摘要
抑郁症属于中医学"郁证"范畴,主要是情志不舒、气机郁滞所致,而以心情抑郁、情绪不宁、胸部满闷、胁肋胀痛、或易怒易哭、或咽中如有异物梗阻等为主要临床表现的一类病症。包括古医籍中记载的郁证、脏燥、癫证、奔豚气和梅核气等。其中心脾两虚是临床上抑郁症患者中最常见的证候,治疗采用补益心脾法治疗疗效较好。但是,由于抑郁症的病因复杂、发病机理尚未明确等,目前对于抑郁症的诊断仍缺乏客观诊断标准,临床以症状学标准为主。而中医学对抑郁症的病因病机也存在各家之说,中医证候标准化研究,多采用专家问卷,虽然能统计出主要症状,也规范了证候的标准化诊断,但尚缺少相关的定量研究。临床具体的用药,多为各医家根据自己的临床经验、主观辨证所得,用药规律性不强,缺乏客观的统一的标准,这让治疗的可重复性较难达到。所以,应开展多中心、大样本、随机对照试验,推动证候标准化诊断和治疗,优化中医综合治疗抑郁症的方案,提高中医药治疗抑郁症的疗效。
Depression,which belongs to the category of ＂ Melancholia＂ in TCM,is caused mainly by the uneasy emotions and Qi stagnation. The main clinical manifestations include depression,restless mood,stuffy chest,flank pain,irritability,or foreign body obstruction in throat. Heart and Spleen deficiency is the most common TCM syndrome of the disease and the main treatment method is tonifying Heart and Spleen. However,at present the diagnosis of depression there is still lack of objective diagnostic criteria due to the complex etiology and pathogenesis of depression. Although the use of questionnaire is able to account for the main symptoms and to specify the standard of syndrome diagnose in traditional Chinese medicine,there is lack of objective and uniform standards and relevant quantitative studies,which makes it more difficult to achieve repeatability in treatment. Therefore,we should conduct multi-center and randomized controlled trial with large samples to promote the standardization of syndrome diagnosis and comprehensive treatment of depression with Chinese medicine.
出处
《中医学报》
CAS
2016年第5期726-729,共4页
Acta Chinese Medicine
基金
浙江省中西医结合脑病创新平台项目(CXPT201002)
关键词
抑郁症
心脾两虚证
补益心脾法
Depression
Heart and Spleen deficiency
tonifying Heart and Spleen
