Syndrome Differentiation Typing Of Gastric Precancerous Lesions

Purpose:This study explore of precancerous lesions in-patients admitted to Jiangsu Provincial Hospital since August2007TCM pathogenesis and TCM medication characteristics to guide the intervention of Chinese medicine for gastric precancerous lesions.Methods:According to the case inclusion and exclusion criteria, the collection of more than200cases of gastric cancer patients with precancerous lesions of the four diagnostic materials and other observation indicators. Observe the main symptoms presented in the process of development of gastric precancerous lesions, the pathogenesis of gastric precancerous lesions.Results:The proportion of precancerous disease, chronic atrophic gastritis (54.46%), followed by followed by gastric polyps (23.94%), gastric ulcer (18.31%)3.29%, the lowest proportion of the stomach after surgery.Precancerous disease morbidity in the60-69age group for most of at least40years of age. No significant difference in the incidence of men and women.The most common syndromes in chronic atrophic gastritis of spleen and stomach type, approximately33.62%, followed by incoordination between liver and approximately23.28%, the third bit of damp heat resistance of about17.24%.Benign gastric ulcer, the most common syndromes of qi stagnation type, about33.33%, followed by the spleen and stomach-approximately17.95%, third place for the inner heat of approximately17.95%.Gastric polyps, the most common card type for the weak stomach type, approximately35.29%, followed by the type of damp is about15.96%, the third bit of damp heat resistance of about13.73%. The disharmony of liver and stomach yin deficiency, the incidence rates of other card type below10%.The most common syndromes in the stomach after surgery for blood stasis type, about57.14%, qi and blood deficiency, Spleen, spleen and stomach, and other cards each14.29%.The most common syndromes of intestinal metaplasia of the spleen and stomach type, about33.33percent, the emergence of a higher frequency of disharmony of liver and the type and damp heat resistance, and frequency of occurrence of21.05%,17.54%, respectively. The frequency of occurrence in10%of the syndromes of dampness obstructing type, blood stasis type, Stomach yin deficiency type and other syndromes.Dysplasia is the most common syndromes of qi stagnation type, about29.79%, a higher frequency of spleen and stomach type, the disharmony of liver and the type and dampness type, frequency of23.40percent,12.77%and14.89%. Frequency of less than10%of the card type in wet muddy resistance type, and other syndromes.HP infection in patients with spleen and stomach (including the spleen and stomach) and the largest proportion of29.89%; followed by damp and21.84%, disharmony of liver12.64%and (19.54%of the liver and stomach depressive heat), dampness in the resistance, blood stasis resistance network to4.59%.Conclusion:Through the correlation analysis, precancerous lesions are more common in60-69year-olds, no significant difference in the incidence of men and women, the pathogenesis of this disease is characterized by false is mixed, the vacuity of the virtual deficiency of qi, yin, than yang, marked the real in order to damp heat, blood stasis mainly more than qi stagnation and wet muddy, this conclusion with the understanding of clinical practice and expertise, also verified the Jiangsu Provincial Hospital of Qi, blood circulation, heat the principle of treatment PLGC practical value. The main evidence to designate the genotyping in patients with intestinal metaplasia as the spleen and stomach weakness, incoordination between liver and damp heat resistance, dampness in the resistance, blood stasis, the main pathological factors for the spleen, which is common in the elderly. Dysplasia in patients with major card type-designate, respectively, as follows:blood stasis, spleen and stomach, liver and stomach and damp heat resistance, the main pathological factors for blood stasis, it is because this disease is a chronic disease change with intestinal of, the pathological stage stasis than the Spleen to become a major pathological factors. The survey results reflect the gradual progression of the disease, from benign diseases of the stomach to the pathological changes of intestinal metaplasia in patients with chronic illness injury is temper gradually decline, and the further development of intestinal metaplasia to dysplasia, patients virtual caused In fact, spleen deficiency is still the principal contradiction into stasis. Jiangsu Province Hospital of stomach disease inherit and carry forward the characteristics of the Menghe Medical School, stressed that the prescription should not be too large, the medication should be calm, long term stasis, post-stressed blood circulation treatment.