By Efrem Korngold, LAc, OMD and Harriet Beinfield, LAc
Every medicine emerges out of the
interaction between biology and culture. Medical practices are the
product of a social, political, and economic milieu, shaped by customary
habits and traditions, many having little to do with science, evidence,
or even medicine itself.1 Chinese traditional medicine
has been shaped through continuous use by what is now one-quarter of the
world’s population. For more than 23 centuries, the people of China have
used it to diagnose, treat, and prevent disease as well as to foster
health.
In modern Western medicine, the
mechanistic, quantitative constructs of science prevail, whereas in the
traditional medicine of China, organismic,2 qualitative
schemata describe individuals as resilient, dynamic ecosystems. Whereas
the focus of medical science is upon the pathologic entity, Chinese
traditional medicine draws upon a nature-centered cosmology that
emphasizes the relationship between the seed and the soil: what is it
about the terrain that permits cancer, or any disease, to take root?
Since the time of its origins 3,000 years
ago, Chinese medicine (Zhong Yi) has been used for the treatment
of tumors, identified in antiquity as liu yan, meaning lumps
as hard as a rock, or as zhong yang, meaning inflamed
ulcers. Over the course of these millennia, various strategies have
developed, ranging from:
- Reducing pain, swelling,
inflammation, and tumor mass;
- Improving host resistance through
the use of Fuzheng Gu Ben therapy, meaning to strengthen
what is correct and secure the root, which in modern
language means to preserve immune competence and enhance the
function of the internal organs to counter chemotherapy-induced
immune or myelosuppression;
- Potentiating the effects of
conventional radiation and chemotherapies;
- Preventing, controlling, and
treating the adverse effects of conventional treatment, including
fatigue, weakness, gastrointestinal distress, loss of appetite,
nausea, emesis, and leukopenia.
In 1999, a San Francisco population-based
study indicated that 72% of women with breast cancer used at least 1
form of complementary or alternative medicine (CAM).3 While
few abandoned conventional treatment, only half reported the use of CAM
to their physicians.4 An understanding and appreciation of
Chinese medicine may lead to greater comfort on the part of providers
ill at ease with the use of therapies about which they have neither
training nor experience. This in turn may lead to
improved doctor-patient communication and cooperation.
Because Chinese medicine appears to
protect against the damaging effects of chemotherapy and radiation, it
increases the likelihood that patients will suffer less during, and
recover their health after completing these therapies, enhancing quality
of life. Chinese medicine treats the patient as well as the disease.
There are various approaches to the
subject of how Chinese medicine treats cancer, and an equivalent number
of languages— one expresses how Chinese medicine understands the body
and thinks about what we call cancer, using its own traditional
vocabulary that has endured over centuries; another is scientific,
reporting research findings on the use of acupuncture and Chinese herbal
medicine, describing them in modern neurophysiological and biochemical
terms.
CHINESE MEDICINE AND CANCER: ANCIENT AND
MODERN CONCEPTS
Derived from the word malign, meaning
harmful or malevolent, malignant means that which may cause mortal
damage. In Chinese medicine, mortal damage is a consequence of the
disorganization and separation of yin-yang (jing-shen, blood-qi)—a
threshold beyond which the organism is unable to sustain harmony and
integrity. Cancerous masses, lumps, and tumors are the consequence of
unmitigated accumulations of qi, moisture, and blood that
have become toxic, transforming what is healthy into morbid
tissue, simultaneously obstructing and usurping normal circulation.
Prolonged stagnation eventually leads to depletion of qi and blood, and
ultimately essence. Because essence governs growth and
maturation, loss of or damage to it can result in a disregulation of
growth typical of cancer, a process of uncontrolled proliferation of
immature, undifferentiated, malformed cells. Therefore, treatment that
supplements qi, moisture, and blood; restores circulation
and eliminates stasis; removes toxins; replenishes essence;
and dissolves masses is critical in the treatment of cancer.
As early as the 11th century BCE,
descriptions of tumors were inscribed on oracle bones and turtle shells.
Certain doctors specialized in the treatment of these lesions, referred
to as liu, meaning tumor, derived from a word meaning stuck.
Around 200 BCE, during the Han Dynasty, tumors became known as hard
lumps or ulcerated lesions. Both benign and malignant masses were
further differentiated anatomically as ulcers or abscesses that arise
between the muscle and bone (yen, ai, chu); carbuncles (yung)
that appear on the surface of muscles and skin; and hard obstructions
(cheng chia) that arise in the internal organs. In the
12th century, the term ai, another expression for inflamed
ulcers, became synonymous with that for cancer. Comparable to
identifying contemporary early warning signs, traditional doctors
noted the severity of swellings, lumps, and masses, their depth (skin,
muscle, bone, viscera), density and firmness, mobility, color, heat,
presence of fluid or pus, and the severity, quality and variability of
pain and other sensations such as itching and burning in formulating the
diagnosis of malignancy. 5
Classical and modern writings regard the
etiology of most serious disorders, including benign and malignant
tumors, as stemming from internal injuries, emotional trauma, invasion
of pathogenic factors such as heat, cold, dampness, dryness, or
the accumulation of toxins, often due to improper digestion and
poor elimination of metabolic wastes. Jia Kun, a Chinese traditional
medicine oncologist writing in 1980, says that whatever upsets normal
body function can lead to tumor formation, causing cancer. Tumors are
the end result of a prolonged process of accumulation and densification
of tissue due to the persistent stagnation
of qi and blood, which, if unrelieved, becomes toxic,
critically damaging
the healthy function of the organ systems.6
C.S. Cheung explains the relationship between generating blood
and circulating it, preventing both deficiency and stagnation: “The
essence of fluid and grain [nourishment from food and drink] infuses
into the meridians and forms ying qi. It then circulates to the
heart and enters the blood. The blood flows to
every part of the body and moistens and lubricates all the tissues. When
there is insufficiency of ying qi, the distribution of qi
is endangered. Thus, the blood does not flow smoothly,
encouraging the formation of blood stasis and ecchymosis [blood
that congeals outside the vessels]. New blood is unable to be
generated when obstructed by stasis and ecchymosis. Consequently,
therapeutic measures are taken to remove the obstruction and generate
new blood.” Cheung recommends that herbs such as angelica,
salvia, and millettia be
used, explaining that the herb millettia treats both deficiency and
stasis because it both engenders and circulates blood.7
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