中医体质对不同类型癌症的系统评价

IF 1.7 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

European Journal of Integrative Medicine Pub Date : 2025-04-16 DOI:10.1016/j.eujim.2025.102481

Pei Hui Sue , Foong Leng Ng , Chai Nien Foo , Jen-Sern Tham , Xiaoshu Zhu , Yang Mooi Lim

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引用次数: 0

摘要

中国的研究人员已经确定了癌症诊断人群的中医体质，并将这些发现纳入癌症预防指南。平衡的体质意味着最佳的健康状态，较低的疾病易感性和良好的预后，而不平衡的体质意味着中医核心元素的不平衡，具有较高的疾病敏感性。本综述旨在系统分析中医体质在不同地理位置根据不同类型癌症的分布。方法检索2017年1月至2024年11月的中国知网、中国医学信息网、万方、Science Direct和PubMed数据库。本综述包括横断面、病例对照和队列研究。采用纽卡斯尔-渥太华量表对所有纳入的研究进行质量评估。采用描述性分析对各肿瘤中医体质进行描述。结果共检索和筛选了5018项研究，其中28项研究纳入了中国不同地理区域的5581例患者。气虚体质在结直肠癌（26.1%）、食管癌（30.2%）、肾癌（20.9%）、胃癌（39.9%）和软组织癌（30.9%）中普遍存在。平衡体质在肺癌（27.5%）和鼻咽癌（37.4%）中普遍存在，阴虚体质在甲状腺癌（27.2%）中普遍存在。阳虚体质多见于肝癌（24.5%）和卵巢癌（20.6%），血瘀体质多见于宫颈癌（19.3%），气滞体质多见于乳腺癌（29.0%）。结论根据不同癌症诊断人群中医体质鉴别为流行病学研究提供了新的途径。其他国家癌症的中医体质还有待探索。由于纳入的研究质量较差，证据有限，因此需要进一步的研究来确定中医体质是否可以作为公众预测癌症易感性的参考，并提高公众在预防癌症时保持均衡体质的意识。

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A systematic review on the traditional Chinese medicine body constitution in different types of cancer

Introduction

Researchers in China have identified Traditional Chinese Medicine (TCM) body constitution in populations with a cancer diagnosis and integrated these findings into guidelines for cancer prevention. A balanced constitution indicates optimal health, lower susceptibility to and positive prognosis for illness, whereas an unbalanced constitution suggests an imbalance of core elements in TCM, with higher disease sensitivity. This review aimed to systematically analyze the distribution of TCM body constitutions according to different types of cancers in various geographic locations.

Methods

The CNKI, SinoMed, Wan Fang, Science Direct, and PubMed databases were searched from January 2017 to November 2024. This review included cross-sectional, case-control, and cohort studies. The quality assessment of all included studies was conducted using the Newcastle–Ottawa Scale. Descriptive analysis was used to describe the TCM body constitution in each cancer.

Results

A total of 5018 studies were retrieved and screened, and 28 studies involving 5581 patients in different geographical areas of China were included in this review. Qi deficiency constitution was prevalent in colorectal (26.1 % of patients with this cancer), esophageal (30.2 %), kidney (20.9 %), stomach (39.9 %), and soft tissue (30.9 %) cancers. The balanced constitution was prevalent in the lung (27.5 %) and nasopharyngeal (37.4 %) cancers and Yin deficiency constitution was prevalent in thyroid cancer (27.2 %). Yang deficiency constitution was prevalent in the liver (24.5 %) and ovarian cancer (20.6 %), Blood stasis constitution was prevalent in cervical cancer (19.3 %), and Qi stagnation constitution was prevalent in breast cancer (29.0 %).

Conclusion

The identification of TCM body constitution according to different cancer diagnoses in populations in China offers novel approaches for epidemiology studies. The TCM body constitutions of cancers in other countries are yet to be explored. Given the limited evidence due to the poor quality of the included studies, further research is needed to determine if the TCM body constitution could serve as a reference for the public in predicting susceptibility to cancer and raising public awareness of the need to maintain a balanced constitution in cancer prevention.

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来源期刊

European Journal of Integrative Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

4.70

自引率

4.00%

发文量

102

审稿时长

33 days

期刊介绍： The European Journal of Integrative Medicine (EuJIM) considers manuscripts from a wide range of complementary and integrative health care disciplines, with a particular focus on whole systems approaches, public health, self management and traditional medical systems. The journal strives to connect conventional medicine and evidence based complementary medicine. We encourage submissions reporting research with relevance for integrative clinical practice and interprofessional education. EuJIM aims to be of interest to both conventional and integrative audiences, including healthcare practitioners, researchers, health care organisations, educationalists, and all those who seek objective and critical information on integrative medicine. To achieve this aim EuJIM provides an innovative international and interdisciplinary platform linking researchers and clinicians. The journal focuses primarily on original research articles including systematic reviews, randomized controlled trials, other clinical studies, qualitative, observational and epidemiological studies. In addition we welcome short reviews, opinion articles and contributions relating to health services and policy, health economics and psychology.