抑郁症常见中医证候标准的研究

目的:建立抑郁症常见中医证候标准.方法:采取专家咨询、临床流行病学调查、证候程度分级计分和多因素统计分析等,建立抑郁症常见5类中医证候的主症辨证标准.结果:1977例抑郁症患者中肝郁气滞证、肝郁脾虚证、肝郁痰阻证、心脾两虚证和肝肾阴虚证共1731例,根据统计分析结果,建立了5类证候主症辨证标准.结论:抑郁症常见证候有其共同的病因病机,肝郁气滞证是其基础证候,各证临床表现以情绪抑郁为共同主症,但各证尚有可供判别的其它主症.

Study on Criteria for Commonly-Seen TCM Syndromes of Depression

Objective:To establish criteria of commonly-seen TCM syndromes of depression.Methods:Consultation of specialists,clinical epidemiological survey,scores of syndrome degree rating and statistical analysis of multiple factors were adopted to establish the criteria for main syndrome differentiation of 5 commonly-seen TCM syndromes of depression.Results:Of 1977 cases of depression,1731 cases were stagnation of the liver-Qi,stagnation of the liver-Qi and deficiency of the spleen,stagnation of the liver-Qi and phlegm,deficiency of both the heart and spleen,and Yin-deficiency of both the liver and kidney.And according to statistical analysis,the criteria for main syndrome differentiation of the 5 syndromes were established.Conclusion:Commonly-seen syndromes of depression have common cause of disease and pathogenesis.Stagnation of the liver-Qi is basic syndrome,and in clinical manifestation of various syndromes emotional depression is common main syndrome,but various syndromes still have other main syndrome.