陣영湯加減方의 抗腫瘍效果에 關한 實驗的 硏究

丁俊宅,文九,文錫哉 대한한방종양학회 1998 대한한방종양학회지 Vol.4 No.1

科學技術의 發展에 따른 生活 및 醫療 수준의 向上에도 불구하고 産業發展에 따른 環境汚染, 스트레스 增加등 그 逆機能 때문에 發癌物質 또는 刺戟에의 露出등으로 인해서 全世界的으로 癌 으로 因한 死亡率이 增加되고 있다. 癌은 現在 人類의 健康을 위협하는 主要한 疾患의 하나로, 오늘날 우리 나라에서 疾患으로 因한 死亡原因中 首位를 차지하고 있다. 이러한 癌의 發生은 80%-90%가 環境的 因子에 起因한다고 報告되고 있는데 앞으로 環境性 發癌物質이 점차 增加됨에 따라 疾患者의 發生도 더욱 增加될 것으로 豫想된다. 癌의 西醫學的 治療는 주로 手術療法, 放射線療法, 化學療法 및 免疫療法이 活用되고 있다. 이중 手術療法과 放射線療法은 癌이 全身에 轉移, 增殖되기 전에 實施함으로써 效果를 거둘 수는 있으나, 癌이 原發病巢 以外에까지 轉移, 增殖되었을 경우에는 이 두가지 方法의 局所療法만으로서는 좋은 治療效果를 거주기 어렵다. 따라서 최근 抗癌劑에 의한 化學療法이 다른 方法보다 有效하다고 認定이 되어 가장 많이 活用되고 있으나, 癌腫에 대한 感受性差異, 治療後의 副作用, 再發 및 合倂症 등의 問題點 때문에 副作用을 減少시키면서 抗癌效果를 높이는 治療法이 계속 硏究되고 있다. 이에 1972年 美國 國立癌硏究所에서 實施한 抗癌劑 開發硏究에 있어서 抗腫瘍性 Screening test에 利用된 物質中 약 47%가 天然物質이었다는 사실은 注目할만 하다. 韓醫學的 治療法은 最近에 辨證施治를 根幹으로 하여 健脾益氣를 爲主로한 扶正祛邪法과 扶正培體法이 많이 活用되고 있으며 扶正法으로는 益氣健脾, 滋陰補血, 溫補脾?? 등이, 祛邪法으로는 活血祛療法, 淸熱解毒法, 軟堅化痰法 등이 活用되고 있는데, 이를 根據로 하여 韓藥의 複方,單味,單味抽出物 등의 投與와 鍼,灸,水鍼,電鍼, laser鍼등의 治療方法을 手術 後 或은 化學療法이나 放射線治療와 竝行하여 治療效果가 向上되었다고 報告하고 있다. 抗癌劑의 抗癌效果 程度를 檢査하는 方法은 크게 5가지로 分類되는데, 하나는 細胞를 藥劑에 露出시킨 후 顯微鏡을 통하여 나타난 形態學的 變化를 가지고 藥劑의 效果程度를 決定하는 方法이고, 둘째는 Dye exclusion assay 方法으로 살아있는 細胞가 trypan blue, eosin, nigrosin과 같은 染色液에 染色되지 않는 점을 利用한 것이며, 세 번째는 抗癌劑 대자석. 丁香, 枇杷葉, 抗癌作用을 가진 龍癸, 半技蓮, 牡蠣, 夏枯草, 猪? 等의 藥物로 구성되어 있다. 近來 單一藥物의 抗癌效果에 대한 實驗的 硏究로는 金^27,28)등에 의한 人蔘, 鹿茸 의 抗體生産 抑制 緩和效果 및 任^29)에 의한 魚腥草,鹿血, ??, 穿山甲 등이 正常 免役細胞에는 거의 毒作用을 일으키지 않으면서 强力한 抗癌效果가 있다는 報告, 金^31-34)등에 의한 紫率, 東風蔡, 靈芝, 仙鶴草, 巴豆 등이 抗癌作用 및 免疫反應에 效果를 미친다는 報告 등이 있고, 複合藥劑 藥物의 抗癌效果에 대한 硏究로는 姜^36-38)등에 息賁丸, 肥氣丸 및 비기환이 白血病과 淋巴腫患者에서 抽出한 癌細胞에 抗癌效果가 있다는 報告 및 金^37-39)등에 의한 伏梁丸, 비 氣丸 및 消積正元散이 各種 癌細胞柱의 成長沮碍 效果, 尹^30,35,40,42)등에 의한 六君子湯, 小柴胡湯, 四妙湯, 大柴胡湯, 防毒湯, 半夏白 朮天麻湯, 巴豆를 加味한 四君子湯 및 四物湯 등이 抗癌作用 및 免疫反應에 效果를 보인다는 報告등이 있었으나, 아직까지 진령탕가감방의 抗癌效果에 대한 實驗的硏究는 없었다. 