抑郁癥肝郁氣滯證證候標(biāo)準(zhǔn)研究.pdf

1、中國(guó)中醫(yī)研究院（北京）博士后學(xué)位論文抑郁癥肝郁氣滯證證候標(biāo)準(zhǔn)研究姓名：喻長(zhǎng)遠(yuǎn)申請(qǐng)學(xué)位級(jí)別：博士后專(zhuān)業(yè)：中西醫(yī)結(jié)合基礎(chǔ)指導(dǎo)教師：呂愛(ài)平胡隨瑜20041001StudiesonthestandardforsyndromesofHepaticQiStagnationfordepressionAbstractMethods:ThefrequentlyoccurringTCMsyndromesdatabasewereestablishedfrom

2、thequestionnairesandclinicalepidemiologicalsurveyattheaspectsofthecombinationofTraditionalChineseMedicineandWesternMedicinethecombinationofdiseaseandnewTCMsyndromes.AfterthedatawereclassifiedintodifferentTCMsyndromesbyak

3、indofmathematicalrecognitionmethod一artificialneuralnetwork588caseswithsyndromesoftheHepaticQiStagnationwereselectedfromclinicalepidemiologicalsurvey.Accordingtotheresultsofstatisticalanalysisbythediferentiationofmainsymp

4、tomsthestandardofsyndromewiththeHepaticQiStagnationfordepressionwereestablished.Results:(1)TheaccumulatingscoresoftheHepaticQiStagnationofdepressioninthe92questionnaireswere273whichwasconfirmedascommonTCMsyndromesofdepre

5、ssionby96.7percentofthe92respondingquestionnaires.Theoccurringfrequenciesandpercentagesofitwerehigherthanthatofothersyndromes.(2)Thefivesyndromeswhosepercentagesofnecessarilyoccurringsyndromessurpass50percentandtotalscor

6、esweremorethan230werementaldepressionsighingdistensionandpainofthechesthypogastriumandbreastandanxietyandstringypulse.(3)The1977clinicalepidemiologicalsurreyofTCMsyndromesofdepressionshowedthatthepercentagesoftheHepaticQ

7、istagnation29.7whichwasthehighestofall.Atthesametimethepatientsagesweretheleastofall.(4)ThetotalscoresofHAMDinhepaticstagnationandretentionofphlegmcardiosplenicastheniahepaticandrenalyindeficiencyinsufficiencyofliverandg

8、allbladderqiandastheniasplenonephroyangweresignificantlyhigherthanthatofhepaticqistagnationatthesametime.(5)1731depressiontestedbyartificialneuralnetworkthecorrectpercentagesoftrainingandtestingofhepaticqistagnation，hepa