Search JIM Advanced Search

Journal of Chinese Integrative Medicine ›› 2011, Vol. 9 ›› Issue (9): 933-936.doi: 10.3736/jcim20110902

Special Issue: Traditional Chinese Medicine

• Commentary • Previous Articles     Next Articles

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

SuiYue Hu, Su E Wang, Chun Hu Zhang()   

  1. Institute of Integrative Medicine, Key Research Unit of State Administration of Traditional Chinese Medicine of the Peopled Republic of China for Liver Organ in Traditional Chinese Medicine, Xiangya Hospital, Central South University, Changsha 410008,Hunan Province,China
  • Received:2011-05-09 Accepted:2011-05-25 Online:2011-09-20 Published:2011-09-15
  • Contact: Chun Hu Zhang E-mail:chzxysm@yahoo.com

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.

Key words: depression, seizures, neurobehavioral manifestations, syndrome classification, etiological factors (TCM), pathogenesis (TCM)

"

分层 症状诊断标准 供选择的对应性名词术语
核心症状
情绪低落(心境低落)
心情不好、压抑、悲伤、善悲易哭、郁郁寡欢、心里难受、喜太息、苦闷、表情沮丧、额头紧锁、眉间“川”字、无望、无助、无用(昼重夜轻)
(1)兴趣丧失、无愉快感 高兴不起来、度日如年、空虚、兴趣索然、离群索居、自我封闭、愁眉苦脸、冷漠、无笑容
心理学症状群

(2)精力减退或疲乏感 力不从心、无精打采、精神萎靡、疲乏无力(倦怠乏力)、懒惰(懒散)、数欠伸
(3)精神运动性迟滞或激越
迟滞:神思迟钝、健忘、脑子笨了、行动迟缓、效力低、呆坐、呆立、嗜睡、不吃不喝、木僵;激越:精神紧张、注意力不集中、苦思冥想、烦躁不安、忧心忡忡、恶闻声响
(4)自我评价过低、自责,内疚感 自卑、自责、自罪、罪恶感、内疚
(5)联想困难或自觉思考能力下降 思维迟缓、优柔寡断、犹豫不决、说话缓慢、少语寡言、胆怯易惊
(6)反复出现想死的念头或有自杀、自伤行为 活着没意思、生不如死、悲观消极、自伤、悲观厌世、轻生念头、欲寻短见、痛不欲生、悲痛欲绝
生物学症状群 (7)睡眠障碍 入睡困难、少寐、多梦易醒、早醒、睡眠过多(嗜卧少动)
(8)食欲降低或体重明显减轻 食欲下降、食不甘味、纳差、纳呆、体重下降(消瘦)、面黄肌瘦、营养不良
(9)性欲减退 性欲减退、阳痿、快感缺失、闭经
其他症状群 焦虑症状 坐立不安、心烦意乱、胸闷、气短、心悸、出汗、尿频、肢体颤抖、惊恐
非特异性躯体不适

面色无华、头晕头痛、全身疼痛、局部疼痛、形寒肢冷、肢体麻木、肌肉痉挛、视物模糊、咽喉梗塞、五心热、潮热、盗汗、胃部不适、腹胀、嗳气呃逆、恶心欲呕、消化不良、口干苦、便溏、便秘、月经不调
精神病性症状 幻觉、幻听、妄想(由重到轻为:被害、罪恶、牵连、疑病、虚无、贫穷)、妄见妄闻、多疑善惑

"

