Nagata Naoki
Dept. of Surgery, Kitakyushu General Hospital.
Gan To Kagaku Ryoho. 2015 Dec;42(13):2423-9.
Advancements in cancer chemotherapy and the introduction of Japanese traditional medicine"Kampo"have been successful in improving the prognosis of malignant tumors. Many Kampo drugs have been used in the treatment of adverse effects. We investigated the safety and efficacy of Hangeshashinto in the prevention and treatment of chemotherapy-induced oral mucositis in patients with gastric and colorectal cancer. Hangeshashinto was shown to reduce the risk of development of mucositis. We also investigated the efficacy of Goshajinkigan in the prevention of chemotherapy-induced neurotoxicity. Goshajinkigan appears to have a promising effect in delaying the onset of neurotoxicity of gradeB2 without reducing the efficacy of treatment. Kampo drugs such as Rikkunshito, Jyuzentaihoto, and Hochuekkito have also been used successfully in the prevention and treatment of chemotherapy-induced adverse effects. It is very important to know the efficacy and safety of Kampo drugs for alleviating the adverse effects of anticancer drugs in patients undergoing cancer treatment with chemotherapy.
癌症化疗的进展以及日本传统医学“汉方”的引入已成功改善了恶性肿瘤的预后。许多汉方药物已用于治疗不良反应。我们研究了半夏泻心汤在预防和治疗胃癌及结直肠癌患者化疗引起的口腔黏膜炎方面的安全性和有效性。结果表明,半夏泻心汤可降低黏膜炎的发生风险。我们还研究了五积散在预防化疗引起的神经毒性方面的疗效。五积散似乎在延缓B2级神经毒性的发生方面具有显著效果,且不降低治疗效果。其他汉方药物如理气剂、十全大补汤和补中益气汤也已成功用于预防和治疗化疗引起的不良反应。了解汉方药物在减轻接受化疗的癌症患者抗癌药物不良反应方面的疗效和安全性非常重要。