中风后焦虑抑郁常见中医症候的研究

Study on Criteria for Commonly-Seen TCM Syndromes of post-stroke Depression and anxiety

目的：探讨中风后焦虑抑郁常见中医证候。方法：采用证候要素评定量表和汉密尔顿抑郁量表（ HAMD）、汉密尔顿焦虑量表（ HAMA）对283例中风后焦虑抑郁患者进行四诊资料的收集，并进行评定。与“郁病”标准对照。结果：283例患者，根据统计分析结果，常见证候比郁病标准稍多。初步拟定8类证候主症。结论：继发郁病需在原发病的基础上进行探讨。中风后焦虑抑郁症病机复杂，虚证以气血两虚为主，实证以气郁、痰阻、血瘀为主，辨证病位在心、肝、脾、肾、脑最为常见。

Objective：To establish Criteria of eomrnonly -seen TCM syndromes of post -stroke Depression and anxiety .Methods：The materials collected by TCM four diagnosis methods from 283 patients with depression for the first time were reviewed by Syndrome factor rat-ing scale,Hamilton Depression Scale（HAMD）and Hamilton Anxiety Scale（HAMA）.Results：The 283 patients were divided into eight TCM syndromes.Conclusion：The pathogenesis of depression should be complicated characterized by deficiency of the root and excess of the tip .