双相情感障碍中医证素特点的初步探索  

Characteristics analysis of traditional Chinese medicine elements of bipolar affective disorder patients

作　　者：朱虹 尹冬青[1,2] 李自艳 贾竑晓 李宝君 黄芳[4] 赵安全 陈进东[4] 王群松 都弘[7] Zhu Hong;Yin Dongqing;Li Ziyan;Jia Hongxiao;Li Baojun;Huang Fang;Zhao Anquan;Chen Jindong;Wang Qunsong;Du Hong(The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088;Capital Medical University Advanced Innovation Center for Human Brain Protection;Xi' an Mental Health Center;Xiamen Xianyue Hospital;Tangshan Mental Health Center, Tangshan No. 5 Hospital;Wuxi Mental Health Center;Shenyang Mental Health Center)

机构地区：[1]首都医科大学附属北京安定医院,国家精神心理疾病临床医学研究中心,精神疾病诊断与治疗北京市重点实验室,北京100088 [2]首都医科大学人脑保护高精尖创新中心 [3]西安市精神卫生中心 [4]厦门市仙岳医院 [5]唐山市精神卫生中心、唐山市第五医院 [6]无锡市精神卫生中心 [7]沈阳市精神卫生中心

出　　处：《现代中医临床》2019年第4期29-33,共5页Modern Chinese Clinical Medicine

基　　金：国家临床重点专科(中医专业)建设项目(No.2100299);国家中医药管理局“十二五”中医药重点学科(No.京中医科字[2012]174号);北京中医药科技发展基金项目(No.QN2016-09);首都卫生发展科技专项项目(No.首发2018-1-2122)

摘　　要：目的探讨双相情感障碍患者的中医证素特点。方法根据中医证素标准,对符合双相情感障碍诊断标准的174例双相情感障碍患者的症状特点、中医证素分布规律进行研究,以确定该病的中医病机。结果双相情感障碍的常见症状有善忘、情绪抑郁、烦躁易怒、烦躁不安等,病位类证素有心、肝、脾、胃、肾,病性类证素有火热、阴虚、气滞、气虚、痰。结论双相情感障碍中医病性类要素以火热为主,主要病位类要素在心、肝。Objective To investigate the characteristics of syndrome elements of bipolar affective disorder patients. Methods According to associated standard in traditional and western medicine, the TCM symptoms of 174 patients with bipolar affective disorder were collected and investigated. Results Amnesia, depressed mood, irascibility, fidgety, etc. were common symptoms of bipolar affective disorder patients;Heart, liver, spleen,stomachand kidney were syndrome elements of disease location. Heat, yin deficiency, qi stagnation, qi deficiency, phlegm were syndrome elements of disease character. Conclusion Main syndrome element of disease character in bipolar affective disorder is heat, and main syndrome elements of disease location are heart and liver.

关 键 词：双相情感障碍 中医证素 火热 

分 类 号：R241[医药卫生—中医诊断学]