Recently, the Oncology Group 1 of the Qilu Traditional Chinese Medicine Advantage Specialist Cluster held the fourth online consultation and consultation seminar on difficult cases this year. The meeting was organized by the lead unit, Vice President Hou Aixiao of Yantai Hospital of Traditional Chinese Medicine. Experts such as Yu Chunfeng, Deputy Chief Physician of the leading specialist Oncology Department, Tan Song, Deputy Chief Physician, Dai Lingling and other experts participated in the exchange and discussion. The member unit Shandong Qingdao Hospital of Integrated Chinese and Western Medicine Chief Physician Guo Jishan, Chief Physician of the Department of Integrated Chinese and Western Medicine of Qingdao Central Hospital Xu Yanxia, Chief Physician of the Department of Integrated Chinese and Western Medicine of Qingdao Central Hospital, Deputy Chief Physician of the Department of Oncology of Boxing County Hospital of Traditional Chinese Medicine Gai Lei, Deputy Chief Physician of the Department and the backbone Physician of the department participated in the meeting.
  

First of all, the Oncology Department of Boxing County Hospital of Traditional Chinese Medicine provided a case of advanced colorectal cancer. The patient delayed treatment due to the new crown pneumonia epidemic and other reasons, and his condition progressed rapidly. After detailed analysis and discussion, the experts at the meeting pointed out that effective treatment of tumors is still the key to achieving the current efficacy. Based on the overall condition of the patient, the plan of giving small doses of oral chemotherapy drugs can be considered, and the feasibility of targeted drugs and immunotherapy can be actively evaluated at the same time.In terms of traditional Chinese medicine treatment, one is that a small amount of blood-activating drugs can be used to improve the environment in the tumor and improve the efficacy of chemotherapy or targeted drug treatment; the other is from the perspective of dialectical treatment, when strengthening the treatment of dampness, detoxification, and loose knots, such as adding large doses of coix seed, red vine, etc.

The Department of Oncology of Qingdao Hospital of Integrated Chinese and Western Medicine in Shandong Province shared a case of using the idea of five luck and six Qi to treat colon cancer with liver metastasis.Gu Zhishan, the representative inheritor of the Longsha school of medicine, believes that 2023 will be the year of Guimao, the sun will be dry and golden, and the phenology will see the late blooming of plants and trees, the autumn will be full of qi, and the gold will be strong and the wood will be weak. This is just the scene suitable for Pingtang.The patient's treatment time is February 2023, and the five luck and six qi are “the year of Mao You, the sun is shining in the sky, the Shaoyin is in the spring, and the gasification is the day after tomorrow."The qi of the beginning, the wet soil of Taiyin and the wood of Jue Yin, this is the next step, the heat swells in the people's disease,..." Therefore, the plan of preparing Huatang and reviewing Pingtang and applying it to reduce the treatment, combined with chemotherapy and targeted therapy, has achieved a good clinical effect.The experts at the meeting also conducted in-depth discussions on the prevention and treatment of treatment-related adverse reactions.
 

Finally, the Department of Integrated Chinese and Western Medicine of Qingdao Central Hospital provided a case of advanced lung cancer with extensive metastasis. The treatment of this patient is based on a large number of clinical research literature, combined with the actual situation of the patient, the comprehensive treatment plan of chemotherapy + immunity + targeted therapy has been adopted, and the spleen lesions have completely disappeared, and the lung, liver, and brain lesions have been significantly reduced. Good curative effect.At the same time, with the personalized treatment of traditional Chinese medicine, the toxic side effects caused by the patient's related treatment have been greatly improved.The meeting and experts also exchanged and discussed the prediction of the efficacy of immunotherapy based on personal experience.  

After nearly 2 hours of discussion, the experts at the meeting all said that they had gained a lot from the discussion of this case and benefited a lot. They had a deeper understanding of the importance of integrated Chinese and Western medicine to standardize diagnosis and treatment, and they also realized the importance of the guidance of cluster experts to clinical diagnosis and treatment, and they were more confident in quickly improving the level of specialist tumor diagnosis and treatment.