To Explore The Distribution Of Chinese Medicine Constitution Among Cases With Primary Liver Cancer And Correlation With The Syndrome

[Objective]To observe the distribution of Chinese medicine constitution among cases withPrimary liver cancer and analsis its association with the syndrome of the distributions incircumstances in Traditional Chinese Medicine(TCM),Providing an objective basis for thedistribution of Chinese medicine constitution and treatment.[Method]Screening for surgical patients of Primary liver cancer from department ofHepatobiliary Surgery of the first affiliated hospital of Guangxi medical University andusing Epidemiological survey and self controlled study, meeting the inclusive criteria ofthe147cases of liver cancer surgical patients who were included in this study, baselinedata according to “registration form of Primary liver cancer therapy” and standardizedclassification measurement questionnaire of nine constitutions in Chinese medicine wasused to investigate;TCM syndrome according to “observation table of Primary livercancer”,which was made by department of Traditional Chinese Medicine,ChanghaiHospital. The observation of liver cancer TCM syndrome was divided into twice,respectively,1～3days before surgery and7～10days after operation. After observing,thecontents of “registration form of Primary liver cancer therapy” and “observation table ofPrimary liver cancer” would be by input Excel software to manage data,and finally the datawas put into SPSS statistical analysis.[Result]1.From Dec.2011to Dec.2012,147patients were involved in this study,there were130male and17femal patients,the male/female ratio is7.6:1.Their ages ranged from22-74, the average age was46.90±10.76yearsold，the onset age mainly concentrated onpatients at the age from35to55, speeially at the age of from40to50.2.The constitution in Chinese medicine was as follows：the biased constitution aremostly wet-heat type, blood-stasis type,”qi”-deficiency type.3.The differences exist in the constitution in Chinese medicine of the patients with PLCand the normal (P<0.05). Blood-stasis type is higher risk of the patients of liver cancer.4.Gender differences exist in the constitution in Chinese medicine of the patientswith PLC(P<0.05).For male patients,the biased constitution are mostly wet-heat type, while in the female patients are mostly”Yang”-deficiency type. 5.The Gentleness type are composed of relevance with qi stagnation syndrome(liver-qi stagnation syndrome), excess-heat syndrome(damp-heat brewing syndrome),qi deficiency syndrome（spleen-qi deficiency syndrome）,yin deficiency syndrome(yin-deficiency of liver and kidney syndrome),yang deficiency syndrome,liver-blooddeficiency syndrome before operation(P<0.05).”Qi”-deficiency type are composedof rel-evance with excess-heat syndrome,qi deficiency syndrome（spleen-qi deficiency syndrome）,blood deficiency syndrome(liver-blood deficiency syndrome), yin deficiency syndrome(yin deficiency of liver and kidney syndrome),yang deficiency syndrome (yang deficiency of spleen and kidney syndrome) before operation(P<0.05).The”Yang”-deficiency type are composed of relevance with excess-heat syndrome(damp-heat brewing syndrome), qi deficiency syndrome（spleen-qi deficiency syndrome）, blood deficiency syndrome (liver-blood deficiency syndrome) before operation(P<0.05), yang deficiency syndrome (yang deficiency of spleen and kidney syndrome). The”Yin”-deficiency type are composed of relevance with yin deficiency syndrome(yin deficiency of liver and kidney syndrome),yang deficiency syndrome, liver-blood deficiency syndrome before operation(P<0.05).The Phlegm-wetness type arecomposed of relevance with yin deficiency syndrome，qi stagnation syndrome beforeoperation(P<0.05). The wet-heat type are composed of relevance with qi stagnation syndrome and yin deficiency syndrome before operation(P<0.05). The blood-stasis type are composed of relevance with blood stasis syndrome,qi deficiency syndrome（spleen-qi deficiency syndrome）,yang deficiency syndrome，liver-qi stagnation syndrome, yin deficiency of liver and kidney syndrome,yang deficiency syndrome(yang deficiency of spleen and kidney syndrome), liver-qi stagnation syndrome,liver-blood deficiencysyndrome,yin deficiency of liver and kidney syndrome before operation (P<0.05).The”Qi”-depression type are composed of relevance with qi deficiency syndrome（spleen-qi deficiency syndrome）, yang deficiency syndrome,liver-qistagnation syndrome, yin deficiency of liver and kidney syndrome,liver-blood deficiency syndrome before operation(P<0.05). The phlegm-wetness type and The specialdiathesis type are comPosed of relevance with yang deficiency syndrome before operation(P>0.05).6.The result of syndromes of quantitative scoring before and after operation: qistagnation syndrome, blood stasis syndrome, hepatic blood stagnation syndrome decreasedafter operation, statistically difference between before and after operation(P<0.05). qi deficiency syndrome (Spleen-qi deficiency syndrome), excess-heat syndrome,liver-blooddeficiency syndrome, yin deficiency of liver and kidney syndrome increased afteroperation.statistically significant difference between before and after operation(P<0.05).[Conclution]1.The constitution in Chinese medieine of the Patients of liver cancer surgery weremostlywet-heat tyPe, blood-stasis tyPe,”Qi”-deficiency tyPe.2.Blood-stasis tyPe is higher risk of the Patients of liver cancer.3.Gender differences exist in the constitution, male Patients are mostly wet-heattyPe,while in the female Patients are”Yang”-deficiency tyPe.4. There was a certain correlation between the constitution in Chinese medicine andsyndromes of quantitative that were before oPeration.5. Syndromes of quantitative of the patients with PLC before and after operation: qistagnation syndrome,blood stasis syndrome(hepatic blood stagnation syndrome) decreasedafter operation; qi deficiency syndrome (spleen-qi deficiency syndrome), excess-heatsyndrome,liver-blood deficiency syndrome, yin deficiency of liver and kidney syndromeincreased after operation.