大腸癌的中醫藥診治

Diagnosis and treatment of colorectal cancer with traditional Chinese medicine

10.29810/SJTTCM.202401_13(2).0002

高鶴亭(He-ting Kao)；高傳真(Chuan-chen Kao)；梁淑梅(Su-mei Liang)；高宗桂(Tsung-kuei Kao)

大腸癌 ； 中醫 ； 中藥 ； 辨證論治 ； colorectal cancer ； traditional Chinese medicine ； Syndrome differentiation and treatmen

臺灣中醫科學雜誌

13卷2期（2024 / 01 / 31）

15 - 23

繁體中文;英文

大腸癌是常見的消化道惡性腫瘤之一，具有高發病率、高死亡率的特點。主要治療手段是手術、放療、化療、靶向治療等綜合療法。但目前手術尚不夠理想，標靶藥物及放療化療藥物雖然能抑制腫瘤生長，但也具有很強的副作用，嚴重影響患者的日常生活。大腸癌常見的症狀為腹痛、神疲乏力、納差、黏液膿血便、腹脹痛、便溏、腰膝酸軟、口渴、裏急後重等。其中醫證型中較為常見的有：瘀毒內阻型、脾腎陽虛型、濕熱蘊結型、肝腎陰虛型、氣血兩虛型。各證型的體徵具有明顯差異性。目前治療大腸癌以西醫為主，但若合併中醫扶助正氣，調補脾胃及祛邪解毒等方式辯證用藥，可獲得較大明顯的改善。

Colorectal cancer is one of the common malignant tumors of the digestive tract, with high morbidity and mortality.The main treatment methods are comprehensive therapies such as surgery, radiotherapy, chemotherapy, and targeted therapy. However, current surgery is not ideal. Although targeted drugs , radiotherapy and chemotherapy drugs can inhibit tumor growth, they also have strong side effects, seriously affecting the daily life of patients. Common symptoms of colorectal cancer include abdominal pain, fatigue, anorexia, mucus, pus and bloody stools, abdominal distension and pain, loose stools, soreness of waist and knees, thirst, tenesmus, etc. The more common syndrome types in traditional Chinese medicine include: blood stasis and internal obstruction type, spleen and kidney yang deficiency type, damp and heat accumulation type, liver and kidney yin deficiency type, and qi and blood deficiency type. The physical signs of each syndrome type are obviously different. At present, Western medicine is the main treatment for colorectal cancer, but if combined with traditional Chinese medicine to support healthy qi, regulate the spleen and stomach, and dispel evil and detoxification, a significant improvement can be achieved.