이에 著者는 抗癌效果가 있을 것으로 推定되는 진령탕가감방의 抗腫瘍效果를 알아보기 위하여, 水溶性 抽出液을 얻은 후 現代 病理學的으로 多用하는 colony形成制實驗, SRB assay에 의한 抗腫癌效果, 生命延長率, 化學的인 方法과 癌腫細胞 移植에 의한 腫瘍 誘發을 통하여 癌 發生 및 그 經過에 미치는 影響 및 NK細胞活性에 미치는 影響 등을 觀察하였다. 本 實驗에서는 진령탕가함방의 腫瘍細胞에 대한 增殖抑制作用을 觀察하고자 in vitro test인 colony形成抑制實驗과 SRB assay를 利用하였는데, 진령탕가함방의 抽出液이 腫瘍細胞의 成長을 抑制하는 效果가 濃度依存的으로 增加하는 結果를 보여 抗腫瘍의 效果가 있음을 나타냈고(table3,4)in vivo assay로서 sarcoma 180 복수암세포를 移植한 마우스의 平均生存期間 및 生命延長率이 뚜렷하게 增加되었다.(table5). 또한 진령탕가함방 抽出液 마우스에 투여하면 MCA 유도한 종양 및 3LL 細胞移植에 의한 腫瘍의 發生率 및 發生된 腫瘍의 크기가 현저히 減少되었다.(table7). 이러한 效果는 진령탕가감방이 感受性 癌腫細胞에 직접적으로 影響을 미쳐 그 增殖이 抑制되었을 可能性을 생각할 수 있다. 그렇지만 本 硏究에서는 癌腫特異性에 관한 結論을 내릴 수는 없으므로 癌腫特異性 관한 硏究는 進行해야 할 것으로 생각된다. 또 다른 可能한 진영탕가함방 抽出液 抗腫瘍 作用機轉은 진영탕가함방 抽出液이 NK細胞의 活性을 亢進시킨 實驗結果로 類推하여, 진영탕가함방 抽出液이 腫瘍마우스에 非特異的인 免疫活性을 促進시킴으로써 진영탕가함방 抽出液의 抗腫瘍作俑과 발현괼 可能性도 생각할 수 있다. 따라서 앞으로 여러 癌腫細胞에 대한 진영탕가감방 抽出液의 抗 腫瘍 作用과 腫瘍動作에서의 진영탕가함방 抽出液 投與에 의한 生體生理現象의 變化, 生理活性物質의 本態 등을 밝히기 위한 보다 具體的이고 廣範圍한 硏究가 數行되어져야 되리라고 思料된다. 細胞性 免疫反應中 重要한 役割을 하는 작동세포증 NK細胞는 여러 腫瘍에 대해 自然殺害能을 보여 소위 T非依存性 免疫監視機轉에 관하여는 바이러스 및 細菌에 感染된 細胞를 破壞하는 活性을 가지며, IL-2 및Interferon 등에 의하여 活性이 增加된다. NK細胞가 표적세포를 破壞하는 機轉에 관해서는 아직 확실히 알려져 있지 않으나, 첫째로 표적세포를 認識하는 時期, 둘째로 融解機轉을 活性化시키는 時期, 세째로 NK lymphotoxin이 邊離되는 時期, 네째로 표적세포의 死成期로 나눌 수 있다. 本 實驗에서 진영탕가감방 抽出液으로 前妻理시 NK細胞의 표적세포와의 結合能은 물론 結合된 표적세포의 融海能이 促進된 結果를 보이는데(Table 8), 이와 같은 結果는 진영탕가감방 抽出液이 NK細胞의 표적세포 파괴 4단계 전체를 亢進시킨 結果로 認定된다. 이상에서 다음과 같은 결론을 얻었다. 1. 진영탕가감방 抽出液을 폐암세포주인 A549와 간암세포주인 hep3B 및 신장암 유래의 종양세포주인 Caki-l cell에 投與한 결과, in vitro test인 coloy形成抑制實驗과 SRB assay에서 모두 濃度依存的으로 암세포주 成長을 抑制하였다. 2. Sarcoma 180細胞를 마우스에 移植하여 平均生存期間 및 生命延長率을 測定하는 in vivo test에서는 진영탕가감방 抽出液이 마우스의 平均生存期間 및 生命延長率을 增加시키는 結果를 보였다. 3. 진영탕가감방 抽出液은 MCA로 誘導한 腫瘍의 發生率 및 發生腫瘍의 크기를 현저히 減少시켰으며. 3LL細胞 移植에 의한 腫瘍發生 또한 현저히 減少시켰다. 4. 진영탕가감방 抽出液은 NK細胞의 活性度를 增加시켰다. 특히 10ug/ml농도 에서 NK細胞 活性度가 가장 현저히 增加되었다. 