实证类 虚或虚实夹杂类
常见证型 肝郁气滞、肝郁痰阻
少见证型

肝郁血瘀、肝郁化火、心肝火旺、湿浊中阻
肝郁脾虚、心脾两虚、肝郁肾虚阴虚火旺、肝肾阴虚、脾肾阳虚肝胆气虚、心神不宁、心肾不交
[1] Jiang KD. Guideline for the prevention and treatment of depressive disorders[M]. Beijing: Peking University Medical Press, 2007, 16-33
江开达 . 抑郁障碍防治指南[M]. 北京: 北京大学医学出版社, 2007, 16-33
[2] Xiu LJ, Yang YX, Yu S, Sun DZ, Wei PK . Research of depression in traditional Chinese medicine: review and prospect[J]. J Chin Integr Med, 2008,6(4):416-421
修丽娟, 杨玉兴, 俞珊, 孙大志, 魏品康 . 抑郁症中医研究回顾与展望[J]. 中西医结合学报, 2008,6(4):416-421
[3] Hu SY . Study and thinking on traditional Chinese medicine syndrome differentiation of depression[J]. Zhongguo Zhong Xi Yi Jie He Za Zhi, 2009,29(3):199-200
doi: 10.3321/j.issn:1003-5370.2009.03.002
胡随瑜 . 抑郁症中医辨证分型研究与思考[J]. 中国中西医结合杂志, 2009,29(3):199-200
doi: 10.3321/j.issn:1003-5370.2009.03.002
[4] Chen ZQ, Hu SY, Zhang HN, Zhang HG, Zheng L, Li XZ . Study on criteria for commonly-seen TCM syndromes of depression[J]. Zhong Yi Za Zhi, 2005,46(1):47-49
陈泽奇, 胡随瑜, 张海男, 张宏耕, 郑林, 李晓照 . 抑郁症常见中医证候标准研究[J]. 中医杂志, 2005,46(1):47-49
[5] Zhou M, Chu N, Li J . Methodology study of classification algorithm in traditional Chinese medicine syndrome study[J]. J Chin Integr Med, 2010,8(10):911-916
doi: 10.3736/jcim20101002
周忞, 褚娜, 李洁 . 中医证候研究中的分类算法方法学研究[J]. 中西医结合学报, 2010,8(10):911-916
doi: 10.3736/jcim20101002
[6] Zhou L, Chen WK, Mei XY, Peng CX, Li GC, Huang Y, Chen WJ, Peng JH, Zhang XF, Chen JS, Chu W, Ding X . Study on the characteristics of population distribution on TCM syndromes and its related factors in patients of depression[J]. Zhongguo Zhong Xi Yi Jie He Za Zhi, 2006,26(2):106-109
周玲, 陈文垲, 梅晓云, 彭昌孝, 李国春, 黄云, 陈文姬, 彭计红, 张喜芬, 陈建设, 褚蔚, 丁兴 . 抑郁症中医证候的群体分布特点及其相关因素研究[J]. 中国中西医结合杂志, 2006,26(2):106-109
[7] Qu M, Tang QS, Pei QH, Li X . Cluster research on syndromes of depression in traditional Chinese medicine[J]. Jilin Zhong Yi Yao, 2007,27(11):10-12
曲淼, 唐启盛, 裴清华, 李侠 . 抑郁症中医证候的聚类研究[J]. 吉林中医药, 2007,27(11):10-12
[8] Yue GX, Huang QF, Chen JX, Jia CH . The relationship of emotion regulation of Wu-zang and depression’s pathogeny[J]. Jiangsu Zhong Yi Yao, 2007,39(11):14-16
doi: 10.3969/j.issn.1672-397X.2007.11.012
岳广欣, 黄启福, 陈家旭, 贾春华 . 情志的五脏调控与抑郁症发病的关系[J]. 江苏中医药, 2007,39(11):14-16
doi: 10.3969/j.issn.1672-397X.2007.11.012
[1] Nevin Lianwen Zhang, Chen Fu, Teng Fei Liu, Bao-xin Chen, Kin Man Poon, Pei Xian Chen, Yunling Zhang. A data-driven method for syndrome type identification and classification in traditional Chinese medicine. Journal of Integrative Medicine, 2017, 15(2): 110-123.
[2] Bosch Peggy, van den Noort Maurits, Yeo Sujung, Lim Sabina, Coenen Anton, van Luijtelaar Gilles. The effect of acupuncture on mood and working memory in patients with depression and schizophrenia. Journal of Integrative Medicine, 2015, 13(6): 380-390.
[3] Sheng Wei, Jin-liang Hou, Yu-bin Chao, Xi-yang Du, Shao-bo Zong . Analysis on content of serum monoamine neurotransmitters in macaques with anger-in-induced premenstrual syndrome and liver-qi depression syndrome. Journal of Chinese Integrative Medicine, 2012, 10(8): 925-931.
