2060例原发性肝癌中医证候分布规律的临床流行病学调查研究

Clinical Epidemiological Investigation and Research of Syndrome Distribution Law in Chinese Medicine of 2060 Cases of Primary Liver Carcinoma

采用统一辨证标准和资料处理方法的大样本临床流行病学调研方案 ,临床调查原发性肝癌 2 0 6 0例。结果表明 ,原发性肝癌病机复杂 ,其常见证候分布依次为肝血瘀阻、脾气虚、肝郁气滞、脾虚湿阻、肝胃不和、脾胃湿热、肝阴虚、肾阴虚等 ;肝癌各期的证候分布互有异同。研究结果提示 ,肝血瘀阻、脾虚气滞是肝癌的根本病机 ;肝癌的特点是肝脾同病 。

Clinical epidemiological investigation and research scheme of big sample was taken in which the unified standard of syndrome differentiation and methods of data-handling were adopted to investigate 2060 cases of primary liver carcinoma. The results show that the pathogenesis of primary liver carcinoma is complicated, its common syndrome distribution is respectively as follows: stasis of liver blood, spleen-qi deficiency, liver-qi stagnation, spleen deficiency and dampness blocking, disharmony of liver and stomach, dampness-heat of spleen and stomach, liver-yin deficiency, kidney-yin deficiency etc, there is difference and sameness in the each stage of liver carcinoma where the syndrome distribution is concerned. The studying results indicate that the basic pathogenesis is stasis of liver blood and spleen deficiency and liver-qi blocking. The characteristics of liver carcinoma is disorder of both liver and spleen. As its treatment is concerned, liver and spleen must be treated at the same time.