以上의 結果로 보아 진영탕가감방은 癌腫細胞에 대한 直接的인 成長抑制 및 細胞의 活性을 통한 免疫增進에 의해 多樣한 抗腫瘍效果를 보인 것으로 思料된다. The sprig of Jinryungtang Gagambang(陳영湯加減方) has been used for curing as a traditional medicine without any experimental evidence to support the rational basis for their clinical use. This experiment was carried out evaluate the possible therapeutic or antitumoral effect of Jinryungtang Gagambang extract against vancer, and to study some mechanisms responsible for its effect. The cytotoxic and antitumor effects were evaluated on human cell lines(A549, hep3B, Caki-1,Sarcoma 180 after exposure to Jinryungtang Gagambang extract using in ILS. colony forming efficiency and SRB assay which were regarded as a valuable method for cytotoxic and antitumor effects of unknown compound on tumor cell lines. The results obtained in this were as folows. 1. As a result of exposure to Jinryungtang Gagambang extract, the proliferation of A549, hep3B, Caki-1, good correlation were shown from the results of SRB assay and those of clogenetic assay. 2. The administration of Jinryungtang Gagambang extract showed significant effects of increase of MST(mean survival time) and ILS(increased lufe span) depending on the increasing concentration. 3. Against squamous cell carcinoma induced by MCA, Jinryungtang Gagambang decreased not only the frequency of tumor production but also the number and weight of tumors per tumor bearing mice(TBM). Jinryungtang Gagambang also significantly supressed the development of 3LL cell-implanted tumors by frequency and their size, and some developed tumors were regressed by the continuous treatment of Jinryungtang Gagambang extract into TBM. 4. Jinryungtang Gagambang extract also increased NK cell activities. According to the above results, it could be suggested that Jinryungtang Gagambang extract has prominent antitumor effect.

