1. gas stagnation type
The main symptoms: Early esophageal cancer has no obvious dysphagia, but only a feeling of choking, foreign body sensation or esophageal burning, chest tightness, tightness in the back and dysphagia. X-ray examination is mainly aimed at the lesions of early esophageal cancer. The tongue is pale and dark, with a thin white coating and a thin pulse.
Treatment: soothing liver and regulating qi, warming yang and benefiting qi, strengthening body resistance and inhibiting tumor.
2. Choke type
Main symptoms: simple symptoms, mild cough or dysphagia. X-ray examination mostly belongs to medullary esophageal cancer and mushroom umbrella esophageal cancer in the early and middle stage. The tongue is dark blue with yellowish white fur and thin pulse.
Treatment: anti-cancer, resolving stagnation, regulating qi and descending adverse, warming yang and strengthening body resistance.
3. Yin declines and Yang declines
Main symptoms: late onset, dysphagia, near obstruction, nausea and vomiting, emaciation, shortness of breath, listlessness, dry lips, dry stool like feces, dark red tongue, thin and thin, with little or no coating, yellow and black coating, chapped and thready pulse.
Treatment: prolong life, nourish yin and strengthen yang, benefit qi and nourish blood.
Chinese herbal medicine can treat different symptoms caused by esophageal cancer, cardiac cancer and gastric cancer, such as choking cough, reflux, dysphagia, emaciation, hoarseness, chest tightness, fatigue and focal reflex pain. 1. The choking sensation of swallowing stalk is the most common, which can disappear or recur without affecting eating. It often happens when the patient's mood fluctuates and is easily mistaken for a functional symptom.
2. Pain behind the sternum and under the xiphoid process is more common. When swallowing food, there is pain behind the sternum or under the xiphoid process, which can be burning, acupuncture or pulling, especially when swallowing rough, hot or irritating food. At first, it was intermittent. When cancer invades or penetrates nearby tissues, it can cause severe and persistent pain. The site of pain is usually not completely consistent with the site of esophageal lesions. Spasmodic agents can temporarily relieve pain.
3. Food retention, infection and foreign body sensation when swallowing food or drinking water, as well as the feeling of retrosternal contraction or food sticking to the esophageal wall, have the feeling that food slowly drops and stays, and disappear after eating. Most of the sites with symptoms are consistent with the sites of esophageal lesions.
4. When swallowing dry and rough food, the feeling of dry and tight throat is particularly obvious, and the occurrence of this symptom is often related to the patient's mood fluctuation.
5. Other symptoms A few patients may have symptoms such as tightness and discomfort behind the sternum, pain in the front and suffocation. 1. Dysphagia Progressive dysphagia is the main symptom of most patients, but it is the late manifestation of the disease. Because the esophageal wall is elastic and expandable, it is difficult to swallow only when about 2/3 of the esophageal circumference is infiltrated by cancer. Therefore, after the above-mentioned early symptoms appear, the condition gradually worsens within a few months, from being unable to swallow solid food to being unable to swallow liquid food. If cancer is accompanied by inflammation, edema and esophageal wall spasm, it can aggravate dysphagia. The position of the blocking sensation often coincides with the cancer site of the hand.
2. Food reactions often occur when dysphagia is aggravated, with little reflux, food and mucus, and possibly blood and pus.
3. Other symptoms When cancer compresses the recurrent laryngeal nerve, it can cause hoarseness; Invasion of phrenic nerve can cause hiccups or phrenic nerve paralysis; Compression of trachea or bronchus can cause shortness of breath and dry cough; Erosion of the aorta can lead to fatal bleeding. When esophageal-tracheal fistula or esophageal-bronchial fistula or cancer is located in the upper esophagus, swallowing liquid can often produce cervical sympathetic paralysis syndrome.