Patients with chronic reflux esophagitis, especially Barrett's esophagitis, have esophageal squamous epithelial cells replaced by columnar epithelium due to reflux of stomach contents, which is easy to evolve into esophageal cancer under the long-term stimulation of reflux.

Traditional Chinese medicine belongs to the category of choking diaphragm in traditional Chinese medicine. It is recorded in The Theory of Etiology: "Those who choke on the diaphragm are hungry for food, but choke on the throat and chest diaphragm, and on the appetite, they begin to enter the stomach with phlegm." "Drinking water is feasible, but food is difficult to enter, so it is called choking." In Qing Dynasty, He Mengyao's "The Doctor of Nausea and Choking on the Diaphragm" said: "Many drinkers choke on the diaphragm, especially those who drink hot wine. The body fluid is injured by heat, and the throat is dry, so the food can't be eaten." Its pathogenesis is related to phlegm and blood stasis, spleen and kidney deficiency, and the treatment principle is phlegm and blood stasis, spleen and qi, nourishing yin and blood. Long-term illness often leads to physical weakness, and the treatment should focus on strengthening the body's resistance and exorcising evil spirits. (1) Patients with phlegm-dampness resistance are characterized by swallowing obstruction, poor diet, chest tightness, chest pain, fatigue, anorexia, thin stool, light and fat tongue, white and greasy fur and slippery pulse. Treatment should be based on invigorating spleen and regulating qi, eliminating dampness and resolving phlegm. Inula, ochre, Radix Codonopsis, Rhizoma Pinelliae Preparata, Caulis Perillae, Fritillaria thunbergii, Shā rotto Katakuri, Zagreb in August, Rhizoma Arisaematis, Coicis Semen, Semen Cuscutae, and pumpkin peel. (2) Patients with qi stagnation and blood stasis have symptoms such as eating obstruction, inability to eat, and even difficulty in drinking water, and vomit immediately after eating, such as bean juice, chest pain or even shoulder and back pain. Rough or thin pulse. Treatment should be based on regulating qi and resolving phlegm, promoting blood circulation and removing blood stasis. The prescription is Tongyou Decoction, and the medicines are peach kernel, safflower, angelica, radix rehmanniae, salvia miltiorrhiza, notoginseng, Zagreb in August, clematis, impatience, trogopterori, dried tangerine peel, licorice and so on. (3) People suffering from fluid deficiency and blood dryness have symptoms of eating, even water is hard to swallow, and their bodies are emaciated. Pulse is very thin. Treatment should be nourishing yin and promoting fluid production, nourishing blood and moistening dryness. The prescription is modified with Baihe Gujin Decoction, and is supplemented with Lily, Radix Scrophulariae, Radix Ophiopogonis, Radix Rehmanniae, Radix Rehmanniae Preparata, Radix Paeoniae Alba, Bulbus Fritillariae Cirrhosae, Radix Platycodonis, Radix Glycyrrhizae, Caulis Vitis Viniferae, Radix Shougong, Conch, etc. (4) Patients with advanced esophageal cancer with qi deficiency and yang deficiency are characterized by improper diet, excessive vomiting, emaciation and extensive complexion. Warming yang and dispersing stagnation. The prescription is modified by Buqi Yunpi Decoction, which comprises Radix Codonopsis, Radix Astragali, Atractylodis Rhizoma, Poria, Fagopyrum Esculenti, Pericarpium Citri Tangerinae, Ramulus Cinnamomi, Fructus Akebiae, Scorpio, Shā rotto Katakuri, Radix Paeoniae Alba and Radix Aconiti Lateralis Preparata. (5) After radiotherapy, patients with collateral obstruction caused by heat-filled body fluid showed skin flushing, itching, exudation, chest pain, dry cough, swallowing pain and aggravated eating obstruction. The pulse is very fast. This product should clear away heat and toxic materials, invigorate qi and nourish yin, promote blood circulation and remove blood stasis. Radix Astragali, Radix Glehniae, Herba Dendrobii, pollen, Flos Lonicerae, Fructus Gardeniae, Fructus Trichosanthis, Caulis Bambusae, Pericarpium Citri Tangerinae, Poria, Flos Carthami, Semen Persicae, Massa Medicata Fermentata, Endothelium Corneum Gigeriae Galli, Fructus Ligustri Lucidi, etc. (6) Patients with deficiency of both spleen and kidney and gastric loss and decline after chemotherapy. Herbs such as Radix Astragali, Radix Pseudostellariae, Caulis Spatholobi, Rhizoma Atractylodis Macrocephalae, Poria, Jiang Banxia, Pericarpium Citri Tangerinae, Radix Aucklandiae, Persimmon, Endothelium Corneum Gigeriae Galli, Massa Medicata Fermentata, Rhizoma Alismatis, Fructus Ligustri Lucidi, Fructus Lycii, Rhizoma Zingiberis Recens and Fructus Jujubae.