人蔘百合湯이 B16세포에 대한 세포독성능 및 C57BL/6계 생쥐의 폐전이암의 억제에 미치는 영향

黃鎬俊,河智容 대한한방종양학회 1997 대한한방종양학회지 Vol.3 No.1

종양은 그 발생원인과 성장기전이 자세히 밝혀져 있지 않는 질병으로 최근 사망원인의 제1원인으로 급격히 발생빈도가 증가하고 있다. 종양환자의 수는 점점 증가하는 추세이며, 그에 따른 사망자의 수도 늘고 있다. 종양을 치료하는 방법으로 수술요법·면역요법·방사선요법 ·화학약물요법·골수이식·호르몬요법등이 사용되어 왔으며, 최근에는 전통적인 한약재를 이용한 종양파괴 및 종양의 성장을 억제하는 약재의 연구가 활발히 시도되고 있다. 본 연구에서는 '노수토홍(노수토홍)'에 사용되는 인삼백합탕(人蔘百合湯)을 사용하여 종양파괴 및 종양의 성장억제능을 연구하고자 하였다. 연구방법 인삼백합탕을 전이암 실험에 다용(多用)되는 B16세포를 대상으로 세포독성을 MTT검사법에 의하여 실험한 후 IC_50을 측정하였다 그 후 동물실험으로 C57BL/6에 Bl6세포를 주입시킨 후 고형암의 중량과 폐에 전이된 흑색종의 집락의 수를 측정하였고, 생존기간의 연장정도를 측정하였다. 연구결과 인삼백합탕 구성약물의 시험관내 세포독성을 측정하기 위하여 MTT검사법으로 측정한 결과 농도에 비례하여 생존율은 감소하였고, IC_50을 산출한 결과 백출, 홍화, 계피, 인삼등이 낮은 수치를 나타내었다. 인삼백합탕엑스의 시험관내 세포동성은 농도에 비례하여 생존율이 감소하였고, IC_50은 0.0002437㎍/㎖ 을 나타내었다. Bl6세포를 C57BL/6의 복강에 주입시켜 고형종양의 무게를 측정한 결과 대조군에 비하여 유의성있는 감소를 보였다(P<0.05). Bl6세포를 C57BL/6의 꼬리정맥에 주입하여 폐전이암을 유발시킨 후 폐의 표면에 생긴 집락의 수를 측정한 결과 대조군에 비하여 유의성 있는 감소를 보였다(P<0.001). Bl6세포를 C57BL/6의 꼬리정맥에 주입하여 폐전이암을 유발시킨 후 생존일수를 측정한 결과 평균치가 대조군은 23일, 투여군은 26일을 나타내어 1l3%의 증가를 보였다- Oriental medicine as a candidate for effective cancer treatment recently gain positive concerns in fields of therapeutic oncology, that is why some herbal medicines have been empirically safer in toxicity than anticancer drugs used in western medicine. and to show excellent therapeutic efficacy in human trial. Thus. these effects by clinically applied-herbs have not yet fully demonstrated in experimental tumor model, This study was initiated to evaluate the antitumor effect of Insambaekhaptang as candidate of antitumor-herbal agent against Bl6 melanoma metastasized into C57BL/6 mice lung. In experiment to test whether Insambaekhaptang can directly kill cancer cells in vitro or not, Insambaekhaptang showed direct killing action in concentration or higher against B16 melanoma cells using MTT assay, and showed lower IC50. Another experiment to know whether Insambaekhaptang can inhibit growth and metastasis of cancer cell or not, Insambaekhaptang significantly inhibited Solid tumor by intraperiperal injected-melanoma and lung metastasis induced by intravenous injected-melanoma in inbred C57BL/6 mice. When quantitative survival time increasing, we could obtain results that increased 113% in treated by Insambaekhaptang. These results show that Insambaekhaptang can inhibit growth of B16 melanoma cells through various biological mechanisms,

閉塞性 肺炎을 겸한 肺癌患者의 韓方 治療 1例

차은수,조일현,이경기,조영민,정희재,정승기,이형구 대한한방종양학회 1997 대한한방종양학회지 Vol.3 No.1

We experienced a case of postobstructive pneumonia in lung cancer patient by orinetal medical treatment(Herbal modication, Acupuncture therapy, Moxa therapy, Aqua-acupuncture therapy, Carbon radiotherapy), and through it we got a good result to report * Kye words : Lung cancer, Pneumonia, Oriental Medical Treatment According to the above results, it could be suggested that Jukyeopseokgo-tanggagambang extrat has indirect autitumor effects by strengthening the effects of MMC on tumor cells.

