Liver cancer to determine the best treatment
My father has a 80-year-old, recently found suffering from liver cancer in the right lobe has a large 4.9 cm, liver function very well with surgery, radiofrequency ablation, but there is some degree of difficulty is also a doctor can do within the scope of currently available Conditions of operation do not be afraid of regret, but too afraid of age after the restoration is difficult, radiofrequency ablation of small wounds, but I do not completely at a loss Koubai everyone who has the experience for the elderly patients that do better? How long can the two?
Answer:
The main treatment for advanced liver cancer are chemotherapy (including intervention) and for the treatment of symptoms. If the liver tumor larger, recommend the use of radio frequency or frozen. If there is no special symptoms, you can only use chemotherapy.
Liver cancer - treatment
First, the basic treatment
The goal of the treatment of liver cancer, a cure for; for the second extension of survival; three in order to alleviate the suffering. From the perspective of the treatment combined with national conditions, there are a number of factors and treatment are closely related; ① compensatory cases of liver function; ② involving half the liver cancer or liver; ③ tumors greater than or less than 5cm; ④ whether the portal vein tumor thrombus. Small liver cancer, must strive for a smaller tumor when treatment of large liver cancer, the fight should happen in the portal vein tumor thrombus to make the diagnosis and treatment.
Of less than 5cm of small liver cancer, liver function, such as compensation, and strive to be removed, leaves can be left as appropriate for local excision, or sub-paragraph liver segmentectomy; right lobe of the liver or gate areas, are advised to have a partial liver cirrhosis Excision, without cirrhosis, as appropriate, can be removed or partial hepatectomy; can not be removed for small liver cancer, surgery can be affected hepatic artery ligation (HAL), hepatic artery drug infusion (HAI), as appropriate, or merger Without local treatment, such as frozen, lasers, microwaves, ethanol injection (after ultrasound-guided continue to carry out), in patients who can not make HAL for after percutaneous hepatic artery embolization (TAE ). Small liver cancer with liver decompensation are advised to make ultrasound-guided percutaneous ethanol injection, a small number of carefully try to TAE.
Large liver decompensation liver function, side to make the radical resection, radical resection can not choose who to narrow after the removal of the program, in operation or HAL + HAI, or frozen, laser, microwave, alcohol, or, where appropriate, And; such as pre-operative resection may have no estimate can be conducted without TAE (too many anti-). After palliative surgery and TAE, after the merger, as appropriate, may also be local radiation therapy, radioimmunotherapy, biological response modifier (BRM), Chinese medicine, and other conditioning. If the liver tumor resection may have to reduce, for the second phase will be removed. Large liver cancer involving both the liver, can be palliative surgery (mainly for the HAL + HAI), or TAE, after the merger radioimmunotherapy, BRM, or traditional Chinese medicine. Large liver cirrhosis function loss compensation you can do a very small number of carefully test TAE, only to use the majority of BRM, medicine or try a small amount of oral chemotherapy drugs.
There are the backbone of the portal vein tumor thrombus, the small ultrasound-guided liver cancer can test ethanol injection, the test can TAE, and then the combined use of BRM and Chinese medicine treatment.
There are jaundice, ascites are normally to use the BRM and Chinese medicine treatment, but the individual as a result of a single hilar tumor suppression caused by obstructive jaundice without ascites, liver function, such as compensation, test TAE or surgery for HAL + HAI, very And therefore reduce or even individual was removed.
After radical resection of sub-clinical phase of recurrence or a single lung metastases, should have a positive line and then removed if they can not or do not removed, can be used for a variety of topical treatment.
Cancer pain can take painkillers and Chinese medicine conditioning measures to alleviate the suffering of patients.
Due to the vast majority of patients with clinical indication for surgery-free, and relies on drug treatment, chemotherapy and traditional Chinese medicine are two pillars of the medication, and the efficacy of Chinese medicine is not inferior to systemic chemotherapy, as well as characteristics. Therefore, traditional Chinese and western medicine treatment of liver cancer, the most effective, traditional Chinese and western medicine treatment of liver cancer in China is the original, is the most commonly used methods.
“China’s tumor” to invite experts to develop liver cancer in the standardization of traditional Chinese and western medicine programs are as follows:
T1N0M0, surgery or radiation therapy, or local injection of drugs, as well as long-term medicine.
T2N0M0, surgery or radiation or injection therapy, traditional Chinese medicine combined with long-term or immunotherapy.
