中医药治疗大肠癌辨证用药分析

Analysis on Common Used Syndromes and Herbs on Clinical Therapy of Colonrectal Cancer

目的:分析近年临床治疗大肠癌的常见证型和常用中药。方法:回顾分析近11年中医或中西医结合治疗大肠癌的国内期刊文献的辨证和用药情况。结果:37篇文献纳入辨证研究,53篇文献纳入用药分析。根据报道的文献数量和病例数量,证型以脾虚证最多见,其余包括肾虚证、气血两虚证、湿证、瘀毒证;临床用药以健脾益气、清热解毒、活血化瘀、益肾、和胃、祛湿中药最常用。结论:大肠癌患者与脾虚关系尤为密切,并与肾虚、湿、瘀、毒有关。

Objective： To analyze common used syndromes and herbs on clinical therapy of colonrectal cancer in recent years. Methods：Retrospectlve analysis was used to observe syndromes and herbs in domestic medical journals of past 11 years. Results ： 37 articles were included in the syndromes analysis and 53 articles were included in herbs analysis. The analytical results showed that the most common appeared syndrome was spleen deficiency, followed by kidney deficiency, deficiency of both cli and blood, dampness, stasis and toxin; invigorating spleen and supplementing qi, clearing away heat and removing toxin, activating blood to resolve stasis, nourishing kidney, regulating stomach, expelling dampness herbs were commonly used. Conclusion： Syndromes of colonrectal cancer patients had a close relationship with spleen, followed by kidney, dampness, blood stasis, and toxin.