双相情感障碍中医证候辨证分型标准专家共识  

Expert consensus on TCM syndrome differentiation criteria for bipolar disorder

作　　者：尹冬青 贾竑晓 Yin Dongqing;Jia Hongxiao(Psychosis branch of Chinese Association of Integrative Medicine)

机构地区：[1]中国中西医结合学会精神疾病专业委员会

出　　处：《现代中医临床》2021年第6期1-8,共8页Modern Chinese Clinical Medicine

基　　金：国家自然科学基金面上项目(No.81873398);北京市医院管理中心临床医学发展专项经费资助(No.ZYLX202129);北京医院管理中心登峰人才项目(No.DFL20191901);首都卫生发展科研专项重点攻关项目(No.首发2018-1-2122);首都卫生发展科研专项自主创新项目(No.首发2020-2-2123);北京中医药科技发展资金项目(No.JJ2018-42)。

摘　　要：双相情感障碍是精神科临床的常见病,中医药治疗该病有优势和特色,辨证论治是中医的核心,而证候是核心中的核心,目前尚缺乏统一的标准,为此中国中西医结合学会精神疾病专业委员会在古今文献研究、临床流行病学调查和德尔菲法研究的基础之上,先后3次组织专家对双相情感障碍的中医证候分型及证-症关系进行讨论,最后确定了双相情感障碍中医辨证分型的专家共识标准。该标准将双相情感障碍的中医证候分为躁狂发作3个证候,抑郁发作5个证候,每个证候需满足主证4项加次证5项方可成立,同时对相关四诊信息进行量化处理,使研究工作能够进行统一和量化,以便在临床研究中进行中医证候疗效评分。Bipolar disorder is a common disease in psychiatric clinics.TCM treatment has its own advantages and characteristics.Syndrome differentiation and treatment is the core of TCM,while syndromes are the core of syndrome differentiation and treatment.At present,there has been still a lack of unified standards of the syndromes.Therefore,on the basis of ancient and modern literature research,clinical epidemiological investigation and Delphi method research,the Professional Committee of Psychosis Branch of Chinese Association of Integrative Medicine were summoned to discuss the TCM syndrome classification and the syndrome-symptoms of the bipolar disorder for three times.Finally,the expert consensus standard of TCM syndrome differentiation and classification of the bipolar disorder has been determined.TCM syndromes of the bipolar disorder were divided into 3 types in mania and 5 types of depressive episodes according to this standard.Every syndrome has to meet 4 symptoms of the main symptoms plus 5 symptoms of sub-symptoms before diagnosis can be made.At the same time,the relevant symptoms which are of four diagnosis information can be quantified by experts,so that the research work can be unified and quantified,especially in scoring the curative effect of TCM syndrome in clinical research.

关 键 词：双相情感障碍 中医证候 专家共识 

分 类 号：R277.7[医药卫生—中医学]