The Preliminary Study Of Distribute Regulation Of TCM Symptom And Diferentiation Basis Of TCM Symptom In Primary Liver Cancer (Stagnation Of The Liver-Qi And Deficiency Of The Spleen Syndrome) Postoperation Patients

Purpose:To explore the distribution regulation of TCM symptom-sign and differentiation basis of TCM symptom-sign in Primary Liver Cancer(stagnation of the liver Qi and deficiency of the spleen) postoperation Patients,then apply objective basis for clinic practice and reference frome for clinical and basal study of Primary Liver Cancer.Methods:On the foundation which checks related articles and books extensively, filter articles and books which have a sub-type syndrome,syndrome characteristics and differentiation treatment,extract common symptoms,signs of PLC,Combined the diagnostic criteria of Primary Liver Cancer which was formulate in the Eighth National Conference on the development of liver cancer held in Guangzhou in September 2001 and the authoritative PLC syndrome differentiation certificate of present stage,and ask for experts' opinions, design "the investigate form for PLC symptom-sign of TCM".In the investigation process,under the guidance of experts,based on clinical information collection forms the practical situation,and validity and reliability of the evaluation,and ultimately the formation of "the investigate form for PLC symptom-sign of TCM"."According to the diagnosis standard,90PLC patients were brought into the Study.Then we collected the atients' symptome-sign of TCM.By two Chinese medicine practitioners refer to the dialectic in strict accordance with the standards,identify blind each case has the elements of traditional Chinese medicine syndromes.Ask for help of covariance software of the SPSS13.0,firstly use frequency to analysis main composing factors' concretely distribution of each kind of syndrome Then use cluster method to classify constitute factors of the characteristic syndrome for the PLC patients.Then divide the clinlcal syndrome tyPes.Use Hiear chical cluster method to classify the syndrome differentiation factors of each syndrome type,find out index of four examination techniques which match each clinic syndrome type as the basis of syndrome differentiatlon.Results:The frequency analysis shows that stagnation of the liver Qi and blood stasis syndrome,deficiency of the spleen and damp—heat syndromes are main clinical syndrome groups of the first stage of Primary Liver Cancer;and that deficiency of the spleen and deficiency of YANG of the spleen and kidney syndromes are main clinical syndrome groups of thesecond stage of Primary Liver Cancer.The main symptoms and signs of each clinical syndrome group as follows:Stagnation of the liver Qi and blood stasis syndrome syndrome:gloomy mind,belching,subcutaneous ecchymosis,hypochondriac pain,dark tongue,wiry pulse,choppy pulse.Deficiency of the spleen and damp—heat syndrome:shortness of breath and lazy to speak,anorexia,dry and pain mouth,limbs heavy storm,unsurfaced fever,sticky greasy coating,soggy pulse,rapid pulse.Deficiency of the spleen syndrome:pale chlorosis,shortness of breath and lazy to speak,physical burnout,distension less satisfied,pale tongue,white coating,soggy pulse,moderate pulse.Deficiency of YANG of the spleen and kidney syndrome:pale complexion,intolerance of cold,the waist cold and pain,thin runny stool,urine adverse,pale enlarged tongue,slippery coating,deep pulse,slow pulse.Conclusion:Syndrome groupe in the first stage is mainly excess syndrome,blood stasis syndrome,damp-heat syndrome are most often occurrence in PLC patients; syndrome groupe in the second stage is mainly deficiency syndrome,deficiency of the spleen syndrome,deficiency of YANG of the spleen and kidney syndrome are most often occurrence In PLC patients...