心理测验与神经衰弱辨证分型关系的探讨

对345例神经衰弱患者应用SCL－90症状自评量表和信虑自评量表（SAS）、抑郁自评量表（SDS）进行心理评定，探索3量表测定值与中医辨证分型的关系。结合临床症征，以上述3个量表的测验值中，焦虑评分高于抑郁评分者作为实证。结合临床症征，抑郁评分高于焦虑评分者作为虚证。无明显虚实症征者作为轻证。结果:（1）实证127例，虚证124例，轻证94例。除轻证SCL－90的人际关系、抑郁、偏执3项外，与常模差异均有非常显著性（P＜0.01）。（2）虚、实、轻证的评分结果与假说相符，有统计学差异（P＜0.01）。提示用3量表对神经衰弱的中医辨证进行相关对照及量化评定有一定的可行性。结合病史、症征，认为将实证定为风痰阻络、虚证定为气阴两虚较为合适。轻证临床虚实表现不典型，故另立一型，以待研究。

Approach to Relation of Psychological Test with Syndrome Types in Patients of Neurosism

Psychological assessment was made in 345 cases of neurosism withSCL-90 Scale, SAS and SDS to probe into the relation between the determined values in the three rating scales and TCM syndrome types.Combined with clinical symptoms, the patient with score of anxiety higher than that of depression was regarded as excess syndrome,and the patient with score of depression higher than that of anxiety score was regarded as deficiency syndrome,and the patient with no obvious deficiency or excess syndrome was regarded as mild syndrome.Results showed that 1) 127 cases were excess syndrome,124 deficiency and 94 mild. There were very significant difference as compared with normal persons(P<0.01),except the 3 items relation with other persons,depression and extreme view in the SCL-90 Scale in the patient of mild syndrome; 2) the results of assessment of deficiency syndrome,excess syndrome and mild syndrome were comfort with the hypothesis. It is indicated that TCM syndrome differentiation of neurosism with the 3 rating scales has a certain feasibility.Combined with medical history and symptoms and signs,it is considered proper that excess syndrome is retention of wind-phlegm in collaterals,deficiency syndrome is both Qi and Yin deficiency and mild syndrome is other type for atypical clinical deficiency and excess syndrome.