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大黄䗪虫丸治疗早期至中期前列腺癌根治术后患者的疗效观察及临床研究。

Postoperative Effect Observation and Clinical Study of Dahuang Zhechong Pills from in Treating Patients with Early-to-Mid Prostate Cancer Undergoing Radical Resection.

机构信息

Doctoral Student in Guangzhou University of Traditional Chinese Medicine, Emergency Department, Second Clinical Medicine of Guangzhou University of Traditional Chinese Medicine, Guangzhou City 510370, Guangdong Province, China.

Department of Traditional Chinese Medicine, Dazu Hospital Affiliated to Chongqing Medical University, Chongqing City 402360, China.

出版信息

Comput Intell Neurosci. 2022 Apr 27;2022:2998825. doi: 10.1155/2022/2998825. eCollection 2022.

Abstract

OBJECTIVE

To explore the effect of applying Dahuang Zhechong pills (DHZCP) from to patients with early-to-mid prostate cancer undergoing radical resection and carry out a theoretical clinical study of traditional Chinese medicine (TCM) to verify the effect of DHZCP formula under the guidance of TCM theory.

METHODS

The clinical data of 98 patients with early-to-mid prostate cancer undergoing radical resection treated in our hospital (July 2014 to July 2016) were selected for the retrospective analysis, and the patients were divided into group A ( = 49, routine hormonal therapy) and group B ( = 49, routine hormonal therapy plus DHZCP) according to the double blind method, so as to compare the trauma symptoms, cancer recurrence rate, etc., after treatment between the two groups.

RESULTS

Compared with group A, group B obtained significantly higher total effective rate of complication treatment at different time points ( < 0.05), significantly lower mean HAMA score after treatment ( < 0.05), and significantly lower total recurrence rate ( < 0.05). The "congestion" theory in was the theoretical basis for postoperative effect observation of DHZCP in treating prostate cancer. Combining with the onset theory of congestion, personally, the author believed that cancer is caused by congestion disease formed by the extravasated blood in the human body, and with the passing of time, the intermingled deficiency, blood stasis, and toxicity lead to the qualitative change of endogenous cancer toxicity and develop into consumptive congestion disease, making it the core pathogenesis of cancer. And DHZCP had good preventive and treatment effect.

CONCLUSION

DHZCP is an effective drug for improving postoperative complications of early-to-mid prostate cancer, reducing the biological recurrence rate and clinical recurrence rate, and improving mental status. The formula treats both deficiency and excess, combines tonification with purgation, and dispels exogenous pathogen without damaging body resistance, which is a profound formula based on TCM theory to treat "congestion," "congestion disease," and "consumptive congestion disease." Using this theory to guide clinical syndrome differentiation and treatment and modifying the dosage and usage can play an important role in TCM preventive treatment of cancers, early, middle, and late treatment, and clinical prevention of other chronic diseases.

摘要

目的

探讨大黄䗪虫丸在中早期前列腺癌根治术后的应用效果,并从中医理论对其进行理论临床研究,验证大黄䗪虫丸方在中医理论指导下的作用。

方法

回顾性分析我院(2014 年 7 月至 2016 年 7 月)收治的 98 例中早期前列腺癌根治术患者的临床资料,采用双盲法将患者分为 A 组(n=49,常规激素治疗)和 B 组(n=49,常规激素治疗加用大黄䗪虫丸),比较两组患者治疗后的创伤症状、癌症复发率等。

结果

与 A 组相比,B 组在不同时间点的并发症治疗总有效率更高(<0.05),治疗后平均 HAMA 评分更低(<0.05),总复发率更低(<0.05)。《金匮要略》中的“瘀血”理论是大黄䗪虫丸治疗前列腺癌术后疗效观察的理论基础。结合瘀血的发病理论,作者认为癌症是由人体溢出的血液形成的瘀血病引起的,随着时间的推移,虚、瘀、毒相互夹杂,导致内源性癌毒的质变,发展为消耗性瘀血病,成为癌症的核心病机。大黄䗪虫丸具有良好的防治作用。

结论

大黄䗪虫丸是一种改善中早期前列腺癌术后并发症、降低生物复发率和临床复发率、改善精神状态的有效药物。该方虚实兼治,攻补兼施,祛邪而不伤正,是基于中医理论治疗“瘀血”“瘀血病”和“消耗性瘀血病”的深刻方剂。运用该理论指导临床辨证施治,并对剂量和用法进行修正,可以在中医防治癌症早、中、晚期以及临床防治其他慢性病方面发挥重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7c7/9068324/d0eeb9fc0736/CIN2022-2998825.001.jpg

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