백화사설초 메탄올 추출물에 의한 HL-60 세포고사과정에 있어서의 transcriptional factors 활성변화 연구

박상구,이지현,문구,문석재,원진희,박래길 대한한방종양학회 2000 대한한방종양학회지 Vol.6 No.1

Objective : Hedyotis diffusa has been used as an arnicancer agent for several decades in oriental medicine. We test whether the methanol extract of the herb affects transcriptional activation factors including NF-κB and AP-l. Methods : 1. HL-60 cells were treated with various concentrations(from 200 to 50ug/ml) of methanol extract and H_2O extract(200ug/ml)of hedyotis diffusa, After 48h later, the cells were tested for viability by MTT assay. 2. The HL-60 cells were treated with 200ug/ml of methanol extract for the indicated periods. First. Nuclear extracts were isolated and incubated with oligonucleotide probe of NF-κB and AP-l. Second. Nuclear extracts were isolated and reacted with p50, p65. c-rel par-Jun, c-Jun, JunB. JunD antibody on ice for 30min. Finally The cell lnates were prepared and analyzed by westem blotting using anti-Fas, anti-FasL and anti-p53 antibdy. Results : l. The methanol extract decreases the viability of human lymphoid origin leukemia HL-60 cells in a dose-depemdemt manner. 2. NF-κB is rapidly activated by the addition of the methanol extract, reaches a peak at 30min and gradually returns to resting level. We confirm tha NF-κB is a heterodimer mainly composed of p65 subunit with c-Rel. 3. Transcriptional activation of AP-1 is detected at 30min and reaches a maximum at lhr after stimulation of the cells with the methanol extract. AP-l is mainly composed with Jur-D and partially Jug-B proteins. 4. the methanol extract of Hedyotis diffusa induces the expression of Fas, Fas ligand and p53 proteins of HL-60 cells in a time dependent fashion. Conclusions : These results suggest that the methanol extract of Hedyotis diffusa exerts anticancer effects to induce the death of human leukomic HL-60 cells via activation of trascriptional factors such a NF-κB and AP-1, increase in expression of Fas mediated signaling proteins, and induction of tumor suppressor gene. p53

抗癌免疫 1號方을 投與한 胃癌患者 40例에 對한 臨床考察

兪和承,曺政孝,정경규,李淵月,趙珍浩,趙鍾寬 대한한방종양학회 1998 대한한방종양학회지 Vol.4 No.1

Clinical studies were carried out 40 cases of patients with stomach cancer treated by "Hangammyunyouk Ⅰ(抗癌免疫1號方)". from September 1th 1997 to May 1th 1998. The results were summarized as follows; 1. Distribution of those attached by stomach cancer, by sex, showed that Male is more then Female. by age, showed that the number of fifies is majority. 2. Dstribution of diagnostic stage. on descending order, stage Ⅲ, stage Ⅳ. 3. Distribution of treatment attached by stomach cancer, in descending order: Chemotherapy and operation. chemotherapy. Radiation therapy and operation. 4. After taken herb medicine, the effects according to the symptoms wer as follows; Nausea and Vomiting. Constipation, General body weakness, Aberage efficacy of symptoms were 68.1%. 5. Analysis of hematology attached by stomach cancer, increasing of WBC(61.5%), Hgb(54.5%), platelt(62.5%) were observed.

