原发性肝癌常见中医基本证候定性诊断规范的研究

doi:10.3736/jcim20050204

Abstract

Objective

To work out a qualitative diagnostic criterion for basic syndromes of traditional Chinese medicine in patients with primary liver cancer.

Methods

Based on the collection and analysis of related medical literature, clinical investigation, and experts’ discussion, a preliminary qualitative diagnostic criterion for basic syndromes of traditional Chinese medicine in patients with primary liver cancer was formulated. Then it was used in clinic to be verified and revised repeatedly till it was improved to be a satisfied formal criterion.

Results

The basic syndromes listed in the qualitative diagnostic criterion for basic syndromes in patients with primary liver cancer consisted of two parts: excessive syndromes, including the syndromes of stagnation of qi, blood stasis, excess-heat and dampness, and deficient syndromes, including the syndromes of deficiency of qi, deficiency of blood, deficiency of yin and deficiency of yang. Each of the above syndromes could be diagnosed according to specific combination of its corresponding symptoms or signs. The clinical verification results showed that the total matching ratio was 73.92% between the diagnoses made according to the criterion and the diagnoses acquired from the experts’ experience.

Conclusions

The qualitative diagnostic criterion for basic syndromes of traditional Chinese medicine in patients with primary liver cancer is coincident with the experts’ clinical practice. However, it needs to be further studied.

Key words: Liver cancer, Syndromes, Diagnosis, TCM, Criteria

CLC Number:

R735.7

Chang-quan Ling, Qing Liu, Dong-tao Li, Xiao-qiang Yue, Feng-gang Hou, De-zeng Zhu, Chao-qin Yu, Zhe Chen, Xiao-feng Zhai, Yang Yu. Study of a qualitative diagnostic criterion for basic syndromes of traditional Chinese medicine in patients with primary liver cancer. Journal of Chinese Integrative Medicine, 2005, 3(2): 95-98.

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URL: http://www.jcimjournal.com/EN/10.3736/jcim20050204

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References 14

[1]	侯凤刚, 凌昌全, 李柏 , 等. 建立原发性肝癌肾阴虚证量化标准的方法研究[J]. 山东中医杂志, 2004,23(7):391-394 doi: 10.3969/j.issn.0257-358X.2004.07.003
[2]	侯凤刚, 凌昌全, 沈旭波 , 等. 原发性肝癌中医证型分布文献简析[J]. 中医杂志, 2004,45(11):876-877
[3]	沈自尹, 王文健 . 中医虚证辨证参考标准[J]. 中西医结合杂志, 1986,6(10):598
[4]	王阶, 陈可冀, 翁维良 , 等. 血瘀证诊断标准的研究[J]. 中西医结合杂志, 1988,8(10):585-587, 589
[5]	钱学森, 于景元, 戴汝为 . 一个科学新领域——开放的复杂巨系统及其方法论[J]. 自然杂志, 1990,13(1):3-10 doi: 10.3969/j.issn.1006-3862.2005.05.001
[6]	钱学森 . 以人为主发展大成智慧工程[N]. 文汇报, 2001 -03-20(1)
[7]	钱学森 . 再谈开放的复杂巨系统[J]. 模式识别与人工智能, 1991,4(1):1-4
[8]	戴汝为, 操龙兵 . 一个开放的复杂巨系统[J]. 系统工程学报, 2001,16(5):376-381
[9]	于景元, 刘毅 . 复杂性研究与系统科学[J]. 科学学研究, 2002,20(5):449-453 doi: 10.3969/j.issn.1003-2053.2002.05.001
[10]	戴汝为 . 复杂巨系统科学——一门21世纪的科学[J]. 自然杂志, 1997,19(4):187-192
[11]	沈自尹 . 对中医基础理论研究的思路[J]. 中国中西医结合杂志, 1997,17(11):643-644
[12]	王永炎 . 中医药学术发展面临着良好的契机[J]. 中医药学刊, 2002,20(2):134-136
[13]	赵金铎 . 中医症状鉴别诊断学(第1版)[M]. 北京: 人民卫生出版社, 1987,( 第1版):6
[14]	张志斌, 王永炎 . 证候名称及分类研究的回顾与假设的提出[J]. 北京中医药大学学报, 2003,26(2):1-4 doi: 10.3321/j.issn:1006-2157.2003.02.001

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Study of a qualitative diagnostic criterion for basic syndromes of traditional Chinese medicine in patients with primary liver cancer

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