89例精神病中医分型  

The traditional medicine differential diagnosis typing of 89 psychosis patients

作　　者：王晓慧[1] 边玉静 罗军席 蔡红霞[1] 李清亚[2] 

机构地区：[1]中国人民解放军第467医院,石家庄市050081 [2]北京军区军事医学研究所,石家庄市050081

出　　处：《现代中西医结合杂志》2000年第15期1420-1422,共3页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的 :对 89例精神病患者进行了中医辨证分型 ,其中男 49例 ,女 40例。精神分裂症 68例 ,占 76.4% ;躁狂抑郁症 9例 ,占 1 0 .1 1 % ,神经症 1 2例 ,占 1 3.48%。方法 :是以精神症状、躯体症状、舌质、舌苔及脉象为主要依据 ,以八纲为基础 ,结合病因病机综合分析进行了辨证分型。结果 :临床上精神分裂症中的痰湿中阻最为多见 ,其次是痰火内扰和阳虚亏损 ;而躁狂抑郁症中肝胆郁热、肝郁脾虚者较多见 ;神经症中以肝郁脾虚多见 ,其次是心脾两虚。In this article, 89 psychosis cases (49 males and 40 females) were typed by the traditional medicine differential diagnosis. There were 68 Schizophrenia cases (76.41%), 9 mania depression cases (10.11%) and 12 neurosis cases (13.48%). Based on the eight principal syndromes principal, combined the pathogenesis and the clinical findings of psychological body symptoms,tongue fur and pulse conditions, the differential diagnosis was performed. The result suggested that: among the schizophrenia patients, the headache due to phlegmwetness was seen mostly; the phlegm fire attacking the heart, the second; and the deficiency of both yin and yang was the third; in the depression patients, heatevil accumulated inside the liver and gallbladder was more common than the stagnation of liver energy and asthenia of spleen; as to the neurosis patients, stagnation of liver energy and asthenia of spleen was found mostly, and the asthenia of both heart and spleen was the second type, the other was the deficiency of liver yang and kidney yang.\;

关 键 词：精神病 中医分型 病因 病机 

分 类 号：R277.79[医药卫生—中医学]