Submandibular gland mucocele
The urine is dark yellow.
About 20 days ago, a tumor approximately 1 cm in size was found on the cartilage 3 cm from the left side of the jaw.
It has a soft texture with a hard base.
Currently, the patient is taking a traditional Chinese medicine formula for reducing swelling and softening hardness, followed by Longdan Xiegan Decoction.
The urine color has improved, but there are occasional nerve pains, and the tumor is fixed and does not move.
What are the treatment methods in traditional Chinese medicine surgery?
Yuhong, 60~69 year old female. Ask Date: 2019/01/13
Dr. Hou Yuchang reply Traditional Chinese Medicine
Hello: If it is a fixed and non-mobile lesion, it is advisable for the ENT department to perform direct excision and send the specimen for pathological examination.
Wishing you peace, health, and well-being.
Respectfully, Dr.
Hou Yu-Chang, Director of the Traditional Chinese Medicine Department, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2019/01/13
More Info
Traditional Chinese Medicine (TCM) offers a unique perspective on the treatment of tumors, including submandibular tumors. The approach is holistic, focusing on the balance of the body's energies (Qi), the harmony of Yin and Yang, and the overall health of the individual rather than just the tumor itself.
In your case, you mentioned that you have a 1 cm tumor located on the left side of your jaw, which is soft at the base but firm. You are currently taking a herbal formula known as "San Zhong Kui Jian Tang" (散腫潰堅湯) and "Long Dan Xie Gan Tang" (龍膽瀉肝湯). These formulas are traditionally used in TCM to address issues related to tumors and to help alleviate symptoms associated with heat and dampness in the body.
TCM Diagnosis and Treatment Principles
In TCM, tumors are often viewed as a manifestation of an underlying imbalance in the body's systems. The diagnosis would typically involve assessing the nature of the tumor (e.g., whether it is considered "hot" or "cold," "excess" or "deficient"), the patient's overall constitution, and any accompanying symptoms.
1. Heat and Dampness: The presence of yellow urine and occasional nerve pain may indicate an accumulation of heat and dampness in the body. The use of "Long Dan Xie Gan Tang" is appropriate as it is designed to clear heat and drain dampness from the liver and gallbladder, which can help in cases where there is inflammation or infection.
2. Stagnation of Qi and Blood: The firmness of the tumor may suggest stagnation of Qi and blood in the area. "San Zhong Kui Jian Tang" is aimed at resolving masses and promoting circulation, which can help in reducing the size of the tumor and alleviating discomfort.
Additional TCM Approaches
1. Acupuncture: Acupuncture can be beneficial in managing pain and improving the flow of Qi in the body. Specific points may be targeted to help reduce swelling and promote healing in the area surrounding the tumor.
2. Dietary Therapy: TCM emphasizes the importance of diet in maintaining health. Foods that are anti-inflammatory, such as green leafy vegetables, fruits, and whole grains, can be beneficial. Avoiding processed foods, excessive sugar, and alcohol may also help in reducing the tumor's growth.
3. Herbal Medicine: In addition to the formulas you are currently taking, other herbal remedies may be considered based on your specific symptoms and constitution. For instance, herbs like Huang Qi (Astragalus) can help strengthen the immune system, while Dan Shen (Salvia) may promote blood circulation and reduce stagnation.
4. Lifestyle Modifications: Stress management techniques such as Tai Chi, Qi Gong, or meditation can help in balancing the body's energies and improving overall well-being.
Consultation with a Qualified TCM Practitioner
It is crucial to consult with a qualified TCM practitioner who can provide a personalized treatment plan based on a thorough diagnosis. They can adjust your herbal formulas as needed and monitor your progress.
Conclusion
While TCM can offer supportive care and may help in managing symptoms associated with submandibular tumors, it is essential to approach this condition with a comprehensive strategy that includes conventional medical advice. Collaboration between TCM practitioners and conventional healthcare providers can lead to a more integrated approach to treatment, ensuring that all aspects of your health are addressed. Always keep your healthcare team informed about any alternative treatments you are pursuing to ensure safe and coordinated care.
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