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Prostate Cancer

Prostate Cancer is a common Cancer in men over the age of 50, being the most common male Cancer after Skin Cancer. In younger males, the normal Prostate is the size of a walnut, but it is usually much larger in older men. About 1 in 8 men will be diagnosed with prostate cancer in their lifetime, the average age of diagnosis is around 66. It is the second leading cause of Cancer death in men after Lung Cancer, with approximately 1 in 41 men dying of Cancer (most being elderly). However, the majority of men diagnosed with Prostate Cancer don't die from it.

Some researchers have stated that most men over the age of 50 will have Prostate cancer cells in their prostate and indeed autopsies of many males both above and below 50 years of age have shown they have had Prostate Cancer that was unknown and unrelated to their cause of death.

Many cases of Prostate Cancer are asymptomatic, slow-growing and confined to the Prostate gland and can be treated with mild and non-invasive therapy. However, aggressive types of Prostate Cancer can metastasize quickly and therefore require strong treatment.

Most Prostate Cancers are Adenocarcinomas, these cells forming from the cells that produce seminal fluid. Rarely, other types of Prostate Cancer occur including Small Cell Carcinoma and Sarcomas.

Symptoms of Prostate Cancer may include:
  • Difficulty urinating, dribbling urine, decrease in flow of urine
  • Blood in the Urine or Semen
  • Erectile dysfunction
  • Bone pain
  • Loss of weight

Risk Factors
  • Over 50
  • Family History
  • Being Black (Black people have higher incidence and higher chance of agressive types of Prostate Cancer
  • Obesity

Diagnosis
  • PSA tests (1 in 4 with PSA of 4–10 will have prostate cancer; over 10 has a 50% chance)
  • Digital Rectal examination
  • Biopsy is required if cancer is suspected as it is the only way to be certain

Western Treatment may include
  • Monitoring (6 monthly PSA tests)
  • Surgery
  • Chemotherapy
  • Radiotherapy
  • Immunotherapy or Hormone therapy
There is a trend in conservative therapy, especially in men who are older, asymptomatic and with non aggressive or slow-growing cancer. This may include observation with regular PSA tests or scans without direct treatment.

Diet advice
Reducing red meat, sugar, refined carbohydrates and increasing fruit, vegetables, beans, nuts and seeds is advised. –Lycopene (Tomatos) has been associated with lowering of PSA and increasing apoptosis of Proastate cancer cells. –Green tea has likewise showed lowering of PSA. Pomegranate juice showed prolonging of doubling time of PSA and has also promoted apoptosis in Prostate cells.
–Asparagus is also advisable as it has a a particular effect on the urinary system and has been shown to have an anti-cancer effect.
–While soy isoflavoners have not been shown to reduce PSA levels there is a significantly lower prostate cancer incidence in people taking soy isflavones.
–Parsley is rich in apigenin which has anti-cancer effects against Prostate Cancer too.


Metastatic Prostate Cancer
In a study using TCM in metastatic Prostate Cancer, Chai Hu Jia Long Gu Mu Li Tang, had the most significant improvement in the survival rate of metastatic prostate cancer patients. Also effective, but to a lesser degree were Suan Zao Ren Tang, Ban Xia Xie Xin Tang and Ba Wei Di Huang Wan. (See research here)

Herbs with Proven Effects

Agnus Castus
Arum
Black Nightshade
Cannabis
Costus
Ganoderma Ling Zhi
Litchi seed:
Lithospermum
Rhubarb
Scutellaria Huang Qin
Scutellaria Ban Zhi Lian
Thyme
Toxicodendron Gan Qi
Tripterygium
Turmeric
Wedelia
Realgar


Western Tradition

Simples
Rhubarb
Agrimony
Pumpkin seed
Turmeric
Frankincense
Saw Palmetto
Barberry
Chebula
Bitter Almond
Black Nightshade
Inonotus obliquus, Chaga