T3N0M0 may, for surgery or radiation therapy or long-term intervention and treatment of traditional Chinese medicine services; of which, such as a single cancer with a diameter of> 8cm, may be involved in treatment, radiation therapy or surgery to remove the re-and long-service medicine; as a single ≥ 10cm , The first interventional therapy, radiation therapy and traditional Chinese medicine services.
T4N0M0 are mainly Chinese, or try to intervene or radiation treatment.
T1, such as hilar lymph nodes, which may be radioactive.
M1 patients can be surgery, radiotherapy, chemotherapy treatment or intervention, and traditional Chinese medicine, Chinese medicine or for a single.
Regardless of liver cancer T, N, M is the circumstances, such as abnormal liver function, or serious liver cirrhosis is mainly based traditional Chinese medicine treatment. If jaundice, ascites, also based medicine, to be jaundice, ascites control, and then decided to give other treatment.
In addition to the current radical resection may cure liver cancer, there is no other effective treatment. In recent years, studies have shown that in the search for new methods, such as the old method can be properly integrated applications can be received an unexpected effect, that is, 1 +1> 2, such as an integrated, it may be 1 +1 <2 Or even 1 +1 = 0. Comprehensive treatment with sequential therapy, in principle, should make all kinds of therapy, or targeted at different segments of their own, or another method to make up for the side effects, and so on, depending on the patient’s situation and flexibility in order to achieve the maximum kill tumor, The maximum preservation of the body (in particular, liver function, immune function and the function of blood). In the overall design should also pay attention to attack both up, pay attention to the eradication of tumors both ways (such as surgery, radiotherapy, chemotherapy, the treatment-oriented, etc.) and focus on mobilizing support and resistance capacity of the body (such as BRM, Fuzheng Chinese medicine, etc.).
Second, traditional Chinese medicine
At present, clinical diagnosis of the tumor, is more than 80% in late, with only a small number of patients suitable for surgery. The tumor lesion of the local body for the performance of not only surgery patients after necessary treatment in Chinese medicine, not surgery is even more the need for traditional Chinese medicine or traditional Chinese and western medicine. Chinese medicine has become the most basic treatment of liver cancer, the most widely used method of treatment. Professor Tang Zhaoyou pointed out that traditional Chinese medicine treatment of liver cancer, at least not worse than the effect of chemotherapy.
(A) the treatment of Syndrome Differentiation
Third National Symposium on Traditional Chinese Medicine Tumor Data (November 1988) introduced the “Treatment of liver cancer basic points for the injury is not Quxie, Fuzheng up to evil, disease medicine to be sent to the election taken as a whole. Shugan specific application of Kin Spleen, Qi Yin, the heat-clearing and detoxifying, Ruanjian phlegm, and Qi Huoxue such as the rule is to make this part of the patients with liver cancer disappeared, his condition stable, narrow focus, as well as extended survival, so that more than half of the 1-year survival rate of patients Up to 28.98 percent, more than 2-year survival rate was 13.51%, the survival of a small number of patients to achieve a 3 to 6 years.
Sun Simiao of the Tang Dynasty: “Chung-fu’s disease to accumulate, all from the false, false in all kinds of Health.” Launch of the plot Biejiajian pill to Senate, Qi, plastic, Guangxi, Jiang and Chai Hu, Huang Qin, Fu Zheng Strengthening the economy, cold and heat transfer; turtle shell, honeycomb, and lice, Qiang Lang, Ji-breaking poverty, in addition to Xure; rhubarb, peach kernel, paeonol, Red Glass, peony, promoting blood circulation to Peak; Belamcanda, Semen Lepidii son, Magnolia, Ban Xia, Wei Shi, pink gasification to wet grounds. According to this set of principles to Buxu centralizer, the soft-Kennedy plot to attack. Based on the author’s cancer patients to Virtual Yang-based understanding, it should be in the plot of Biejiajian pill on the basis of Zhuojia yang drugs, guns, such as Aconite, deer horn and the spleen Faerie drugs such as the basic composition of the liver side . Re-operation under the Council of specific types of the disease rule to support the party’s basic addition and subtraction.
Chen Yiwen, and other experts of the older generation Conghua plot Biejiajian pill in the Conference of extinction within the tumor pill to the basic, applied to clinical oncology and with the addition and subtraction cards. In contrast, we only emphasized the Fuzheng yang.
