摘要
目的探讨糖尿病合并抑郁症与中医辨证要素、六经辨证的关系。方法对108例糖尿病合并抑郁症患者进行临床资料收集、统计,分析其中医辨证要素、六经辨证分布特征。结果 108例糖尿病抑郁症患者的中医辨证要素统计,病性中虚证以气虚证、阴虚证为主,实证以瘀血、痰湿、燥热证多见,病位以肝、脾、肾为主;糖尿病抑郁症病变涉及六经,其中少阴、太阴病的发病率最高,其次是厥阴、阳明、太阳、少阳病,糖尿病抑郁症患者大多是以两经、三经合病为主的多经合病。结论糖尿病抑郁症患者中医辨证要素中病位主要在肝、脾、肾;病性属本虚(气虚、阴虚)标实(瘀血、痰湿、燥热)证。糖尿病抑郁症病变主要涉及少阴、太阴、厥阴病;以两经、三经合病最为多见。
Objective To investigate the relationship between TCM syndrome elements,the six meridians syndrome differentiation and diabetes mellitus complicating depression（DMCD）.Methods Clinical data,the TCM syndrome elements and the six meridians differentiation distribution characteristics of 108 patients with DMCD were collected and analysed.Results Comparative analysis of the TCM syndrome elements of 108 patients with DMCD showed that： in terms of diease nature,Qi deficiency and Yin deficiency were the main type of deficiency syndrome while blood stasis,phlegm and dryness-heat were common among excessive syndromes;the location of disease were mainly about liver,spleen,kidney;DMCD lesions involved the six meridians,especially the Shaoyin and Taiyin diseases,and most of the DMCD were complictions of two or three meridians syndromes.Conclusion TCM syndrome elements of DMCD are mainly located in the liver,spleen,kidney and the nature is the deficiency of origin（Qi,Yin） and excess of sympton（blood stasis,phlegm and dryness-heat）.The six meridians syndrome differentiation suggests Shaoyi and Taiyang diseases are more common in DMCD and most DMCD combines two or three meridians syndromes.
出处
《湖南中医药大学学报》
CAS
2013年第5期81-85,共5页
Journal of Hunan University of Chinese Medicine
基金
广东省建设中医药强省科研立项资助课题(2009241)
关键词
糖尿病
抑郁症
中医辨证要素
六经辨证
diabetes mellitus
depression
TCM differentiation elements
the six meridians syndrome differentiation in TCM