Recent studies have shown that some traditional Chinese medicines can regulate the expression of transcription factor nf-κb and block the proliferation of cancer cells [32]; It can also reduce the expression of cd44v6 in esophageal cancer tissues after radiotherapy, thus inhibiting the invasion and metastasis of esophageal cancer [33]. (7) Acupuncture treatment. Acupuncture at zenith, tiantu and lower middle can eliminate phlegm, epiglottis and lower epiglottis, reduce stomach qi, and Neiguan and Zusanli can strengthen spleen and stomach. Chest pain leads to low back pain, plus Xinshu point and Ashi point, which leads to difficulty in eating and chest tightness. They all use the method of calming and reinforcing diarrhea. External application therapy: Ruanjian Sanjie ointment consists of Guiwei, Jianwei, Rhizoma Zingiberis Officinalis, Radix Angelicae Dahuricae, Natrii Sulfas, Semen Momordicae, Rhizoma Sparganii, Rhizoma Bletillae, Cynanchum atratum, Radix Rehmanniae, Radix Astragali and Trichosanthis Radix. Ear acupuncture: Use kidney, stomach, esophagus, Shenmen, endocrine and other acupoints to treat swallowing obstruction of esophageal cancer, and can't eat.

Dietotherapy: Su Wenping said: "If you have stomach qi, you will live, but if you don't have stomach qi, you will die." "Encyclopedia of Spleen and Stomach in Neijing" also said: "rustic qi is the source of all things, and stomach qi is the master of health preservation. A strong stomach is weak. " It can be seen that the function of the stomach and diet play an extremely important role in the formation and rise and fall of systemic qi. Sun Simiao even pointed out: "In the case of knowing the source of the disease, use food for treatment, and if the diet is not cured, then take some medicine." The principle of clinical treatment holds that a doctor can be regarded as a good worker if he can treat diseases evenly with food. "However, the practical application of dietotherapy still needs dialectical treatment to achieve better results. (1) For those with phlegm-dampness obstruction, it is advisable to eliminate dampness and phlegm, regulate qi and relieve cough. (2) Those who suffer from spleen deficiency and phlegm-dampness obstruction should strengthen the spleen and eliminate dampness, and can use Coix seed yam turtle soup or Coix seed water chestnut Tianqi lean broth; (3) People with spleen and stomach deficiency should strengthen the spleen and stomach, and can use Amomum villosum lean broth or Xiaomi Huaishan Hericium erinaceus duck soup; (4) For those with qi stagnation and blood stasis, it is advisable to promote blood circulation to remove blood stasis, dredge collaterals and relieve pain, and Tianqi Taoren lean broth can be used; (5) Those who suffer from deficiency due to illness should tonify kidney and essence, strengthen spleen and nourish stomach, and stew duck meat with Cordyceps sinensis; Surgical trauma, bleeding, inflammation, anemia or indigestion all require a lot of nutrition to supplement and repair the body; Mucosal ulcer of digestive system and dyspeptic syndrome such as nausea, vomiting, abdominal pain and diarrhea caused by chemotherapy further deepen the nutrient absorption disorder; Radiotherapy, due to different irradiation sites, may lead to eating difficulties in addition to various digestive tract reactions, which naturally has a great impact on nutrient absorption. After the treatment of western medicine, the significance of dietotherapy is very significant, especially after the treatment of modern medicine, most patients have poor appetite or anorexia, so they need to supplement nutrition and recover their physical strength as soon as possible. Because nutrition can affect the operation of various defense functions of the body, it also has a certain effect on the proliferation, recurrence or metastasis of cancer cells. Patients with esophageal cancer in convalescence need good nutrition to enhance immunity, so as to improve the symptoms of decreased digestive ability caused by anticancer treatment [5]. (6) Patients with postoperative deficiency of both qi and blood and difficult wound healing should benefit qi and nourish blood, replenish deficiency and promote granulation. Ginseng Radix Astragali can be used to stew raw fish. Clinical reports show that in the holistic nursing care of esophageal cancer surgery, taking Astragalus membranaceus can obviously enhance the body's immunity [(7) After radiotherapy, people with yin deficiency and body fluid deficiency should clear their stomachs to stop vomiting, benefit qi and resolve phlegm, and can use Rhizoma Phragmitis ginseng persimmon porridge, Patrinia Ficus thin broth or Scutellaria barbata thin broth of Rubus solanaceae; (8) Those who are weak after surgery, radiotherapy and chemotherapy should strengthen the spleen and replenish qi, nourish yin and tonify the kidney, and stew the turtle with qi.