恶性肿瘤患者死亡时间与中医阴阳关系的研究

目的探讨恶性肿瘤患者死亡时间与中医阴阳的关系。方法对100例恶性肿瘤死亡患者的病案进行回顾性调查。结果恶性肿瘤死亡患者证候特点为正虚邪实,虚、痰、瘀互见,有虚损证候者占80.4%,其中阳气虚损者多于阴血亏虚者;在实证和虚实夹杂证的67例中,有瘀血证候者占83.6%,有痰湿（或痰热）证候者占43.3%。死亡时间在1天24h中以0：00～11：59为多,占66.0%。患者死亡高峰在夏、秋两季,占65.0%。结论恶性肿瘤晚期患者中医证候特点为正虚邪实,虚、瘀、痰互见,阳气虚损者多于阴血亏虚者,其死亡与时间、季节有一定关联。

Relationship between death time and yin-yang in patients with malignant tumor

Objective To discuss the relationship between the death time and yin-yang of TCM in the patients with malignant tumor. Method A reviewed investigation was conducted on the records of 100 dead patients induced by malignant tumor. Result The syndrome characteristics of dead patients induced by malignant tumor were deficiency of healthy qi and domination of pathological qi, and combination of deficiency, phlegm and blood stasis. There were 80.4 % patients with consumptive symptoms, the patients with insufficiency of yang qi were more than those with deficiency of yin blood. Among 67 patients with excessive syndrome or the syndrome combined excess with deficiency there were 83.6 % patients with the symptoms of blood stasis, and 43.3 % with phlegm-damp (or phlegm-heat). The death time of the patient was mostly at 0:00 to 11:59 (66.0 %), and the death peak period was in summer and autumn (65.0 %). Conclusion The syndrome characteristics of TCM in the patients with terminal malignant tumor were deficiency of healthy qi and domination of pathological qi, and combination of deficiency, phlegm and blood stasis. The syndromes of insufficiency of yang qi were more than the syndromes of deficiency of yin blood. The death of the patient is related to the time and seasons.