Madder
Comfrey
Pomegranate fruit
Zedoary
Bdellium
Pygeum
Nettle root
Costus
Rue
Black Hellebore
Shilajit


Suggested Formulas

Tincture of Pill Millipedes
Tincture of Black Nightshade
Decoction of Dodder of Thyme (Mesue)
Decoction of Dodder of Thyme (Rhasis)

Decoction for Cancer (Fuller)
Decoction for Cancer (Model Botanic Guide to Health)

Syrup of Fumitory Greater
Syrup of Fumitory Compound (Augustana)
Syrup of Dodder of Thyme (Mesue)

Syrup of Betony (Pharmacopoeia Augustana)
Powder for Bladder Abscess of Alexander Benedictus
Powder of Gum Lacca Greater (Dialacca Maj.) (Mesue)
Troches of Nightshade
Troches of Winter Cherry (Trochisci Alkekengi) (Mesue)
Troches of Winter Cherry (Unani)

Troches of Gordon (Trochisci Gordonii)
Indian Pills (Mesue)
Pills for Melancholy (Unani)
Arab Confect Purging Melancholy (Confectio Hamech)


Possessor of Ruby Color (Pad rag mdog ldan) (Tibetan)
Chinese Classification

Simples
Rabdosia Dong Ling Cao
Scutellaria Huang Qin
Phellodendron Huang Bai
Ganoderma Ling Zhi
Phellinus linteus
Litchee pip (Li Zhi He)

Tripterygium Lei Gong Teng
Saururus, San Bai Cao
Scutellaria Ban Zhi Lian
Costus (Mu Xiang)
Zedoary (E Zhu)
Lentinula (Shiitake)
Trametes (Turkey Tail)
Wedelia Peng Qi Ju
Semiaquilaegia Tian Kui
Realgar (Xiong Huang)

Formulas

Ping Xiao Capsules

Kidney Yang Deficiency

Shen Qi Wan
You Gui Wan
Shi Pi San

Yin deficiency with Heat / Deficient Heat
Zhi Bai Di Huang Wan

Blood Stasis
Gui Zhi Fu Ling Wan
Shu Jing Huo Xue Tang
Xue Fu Zhu Yu tang
Ge Xia Zhu Yu Tang


Special Formula

Gui Zhi Fu Ling Wan + Shi Pi San
This combination was used in a 71 year old with Prostate Cancer. There was a significant reducetion in tumor size and symptoms. (see here)

Danggui Beimu Kushen Wan
    Dang Gui
    Sophora Ku Shen
    Fritillaria Zhe Bei Mu


Prostate Cancer
    Rabdosia Dong Ling Cao
   
Scutellaria Huang Qin
   
Isatis Da Qing Ye
   
Notoginseng San Qi
   
Chrysanthemum Ju Hua
   
Ganoderma Ling Zhi
    Licorice
    Saw Palmetto
(From Chen & Chen)

Prostate Cancer
    Siberian Ginseng
    Astragalus Huang Qi
    Ganoderma Ling Zhi
    Codonopsis Dang Shen
    Atractylodes Bai Zhu
    Psoralea Bu Gu Zi
    Schisandra Wu Wei Zi
    Licorice
This has been studied and found effective (see here)

EQUIGUARD
    Epimedium Yin Yang Huo
    Morinda Bai Ji Tian
    Rosa laevigatae Jin Ying Zi
    Rubus chingii Fu Pen Zi
    Schisandra Wu Wei Zi
    Ligustrum Nu Zhen Zi
    Cuscuta Tu Si Zi
    Psoralea Bu Gu Zhi
    Astragalus Huang Qi
This formula was tested and shown to have multiple effects against Androne-dependent and Androgen-independent Prostate Cancer. (see here)



Yang Yin Yi Shen Decoction
    Astragalus Huang Qi                    20 grams
    Codonopsis Dang Shen              20 grams
    Atractylodes Bai Zhu                   15 grams
    Poria Fu Ling                                 10 grams
    Ophiopogon Mai Men Dong       15 grams
    Rehmannia Shu Di Huang           15 grams
    Turtle Shell Bie Jia                        25 grams
    Donkey Hide Gelatin (E Jiao)      10 grams
    Polygonatum Yu Zhu                   15 grams
    Scutellaria Ban Zhi Lian               25 grams
    Hedyotis Bai Hua She She Cao  25 grams
    Coix Yi Yi Ren                                20 grams
This and several similar formulas have been studied and found to increase quality of life, PSA, and in some cases, reduce mortality and increase life expectancy.