1. Spleen-liver depression (or simply non-liver-hardening)
Zhang Man see evidence chest and abdomen, food inflation after more stuffy, poor appetite, nausea, fatigue, greasy yellow tongue coating, thin veins string. Liver cancer by side with the basic Bupleurum liver drink together Shenling Powder Kennedy ulcer or liver soup, Jieyu liver, spleen yang Huashi.
2. Hot liver and blood stasis (that is, liver inflammation)
Fever see cards polydipsia, Xiexia pain, jaundice deepened and increased transaminase, gum bleeding, was very bloody, greasy yellow tongue coating and dry, string a few veins. Long Dan Xie Gan first, put out a casual liver Baidu, the Chinese soup, and so on in order to heat antidotes antidote. Heat to be back, and then to liver application basic addition and subtraction side.
3. Liver-kidney-yin deficiency (that is, the liver-hardening)
See card deficiency heat, low fever, mental fatigue, limb weakness, sweating is moving, poor appetite, dry mouth Jin little less tongue fur, small veins can not afford. This is the liver Yang Deficiency liver cancer, and to the development of the period there were obvious deficiency. Should be the basic treatment of liver cancer by side Liuweidihuangwan, Yin pill or Artemisia annua, and other turtle soup. Yang can reduce it dry or strong dose of the drug, Zhuo Jia Yin and Qingxudong accompanied by fever drugs in order to achieve yang Qi, Yin and heat.
Chuan Lianzi plus the District of liver pain, dl, HUANG Jin; Ou Tuzhe increase Chenpi nausea, bamboo mushrooms, Pinellia; jaundice deepen plus capillaries, Gardenia, Radix; Magnolia plus bloating, rhubarb, Taifu Pi; or hematochezia Black more than charcoal can increase blood, madder, Agrimonia, March 7, and so on.
We mainly to basic liver cancer, according to the above types of governance, the treatment of primary liver cancer, has made a good effect, such as by intravenous injection Cinobufacini, Shenmai injection fluid Shenfu injection , The effect more pronounced.
(B) differentiation of the modern study of liver cancer
Symptoms of liver cancer, in particular, the medium-term, a lot of changes. Dialectical tradition, with its cancer in the liver, identified as the Ganqiyuzhi; for its visible block, Bianqi for the Blood, have cancer in their heat, or Bianqi for evidence fever, or. Heat treatment of detoxification, blood circulation, Zhufa Ruanjian Sanjie, differentiation different treatment of different effects were poor.
Professor Yu Erxin-based group of experts, based on more than 1000 cases of primary liver cancer, liver cancer found that the symptoms, followed by abdominal pain, palpable abdominal mass, the upper Zhang Man, fatigue, stomach Steiner declined, nausea and vomiting, fever and diarrhea. According to Chinese medicine, bloating, fatigue, decreased appetite, nausea and vomiting, and diarrhea are among the “stomach” syndrome. Among them, liver pain, abdominal mass, fever, generally identify different differentiation, but not “stomach” debate. I examine the literature of Chinese medicine, was found after 3 kinds of symptoms should be treated as “stomach” syndrome. Li Dongyuan, such as: “spleen disease, have become angry when the navel, according to prison if the pain, agitated However, building construction, solid and hard if the plot, may have pain, is also a very big pain, there is a deficiency disease is also. “Pointed out that pain, abdominal mass may indeed result spleen disease. Li Dongyuan added: “The stomach, shortness of breath, the spirit of the small and large thermal Health” and “have Laojuan, gas-less bad, not gas-sheng, not on coke, Wan under the barrier, and Wei Qi hot, hot smoked have a good idea , The internal heat. ” Fever can be seen also as a result of the “stomach” due to illness. As a result, I believe that: Although Western medical diagnosis, in primary liver cancer and liver cancer, TCM from the point of view, it is a matter for? Quot; stomach “disease, liver disease is not, nor is it” Blood ” Disease.
Chronic hepatitis B, cirrhosis, liver cancer is considered to be an early stage of disease, the authors found that at this stage can have a deficiency. In the 1970s, has carried out large-scale surveys to detect liver cancer AFP. At that time, there is a part of the object detection, the AFP has increased, but then failed to find the images in the diagnosis of liver space-occupying areas. This is part of the object, in the follow-up, can be found within two years the rate of liver cancer occur in more than 10%. We used part of the targeted treatment of spleen, liver cancer occur after that part of the rate can be decreased significantly, at 2.7%.
