摘要
本文通过对312例胃癌中医证型与病理学关系的探讨,提出胃癌本虚标实辨证分型。结果表明:本虚证与标实证共同的病理学特征是病理分期从早期到晚期;浸润深度逐渐加深;瘤体逐渐增大;胃周淋巴结转移逐渐加重。不同点是本虚证呈巢状或弥漫性浸润的方式逐渐加重,标实证癌周淋巴样细胞由多到少。脾肾阳虚与痰湿瘀毒型肿瘤发生部位多较广泛,组织分化程度较低。证实了胃癌本虚标实辨证分型具有临床指导意义。
Analysing the relations between TCM syndrome differentiation type and pathology in 312 patients With gastric cancer, the authors put forward the syndrome differentiation type of deficiency of vitality and excess in superficiality. The studies showed that the four syndrome types of deficiency of vitality such as Spleen-Stomach deficiency, Qi-Xue(气血) deficiency, Yin(阴) deficiency and inner heat, Spleen-Kidney Yang(阳) deficiency and the three syndrome types of excess in superficiality such as Liver Stomach disorder, blood stasis and stagnation of Qi(气), Phlegm-dampness and stagnation of toxic. The same changes in pathologic characteristic of both were from early to late stage, the infiltration getting deeper, the tumor getting larger and the metastasis of lymphonodus around the stomach from little to much. Their difference was that in the deficiency of vitality syndrome-type, the chief manifestation was in nest or spread infiltration type which became serious by degrees, whereas in excess in superficiality type, the reaction of lymphoidocytes around the cancer was decreasing. The studies also showed that in most syndrome types of Spleen-Kidney Yang deficiency and Phlegm-dampness and stagnation of toxic, the tumor occurred in wide-range and the degree of tissue differentiation was quite low. The authors suggested that there might be morphopathologic basis in TCM syndrome differentiation types and the conclusion has practical value in guiding clinics.
出处
《中国中西医结合杂志》
CAS
CSCD
北大核心
1992年第3期151-153,共3页
Chinese Journal of Integrated Traditional and Western Medicine
关键词
本虚标实
病理学
胃肿瘤
gastric cancer
deficiency of vitality and excess in superficiality
pathology
studies of syndrome-differentiation type
