81例抑郁症患者中医证候特征的临床调查-天津中医药大学期刊网.pdf

第29 卷 第3 期 天津中医药大学学报 Vol．29 No．3 2010 年9 月 Journal of Tianjin University of Traditional Chinese Medicine Sep．20 10 81 例抑郁症患者中医证候特征的临床调查* 程洪燕，武 成 摘要: [ 目的] 探讨抑郁症的中医证候特征。 [方法] 应用自拟“抑郁症常见中医证候辨证参考标准”对确诊的 81 例抑郁症患者通过望、闻、问、切诊察，进行中医证候的辨证分型，建立抑郁症中医证候临床调查分析数据库， 对统计结果进行分析。 [结果] 抑郁症患者证候类型分布：以气滞气逆为主，呈现多脏腑气机失调的特点，以脏 腑兼证居多。基本符合课题组关于情志疾病病机证候“双核心”理论。 [结论］情志致病的核心病机是以气滞气 逆为主的气机失调，核心证候是气机失调证。 关键词：抑郁症；基本证候基本病机；临床调查 中图分类号： 文献标识码： 文章编号： （ ） R749.4 A 1673－9043 2010 03－0129-02 Clinical investigation of 81 cases with depressive disorder on traditional Chinese medical syndrome CHENG Hong-yan,WU Cheng （ ， ， ） Tianjin TCM Hospital Tianjin 300140 China Abstract: [Objection] To explore the syndrome characteristics of depressive disorder. [Methods] We Investigated 81cases of depressive disorder patients by using Scale of Clinical Epidemiology of Common Traditional Chinese Syndrome Standard of Depression. To explore the syndrome characteristics of de- pressive patients. [Results] The Investigation showed that the symptoms of the depressive patients relate to multi-organs caused by disorders of Qi. Mainly of them caused by stagnation of Qi. [Conclusion] The result was accord to the theory of “Double Core” on psychological disease. The core pathogenesis of e- motion disease was mainly disorder of movement of qi with obscure complexion and adverse rising of qi. The core syndrome was disorder of movement of qi. Key words: depressive disorder; basic syndrome; basic pathogenesis; clinical investigation 抑郁症是长期困扰人类的一种精神、心理疾 准、病程标准；汉密尔顿抑