解郁汤配合心理干预治疗郁病的临床观察

Clinical Observation of Depression Treated with Jieyu Decoction and Psychological Intervention

目的观察解郁汤配合心理干预治疗郁病的临床疗效。方法将在本院中医心理门诊就诊的郁病患者66例按照就诊顺序随机分为两组,对照组33例采用认知疗法中的合理情绪疗法,分心理诊断、领悟、修通和再教育4个阶段进行治疗,每次50 min,每周1次;治疗组33例在对照组治疗基础上加服解郁汤,药物组成:柴胡10 g,当归15 g,白芍15 g,茯苓15 g,白术15 g,薄荷6 g,莲子心15 g,枳壳10 g,香附9 g,炒枣仁30 g,夜交藤30 g,陈皮9 g,炙甘草9 g。每日1剂,加水600 mL,煎药汁至200 mL,分早晚温服。两组均以4周为1个疗程,治疗1个疗程。结果治疗组痊愈12例,显著进步17例,进步3例,无效1例,有效率为96.97%。对照组痊愈5例,显著进步10例,进步10例,无效8例,有效率为75.76%。两组临床疗效比较,差异有统计学意义(P<0.01)。结论解郁汤配合心理干预治疗郁病有显著疗效。

Objective To observe the clinical efficacy on depression treated with jieyu decoction and physiological intervention.Methods 66 patients with depression in the psychiatric clinic of traditional Chinese medicine were randomized into two groups according to visiting sequence.In the control group（33 cases）,the rational emotive therapy in the cognitive therapeutic program was adopted in four phases,named psychological diagnosis,understanding,emotive repairing-cultivating and re-educating,50 min each time,once per day.In the treatment group（33 cases）,on the basis of the treatment as the control group,jieyu decoction was supplemented.The ingredients：radix bupleuri 10 g,angelica sinensis 15 g,radix paeoniae alba 15 g,poria cocos 15 g,rhizome atractylodis macrocephalae 15 g,menthe haplocalyx 6 g,lotus plumule 15 g,fructus aurantii 10 g,rhizome cyperi 9 g,stir-fried jujube 30 g,caulis polygoni multiflori 30 g,pericarpium citri reticulatae 9 g,radix glycyrrhizae preparata 9 g.The decoction was prepared one dose a day,adding 600 mL water,boiled till 200 mL left.The decoction was taken every morning and evening at warm temperature.The cases in either group were treated for 4 weeks as 1 session.Results In the treatment group,12 cases were cured,17 cases improved significantly,3 cases improved and 1 case failed.The total effective rate was 96.97%.In the control group,5 cases were cured,10 cases improved significantly,10 cases improved and 8 cases failed.The total effective rate was 75.76%.The clinical efficacy was different significantly in statistics between two groups（P〈0.01）.Conclusion Jieyu decoction combined with psychological intervention achieves the significant efficacy on depression.