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Chronic Myelogenous Leukemia
Treatment of Chronic Myelogenous Leukemia (CML)
There are many formulae being used in cancer therapy in Traditional Chinese Medicine (TCM). The formula "Qing Huang San" is one of the popular formulae used by many modern hospitals because of its simplicity. Practitioners trained in modern medicine find it easy to understand.
Name of Formula: qing huang san
(Available in pre-manufactured form)
Grind them into fine powder. Load the powder into capsules.
For inducing remission of chronic myelogenous leukemia:
take 6 to 14 g per day, divided into three servings and taken after meals.
For maintenance of remission of chronic myelogenous leukemia:
take 3 to 6 g per day, divided into two or three servings and taken after meals.
Adjustments of Formula:
Adjust the formula according to the syndrome.
The clinical effectiveness of using this formula in conjunction with chemotherapy
Total patients: 25
Complete remission: 18 (72%)
Partial remission: 7 (28%)
the symptoms had either subsided or disappeared.
The active ingredients of qing dai are ding yu hong (indirubin) and
ding lan (indigo, indigotin).
Calcination of xiong
huang can change the substance into highly toxic arsenic trioxide.
Explanation as to Efficacy:
Traditional Chinese Medicine (TCM) theory maintains that leukemia is caused by toxic yu
and the bone marrow. If
chemotherapy, can achieve the goals of ridding of
promoting new blood.
Possible side effects of this formula include nausea, stomach and solar plexus
discomfort, diarrhea, and perhaps blood in the stool (caused by bleeding in the
Background of arsenic in cancer therapy
Arsenic trioxide (As2O3) Therapy
The use of arsenic trioxide has a long history. Some classical formulae are found in writings dated back to the Han dynasty (more than two thousand years). The use of arsenic in modern clinic applications is much earlier than the use of ATRA. As early as 1972 in mainland China, arsenic trioxide was being used in myelocytic leukemia. The result was reported in Chinese journals  that 22 patients out of 81 were completely in remission, 7 of M2 and 15 of M3. The substance used was extract of arsenic: As2O3 1mg/ml and HgCl 0.01mg/ml. The result was that the Aur rods of promyelocyte gradually disappeared or shrunk. Later it was found that it was especially effective for APL. Subsequently the results were published in various Chinese journals. [2,3] The common discovery was that the remission rates were 60 ~ 70%, regardless of if they were first- time patients or refractory patients, or recurring after ATRA or chemotherapy. Later it was discovered that excluding HgCl or just taking arsenic sulfide could achieve the same result. During the 90's the understanding of the apoptosis of cells, the transformation of bone marrow cells and peripheral blood led to the understanding of the function of arsenic trioxide that causes the apoptosis of cells leading to the cure of APL. The side effects include nausea, vomiting, lack of appetite, diarrhea, numbness in the extremities of limbs, edema in the lower limbs, settlement of skin pigments, abnormal function of the liver. Later, in vitro experiments also proved that arsenic trioxide also can cause apoptosis of cells, especially promyelocytes.
It is deemed that the first scientific report was written by Hong De Sun (孫洪德) et al of Harbin city, China, in 1992. Thirty- two patients with acute promyelocytic leukemia were treated with arsenic trioxide in combination with traditional Chinese medical diagnostics and therapy methods. The results: total remission was 65.6% (21 patients out of 32). 50% survived more than 5 years and 18.8% survived more than 10 years.
In 1995, Shi
lin Huang (黃世林)
 of Da Lian city, China,
reported using a
of qing dai
(indigo) and xiong huang (realgar) as main Chinese herb treating 60 APL
patients and resulted 98.3% with total remission. The ingredients of xiong
A scientific report on using arsenic trioxide therapy was published by "Chinese Hematology Journal" (中華血液學雜誌) in 1996. It reported using arsenic trioxide therapy on 72 new patients and also on refractory patients. The complete remission rate on the new patients was 73.3% and on refractory patients was 52.3% .
Note: In nature 95% of arsenic exists as As2O3. Its lethal dosage is 1 - 2.5 mg/kg according to the Information Toxic Chemicals Section of the Environmental Protection Agency of Republic of China in Taiwan. In prescription, it is suggested not to exceed 0.1g.
According to a Chinese classics, "Ben Cao Gang Mu" (本草綱目) the antidote for arsenic is to use mung bean
There are opinions that do not use xiong huang if the white cell count is low.
According to recent research, most of the herb qing dai sold in the herb stores in Taiwan area are mainly pigments and do not contain any effective ingredient. 
Editor note: This can happen anywhere. It is better to analyze the herb first before using.
Arsenic therapy: see APL
See commonly used Chinese herb formulae for leukemia.
Also see xiao jin dan therapy for CML
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1． 馬藍葉制成的青黛含靛玉红（indirubin）﹐靛蓝（indigo）﹐靛棕（indo-brown）﹐靛黄（indo-yellow）﹐穀肮﹐鞣酸﹐蜡質及钾﹐鈉﹐ 鈣﹐鎂等無機鹽﹐異靛藍（isoindigo）。
4． 野青樹地上部制成的青黛薄層層析 顯示也含有靛玉红和靛