Abstract:
OBJECTIVE To compare the characteristics of medication based on syndrome differentiation in the treatment of lung cancer between Professor Zhou Zhongying (Professor Zhou) and Professor Zhao Jingfang (Professor Zhao) by complex network algorithm, and to provide a new research idea and data for summarizing and inheriting the clinical experience of well-known veteran traditional Chinese medicine (TCM) doctors.
METHODS The lung cancer outpatient electronic medical records diagnosed by Professor Zhou and Professor Zhao were collected, and the complex network algorithm was applied to construct "syndrome-syndrome" and "syndrome-medication" complex network maps based on the two doctors' medical records, so as to analyze the individualized differences between their experience in medication based on syndrome differentiation of lung cancer.
RESULTS Through the analysis of the complex network map, it was found that the syndromes of lung cancer identified by the two doctors both included deficiency of qi and yin. As for the differences, Professor Zhou identified syndromes as phlegm stagnation and lung constraint, heat toxin and phlegm stagnation, spreading of cancerous toxin, as well as binding of phlegm and stasis, while Professor Zhao identified syndromes as deficiency of lung and spleen qi, phlegm-heat accumulation in lung, spleen deficiency and phlegm dampness, along with liver constraint and spleen deficiency. The medications commonly used by Professor Zhou in treating lung cancer included Glehniae Radix, Adenophorae Radix, Ophiopogonis Radix, Cremastrae Pseudobulbus Pleiones Pseudobulbus, Herba Euphorbiae Helioscopiae, Pseudostellariae Radix, Agrimoniae Herba, Ranunculi Ternati Radix, Hedyotis diffusa Willd, and processed Bombyx Batryticatus, while Professor Zhao commonly used Codonopsis Radix, stir-fried Atractylodis Macrocephalae Rhizoma, processed Pinelliae Rhizoma, Poria, Pseudostellariae Radix, Adenophorae Radix, Glehniae Radix, Citri Reticulatae Pericarpium, Coicis Semen, Polyporus, Setariae Fructus Germinatus, Hordei Fructus Germinatus, and honeyed Eriobotryae Folium.
CONCLUSION Treatment of lung cancer from Professor Zhou is based on the cancerous toxin theory, and he emphasizes treatment based on syndrome differentiation of cancerous toxin, while treatment of lung cancer from Professor Zhao is based on the theory of maintaining balance with the moderate regulation, and her main treatment method is banking up earth to generate metal.