反复上消化道出血发病因素研究

Factors Affecting the Occurrence of Repealed Hemorrhage of Upper Digestive Tract

通过对５１８例消化性溃疡、胃炎患者上消化道出血的诱因的分析，发现这类血证的发病具有受季节气候和月廓盈亏变化的特点。本研究表明反复出血好发于冬、春季节，农历十五前后；而受伤食（包括药误）、情志、劳累等因素影响则相对较少。上述因素常因加重了该病原有的脾虚血瘀的病理基础，使得气伤、血瘀成为这类血证的常见病机，认为火热病机在此并非如唐容川所说的“血证气盛火旺者十之八九”。

In this article,the predisposing cause of upper digestive tract hemorrhage was analysed in 518 cases of peptic ulcer or gastritis.It was found that the hemorrhage was affected chiefly by the climate and the moon phase,and relatively less by the other faetors,such as diet emotion,overstrain,ete.The repeated hemorrhage was prone to take place in winter and spring,and around the date of full moon.The original pathological condition of spleen deficiency and blood stasis was aggravated by various factors,and this may be responsible for the pathogenesis of the repeated hemorrhage.That' most of hemorrhage is due to hyperaetivity of fire'proposed by Tangrongcuan is not the case in our study.