In this way, can be deduced in the formation of liver cancer, has a longer period of the “stomach” the existence of disease. As the “deficiency” can be caused by stagnant air, can lead to further blood stasis. Also due to the deficiency can be caused by the wet resistance, and resistance of hot, humid become. Both the spleen and stomach disease, but also the formation of Weire. On this basis, and gradually cancer. As a result, from Western medicine for the diagnosis of liver cancer, and from the TCM, although the disease in the liver, and their “spleen.”
Seize the “stomach” the core of disease treatment, it may be the treatment of liver cancer “.” The overall treatment of liver cancer, according to this line of thought can be carried out. The adjustment of the spleen and stomach, it adjusted the whole, not only can improve the symptoms, should be able to enhance the effectiveness of treatment.
According to these ideas and methods, and the author of the 228 cases of liver cancer had a great treatment, the total radiation> 20Gy group of 157 cases, according to the analysis of the different TCM. That is, spleen qi treatment of 92 cases, 1-year survival rate was 86.67% ± 3.58%, 3-year survival rate was 55.25% ± 6.96%, 5-year survival rate was 42.97% ± 11.98%, median 53.4 months. And by promoting blood circulation, detoxification heat treatment of 65 patients, 1-year survival rate was 46.77% ± 6.34%, 3-year survival rate was 26.06% ± 6.85%, 5-year survival rate was 14.48% ± 7.19%, median survival time 11.1 months. Difference between the two groups is very clear. All cancer can be carried out in accordance with Chinese medicine point of view, clear their disease, “” lie, Differential Treatment, as part of the overall treatment.
Are advised to spleen deficiency, spleen yang wish to Jianpi just hit the disease, so we think that Professor Yu Erxin liver cancer identified the fundamental pathogenesis of “deficiency” disease and cancer pathogenesis simply as “Yang Qi” does not contradict health Spleen qi of law and then added with emphasis on yang effect of a better agent.
Shanghai Second Medical University of tumor-bearing mice spleen of experimental observation summed up as follows: the digestive tract cancer is a common cancer in China. Digestive tract cancer, the most common of the “evidence” is a deficiency.
We like Beijing Normal University reported the methods used rhubarb, such as the formation of Glauber’s salt deficiency model. Tumor after treatment of spleen. And then explore some of the efficacy of the mechanism.
(1) deficiency in tumor-bearing mice, the tumors of the development of these characteristics: the mass transfer from the “incubation period” short, fast development of the tumor, the worse situation body host, the host of the short survival time. Whether it is in mice, rats or mice; also whether transplantation HAC, BERH-2 or human hepatocellular carcinoma, both of the above.
(2) of the spleen with drug treatment, the “incubation period” long, slow development of tumors, the situation in the host body, host to survive a long period. Clinical similar to those seen with. Than with untreated, the difference is obvious.
(3) of the spleen cells of the drug cycle impact. So that the lower the percentage of S phase, cell proliferation index lower. In a certain pathological changes.
(4) on immune regulation. So has the decline in T cell function and improved so as to enable the activation of T cells inhibiting function, so that NK cell activity increased in the induction of LAK cells, rIL-2 to reduce the amount of activity to increase by LAK.
(5) deficiency of tumor-bearing host of changes in the albumin / globulin, liver glycogen, such as restoration of blood viscosity, as a whole has a regulatory role.
(6) and radiotherapy, chemotherapy combined to make the best control of cancer, immune function, host the longest survival time, the situation is back to host the body.
(7) to diethylnitrosamine induced cancer, spleen cancer drug induced on the role of the blocking process. It also found that the cancer induced cancer in the N-RAS gene over-expression, it would be near normal.
(8) also found that the mouse spleen, the spleen medicine can be used only to make it normal, and the results were above. The heat antidote, so that the host more damage, immune function in a more restrained.
Clinical practice shows that the partial antidote to use heat, breaking Poxue and gas under Commodities diarrhea, easy bleeding and liver induced coma.
In short, spleen qi deficiency on the Chinese model of liver cancer in mice can increase the level of immunity to protect liver function and improve the level of metabolism in the body, the liver cells also have a certain influence; and radiotherapy, chemotherapy with the same efficiency and help block Carcinogenesis. These results are similar to the results of clinical. From the point of the experiment confirmed that liver cancer is a disease machine for the deficiency, or virtual Yang. Spleen and to use the drug can not be applied Qingrejiedu medication.
