肿瘤湿热证病证分布规律探析

Study on the distribution of tumor damp-heat syndrome

湿热证是许多慢性疾病中的常见证候,在肿瘤患者中尤为常见。收集和整理中医肿瘤相关教材及指南中所有疾病及其证候类型,统计结果显示出现湿热证素疾病占82.4%~100%。结合期刊文献中肿瘤证型分布情况作出归纳总结,网络拓扑学分析显示,湿热证主要以“消化系统肿瘤”“泌尿生殖系统肿瘤”居多。湿热证候在肿瘤患者中显示出较高出现频率,提示湿热证在肿瘤病因病机中起重要作用。因此,加深对于肿瘤湿热证候病机演变规律研究和证候本质研究对于解决临床实际问题显得尤为重要,为揭示“异病同治”重大科学命题并提供中医疗效高级别循证医学证据提供可能。

Damp-heat syndrome is a common syndrome in many chronic diseases,especially in cancer patients.We collected and sorted out all the diseases and syndrome types from the textbooks or guides.The statistical results showed that 82.4%~100%of the diseases of damp-heat syndrome element appeared in the textbooks or guidelines.We made a summary based on combination with the distribution of tumor syndrome types in the journal literature.According to the classification of the above diseases,the majority of damp-heat syndromes are digestive system tumor and urogenital system tumor.The high frequency of damp-heat syndrome in tumor patients suggests that damp-heat syndrome plays an important role in the pathogenesis of tumor.Therefore,it is very important to make the research on the pathogenesis evolution of tumor damp-heat syndrome.The research on the essence of syndrome is very important to solve the practical clinical problems.It reveals the important scientific proposition of“treating different diseases with the same treatment”and provides the possibility of high-level evidence-based evidence for the curative effect of traditional Chinese medicine.