990例精神分裂症患者中医证候构成比分析  

Analysis of 990 patients with Schizophrenia on syndromes composition ratio in TCM

作　　者：张宏耕[1] 陈裕根[2] 宋炜熙[2] 杨宗亮[2] 唐云[2] 莫祥德[3] 王国强[4] 欧阳国华 王瑞见 丁杰豪 陈胜才[8] 董明树 王小平 王哲 黄若华 

机构地区：[1]湖南省脑科医院,湖南长沙410007 [2]湖南中医药大学 [3]长沙市精神病医院,湖南长沙410005 [4]无锡市精神卫生中心,江苏无锡214151 [5]湘潭市精神卫生中心,湖南湘潭411102 [6]邵阳市脑科医院,湖南邵阳422000 [7]宁乡县精神病医院,湖南宁乡410600 [8]怀化市第四人民医院,湖南怀化418000 [9]常德市康复医院,湖南常德415000 [10]平江县精神病医院,湖南平江414500 [11]湘雅二医院,湖南长沙410111 [12]岳阳市康复医院,湖南岳阳414000

出　　处：《湖南中医药大学学报》2011年第5期57-59,共3页Journal of Hunan University of Chinese Medicine

基　　金：湖南省卫生厅中医药科研基金项目(24101)

摘　　要：目的了解精神分裂症中医证候类型的构成比例,为建立精神分裂症常见中医证候标准提供依据。方法采用临床流行病学调查方法,对湖南、江苏等10个调查点990例精神分裂症患者进行了中医辨证及证候指标调查。结果精神分裂症患者存在16种证候类型,依据其构成比大小,排前5位的依次是:痰火内扰证19.9%,心脾两虚证11.9%,肝胆火盛证11.1%,阴虚火旺证9.6%和肝郁犯脾证8.6%。结论精神分裂症的常见中医证候是痰火内扰、心脾两虚、肝胆火盛、阴虚火旺和肝郁犯脾5类,精神分裂症常见中医证型与PANSS量表总分之间存在一定关系。Objective To explore the composition ratio of the syndromes in TCM of Schizophrenia so as to establish a criterion of common TCM syndromes for Schizophrenia. Methods According to the ways of clinical epidemiology, differentiation and syndromes＇ indexes in TCM were investigated in 990 Schizophrenia patients in 10 investigative sites such as Hunan, Jiangsu and so on. Results There were 16 kinds of syndrome types in Schizophrenia. According to order of composition ratio, the first five syndrome types were phlegm-fire inter-harassing19.9%, cardiosplenic astheniall.9%, hepatocholic fire 11.1%, asthenic yin and excessive yang 9.6% and hepatic stagnation disturbing spleen 8.6%. Conclusion The common TCM syndromes types of Schizophrenia are as followings： phlegm-fire inter-harassing, cardiosplenic asthenia, hepatocholic fire, asthenic yin and excessive yang and hepatic stagnation disturbing spleen, which is related, in total scores, to PANSS Scale.

关 键 词：精神分裂症 中医证候 构成比 临床流行病学 

分 类 号：R749.3[医药卫生—神经病学与精神病学]