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Objective: In theory, under the guidance of Chinese and Western medicine, the subject of lung cancer complicated patients with malignant pleural effusion TCM syndromes and clinical observation, and to explore the variation of advanced lung cancer complicated by malignant pleural effusion TCM syndrome. Methods: A prospective epidemiological research methods, observational study of patients diagnosed with lung cancer complicated by malignant pleural effusion syndrome distribution laws. Choose from March 2009 to April 2010, Guang An Men Hospital of China Academy of Traditional Chinese Medicine Oncology concurrent malignant pleural effusions medical records of 150 patients with advanced lung cancer were observed. All patients with a prospective study of lung cancer patients certificate syndrome distribution laws questionnaire study cases the inclusion criteria detailed observation of lung cancer complicated by malignant pleural effusion in patients with clinical symptoms and signs (including tongue and pulse), press the study design scene dialectical determine the preliminary syndromes, then explore the study in accordance with the criteria for judging syndrome characteristics, to find out the law. Results: 1 lung cancer complicated by the Certificate of patients with malignant pleural effusion climate mainly including yin (61 cases, 40.7%), qi deficiency and phlegm (23 cases, 15.3%), Qi and Blood (22 cases, 14.7% ), the Qi type (17 cases, 11.3%), phlegm (n = 11, 7.3%), Qi stagnation (9 cases, 6.0%), blood stasis type (7 cases, 4.7%). Syndrome type distribution and clinical pathological type, stage and no significant correlation. Squamous cell carcinoma, adenocarcinoma are mainly Yin Deficiency type, small cell carcinoma of Qi and Blood. Stage Ⅲ B, Ⅳ are Qiyinliangxu type-based second stage Ⅲ B to more QDBS, accounting for 14.0%, more phlegm IV-term qi deficiency, accounting for 23.0%. The statistical analysis was no significant difference. The 3 clinical observation of patients with a small amount of pleural effusion 107 cases, accounting for 71.3%, in the amount of pleural effusion 21 cases, accounting for 14.0, large pleural effusion in 22 cases, accounting for 14.7%. Syndromes of chest water how many no significant association, are Qiyinliangxu type more common, followed by a large number of pleural effusion in patients with qi deficiency and phlegm type more, accounting for 18.2%, in the amount of pleural effusion qi deficiency in patients with more common, accounting for 14.3%, a small amount of pleural effusion patients more Qi and Blood, accounting for 16.8%. Conclusion: 1 lung cancer complicated by malignant pleural effusion syndrome distribution complex documents, and more complex syndrome actual situation in sight, the total deficiency, blood stasis, phlegm and president more common. In this study, 150 patients observed deficiency of qi, yin deficiency, blood stasis, phlegm, phlegm, qi stagnation is its basic syndromes of deficiency mixed Yin Deficiency type is the most common, followed by evidence to qi deficiency and phlegm common type Qi and Blood. 2 malignant pleural effusion in patients with lung cancer complicated Syndromes and chest water no significant correlation common syndromes are Qiyinliangxu type, advanced stage to consider in patients with lung cancer complicated by pleural effusion, stop drinking Xiongxie, Haoshangyinye related to water metabolism imbalance. In times permit in patients with the syndrome distribution performance for large pleural effusion heavier qi deficiency and phlegm dampness common, the dampness with thoracic and reduce the amount of water and getting young patients syndrome type documents Qi type, a small amount of pleural effusion in patients Qi and Blood are more common.
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