(C) in patients with liver disease and tongue on the relationship between the machine
In the 1960s, such as Stephen Tong ⑾ ⑿ co-wei would like to incite ┥ fine wine container? Liver gall line, after the tongue-related research reports on the rise. Tang Chen-lung, and so an analysis of 100 cases of liver cancer with the tongue ties clinical found that the normal tongue were found in early stage liver cancer, liver function is relatively stable, smaller tumors, liver cirrhosis to a lesser extent, the longer survival time, the prognosis Better; blood red tongue on the contrary. Li Naimin of patients with liver disease and tongue were studied and found to border on both sides of the tongue and blue tongue Jiangzi mostly in conjunction with the tongue of blood petechiae, stripes and intravenous line bulge-Yu Qu and the mere mention of the number of Level, to a certain extent, reflect the degree of liver disease. Jiang Zi purple tongue or the tongue, liver tumors larger than most of 5cm, and easily disseminated in the liver, and surgery, and after the removal of AFP negative rate is low and easy in the short term tumor recurrence often fatal; tongue Dan Hong Only red or red side of the tongue, liver tumors less than the majority of 5cm, with the general spread of the liver, surgery and postoperative AFP negative high rate of recurrence after a long time, and two or three operations are more opportunities, Have a better prognosis. Liu Jiang, and so on 103 cases of primary liver cancer of the tongue observation showed that the red to purple-red as the tongue, followed by whitish, Dan Hong times more, less dark red, with tongue fur for Baini, Huang tired of meeting In short, thin white more times, thin yellow less. Some scholars point out that blue tongue pathological factors may be related to the portal vein blood, plasma viscosity, or increased microcirculation stasis and so on. From the perspective of Chinese medicine, it is cold and blood stasis. Early liver cancer, tongue as for the performance of the tongue or whitish Danhong, tongue coating for the performance of the thin white or Baini. Blood and cold performance was not obvious, as the disease progresses, Cold Blood and then gradually from the tongue as shown.
Purple or violet purple-red tongue, greasy yellow tongue coating, or thin yellow. The development of the disease and blue tongue was positively correlated with the degree of performance of the system. The same as our treatment, his condition improved, to reduce phenomenon purple tongue. Bruising on the tongue and so on the performance of Chinese medicine that is cold and blood stasis, is simply cold, cold here for Yang Qi, Yang will be cold, Yang is not gas, gas is not stasis, so we applied to basic liver cancer Increase drug use yang, the treatment of liver cancer is correct, and have made a better clinical effect. We have observed in the application, the application to increase the basic liver cancer drug in patients with yang, the light blue tongue phenomenon, to reduce the disease; yang out drugs such as the application of heat or detoxification drugs, patients add to the phenomenon of blue tongue disease Increase; On the other hand, a turn for the better. Tongue observation of changes in our guide clinical medicine is an important indicator (for example, under the tongue like change, promoting blood circulation and yang, we can adjust the type of drug and dose), clinical treatment is of great significance.
(D) to post prescription
1. By liver cancer, “Zheng Jia accumulate” to rule on the liver-based group promoting blood circulation to drugs, mainly apply to Qizhixueyu, are obvious mass. Bupleurum Chinese medicine hospital in Zhejiang Province, Fuling, Paeonia, peony, madder, Angelica, Radix, Cyperus, the fleas off, baicalin, Ezhu, Trichosanthes, Health turtle shell, Polygonum, such as Yunnan Baiyao Group side, treatment 19 cases of liver cancer, the 5-year survival of 12 patients, 2 to 4 years in 2, 4 to 5 years in 1 case, 5 to 6 years, the average survival time was 17.4 months.
2. Bupleurum 12g, Chenpi 10g, Hangju 9g, Angelica 9g, Salvia 10g, August bar 20g, red 6g, Poria 12g, Scutellaria barbata 25g, Tri-20g, Polygonum 30g, paeonol 10g, dandelion 20g , Black nightshade 20g, capillaris 20g. Qi added dangshen, Ligustrum lucidum; Lin Yin-deficiency plus dry grass, turtle shell of Health, Health shells, raw land; liver pain plus Chuan Lianzi, frankincense, and myrrh; jaundice plus Gardenia; plus bloating costas, Magnolia; Bai plus lump in the abdomen; increase nil Ascites son, Alisma, umbellatus, lobelia, and pokeweed.
