TCM treatment based on syndrome differentiation: 1. Stagnant heat invading the meridians
Therapeutic Methods: tonify the liver and kidney, promote blood circulation
Herbal Prescription:
Radix Paeoniae Rubra (Chishaoyao) 15g,
Radix Paeoniae Alba (Baishaoyao) 15g,
Semen Persicae (Taoren) 9g, rhizoma cibotii 15g,
Radix Dipsaci (Xuduan) 15g,
Fructus Psoraleae (Buguzhi) 9g, Oldenlandia diffusa 30g,
Caulis Spatholobi (Jixueteng) 30g, bittersweet 15g, Paniculate Swallowwort Root 15g, ramulus mori 12g,
Herba Dendrobii (Shihu) 9g,
Arisaema Cum Bile (Dannanxing) 5g, rice sprout 12g
2. Deficiency of both qi and yin
Therapeutic Methods: tonifying qi and yin, tonify the liver and kidney
Herbal Prescription:
Radix Astragali (Huangqi) 30g,
Radix Glehniae (Beishashen)">
Radix Glehniae (Beishashen) 30g, rhizoma cibotii 12g,
Fructus Lycii (Gouqizi) 12g,
Radix Dipsaci (Xuduan) 12g,
Radix Rehmanniae (Shengdihuang) 15g,
Radix Rehmanniae Praeparata (Shudihuang) 15g,
Herba Dendrobii (Shihu) 15g,
Liriope graminifoia (Maidong),
Fructus Psoraleae (Buguzhi) 15g, tribulusterrestris15g
3. Accumulation of Heat Toxins
Therapeutic Methods: cooling blood and removing pattogenic heat
Herbal Prescription:
Radix Rehmanniae (Shengdihuang) 30g,
Imperata arundinacea (Maogen) 300g, cool diaphragm powder15g,
Fructus Trichosanthis (Gualou)">
Fructus Trichosanthis (Gualou) 12g,
Cortex Radicis (Mudanpi) 9g,
Radix Paeoniae Rubra (Chishaoyao) 9g,
Flos Lonicerae (Jinyinhua) 9g,
Fructus Forsythiae (Lianqiao) 9g,
Folium Polygoni Tinctorii (Liaodaqingye) 9g,
Rhizoma Anemarrhenae (Zhimu) 9g, Rulvis Glycyrrhizae Extractionis Sedilis 5g
Acupuncture Treatment:Main points:
Xuanzhong (GB 39),
Sanyinjiao (SP6),
Quchi (LI 11),
Zusanli (ST 36)Matching acupoint: if fever, add
Acupuncture Single Point Dazhui DU14,
Waiguan (TE5),
Hegu (LI 4).
Western treatmentIn western medicine, there are five main types of treatment for multiple myeloma:
1) Stem cell transplantation
Stem cell transplantation can be done using one's own stem cells (autologous) or using cells from a close relative or matched unrelated donor (allogeneic). In multiple myeloma, most transplants performed are of the autologous kind. Such transplants, although not curative, have been shown to prolong life in selected patients. They can be done as initial therapy in newly diagnosed patients or at the time of relapse. Sometimes, in selected patients more than one transplant may be recommended to adequately control the disease. Autologous transplants for multiple myeloma are very safe in centers with experience in the procedure.
2) Immunotherapy
Immunotherapy uses antibodies that target a specific group of cells. Elotuzumab and daratumumab are antibodies that target multiple myeloma cells. They may be used in patients who have progressed despite other therapies.
3) Newer drugs
Drugs such as thalidomide, bortezomib (brand name: Velcade), carfilzomib, ixazomib, and pomalidomide have emerged as important options for treatment of myeloma, both in newly diagnosed patients and in patients with advanced disease who have failed chemotherapy or transplantation. In most cases, these agents are used in combination with dexamethasone, with each other, or with standard chemotherapy agents.
4) Chemotherapy
In most people, chemotherapy partially controls multiple myeloma; chemotherapy may lead to complete remission. Chemotherapy drugs used in multiple myeloma include melphalan, cyclophosphamide, Doxorubicin, and liposomal doxorubicin.
5) Corticosteroids
Corticosteroids include dexamethasone or prednisone.