  • Fatigue
  • Borborygmus
  • Tinnitus
  • Mouth glutinous
  • No thirst
  • Likes to sleep
  • Maybe palpitations
  • T: Thick
  • C: White and greasy or Sticky and white
  • P: Rolling or Wiry and slippery
Treatment Principle
  • Strengthen the Spleen
  • Harmonize the Stomach
  • Eliminate Dampness
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Shortness of breath
  • Aversion to Heat
  • Thirst
  • Cough
  • Asthma
  • A bitter taste in the mouth
  • Local redness, swelling and pain
  • Maybe fever and chills
  • T: Normal or Red
  • C: Thin white or yellow
  • P: Rapid and forceful or Wiry and rapid
Treatment Principle
  • Clear Heat
  • Eliminate toxins
  • Reduce swelling
  • Soften hardness
  • Invigorate Blood circulation
  • Stop pain
  • Inhibit the growth of cancer cells
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Shortness of breath
  • Aversion to Heat
  • Thirst
  • A bitter taste in the mouth
  • Local redness, swelling and pain
  • Maybe fever and chills
  • Cough with sticky, yellow, difficult to expectorate sputum or
  • Soft, weak cough with clear thin sputum or
  • Severe, dry hacking cough
  • Rapid breathing with a harsh voice
  • Restless fever
  • Sore throat
  • Constipation
  • Dry stools
  • Mania
  • Dyspnea
  • Nausea
  • Vomiting
  • Chest and/or epigastric fullness
  • Pain in the ribs
  • Physical and mental exhaustion
  • Soft, weak voice
  • Reluctance to speak
  • Shortness of breath
  • Pale face
  • Small amounts of difficult to expectorate sputum
  • Blood tinged sputum (when Yin Deficiency Fire is present)
  • Afternoon fever
  • Night sweats
  • Malar flush (especially in afternoon)
  • Five Sole Heat
  • Dry mouth and throat
  • Itching in throat
  • Hoarse voice, low voice or loss of voice
  • Emaciation
  • T: Red and dry or Scarlet
  • C: Yellow or Yellow and greasy or Yellow and smooth
  • P: Rapid and forceful or Wiry and rapid or Rapid and smooth or Slippery and rapid or Thready and rapid
Treatment Principle
  • Clear Heat
  • Resolve toxicity
  • Eliminate Hot Phlegm
  • Stop bleeding
  • Invigorate the Blood
  • Reduce swelling
  • Disperse s nodules
  • Eliminate masses
  • Alleviate pain
  • Inhibit the growth of cancer cells
Herb Formulas
Points
Clinical Manifestations
  • Local redness, swelling and pain
  • Maybe fever and chills
  • Anorexia
  • Abdominal distention and discomfort
  • Suffocating sensation in the chest
  • Dislike of oily foods
  • Nausea
  • Vomiting
  • Lassitude
  • Scanty, dark urine
  • Maybe thirst or thirst with no desire to drink
  • Diarrhea with foul smell or
  • Constipation
  • Fever
  • Sweet sticky taste or bitter taste in mouth
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of low back
  • Spermatorrhea or premature ejaculation
  • Aching in bones
  • Aching in leg and heel
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
Treatment Principle
  • Promote urination
  • Dispel Dampness
  • Clear Heat
  • Relieve Fire toxins
  • Tonify the Liver and Kidneys
  • Strengthen the sinews and bones
Herb Formulas
Points