附子理中湯의 效能에 關한 實驗的 硏究

鄭命采,柳逢夏,朴東源,柳基遠 대한한방종양학회 1998 대한한방종양학회지 Vol.4 No.1

In order to investigate the effect of Bujaleejungtang, by means of oral medication to rats and mice, to isolated intestine and stomach, and the effect to pyloric ulcer, indomethacin-induced ulcer, secretion of gastric juice, and to transport ability of intestine content were studied as the action to G-1 tract. The effect to normal rats and resperpine-treated rats were studied as the action to thermo-regulation. The results were as follows; 1. Bujaleejungtang showed the inhibitory effect on the smooth muscle contraction induced by acethylcholine chloride and barium chloride in the isolated mice ileum. 2. Bujaleejungtang showed inhibitory effect on the contraction induced by acetylcholine chloride and barium chloride in the rat fundus-strip. 3. Inhibitory effect of Bujaleejungtang on pyloric ulcer, indomethacin-induced gastric ulcer in rats was statistical recognized(p<0.05). 4. No inhibitory effect of Bujaleejungtang on gastric juice secretion in Shay rats was recognized. 5. Inhibitory effect of Bujaleejungtang on gastric free acidity and total acidity in Shay rats was recognized only when Bujaleejungtang was medicated in high thickness(2000㎎/㎏)(p<0.001) 6. Inhibitory effect of Bujaleejungtang on pepsin output in Shay rats was recognized only when Bujaleejungtang was medicated in high thickness(2000㎎/㎏)(p<0.001) 7. Inhibitory effect of Bujaleejungtang on barium surface transport in the small intestine of mice was recognized only when Bujaleejungtang was medicated in high thickness(2000㎎/㎏)(p<0.05). 8. Inhibitory effect of Bujaleejungtang on barium surface transport in the large intestine of mice was recognized(p<0.05). 9. Inhibitory effect of Bujaleejungtang on on rectal temperature in normal rats was recognized. 10. Inhibitory effect of Bujaleejungtang on on rectal temperature in reserpine-treated rats was recognized only when Bujaleejungtang was medicated in high thickness(2000㎎/㎏)(p<0.05)

3-MCA 誘發 上皮腫에 對한 香貝養榮湯과 貝母單味劑가 免疫反應에 미치는 影響

金倫範,蔡炳允 대한한방종양학회 1997 대한한방종양학회지 Vol.3 No.1

Hyangpaeyangyeongtang, which was first Prescribed in the book of Euijonggumgam (醫宗金鑑), has been widely applied to the treatment of scrofula and carbuncle in the neck and tumor as well in the oriental medicine. The Fritillariae roylei bulbus was also used as an anti-tumor medicine. In order to investigate the effect of Hyangpaeyangyeongtang and Fritillariae roylei bulbus extracts on the immune responses to the epithelioma induced by 3-methylcholanthrene and prostaglandin-F_2α in mice, the change of epithelioma size was observed and delayed type hypersensitivity, hemagglutinin titer, hemolysin titer, rosette forming cells, natural killer cell activity, lymphocyte transformation, productivity of interleukin-2 and phagocytic activity were also measured. The results were as follows; 1. The epithelioma size was decreased with statistical significance in the Hyangpaeyangyeongtang group at the 14th day, as compared with the control group, 2. Delayed type hypersensitivity was not shown any decrease in the Hyangpaeyangyeongtang group and the Fritillariae roylei bulbus group, as compared with the control group, 3. Hemagglutinin titer was increased with statistical significance in the Hyangpaeyangyeongtang group, but not in the Fritillariae roylei bulbus group as compared with the control group. 4. Hemolysin titer was increased with statistical significance in the Hyangpaeyangyeongtang group, but not in the Fritillariae roylei bulbus group as compared with the control group. 5. Rosette forming cells were not increased in the Hyangpaeyangyeong tang group, but increased with statistical significance in the Fritillariae roylei bulbus group as compared with the control group. 6. Natural killer cell activity at the ratio 100:1 of effector cells to target cells was increased with statistical significance in the Hyangpaeyangyeongtang group and the Fritillariae roylei bulbus group respectively, and the natural killer cell avtivity at the ratio of 50:1 and 10:1 of effector cells to target cells Hyangpaeyangyeongtang group was increased with statistical significance as compared with the control group. 7. Lymphocyte transformation was increased in the Hyangpaeyangyeong tang group and the Fritillariae roylei bulbus group respectively, as compared with the control group. 8. Productivity of interleukin-2 was increased in the Hyangpaeyangyeong tang group and the Fritillariae roylei bulbus group respectively, as compared with the control group. 9. Phagocytic activity was not shown any decrease in 7he Hyangpaeyangyeongtang group and the