[4] Karuna A. Talpate, Uma A. Bhosale, Mandar R. Zambare. Clitorea ternatea, a herb from Indian folklore, improves streptozotocin-induced diabetes and diabetes-induced cognitive decline in rats. Journal of Chinese Integrative Medicine, 2012, 10(8): 939-947.
[5] Ying-fei Bi , Jing-yuan Mao , Xian-liang Wang , Ya-zhu Hou , Yi-zhu Lu , Shan Bin Soh , Bo-li Zhang. Clinical epidemiology survey of the traditional Chinese medicine etiology and syndrome differentiation of coronary artery disease: Study protocol of a multicenter trial. Journal of Chinese Integrative Medicine, 2012, 10(6): 619-627.
[6] Mohammadpour Toktam, Hosseini Mahmoud, Karami Reza, Reza Sadeghnia Hamid, Reza Ebrahimzadeh Bideskan Ali, Enayatfard Lili. Estrogen-dependent effect of soy extract on pentylenetetrazole-induced seizures in rats. Journal of Chinese Integrative Medicine, 2012, 10(12): 1470-1475.
[7] Hosseini Mahmoud, Jafarianheris Taha, Seddighi Navid, Parvaneh Mohammad, Ghorbani Ahmad, Reza Sadeghnia Hamid, Rakhshandeh Hassan. Effects of different extracts of Eugenia caryophyllata on pentylenetetrazole-induced seizures in mice. Journal of Chinese Integrative Medicine, 2012, 10(12): 1476-1481.
[8] Ying Xu , Chang-chun Zeng , Xiu-yu Cai , Rong-ping Guo , Guang Nie , Ying Jin. Chromaticity and optical spectrum colorimetry of the tongue color in different syndromes of primary hepatic carcinoma. Journal of Chinese Integrative Medicine, 2012, 10(11): 1263-1271.
[9] Li Xiao-hong, Li Jing-jing, Liu Yue-yun, Chen Jia-xu. Central neurobiological mechanism of liver depression and spleen deficiency syndrome based on chronic stress: a review. Journal of Chinese Integrative Medicine, 2012, 10(1): 1-6.
[10] Liang-ping Hu, Xiao-lei Bao, Qi Wang . The repetition principle in scientific research. Journal of Chinese Integrative Medicine, 2011, 9(9): 937-940.
[11] Ali Reza Ebrahimzadeh Bideskan, Mahmoud Hosseini, Toktam Mohammadpour, Reza Karami, Mehdi Khodamoradi, Habibollah Nemati Karimooy, Hassan Alavi. Effects of soy extract on pentylenetetrazol-induced seizures in ovariectomized rats. Journal of Chinese Integrative Medicine, 2011, 9(6): 611-618.
[12] Cai Lin-lin, Li Hao, Liu Jian-gang, Liu Long-tao, Guan Jie, Liu Ming-fang, Hu Jia, Wei Yun. Effects of early intervention with Huannao Yicong formula effective components on behavior and cholinergic system of β-amyloid precursor protein transgenic mice. Journal of Chinese Integrative Medicine, 2011, 9(3): 292-298.
[13] Mahmoud Hosseini, Mahboobeh Ghasemzadeh Rahbardar, Hamid Reza Sadeghnia, Hassan Rakhshandeh. Effects of different extracts of Rosa damascena on pentylenetetrazol-induced seizures in mice. Journal of Chinese Integrative Medicine, 2011, 9(10): 1118-1124.
[14] XQ Yue. Towards better understanding the definition of cancerous toxin. Journal of Chinese Integrative Medicine, 2010, 8(9): 829-831.
