| 摘要: |
| 目的：探讨原发性支气管肺癌的中医证治规律。方法：选择2014年1月至2018年12月于湖南省中医药研究院附属医院、邵阳市中医医院确诊为原发性支气管肺癌的患者2044 例，导出其病历资料，构建原发性支气管肺癌数据库，采用本课题组研发的医案分析平台进行分析。结果：2044 例肺癌患者中，男1459 例，女585 例;发病年龄集中在50～79岁;主要症状为咳嗽、咳痰、气促、乏力、胸闷;舌脉主要为舌红、苔薄、脉弦细;单一证型主要为毒瘀互结、气阴两亏、肺脾气虚;复合证型主要为气阴两亏、毒瘀互结，肺脾气虚、毒瘀互结，脾虚痰湿、毒瘀互结，气血亏（两）虚、毒瘀互结;主要治则为益气养阴、化瘀解毒、健脾补肺、益气化痰，以扶正固本为主，兼顾祛邪;常用方以肺复方、四君子汤、麦冬汤加减为主;常用中药以益气养阴、健脾祛湿、解毒化痰类为主。结论：本研究总结了2044 例原发性支气管肺癌患者的中医证治规律，对临床具有一定的参考价值。 |
| 关键词: 原发性支气管肺癌 中医证型 证治规律 湖南省 |
| DOI： |
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| Traditional Chinese medicine diagnostic and therapeutic rules for primary bronchogenic carcinoma：An analysis of 2044 cases |
| CHEN Cheng,GONG Youlan,ZHANG Bo |
| (Hunan Academy of Chinese Medicine，Changsha 410006，Hunan，China;The First Affiliated Hospital of Hunan University of Chinese Medicine，Changsha 410007，Hunan，China) |
| Abstract: |
| Objective：To investigate the traditional Chinese medicine (TCM) diagnostic and therapeutic rules of primary bronchogenic carcinoma. Methods：A total of 2044 patients who were diagnosed with primary bronchogenic carcinoma in The Affiliated Hospital of Hunan Academy of Chinese Medicine and Shaoyang Hospital of Traditional Chinese Medicine from January 2014 to December 2018 were enrolled，and their medical records were exported to establish a database of primary bronchogenic carcinoma. The platform for medical record analysis developed by our research group was used for analysis. Results：Among the 2044 patients with primary bronchogenic carcinoma，there were 1459 male patients and 585 female patients，and the most common age of onset was 50-79 years. Main symptoms included cough，expectoration，shortness of breath，weakness，and chest distress，and tongue pulse showed red tongue，thin coating on the tongue，and fine and string-like pulse. Single syndrome type was mainly intermingled toxin and blood stasis，deficiency of both Qi and Yin，and Qi deficiency of lung and spleen，and complex syndrome types were mainly deficiency of both Qi and Yin with intermingled toxin and blood stasis，Qi deficiency of lung and spleen with intermingled toxin and blood stasis，spleen deficiency and phlegm-dampness with intermingled toxin and blood stasis，and deficiency of both Qi and blood with intermingled toxin and blood stasis. Major principles of treatment were tonifying Qi and nourishing Yin，resolving stasis and detoxicating，strengthening the spleen and nourishing the lung，and tonifying Qi and resolving phlegm，and the treatment focused on strengthening and consolidating body resistance，as well as eliminating pathogen. Commonly used prescriptions included Feifufang，Sijunzi decoction，and modified Radix Ophiopogonis decoction，and commonly used TCM drugs had the functions of tonifying Qi and nourishing Yin，strengthening the spleen and eliminating dampness，and detoxicating and resolving phlegm. Conclusion：This study summarizes the TCM diagnostic and therapeutic rules for 2044 patients with primary bronchogenic carcinoma，which provides a reference for clinical practice. |
| Key words: primary bronchogenic carcinoma traditional Chinese medicine syndrome type diagnostic and therapeutic rules Hunan Province |
