抑郁症临床症状分层与中医辨证分型的关系

Relationship between symptom stratification and syndrome differentiation of traditional Chinese medicine for depressive episode

本文在文献复习基础上,结合临床研究工作体会,分析了抑郁症识别率低及中医辨证分型研究进展缓慢的原因,提出以抑郁发作症状条目及与之对应的中西医通用名词术语归类为切入点,通过症状梯级分层、组合,探索中西医结合临床综合评估,为抑郁症的中医辨证分型、病因病机研究寻求专家共识及方法学参考。

On the basis of medical literature review and clinical research experience, the authors analyzed the reasons for low recognition rate of depression and poor progress of traditional Chinese medicine （TCM） differentiation of depression in this paper and put forward that depressive episode symptoms and the corresponding common terminology classification of Chinese and Western medicine should be the breakthrough points. Through symptom stratification and combination, as well as distinguishing between primary and secondary symptoms, the comprehensive integrative medicine clinical assessment of depression was explored so as to further obtain expert consensus and provide a methodology reference for the TCM differentiation of depression and the research of etiology and pathogenesis.