结直肠癌中医证候及临证用药规律的研究进展

Research Progress on Colorectal Cancer Syndromes and Clinical Medication

结直肠癌是常见的消化道恶性肿瘤,从名医经验、文献研究、临床研究探究其证候规律,发现在肿瘤不同时期及结合不同西医治疗手段其证候多有变动,但总体以湿热蕴结、脾胃气虚、气血两虚、肝肾阴虚、瘀毒阻滞最为常见。临证用药亦有辩证论治、肠癌专方、中药外用等不同,但处方用药不离"虚"、"湿"、"瘀"、"毒"四大病因病机。

Colorectal cancer is one of the common digestive tract malignant tumors. This essay explored the regular syndrome patterns from famous doctors＇experience, literature research and clinical research. We found that in different periods and combination with different western medicine treatments, the syndrome has changed more, but the most common syndrome patterns are dampness - heat, deficiency of spleen - qi and stomach - qi, qi - blood deficiency, liver - kidney yin deficiency, stagnation of blood stasis and heat - toxicity. The medication also can be divided into treatment upon syndrome differentiation, colorectal formula party and external treatment, but its prescription principle lies in four aspects including deficiency, dampness and blood stasis and heat -toxicity.