【摘要】 用标本理论辨析胃黏膜异型增生(Dys)的临床证候,其具有本虚标实相关联的结构特征。为了研究Dys虚实关联证证候结构,探讨其演变规律,判断各类别的癌变趋向,课题组建立起虚实关联证证候辨识系统数据库,多中心协作,将首诊选择的186例Dys患者临床症状体征信息资料,输入数据库进行辨识,初步分析结果显示:首诊病例75.27%属虚实标本关联证,且以主兼关联证居多,在一月后复诊时点上的个体化证候演化统计,转入单实证24例,多有饮食、劳倦、受寒等诱发因素,多因病情加重而就诊;转入单虚证16例,其中脾胃气虚、胃阴不足、气阴两虚证病情轻。表明Dys的证候具有本虚标实的结构特点,治疗Dys不能陷入非实即虚、非虚即实的证候选择之中。更多还原

【Abstract】 Apply the TCM Biao-Ben theory to discriminate the clinical Syndromes of gastric dysplasia(Dys),which were characterized with Ben-Xu Biao-Shi correlated structure.In order to study on the Dys Xu-Shi correlation structure,investigate the evolving law of the TCM syndrome,and judge all types of cancer trends,the database of the Dys Xu-Shi correlation structure differentiation system was constructed,by the multi-center collaboration,select 186 Dys patients and input their clinical symptoms and signs information into the system database for identification.The preliminary result showed that the 75.27% first diagnosed Dys patients were Xu-Shi correlation syndrome cases and most of them belonged to the correlation syndrome of the major syndromes plus minor syndromes.According to the evolution statistics of the individual syndrome with follow-up one month later,24 cases became positive syndrome,most of them were accompanied with the predisposing factors such as diet,fatigue,catching a chill etc and saw a doctor due to the disease getting worse;16 cases converted into single deficiency syndrome and the syndromes of the Spleen-Stomach-qi-Xu,Stomach-yinXu,Qi-yin-Xu became light.The statistical results demonstrated that the characteristics of Dys Syndrome is Ben-Xu and Biao-Shi,and indicated that when treating the Dys,it can not be trapped into the choice of single-Shi or single-Xu.更多还原