행인 제제의 독성 및 항암효과와 자연살해세포 활성에 미치는 효과

심범상,최승훈,박재경 대한한방종양학회 2000 대한한방종양학회지 Vol.6 No.1

In this experiment, we examined the the effect of Laetrile Oil to the immune system and tried to disclose the anti-cancer mechanism of this. The result is listed as below. 1. After per-os, sub-cutaneous and into the peritonal injection of Laetrile Oil to the SPF mice, the LD50 is above 5ooomg/kg at even roup. 2. Mean survival days of mice treated with laetril oil, after S-180 cells transplantation into the eritoneal cavoty decreases 1.5 days(-6.8%) compared with the Mean survival days of the control group(22days.) 3. Effects of laetril oil on natural killer cell activity at Effector/Target Cell Ratio with 100:1, 50:1, l0:l into methotrexate-pretreated mice is like this.: Compared with 29.22±l2.7% Cytotoxicity of the control group, sample group's Cytotoxicity had 38.83±l2.5% of meaningful acrease. At l00:1 Effecr/Target Cell Ratio. At 50:l Effector/Target Cell Ratio, control group has 20.02±9.6% Cytotoxiciy and sample group had 3l.53±13.4% Cytotoxicity. At 25:l Effector/Target Cell Ratio, control group has 13.60±6.6% Cytotoxicity and sample group had 20.8l±9.8% Cytotoxicity. According to the above results, the Laetrile Oil represents nontotoxic to a SPF mice. non-effective to transplantable Sarcoma 180 tumors, and activaion in NK cell activity.

韓國韓醫學의 腫瘍硏究에 對한 現況 : 1980年 以後의 雜誌에 報告된 論文을 中心으로

공현식,류봉하,박동원,류기원 대한한방종양학회 1995 대한한방종양학회지 Vol.1 No.1

大腸癌의 東西의 結合 診治近況

김병주,문구 대한한방종양학회 1999 대한한방종양학회지 Vol.5 No.1

Large bowel cancer shows the 4-5th frequency in cancers that occurs in Korea. The westem medicine cures the Large bowel cancer by Herb-drugs, acupuncture, moxa and et al. With just one way of treating Large bowel cancer can't be effective remedy. Because each medicine has a strength and weakness, it is effective treatment whem two medicine combines and supplement each other. We got the folloswing result about a trend of oriectal and western combination treatment for Large bowel cancer through studding records. 1. In Latge bowel cancer, colon cancer is referred hematochezia(腸風下血), rectal cancer is refereed enterotoxin(腸壽), and anal cancer is accumulation of pathogens in yin(結陰). 2. The western medicine treats Large bowel cancer patient with sugery first. They need on assembly treatment such as chemical, radiation and immune treatment. In oriental medicine, they treats Lareg bowel cancer patients with differentiation of symptom and signs and treatment(辨證施治) for example, insufficiency of spleen and stomach(脾胃虛弱), collapse of the spleen-ql(脾氣下陷), atagnation of blood stasis and toxic agent(瘀毒內結), reinforcing both qi and blood (氣血變虧), stagnation of damp-phlegm(痰濕凝結) and cure for them by acupuncture and moxa too. 3. In combination with oriental and western medical treatment princple of Large bowel cancer by each stage is as follows, First stage is cured with radical surgery and herb-drugs without chemotherapy. The intermediate and terminal stage patients is used radiation before surgery, or after palliative surtery. cour with chemotherapy, radiation and Herb-drugs, In terminal stage patients, unable for suregry, is used combination between chemotherapy, palliative radiation and Herb-drugs. 4. After radiation surgery, the terminal stage patients who have extensively lymph node metastasis or local contraindication is able to undergo combination of Herb-durgs and chemotherapy. 5. The cure-effect with oriental and western medicine combination treatment was better than that just with oriental or western medical treatment. 6. The merits of oriental and western medicine combination treatment lengthon one's lite and diminish the bad effect of chemotherapy and complete radiation treatment, prevent from relapsing, maintain the balance in their environment of body and improve immunity.