Cerebroma is also called "intracranial tumor" (including two types of benign one and malignant one). The patients have healthy qi deficiency after the operative, chemical and radiation therapies, mostly manifested as asthenia of the liver and kidney and deficiency of qi and blood. Asthenia in origin and sthenia in superficiality exists in the patients with cerebral tumor at the stage of recovery.
Syndrome differentiation and treatment
Yin deficiency of the liver and kidney
It manifests continuous headache, frequent vertigo, tinnitus, vexation, feverish palms and soles, dry mouth and eyes, red tongue with scanty body fluid, thready and rapid pulse. It is advisable to tonify the liver and kidney. The prescription used is the modified Qiju Dihuang Bolus (Bolus of Six Drugs, Rehmannia with Wolfberry and Chrysanthemum). In the case of asthenic wind disturbing the upper orifices, and subsequent severe headache and dizziness, add Gouteng (Ramulus Uncariae cure Uncis), Shijueming ( Concha Haliotidis ), Mingtianma (Rhizoma Gastrodiae ), Biejia ( Carapax Trionycis ), Mull (Concha Ostreae) and Guiban (Plastrum Testudinis) ; in the case of incoordination between the kidney and heart, restless sleep, add Yejiaoteng (Caulis Polygoni Multiflori), Suanzaoren (Se men Ziziphi Spinosae ), Baiziren ( Semen Biotae ), Hehuanpi ( Cortex Albiziae ) and Lianxin (Plumula Nelumbinis); in the case of night sweat due to asthenic heat forcing body fluid to come out of the body, add Wumei ( Fructus Mume), Bietaogan, Fuxiaomai (Fructus Tritici Levis ) and Wubeizi (Galla Chinensis ).
Deficiency of qi and blood
It manifests lassitude, hypodynamia, lustreless complexion, palpitation, short breath, poor appetite, insomnia, amnesia, pale tongue with whitish fur, thready and weak pulse. It is advisable to supplement qi and tonify blood. The prescription used is the modified Bazhen Decoction (Eight Precious Ingredients Decoction). In the case of splenogastric asthenia and anorexia, add Baibiandou ( Semen Dolichoris Album), Chaoguya (parched Fructus Oryzae ), Chaogumaiya ( Fructus Hordei ) and Chenpi (Pericarpium Citri Reticulatae) ; in the case of nausea and vomiting due to adversely rising gastric qi, add Jiangbanxia (prepared Rhizoma Pinelliae ), Chaozhuru (parched Caulis Bambusae in Taeniam ), Suye (Foliurn Perillae) and Huanglian (Rhizoma Coptidis) ; in the case of palpitation and insomnia, add Suanzaoren ( Semen Ziziphi Spinosae ) , Longchi (Dens Draconis ), Hehuanpi ( Cortex Albiziae ) and Zhufushen ( Poria cure Ligno Hospite ).
Internal obstruction of turbid phlegm
It manifests severe headache, vertigo, nausea, vomiting, thoracic and epigastric stuffiness and tightness, greasy fur, taut and slippery pulse. It is advisable to eliminate phlegm and dredge collaterals. The prescription used is the modified Huatan Qingnao Decoction (Phlegm-Resolving and Brain-Refreshing Decoction). In the case of severe dizziness, distension and pain of the head, add Chuanbeimu (Bulbus Fritillariae Cirrhosae ), Huoxiang (Herba Agastachis ), Jianbanxia ( prepared Rhizoma Pinelliae) and Dilong (Lumbricus); in the case of thoracic stuffiness and nausea, add Zhuru ( Caulis Bambusae in Taeniam), Huashi (Talcum), Chenpi (Pericarpium Citri Reticulatae ), Zhike ( Fructus Aurantii ) and Foshoupian (Fructus Citri Sarcodatylis ).
Blood stasis due to qi stagnation
It manifests stabbing pain of the head with definite site worsened at night, dry mouth with disinclination to swallow water, occasional vomiting and nausea, deep red tongue or with ecchymoses and petechiae, deep and unsmooth pulse. It is advisable to regulate qi, activate blood circulation and dredge collaterals. The prescription used is the modified Tongqiao Huoxue Decoction (Decoction for Activating Blood Circulation). In the case of severe headache, add Tufuling (Rhizoma Smilacis Glabrae ), Quanxie (Scorpio), Wugong ( Scolopendra ) and Dilong (Lumbricus) .
Accumulation of toxic heat
It manifests severe distending pain of the head, flushed complexion, dysphoria with feverish chest, palms and soles, thirst with inclination to cool drink, constipation, yellowish urine, slippery and rapid pulse. It is advisable to clear away heat, cool blood and dredge collaterals. The prescription used is the modified Xijiao Dihuang Decoction (Decoction of Cornu Rhinoceri Asiatici and Radix Rehmanniae). In the case of dysphoria with smothery sensation and thirst, add Shengshigao (Gypsum Fibrosum ), Zhimu ( Rhizoma Anemarrhenae ), Zhizi ( Fructus Gardeniae ) , Tianhuafen ( Radix Trichosanthis) and Xuanshen (Radix Scrophutariae).
