Observation On The Therapeutic Effect Of Small Cell Lung Cancer Under The Guidance Of The Theory Of Unity Of Form And Spirit In Traditional Chinese Medicin

Purpose: A clinical study on the physiognomy injury of small cell lung cancer and the therapeutic effect evaluation of traditional Chinese medicine based on the unified theory of physiognomyMaterial and method: A retrospective case study was conducted to select the inpatients of the Oncology Department of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January 2016 to September 2022 and the patients who visited the outpatient department of Professor Yin Dongfeng from January 2016 to September 2022.Small cell lung cancer was the only primary tumor and the number of visits was ≥2,a total of 76 cases.Excel was used to establish a database,and weighted to calculate the physical injury score of small cell lung cancer patients in each period.By calculating the physical injury score changes of patients in each group before and after treatment according to the unified theory of physical injury,SPSS26.0 statistical software was used to organize the data.The measurement data were expressed as ±s,and the data between groups were in line with normal distribution.Sample t test was used for comparison,and p<0.05 was considered statistically significant.Among them,frequency of symptoms and signs = frequency of symptoms and signs of patients in each stage/total number of patients in each stage *,100%;frequency of oral Chinese medicine = frequency of decoction piece application in each group/number of patients in each group *100%.Results:1.A total of 76 patients were included in this study,of which 52 were inpatients and 24 were outpatients respectively.The classification of patients showed that there were 22 cases in the tumor-free group,22 cases in the early-stage group,24 cases in the late-stage group,and 8 cases in the end-stage group.2.After treatment,24 patients in ward and outpatient department had reduced shape injury score,26 patients had unchanged shape injury score,and 26 patients had increased shape injury score.The total effective rate was 65.7%.43 cases had decreased,18 case had unchanged,and 12 cases had increased.The total effective rate was 84.2%3.Fatigue,cough for the most common symptoms,no tumor period often see shortness of breath sleep poor;Cough and chest pain are common in the early stage with tumor.Dizziness and abdominal distension were common in the late stage with tumor.Severe signs such as dyspnea and emaciation are common in the terminal stage.In the use of decoction in each stage of patients,patients in the tumor-free stage mainly focused on strengthening the right,recovering psychic injury,and dispelling evil;In the early-stage tumor group,the form injury treatment was given priority,and the intensity of anti-evil drugs was increased or decreased according to whether there was radiotherapy or chemotherapy,and the clinical symptoms/signs and the trauma caused by western anti-tumor treatment were repaired with all efforts.In the advanced stage with tumor,the treatment of psychic injury is the priority to reduce symptoms/signs and maintain the quality of life.On the basis of psychic injury repair,the treatment of psychic injury includes dispelling drugs and moderate Western anti-tumor therapy.In the final stage,complete treatment of spiritual injury and hospice care of integrated Chinese and western medicine were carried out.The treatment of psychic injury is based on Liujunzi decoction and Xiaobupleurum decoction.The treatment of physical injury is mainly based on dispelling evil drugs,which can be divided into simple-shaped injury drugs and physiognical drugs.For patients with serious illness,Western medicine is mainly used for symptomatic support therapy.4.After the unified theory of form and spirit treatment,p < 0.05 was found for patients with early tumor in the ward,indicating that the treatment effect was significant in early tumor.For the treatment of divine injury,p<0.05 for patients with no tumor stage,early tumor stage and late tumor stage in the ward,and p<0.05 for outpatient patients at each stage indicated that the treatment for divine injury of patients at each stage was effective except for terminal stage patients in the ward.Conclusion:1.After treatment,both the shape injury and spirit injury scores were effective in the tumor-free group and the early-stage group with tumor,achieving absolute unity of shape and spirit and close to absolute unity of shape and spirit.In the patients with late-stage tumor and end-stage patients,the shape injury treatment was not good but effective,and they could also achieve relative unity of shape and spirit and close to relative unity of shape and spirit.2.After data analysis and processing of each group,there were significant statistical differences in the changes of the trauma scores of ward patients in the tumor-free stage,early stage and late stage,indicating that the treatment was effective;there were significant statistical differences in each stage of outpatient patients,indicating that the treatment was effective in each stage of outpatient.3.After treatment with the unified theory of TCM form and spirit,TCM has a remarkable effect in treating the adverse reactions caused by Western anti-tumor treatment,as well as the symptoms and signs caused by tumor lesions themselves and metastasis.4.In each stage of patients for the treatment of shape,form and spirit,spirit of the use of decoction pieces consistent with clinical treatment experience.