3. Ezhu 20g, the Kowloon-Hong insects 20g, Radix 10g, Arrowhead Hill 20g, Cassia thorn 10g, fleas off 15g, Aurantii 12g, Siphonostegia 15g, oyster Health 20g, turtle shell 15g, Radix 10g, Chenpi 10g, Salvia 15g, dangshen 15g, skin jaundice Yinchenhao reuse, Radix; liver area to add drama pain frankincense, myrrh, Yuan Hu, Radix, chelerythrine, Chuan Lianzi, HE, Xu Changqing; body Failure to increase peony, raw land, Angelica, turtle shell, paeonol, yam, raw Astragalus, Lin dry grass, Ligustrum lucidum.
4. Prunella 30g, see Stone wearing 15g, Ezhu 30g, Salvia 30g, Lu dangshen 15g, verbena 15g, fleas off 30g, Tri-15g, Polygonum 15g, insects Tubie 15g.
Modified: Giorgadze ascites diarrhea, umbellatus, Plantago; liver pain Hu Canadian dollars, down Xiang, Chuan Lianzi; Cortex plus low heat, silver Radix, Artemisia annua; plus high Hanshui Dan, talc, Shui Niujiao , Sheng Shigao.
(E) of proprietary Chinese medicines
1. Resumption of abdominal music from Hunan Academy of Traditional Chinese Medicine for PAN Min, director of research and development, the main ingredient is dangshen, turtle shell, the fleas off, and many other traditional Chinese medicine sinensis, # Huayu, spleen qi, heat-clearing and detoxifying functions. Control of liver tumor and improve access to good clinical effect, the effective rate was 74.55 percent.
2. Chansu toad-long powder 10g, centipede, the catechu 50g, Bai, black nightshade, tonkinensis, Salvia, the March 7 500g. For a total of Ximo each 1g orally three times daily for colorectal liver cancer are hot.
3. Wooden compound granules from versicolor extracts, such as the Dougenguanshitong wide, for continued low-AFP-positive have negative effect on the liver so as to prompt a certain role in the prevention and chronic hepatitis B as early as possible for the medium-term Primary liver cancer. The composition of the drug contains walnut skin, to enhance significantly the role of cellular immunity.
4. Cantharidin on the preparation of cantharidin role in the treatment of liver cancer study a lot, cantharidin also form large, such as cantharidin-chip, chip-hydroxy cantharidin, cantharidin compound tablets, capsules compound cantharidin, cantharidin injection, injection-hydroxy cantharidin Fluid, and so on. Some forms of Chinese medicine belonging to the West, has been purified active ingredient is widely used in clinical.
5. Jinlong capsule from fresh animal medicine developed by specialized anti-cancer agents, so fresh in the anti-cancer drugs play a role. This is a Professor Li Jiansheng in the application of traditional Chinese medicine in one of the major characteristics. Chinese medicine used in the processing of fresh produce, preservation, preparation and so on are unique, in effect also on a good show.
6. Lotus is a piece of the main components of fleas off, Scutellaria barbata, Arrowhead Hill, Ezhu, March 7, and so on. Each 0.5g, every 6 to 8 can even serve a few months to a year. In various parts of the application of the drug for a longer period, the application of heat in liver and blood stasis is not healthy patients with liver failure.
7. XNJI by Radix, borneol, Gardenia, and other components. The main role of the heat for detoxification, Stasis fever, promoting blood circulation and cooling blood, the gas pain. Of fever, central nervous system disorders, liver coma, hepatic encephalopathy, toxic encephalopathy have a role. The drug in the treatment of liver cancer in patients with more opportunities for the application, such as cancer-induced fever, coma liver, blood coagulation disorder caused by the mechanism of bleeding, liver dysfunction, and so on can try using this product, and emergency rescue in the tumor can often play a role. 2/ml a branch of the drug, 5ml / support, 10ml / branch 3, and other specifications for intravenous and intramuscular administration. General 20ml using this product more than 5% glucose in the intravenous injection 500ml, 1 to 2 times a day. Have not found obvious side effects.
8. Chansu injection every 6ml, day 1, intravenous injection. MS 5 days rest for 2 days of a cycle, 4 cycle for a course of treatment. Subphrenic apply to the accumulation of liver cancer tumor type.
9. Brucea injection every 4ml, day 1, intramuscular injection, a 30-day course of treatment. Jaundice were applied to liver cancer.