[15] Hui Han, Li-min Wu, Wen-ming Yang, Mei-xia Wang, Jing-jing Tang, Han Wang, Zhi-xiu Liu, Rong-zhi Liu, Ting Dong, Juan Zhang , Bo Yang, Ming-xiang Han. Characteristics of traditional Chinese medicine syndromes in post-stroke depression. Journal of Chinese Integrative Medicine, 2010, 8(5): 427-431.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] Jin-zhou Tian, Jing Shi, Xin-qing Zhang, Qi Bi, Xin Ma, Zhi-liang Wang, Xiao-bin Li, Shu-li Shen, Lin Li, Zhen-yun Wu, Li-yan Fang, Xiao-dong Zhao, Ying-chun Miao, Peng-wen Wang, Ying Ren, Jun-xiang Yin, Yong-yan Wang, Beijing United Study Group on MCI of the Capital Foundation of Medical Developments. An explanation on "guiding principles of clinical research on mild cognitive impairment (protocol)". Journal of Chinese Integrative Medicine, 2008, 6(1): 15-21
[2] Jin-rong Fu. Establishment of multivariate diagnosis and treatment system of modern gynecology of traditional Chinese medicine. Journal of Chinese Integrative Medicine, 2008, 6(1): 22-24
[3] Hai-feng Wei, Bai-liu Ya, Ling Zhao, Cui-fei Ye, Li Zhang, Lin Li. Evaluation of tongue manifestation of blood stasis syndrome and its relationship with blood rheological disorder in a rat model of transient brain ischemia. Journal of Chinese Integrative Medicine, 2008, 6(1): 73-76
[4] Bo Wang , Wei Yan , Li-hui Hou, Xiao-ke Wu. Disorder of Tiangui (kidney essence) and reproductive dysfunction in patients with polycystic ovary syndrome. Journal of Chinese Integrative Medicine, 2010, 8(11): 1018-1022
[5] Hui-min Liu, Xian-bo Wang, Yu-juan Chang, Li-li Gu. Systematic review and meta-analysis of randomized controlled trials of integrative medicine therapy for treatment of chronic severe hepatitis. Journal of Chinese Integrative Medicine, 2012, 10(11): 1211-1228
[6] Ming-qing Wei , Jin-zhou Tian , Jing Shi , Fu-yun Ma , Ying-chun Miao , Yong-yan Wang. Effects of Chinese medicine for promoting blood circulation and removing blood stasis in treating patients with mild to moderate vascular dementia: a randomized, double-blind and parallel-controlled trial. Journal of Chinese Integrative Medicine, 2012, 10(11): 1240-1246
[7] Nian-hong Wang , Jun-tao Yan , Wu-quan Sun , Yong-shan Hu , Jun Xia , Li-cheng Wei , Jie Jia , Gui-lin Ouyang , Yong He , Yan-ming Guo , Jie Xu . Effects of early application of Tuina treatment on quadriceps surface myoelectricity in patients after total knee arthroplasty: a randomized controlled trial. Journal of Chinese Integrative Medicine, 2012, 10(11): 1247-1253
[8] Yuan-jie Wu , Zhao-hui Fang , Shu-guo Zheng , Yuan-bo Wu , Ai-hua Fan. Effects of Chinese herbal medicine Danzhi Jiangtang Capsule and exercise on JNK signaling pathway in pancreatic tissues of diabetic rats. Journal of Chinese Integrative Medicine, 2012, 10(11): 1279-1285
[9] Veena Sharma , Pracheta Janmeda , Ritu Paliwal , Shatruhan Sharma. Antihepatotoxic activity of Euphorbia neriifolia extract against N-nitrosodiethylamine-induced hepatocarcinogenesis in mice. Journal of Chinese Integrative Medicine, 2012, 10(11): 1303-1309
[10] Ji Chen, Qin Pan, Li-shuang Ye, Jia-ling Huang. English translation of cultural aspects of the titles of traditional Chinese medicine classics based on the skopos theory. Journal of Chinese Integrative Medicine, 2012, 10(11): 1316-1320