Research
General
–Complementary traditional Chinese medicine therapy improves survival in patients with metastatic prostate cancer
–Chinese Medicines in the Treatment of Prostate Cancer: From Formulas to Extracts and Compounds
–Prostate cancer: Therapeutic prospect with herbal medicine

–Plant flavone apigenin: An emerging anticancer agent
–Prostate cancer and the unfolded protein response
–A screening of growth inhibitory activity of Iranian medicinal plants on prostate cancer cell lines.


Herbs
Agnus Castus
–Casticin inhibits human prostate cancer DU 145 cell migration and invasion via Ras/Akt/NF‐κB signaling pathways

Arum
–Arum Palaestinum with isovanillin, linolenic acid and β-sitosterol inhibits prostate cancer spheroids and reduces the growth rate of prostate tumors in mice.
Cannabis
–Cannabinoids and Prostate Cancer: A Systematic Review of Animal Studies
–Non-THC cannabinoids inhibit prostate carcinoma growth in vitro and in vivo: pro-apoptotic effects and underlying mechanisms
–Towards the use of non-psychoactive cannabinoids for prostate cancer
–Preclinical and Clinical Assessment of Cannabinoids as Anti-Cancer Agents
–Inhibition of human tumour prostate PC-3 cell growth by cannabinoids R(+)-Methanandamide and JWH-015: Involvement of CB2
–The role of cannabinoids in prostate cancer: Basic science perspective and potential clinical applications
–Proapoptotic effect of endocannabinoids in prostate cancer cells
Commiphora (Guggulu)

–Steroids from Commiphora mukul display antiproliferative effect against human prostate cancer PC3 cells via induction of apoptosis.
–Reactive oxygen species-dependent apoptosis by gugulipid extract of Ayurvedic medicine plant Commiphora mukul in human prostate cancer cells is regulated by c-Jun N-terminal kinase.
–Guggulsterone-induced apoptosis in human prostate cancer cells is caused by reactive oxygen intermediate dependent activation of c-Jun NH2-terminal kinase.
Costus:
–Anticancer effect of Saussurea lappa extract via dual control of apoptosis and autophagy in prostate cancer cells.
–Apoptosis of DU145 human prostate cancer cells induced by dehydrocostus lactone isolated from the root of Saussurea lappa.
Curcuma (Turmeric)
–Curcumin inhibits the survival and metastasis of prostate cancer cells via the Notch‐1 signaling pathway
–Modulation of miR‐34a in curcumin‐induced antiproliferation of prostate cancer cells
Ganoderma
–Chinese Herbal Medicine Ganoderma tsugae Displays Potential Anti-Cancer Efficacy on Metastatic Prostate Cancer Cells
–Ganoderma lucidum suppresses angiogenesis through the inhibition of secretion of VEGF and TGF-β1 from prostate cancer cells
Ginger
–Zingerone suppresses cell proliferation via inducing cellular apoptosis and inhibition of the PI3K/AKT/mTOR signaling pathway in human prostate cancer PC-3 cells.
Green Tea
–Protective effect of green tea against prostate cancer: a case‐control study in southeast China
Hedyotis
–Investigating the Multi-Target Pharmacological Mechanism of Hedyotis diffusa Willd Acting on Prostate Cancer: A Network Pharmacology Approach.
–Novel cyclotides from Hedyotis diffusa induce apoptosis and inhibit proliferation and migration of prostate cancer cells.
Houttunynia
–Suppressive Effect and Molecular Mechanism of Houttuynia cordata Thunb. Extract against Prostate Carcinogenesis and Castration-Resistant Prostate Cancer
Lemon Balm:

–The herbal medicine Melissa officinalis extract effects on gene expression of p53, Bcl-2, Her2, VEGF-A and hTERT in human lung, breast and prostate cancer cell lines.
Licorice
–Glycyrrhiza glabra-Enhanced Extract and Adriamycin Antiproliferative Effect on PC-3 Prostate Cancer Cells.
Lithospermum Zi Cao
–Prostate cancer and the unfolded protein response
–Shikonin selectively induces apoptosis in human prostate cancer cells through the endoplasmic reticulum stress and mitochondrial apoptotic pathway
–Shikonin inhibits the growth of human prostate cancer cells via modulation of the androgen receptor
–Shikonin Reduces Growth of Docetaxel-Resistant Prostate Cancer Cells Mainly through Necroptosis
Myrrh
–Cycloartan-24-ene-1α,2α,3β-triol, a cycloartane-type triterpenoid from the resinous exudates of Commiphora myrrha, induces apoptosis in human prostatic cancer PC-3 cells.
Physalis
–P. angulata (whole plant extract) showed significant anti-proliferative activity against DU145 prostate cancer cells. The withanolides (physangulidines A, B and C) were responsible. (Jin et al., Org Lett., Mar 2012)
–P. angulata had significant anti-metastatic and anti-angiogenic activity. (Hseu et al., J Ethnopharmacol, Jun, 2011)
Rabdosia
–Oridonin induces G2/M cell cycle arrest and apoptosis via the PI3K/Akt signaling pathway in hormone-independent prostate cancer cells.
–Analysis of the interactions of botanical extract combinations against the viability of prostate cancer cell lines.
–Mechanism of action of herbal supplement PC-SPES: elucidation of effects of individual herbs of PC-SPES on proliferation and prostate specific gene expression in androgen-dependent LNCaP cells.
–Role of herbal compounds (PC-SPES) in hormone-refractory prostate cancer: two case reports.
Rheum, Rhubarb

–Apoptosis induction in MDA-MB-435S, Hep3B and PC-3 cell lines by Rheum emodi rhizome extracts.
Rosemary
–Polyphenols from the Mediterranean herb rosemary (Rosmarinus officinalis) for prostate cancer.
–Rosemary (Rosmarinus officinalis L.) extract inhibits prostate cancer cell proliferation and survival by targeting Akt and mTOR.
Ruta
–Anti-tumor and Cytotoxic effects were demonstrated by a 70% ethanol extract of Herba Rutae against a number of human tumor cell lines including Prostate adenocarinoma and Large Cell Lung Carcinoma
Thymus
–Thyme infusion regulated p65 subunit in PC3 Prostate Cancer cells, suggesting it may be useful in Prostate Cancer treatment. (Kallora et al., Food Chem., Jan, 2014)
Solanum nigrum
–Selective cell cycle arrest and induction of apoptosis in human prostate cancer cells by a polyphenol-rich extract of Solanum nigrum
–α-Solanine Inhibits Invasion of Human Prostate Cancer Cell by Suppressing Epithelial-Mesenchymal Transition and MMPs Expression
–Polyphenol extract of mature Fructus Solanum Nigrii promoted cell cycle arrest and apoptosis in several Prostate Cancer cell lines without affecting normal prostate cells. (Nawab et al., Int J Mol Med., Feb, 2012)
Turmeric:

–Curcumin against Prostate Cancer: Current Evidence
–Combinatorial cytotoxic effects of Curcuma longa and Zingiber officinale on the PC-3M prostate cancer cell line
Toxicodendron Gan Qi
–Pharmacological Modulation of Steroid Activity in Hormone-Dependent Breast and Prostate Cancers: Effect of Some Plant Extract Derivatives
–Butein Induces Apoptosis and Inhibits Prostate Tumor Growth In Vitro and In Vivo

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