精神分裂症中医证候辨证分型标准专家共识  

Expert consensus on TCM syndrome differentiation criteria for schizophrenia

作　　者：中国中西医结合学会精神疾病专业委员会 贾竑晓[2] 尹冬青[2] Psychosis branch of Chinese Association of Integrative Medicine

机构地区：[1]不详 [2]首都医科大学附属北京安定医院

出　　处：《现代中医临床》2022年第1期11-16,共6页Modern Chinese Clinical Medicine

基　　金：国家自然科学基金面上项目(No.81873398);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：精神分裂症是精神科临床常见病,中医药治疗有独特优势和特色,辨证论治是中医的核心,而证候是核心中的核心,目前尚缺乏统一的精神分裂症辨证标准,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次组织专家对精神分裂症的中医证候分型及证—症关系进行讨论,最后确定了精神分裂症中医辨证分型的专家共识标准。该标准将精神分裂症的中医证候分为5种,每种证候需满足主症5项加次症6项方可成立。专家组对相关四诊信息条目进行量化处理,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。Schizophrenia 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 still been a lack of unified criteria for this syndrome.Therefore,on the basis of ancient and modern literature research,clinical epidemiological investigations and Delphi method research,the Professional Committee of Mental Illness of the Chinese Society of Integrated Chinese and Western Medicine were summoned three times to discuss the TCM syndrome classification and the syndrome-symptoms of schizophrenia.Finally,the expert consensus standard of TCM syndrome differentiation and classification of schizophrenia was determined.TCM syndromes of schizophrenia were divided into 5 types according to the consensus.Each syndrome has to meet 5 symptoms of the main symptoms plus 6 symptoms of sub-symptoms before the diagnosis can be made.At the same time,relevant symptoms which were 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 syndromes in clinical research.

关 键 词：精神分裂症 中医证候 专家共识 

分 类 号：R277.7[医药卫生—中医学]