Objective To analyze the distribution pattern of traditional Chinese medicine（TCM） syndromes in patients with primary bronchial lung cancer and its correlation with anxiety status. Methods A total of 315 patients with primary bronchial lung cancer were differentiated according to the self-made classification criteria of TCM syndromes. The deficiency syndromes included qi deficiency syndrome

blood deficiency syndrome

yin deficiency syndrome

yang deficiency syndrome

fluid deficiency syndrome

and essence deficiency syndrome

and the excess syndromes included qi stagnation syndrome

qi reversed flow syndrome

qi blockage syndrome

blood stasis syndrome

blood cold syndrome

blood heat syndrome

phlegm coagulation syndrome

dampness stagnation syndrome

water stop syndrome

fluid stop syndrome

excessive cold syndrome

and excessive heat syndrome. Meanwhile

the the hospital anxiety and depression scale（HADS-A） was used to determine the anxiety status. The distribution of syndromes in patients with primary bronchial lung cancer accompanied by anxiety was summarized

and the correlation between TCM syndromes and associated anxiety was analyzed. Results In 315 patients with primary bronchial lung cancer

137 were associated with anxiety

with an incidence of 43.5%. The occurrence of anxiety was age-related（P<0.01）. The top 5 TCM syndromes in patients with anxiety state were qi reversed flow syndrome

qi stagnation syndrome

qi deficiency syndrome

phlegm coagulation syndrome and blood stasis syndrome. Qi stagnation syndrome and blood stasis syndrome were related to whether it was accompanied by anxiety（P<0.05）. Conclusion The TCM syndrome types of anxiety in patients with primary bronchial lung cancer are mainly qi reversed flow syndrome

qi stagnation syndrome

qi deficiency syndrome

phlegm coagulation syndrome and blood stasis syndrome. Young patients

qi stagnation syndrome and blood stasis syndrome are risk factors associated with anxiety.