Immune-Inflammatory Mechanisms and Traditional Chinese Medicine Intervention Strategies of Colorectal Cancer Cachexia Based on the "Reinforcing Healthy Qi and Dispelling Pathogen" Theory
|更新时间:2026-06-12
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Immune-Inflammatory Mechanisms and Traditional Chinese Medicine Intervention Strategies of Colorectal Cancer Cachexia Based on the "Reinforcing Healthy Qi and Dispelling Pathogen" Theory
Journal of Traditional Chinese MedicineVol. 67, Issue 12, Pages: 1267-1271(2026)
XIE Zhenming,WU Wenyu,HUANG Wenqi,et al.Immune-Inflammatory Mechanisms and Traditional Chinese Medicine Intervention Strategies of Colorectal Cancer Cachexia Based on the "Reinforcing Healthy Qi and Dispelling Pathogen" Theory[J].Journal of Traditional Chinese Medicine,2026,67(12):1267-1271.
XIE Zhenming,WU Wenyu,HUANG Wenqi,et al.Immune-Inflammatory Mechanisms and Traditional Chinese Medicine Intervention Strategies of Colorectal Cancer Cachexia Based on the "Reinforcing Healthy Qi and Dispelling Pathogen" Theory[J].Journal of Traditional Chinese Medicine,2026,67(12):1267-1271.DOI: 10.13288/j.11-2166/r.2026.12.005.
Immune-Inflammatory Mechanisms and Traditional Chinese Medicine Intervention Strategies of Colorectal Cancer Cachexia Based on the "Reinforcing Healthy Qi and Dispelling Pathogen" Theory
This paper explores the immune-inflammatory regulatory mechanism of colorectal cancer cachexia and corresponding traditional Chinese medicine (TCM) intervention strategies based on the TCM theory of reinforcing healthy
qi
and dispelling pathogenen. It is proposed that depletion of healthy
qi
is the root cause of colorectal cancer cachexia, while cancer toxins exuberance is the symptomatic manifestation of the disease, and failure of the spleen and stomach is the core pathogenesis. In terms of treatment, a TCM treatment system is constructed based on the principles of reinforcing healthy
qi
to consolidate the foundation and regulate immunity, and dispelling pathogen to remove toxins and alleviate inflammation. The system clarifies the healty
qi
-reinforcing method as fortifying spleen and boosting
qi
to enhance immune function, and nourishing blood and enriching
yin
to consolidate
yin
essence and healthy
qi
. It also emphasizes the pathogen-dispelling method as clearing heat and removing toxins to regulate the secretion of inflammatory cytokines, and promoting blood circulation and resolving stasis to improve the immune microenvironment and microcirculation. This therapeutic approach may provide valuable insights for TCM interventions in colo-rectal cancer cachexia.
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SIEGEL R L , KRATZER T B , GIAQUINTO A N , et al . Cancer statistics, 2025 [J]. CA Cancer J Clin , 2025 , 75 ( 1 ): 10 - 45 .
DAJANI O , PHILIPS I , STØRKSON EK , et al . Oncological and survival endpoints in cancer cachexia clinical trials: systematic review 6 of the cachexia endpoints series [J]. J Cachexia Sarcopenia Muscle , 2025 , 16 ( 2 ): e13756 .
NG S K , CHUNG D J , CHANG L C , et al . The protective effect of cannabinoids against colorectal cancer cachexia through modulation of inflammation and immune responses [J]. Biomed Pharmacother , 2023 , 161 : 114467 . doi: 10. 1016/j.biopha.2023.114467 http://dx.doi.org/10.1016/j.biopha.2023.114467 .
CRUNKHORN S . A new target for cancer cachexia [J]. Nat Rev Drug Discov , 2025 , 24 ( 5 ): 333 .
LIU M , REN Y , ZHOU Z , et al . The crosstalk between macrophages and cancer cells potentiates pancreatic cancer cachexia [J]. Cancer Cell , 2024 , 42 ( 5 ): 885 - 903 .
CUI Q , LI S , LIU X , et al . MIF-ACKR3 causes irrever-sible fat loss by impairing adipogenesis in cancer cachexia [J]. Cell Metab , 2025 , 37 ( 4 ): 954 - 970 .
XU Y , XU X , ZHANG Q , et al . Gp130-dependent STAT3 activation in M-CSF-derived macrophages exaggerates tumor progression [J]. Genes Dis , 2023 , 11 ( 3 ): 100985 .
PRYCE B R , KERR H L . The effects of tissue inflammation on cancer cachexia [J]. Biochim Biophys Acta Mol Basis Dis , 2025 , 1872 ( 3 ): 168144 .
ZHU X A , STAROSTA S , FERRER M , et al . A neuroimmune circuit mediates cancer cachexia-associated apathy [J]. Science , 2025 , 388 ( 6743 ): eadm8857 .
WANG H , CHAN Y L , LI T L , et al . Improving cachectic symptoms and immune strength of tumour-bearing mice in chemotherapy by a combination of Scutellaria baicalensis and Qing-Shu-Yi-Qi-Tang [J]. Eur J Cancer , 2012 , 48 ( 7 ): 1074 - 1084 .
ONESTI J K , GUTTRIDGE D C . Inflammation based regulation of cancer cachexia [J]. Biomed Res Int , 2014 , 2014 : 168407 . doi: 10.1155/2014/168407 http://dx.doi.org/10.1155/2014/168407 .
MCGOVERN J , DOLAN R D , SKIPWORTH R J , et al . Cancer cachexia: a nutritional or a systemic inflammatory syndrome? [J]. Br J Cancer , 2022 , 127 ( 3 ): 379 - 382 .
PARK B , YOU S , CHO WCS , et al . A systematic review of herbal medicines for the treatment of cancer cachexia in animal models [J]. J Zhejiang Univ Sci B , 2019 , 20 ( 1 ): 9 - 22 .
KASPRZAK A . The role of tumor microenvironment cells in colorectal cancer (CRC) cachexia [J]. Int J Mol Sci , 2021 , 22 ( 4 ): 1565 .
CHEN G , TIAN T T , WANG F Q , et al . Chanling Gao suppresses colorectal cancer via PI3K/Akt/mTOR pathway modulation and enhances quality of survival [J]. Environ Toxicol , 2024 , 39 ( 3 ): 1107 - 1118 .
TIAN T T , CHEN G , SUN K , et al . ChanLingGao alleviates intestinal mucosal barrier damage and suppresses the onset and progression of Colorectal cancer in AOM/DSS murine model [J]. Int Immunopharmacol , 2024 , 143 ( Pt 1 ): 113193 .
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Evaluation of Pulmonary Air-Blood Barrier Damage in Ulcerative Colitis Inflammatory Cancer Transformation Model Mice:Based on the "Lung-Intestine Correlation" Theory
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