Traditional Chinese Medicine Syndromes Distribution in Colorectal Cancer and its Association with Western Medicine Treatment and Clinical Laboratory Indicators
  
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DOI:10.4103/wjtcm.wjtcm_26_18
KeyWord:Clinical laboratory indicators, colorectal cancer, traditional Chinese medicine syndrome distribution, treatment methods
                                         
AuthorInstitution
Meng-Die Yanga a.Research Center for Traditional Chinese Medicine Complexity System, Institute of Interdisciplinary Integrative Medicine Research, Shanghai University of Traditional Chinese Medicine
Xiao-Le Chena a.Research Center for Traditional Chinese Medicine Complexity System, Institute of Interdisciplinary Integrative Medicine Research, Shanghai University of Traditional Chinese Medicine
Xue-Qing Huab a.Research Center for Traditional Chinese Medicine Complexity System, Institute of Interdisciplinary Integrative Medicine Research, Shanghai University of Traditional Chinese Medicine;b.Department of Oncology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
Xiao-Zheng Xiea a.Research Center for Traditional Chinese Medicine Complexity System, Institute of Interdisciplinary Integrative Medicine Research, Shanghai University of Traditional Chinese Medicine
Wen-Jun Zhoua a.Research Center for Traditional Chinese Medicine Complexity System, Institute of Interdisciplinary Integrative Medicine Research, Shanghai University of Traditional Chinese Medicine
Chun-Gen Zhouc c.Department of Anorectal, Nanjing Hospital of Traditional Chinese Medicine, Nanjing
Bin Jiangc c.Department of Anorectal, Nanjing Hospital of Traditional Chinese Medicine, Nanjing
Qing Jiab a.Research Center for Traditional Chinese Medicine Complexity System, Institute of Interdisciplinary Integrative Medicine Research, Shanghai University of Traditional Chinese Medicine;b.Department of Oncology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
Qi Lib b.Department of Oncology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
Peng Wangd d.Department of Integrated Traditional Chinese and Western Medicine, Tumour Hospital Affiliated to Fudan University
Zhi-Qiang Mengd d.Department of Integrated Traditional Chinese and Western Medicine, Tumour Hospital Affiliated to Fudan University
Wen-Hai Wange e.Department of Proctology, Nanjing Hospital of Traditional Chinese Medicine
Yuan-Jia Huf f.Department of Integrated Traditional Chinese and Western Medicine, Tumour Hospital Affiliated to Fudan University, Shanghai, China
Shi-Bing Sua a.Research Center for Traditional Chinese Medicine Complexity System, Institute of Interdisciplinary Integrative Medicine Research, Shanghai University of Traditional Chinese Medicine
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Abstract:
      Objective: The objective of the study is to explore the traditional Chinese medicine (TCM) syndrome distribution in colorectal cancer (CRC) and its correlation with treatment methods and clinical laboratory indicators. Materials and Methods: Using the CRC cases report form of TCM, 760 CRC patients with TCM four diagnosis information, western medicine treatment information and clinical laboratory indicators were collected, and TCM syndromes distribution in CRC were summarized. The correlation between TCM syndrome type and western medicine treatments, clinical laboratory indicators such as liver and kidney function, immune function, and tumor biomarkers was analyzed. Results: In 760 cases of CRC, Spleen deficiency syndrome (SDS, 25%), liver and kidney Yin deficiency syndrome (LKYDS, 13%), LKYDS‑SDS, 12%, spleen deficient Qi stagnation syndrome (SDQSS, 10%), and damp heat syndrome (DHS, 9%) were more common TCM syndrome types. LKYDS, SDS, LKYDS‑SDS, and SDQSS were significantly distributed under different treatment methods (P < 0.001). There was no statistically significant difference in the distribution of immune function and cytokine among the five TCM syndromes (P > 0.05), but there was statistically significant difference in the distribution of blood routine, liver and kidney function, and tumor biomarkers (P < 0.05). Conclusion: LKYDS, SDS, LKYDS‑SDS, SDQSS, and DHS were the first five TCM syndromes in CRC. There were the significant correlations between the distribution of TCM syndrome and the clinical laboratory indicators, and the distribution of TCM syndromes was affected by surgery, radiotherapy, and chemotherapy
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